Wrist trauma:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2007
|
| Series: | Orthopedic clinics of North America
38,2 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | IX S., S. 127 - 303 zahlr. Ill. |
| ISBN: | 1416043489 9781416043485 |
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| adam_text | WRIST TRAUMA
CONTENTS
Preface
Steven Papp ix
Wrist Anatomy and Surgical Approaches 127
Roy Cardoso and Robert M. Szabo
Appreciation and knowledge of anatomy as it relates to surgical approaches is critical for
planning treatment of traumatic wrist injuries. This article discusses the pertinent
anatomy and some of the more commonly used approaches to wrist trauma.
Physical Examination of the Wrist 149
Darryl Young, Steven Papp and Alan Giachino
Physical examination of the wrist requires knowledge of wrist anatomy and pathology
to make a diagnosis or narrow the differential diagnosis. Symptoms are provoked by
palpation and signs are produced by manipulation. Negative findings elsewhere in
the wrist are important. Final diagnosis may require diagnostic imaging. By having all
three methods of assessment agree one is assured of correct diagnosis. The physical
examination of the wrist is not unlike that of other joints, in that a systematic approach
includes observation, range of motion, palpation, and special tests.
Distal Radius Fractures—Classification of Treatment and Indications
for Surgery 167
Asif M. Ilyas and Jesse B. Jupiter
Distal radius fractures are common injuries. Multiple classification systems have high¬
lighted the evolution of the understanding of distal radius fractures. Understanding
the classifications of distal radius fractures is important in identifying the important as¬
pects that affect their outcome. Surgical indications of distal radius fractures can be
divided into the following categories: patient factors, fracture reduction, fracture stabi¬
lity, and the presence of associated injuries.
Distal Radius Fractures: Nonoperative and Percutaneous Pinning
Treatment Options 175
Wade Gofton and Allan Liew
Nonoperative treatment of distal radial fractures by reduction and immobilization
remains the most common treatment, based on the incidence of appropriate fracture types,
as seen in many epidemiological studies in the literature. In this article, the indications,
technique, predictors of failure, outcomes, and complications are reviewed. A variety of
VOLUME 38 • NUMBER 2 • APRIL 2007 v
treatment options have been proposed for distal radial fractures that are predicted, or sub¬
sequently identified, to be too unstable for nonoperative management. Percutaneous pin¬
ning is an effective option for select fractures. The authors also review the indications,
described techniques, complications and outcomes associated with this treatment option.
External Fixation of Distal Radius Fractures 187
Jubin B. Payandeh and Michael D. McKee
Fractures of the distal radius are the most common fractures that occur in patients be¬
tween ages 15 and 75 years. Many methods for treating displaced distal radius fractures
are available. All forms of treatment involve obtaining fracture reduction, which may
then be maintained by casting, functional bracing, external fixation, percutaneous
pinning, internal fixation, or a combination of these methods. This article discusses
the indications and technique of fracture treatment with external fixation and, when
required, adjuvant percutaneous pins.
Plating for Distal Radius Fractures 193
Paul A. Martineau, Gregory K. Berry and Edward J. Harvey
No area of fracture management has had such a recent explosion of new treatment
modalities as distal radius plating. This explosion has largely been implant and indus¬
try driven, with little evidence based research guiding the way. A perceived difficulty
with commonly used modalities by the orthopedic community has been enough to drive
an entire new set of options for distal radius fixation. A drift from dorsal to volar plating
has occurred that has been unexamined by randomized research. Segment specific
fixation has been a new mindset that has resulted in a novel plate line and has caused
other manufacturers to redesign their product lines. Other novel approaches for
proposed problems include locking plates, nail plate combinations, and others. This
article outlines some of these options with a literature opinion and a clarification from
the authors. A treatment plan for common fractures of the distal radius is also outlined.
Management of Post Traumatic Malunion of Fractures of the Distal Radius 203
Bradley E. Slagel, Suriya Luenam and David R. Pichora
Distal radius malunions are a common cause of patient morbidity. This review of the litera¬
ture surrounding distal radius malunion covers the demographics, pathologic anatomy,
and indications for surgery, surgical techniques, and salvage options. Particular emphasis
is placed on subject areas that have not been reviewed as extensively in previous articles,
including: intra articular malunion, computer assisted techniques, bone graft alternatives,
and volar fixed angle plate osteosynthesis.
Complications of Distal Radius Fractures 217
Robert G. Turner, Kenneth J. Faber and George S. Athwal
Fractures occur at the distal end of the radius more frequently than at any other location.
The reported complication rates of distal radius fractures in the literature vary from 6%
to 80%. Complications may occur from the fracture or its treatment. This article reviews
complications caused by distal radius fractures and their treatment. Complications are
divided chronologically in to immediate, early (less than 6 weeks), and late (greater than
6 weeks).
Acute Scaphoid Fractures 229
Julie E. Adams and Scott P. Steinmann
Scaphoid fractures are a common problem encountered in clinical practice. This
manuscript provides an algorithm for the diagnosis, evaluation, and treatment of acute
scaphoid fractures.
vi CONTENTS
Management of Scaphoid Nonunions 237
Thanapong Waitayawinyu, H. James Pfaeffle, Wren V. McCallister,
Nicholas M. Nemechek, and Thomas E. Trumble
Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole,
and waist fractures may have an associated humpback deformity. CT best shows the
deformity and bone loss, whereas MRI will show avascular necrosis. Operative treat¬
ment should be directed at correcting the deformity with open reduction and internal
fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular
necrosis.
Carpal Bone Fractures 251
Steven Papp
Carpal bone fractures make up a significant proportion of injuries to the wrist. The com¬
plex bone shape and articulations make diagnosis more difficult and missed injuries
more common. This article reviews carpal bone fractures excluding the scaphoid.
The Diagnosis and Treatment of Scapholunate Instability 261
Jennifer Manuel and Steven L. Moran
Scapholunate instability is the most common form of carpal instability. Pain produced by
this condition is caused by the wrist s inability to sustain physiologic loads because of an
injury to the linkage between the scaphoid and lunate. The term scapholunate instability
may describe a wide spectrum of clinical conditions ranging from mild wrist dysfunction
and partial ligamentous tear to debilitating pain with associated rupture of the scapho¬
lunate interosseus ligament complex. This article reviews the pathophysiology of
scapholunate instability and its identification and treatment.
Perilunate Injuries 279
David J. Sauder, George S. Athwal, Kenneth J. Faber, and James H. Roth
Perilunate injuries are complex injuries of the bony and ligamentous structures of the
wrist. They require operative management with careful restoration of carpal alignment
and open reduction and internal fixation of associated fractures. Even with optimal treat¬
ment, mild to moderate dysfunction affects most patients.
Traumatic Problems of the Distal Radioulnar Joint 289
Jonathan S. Mulford and Terry S. Axelrod
Traumatic injuries of the distal radioulnar joint (DRUJ) may give rise to complex wrist
pathologies. Substantial ongoing disability can arise should these injuries go unrecog¬
nized resulting in sub optimal treatment and lack of appropriate rehabilitation. Injuries
of the DRUJ may occur in isolation but more commonly are found with a fracture of the
radius. These challenging DRUJ injuries may be simple or complex (irreducible or severe
instability), acute or chronic. An adequate knowledge of the stabilizers of the DRUJ
is essential in understanding treatment options. Traumatic instability of the DRUJ is
reviewed and the anatomy and stabilizing factors are discussed. An algorithm to guide
selection of treatment options in complex cases is presented.
Index 299
CONTENTS vii
|
| adam_txt |
WRIST TRAUMA
CONTENTS
Preface
Steven Papp ix
Wrist Anatomy and Surgical Approaches 127
Roy Cardoso and Robert M. Szabo
Appreciation and knowledge of anatomy as it relates to surgical approaches is critical for
planning treatment of traumatic wrist injuries. This article discusses the pertinent
anatomy and some of the more commonly used approaches to wrist trauma.
Physical Examination of the Wrist 149
Darryl Young, Steven Papp and Alan Giachino
Physical examination of the wrist requires knowledge of wrist anatomy and pathology
to make a diagnosis or narrow the differential diagnosis. Symptoms are provoked by
palpation and signs are produced by manipulation. Negative findings elsewhere in
the wrist are important. Final diagnosis may require diagnostic imaging. By having all
three methods of assessment agree one is assured of correct diagnosis. The physical
examination of the wrist is not unlike that of other joints, in that a systematic approach
includes observation, range of motion, palpation, and special tests.
Distal Radius Fractures—Classification of Treatment and Indications
for Surgery 167
Asif M. Ilyas and Jesse B. Jupiter
Distal radius fractures are common injuries. Multiple classification systems have high¬
lighted the evolution of the understanding of distal radius fractures. Understanding
the classifications of distal radius fractures is important in identifying the important as¬
pects that affect their outcome. Surgical indications of distal radius fractures can be
divided into the following categories: patient factors, fracture reduction, fracture stabi¬
lity, and the presence of associated injuries.
Distal Radius Fractures: Nonoperative and Percutaneous Pinning
Treatment Options 175
Wade Gofton and Allan Liew
Nonoperative treatment of distal radial fractures by reduction and immobilization
remains the most common treatment, based on the incidence of appropriate fracture types,
as seen in many epidemiological studies in the literature. In this article, the indications,
technique, predictors of failure, outcomes, and complications are reviewed. A variety of
VOLUME 38 • NUMBER 2 • APRIL 2007 v
treatment options have been proposed for distal radial fractures that are predicted, or sub¬
sequently identified, to be too unstable for nonoperative management. Percutaneous pin¬
ning is an effective option for select fractures. The authors also review the indications,
described techniques, complications and outcomes associated with this treatment option.
External Fixation of Distal Radius Fractures 187
Jubin B. Payandeh and Michael D. McKee
Fractures of the distal radius are the most common fractures that occur in patients be¬
tween ages 15 and 75 years. Many methods for treating displaced distal radius fractures
are available. All forms of treatment involve obtaining fracture reduction, which may
then be maintained by casting, functional bracing, external fixation, percutaneous
pinning, internal fixation, or a combination of these methods. This article discusses
the indications and technique of fracture treatment with external fixation and, when
required, adjuvant percutaneous pins.
Plating for Distal Radius Fractures 193
Paul A. Martineau, Gregory K. Berry and Edward J. Harvey
No area of fracture management has had such a recent explosion of new treatment
modalities as distal radius plating. This explosion has largely been implant and indus¬
try driven, with little evidence based research guiding the way. A perceived difficulty
with commonly used modalities by the orthopedic community has been enough to drive
an entire new set of options for distal radius fixation. A drift from dorsal to volar plating
has occurred that has been unexamined by randomized research. Segment specific
fixation has been a new mindset that has resulted in a novel plate line and has caused
other manufacturers to redesign their product lines. Other novel approaches for
proposed problems include locking plates, nail plate combinations, and others. This
article outlines some of these options with a literature opinion and a clarification from
the authors. A treatment plan for common fractures of the distal radius is also outlined.
Management of Post Traumatic Malunion of Fractures of the Distal Radius 203
Bradley E. Slagel, Suriya Luenam and David R. Pichora
Distal radius malunions are a common cause of patient morbidity. This review of the litera¬
ture surrounding distal radius malunion covers the demographics, pathologic anatomy,
and indications for surgery, surgical techniques, and salvage options. Particular emphasis
is placed on subject areas that have not been reviewed as extensively in previous articles,
including: intra articular malunion, computer assisted techniques, bone graft alternatives,
and volar fixed angle plate osteosynthesis.
Complications of Distal Radius Fractures 217
Robert G. Turner, Kenneth J. Faber and George S. Athwal
Fractures occur at the distal end of the radius more frequently than at any other location.
The reported complication rates of distal radius fractures in the literature vary from 6%
to 80%. Complications may occur from the fracture or its treatment. This article reviews
complications caused by distal radius fractures and their treatment. Complications are
divided chronologically in to immediate, early (less than 6 weeks), and late (greater than
6 weeks).
Acute Scaphoid Fractures 229
Julie E. Adams and Scott P. Steinmann
Scaphoid fractures are a common problem encountered in clinical practice. This
manuscript provides an algorithm for the diagnosis, evaluation, and treatment of acute
scaphoid fractures.
vi CONTENTS
Management of Scaphoid Nonunions 237
Thanapong Waitayawinyu, H. James Pfaeffle, Wren V. McCallister,
Nicholas M. Nemechek, and Thomas E. Trumble
Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole,
and waist fractures may have an associated humpback deformity. CT best shows the
deformity and bone loss, whereas MRI will show avascular necrosis. Operative treat¬
ment should be directed at correcting the deformity with open reduction and internal
fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular
necrosis.
Carpal Bone Fractures 251
Steven Papp
Carpal bone fractures make up a significant proportion of injuries to the wrist. The com¬
plex bone shape and articulations make diagnosis more difficult and missed injuries
more common. This article reviews carpal bone fractures excluding the scaphoid.
The Diagnosis and Treatment of Scapholunate Instability 261
Jennifer Manuel and Steven L. Moran
Scapholunate instability is the most common form of carpal instability. Pain produced by
this condition is caused by the wrist's inability to sustain physiologic loads because of an
injury to the linkage between the scaphoid and lunate. The term scapholunate instability
may describe a wide spectrum of clinical conditions ranging from mild wrist dysfunction
and partial ligamentous tear to debilitating pain with associated rupture of the scapho¬
lunate interosseus ligament complex. This article reviews the pathophysiology of
scapholunate instability and its identification and treatment.
Perilunate Injuries 279
David J. Sauder, George S. Athwal, Kenneth J. Faber, and James H. Roth
Perilunate injuries are complex injuries of the bony and ligamentous structures of the
wrist. They require operative management with careful restoration of carpal alignment
and open reduction and internal fixation of associated fractures. Even with optimal treat¬
ment, mild to moderate dysfunction affects most patients.
Traumatic Problems of the Distal Radioulnar Joint 289
Jonathan S. Mulford and Terry S. Axelrod
Traumatic injuries of the distal radioulnar joint (DRUJ) may give rise to complex wrist
pathologies. Substantial ongoing disability can arise should these injuries go unrecog¬
nized resulting in sub optimal treatment and lack of appropriate rehabilitation. Injuries
of the DRUJ may occur in isolation but more commonly are found with a fracture of the
radius. These challenging DRUJ injuries may be simple or complex (irreducible or severe
instability), acute or chronic. An adequate knowledge of the stabilizers of the DRUJ
is essential in understanding treatment options. Traumatic instability of the DRUJ is
reviewed and the anatomy and stabilizing factors are discussed. An algorithm to guide
selection of treatment options in complex cases is presented.
Index 299
CONTENTS vii |
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| index_date | 2024-07-02T18:03:40Z |
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| isbn | 1416043489 9781416043485 |
| language | English |
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| physical | IX S., S. 127 - 303 zahlr. Ill. |
| publishDate | 2007 |
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| publisher | Saunders |
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| series | Orthopedic clinics of North America |
| series2 | Orthopedic clinics of North America |
| spelling | Wrist trauma guest ed. Steven Papp Philadelphia [u.a.] Saunders 2007 IX S., S. 127 - 303 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Orthopedic clinics of North America 38,2 Polsen gtt Trauma's (geneeskunde) gtt Wrist Injuries surgery Wrist Injuries therapy Wrist Wounds and injuries Wrist Wounds and injuries Surgery Papp, Steven Sonstige (DE-588)140297804 oth Orthopedic clinics of North America 38,2 (DE-604)BV000001089 38,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015728860&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wrist trauma Orthopedic clinics of North America Polsen gtt Trauma's (geneeskunde) gtt Wrist Injuries surgery Wrist Injuries therapy Wrist Wounds and injuries Wrist Wounds and injuries Surgery |
| title | Wrist trauma |
| title_auth | Wrist trauma |
| title_exact_search | Wrist trauma |
| title_exact_search_txtP | Wrist trauma |
| title_full | Wrist trauma guest ed. Steven Papp |
| title_fullStr | Wrist trauma guest ed. Steven Papp |
| title_full_unstemmed | Wrist trauma guest ed. Steven Papp |
| title_short | Wrist trauma |
| title_sort | wrist trauma |
| topic | Polsen gtt Trauma's (geneeskunde) gtt Wrist Injuries surgery Wrist Injuries therapy Wrist Wounds and injuries Wrist Wounds and injuries Surgery |
| topic_facet | Polsen Trauma's (geneeskunde) Wrist Injuries surgery Wrist Injuries therapy Wrist Wounds and injuries Wrist Wounds and injuries Surgery |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015728860&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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