Triangular fibrocartilage tears Relevant anatomy and biomechanics The triangular fibrocartilage complex (TFCC) has been well described. It consists of the articular disk, the meniscus homologue, the palmar radioulnar ligament (PRUL) and dorsal radioulnar ligaments (DRUL), the extensor carpi ulnaris subsheath…
Trapeziometacarpal joint portals Standard portals Menon initially presented his work on arthroscopy of the trapeziometacarpal joint (TMJ) as a meeting exhibit in 1994. He then published his experience with the arthroscopic management of trapeziometacarpal arthritis in 1996. He described two…
Introduction Since its inception, wrist arthroscopy has continued to evolve. The initial emphasis on viewing the wrist from the dorsal aspect arose from the relative lack of neurovascular structures and the familiarity of most surgeons with dorsal approaches to the…
CASE STUDY A 67-year-old man underwent a primary, uncemented, left total hip arthroplasty (THA) 11 years earlier for osteoarthritis ( Fig. 76.1 ). His postoperative course was uneventful, and he was followed by his surgeon on a yearly basis. He…
CASE STUDIES Case 1: Permanent Temporary Spacer A 76-year-old man presented to the emergency room with fever and a 2-week history of worsening left hip pain followed by an acute dislocation. The patient had undergone total hip arthroplasty (THA) 12…
Introduction Since its popularization by Sir John Charnley in 1962 and subsequent globalization, total hip arthroplasty (THA) has become recognized as one of the most successful surgical procedures in all of medicine, providing lasting pain relief and functional restoration. Of…
Revision of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty Skylar Johnson, MD Oladapo M. Babatunde, MD Jonathan Lee, MD William B. Macaulay, MD CASE STUDY A 60-year-old woman, who had left primary metal-on-metal hip resurfacing 3.5 years earlier for severe osteoarthritis, presented with increasing left…
Introduction Periprosthetic femoral fracture complicating hip arthroplasty is relatively common. The reported incidence is just below 1% after primary reconstruction and up to 4.2% after revision surgery. These cases present a challenge to the orthopedic surgeon because the fracture is…
CASE STUDY A 92-year-old woman sustained an injury to her left lower extremity after falling from a standing position. Her surgical history is significant for a left hybrid total hip arthroplasty with a cemented femoral stem that was performed 15…
CASE STUDY A 65-year-old man underwent a left cementless total hip arthroplasty for degenerative osteoarthritis using a large, cylindrical, cobalt–chrome stem. The postoperative course was uneventful, and the patient had a pain-free interval after the procedure. The patient presented 3…