By Marc Garcia-Elias, Christophe Mathoulin
Hand and wrist accidents account for thousands of emergency room visits every year. even supposing the main common kind of articular wrist harm contains the distal radius, there are various different fractures that require skillful intervention to procure greatest, long term functionality. This publication specializes in these advanced intra-articular wrist accidents that experience now not been greatly lined some time past, delivering a whole photograph in their scientific, radiographic and healing positive aspects. it's crucial for all experts who're on a regular basis faced with those tough injuries.
- each one bankruptcy written by means of a popular foreign professional who has pioneered major advances within the box within the final 5 years
- offers a close evaluate of surgical ways to acute intra-articular wrist accidents, starting from partial ligament tears to the main advanced dislocations
- presents an summary of simple wrist anatomy, biomechanics, harm type, medical presentation, evaluation and analysis, and therapy recommendations
- contains discussions of the main promising minimally invasive remedies, specially arthroscopically guided fracture aid
- Highlights all ideas in approximately 500 instructive, superbly drawn surgical diagrams, radiographs and intraoperative pictures
Packed with useful therapy directions, Articular damage of the Wrist is necessary for all hand surgeons in addition to for orthopedic and plastic surgeons and fellows. it's going to quick elevate their wisdom of these tough wrist accidents that experience no longer been good documented formerly, yet aren't any much less devastating when it comes to early joint degeneration and disorder if now not handled properly.
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Additional resources for Articular Injury of the Wrist: FESSH 2014 Instructional Course Book
CT scan shows a fracture of the ridge of the trapezium. often associated with fractures of the body of the hamate. They can also be caused by hyperextension of the wrist, with the force being transmitted by the third metacarpal, causing compression on the dorsal aspect of the capitate and resulting in a coronal plane fracture. These injuries do not show clearly in plain radiographs, and a CT scan is recommended if there is a suspicion of fracture (▶ Fig. 5). 4 Fractures of the Trapezoid b Fig. 1 (a and b) Vertical fracture of the trapezium in a teenager.
Reprinted from Buijze GA, Dvinskikh NA, Strackee SD, Streekstra GJ, Blankevoort L. Osseous and ligamentous scaphoid anatomy: Part II. Evaluation of ligament morphology using threedimensional anatomical imaging. J Hand Surg Am 2011;36(12):19361943. ) Fig. 1 First X-ray of a hand and wrist by Wilhelm Röntgen. ) 14 Fig. 3 Late phase technetium-99 m bone scan visualizing a high uptake in the trapezium bone (fracture). 14 - 11:17 Imaging of Articular Injury of the Wrist ● ● ● Computerized tomography (CT) Pros: Quick, highly specific, good availability, skeletal advantage, large area coverage.
Naviculocapitate fracture syndrome. A case report: new thoughts on the mechanism of injury. J Bone Joint Surg Am 1969; 51: 391– 395  Heron N, Verdugo F, Turmo A, Perez LT. Trapezoid stress fracture in an international shot-putter: a case report. J Sports Sci Med 2012; 11: 768–770  Kain N, Heras-Palou C. Trapezoid fractures: report of 11 cases. J Hand Surg Am 2012; 37: 1159–1162 24 Fig. 6 (a and b) Fracture of the trapezoid with displacement. This patient was treated with internal fixation of the trapezoid using two screws.