The Scaphoid
The scaphoid is vitally important for the proper mechanics of wrist function. Its unique morphology from its boat like shape to its retrograde blood supply can present with challenges in…
Complex Distal Radius Fractures
Complex distal radius fractures are high-energy injuries of the wrist with articular disruption, ligamentous instability, significant comminution, soft tissue injury, and/or neurovascular impairment. The management of these injuries requires a…
Fracture-Dislocations of the Carpus
The progressive perilunar instability model described by Mayfield is still used to predict the pattern of injury. Diagnosis of injury and clinical and radiographic findings depend on the pattern of…
Proximal Forearm Fractures
Unfortunately, the literature has little guidance for revision elbow surgery. This article attempts to supplement what is known in the literature with the author’s anecdotal experience. With this article, it…
Monteggia Fractures
Monteggia described a fracture of the proximal third of the ulna with anterior dislocation of the radial head from both the proximal radioulnar and radiocapitellar joints. Application of this eponym…
Terrible Triad of the Elbow
The terrible triad of the elbow is a difficult injury with historically poor outcomes. Improved experience, techniques, and implants have advanced to the point where restoration of elbow stability can…
Intra-Articular Distal Humerus Fractures
Distal humeral fractures are relatively rare and complex injuries. With appropriate preoperative planning and execution of surgical technique, good outcomes may be obtained in most patients. Patients should be counseled…
Emerging Concepts in Upper Extremity Trauma
Fractures of the humeral shaft are common in low-energy and high-energy trauma, and optimal clinical management remains controversial. Nonsurgical management has been supported as the preferred treatment based on high…
Fractures of the Proximal Humerus
Proximal humeral fractures are common, with low-energy injuries occurring in the elderly population and less frequent high-energy fractures striking young people. This article discusses the anatomy, clinical evaluation, and treatment…
Scapulothoracic Dissociation
Scapulothoracic dissociation is rare, resulting from high-energy trauma to the shoulder girdle and disruption of the scapulothoracic articulation. The associated musculoskeletal, vascular, and neurologic injuries carry potentially devastating outcomes. Overall…
