Open Scapholunate Ligament Repair
34 Open Scapholunate Ligament Repair Indications Wide scapholunate (SL) joint (> 3 mm) and a dorsi-flexed lunate Repairable remnant of SL ligament (can be present up to 3 months postinjury)…
Percutaneous Screw Fixation of Scaphoid Fractures
28 Percutaneous Screw Fixation of Scaphoid Fractures Indications Acute nondisplaced and displaced fractures of the scaphoid Fractures in competitive athletes or laborers or other individuals who wish to avoid prolonged…
Fractures of the Ulnar Neck
13 Fractures of the Ulnar Neck Indications Unstable fractures through the neck of the distal ulna Pitfall Fractures with metaphyseal comminution are particularly difficult to manage. Pearl If reduction and…
Sauve-Kapandji Procedure
19 Sauve-Kapandji Procedure Indications Distal radioulnar joint (DRUJ) arthritis from degenerative joint disease (DJD), inflammatory disease, or trauma Technique Expose the DRUJ through the fifth extensor compartment. Pearl No need…
Extensor Carpi Radialis Longus to Extensor Carpi Ulnaris Tendon Transfer
51 Extensor Carpi Radialis Longus to Extensor Carpi Ulnaris Tendon Transfer Indications Radial deviation of the wrist with reduced capacity for active ulnar deviation due to an inflammatory arthropathy. Post-traumatic…
Open Repair of an Ulnar-Sided Triangular Fibrocartilage Complex Tear
16 Open Repair of an Ulnar-Sided Triangular Fibrocartilage Complex Tear Indications A tear of the triangular fibrocartilage complex (TFCC) from the fovea of the ulnar head with or without distal…
Resect Ulnar Styloid Fracture with Repair of Triangular Fibrocartilage Complex
14 Resect Ulnar Styloid Fracture with Repair of Triangular Fibrocartilage Complex Indications Symptomatic nonunion of the ulnar styloid with and without instability of the distal radioulnar joint (DRUJ) Patients should…
Open “Wafer” Procedure
26 Open “Wafer” Procedure Indications Ulnar impaction syndrome In conjunction with repair of a traumatic triangular fibrocartilage complex (TFCC) peripheral tear Pitfall Cannot be used if positive ulnar variance is…
Extensor Carpi Ulnaris–Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna
23 Extensor Carpi Ulnaris—Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna Indications Unstable distal ulna after a distal ulnar resection (Darrach procedure) Performed in conjunction with a distal…
Nonunion of an Ulnar Neck Fracture
15 Nonunion of an Ulnar Neck Fracture Indications Delayed or nonhealing of a neck fracture following nonoperative treatment Failed fixation with nonunion following operative treatment Pitfall A significant bone defect…
