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…
33 Arthroscopy and Percutaneous Pin Fixation of Scapholunate Ligament Injuries Indications Acute (< 3 months) partial tear or stretch injury of the scapholunate (SL) ligament where dynamic instability is present…
32 Excision Hook of Hamate for Nonunion Indications Palmar pain and tenderness directly over hook of hamate Weak grip Ulnar nerve paresthesia Small finger flexor digitorum sublimis (FDS) rupture Preoperative…
39 Open Reduction and Internal Fixation Perilunate Dislocation via Dorsal Approach Indications Any perilunate dislocation Technique Make a longitudinal incision over the third to fourth extensor compartment (Fig. 39-1). Incise…
29 Open Reduction and Internal Fixation of Displaced Scaphoid Fractures via Dorsal Approach Indications Acute unstable fractures Displacement greater than 1 mm Lateral intrascaphoid angulation greater than 35 degrees Significant…
