By Marc Garcia-Elias, Christophe Mathoulin
Hand and wrist accidents account for thousands of emergency room visits every year. even supposing the main widespread form of articular wrist harm comprises the distal radius, there are various different fractures that require skillful intervention to procure greatest, long term functionality. This booklet makes a speciality of these complicated intra-articular wrist accidents that experience now not been generally lined long ago, delivering an entire photo in their medical, radiographic and healing gains. it really is crucial for all experts who're on a regular basis faced with those demanding injuries.
- every one bankruptcy written by way of a well known overseas expert who has pioneered major advances within the box within the final 5 years
- offers a close evaluation of surgical ways to acute intra-articular wrist accidents, starting from partial ligament tears to the main advanced dislocations
- offers an summary of uncomplicated wrist anatomy, biomechanics, harm type, medical presentation, review and prognosis, and therapy recommendations
- comprises discussions of the main promising minimally invasive remedies, in particular arthroscopically guided fracture relief
- Highlights all suggestions in approximately 500 instructive, fantastically drawn surgical diagrams, radiographs and intraoperative images
Packed with useful therapy guidance, Articular damage of the Wrist is priceless for all hand surgeons in addition to for orthopedic and plastic surgeons and fellows. it is going to fast raise their wisdom of these tough wrist accidents that experience now not been good documented formerly, yet aren't any much less devastating by way of early joint degeneration and disorder if now not handled properly.
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Additional info for Articular Injury of the Wrist: FESSH 2014 Instructional Course Book
3 CT scan of a fracture of the hamate hook. 14 - 11:21 Hamate and Hook of the Hamate Fractures Hook of the hamate (hamulus ossis hamati) Deep branch of ulnar nerve and artery a Fig. 4 The ulnar nerve passes over the tip of the hamate hook. The motor branch (deep branch) of the ulnar nerve spirals ulnarly around the hamate hook into the deep branch and is at risk in any hamate hook surgery. 5 So even if they are diagnosed early, surgery will be the preferred option for hamate hook fractures. Surgery is always indicated in late cases (> 3 weeks after trauma) and in painful pseudarthroses.
J Hand Surg Am 2013; 38: 72–76  Scheufler O, Andresen R, Radmer S, Erdmann D, Exner K, Germann G. Hook of hamate fractures: critical evaluation of diﬀerent therapeutic procedures. Plast Reconstr Surg 2005; 115: 488–497  Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am 2010; 35: 1887–1889  Whalen JL, Bishop AT, Linscheid RL. Nonoperative treatment of acute hamate hook fractures. J Hand Surg Am 1992; 17: 507–511  Nanno M, Sawaizumi T, Ito H. Simplified dorsal approach to fracture of the hamate hook with percutaneous fixation with screws.
A) A transverse slice of the dorsal aspect of the wrist at the retinacular level, representing the second and third compartments (1), the fourth compartment (2), the fifth compartment (3), the sixth compartment (4), the septum between the third and fourth compartments (5), and the septum between the fourth and fifth compartments (6). (b) Depicting the 3–4 transseptal approach. (c) Depicting the 45 transseptal approach. (Source: Zemerline A, et al. Transseptal dorsal approaches to the wrist. Surg Radiol Anat 2013;35:225-231.
Articular Injury of the Wrist: FESSH 2014 Instructional Course Book by Marc Garcia-Elias, Christophe Mathoulin