Indications Ulnar styloid, ulnar metaphyseal, and ulnar metadiaphyseal fractures may be treated after reduction and stabilization of distal radius fractures (DRF). If rigid fixation of a DRF results in a stable distal radioulnar joint (DRUJ), then operative fixation of an…
Indications Pain or functional impairment in the setting of radiocarpal or distal radioulnar joint (DRUJ) malalignment There are no fixed radiographic criteria for correction, although symptoms often present with radial inclination of less than 10 degrees, volar or dorsal tilt…
Indications Operative management is indicated for distal radius fractures that have a dorsal tilt greater than 10 degrees, radial inclination angle of less than 15 degrees, radial shortening greater than 5 mm, positive ulnar variance greater than 3 mm, and/or…
Introduction Kienböck disease describes the avascular necrosis of the lunate. Although its cause and natural history are uncertain, it is thought to progress through four stages: necrosis and subsequent collapse of the lunate, leading to changes in biomechanics of the…
Indications Indications for this procedure include: Chronic, symptomatic distal radioulnar joint (DRUJ) instability that is generally associated with irreparable triangular fibrocartilage complex (TFCC) injury No evidence of distal radioulnar joint arthritis. No evidence of a malunited distal radius fracture with…
Indications Indications for the procedure include: Inherited or acquired ulnocarpal abutment (ulnar impaction syndrome) Posttraumatic incongruency of the distal radioulnar joint (DRUJ) Loss of radial height associated with distal radius fracture malunion Madelung deformity or premature physeal closure of the…
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Indications Acute and subacute perilunate dislocation or fracture-dislocation (<6 weeks). Patients who present more than 6 weeks after the injury may be better served by a salvage procedure, such as a proximal row carpectomy or partial wrist fusion. Although urgent…
Scaphoidectomy and four-corner fusion Indications Proximal row carpectomy (PRC) and scaphoidectomy with four-corner fusion (4CF) are motion-preserving salvage operations for patients with proximal wrist degeneration or advanced ligamentous injury. There are variations on the 4CF involving different intercarpal (two bone,…
Treatment of scaphoid nonunion Indications Operative treatment of scaphoid nonunion varies based on the timing of the injury, bone loss at the fracture site, location of the fracture, presence of humpback deformity or an increased intrascaphoid angle, and the vascularity…