Carpal Disorders

Table of contents :
Preface……Page 5
The carpometacarpal ligaments and the intermetacarpal ligaments……Page 7
Dorsal carpometacarpal ligaments……Page 13
Volar carpometacarpal ligaments……Page 14
Intermetacarpal ligaments……Page 15
Radiocarpal and intercarpal ligaments……Page 17
References……Page 19
Kinematic analysis techniques……Page 21
Anatomic motion planes……Page 23
The dart thrower’s motion……Page 24
Clinical implications……Page 25
Summary……Page 26
References……Page 27
Skin and subcutaneous tissue……Page 29
Retinaculum……Page 30
Capsule……Page 31
Exposure……Page 32
Modifications……Page 33
Volar carpal exposure: carpal tunnel approach……Page 34
Retinaculum……Page 35
Deeper dissection……Page 36
Volar exposure of the schaphoid: specific……Page 37
Dorsal exposure of the schaphoid: specific……Page 38
Approach to distal radioulnar joint: specific……Page 39
References……Page 41
Evaluating a carpal lesion……Page 43
Epidemiology……Page 44
Pathogenesis……Page 45
Benign bone tumors……Page 46
Enchondroma……Page 47
Giant cell tumor……Page 48
Other benign bone tumors……Page 49
Synovial chondromatosis……Page 50
Summary……Page 51
References……Page 52
Bipartite carpal bones……Page 55
Carpal coalition……Page 56
Accessory carpal bones……Page 57
Arthrogryposis multiplex congenita……Page 58
Dysplasia epiphysealis hemimelica (Trevor disease)……Page 59
Ulnar dimelia……Page 60
Multiple hereditary exostoses……Page 61
Madelung’s deformity……Page 62
Fracture……Page 63
Capitate……Page 64
Juvenile idiopathic arthritis……Page 65
Down syndrome……Page 66
Summary……Page 67
References……Page 68
Etiology……Page 72
Diagnosis and staging……Page 73
Treatment……Page 74
Authors’ preferred treatment algorithm……Page 77
References……Page 78
Idiopathic Avascular Necrosis of the Scaphoid: Preiser’s Disease……Page 81
Vascular anatomy/biomechanics……Page 82
Classification……Page 83
Treatment……Page 85
Summary……Page 88
References……Page 89
Dorsal ligaments……Page 91
Intrinsic ligaments……Page 92
Perilunate dislocations……Page 93
Stage I: scapholunate dissociation……Page 94
Stage IV: lunate dislocation……Page 95
Closed reduction……Page 96
Open reduction and repair……Page 97
Technique……Page 98
Complications……Page 100
Mechanism of injury……Page 101
Lunate dislocation: palmar……Page 102
Scaphoid dislocation……Page 103
Trapezoid……Page 104
References……Page 105
Fractures of the capitate……Page 107
Fractures of the pisiform……Page 109
Associated ulnar nerve palsy……Page 110
Fractures of the trapezium……Page 111
Fractures of the lunate……Page 113
Fractures of the triquetrum……Page 114
Fractures of the hamate……Page 116
Fractures of the trapezoid……Page 118
References……Page 119
Scapholunate advanced collapse and scaphoid nonunion advanced collapse wrist……Page 123
Radiographic evaluation……Page 124
Treatment……Page 125
Treatment……Page 127
Treatment……Page 128
Treatment……Page 130
Treatment……Page 131
References……Page 132
Etiology and pathophysiology……Page 135
Nonoperative……Page 136
Palmar distal radioulnar joint release……Page 137
Open wrist extrinsic contracture release (Watson and Weinzweig technique)……Page 138
Discussion……Page 140
References……Page 143