Indications Cerebral palsy patients may develop spastic contracture of thumb adduction and flexion muscles, which causes a characteristic thumb-in-palm deformity ( Fig. 102.1 ). House described four types of thumb-in-palm deformity: Type 1: First ray adduction across the palm from…
Indications Radius and ulna fracture-dislocations require operative treatment in the adult population. The forearm unit consists of the ulna and radius, which are held together proximally at the proximal radioulnar joint (PRUJ), at the interosseous membrane (IOM) along the shaft,…
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…
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Indications Indications for this procedure include: Complex (or irreducible) metacarpophalangeal (MCP) joint dislocation. Concomitant fractures that require open reduction internal fixation. Clinical examination The index finger is the most common site of this injury. Most dislocations are dorsal and occur…
Indications Indications include: Unstable proximal interphalangeal (PIP) joint fracture–dislocations in which more than 50% of the palmar base of the middle phalanx is fractured or greater than 30 degrees of PIP joint flexion is required to maintain stability. Fracture of…