Problems about the distal end of the ulna:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Hand clinics
14,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 155 - 330 Ill. |
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| adam_text | I ROlil.I MS ABOUT TI IF 1MSTAI. IIND OF THK ULNA
CONTENTS
Preface xiii
Thomas J. Graham
The Evolution of the Distal Radio Ulnar Joint 155
Dean S. Louis and Peter J. L. Jebson
The pectoral girdle and the distal radio ulnar joint have evolved over a
period of 400 million years. Clinical circumstances exist that may represent
atavistic development in modern man. Current understanding of this
complex area does not explain all clinical situations.
Osseous Anatomy and Articular Relationships About the Distal Ulna 161
Frederik af Ekenstam
The distal radio ulnar joint (DRUJ) has a bony anatomy that contributes
very little to stability. This article discusses the osseous anatomy about the
distal end of the ulna. The structures that support the stability of the
DRUJ, such as the triangular fibrocartilage complex, the tendon sheath of
the extensor carpi ulnaris, the pronator quadratus muscle, and other ten¬
dons on the ulnar side of the wrist are reviewed.
Soft Tissue Anatomy and Relationships About the Distal Ulna 165
Marc Garcia Elias
The author investigates the complex anatomic relationship between the
ulnar head and adjacent osseous structures (radius and carpus). Special
attention is directed to the orientation and shape of the articular surfaces,
the constraining effects of specific membranes and ligaments (radio ulnar
and ulnocarpal), the shock absorbing function of the triangular fibrocarti¬
lage, and the dynamic action of specific muscles (pronator quadratus and
extensor carpi ulnaris). The anatomy of other nonstabilizing structures
(meniscus homologue and prestyloid recess) is also discussed.
Clinical Examination of the Distal Ulna and Surrounding Structures 177
Keith B. Raskin and Steven Beldner
A complete understanding of the anatomy of the ulnar aspect of the wrist
and the potential pathologies that may afflict it is the key to making an
HAND CLINICS VOLUME 14 • NUMBER 2 • MAY 1998 vii
accurate diagnosis, ordering appropriate ancillary studies, and providing
comprehensive patient management for problems in this region. This arti¬
cle focuses on the clinical examination of the skeletal, articular, and soft
tissue components about the distal ulna. Differentiation of distal ulnar
maladies from more proximal conditions producing ulnar wrist symptoms
is also reviewed.
Imaging Modalities for Study of the Distal Ulnar Region 191
Bradford J. Richmond, George H. Belhobek, Michael P. Recht,
David W. Piraino, and Jean Schils
Judicious use of diagnostic imaging maximizes the diagnostic capabilities
of the surgeon treating the distal radio ulnar joint (DRUJ). A good clinical
history and clinical examination are necessary to direct the selection of
appropriate imaging studies. Plain radiographs are almost always the first
imaging examination. More advanced imaging techniques are costly and
may provide only limited information. This article discusses imaging mo¬
dalities useful for assessment of the DRUJ and the area around it.
The Management of Acute Fractures Involving the Distal
Radio Ulnar Joint and Distal Ulna 213
Eial Faierman and Jesse B. Jupiter
The acute management of fractures involving the distal radio ulnar joint
and distal ulna is controversial. The primary goal is recognition and
differentiation between stable and unstable fracture patterns. Although an
operative approach is adopted in the treatment of these injuries, the
optimal management protocol awaits good prospective randomized stud¬
ies.
Injuries About the Distal Ulna in Children 231
Louis Bley and William H. Seitz, Jr
This article examines several types of injuries about the distal ulna that
appear in children. Ulnar styloid fractures are relatively common and tend
not to have the deforming potential of Salter Harris type injuries. Physeal
injuries with their potential for long term growth impairment and func¬
tional limitation are potentially the most serious. Chronic stress injuries at
the distal ulna, as seen in competitive gymnasts, and chronic late disrup¬
tion of the distal radio ulnar joint are also discussed.
A Systematic Approach to Handling the Distal Radio Ulnar Joint in
Cases of Malunited Distal Radius Fractures 239
Thomas R. Hunt, Hill Hastings II, and Thomas J. Graham
The distal radio ulnar joint (DRUJ) is often the site of persistent symptoms
after malunion of distal radius fractures. These malunions alter load trans¬
fer across the ulnocarpal joint, disturb DRUJ kinematics, and result in joint
incongruity at the sigmoid notch. Treatment of distal radius malunions
must not only correct position of the radial platform and joint incongruity
but also restore anatomic relationships at the DRUJ. A systematic approach
to the surgical reconstruction of these multiplanar deformities using clini¬
cal and radiographic parameters is outlined.
Ulnocarpal Abutment: Treatment Options 251
Mark A. Deitch and Peter J. Stern
Ulnocarpal abutment presents a significant clinical challenge. In the last
two decades, the anatomy of the ulnar side of the wrist and the pathophys
Viii CONTENTS
iology of ulnocarpal abutment have been defined more clearly. Based on
this greater understanding, a variety of treatments have been devised. This
article reviews the current methods of treatment of ulnocarpal abutment.
The Indications for and Techniques and Outcomes of Ablative
Procedures of the Distal Ulna: The Darrach Resection, Hemiresection,
Matched Resection, and Sauve Kapandji Procedure 265
David M. Lichtman, T. Kent Ganocy, and David C. Kim
Several ablative procedures exist for the treatment of distal radio ulnar
joint arthritis. This article describes the indications, techniques, pitfalls,
and outcomes for the four most popular procedures: Darrach, hemiresec
tion interposition, Sauve Kapandji, and matched ulnar resection. The au¬
thors explain their personal algorithm for treatment selection, emphasizing
patient requirements versus the physiologic characteristics of each proce¬
dure.
Salvage Procedures After Failed Surgery About the Distal Ulna 279
Alexander D. Mih
This article discusses four types of salvage procedures that may offer a
successful means of treating patients after failed distal ulnar surgery. The
procedures include distal radio ulnar joint fusion, the Sauve Kapandji
procedure, creation of a one bone forearm, and massive resection of the
distal ulna.
The Role of Operative Arthroscopy for the Diagnosis and Treatment
of Lesions About the Distal Ulna 285
S. Mark Fulcher and Gary G. Poehling
Operative arthroscopy of the wrist compliments the physical examination
and radiographic imaging to improve diagnosis and treatment of lesions
about the distal ulna. This article reviews the relevant anatomy, biomecha
nics, and classification of acute and degenerative lesions of the triangular
fibrocartilage complex (TFCC). Minimally invasive diagnostic and manage¬
ment techniques for TFCC tears are described in detail.
Treatment of Acute and Chronic Instability of the Distal Radio Ulnar
Joint 297
Larry K. Chidgey
This article discusses the joint mechanics and the anatomy of the forearm
with respect to understanding instability of the distal radio ulnar joint.
Acute and chronic instability are reviewed, and treatments are discussed.
Disorders of the Forearm Axis 305
Thomas J. Graham, Thomas J. Fischer, Robert N. Hotchkiss,
and William B. Kleinman
Forearm pronosupination is a complex, integrated activity that demands
specialized function of all structures between the elbow and wrist. This
article describes the forearm axis as a comprehensive concept to unify
these relationships. The anatomy and biomechanics of the forearm axis are
reviewed. Pathologies that affect the entire axis are summarized.
Inflammatory and Traumatic Tendinopathies About the Ulnar Wrist 317
John A. McAuliffe and Ronaldo S. Carneiro
Tendinopathy about the ulnar aspect of the wrist may involve either
extensor or flexor structures and has a variety of causes. Although rela
CONTENTS ix
tively less common than intra articular pathology, disorders of these super¬
ficial structures must not be neglected when performing a physical exami¬
nation of the ulnar wrist or developing a differential diagnosis for patients
with ulnar wrist pain.
Index 327
Subscription Information Inside back cover
x CONTENTS
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| spelling | Problems about the distal end of the ulna Thomas J. Graham, guest ed. Philadelphia [u.a.] Saunders 1998 X S., S. 155 - 330 Ill. txt rdacontent n rdamedia nc rdacarrier Hand clinics 14,2 Fractures de l'ulna - Chirurgie Polsgewricht gtt Ulna - anatomie et histologie Ulna gtt Ulna Fractures surgery Ulna anatomy & histology Elle (DE-588)4152022-1 gnd rswk-swf Handgelenkkrankheit (DE-588)4307223-9 gnd rswk-swf Articulatio radio-ulnaris distalis (DE-588)4303057-9 gnd rswk-swf Unterarmverletzung (DE-588)4281443-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Articulatio radio-ulnaris distalis (DE-588)4303057-9 s Handgelenkkrankheit (DE-588)4307223-9 s DE-604 Elle (DE-588)4152022-1 s Unterarmverletzung (DE-588)4281443-1 s Graham, Thomas John 1795-1876 Sonstige (DE-588)104045671 oth Hand clinics 14,2 (DE-604)BV000019309 14,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008127855&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Problems about the distal end of the ulna Hand clinics Fractures de l'ulna - Chirurgie Polsgewricht gtt Ulna - anatomie et histologie Ulna gtt Ulna Fractures surgery Ulna anatomy & histology Elle (DE-588)4152022-1 gnd Handgelenkkrankheit (DE-588)4307223-9 gnd Articulatio radio-ulnaris distalis (DE-588)4303057-9 gnd Unterarmverletzung (DE-588)4281443-1 gnd |
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| title | Problems about the distal end of the ulna |
| title_auth | Problems about the distal end of the ulna |
| title_exact_search | Problems about the distal end of the ulna |
| title_full | Problems about the distal end of the ulna Thomas J. Graham, guest ed. |
| title_fullStr | Problems about the distal end of the ulna Thomas J. Graham, guest ed. |
| title_full_unstemmed | Problems about the distal end of the ulna Thomas J. Graham, guest ed. |
| title_short | Problems about the distal end of the ulna |
| title_sort | problems about the distal end of the ulna |
| topic | Fractures de l'ulna - Chirurgie Polsgewricht gtt Ulna - anatomie et histologie Ulna gtt Ulna Fractures surgery Ulna anatomy & histology Elle (DE-588)4152022-1 gnd Handgelenkkrankheit (DE-588)4307223-9 gnd Articulatio radio-ulnaris distalis (DE-588)4303057-9 gnd Unterarmverletzung (DE-588)4281443-1 gnd |
| topic_facet | Fractures de l'ulna - Chirurgie Polsgewricht Ulna - anatomie et histologie Ulna Ulna Fractures surgery Ulna anatomy & histology Elle Handgelenkkrankheit Articulatio radio-ulnaris distalis Unterarmverletzung Aufsatzsammlung |
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