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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1238_Библиотеки_им_академика_М_И_Перельмана.pdf
Arthrodesis (Continued)
postoperative care in, 152
technique of, 150, 150f–151f
Arthrogryposis, closing wedge osteotomy of carpus for,
175–177, 175f–177f
Arthroplasty
distal ulna
hemiresection, 58–59
alternatives to, 59
indications for, 58
pearl about, 59
pitfalls of, 58–59
postoperative care in, 59
technique of, 58, 58f–59f
implant, 69–72
alternatives to, 72
indications for, 69
pearls about, 69–71
pitfalls of, 69, 71
postoperative care in, 72
sigmoid notch for, 71, 71f
technique of, 69, 69f–71f
scaphotrapeziotrapezoid joint, 141–142
alternatives to, 142
indications for, 141
pearls about, 142
pitfalls of, 142
postoperative care in, 142
technique of, 141–142, 141f–142f
total wrist, 153–156
alternative to, 156
carpal alignment during, 155, 155f
indications for, 153
pearls about, 154–155
pitfalls of, 155–156
postoperative care in, 156
technique of, 153–154, 153f–156f
Arthroscopic repair
of scapholunate ligament injuries, 100–101
indications for, 100
pearls about, 101
pitfalls of, 101
postoperative care in, 101
technique of, 100–101, 100f–101f
of TFCC peripheral tear, 49–52
alternatives to, 50, 51f
indications for, 49
pearls about, 49
pitfalls of, 49–50
postoperative care in, 50
technique of, 49, 49f–50f
Arthroscopic synovectomy, 144–145
alternative to, 145
indications for, 144
pearls about, 145
pitfalls of, 144
postoperative care in, 145
technique of, 144, 144f–145f
Arthroscopic “wafer” procedure
alternatives to, 76
indications for, 74
pearls about, 74
pitfalls of, 74–76
postoperative care in, 76
technique of, 74, 74f–75f
for ulnar impaction syndrome,
74–76
B
Bennett’s fractures
closed reduction and internal fixation of, 195–197
alternative techniques in, 197
indications for, 195, 195f
palmar approach for, 196, 196f
pearls about, 196
pitfalls of, 197
postoperative care in, 197
technique of, 195–196, 195f–196f
reverse, closed reduction and internal fixation of,
212–214
alternatives to, 214
indications of, 212, 212f
pearls about, 212–214
pitfalls of, 214
postoperative care in, 214
technique of, 212, 212f–213f
Bicortical fixation, of ulnar head fracture, 34, 34f
Biplanar dome osteotomy, for Madelung’s deformity,
182–184, 183f–184f
Blatt procedure, for scapholunate ligament reconstruction,
104–105
indications for, 104
pearls about, 105
pitfalls of, 105
postoperative care in, 105
radiographic findings in, 105
technique of, 104–105, 104f–105f
Bone graft(s)
for capitate shortening, with capitohamate fusion, 165, 165f
for distal radius malunion, 21, 23–24, 24f
for distal radius nonunion, 27–28
for ring and small carpometacarpal arthrodesis, 218
for scaphocapitate fusion, with lunate excision, 168
for scaphoid excision with CLTH arthrodesis, 134
for scaphoid nonunion, 90–94, 90f–94f
for scaphotrapeziotrapezoid joint fusion, 139, 139f
for total wrist arthrodesis, 151, 151f
for ulnar neck nonunion, 41–43, 41f–42f
vascularized
for Kienböck disease, 161–163, 161f–162f
for scaphoid nonunion, 93–94, 93f–94f
Bone-retinaculum-bone autograft, for scapholunate
reconstruction, 108–109
indications for, 108
pitfalls of, 109
postoperative care in, 109
technique of, 108–109, 108f–109f
Brachioradialis tendon
in dorsal fixation of distal radius fracture, 8
in palmar fixation of distal radius fracture, 10, 12–13
Brunelli procedure, for scapholunate stabilization, 106–107
indications for, 106
pearls about, 107
pitfalls of, 107
postoperative care in, 107
technique of, 106–107, 106f–107f
C
Capitate fracture, in scaphocapitate syndrome, 122–124
Capitate shortening, with capitohamate fusion, 164–166
alternatives to, 166
indications for, 164
pearls about, 165
pitfalls of, 165
■ 224 INDEX
postoperative care in, 166
technique of, 164–165, 164f–165f
Capitolunate triquetrohamate (CLTH) arthrodesis, scaphoid
excision with, 133–134
alternatives to, 134
indications for, 133
pearls about, 133–134
pitfalls of, 133–134
postoperative care in, 134
versus proximal row carpectomy, 130–133
technique of, 133, 133f–134f
Capsulotomy
inverted T, in capitate shortening with capitohamate
fusion, 164, 164f
transverse, in scaphoid excision with CLTH arthrodesis, 133,
133f
Carpal fracture-dislocations, 114–124. See also specific types
Carpal osteotomy, closing wedge, 175–177
alternatives to, 177
indications for, 175
pearls about, 177
pitfalls of, 177
postoperative care in, 177
technique of, 175–177, 175f–177f
Carpal subluxation, palmar, with distal radius fracture, 10–11
Carpectomy, proximal row, with capsular resurfacing,
130–132
alternatives to, 130, 132–133
indications for, 130
pitfalls of, 130–131
postoperative care in, 132
versus scaphoid excision with CLTH arthrodesis, 130–133
technique of, 130, 130f–131f
Carpometacarpal fusion, thumb, 203–205
alternative to, 205
fixation options in, 205
indications for, 203
pearls about, 205
pitfalls of, 205
plate fixation in, 205, 205f
postoperative care in, 205
technique of, 203–205, 203f–205f
wire fixation in, 204–205, 204f
Carpometacarpal joint
finger, 212–220
fracture of, closed reduction and internal fixation of,
212–214, 212f–213f
injuries of, 212–216
ring and small
arthritis of, arthrodesis for, 218–219, 218f–219f
fracture-dislocations of, open reduction and internal
fixation of, 215–216, 215f–216f
thumb, 192–209
arthritis of, 192, 200–209
joint fusion for, 203–205, 203f–205f
ligament reconstruction with tendon interposition for,
206–209, 206f–209f
metacarpal osteotomy for, 200–202, 200f–201f
fractures of, closed reduction and internal fixation of,
195–197, 195f–196f
injuries of, 192–197
Carpometacarpal ligament reconstruction, thumb, 192–194
alternative techniques in, 194
indications for, 192
pearls about, 194
pitfalls of, 194
postoperative care in, 194
technique of, 192–194, 192f–193f
with tendon interposition, 206–209
alternative techniques in, 209
indications for, 206
osteophyte removal in, 207, 207f
pearls about, 209
pitfalls of, 209
postoperative care in, 209
technique of, 206–209, 206f–209f
Cerebral palsy
fractional lengthening in, 172–174
wrist extension in, 178–181
Children, 172–184. See also Pediatric wrist
Closed reduction and internal fixation
of Bennett’s or Rolando’s fractures, 195–197
alternative techniques in, 197
indications for, 195, 195f
palmar approach for, 196, 196f
pearls about, 196
pitfalls of, 197
postoperative care in, 197
technique of, 195–196, 195f–196f
of reverse Bennett’s fractures, 212–214
alternatives to, 214
indications of, 212, 212f
pearls about, 212–214
pitfalls of, 214
postoperative care in, 214
technique of, 212, 212f–213f
Closed reduction and percutaneous pin fixation, of distal
radius fractures, 2–4
indications for, 2
pearls about, 2, 4
pitfalls of, 4
postoperative care in, 4
technique of, 2–4, 2f–4f
Closing wedge osteotomy of carpus, 175–177
alternatives to, 177
indications for, 175
pearls about, 177
pitfalls of, 177
postoperative care in, 177
technique of, 175–177, 175f–177f
Cysts, ganglion
dorsal, excision of, 186–187, 186f
palmar, excision of, 188–189, 188f–189f
D
Darrach procedure, 60–62
alternatives to, 62
for distal radius malunion, 22
indications for, 60
instability after, 64–72
extensor carpi ulnaris-flexor carpi ulnaris tenodesis
for, 67–68, 67f–68f
flexor carpi ulnaris tenodesis for, 64–66, 64f–65f
implant arthroplasty for, 69–72, 69f–71f
pearls about, 60–61
pitfalls of, 60, 62
postoperative care in, 62
technique of, 60, 60f–61f
for ulnar head fracture, 33–34
Denervation, 126–127
indications for, 126
pearls about, 127
pitfalls of, 126
INDEX 225 ■
Denervation, 126–127 (Continued)
postoperative care in, 127
preoperative evaluation for, 126
technique of, 126–127, 126f–127f
Distal pole scaphoid excision, 135–136, 142, 149
indications for, 135
pearls about, 135–136
pitfalls of, 135–136
postoperative care in, 136
technique of, 135, 135f–136f
Distal radial bone graft
for capitate shortening, with capitohamate fusion,
165, 165f
for ring and small carpometacarpal arthrodesis, 218
for scaphocapitate fusion, with lunate excision, 168
for scaphoid nonunion, 90–92, 90f–92f
for scaphotrapeziotrapezoid joint fusion, 139, 139f
for total wrist arthrodesis, 151
for vascularized bone grafting, in Kienböck disease,
162, 162f
Distal radioulnar joint (DRUJ)
arthritis of, 56–62
arthroscopic synovectomy for, 145, 145f
Darrach procedure for, 60–62, 60f–61f
with distal radius malunion, 20, 22, 24–26
hemiresection arthroplasty for, 58–59, 58f–59f
Sauve-Kapandji procedure for, 56–57, 56f–57f
dislocation of, with distal radius fracture, open treatment
of, 15–18, 15f–17f
in distal radius fracture, 6
in distal radius malunion, 20, 22, 24–26
in distal radius nonunion, 27–28
instability of, 46–54
ligament reconstruction for, 53–54, 53f–54f
with peripheral TFCC tear, 49–52
post-Darrach, 64–72
with ulnar-sided TFCC tear, 46–48
with ulnar styloid fracture nonunion, 38–40
in ulnar head fracture, 33
ulnocarpal abutment by, 74–81. See also Ulnar impaction
syndrome
Distal radioulnar ligament reconstruction, 53–54
alternative technique in, 54
indications for, 53
pearls about, 54
pitfalls of, 53
postoperative care in, 54
technique of, 53, 53f–54f
Distal radius fractures, 2–28
closed reduction and percutaneous pin fixation of,
2–4, 2f–4f
dorsal plate fixation of, 8–9, 8f–9f
Galeazzi, open treatment of, 15–18, 15f–17f
limited-open reduction of, percutaneous pin and external
fixation with, 5–7, 5f–6f
malunion of. See Distal radius malunion
nonunion of. See Distal radius nonunion
palmar plate fixation of, 10–11, 10f–11f
open treatment, fixed angle, 12–14, 12f–13f
Distal radius malunion
dorsal and palmar osteotomy for, 23–24, 23f–24f
extension osteotomy for, 20–22, 20f–22f
with palmar translation of articular surface, fixation of,
25–26, 25f–26f
Distal radius nonunion
dorsal fixation of, 27–28, 27f–28f
palmar plate fixation of, 28
Distal ulna
hemiresection arthroplasty of, 58–59
alternatives to, 59
indications for, 58
pearl about, 59
pitfalls of, 58–59
postoperative care in, 59
technique of, 58, 58f–59f
resected, instability of, 64–72
extensor carpi ulnaris-flexor carpi ulnaris tenodesis
for, 67–68, 67f–68f
flexor carpi ulnaris tenodesis for, 64–66, 64f–65f
implant arthroplasty for, 69–72, 69f–71f
resection of, 60–62. See also Darrach procedure
Distal ulna fractures, 30–36
nonunion of. See Distal ulna nonunion
ulnar head, 33–34, 33f–34f
ulnar neck, 35–36, 35f–36f
ulnar styloid, 30–32, 30f–31f
Distal ulna nonunion, 38–43
ulnar neck, 41–43, 41f–42f
ulnar styloid, 38–40, 38f–39f
Dorsal approach. See also specific procedures
combined with palmar approach, for ORIF of lunate
dislocation, 116–118, 116f–117f
for ORIF of displaced scaphoid fracture, 87–88, 87f–88f
for ORIF of perilunate dislocation, 114–115, 114f–115f
Dorsal capsular flap, scapholunate ligament reconstruction
with, 104–105
indications for, 104
pearls about, 105
pitfalls of, 105
postoperative care in, 105
radiographic findings in, 105
technique of, 104–105, 104f–105f
Dorsal intercalated segmental instability, and distal pole
scaphoid excision, 135
Dorsal osteotomy, for distal radius malunion, 23–24
alternatives to, 24
indications for, 23
pearls about, 23–24
postoperative care in, 24
preoperative evaluation for, 23
technique of, 23, 23f–24f
Dorsal plate fixation
of distal radius fracture, 8–9
indications for, 8
pearls about, 8–9
pitfall of, 9
postoperative care in, 9
technique of, 8, 8f–9f
of distal radius malunion, in osteotomy, 20–24
of distal radius nonunion, 27–28
alternatives to, 28
indications for, 27
pearls about, 27
pitfalls of, 27–28
postoperative care in, 28
technique of, 27, 28f
of ulnar neck fracture, 35–36, 35f–36f
of ulnar neck nonunion, 42, 42f
Dorsal wrist ganglion excision, 186–187
alternative technique in, 187
indications for, 186
pearls about, 187
pitfalls of, 187
postoperative care in, 187
■ 226 INDEX
tag suture in, 186, 186f
technique of, 186, 186f
“Drive through” classification, of scapholunate ligament
injuries, 100, 101t
DRUJ. See Distal radioulnar joint
Dual plate fixation
of ulnar neck fracture, 36, 36f
of ulnar neck nonunion, 41–43, 41f–42f
Dynamic compression plate, in radial shortening for Kienböck
disease, 158–160, 158f–160f
E
Extension of wrist, tendon transfer for, 178–181
to abductor pollicis longus, 179–180, 179f–180f
Allis forceps for, 178–179, 178f
alternative techniques in, 180
to extensor carpi radialis brevis, 179–180, 180f
to extensor carpi radialis longus, 179–180, 180f
extensor carpi ulnaris as donor in, 178–180, 178f–180f
to extensor pollicis brevis, 179–180, 179f–180f
flexor carpi ulnaris as donor in, 178–180, 179f–180f
indications for, 178
pearls about, 180
pitfalls of, 180
postoperative care in, 180
Extension osteotomy, for distal radius malunion, 20–22
alternatives to, 22
indications for, 20, 20f
pearls about, 21–22
postoperative care in, 22
preoperative evaluation for, 20
technique of, 20–21, 20f–22f
Extensor carpi radialis brevis (ECRB)
in distal radius fracture, 2, 2f, 5
tendon transfer to, 179–180, 180f
in total wrist arthrodesis, 150, 150f
Extensor carpi radialis longus (ECRL)
in distal radius fracture, 5
tendon transfer to, 179–180, 180f
in total wrist arthrodesis, 150, 150f
transfer to extensor carpi ulnaris, 146–147
alternatives to, 147
indications for, 146
pearls about, 146–147
pitfalls of, 146–147
postoperative care in, 147
technique of, 146, 146f–147f
Extensor carpi ulnaris (ECU)
in carpometacarpal ring and small fracture-dislocations,
215, 215f
in closing wedge osteotomy of carpus, 175, 175f,
177, 177f
in distal ulna implant arthroplasty, 69, 71
in DRUJ arthritis surgery, 56, 56f, 59f–61f, 60–61
extensor carpi radialis longus transfer to, 146–147
alternatives to, 147
indications for, 146
pearls about, 146–147
pitfalls of, 146–147
postoperative care in, 147
technique of, 146, 146f–147f
in flexor carpi ulnaris tenodesis, 65, 65f
in repair of TFCC
in arthroscopic technique, 49–50, 49f–50f
in open technique, 46–47, 46f–47f
in reverse Bennett’s fracture, 212, 212f–213f
in total wrist arthrodesis, 150, 150f
transfer of, for wrist extension, 178–181, 178f–180f
in ulnar head fracture, 33–34, 33f–34f
in ulnar neck fracture, 35, 35f–36f
in ulnar neck nonunion, 41, 41f
in ulnar shaft shortening osteotomy, 79, 79f
in ulnar styloid fracture, 30, 30f
Extensor carpi ulnaris-flexor carpi ulnaris tenodesis, 67–68
alternatives to, 68
indications for, 67
pearls about, 67–68
pitfalls of, 67
postoperative care in, 68
technique of, 67, 67f–68f
Extensor compartment artery (ECA), in vascularized bone
grafting, for Kienböck disease, 161–163, 161f
Extensor digiti quinti (EDQ)
in carpometacarpal ring and small fracture-dislocations, 215
in DRUJ arthritis, 56f, 57, 59–61, 59f–61f
in ring and small carpometacarpal arthrodesis, 218, 219f
in total wrist arthrodesis, 150, 150f
in ulnar head fracture, 34
Extensor digitorum communis (EDC)
in carpometacarpal ring and small fracture-dislocations, 215
in closing wedge osteotomy of carpus, 175
in extension osteotomy for distal radius malunion, 20, 20f
in perilunate dislocation, 114
in ring and small carpometacarpal arthrodesis, 218
in scaphoid nonunion, 94
in scapholunate ligament screw fixation, 110
in total wrist arthrodesis, 150, 150f
in vascularized bone grafting, for Kienböck disease, 161, 161f
Extensor pollicis brevis (EPB)
in carpometacarpal joint fusion, 203, 203f
in metacarpal osteotomy, 200, 200f
in scapholunate ligament screw fixation, 111, 111f
tendon transfer to, 179–180, 179f–180f
in trans-scaphoid perilunate fracture-dislocation, 119
Extensor pollicis longus (EPL)
in capitate shortening, with capitohamate fusion, 164–165
in carpometacarpal joint fusion, 203, 203f
in closing wedge osteotomy of carpus, 175, 175f
in displaced scaphoid fractures, 87, 87f
in distal radius fracture, 2, 2f, 5–6
in extension osteotomy for distal radius malunion, 20, 22
in perilunate dislocation, 114, 114f
in scaphocapitate fusion, with lunate excision, 167
in scaphoid nonunion, 94
in scapholunate ligament open repair, 102
in scapholunate reconstruction, 104, 108–109, 108f
in scapholunate screw fixation, 110
External fixation, of distal radius fractures, with limited-open
reduction and percutaneous pin fixation, 5–7, 5f–6f
indications for, 5
pearls about, 7
pitfalls of, 7
postoperative care in, 7
technique of, 5–6, 5f–6f
F
Finger carpometacarpal joint, 212–220
fracture of, closed reduction and internal fixation of,
212–214, 212f–213f
injuries of, 212–216
ring and small
arthritis of, arthrodesis for, 218–219, 218f–219f
fracture-dislocations of, open reduction and internal
fixation of, 215–216, 215f–216f
INDEX 227 ■
Finger spasticity, fractional lengthening for, 172–174,
172f–173f
Fixation. See specific injuries, devices, and procedures
Flexor carpi radialis (FCR)
in distal radius fracture, 10, 10f, 12, 12f, 15, 15f
in distal radius malunion, 25, 25f
graft, for carpometacarpal reconstruction, 192–194,
192f–193f, 206–209, 206f–209f
in Madelung’s deformity surgery, 182, 182f
in palmar wrist ganglion excision, 188, 188f
in scaphoid nonunion, 90–91, 90f–91f
Flexor carpi radialis stabilization, of scapholunate joint,
106–107
indications for, 106
pearls about, 107
pitfalls of, 107
postoperative care in, 107
technique of, 106–107, 106f–107f
Flexor carpi ulnaris (FCU)
in distal ulna implant arthroplasty, 69, 69f
transfer of, for wrist extension, 178–181, 179f–180f
in ulnar head fracture, 33f, 34, 34f
in ulnar neck fracture, 35, 35f–36f
in ulnar neck nonunion, 41, 41f
in ulnar shaft shortening osteotomy, 79f, 80
Flexor carpi ulnaris tenodesis, 64–66
alternatives to, 66
extensor carpi ulnaris tenodesis with, 67–68, 67f–68f
alternatives to, 68
indications for, 67
pearls about, 67–68
pitfalls of, 67
postoperative care in, 68
technique of, 67, 67f–68f
indications for, 64
pearls about, 65
pitfalls of, 64, 66
postoperative care in, 66
technique of, 64, 64f–65f
Flexor digitorum profundus (FDP), fractional lengthening
of, 173, 173f
Flexor digitorum superficialis (FDS), fractional lengthening
of, 172, 172f–173f
Fractional lengthening, 172–174
alternatives to, 174
indications for, 172
pearls about, 173
pitfalls of, 173
postoperative care in, 173–174
technique of, 172–173, 172f–173f
Fractures. See specific types
G
Galeazzi fractures, open treatment of, 15–18
indications for, 15
pearls about, 18
pitfalls of, 16–18
postoperative care in, 18
technique of, 15–16, 15f–17f
Ganglion(s), 186–189
dorsal wrist, excision of, 186–187
alternative technique in, 187
indications for, 186
pearls about, 187
pitfalls of, 187
postoperative care in, 187
tag suture in, 186, 186f
technique of, 186, 186f
palmar wrist, excision of, 188–189
alternative techniques in, 188
indications for, 188
pearls about, 189
pitfalls in, 189
postoperative care in, 189
technique of, 188, 188f–189f
Geissler’s “drive through” classification, of scapholunate
ligament injuries, 100, 101t
H
Hamate hook nonunion excision, 96–97
indications for, 96
pearls about, 97
pitfalls of, 97
postoperative care in, 97
preoperative evaluation for, 96
technique of, 96–97, 96f–97f
Hemiresection
for distal radius malunion, 22
for ulnar head fracture, 33–34
Hemiresection arthroplasty, of distal ulna, 58–59
alternatives to, 59
indications for, 58
pearl about, 59
pitfalls of, 58–59
postoperative care in, 59
technique of, 58, 58f–59f
Herbert screw fixation, of scapholunate ligament, 110–112,
110f–112f
Hook of hamate. See Hamate hook nonunion excision
Humpback deformity, in scaphoid nonunion, 90, 90f
I
Iliac crest bone graft (ICBG)
for distal radius malunion, 21, 23–24, 24f
for ring and small carpometacarpal arthrodesis, 218
for scaphocapitate fusion, with lunate excision, 168
for scaphoid excision with CLTH arthrodesis, 134
for total wrist arthrodesis, 151
for ulnar neck nonunion, 41–43, 41f–42f
Implant arthroplasty. See Arthroplasty
Inflammatory arthritis
arthroscopic synovectomy for, 144–145, 144f–145f
extensor carpi radialis longus to extensor carpi ulnaris
transfer for, 146–147, 146f–147f
Inside-out Touhy technique, for TFCC repair, 50, 51f
Inverted T capsulotomy, in capitate shortening, with
capitohamate fusion, 164, 164f
K
Kienböck disease, 158–169
capitate shortening with capitohamate fusion for, 164–166
alternatives to, 166
indications for, 164
pearls about, 165
pitfalls of, 165
postoperative care in, 166
technique of, 164–165, 164f–165f
Lichtman’s radiographic classification of, 167t
radial shortening for, 158–160
alternatives to, 160
indications for, 158
■ 228 INDEX
pearls about, 159–160
pitfall of, 160
postoperative care in, 160
technique of, 158–159, 158f–160f
scaphocapitate fusion with lunate excision for, 167–169
alternatives to, 169
fixation options in, 169
indications for, 167
pearls about, 168
pitfalls of, 168–169
postoperative care in, 169
technique of, 167–168, 167f–168f
stage I, 167t
stage II, 167t
stage IIIA, 167, 167t
stage IIIB, 167, 167t
stage IV, 167t
vascularized bone grafting for, 161–163
alternative techniques in, 163
indications for, 161
pearls about, 163
pitfalls of, 163
postoperative care in, 163
technique for, 161–162, 161f–162f
L
Lateral antebrachial cutaneous nerve
in carpometacarpal reconstruction, 192, 194, 209
in metacarpal osteotomy, 200–201
Lichtman’s classification, of Kienböck disease, 167t
Ligament reconstruction. See specific types
Ligament weave, for DRUJ instability, 39
Limited-open reduction, of distal radius fractures, percutaneous
pin fixation and external fixation with, 5–7, 5f–6f
indications for, 5
pearls about, 7
pitfalls of, 7
postoperative care in, 7
technique of, 5–6, 5f–6f
Lister’s tubercle, in total wrist arthrodesis, 150, 150f–151f
Lunate dislocation, open reduction and internal fixation of, via
combined dorsal-palmar approach, 116–118
indications for, 116
pearls about, 118
pitfalls of, 118
postoperative care in, 118
technique of, 116–117, 116f–117f
Lunate excision, scaphocapitate fusion with, 167–169
alternatives to, 169
fixation options in, 169
indications for, 167
pearls about, 168
pitfalls of, 168–169
postoperative care in, 169
technique of, 167–168, 167f–168f
Lunotriquetral joint, reduction and fixation of
in lunate dislocation, 117, 117f, 118
in scaphocapitate syndrome, 122–123
M
Madelung’s deformity, surgical treatment of, 182–184
alternatives in, 184
indications for, 182
pearls about, 184
pin fixation in, 183–184, 183f
pitfalls of, 184
postoperative care in, 184
technique of, 182–183, 182f–184f
thumb pressure in, 183–184, 183f
Malunion. See specific types
Mass/lump
dorsal ganglion, excision of, 186–187, 186f
palmar ganglion, excision of, 188–189, 188f–189f
Median nerve
in fractional lengthening, 173, 173f
in lunate dislocation, 116, 116f, 118
in scaphoid nonunion, 91
Metacarpal fractures
finger, closed reduction and internal fixation of, 212–214,
212f–213f
thumb, closed reduction and internal fixation of, 195–197,
195f–196f
Metacarpal osteotomy, 200–202
alternatives to, 201
indications for, 200
pearls about, 201
pitfalls of, 201
postoperative care in, 201
technique of, 200–201, 200f–201f
Midcarpal arthritis, scaphoid excision with capitolunate
triquetrohamate arthrodesis for, 133–134, 133f–134f
N
Nonunion. See specific types
O
Open reduction and internal fixation (ORIF)
of displaced scaphoid fracture, via dorsal approach, 87–88
indications for, 87
pearls about, 88
pitfalls of, 88
postoperative care in, 88
technique of, 87–88, 87f–88f
of lunate dislocation, via combined dorsal-palmar approach,
116–118
indications for, 116
pearls about, 118
pitfalls of, 118
postoperative care in, 118
technique of, 116–117, 116f–117f
of perilunate dislocation, via dorsal approach, 114–115
indications for, 114
pearls about, 115
pitfalls of, 115
postoperative care in, 115
technique of, 114–115, 114f–115f
of perilunate fracture-dislocation, trans-scaphoid, 119–121
arc of injury in, 119, 119f
indications for, 119
technique of, 119–120, 119f–120f
of ring and small carpometacarpal fracture-dislocation,
215–216
alternatives to, 216
indications for, 215
osteophyte removal in, 215f
pearls about, 216
pitfalls of, 216
postoperative care in, 216
technique of, 215–216, 215f–216f
of scaphocapitate syndrome, 122–124
arc of injury in, 122, 122f
indications for, 122
INDEX 229 ■
Open reduction and internal fixation (ORIF) (Continued)
pearls about, 123
pitfalls of, 124
postoperative care in, 124
technique of, 122, 122f–123f
of scaphoid nonunion
with vascularized bone graft, 93–94
indications for, 93
postoperative care in, 93
technique of, 93–94, 93f–94f
via palmar approach, with distal radial bone graft, 90–92
indications for, 90
pearls about, 92
pitfalls of, 91–92
postoperative care in, 92
technique of, 90–91, 90f–92f
of ulnar styloid fracture, 30–32
alternative to, 32
indications for, 30
pearls about, 31–32
pitfalls of, 30–31
postoperative care in, 32
technique of, 30, 30f–31f
ORIF. See Open reduction and internal fixation
Osteotomy
biplanar dome, for Madelung’s deformity, 182–184, 183f–184f
closing wedge, of carpus, 175–177, 175f–177f
dorsal and palmar, for distal radius malunion, 23–24
extension, for distal radius malunion, 20–22
metacarpal, 200–202, 200f–201f
ulnar shaft shortening, for ulnar impaction syndrome, 79–81,
79f–80f
P
Palmar approach. See also specific procedures
combined with dorsal approach, for ORIF of lunate
dislocation, 116–118, 116f–117f
for ORIF of scaphoid nonunion, 90–92, 90f–92f
Palmaris longus tendon
in fractional lengthening, 172, 172f
graft, for distal radioulnar ligament reconstruction, 54, 54f
Palmar osteotomy, for distal radius malunion, 23–24
alternatives to, 24
indications for, 23
pearls about, 23–24
postoperative care in, 24
preoperative evaluation for, 23
technique of, 23, 23f–24f
Palmar plate fixation
of distal radius fracture, 10–11
Galeazzi-type, 15–18, 15f–17f
indications for, 10
open treatment, fixed angle, 12–14
indications for, 12
pearls about, 12–14
pitfalls of, 13
postoperative care in, 14
technique of, 12–13, 12f–13f
pearls about, 11
pitfalls of, 10–11
postoperative care in, 11
technique of, 10, 10f–11f
of distal radius malunion
in osteotomy, 22, 24
with palmar translation of articular surface, 25–26,
25f–26f
of distal radius nonunion, 28
Palmar subluxation
distal radius fracture with, treatment of, 10–11, 10f–11f
distal radius malunion with, treatment of, 25–26, 25f–26f
Paralysis/paresis, wrist extension for, 178–181
Pediatric wrist, 172–184
closing wedge osteotomy of carpus in, 175–177, 175f–177f
fractional lengthening in, 172–174, 172f–173f
Madelung’s deformity in, surgical treatment of, 182–184,
182f–184f
tendon transfer for wrist extension in, 178–181, 178f–180f
Percutaneous pin fixation
of distal radius fractures
with closed reduction, 2–4
indications for, 2
pearls about, 2, 4
pitfalls of, 4
postoperative care in, 4
technique of, 2–4, 2f–4f
with limited-open reduction and external fixation
indications for, 5
pearls about, 7
pitfalls of, 7
postoperative care in, 7
technique of, 5–6, 5f–6f
of scapholunate ligament injuries, 100–101
indications for, 100
pearls about, 101
pitfalls of, 101
postoperative care in, 101
technique of, 100–101, 100f–101f
Percutaneous screw fixation, of scaphoid fracture, 84–86
alternatives to, 85
for distal third fractures, 85, 85f
dorsal screw placement in, 85
indications for, 84
palmar screw placement in, 85, 85f
pearls about, 85
pitfalls of, 85
postoperative care in, 85
for proximal and waist fractures, 85
technique of, 84–85, 84f–85f
Perilunate dislocation, open reduction and internal fixation
of, via dorsal approach, 114–115
indications for, 114
pearls about, 115
pitfalls of, 115
postoperative care in, 115
technique of, 114–115, 114f–115f
Perilunate fracture-dislocation, trans-scaphoid, open reduction
and internal fixation of, 119–121
arc of injury in, 119, 119f
indications for, 119
pearls about, 120
pitfalls of, 120–121
postoperative care in, 121
technique of, 119–120, 119f–120f
Pin fixation
of Bennett’s or Rolando’s fractures, 196
for capitate shortening, with capitohamate fusion, 165
of distal radius fractures, percutaneous
with closed reduction, 2–4
indications for, 2
pearls about, 2, 4
pitfalls of, 4
postoperative care in, 4
technique of, 2–4, 2f–4f
with limited-open reduction and external fixation
■ 230 INDEX
indications for, 5
pearls about, 7
pitfalls of, 7
postoperative care in, 7
technique of, 5–6, 5f–6f
in Madelung’s deformity surgery, 183–184, 183f
in radiocarpal fusion, 148–149, 148f–149f
of reverse Bennett’s fracture, 212–214, 213f
of scaphocapitate syndrome, 123–124, 123f
in scaphoid excision with CLTH arthrodesis, 134, 134f
of scapholunate ligament injuries, percutaneous, 100–101
indications for, 100
pearls about, 101
pitfalls of, 101
postoperative care in, 101
technique of, 100–101, 100f–101f
of trans-scaphoid perilunate fracture dislocation, 120, 120f
of ulnar styloid fracture, 30–32, 30f–31f
in vascularized bone grafting, for Kienböck disease, 162
Plate fixation
in carpometacarpal joint fusion, 205, 205f
of distal radius fracture
dorsal, 8–9, 8f–9f
palmar, 10–11, 10f–11f
for Galeazzi-type fracture, 15–18, 15f–17f
open treatment, fixed angle, 12–14, 12f–13f
of distal radius malunion
dorsal, in osteotomy, 20–24
palmar
in osteotomy, 22, 24
with palmar translation of articular surface, 25–26,
25f–26f
of distal radius nonunion
dorsal, 27–28, 27f–28f
palmar, 28
in metacarpal osteotomy, 201
in radial shortening, for Kienböck disease, 158–160, 158f–160f
in ring and small carpometacarpal arthrodesis, 219
in scaphoid excision with CLTH arthrodesis, 134
in total wrist arthrodesis, 151–152, 151f
of ulnar head fracture, 33
of ulnar neck fracture, 35–36, 35f–36f
of ulnar neck nonunion, 41–43, 41f–42f
Posterior interosseous nerve (PIN)
in capitate shortening, with capitohamate fusion, 164
in total wrist arthrodesis, 150
in vascularized bone grafting, for Kienböck disease,
161, 161f
in wrist denervation, 126–127, 126f–127f
Post-traumatic arthritis
extensor carpi radialis longus to extensor carpi ulnaris
transfer for, 146–147, 146f–147f
radioscapholunate fusion for, 148–149, 148f–149f
total wrist arthrodesis for, 150–152, 150f–151f
total wrist arthroplasty for, 153–156, 153f–156f
Pronator quadratus muscle
in Madelung’s deformity surgery, 182
in palmar fixation
of distal radius fracture, 10, 10f, 12, 12f, 15
of distal radius malunion, 25, 25f
Proximal row carpectomy, with capsular resurfacing, 130–132
alternatives to, 130, 132–133
indications for, 130
pitfalls of, 130–131
postoperative care in, 132
versus scaphoid excision with CLTH arthrodesis, 130–133
technique of, 130, 130f–131f
R
Radial artery
in carpometacarpal joint fusion, 203, 203f
in carpometacarpal reconstruction, 192, 192f,
206–207, 206f
in palmar wrist ganglion excision, 188–189, 188f
in radial styloidectomy, 128f, 129
Radial nerve
in carpometacarpal reconstruction, 192,
194, 209
in distal radius fracture, 5, 5f
in metacarpal osteotomy, 200, 200f, 201
in scaphotrapeziotrapezoid joint arthroplasty,
141–142, 141f
Radial shortening, 158–160
alternatives to, 160
indications for, 158
pearls about, 159–160
pitfall of, 160
postoperative care in, 160
technique of, 158–159, 158f–160f
Radial styloidectomy, 128–129
indications for, 128
pearls about, 129
postoperative care in, 129
with scaphotrapeziotrapezoid joint fusion, 139
technique of, 128, 128f–129f
Radiocarpal fusion, 148–149
alternatives to, 149
indications for, 148
pearls about, 148–149
postoperative care in, 149
technique of, 148, 148f–149f
Radiolunate fusion, for rheumatoid arthritis, 148–149, 148f–149f
Radioscaphoid arthritis, 126–136
proximal row carpectomy with capsular resurfacing for,
130–132, 130f–131f
radial styloidectomy for, 128–129, 128f–129f
scaphoid excision for
with capitolunate triquetrohamate arthrodesis,
133–134, 133f–134f
distal pole, 135–136, 135f–136f
scaphoid excision with capitolunate triquetrohamate
arthrodesis for, 133–134
wrist denervation for, 126–127, 126f–127f
Radioscapholunate fusion, for post-traumatic arthritis,
148–149, 148f–149f
Radius. See Distal radius; Radial
RASL procedure, for scapholunate fixation, 110–112
indications for, 110
pearls about, 112
pitfalls of, 112
postoperative care in, 112
technique of, 110–112, 110f–112f
Reconstruction. See specific anatomy and procedures
Repair. See specific anatomy and procedures
Retinaculum graft, in scapholunate reconstruction,
108–109, 108f–109f
Reverse Bennett’s fractures, closed reduction and internal
fixation of, 212–214
alternatives to, 214
indications of, 212, 212f
pearls about, 212–214
pitfalls of, 214
postoperative care in, 214
technique of, 212, 212f–213f
INDEX 231 ■
Rheumatoid arthritis
radiolunate fusion for, 148–149, 148f–149f
total wrist arthrodesis for, 150–152, 150f–151f
total wrist arthroplasty for, 153–156, 153f–156f
Ring carpometacarpal joint
arthritis of, arthrodesis for, 218–219
alternatives to, 219
indications for, 218
pearls about, 218
pitfalls of, 218
postoperative care in, 219
technique of, 218, 218f–219f
fracture-dislocation of, open reduction and internal fixation
of, 215–216
alternatives to, 216
indications for, 215
osteophyte removal in, 215f
pearls about, 216
pitfalls of, 216
postoperative care in, 216
technique of, 215–216, 215f–216f
Rolando’s fractures, closed reduction and internal fixation of,
195–197
alternative techniques in, 197
indications for, 195, 195f
palmar approach for, 196, 196f
pearls about, 196
pitfalls of, 197
postoperative care in, 197
technique of, 195–196, 195f–196f
S
Sauve-Kapandji procedure, 39, 56–57
alternatives to, 57
indications for, 56
pearls about, 56
pitfalls of, 57
postoperative care in, 57
technique of, 56, 56f–57f
Scaphocapitate fusion, with lunate excision, 167–169
alternatives to, 169
fixation options in, 169
indications for, 167
pearls about, 168
pitfalls of, 168–169
postoperative care in, 169
technique of, 167–168, 167f–168f
Scaphocapitate syndrome, open reduction and internal
fixation of, 122–124
arc of injury in, 122, 122f
indications for, 122
pearls about, 123
pitfalls of, 124
postoperative care in, 124
technique of, 122, 122f–123f
Scaphoid excision
for arthritis, 133–136
with capitolunate triquetrohamate arthrodesis
alternatives to, 134
indications for, 133
pearls about, 133–134
pitfalls of, 133–134
postoperative care in, 134
versus proximal row carpectomy, 130–133
technique of, 133, 133f–134f
distal pole, 135–136, 142, 149
indications for, 135
pearls about, 135–136
pitfalls of, 135–136
postoperative care in, 136
technique of, 135, 135f–136f
Scaphoid fractures, 84–88
displaced, open reduction and internal fixation of, via dorsal
approach, 87–88
indications for, 87
pearls about, 88
pitfalls of, 88
postoperative care in, 88
technique of, 87–88, 87f–88f
nonunion of. See Scaphoid nonunion
percutaneous screw fixation of, 84–86
alternatives to, 85
for distal third fractures, 85, 85f
dorsal screw placement in, 85
indications for, 84
palmar screw placement in, 85, 85f
pearls about, 85
pitfalls of, 85
postoperative care in, 85
for proximal and waist fractures, 85
technique of, 84–85, 84f–85f
in scaphocapitate syndrome, 122–124
Scaphoid nonunion
advanced collapse in, arthritis due to, 126–136
proximal row carpectomy with capsular resurfacing for,
130–132, 130f–131f
radial styloidectomy for, 128–129, 128f–129f
scaphoid excision for
with capitolunate triquetrohamate arthrodesis, 133–134,
133f–134f
distal pole, 135–136, 135f–136f
wrist denervation for, 126–127, 126f–127f
humpback deformity in, 90, 90f
open reduction and internal fixation of
with vascularized bone graft, 93–94
indications for, 93
postoperative care in, 93
technique of, 93–94, 93f–94f
via palmar approach, with distal radial bone graft, 90–92
indications for, 90
pearls about, 92
pitfalls of, 91–92
postoperative care in, 92
technique of, 90–91, 90f–92f
Scapholunate advanced collapse, arthritis due to, 126–136
proximal row carpectomy with capsular resurfacing for,
130–132, 130f–131f
radial styloidectomy for, 128–129, 128f–129f
scaphoid excision for
with capitolunate triquetrohamate arthrodesis, 133–134,
133f–134f
distal pole, 135–136, 135f–136f
wrist denervation for, 126–127, 126f–127f
Scapholunate ligament injuries, 100–112
arthroscopy and percutaneous pin fixation of, 100–101
indications for, 100
pearls about, 101
pitfalls of, 101
postoperative care in, 101
technique of, 100–101, 100f–101f
Geissler’s “drive through” classification of, 100, 101t
open repair of, 102–103
indications for, 102
■ 232 INDEX
pearls about, 103
pitfalls of, 103
postoperative care in, 103
technique of, 102–103, 102f–103f
reconstruction after. See Scapholunate reconstruction
screw fixation of, 110–112
indications for, 110
pearls about, 112
pitfalls of, 112
postoperative care in, 112
technique of, 110–112, 110f–112f
Scapholunate reconstruction
bone-retinaculum-bone autograft, 108–109
indications for, 108
pitfalls of, 109
postoperative care in, 109
technique of, 108–109, 108f–109f
with dorsal capsular flap, 104–105
indications for, 104
pearls about, 105
pitfalls of, 105
postoperative care in, 105
radiographic findings in, 105
technique of, 104–105, 104f–105f
Scapholunate stabilization, flexor carpi radialis tendon for,
106–107
indications for, 106
pearls about, 107
pitfalls of, 107
postoperative care in, 107
technique of, 106–107, 106f–107f
Scaphotrapeziotrapezoid arthritis, 138–142
joint arthroplasty for, 141–142, 141f–142f
joint fusion for, 138–140, 138f–139f
Scaphotrapeziotrapezoid joint arthroplasty, 141–142
alternatives to, 142
indications for, 141
pearls about, 142
pitfalls of, 142
postoperative care in, 142
technique of, 141–142, 141f–142f
Scaphotrapeziotrapezoid joint fusion, 138–140
alternatives to, 140
dorsal approach for, 138, 138f
indications for, 138
pearls about, 139
pitfalls of, 140
postoperative care in, 140
radial approach for, 138, 138f
technique of, 138–139, 138f–139f
Screw-and-plate fixation. See Plate fixation
Screw fixation
of carpometacarpal ring and small fracture-dislocations, 216,
216f
of distal radioulnar joint, in Sauve-Kapandji procedure, 56–57,
57f
in metacarpal osteotomy, 201
in ring and small carpometacarpal arthrodesis, 219
in scaphocapitate fusion, with lunate excision, 168–169, 168f
of scaphocapitate syndrome, 123, 123f
in scaphoid excision with CLTH arthrodesis, 134
of scaphoid fracture, percutaneous, 84–86
alternatives to, 85
for distal third fractures, 85, 85f
dorsal screw placement in, 85
indications for, 84
palmar screw placement in, 85, 85f
pearls about, 85
pitfalls of, 85
postoperative care in, 85
for proximal and waist fractures, 85
technique of, 84–85, 84f–85f
of scaphoid nonunion, 92, 92f
of scapholunate joint, 110–112
indications for, 110
pearls about, 112
pitfalls of, 112
postoperative care in, 112
technique of, 110–112, 110f–112f
in total wrist arthroplasty, 155–156, 155f–156f
of trans-scaphoid perilunate fracture dislocation, 120, 120f
of ulnar head fracture, 33–34, 34f
Small carpometacarpal joint
arthritis of, arthrodesis for, 218–219
alternatives to, 219
indications for, 218
pearls about, 218
pitfalls of, 218
postoperative care in, 219
technique of, 218, 218f–219f
fracture-dislocation of, open reduction and internal fixation
of, 215–216
alternatives to, 216
indications for, 215
osteophyte removal in, 215f
pearls about, 216
pitfalls of, 216
postoperative care in, 216
technique of, 215–216, 215f–216f
Spasticity
fractional lengthening for, 172–174
wrist extension for, 178–181
Suture anchors
for scapholunate ligament injuries, 103, 103f
for ulnar styloid fracture, 32
Suture fixation, in triangular fibrocartilage complex repair
for peripheral tears, 49–52, 49f–51f
for ulnar-sided tears, 46–48, 46f–47f
with ulnar styloid nonunion, 38–40, 38f–39f
Synovectomy, arthroscopic, 144–145
alternative to, 145
indications for, 144
pearls about, 145
pitfalls of, 144
postoperative care in, 145
technique of, 144, 144f–145f
Synovitis, chronic, arthroscopic synovectomy for, 144–145,
144f–145f
T
Tendon transfer
for arthritis, extensor carpi radialis longus to extensor carpi
ulnaris, 146–147
alternatives to, 147
indications for, 146
pearls about, 146–147
pitfalls of, 146–147
postoperative care in, 147
technique of, 146, 146f–147f
for wrist extension, 178–181
to abductor pollicis longus, 179–180, 179f–180f
Allis forceps for, 178–179, 178f
alternative techniques in, 180
INDEX 233 ■