By Marc Garcia-Elias, Christophe Mathoulin
Hand and wrist accidents account for thousands of emergency room visits every year. even supposing the main widespread kind of articular wrist damage consists of the distal radius, there are numerous different fractures that require skillful intervention to procure greatest, long term functionality. This ebook specializes in these advanced intra-articular wrist accidents that experience no longer been commonly lined some time past, offering an entire photograph in their scientific, radiographic and healing positive aspects. it's crucial for all experts who're on a regular basis faced with those hard injuries.
- every one bankruptcy written by way of a well known foreign expert who has pioneered major advances within the box within the final 5 years
- offers a close evaluate of surgical methods to acute intra-articular wrist accidents, starting from partial ligament tears to the main advanced dislocations
- presents an summary of easy wrist anatomy, biomechanics, harm class, scientific presentation, evaluate and prognosis, and remedy recommendations
- contains discussions of the main promising minimally invasive remedies, specifically arthroscopically guided fracture aid
- Highlights all thoughts in approximately 500 instructive, superbly drawn surgical diagrams, radiographs and intraoperative pictures
Packed with sensible remedy guidance, Articular damage of the Wrist is necessary for all hand surgeons in addition to for orthopedic and plastic surgeons and fellows. it is going to fast elevate their wisdom of these tough wrist accidents that experience no longer been good documented formerly, yet are not any much less devastating when it comes to early joint degeneration and disorder if no longer handled properly.
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Additional info for Articular Injury of the Wrist: FESSH 2014 Instructional Course Book
Are part of CMC dislocation injuries. The main consideration of treatment is the correct alignment of the metacarpals. K-wires are always recommended, because a reduced ulnar CMC joint re-dislocates easily if not stabilized. Larger coronal fragments of the body of the hamate are fixed with screw osteosyntheses to enhance stability. ▶ Type 2b: Transverse fractures of the hamate body. Are rare and treated analogously to scaphoid fractures. In crush injuries with comminuted hamate body fractures, a roughly anatomical outlining of the bone should be attempted and fixed.
Fracture of the hamate bone. J Bone Joint Surg 1934; 16: 459–462  Hirano K, Inoue G. Classification and treatment of hamate fractures. Hand Surg 2005; 10: 151–157  Bishop AT, Beckenbaugh RD. Fracture of the hamate hook. J Hand Surg Am 1988; 13: 135–139  Devers BN, Douglas KC, Naik RD, Lee DH, Watson JT, Weikert DR. Outcomes of hook of hamate fracture excision in high-level amateur athletes. J Hand Surg Am 2013; 38: 72–76  Scheufler O, Andresen R, Radmer S, Erdmann D, Exner K, Germann G.
1 Introduction The first radiograph ever taken was of the hand of Anna Bertha Röntgen in 1895. The following year an image was published of Albert von Kölliker’s hand and wrist (▶ Fig. 1 More than 100 years later radiography is still the main diagnostic tool in wrist imaging but new techniques and other investigations have evolved with time. It started with a simple two-dimensional (2D) picture of the skeleton and now it is possible to create a 3D picture of the wrist including soft tissue2 (▶ Fig.