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$Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book$

Distal radius fractures and carpal instabilities: FESSH IFSSH 2019 instructional book

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Bibliographic Details
Other Authors:	Piñal, Francisco del (Editor)
Format:	Book
Language:	English
Published:	Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2019]
Subjects:	Distale Radiusfraktur Instabilität Handgelenk Arthroskopie Mixed media product Ärzte Distal radius fracture carpal instability arthroscopy anterior rim fractures dorsal rim fractures radio-carpal dislocation ulnar fracture malunion Chirurgie
Online Access:	Inhaltstext Inhaltsverzeichnis Inhaltsverzeichnis
Physical Description:	xviii, 287 Seiten 645 Illustrationen 28 cm, 1178 g
ISBN:	9783132423794 3132423793

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MARC


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245	1	0	\|a Distal radius fractures and carpal instabilities \|b FESSH IFSSH 2019 instructional book \|c editor-in-chief: Franzisco del Piñal, MD, PhD
264		1	\|a Stuttgart ; New York ; Delhi ; Rio de Janeiro \|b Thieme \|c [2019]
264		4	\|c © 2019
300			\|a xviii, 287 Seiten \|b 645 Illustrationen \|c 28 cm, 1178 g
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653			\|a carpal instability
653			\|a arthroscopy
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653			\|a dorsal rim fractures
653			\|a radio-carpal dislocation
653			\|a ulnar fracture
653			\|a malunion
653			\|a Chirurgie
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adam_text	CONTENTS PREFACE XIV CONTRIBUTORS ........................................................................................................................................................... XV 1 ANATOMY OF THE FRACTURE .................................................................................................................................. 1 SIMON MACLEAN, GREGORY BAIN 1.1 INTRODUCTION ..................................................... 1 1.2 MICROANATOMY OF THE DISTAL RADIUS: A FEAT OF EVOLUTIONARY ENGINEERING ............. 1 1.2.1 THE SUBCHONDRAL BONE PLATE: THE * LEAF SPRING * OF THE WRIST ............................................................... 1 1.2.2 THE ARCH BRIDGE CONCEPT .......................................... 2 1.2.3 MULTIPLE RINGS CONCEPT OF THE WRIST ........................ 2 1.3 THE ROLE OF THE CARPAL LIGAMENTS .................. 3 1.4 FRACTURE INITIATION AND PROPAGATION ........... 5 2 RADIOLOGY OF THE FRACTURED RADIUS ............ MARK ROSS, PATRICK GROARKE 2.1 INTRODUCTION ....................................................... 12 2.2 PLAIN RADIOGRAPHS ............................................. 12 2.2.1 INJURY (PREREDUCTION) RADIOGRAPHS ............................ 12 2.2.2 POSTREDUCTION RADIOGRAPHS ........................................ 13 2.2.3 PARAMETERS CAN CHANGE WITH TIME .......................... 13 2.2.4 RADIOGRAPH OF THE OPPOSITE SIDE .............................. 13 2.2.5 POSTEROANTERIOR VIEW .................................................. 13 2.2.6 LATERAL VIEW ................................................................ 14 2.3 PLAIN RADIOGRAPHIC PARAMETERS ....................... 15 2.3.1 POSTEROANTERIOR VIEW .................................................. 15 2.3.2 LATERAL VIEW ............................................................. 17 2.4 EFFECT OF WRIST POSITION ON CARPAL INDICES. ... 19 2.5 REPRODUCIBILITY OF INDICES ................................ 19 2.6 EFFECT OF LATERAL INCLINATION ON VOLAR TILT ... 19 2.7 INTRA ARTICULAR COMPONENTS ............................ 20 2.8 ARE THE PARAMETERS REPRODUCIBLE? ............. 21 2.9 DETERMINATION OF STABILITY OF FRACTURE PATTERN AND ADEQUACY OF REDUCTION ........... 22 2.9.1 EXTRA-ARTICULAR STABILITY .............................................. 22 1.5 SCAPHOLUNATE DISSOCIATION AND TWO-PART FRACTURES OF THE DISTAL RADIUS ....................... 5 1.6 VOLAR MARGINAL RIM FRACTURES ........................ 7 1.7 A BIOMECHANICAL MODEL FOR DISTAL RADIUS FRACTURE ............................................................... 10 1.8 SUMMARY ............................................................. 10 REFERENCES ........................................................... 11 ................................................................................................... 12 2.9.2 INTRA-ARTICULAR REDUCTION ........................................... 22 2.10 OTHER SIGNS ON RADIOGRAPHS ........................... 22 2.11 FREQUENCY OF RADIOGRAPHIC ASSESSMENT .... 23 2.12 CLASSIFICATION OF DISTAL RADIUS FRACTURES .... 23 2.13 COMPUTED TOMOGRAPHY .................................. 23 2.13.1 SAGITTAL COMPUTED TOMOGRAPHY ................................ 23 2.13.2 CORONAL COMPUTED TOMOGRAPHY .............................. 23 2.13.3 AXIAL COMPUTED TOMOGRAPHY .................................... 25 2.13.4 COMPUTED TOMOGRAPHY AND DRUJ STABILITY ............ 25 2.13.5 THREE-DIMENSIONAL RECONSTRUCTIONS .......................... 25 2.14 MAGNETIC RESONANCE IMAGING AND DISTAL RADIUS FRACTURES ................................................. 26 2.15 SUMMARY ............................................................. 26 2.15.1 PLAIN RADIOGRAPHS ........................................................ 26 2.15.2 COMPUTED TOMOGRAPHY SCANS .................................. 26 2.15.3 MAGNETIC RESONANCE IMAGING SCANS .......................... 27 REFERENCES ........................................................... 27 V 3 PATIENT-ACCIDENT-FRACTURE CLASSIFICATION OF ACUTE DISTAL RADIUS FRACTURES IN ADULTS ............ 29 GUILLAUME HERZBERG , THAIS GALISSARD, MARION BURNIER 3.1 INTRODUCTION ........................................................ 29 3.2 MATERIAL AND METHODS ..................................... 29 3.2.1 PATIENT .......................................................................... 29 3.2.2 ACCIDENT ......................................................................29 3.2.3 FRACTURE ........................................................................ 29 3.3 RESULTS AND DISCUSSION ..................................... 30 3.3.1 PATIENTS 1-1 (DEPENDENT, MINIMAL FUNCTIONAL NEEDS) WITH AO TYPE * A * OR * C * FRACTURES ............................ 30 3.3.2 PATIENTS 2-2 (INDEPENDENT PATIENTS WITH COMORBIDITIES, INTERMEDIATE FUNCTIONAL NEEDS) WITH AO TYPE * A * EXTRA-ARTICULAR FRACTURES ...................................................................... 31 4 DISTAL RADIUS FRACTURE: THE EVIDENCE .......... TRACY WEBBER, TAMARA D. ROZENTAL 4.1 INTRODUCTION ........................................................ 33 4.2 METHODS ............................................................... 33 4.3 NONOPERATIVE FRACTURE TREATMENT ............... 33 4.4 SURGERY VERSUS IMMOBILIZATION FOR DISPLACED DISTAL RADIUS FRACTURE ....................................... 33 4.5 THE MANAGEMENT OF ELDERLY PATIENTS ......... 34 4.6 OPERATIVE TREATMENT FOR DISPLACED DISTAL RADIUS FRACTURE: METHOD OF FIXATION ........... 34 4.6.1 BRIDGING VERSUS NONBRIDGING EXTERNAL FIXATION ........................................................................ 34 4.6.2 CLOSED REDUCTION PERCUTANEOUS PINNING VERSUS OPEN REDUCTION INTERNAL FIXATION .............................. 35 3.3.3 PATIENTS 2-2 (INDEPENDENT PATIENTS WITH COMORBIDITIES, INTERMEDIATE FUNCTIONAL NEEDS) WITH AO TYPE * C * INTRA-ARTICULAR FRACTURES ........................ 31 3.3.4 PATIENTS 3-3 (PATIENT WITH NORMAL GENERAL HEALTH STATUS AND MAXIMAL FUNCTIONAL NEEDS) WITH AO TYPE * A * EXTRA-ARTICULAR FRACTURES .............. 31 3.3.5 PATIENTS 3-3 (PATIENT WITH NORMAL GENERAL HEALTH STATUS AND MAXIMAL FUNCTIONAL NEEDS) WITH AO TYPE * C * INTRA-ARTICULAR FRACTURES .............. 31 3.3.6 PATIENTS 3-3 (PATIENT WITH NORMAL GENERAL HEALTH STATUS AND MAXIMAL FUNCTIONAL NEEDS) WITH AO TYPE * B * PARTIAL ARTICULAR FRACTURES .......... 32 3.4 CONCLUSION ............................................................ 32 REFERENCES ........................................................... 32 ................................................................................................... 33 4.6.3 CLOSED REDUCTION PERCUTANEOUS PINNING VERSUS EXTER NAL FIXATION .................................................................. 35 4.6.4 OPEN REDUCTION INTERNAL FIXATION VERSUS EXTERNAL FIXATION .......................................................... 35 4.6.5 IMPLANT TYPE ................................................................ 36 4.6.6 MANAGEMENT OF THE PRONATOR QUADRATUS ................36 4.7 POSTOPERATIVE REHABILITATION .......................... 36 4.8 MANAGEMENT OF COMPLICATIONS ...................... 36 4.9 TREATMENT FOR OSTEOPOROSIS ............................ 36 4.10 CONCLUSION ........................................................... 37 REFERENCES ........................................................... 37 5 ORTHOPAEDIC TREATMENT: WHEN? .................. DAVID WARWICK, OLIVER TOWNSEND 5.1 WHEN THE EVIDENCE AND BENEFITS OF NONOPERATIVE TREATMENT HAVE BEEN CONSIDERED .......................................................... 39 5.1.1 WHY SURGERY IS NOT USUALLY NEEDED .......................... 39 5.1.2 NONOPERATIVE TREATMENT IS USUALLY EFFECTIVE ........... 39 5.1.3 SURGERY CARRIES RISK .................................................... 39 5.1.4 RISKS OF NONOPERATIVE INTERVENTION .......................... 40 5.2 WHEN THE LITERATURE RECOMMENDATIONS HAVE BEEN CONSIDERED ..................................... 40 5.2.1 DRAWBACKS OF THE LITERATURE ...................................... 40 5.2.2 AUTHORS * RECOMMENDATIONS ...................................... 40 ................................................................................................... 39 5.2.3 CONSENSUS REVIEW ...................................................... 40 5.3 WHEN AGE HAS BEEN CONSIDERED .................... 40 5.3.1 OLDER AGE .................................................................... 40 5.3.2 YOUNGER AGE ................................................................ 41 5.4 WHEN THERE IS A PREDICTABLE RISK OF POOR OUTCOME ............................................................. 41 5.4.1 EXCLUSION BIAS .............................................................. 41 5.4.2 DISTAL RADIOULNAR JOINT INCONGRUITY ............................ 41 5.4.3 ADAPTIVE MIDCARPAL MALALIGNMENT ............................ 41 5.4.4 POSITIVE ULNAR VARIANCE................................................ 41 5.4.5 FRACTURE DISLOCATION .................................................... 41 VI 5.5 WHEN THERE IS A PREDICTABLE RISK OF INSTABILITY ............................................................. 42 5.5.1 INSTABILITY ................................................................... 42 5.5.2 PREDICTION OF INSTABILITY .............................................. 42 5.6 WHEN THERE IS A PREDICTABLE RISK OF SYMPTOMATIC ARTHRITIS ..................................... 42 5.6.1 DOES ARTHRITIS REALLY MATTER IN THE HAND AND WRIST? ................................................................... 42 5.6.2 HOW OFTEN DOES A HAND SURGEON ACTUALLY SEE ARTHRITIS AFTER A DISTAL RADIUS FRACTURE? .............. 42 5.6.3 LITERATURE EVIDENCE ......................................................42 5.7 WHEN THE APPROPRIATE METHOD IS AVAILABLE ............................................................. 43 5.8 WHEN THE PATIENT UNDERSTANDS THE OPTIONS AND THE RISKS ....................................... 43 5.8.1 THE PATIENT * S RIGHTS .................................................... 43 5.8.2 HONEST CONSENT ......................................................... 43 5.8.3 PERSONALIZED TREATMENT ................................................43 5.9 WHEN THE PATIENT PREFERS TO HAVE URGENT SURGERY THAT MAY NOT BE NEEDED RATHER THAN WAIT FOR A CORRECTIVE OSTEOTOMY ....... 43 5.9.1 NATURAL HISTORY OF RECOVERY AFTER DISTAL RADIUS FRACTURE ............................................................43 5.9.2 MANAGING UNCERTAINTY ................................................ 44 5.9.3 RESCUING A WRONG DECISION WITH CORRECTIVE OSTEOTOMY .................................................................. 44 5.10 WHEN THE PATIENT WANTS EARLY RETURN OF FUNCTION ............................................................... 44 5.11 WHEN COST-BENEFIT ANALYSIS SUPPORTS SURGERY ................................................................ 45 5.12 CONCLUSION ........................................................... 45 REFERENCES ........................................................... 45 6 IS THERE A ROLE FOR EXTERNAL FIXATION WITH OR WITHOUT KIRSCHNER WIRES? FREDERIC SCHUIND 6.1 INTRODUCTION ....................................................... 48 6.2 INDICATIONS AND CONTRAINDICATIONS ............... 48 6.3 SURGICAL TECHNIQUES .......................................... 48 6.4 PREVENTION OF REDISPLACEMENT ........................ 51 6.5 PREVENTION OF OTHER COMPLICATIONS OF EXTERNAL FIXATION ................................................ 51 6.6 RESULTS ................................................................. 52 6.7 CONCLUSION ........................................................... 53 REFERENCES ........................................................... 54 7 VOLAR LOCKING PLATES: BASIC CONCEPTS ............................................................................................................ 56 HERMANN KRIMMER 7.1 INTRODUCTION ....................................................... 56 7.2 LOCKING MECHANISMS ......................................... 56 7.3 INDICATIONS ........................................................... 57 7.3.1 PLATE DESIGN AND PLATE POSITION ................................... 57 7.3.2 FRACTURE-SPECIFIC PLATE SELECTION ................................ 57 7.4 SURGICAL TECHNIQUE ............................................ 58 7.5 PITFALLS .................................................................. 61 7.5.1 TENDON RUPTURES ........................................................ 61 7.5.2 SECONDARY SUBSIDENCE ................................................ 61 REFERENCES ........................................................... 61 8 INTRAMEDULLARY DEVICES ....................................................................................................................................... 62 STEPHANIE MALLIARIS, SCOTT WOLFE 8.1 INTRODUCTION ....................................................... 62 8.2 INDICATIONS ........................................................... 63 8.3 INTRAMEDULLARY NAIL: SURGICAL TECHNIQUE ... 64 8.4 INTRAMEDULLARY NAIL: OUTCOMES ...................... 64 8.5 T-PIN: SURGICAL TECHNIQUE ................................. 66 8.6 T-PIN: OUTCOMES ................................................ 67 8.7 DISTAL RADIUS SYSTEM INTRAMEDULLARY CAGE: SURGICAL TECHNIQUE ................................. 67 8.8 DISTAL RADIUS SYSTEM INTRAMEDULLARY CAGE: OUTCOMES ................................................ 68 VII 8.9 PITFALLS AND CONTRAINDICATIONS 69 REFERENCES ........................................................ 70 8.10 CONCLUSION ......................................................... 69 9 MINI APPROACHES ....................................... 71 GUSTAVO MANTOVANI RUGGIERO 9.1 INTRODUCTION .......................................... .......... 71 9.5 EVOLUTION OF DISTAL RADIUS FRACTURES 9.2 VOLAR MINIMALLY INVASIVE PLATE MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS ... . 76 OSTEOSYNTHESIS HISTORY ....................... ......... 71 9.5.1 SPECIAL PLATES .......................................................... . 76 9.3 INDICATIONS .............................................. .......... 73 9.6 RESULTS, CLINICAL EXAMPLES, AND UNUSUAL MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS 9.4 SURGICAL TECHNIQUE .............................. ......... 75 CASES ................................................................ . 79 9.4.1 SINGLE LONGITUDINAL INCISION ......................... ......... 75 9.7 PITFALLS AND CONTRAINDICATIONS ................... . 80 9.4.2 TRANSVERSE INCISION ........................................ ......... 76 9.8 CONCLUSIONS ...................................................... . 82 REFERENCES ........................................................ 82 10 SPANNING PLATES ................................................................................................................................................... 84 MITCHELL G. EICHHORN, SCOTT G. EDWARDS 10.1 INTRODUCTION ..................................................... 84 10.2 INDICATIONS ........................................................ 85 10.3 SURGICAL TECHNIQUE ........................................ 85 10.3.1 THIRD METACARPAL TECHNIQUE .................................... 87 10.3.2 SECOND METACARPAL TECHNIQUE ................................ 90 10.4 RESULTS ............................................................... 10.5 PITFALLS AND CONTRAINDICATIONS ..................... 10.6 CONCLUSION ........................................................ REFERENCES ........................................................ 91 92 93 93 11 ARTHROSCOPIC MANAGEMENT ............................................................................................................................. 95 YUKIO ABE 11.1 INTRODUCTION ..................................................... 95 11.2 INDICATIONS ........................................................ 95 11.3 SURGICAL TECHNIQUE ........................................ 95 11.3.1 PREOPERATIVE PLANNING ............................................. 95 11.3.2 PREPARATION AND PATIENT POSITIONING ...................... 95 11.3.3 SURGICAL APPROACH ................................................... 96 11.3.4 POSTOPERATIVE CARE .................................................. 100 11.4 RESULTS ................................................................ 100 11.4.1 THE ADVANTAGES OF WRIST ARTHROSCOPY .................. 100 11.4.2 OUTCOMES ................................................................ 102 11.5 COMPLICATIONS .................................................. 102 11.6 CONCLUSION ......................................................... 102 REFERENCES ......................................................... 102 12 ANTERIOR RIM FRACTURES ..................................... JORGE L. ORBAY, GABRIEL PERTIERRA 12.1 INTRODUCTION ..................................................... 104 12.1.1 BACKGROUND ................................................................ 104 12.1.2 CLASSIFICATION .............................................................. 104 12.1.3 ANATOMY AND BIOMECHANICS .................................... 105 12.2 INDICATIONS ......................................................... 107 12.3 SURGICAL TECHNIQUE .......................................... 108 12.3.1 SALVAGE OF A COLLAPSED VMF ..................................... 108 104 12.4 RESULTS ................................................................ 108 12.5 PITFALLS AND CONTRAINDICATIONS ...................... 109 12.6 CONCLUSION ......................................................... 109 REFERENCES ......................................................... 109 VIII 13 DORSAL RIM DISTAL RADIUS FRACTURES WITH RADIOCARPAL FRACTURE-DISLOCATION ................................ NO ROHIT GARG, JESSE JUPITER 13.1 INTRODUCTION ...................................................... 110 13.2 INDICATIONS ......................................................... ILL 13.3 SURGICAL TECHNIQUE ......................................... ILL 13.3.1 CASE 1 ........................................................................ 111 13.3.2 CASE 2 ........................................................................ 114 13.3.3 CASE 3 ........................................................................ 115 13.3.4 CASE 4 ........................................................................ 117 13.4 RESULTS ............................................................... 119 13.5 CONCLUSION ......................................................... 119 REFERENCES ......................................................... 119 14 MULTIPLANAR FIXATION IN SEVERE ARTICULAR FRACTURES 120 PETER C. RHEE, ALEXANDER Y. SHIN 14.1 INTRODUCTION ...................................................... 120 14.1.1 UNDERSTANDING THE FRACTURE CHARACTERISTICS ........ 120 14.1.2 LIMITATIONS OF VOLAR LOCKING PLATE FIXATION ............ 121 14.1.3 RATIONALE FOR FRAGMENT-SPECIFIC FIXATION .............. 121 14.2 INDICATIONS ......................................................... 121 14.3 SURGICAL TECHNIQUE (AUTHORS * PREFERRED). .. 122 14.3.1 PREOPERATIVE PLANNING .............................................. 122 14.3.2 SEQUENCE OF RECONSTRUCTION .................................... 122 14.3.3 MANAGEMENT OF THE VOLAR RIM FRAGMENT .............. 123 14.3.4 MANAGEMENT OF THE DORSAL ULNAR CORNER FRAGMENT ................................................................. 124 14.3.5 MANAGEMENT OF FREE INTRA-ARTICULAR FRAGMENTS ................................................................. 125 14.3.6 MANAGEMENT OF THE DORSAL WALL FRAGMENT .......... 126 14.3.7 MANAGEMENT OF THE RADIAL COLUMN FRAGMENT. ... 126 14.3.8 FINISHING STEPS .......................................................... 126 14.4 RESULTS FOR MULTIPLANAR PLATE FIXATION WITH FRAGMENT-SPECIFIC IMPLANTS ............... 127 14.4.1 FUNCTIONAL OUTCOMES ................................................ 127 14.4.2 RADIOGRAPHIC OUTCOMES .......................................... 128 14.4.3 COMPLICATIONS ............................................................ 128 14.4.4 COMPARISON OF FRAGMENT-SPECIFIC TO VOLAR LOCKING PLATE FIXATION .............................................. 128 14.5 PITFALLS AND CONTRAINDICATIONS ...................... 128 14.6 CONCLUSION ......................................................... 129 REFERENCES ......................................................... 129 15 MANAGEMENT OF WRIST OPEN FRACTURES AND BONE DEFECTS .................................................................. 131 RAMES MATTAR JUNIOR, EMYGDIO JOSE LEOMIL DE PAULA, LUCIANO RUIZ TORRES, TIAGO GUEDES DA MOTTA MATTAR, GUSTAVO BERSANI SILVA 15.1 INTRODUCTION ..................................................... 131 15.2 INDICATIONS ......................................................... 133 15.3 SURGICAL TECHNIQUE .......................................... 133 15.3.1 FRACTURE MANAGEMENT .............................................. 133 15.3.2 SOFT TISSUE REPAIR..................................................... 134 15.3.3 NERVE INJURIES ........................................................... 135 16 RADIOCARPAL DISLOCATION .................................. MARK HENRY 16.1 INTRODUCTION ..................................................... 139 16.2 INDICATIONS ......................................................... 141 16.3 SURGICAL TECHNIQUE .......................................... 141 15.3.4 TENDONS .................................................................... 135 15.3.5 AMPUTATIONS AND DEVASCULARIZATIONS ....................... 136 15.4 RESULTS ............................................................... 136 15.5 PITFALLS ................................................................ 137 15.6 CONCLUSION ......................................................... 137 REFERENCES ......................................................... 137 ................................................................................................. 139 16.4 RESULTS ............................................................... 143 16.5 PITFALLS AND CONTRAINDICATIONS ....................... 144 REFERENCES ......................................................... 145 17 COMMON ERRORS OF VOLAR PLATE FIXATION ...................................................................................................... 146 ROBERT J. MEDOFF, JAMES M. SAUCEDO 17.1 BACKGROUND ....................................................... 146 17.2 ERRORS OF SURGICAL EXPOSURE ............................ 146 17.3 HARDWARE-RELATED ERRORS ............................... 147 17.4 TENDON COMPLICATIONS ................................... 149 17.4.1 FLEXOR TENDON RUPTURE AND IRRITATION ....................... 149 17.4.2 EXTENSOR TENDON INJURY AND RUPTURE ....................... 152 17.5 INADEQUATE REDUCTION AND FIXATION ........... 152 17.6 CONCLUSION ......................................................... 154 REFERENCES ......................................................... 155 18 DISTAL ULNA FRACTURES ......................................... CHRISTOPHER KLIFTO, DAVID RUCH 18.1 INTRODUCTION ...................................................... 157 18.2 INDICATIONS ......................................................... 157 18.2.1 ULNAR STYLOID FRACTURES/NONUNIONS .......................... 157 18.3 SURGICAL TECHNIQUE ......................................... 158 18.3.1 APPROACH .................................................................. 158 18.3.2 ULNAR STYLOID FRACTURES TECHNIQUE ............................ 158 18.3.3 ULNAR HEAD FRACTURES ............................................... 159 157 18.3.4 COMMINUTED INTRA-ARTICULAR DISTAL ULNAR FRACTURES .................................................................... 159 18.4 RESULTS ............................................................... 160 18.5 PITFALLS ................................................................. 160 18.6 CONCLUSION ......................................................... 161 REFERENCES ......................................................... 161 19 DISTAL RADIOULNAR JOINT INSTABILITY ASSOCIATED WITH DISTAL RADIUS FRACTURES ................................ 162 SHOHEI OMOKAWA, TAKAMASA SHIMIZU , KENJI KAWAMURA, TADANOBU ONISHI 19.1 INTRODUCTION ...................................................... 162 19.2 PATHOMECHANICS OF DRUJ INSTABILITY ......... 162 19.2.1 METAPHYSEAL FRACTURE DISPLACEMENT ........................ 162 19.2.2 DISRUPTIONS ACCOMPANYING TFCC (RADIOULNAR LIGAMENT) TEARS .................................... 162 19.2.3 ULNAR STYLOID FRACTURES .............................................. 163 19.2.4 INTRA-ARTICULAR DISPLACEMENT OF THE SIGMOID NOTCH .......................................................................... 163 19.3 CASE PRESENTATION ........................................... 163 19.4 DIAGNOSIS OF ACCOMPANYING TFCC TEARS AND DRUJ INSTABILITY ......................................... 163 19.4.1 PREOPERATIVE ASSESSMENT.......................................... 164 19.4.2 INTRAOPERATIVE ASSESSMENT ...................................... 166 19.4.3 DRUJ ARTHROGRAPHY .................................................... 167 19.5 TREATMENT FOR TFCC TEARS AND DRUJ INSTABILITY ........................................................... 167 19.5.1 AUTHORS * PREFERRED METHOD ..................................... 168 19.6 SUMMARY ........................................................... 168 REFERENCES ......................................................... 169 20 DISTAL RADIUS FRACTURE IN THE ELDERLY ............................................................................................................. 171 ROHIT ARORA, MARKUS GABI 20.1 INTRODUCTION ...................................................... 171 20.2 INDICATIONS ......................................................... 171 20.3 TREATMENT OPTIONS ........................................... 171 20.3.1 CLOSED REDUCTION AND CAST IMMOBILIZATION .......... 172 20.3.2 CLOSED REDUCTION AND PERCUTANEOUS PINNING .... 172 20.3.3 EXTERNAL FIXATION ........................................................ 173 20.3.4 VOLAR LOCKING PLATE FIXATION ...................................... 173 20.3.5 DISTAL RADIUS ARTHROPLASTY ........................................ 174 20.3.6 INITIAL SHORTENING AND PALMAR PLATE FIXATION WITH PRIMARY SAUVE-KAPANDJI PROCEDURE .............. 174 20.4 COMPLICATIONS .................................................. 176 20.5 CONCLUSION ......................................................... 177 20.6 OUR ALGORITHM OF TREATMENT ........................ 177 20.7 INITIAL TREATMENT .............................................. 178 REFERENCES ......................................................... 178 X 21 EXTRA-ARTICULAR MALUNION KARL-JOSEF PROMMERSBERGER 180 21.1 INTRODUCTION .............................................. ...180 21.3.2 PREOPERATIVE WORK-UP ...................... ........................ 183 21.1.1 BIOMECHANICS OF DISTAL RADIAL MALUNION .......... ... 180 21.3.3 TECHNIQUE ......................................... ........................ 183 21.1.2 TREATMENT OPTIONS ........................................... ... 181 21.4 RESULTS ........................................ ....................... 186 21.2 INDICATIONS AND CONTRAINDICATIONS ....... ...181 21.4.1 OWN RESULTS ..................................... ........................ 186 21.3 SURGICAL TECHNIQUE ................................... ...183 21.5 PITFALLS .......................................... ....................... 186 21.3.1 TIMING FOR RADIAL CORRECTION OSTEOTOMY IN 21.6 CONCLUSION ................................... ....................... 186 AN EXTRA-ARTICULAR MALUNION .............................. ... 183 REFERENCES ................................... ...................... 187 22 ARTHROSCOPIC-CUIDED OSTEOTOMY FOR INTRA ARTICULAR MALUNION 189 FRANCISCO DEL PINAL 22.1 INTRODUCTION 189 22.3 SURGICAL TECHNIQUE 191 22.2 INDICATIONS AND CONTRAINDICATIONS 190 REFERENCES 197 23 NEWER TECHNOLOGIES ON MANAGING DISTAL RADIUS FRACTURES 198 LADISLAV NAGY 23.1 INTRODUCTION 198 23.2 INDICATIONS 198 23.3 SURGICAL TECHNIQUE 201 23.3.1 EXTRA-ARTICULAR MALUNION 201 23.3.2 INTRA-ARTICULAR MALUNION 203 23.3.3 INTRA-ARTICULAR FRACTURES OF THE DISTAL RADIUS 203 23.4 RESULTS 207 23.5 PITFALLS AND CONTRAINDICATIONS 207 23.6 CONCLUSION 208 REFERENCES 208 24 DISTAL RADIUS IN CHILDREN AND GROWTH DISTURBANCES 209 ALEXANDRIA L. CASE, JOSHUA M. ABZUG 24.1 DISTAL RADIUS FRACTURES IN CHILDREN: INTRODUCTION .............................................. ... 209 24.2 GROWTH DISTURBANCES FOLLOWING DISTAL RADIUS FRACTURES: INTRODUCTION ................ ..214 24.1.1 EXTRAPHYSEAL FRACTURES ..................................... ... 209 24.2.1 INDICATIONS AND CONTRAINDICATIONS .................... .. 215 24.1.2 PHYSEAL FRACTURES ............................................. ... 209 24.2.2 SURGICAL TECHNIQUES ........................................... .. 215 24.1.3 INDICATIONS AND CONTRAINDICATIONS .................. ...210 24.2.3 RESULTS ................................................................. .. 218 24.1.4 SURGICAL TECHNIQUE ........................................... ...210 24.2.4 PITFALLS ................................................................. .. 218 24.1.5 RESULTS ............................................................... ...212 24.3 CONCLUSION ................................................... .. 219 24.1.6 PITFALLS ............................................................... ...213 REFERENCES ................................................... .. 219 25 OPEN SURGERY FOR CHRONIC SCAPHOLUNATE INJURY 220 DIRCKANANOS, MARC GARCIA-ELIAS 25.1 INTRODUCTION 220 25.1.1 TERMINOLOGY 220 25.1.2 LIGAMENTS INVOLVED IN SCAPHOLUNATE INSTABILITY 221 25.2 INDICATIONS 221 25.3 SURGICAL TECHNIQUE 221 25.4 RESULTS, PEARLS, AND TIPS 224 25.4.1 CASE EXAMPLE 224 25.4.2 PITFALLS AND CONTRAINDICATIONS 224 25.5 CONCLUSION 225 REFERENCES 226 26 ARTHROSCOPIC SCAPHOLUNATE REPAIR 227 MAX HAERLE, CHRISTOPHE MATHOULIN 26.1 INTRODUCTION 26.2 INDICATIONS 26.3 SURGICAL TECHNIQUE 26.4 RESULTS ............................................................. 227 26.5 PITFALLS AND CONTRAINDICATIONS 231 228 26.6 CONCLUSION 232 228 REFERENCES 232 231 27 TREATMENT OF LUNOTRIQUETRAL INJURIES. BENJAMIN F. PLUCKNETTE , HAROON M. HUSSAIN, LEE OSTERMAN 27.1 ANATOMY 233 27.2 DIAGNOSIS AND CLASSIFICATION 233 27.3 TREATMENT OF ACUTE LT INJURIES 236 27.3.1 NONOPERATIVE MANAGEMENT 237 233 27.3.2 OPERATIVE MANAGEMENT 237 27.4 TREATMENT OF CHRONIC LUNOTRIQUETRAL INJURIES 238 REFERENCES 240 28 ARTHROSCOPIC MANAGEMENT OF PERILUNATE DISLOCATION AND FRACTURE DISLOCATION 242 JAE WOO SHIM, JONG-PIL KIM, MIN JONG PARK 28.1 INTRODUCTION 242 28.2 INDICATIONS 243 28.3 SURGICAL TECHNIQUE 243 28.4 RESULTS 244 28.4.1 CLINICAL RESULTS 244 29 RADIOCARPAL PAIN AND STIFFNESS CHRISTOPH PEZZEI, STEFAN QUADLBAUER 29.1 INTRODUCTION 247 29.2 SURGICAL TECHNIQUES 247 29.2.1 DENERVATION OF THE WRIST 247 29.2.2 WRIST ARTHROLYSIS 248 30 ULNAR PAIN AND PRONOSUPINATION LOSSES RICCARDO LUCHETTI, ANDREA ATZEI 28.4.2 RADIOLOGICAL RESULTS 244 28.5 COMPLICATIONS 246 28.6 PITFALLS AND CONTRAINDICATIONS 246 28.7 CONCLUSION 246 REFERENCES 246 29.2.3 PARTIAL WRIST ARTHRODESIS 248 29.2.4 WRIST ARTHROPLASTY 252 29.2.5 TOTAL WRIST ARTHRODESIS 253 29.3 CONCLUSION 253 REFERENCES 253 255 247 30.1 INTRODUCTION 255 30.2 INDICATION 256 30.3 DIAGNOSTIC IMAGING 256 30.3.1 RADIOGRAPHY 256 30.3.2 CT SCAN 256 30.3.3 MAGNETIC RESONANCE IMAGING 256 30.3.4 ARTHROGRAPHY, ARTHROCT, AND ARTHROMRI 256 XII 30.4 SURGICAL OPTIONS .............................................. 256 30.4.1 OPEN ARTHROLYSIS ....................................................... 256 30.4.2 ARTHROSCOPIC ARTHROLYSIS .......................................... 257 30.5 RESULTS .............................................................. 258 30.6 CONTRAINDICATIONS ............................................ 259 30.7 CONCLUSION ......................................................... 262 30.8 TYPES OF PAINFUL DRUJ RIGIDITY ...................... 263 30.8.1 DISLOCATION OR DORSAL SUBLUXATION AND POSITIVE ULNA VARIATION SECONDARY TO DISTAL RADIUS MALUNION ............................................ 263 30.8.2 LOSS OF PRONOSUPINATION DUE TO SCREWS INTERPOSED INTO THE DRUJ ..........................................266 30.8.3 INTERPOSITION OF THE EXTENSOR DIGITI MINIMI ..........266 30.8.4 ULNA MALUNION ......................................................... 267 REFERENCES ......................................................... 270 31 CHRONIC DISTAL RADIOULNAR JOINT INSTABILITY .............................................................................................. 271 MICHAEL C. K. MAK, PAK-CHEONG HO 31.1 INTRODUCTION ..................................................... 271 31.1.1 DISTAL RADIOULNAR JOINT ANATOMY AND ITS STABILIZERS ..................................................... 271 31.2 INDICATIONS ........................................................ 271 31.2.1 CORRECTION OF SKELETAL DEFORMITY ............................ 272 31.2.2 TRIANGULAR FIBROCARTILAGE COMPLEX RECONSTRUCTION ......................................................... 273 INDEX ...................................................................... 31.3 SURGICAL TECHNIQUE .......................................... 273 31.3.1 SETUP AND INSTRUMENTS ............................................. 273 31.4 REHABILITATION ................................................... 277 31.5 OUTCOMES AND COMPLICATIONS ...................... 277 31.6 CONCLUSION ......................................................... 280 REFERENCES ......................................................... 280 282 XIII
any_adam_object	1
author2	Piñal, Francisco del
author2_role	edt
author2_variant	f d p fd fdp
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author_facet	Piñal, Francisco del
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dewey-raw	617.4720597 617.157
dewey-search	617.4720597 617.157
dewey-sort	3617.4720597
dewey-tens	610 - Medicine and health
discipline	Medizin
format	Book
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spelling	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book editor-in-chief: Franzisco del Piñal, MD, PhD Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2019] © 2019 xviii, 287 Seiten 645 Illustrationen 28 cm, 1178 g txt rdacontent n rdamedia nc rdacarrier Distale Radiusfraktur (DE-588)1114692344 gnd rswk-swf Instabilität (DE-588)4139195-0 gnd rswk-swf Handgelenk (DE-588)4128709-5 gnd rswk-swf Arthroskopie (DE-588)4003086-6 gnd rswk-swf Mixed media product Ärzte Distal radius fracture carpal instability arthroscopy anterior rim fractures dorsal rim fractures radio-carpal dislocation ulnar fracture malunion Chirurgie Distale Radiusfraktur (DE-588)1114692344 s Handgelenk (DE-588)4128709-5 s Instabilität (DE-588)4139195-0 s Arthroskopie (DE-588)4003086-6 s DE-604 Piñal, Francisco del (DE-588)14114033X edt Georg Thieme Verlag KG (DE-588)1064287301 pbl Erscheint auch als Online-Ausgabe 978-3-13-242380-0 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=b8758a6caf78463697f87e1e1cd67f44&prov=M&dok_var=1&dok_ext=htm Inhaltstext B:DE-101 application/pdf http://d-nb.info/1185203451/04 Inhaltsverzeichnis DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031477949&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book Distale Radiusfraktur (DE-588)1114692344 gnd Instabilität (DE-588)4139195-0 gnd Handgelenk (DE-588)4128709-5 gnd Arthroskopie (DE-588)4003086-6 gnd
subject_GND	(DE-588)1114692344 (DE-588)4139195-0 (DE-588)4128709-5 (DE-588)4003086-6
title	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book
title_auth	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book
title_exact_search	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book
title_full	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book editor-in-chief: Franzisco del Piñal, MD, PhD
title_fullStr	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book editor-in-chief: Franzisco del Piñal, MD, PhD
title_full_unstemmed	Distal radius fractures and carpal instabilities FESSH IFSSH 2019 instructional book editor-in-chief: Franzisco del Piñal, MD, PhD
title_short	Distal radius fractures and carpal instabilities
title_sort	distal radius fractures and carpal instabilities fessh ifssh 2019 instructional book
title_sub	FESSH IFSSH 2019 instructional book
topic	Distale Radiusfraktur (DE-588)1114692344 gnd Instabilität (DE-588)4139195-0 gnd Handgelenk (DE-588)4128709-5 gnd Arthroskopie (DE-588)4003086-6 gnd
topic_facet	Distale Radiusfraktur Instabilität Handgelenk Arthroskopie
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