41 Open Reduction and Internal Fixation of Transscaphoid Perilunate Fracture Dislocation Indications Acute carpal fracture dislocations. After 2 to 3 weeks, the surgeon should consider a salvage procedure. Technique Pearl…
20 Hemiresection Arthroplasty of the Distal Ulna Indications Distal radioulnar joint (DRUJ) arthritis from DJD, inflammatory disease, or trauma Pitfall Hemiresection arthroplasty will improve arthritic symptoms but will not restore…
36 Flexor Carpi Radialis Tendon Stabilization of the Scapholunate Joint (Brunelli Procedure) Indications Patients with symptomatic static scapholunate dissociation without arthritis at the radioscaphoid or scaphotrapeziotrapezoidal joints Technique Dorsal longitudinal…
64 Excision of Palmar Wrist Ganglion Indications Painful or cosmetically unacceptable mass on palmar aspect of wrist Technique Brunner incision over mass (Fig. 64-1). Expose mass, usually in the interval…
18 Reconstruction of Distal Radioulnar Ligaments Indications Distal radioulnar joint (DRUJ) instability with an irreparable triangular fibrocartilage complex (TFCC) tear and no appreciable arthritis Distal radial malunion with DRUJ instability…
21 Darrach Procedure (Distal Ulna Resection) Indications Rheumatoid disease with distal radioulnar joint (DRUJ) arthritis Elderly, low-demand patients with DRUJ incongruity or positive ulnar variance (e.g., distal radial malunion) Pitfall…
31 Open Reduction and Internal Fixation of Scaphoid Nonunion with Vascularized Bone Graft Indications Proximal pole scaphoid nonunion, especially in cases of an avascular proximal pole and after failed open…
25 Arthroscopic “Wafer” Procedure Indications Ulnar impaction syndrome Pitfall Cannot be used if positive ulnar variance is greater than 4 mm or when there is arthritis of the distal radioulnar…
11 Open Reduction and Internal Fixation of an Ulnar Styloid Fracture Indications Fracture of the distal radius and ulna with instability of the distal radioulnar joint (DRUJ) Technique a linear…
50 Arthroscopic Synovectomy Indications Chronic synovitis from inflammatory arthritis that is unresponsive to medical management Pitfall Results are less predictable if radiographs demonstrate joint erosions. Technique Standard wrist arthroscopy setup…
