Volar Percutaneous Technique Indications The indications for volar percutaneous fixation of scaphoid fractures include nondisplaced scaphoid fractures, or minimally displaced fractures that can be reduced using K-wires as joysticks. In particular, the volar approach is useful for more distal fractures…
Relevant Anatomy The scaphoid bone functions as a link between the proximal and the distal carpal rows through ligamentous attachments and articular mechanics. It has a fairly complex and certainly unique anatomy. It is often described as having a peanut…
The surgical approaches for treating radiocarpal dislocations and fracture-dislocations are variable, dependent on the specific injury pattern. It is not unusual for these injuries to require multiple surgical approaches to address all the fracture fragments and achieve ligamentous stability. In…
Introduction Radiocarpal dislocations are rare injuries that occur as a result of a high-energy mechanism. The initial descriptions of this injury were prior to the advent of radiographs, at which time the clinical deformity of a distal radius fracture was…
Indications Persistent distal radioulnar joint (DRUJ) instability or an irreducible DRUJ after anatomic fixation of a radial shaft fracture requires further evaluation and management. The following scenarios are typically encountered after radial shaft fixation: 1. Reduced and stable DRUJ 2.…
Indications The decision between surgical and nonsurgical management is largely guided by patient age. In children, closed reduction and casting is the mainstay of treatment if an adequate reduction of both the radius fracture and the distal radioulnar joint (DRUJ)…
Introduction The Galeazzi fracture-dislocation is a fracture of the distal one-third of the radial shaft with an associated distal radioulnar joint (DRUJ) dislocation. This injury was described first by Astley Cooper in 1826 and later named after Riccardo Galeazzi who…
Indications Initially described by Burke and Singer as an alternative to wrist-spanning external fixation, dorsal bridge plate fixation has proven to be a versatile option for the management of fractures of the distal radius. Bridge plate fixation is most frequently…
Introduction The last two decades have seen the introduction of new implants and techniques revolutionize the capacity to successfully stabilize displaced and unstable distal radius fractures. The advent and sweeping adoption of volar locked plating in the new millennium quickly…
Indications Open reduction with internal fixation has become the preferred treatment for most unstable intra-articular and periarticular fractures; however, there is no consensus regarding optimal treatment algorithms and predicted outcomes with various surgical options. Like any fixation technique, each has…