35 Scapholunate Reconstruction with Dorsal Capsular Flap (Blatt Procedure) Indications Acute or chronic, static or dynamic scapholunate (SL) instability No arthritis at radioscaphoid or capitolunate joint Reducible scaphoid Technique Dorsal…
70 Closed Reduction and Internal Fixation of Reverse Bennett’s Fractures Indications Base of the small metacarpal fracture with either or both displacement and joint subluxation. The entire ray is displaced…
47 Excision Distal Pole of the Scaphoid Indications Symptomatic, long-standing scaphoid (S) nonunion with radioscaphoid arthritis Margins of scaphoid nonunion sclerotic, with cystic changes in the proximal and distal poles;…
45 Proximal Row Carpectomy with Capsular Resurfacing Indications Radioscaphoid arthritis with preservation of the radiolunate and midcarpal joints. This pattern is typically seen in long-standing scapholunate dissociation. Pitfall Degenerative changes…
44 Radial Styloidectomy Indications Arthritis between the distal pole of the scaphoid and radial styloid seen in scaphoid nonunion with advanced collapse This procedure may relieve pain when performed alone…
43 Wrist Denervation Indications Symptomatic arthritis in elderly patient with concurrent medical problems that preclude major wrist reconstruction Patients of all ages with symptomatic arthritis who want an opportunity to…
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…
