Arthroscopy: today the gold-standard in wrist joint surgery. Ivan Tami. Swiss Medical Network. Musculoskeletal Conference, Bern.
|
|
- Moris Smith
- 5 years ago
- Views:
Transcription
1 Arthroscopy: today the gold-standard in wrist joint surgery Ivan Tami Swiss Medical Network Musculoskeletal Conference, Bern March 31, 2017
2 «great men founded schools. To be remembered, they must spread their knowledge.» Ivo Pitanguy, M.D.,
3
4 Wrist ganglion cyst
5 Wrist ganglion cyst
6 Wrist ganglion cyst
7 Wrist ganglion cyst
8 Imaging: sonography
9 Imaging: MRI
10 Treatment: - aspiration of fluid - injection of corticosteroid Recurrence 1:2
11 Treatment: open surgery
12 Treatment: surgery Ganglio cyst Ligament Scaphoid Pedicle Lunate
13 Treatment: arthroscopy
14 Treatment: arthroscopy
15 Treatment: arthroscopy
16 Rehabilitation After surgery - Cast weeks day and night weeks only at night - Hand Therapy - from the beginning assisted mobilisation - start with strengthening after 6 weeks
17 Injury of the Triangular FibroCartilage Complex (TFCC)
18 Clinical presentation Ulnar-sided wrist pain snapping clunking grip strength Impaired function P/S
19 Clinical examination DRUJ instability ulnar fovea sign
20 Clinical examination DRUJ instability ulnar fovea sign distal ulna ballottment test
21 Imaging for TFCC
22 Imaging: MRI complete TFCC tear Courtesy of F. Del Grande, EOC CH-Lugano
23 Diagnosis: arthroscopy Gold standard
24 Diagnosis: arthroscopy
25 Diagnosis: arthroscopy Hook test 1,2 positive TFCC tear negative No tear Arthroscopic Management of Ulnar Pain. F. del Piñal et al.
26 Diagnosis: arthroscopy Hook test 1,2 positive TFCC tear negative No tear 1 Atzei A et al. New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. JHS Eur Atzei A et al. Foveal TFCC tear classification and treatment. Hand Clin 2011
27 Diagnosis: arthroscopy Trampoline test 1 positive TFCC tear negative No tear Arthroscopic Management of Ulnar Pain. F. del Piñal et al.
28 Diagnosis: arthroscopy Trampoline test 1 positive TFCC tear negative No tear 1 Hermansdorfer JD et al. Management of chronic peripheral tears of the TFCC. JHS Am 1991
29 Palmer classification of TFCC Lesions 1 I Traumatic injury A: central perforation B: ulnar avulsion C: distal avulsion D: radial avulsion II Degenerative injury 1 Palmer AK. Triangular fibrocartilage complex lesions: a classification. JHS Am 1989
30 Atzei-EWAS classification of TFCC 1 Palmer Class IB Palmer Class II 1 Atzei A. New Trends in arthroscopic management of 1-B TFCC injuries with DRUJ instability. JHS Eur 2009
31 Atzei-EWAS classification of TFCC Atzei Class I: suture ligament-to-capsule Acute injuries
32 Surgical treatment: suture (ligament-to-capsule)
33 Surgical treatment: suture (ligament-to-capsule) Repair: suture ligament-to-capsule
34 Atzei-EWAS classification of TFCC Atzei Class II and III: foveal refixation
35 Surgical treatment: foveal refixation Repair: foveal refixation Nakamura T. et al. Repair of foveal detachment of the triangular fibrocartilage complex: open and arthroscopic transosseous techniques. Hand Clin 2011
36 Surgical treatment: foveal refixation
37 Open versus arthroscopic repair Lucchetti R. Marc Comparison Garcia-Elias between open and arthroscopicassisted foveal Institut triangular Kaplan, fibrocartilage Barcelona complex repair for posttraumatic distal radio-ulnar joint instability. JHS Eur 2014
38 Rehabilitation Sport and heavy works tasks > 3 months 1-3 weeks long-arm cast neutral rotation elbow F/E 4-6 weeks short cast start wrist F/E assisted forearm rotation 7-10 weeks Short cast at night resume daily activities
39 Take home message Clinical assessment MRI +/- arthrography Arthroscopic repair 3-6 months rehabilitation The author declares that the research for and communication of this independent body of work does not constitute any financial or other conflict of interest.
40 Distal radius fractures
41 Decision making
42 Imaging for decision making
43 Imaging for decision making
44 N. Bizzotto, I. Tami et al. 3D Printing of bone fractures: a new tangible realistic way for preoperative planning and education. Surg. Innov. 2015
45 N. Bizzotto, I. Tami et al. 3D Printed models of distal radius fractures. Injury 2016
46 Implants Titanium Anatomical design 2 distal rows Multidirectional angle system
47 Implants Courtesy of Medartis
48 Implants
49 Surgery Fracture reduction Del Piñal et al. Arthroscopic Management of Distal Radius Fracture. 2010
50 Surgery Don t give up just wash out the joint and Japan clean it of blood!
51 Surgery
52 Surgery Bone grafting Del Piñal et al. Arthroscopic Management of Distal Radius Fracture. 2010
53 Surgery Bone grafting
54 Surgery Bone grafting
55 Surgery Treatment of the associated ulnar sided lesions K. Kasapinova et al. The correlation of initial radiographic characteristics of distal radius fractures and injuries of the triangular fibrocartilage complex. J Hand Surg Eur. 2016
56 Surgery Treatment of the associated ulnar sided lesions T. Westphal et al. Unrepaired fracture of the styloid process of the ulna: not a bad treatment result at distal radius fracture. Unfallchirurg. 2011
57 Surgery Treatment of the associated ulnar sided lesions
58 Arthroscopically assisted osteosynthesis
59 Rehabilitation
60 Take home message Sometimes doing less is more but sometimes you can do more with less! Del Piñal et al. Arthroscopic Management of Distal Radius Fracture. 2010
61 Thank you for your attention! The author declares that the research for and communication of this independent body of work does not constitute any financial or other conflict of interest.
62 www. manoegomito.ch
TFCC Tears and Repair. Jeffrey Yao, M.D. Associate Professor Department of Orthopaedic Surgery Stanford University Medical Center
TFCC Tears and Repair Jeffrey Yao, M.D. Associate Professor Department of Orthopaedic Surgery Stanford University Medical Center Disclosures The following relationships exist: 1. Grants American Foundation
More informationAnatomic Foveal Reconstruction of the Triangular Fibrocartilage Complex With a Tendon Graft
TECHNIQUE Anatomic Foveal Reconstruction of the Triangular Fibrocartilage Complex With a Tendon Graft Gregory I. Bain, MBBS, FRACS, FA (Orth) A, PhD,*wz Duncan McGuire, MBBCH, FCS (Orth), MMed,*w Yu Chao
More informationChapter 7. Anatomy of the Triangular Fibrocartilage Complex: Current Concepts. Introduction. Anatomy. Histology
Chapter 7 Anatomy of the Triangular Fibrocartilage Complex: Current Concepts Introduction The triangular fibrocartilage complex (TFCC) is one of the intrinsic ligaments of the wrist. It is often injured
More informationThe Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas
The Forearm, Wrist, Hand and Fingers Oak Ridge High School Conroe, Texas Contusion Injuries to the Forearm The forearm is constantly exposed to bruising and contusions in contact sports. The ulna receives
More informationTitle. Author(s)Iwasaki, Norimasa; Minami, Akio. CitationThe Journal of Hand Surgery, 34(7): Issue Date Doc URL.
Title Arthroscopically Assisted Reattachment of Avulsed Tr Author(s)Iwasaki, Norimasa; Minami, Akio CitationThe Journal of Hand Surgery, 34(7): 1323-1326 Issue Date 2009-09 Doc URL http://hdl.handle.net/2115/39285
More informationTriangular Fibrocartilage Complex Repair. The triangular fibrocartilage complex (TFCC) is one of the main stabilizers of the
Michelle Brandt and Megan Passarelle Surgical Assignment Due: 11/9/14 Triangular Fibrocartilage Complex Repair Abstract The triangular fibrocartilage complex (TFCC) is one of the main stabilizers of the
More informationChapter 12 Distal Ulnar Resection
Chapter 12 Distal Ulnar Resection Introduction Ulnar impaction syndrome is a common but often unrecognized cause of pain on the ulnar side of the wrist. Although it can be congenital (due to a long ulna),
More informationA Patient s Guide to Triangular Fibrocartilage Complex (TFCC) Injuries
A Patient s Guide to Triangular Fibrocartilage Complex (TFCC) Injuries 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER:
More informationOpen Repair of the Triangular Fibrocartilage Complex from Palmar Aspect
2 Special Focus Section: Foveal Tears of the TFCC Open Repair of the Triangular Fibrocartilage Complex from Palmar Aspect Hisao Moritomo, MD, PhD 1 1 Yukioka Hospital Hand Center, Osaka Yukioka College
More informationPROXIMAL AVULSION of RADIOCARPAL CAPSULE Parc Lesion: a new entity
PROXIMAL AVULSION of RADIOCARPAL CAPSULE Parc Lesion: a new entity Ch. Mathoulin PARC LESION Parc lesion is a large capsular tear of the dorsal wrist capsule, from TFCC to DCSS, often neglected in wrist
More informationSPORTS INJURIES IN HAND
Grundkurs SGSM-SSMS Sion 2015 SPORTS INJURIES IN HAND Dr S. KŠmpfen EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% Ð 9 % RADIAL-SIDED WRIST PAIN 1)! Distal Radius Fractures 2)!
More informationTriangular Fibrocartilage Complex Injury in Professional Cricketers
jpmer Usama Talib, Sohail Saleem case report 10.5005/jp-journals-10028-1177 Triangular Fibrocartilage Complex Injury in Professional Cricketers 1 Usama Talib, 2 Sohail Saleem ABSTRACT Triangular fibrocartilage
More information3. Ulno lunate, Ulno triquetral ligament. Poirier: Between RSC &LRL. 5. Dorsal intercarpal ligament
CARPAL INSTABILITY Ligaments Intrinsic Scapho lunate ligament: Dorsal component stronger than volar ligament Luno triquetral ligament: Volar component stronger than dorsal ligament Extrinsic Palmar 1 Radio
More informationIntrinsic ligament tears
Intrinsic ligament tears C. Mathoulin Paris TFCC Ligament tears TFCC s SURGICAL ANATOMY EWAS. Toshi Nakamura. Tommy Lindau Andrea Atzei Paco Pinal. Anatomy correlates to Function DISTAL Component R D P
More informationScapholunate Ligament Lesions Imaging Which and when?
Scapholunate Ligament Lesions Imaging Which and when? Kolo Frank Lesions to scapholunate ligament(sl) Most frequent cause of carpal instability Traumatic tears of SL ligament = most common ligament injury
More informationInteresting Case Series. Ulnolunate Impaction Syndrome
Interesting Case Series Ulnolunate Impaction Syndrome Saptarshi Biswas, MD, FRCS Westchester University Medical Center, Valhalla, NY Keywords: ulnar impaction, ulnar impaction syndrome, ulnar wrist pain,
More informationAcute Wrist Injuries OUCH!
Acute Wrist Injuries OUCH! Case the athlete FOOSH from sporting event 2 days ago C/O wrist swelling, pain, worse with movement Hmmm Wrist pain Exam of the wrist - basics Appearance Swelling, bruising,
More informationUlnar sided wrist pain is a common problem seen by
114 Triangular Fibrocartilage Complex Tears A Review Anthony K. Ahn, M.D., David Chang, M.D., and Ann-Marie Plate, M.D. Abstract Triangular fibrocartilage complex (TFCC) tears are a common source of ulnar
More informationClinical Workshop and Symposium on Chronic Wrist Pain Management
Clinical Workshop and Symposium on Chronic Wrist Pain Management Date: 1 st November 2011 Venue: Kai Chong Tong, PEC Moderator: CH Yen Clinical Approach to Ulnar Wrist Pain: 08:15 08:30 Registration 08:30
More informationHand & Wrist Casey G. Batten MD Assistant Clinical Professor UCSF Sports Medicine
Hand & Wrist Casey G. Batten MD Assistant Clinical Professor UCSF Sports Medicine Topics: Scaphoid Fracture Scapholunate Separation TFCC Injury Thumb Ulnar Collateral Lig (UCL) Injury Extensor Injury /
More informationArthroscopic assissted repair of triangular fibrocartilage complex tears
International Journal of Medical and Health Research ISSN: 2454-9142 Impact Factor: RJIF 5.54 www.medicalsciencejournal.com Volume 4; Issue 1; January 2018; Page No. 3-8 Arthroscopic assissted repair of
More informationMayo Clinic Disorders of the Wrist
Mayo Clinic Disorders of the Wrist Thursday, May 16, 2019 Pre-Conference Laboratory Workshop Anatomy of the Wrist 6:45 a.m. Pre-Conference Registration and Breakfast 7:00 a.m. Welcome and Introduction
More informationAnother light in the dark: review of new method for the arthroscopic repair of triangular fibrocartilage complex
Title Another light in the dark: review of new method for the arthroscopic repair of triangular fibrocartilage complex Author(s) Tang, CYK; Fung, BKK; Chan, R; Lung, CP Citation Journal of Hand Surgery
More informationWorkplace Hand Injuries & Disorders: Evaluation and Treatments. Hervey L. Kimball MD, MS Hand Surgical Associates Occupational Medicine Center
Workplace Hand Injuries & Disorders: Evaluation and Treatments Hervey L. Kimball MD, MS Hand Surgical Associates Occupational Medicine Center Outline Hand Anatomy and Function Workplace injuries & Case
More informationFriday, May 17, 2019 General Session Controversies in Wrist Surgery 6:45 a.m. Registration and Breakfast Leighton Auditorium Siebens Building 7:25
Mayo Clinic Controversies in Wrist Surgery May 16 19, 2019 Rochester, MN Thursday, May 16, 2019 Pre-Conference Laboratory Workshop Anatomy of the Wrist (Optional add-on) 6:45 a.m. Pre-Conference Registration
More informationMayo Clinic Disorders of the Wrist
Mayo Clinic Disorders of the Wrist Thursday, May 19, 2016 Pre-Conference Laboratory Workshop Anatomy of the Wrist & Wrist Arthroscopy 6:30 a.m. Registration and Breakfast 7:30 a.m. Welcome and Introduction
More informationIndex. Note: Page numbers of article titles are in boldface type. Hand Clin 21 (2005)
Hand Clin 21 (2005) 501 505 Index Note: Page numbers of article titles are in boldface type. A Antibiotics, following distal radius fracture treatment, 295, 296 Arthritis, following malunion of distal
More informationComparisonofUlnar-ShorteningOsteotomyWitha NewTrimedDynamicCompressionSystemVersusthe SynthesDynamicCompressionSystem:ClinicalStudy
SCIENTIFICARTICLE ComparisonofUlnar-ShorteningOsteotomyWitha NewTrimedDynamicCompressionSystemVersusthe SynthesDynamicCompressionSystem:ClinicalStudy ShaiLuria,MD,AnthonyJ.Lauder,MD,ThomasE.Trumble,MD
More informationPREVIEW ONLY 27/10/2014. Instabilities in the Wrist
Be sure to convert to your own time zone at Andrew Ellis BSc (Ex. Sci), M. Phty Instabilities in the Wrist Presented by: Ben Cunningham Be sure to convert to your own time zone at Ben Cunningham Member
More informationOrthopaedic Surgery Upper Extremity
Arthroscopic Partial Distal Ulnar Head Resection Tommy Lindau 1 and Phil Sauvé 2 1. Consultant Hand and Wrist Surgeon, Pulvertaft Hand Centre, Kings Treatment Centre, Royal Derby Hospital; 2. Consultant
More informationHand and wrist emergencies
Chapter1 Hand and wrist emergencies Carl A. Germann Distal radius and ulnar injuries PEARL: Fractures of the distal radius and ulna are the most common type of fractures in patients younger than 75 years.
More informationArhtroscopy of the wrist joint: Setup, instrumentation, anatomy & indications
Arhtroscopy of the wrist joint: Setup, instrumentation, anatomy & indications Andreas Panagopoulos, MD, PhD Upper Limb and Sports Medicine Surgeon Assistant Professor in Orthopaedics Patras University
More informationDegrees Of Volar Angulation In Distal Radius Fracture Effects Distal Radioulnar Joint Stability:a Biomechanical Study
Degrees Of Volar Angulation In Distal Radius Fracture Effects Distal Radioulnar Joint Stability:a Biomechanical Study Yuki Bessho, MD, Toshiyasu Nakamura, MD PhD, Takeo Nagura, MD PhD, Yoshimori Kiriyama,
More informationThermal energy for the arthroscopic treatment of tears of the triangular fibrocartilage of the wrist
Acta Orthop. Belg., 2012, 78, 719-723 ORIGINAL STUDY Thermal energy for the arthroscopic treatment of tears of the triangular fibrocartilage of the wrist Ignacio GARCIA-LOPEZ, Pedro J. DELGADO, Jose M.
More information1 Effect of Wrist Position on Distal Radioulnar Joint Stability: A Biomechanical Study
1 Effect of Wrist Position on Distal Radioulnar Joint Stability: A Biomechanical Study 2 3 AUTHORS AND AFFILIATIONS: 4 Akio Iida, Doctor of Medicine (MD)\ Shohei Omokawa, Doctor of Medicine (MD) 1 ; Hisao
More informationA Patient s Guide to Adult Distal Radius (Wrist) Fractures
A Patient s Guide to Adult Distal Radius (Wrist) Fractures Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 1 DISCLAIMER: The
More informationDynamic CT Assessment of Distal Radioulnar Instability
Dynamic CT Assessment of Distal Radioulnar Instability Poster No.: P-0114 Congress: ESSR 2016 Type: Educational Poster Authors: S. Dumonteil, M. A. Shah, A. Srikanthan, V. Ejindu, N. Papadakos; London/UK
More informationClinical Orthopaedic Rehabilitation Volume 1 and 2
Clinical Orthopaedic Rehabilitation Volume 1 and 2 COURSE DESCRIPTION This program is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation
More informationKristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville Trauma/Fractures
WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)
More informationTrauma/Fractures WRIST/HAND PATHOLOGY. TFCC Injury. Hook of Hamate Fracture. Property of VOMPTI, LLC
WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)
More informationUlnar impaction syndrome: A case series and imaging approach
Page 22 SA Orthopaedic Journal Winter 2016 Vol 15 No 2 Ulnar impaction syndrome: A case series and imaging approach Dr Cuan Liebenberg MBChB Dr Mark D Velleman MBChB, FCRad(D)(SA), MMedRad(D) Dr Farhana
More informationTHE WRIST JOINT: ATHLETIC INJURIES
THE WRIST JOINT: ATHLETIC INJURIES Gianni Rigoni FMH Handsurgery SSMS Wrist unity The wrist links the hand to the forearm 1 Anatomy Bone V IV III II T H C Tid T I P L S U R Anatomy Intrinsic ligament 2
More informationCOMMON CARPAL INJURIES IN ATHLETES Nicholas A. Bontempo, MD Orthopedic Associates of Hartford I HAVE NO CONFLICTS OR DISCLOSURES TO REPORT OUTLINE
COMMON CARPAL INJURIES IN ATHLETES Nicholas A. Bontempo, MD Orthopedic Associates of Hartford I HAVE NO CONFLICTS OR DISCLOSURES TO REPORT OUTLINE The carpus Scaphoid fracture Scapholunate ligament tear
More informationE-CENTRIX. Ulnar Head Replacement SURGICAL TECHNIQUE
E-CENTRIX Ulnar Head Replacement SURGICAL TECHNIQUE E-CENTRIX ulnar head REPLACEMENT surgical technique as described by GRAHAM KING, MD University of Western Ontario London, Ontario, Canada E-CENTRIX ulnar
More informationJMSCR Vol 05 Issue 04 Page April 2017
www.jmscr.igmpublication.org Impact Factor 5. Index Copernicus Value: 3.7 ISSN (e)-37-17x ISSN (p) 55-5 DOI: https://dx.doi.org/1.1535/jmscr/v5i.1 Functional Outcome after Surgical Stabilization of Fractures
More informationEXAMINATION OF THE WRIST BEYOND THE BASICS OMA SPORT MED Janice Harvey MD CCFP CFFP Dip. Sp Med.
EXAMINATION OF THE WRIST BEYOND THE BASICS OMA SPORT MED 2019 Janice Harvey MD CCFP CFFP Dip. Sp Med. CFPC CoI Templates: Slide 1 used in Faculty presentation only. FACULTY/PRESENTER DISCLOSURE Faculty:
More informationCarpal rows injuries!
Carpal rows injuries! Michael Papaloïzos! Center for Hand Surgery and Therapy Geneva, Switzerland no conflict of interest to declare Fractures of carpal bones! The fractured scaphoid! Fracture-dislocations
More informationIFSSH Scientific Committee on Arthroscopy
IFSSH Scientific Committee on Arthroscopy Chair: Francisco del Piñal (Spain) Committee: Andrea Atzei (Italy) PC Ho (Hong Kong) Christophe Mathoulin (France) Lee Osterman (USA) David Slutsky (USA) Report
More informationBiomechanical Study of Distal Radioulnar Joint Ballottement Test
1 1 2 Biomechanical Study of Distal Radioulnar Joint Ballottement Test Running title: Biomechanical study of DRUJ instability 3 Tadanobu Onishi, 1 Shohei Omokawa, 1 Akio Iida, 3 Yasuaki Nakanishi, 1 4
More informationChapter 13. Arthroscopic Lunotriquetral Arthrodesis and Head of the Hamate Resection. Introduction. Operative Technique (Fontes) Midcarpal Exploration
Chapter 13 Arthroscopic Lunotriquetral Arthrodesis and Head of the Hamate Resection Introduction Lunotriquetral arthrodesis is a controversial procedure but is sometimes proposed as a last resort for lunotriquetral
More informationMadelung s Deformity 11/7/2016. Disclosures: Introduction:
Madelung s Deformity MICHAEL J GARCIA, MD FLORIDA ORHOPAEDIC INSTITUTE UNIVERSITY OF SOUTH FLORIDA NOVEMBER 5, 2016 Disclosures: I am a consultant for Arthrex, Inc I am on the Speaker s Bureau for Endo
More informationSimple debridement has little useful value on the clinical course of recalcitrant ulnar wrist pain
WRIST AND HAND Simple debridement has little useful value on the clinical course of recalcitrant ulnar wrist pain T. Nishizuka, M. Tatebe, H. Hirata, T. Shihara, M. Yamamoto, K. Iwatsuki From Nagoya University
More informationWrist Arthroscopy. Outline. This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
Wrist Arthroscopy Background: Why Do Wrist Arthroscopy? Ramesh C. Srinivasan Hand & Upper Extremity Surgeon Director of Research The Hand Center of San Antonio Associate Master Instructor, AANA Wrist and
More informationWrist & Hand Injury in Sports
Wrist & Hand Injury in Sports Jennifer Allen,PT,DPT,OCS,SCS,CHT Return to Play Criteria, Clinical Pearls, & Rehab Considerations PBATS Baseball Medicine Conference 2018 Disclosures Wrist & Hand Injury
More information8 Recovering From HAND FRACTURE SURGERY
8 Recovering From HAND FRACTURE SURGERY Hand fractures are caused by trauma and result in breaking (fracturing) the phalanges or metacarpals. Surgery involves achieving acceptable alignment and providing
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/35777 holds various files of this Leiden University dissertation. Author: Wijffels, Mathieu Mathilde Eugene Title: The clinical and non-clinical aspects
More informationChapter 19. Arthroscopic Bone Grafting for Scaphoid Nonunion. Introduction. Operative Technique. Radiocarpal and Midcarpal Exploration
Chapter 19 Arthroscopic Bone Grafting for Scaphoid Nonunion Introduction Scaphoid fractures are often initially missed and then diagnosed only once nonunion manifests. Because the natural history of these
More informationTechnique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
More informationPrevalence of Radioscaphocapitate Ligament Lesions and Correlation with Associated Pathologies: Volar Ganglion and Distal Radius Fracture
Prevalence of Radioscaphocapitate Ligament Lesions and Correlation with Associated Pathologies: Volar Ganglion and Distal Radius Fracture Tashin Khundkar 1,2, Iain Elliott 3, Elizabeth A. Ouellette 4,5,
More informationFriday, 6 June 14. Wrightington Hospital, UK
Mr Mike Hayton BSc (Hons) MBChB FRCS (Trauma & Orth) FFSEM (UK) Mr Mike Hayton is a Consultant Orthopaedic Hand and Wrist Surgeon at the Wrightington Hospital in Lancashire where he has a tertiary complex
More informationcomplex (TFCC) was coined by Palmer and Werner to describe the close anatomic and functional relationships
Management of Acute Triangular Fibrocartilage Complex Injury of the Wrist Abstract Acute trauma to the triangular fibrocartilage complex includes tears of the fibrocartilage articular disk substance and
More informationUNDERSTANDING ARTHROSCOPY
UNDERSTANDING ARTHROSCOPY Diagnosing and Treating Your Joint Problem Looking into a Problem Joint Whether you re taking a step or raising your hand, your joints help you move freely. A worn, torn, or injured
More informationRADIOGRAPHY OF THE WRIST
RADIOGRAPHY OF THE WRIST Patient Position: WRIST PA Projection, elbow in same plane Part Position: Hand ; fingers centered to IR Central Ray: Structures Shown: NOTE: Optional AP projection best demonstrates
More informationHand Surgery Department Poznan University of Medical Sciences. Piotr Czarnecki
Hand Surgery Department Poznan University of Medical Sciences Piotr Czarnecki Arthroscopic debridement, bone excision MP, PIP, total wrist replacement PIP, CMC fusion partial wrist fusion proximal row
More informationWrist movements, apart from the distal radioulnar joint, take place in two planes:
The wrist consists of eight bones in two rows: the proximal and distal. The proximal row includes (starting from the radial bone): the scaphoid bone, the lunate bone, the triangular bone and the postulnar
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/35777 holds various files of this Leiden University dissertation. Author: Wijffels, Mathieu Mathilde Eugene Title: The clinical and non-clinical aspects
More informationJoints of the upper limb II
Joints of the upper limb II Prof. Abdulameer Al-Nuaimi E-mail: a.al-nuaimi@sheffield.ac.uk E. mail: abdulameerh@yahoo.com Elbow joint The elbow joint is connecting the upper arm to the forearm. It is classed
More information4 th Singapore Wrist Arthroscopy Course 2-day hands-on Workshop on Anatomical Specimens 2 different programme avaliable
4 th Singapore Wrist Arthroscopy Course 2-day hands-on Workshop on Anatomical Specimens 2 different programme avaliable 5 and 6 January 2019 Academia, 20 College Road, Singapore 169856 (Located in SGH
More informationXII. WRIST SURGERY COURSE. Registration Online on. ALL ABOUT THE SL LIGAMENT Course with Double Workshop from
XII. WRIST SURGERY COURSE ALL ABOUT THE SL LIGAMENT Course with Double Workshop from 12.04. - 14.04.2018 In cooperation with the Anatomy Institute IRCAD in Strasbourg Registration Online on www.handfunction.de
More informationColumbia/NYOH Department of Orthopaedics Hand Service Competency Requirements
Revised 2/8/10 Columbia/NYOH Department of Orthopaedics Hand Service Competency Requirements Patient Care Faculty will evaluate the resident s ability to obtain an H&P and appropriate radiographs and formulate
More informationEndoscopic surgery has gained much popularity
Sonography-Assisted Arthroscopic Resection of Volar Wrist Ganglia: A New Technique Michiro Yamamoto, M.D., Ph.D., Shigeru Kurimoto, M.D., Nobuyuki Okui, M.D., Ph.D., Masahiro Tatebe, M.D., Ph.D., Takaaki
More informationInternational Journal of Orthopaedics
International Journal of Orthopaedics Online Submissions: http://www.ghrnet.org/index./ijo/ doi:10.6051/j.issn.2311-5106.2014.01.34 Int Journal of Orthopaedics 2014 December 23 1(4): 155-159 ISSN 2311-5106
More informationCarpal Instability: Clarification of the Most Common Etiologies and Imaging Findings
Carpal Instability: Clarification of the Most Common Etiologies and Imaging Findings Corey Matthews DO, Nicholas Strle DO, Donald von Borstel DO Oklahoma State University Medical Center, Department of
More informationUniversity of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationModular Ulnar Head surgical technique. Transforming Extremities
First Choice Modular Ulnar Head surgical technique Transforming Extremities instrumentation Head and Collar Trials Assembly Pad Starter Awl Trial Extractor Osteotomy Guide Stem Trials Implant Impactor
More informationForearm and Wrist Regions Neumann Chapter 7
Forearm and Wrist Regions Neumann Chapter 7 REVIEW AND HIGHLIGHTS OF OSTEOLOGY & ARTHROLOGY Radius dorsal radial tubercle radial styloid process Ulna ulnar styloid process ulnar head Carpals Proximal Row
More informationFOOSH It sounded like a fun thing at the time!
FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department
More informationRepair of the Foveal Insertion of the TFCC Through the DF Portal
CHTER 54 Repair of the Foveal Insertion of the TFCC Through the F ortal ndrea tzei, M, and Riccardo Luchetti, M RTIONLE N BSIC SCIENCE ERTINENT TO THE ROCEURE Injury to the triangular fibrocartilage complex
More informationjournal ORIGINAL RESEARCH
texas orthopaedic journal ORIGINAL RESEARCH Assessment of Volar Tilt Measurements with Variations in X-Ray Beam Centralization Along the Longitudinal Axis of the Radius Russell A. Wagner, MD; Will Junius,
More informationStudy of Ulnar Variance with High-Resolution MRI: Correlation with Triangular Fibrocartilage Complex and Cartilage of Ulnar Side of Wrist
JOURNAL OF MAGNETIC RESONANCE IMAGING 26:714 719 (2007) Original Research Study of Ulnar Variance with High-Resolution MRI: Correlation with Triangular Fibrocartilage Complex and Cartilage of Ulnar Side
More informationMR IMAGING OF THE WRIST
MR IMAGING OF THE WRIST Wrist Instability Dissociative Pattern apparent on routine radiographs Non-dissociative Stress / positional radiographs Dynamic fluoroscopy during stress Arthrography MRI / MR arthrography
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/35777 holds various files of this Leiden University dissertation. Author: Wijffels, Mathieu Mathilde Eugene Title: The clinical and non-clinical aspects
More informationDepartment of Orthopaedics and Rehabilitation
Rotation: Department of Orthopaedics and Rehabilitation Resident Year-In-Training: Attending Physicians Rotation-Specific Objectives for Resident Education 1. Robert Orfaly, M.D., FRCS(C) Orthopaedic Surgeon,
More informationTECHNIQUE ARTICLE Dry Arthroscopy of the Wrist: Surgical Technique
TECHNIQUE ARTICLE Dry Arthroscopy of the Wrist: Surgical Technique Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Daniele Pisani, MD, Javier Regalado, MD, Higinio Ayala, MD, Alexis
More informationForearm Fracture Solutions. Product Overview
Forearm Fracture Solutions Product Overview Acumed Forearm Fracture Solutions Acumed Forearm Fracture Solutions includes plating and rodding systems with a range of diaphyseal radius and ulna fracture
More informationUlnar Impaction. Douglas M. Sammer, MD a, Marco Rizzo, MD b, * hand.theclinics.com KEYWORDS BIOMECHANICS
Ulnar Impaction Douglas M. Sammer, MD a, Marco Rizzo, MD b, * KEYWORDS Ulnar impaction Ulnocarpal impaction Abutment Stylocarpal impaction Ulnar impaction syndrome, also known as ulnocarpal impaction or
More informationA TECHNIQUE FOR ARTHROSCOPIC ALL-INSIDE SUTURING IN THE WRIST
J Hand Surg Eur Vol OnlineFirst, published on February 11, 2010 as doi:10.1177/1753193409361014 The Journal of Hand Surgery (2010) 0: 0: 1 5 A TECHNIQUE FOR ARTHROSCOPIC ALL-INSIDE SUTURING IN THE WRIST
More informationFOOSH It sounded like a fun thing at the time!
FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department
More informationThis presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
The Stiff Hand: Manual Therapy Sylvia Dávila, PT, CHT San Antonio, Texas Orthopedic Manual Therapy Common Applications Passive stretch Tensile force to tissue to increase extensibility of length & ROM
More informationThe Kienböck disease and scaphoid fractures. Mariusz Bonczar
The Kienböck disease and scaphoid fractures Mariusz Bonczar The Kienböck disease and scaphoid fractures Mariusz Bonczar Kienböck disease personal experience My special interest for almost 25 years Thesis
More informationUlnar Shortening Osteotomy for Ulnar Impaction Syndrome
The Egyptian Journal of Hospital Medicine (January 2019) Vol. 74 (1), Page 31-35 Elmenawy M., Elsherief O., Abd Elaliem M. Orthopedic Surgery Department, Faculty of Medicine (Damietta), Al-Azhar University
More information12 th International Advanced Wrist Symposium
Innsbruck Austria Preliminary Program 12 th International Advanced Wrist Symposium 16 17 April 2018 www.unfallchirurgie-innsbruck.at lki.un.event@tirol-kliniken.at Organization organizer Handsurgery Department
More informationRecurrent and Chronic Elbow Instability
Recurrent and Chronic Elbow Instability Elbow instability is a looseness in the elbow joint that may cause the joint to catch, pop, or slide out of place during certain arm movements. It most often occurs
More informationOpen versus arthroscopic repair of the triangular fibrocartilage complex: a systematic review
Andersson et al. Journal of Experimental Orthopaedics (2018) 5:6 DOI 10.1186/s40634-018-0120-1 Journal of Experimental Orthopaedics REVIEW Open versus arthroscopic repair of the triangular fibrocartilage
More informationGoals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Sports Medicine (SMH) Knee & Shoulder Surgery
Goals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Sports Medicine (SMH) Knee & Shoulder Surgery PGY 1 & 2 1. Medical Expert A. Basic Science a) General Knowledge of functional
More informationDisclosures. Distal Radius Fractures 5/16/2017. Distal Radius Fractures: Complications & Limitations of the Volar Approach
Distal Radius Fractures: Complications & Limitations of the Volar Approach Frank R. Avilucea, MD Assistant Professor Department of Orthopaedic Surgery University of Cincinnati Medical Center Disclosures
More informationA Patient s Guide to Ulnar Collateral Ligament Injuries
A Patient s Guide to Ulnar Collateral Ligament Injuries 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information
More informationPOLSKI 2013, 85, 10,
POLSKI PRZEGLĄD CHIRURGICZNY 2013, 85, 10, 576 580 10.2478/pjs-2013-0086 Radiological investigation of relationship between lunate type and ulnar variance Ahmed Elsaftawy Department of General Surgery,
More informationUDHT08.1.qxd:UDHT /03/08 17:14 Page 1. Surgical. Technique. Elbow Prosthesis. RHS Radial Head System.
UDHT08.1.qxd:UDHT08.1 13/03/08 17:14 Page 1 Surgical Technique Elbow Prosthesis RHS Radial Head System www.tornier.com UDHT08.1.qxd:UDHT08.1 13/03/08 17:14 Page 2 TABLE OF CONTENTS DESIGN RATIONALE INDICATIONS
More informationConservative management of palmer mid-carpal instability
Conservative management of palmer mid-carpal instability Peter Belward Physiotherapist UHS NHSFT Key messages Restore patient confidence Regain strength and control in a position of stability Reduce dependency
More information