By Marc Garcia-Elias, Christophe Mathoulin

Hand and wrist accidents account for thousands of emergency room visits every year. even though the main common kind of articular wrist harm consists of the distal radius, there are lots of different fractures that require skillful intervention to acquire greatest, long term functionality. This publication makes a speciality of these advanced intra-articular wrist accidents that experience no longer been greatly coated long ago, offering a whole photo in their scientific, radiographic and healing beneficial properties. it's crucial for all experts who're on a regular basis faced with those hard injuries.

Special Features:

  • each one bankruptcy written by means of a well known overseas expert who has pioneered major advances within the box within the final 5 years
  • provides an in depth overview of surgical ways to acute intra-articular wrist accidents, starting from partial ligament tears to the main advanced dislocations
  • offers an summary of easy wrist anatomy, biomechanics, damage type, medical presentation, evaluate and analysis, and remedy recommendations
  • comprises discussions of the main promising minimally invasive remedies, specially arthroscopically guided fracture aid
  • Highlights all suggestions in approximately 500 instructive, fantastically drawn surgical diagrams, radiographs and intraoperative photos

Packed with functional therapy instructions, Articular damage of the Wrist is valuable for all hand surgeons in addition to for orthopedic and plastic surgeons and fellows. it is going to speedy bring up their wisdom of these tough wrist accidents that experience no longer been good documented formerly, yet are not 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

Example text

1). Radiographs of the thumb and the wrist are required in order to exclude other fractures. If undisplaced, conservative treatment in a cast for 4 to 6 weeks is indicated. If there is significant displacement, then reduction and stabilization are advised. Comminuted fractures of the trapezium have been treated by external fixation, with acceptable results. These are often not a good indication for internal fixation, particularly if there is gross comminution. The alternative is to proceed to a primary trapeziectomy and suspensionplasty if the injury is an isolated fracture of the trapezium.

But dividing type 2 fractures (according to Hirano and Inoue2 ▶ Fig. 1) into 2a (coronal fractures) and 2b (transversal fractures) of the body of the hamate is of great clinical consequence. Type 2a (coronal) fractures of the body of the hamate are part of a fracture dislocation of the fifth carpometacarpal (CMC) joint (or the fourth and fifth CMC joints). The main consideration of treatment is the correct alignment of the fifth (and fourth) metacarpal. Type 2b (transverse) fractures of the body of the hamate are the “true” hamate fractures that will interfere with carpal biomechanics by breaking the carpal ring, and which need adequate stabilization.

Sportverletz Sportschaden 1999; 13: 59–61 [5] Helal B. Chronic overuse injuries of the piso-triquetral joint in racquet game players. Br J Sports Med 1978; 12: 195–198 [6] Israeli A, Engel J, Ganel A. Possible fatigue fracture of the pisiform bone in volleyball players. Int J Sports Med 1982; 3: 56–57 [7] Lacey JD, Hodge JC. Pisiform and hamulus fractures: easily missed wrist fractures diagnosed on a reverse oblique radiograph. J Emerg Med 1998; 16: 445–452 [8] Carroll RE, Coyle MP. Dysfunction of the pisotriquetral joint: treatment by excision of the pisiform.

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