Indications The authors prefer this technique for symptomatic medial clavicular nonunions type 1 or acute displaced fractures (relative indication) (type 1B) (see Chapter 4 , Fig. 4.4 ). For this fracture morphology, the hook plate provides resistance to the anterior…
Relevant Anatomy The clavicle is the first long bone to ossify. However, the epiphysis at the medial end of the clavicle is the last of the long bones to appear and is the last epiphysis to close. It does not…
Indications Sternoclavicular joint dislocations occur secondary to trauma or develop spontaneously in patients with collagen disorders, such as Ehler-Danlos syndrome. They are anatomically classified as either anterior or posterior, and further classified as acute or chronic. Joint reconstruction is generally…
Authors’ Preferred Surgical Technique: Figure-of-Eight Sternoclavicular Joint Reconstruction Using Autograft Tendon Rationale As described in the previous chapter, a variety of techniques have been described to treat the unstable sternoclavicular joint (SCJ). The figure-of-eight technique was developed after biomechanical testing…
Introduction The practice of medicine is fundamentally and historically based in service; whether service to patients, service to communities, service to society, or service to one's partners and colleagues, the professional lives of physicians are linked to service. The professional…
Introduction The last century has brought remarkable advances in the field of orthopaedic traumatology. The creation and dissemination of this new knowledge could not have been possible without the ability of surgeon scientists to measure and communicate their patient outcomes.…
Fractures account for only about 10% of all musculoskeletal traumatic injuries, but they cause a disproportionate amount of medical impairment. The costs of fracture care, including lost productivity, medical expenses, and disability payments, make this class of injury a significant…
Surgical site infection (SSI) is one of the most common and devastating complications of orthopaedic surgical procedures. The Centers for Disease Control and Prevention (CDC) estimates that 22% of all healthcare-associated infections are SSIs. More than 290,000 SSIs occur annually…
Acute Pain Management, Regional Anesthesia Techniques, and Management of Complex Regional Pain Syndrome In 1995, the president of the American Pain Society, Dr. James Campbell, argued that pain was the “fifth vital sign” and suggested that to provide effective care,…
Optimal and Safe Use of C-Arm X-Ray Fluoroscopy Units Introduction The use of fluoroscopic imaging procedures allows healthcare professionals to view the examination and procedure of the patient in real time. Modern fluoroscopic devices are greatly improved from the darkened…