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Mano – Microcirugía

Total Wrist Arthroplasty

Última actualización 9/04/13Arnold-Peter C. Weiss J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Over the past 40 years, total wrist arthroplasty (TWA) has emerged as a cost-effective treatment option for wrist arthritis. First-generation implant designs have changed tremendously; current devices are designed to enhance wrist stability, …

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Fracture-dislocations of the Proximal Interphalangeal Joint

Última actualización 10/11/15John Elfar J Am Acad Orthop Surg February 2013 ; 21 Abstract Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, …

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Advances in Wrist Arthroscopy

Última actualización 23/11/12J Am Acad Orthop Surg November 2012 ; 20 Jennifer Moriatis Wolf Abstract Since its introduction more than three decades ago, wrist arthroscopy has continually evolved. The procedure has a wide list of indications, including diagnostic and management applications. The scope of practice for the wrist arthroscopic surgeon …

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Carpal Instability Nondissociative

Última actualización 24/09/12J Am Acad Orthop Surg. September 2012 ; 20 (9) Scott W. Wolfe, MD, Marc Garcia-Elias, MD and Alison Kitay, MD Abstract Carpal instability nondissociative (CIND) represents a spectrum of conditions characterized by kinematic dysfunction of the proximal carpal row, often associated with a clinical “clunk.” CIND is …

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Flexor Tendon Sheath Infections of the Hand

Última actualización 5/07/12J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Reid W. Draeger Abstract Flexor tendon sheath infections of the hand must be diagnosed and treated expeditiously to avoid poor clinical outcomes. Knowledge of the sheath’s anatomy is essential for diagnosis and to help to guide treatment. …

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Factitious Disorders of the Upper Extremity

Última actualización 19/03/12J Am Acad Orthop Surg February 2012 ; 20 Michael V. Birman Abstract Factitious disorders of the upper extremity can manifest in many different forms; therefore, it is critical to recognize warning signs in the history and examination indicating that the patient may be creating the symptoms and …

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Dupuytren Disease: An Evolving Understanding of an Age-old Disease

Última actualización 2/02/12Eric M. Black. JAAOS December 2011;19 (12) Abstract Dupuytren disease, a clinical entity originally described more than 400 years ago, is a progressive disease of genetic origin. Excessive myofibroblast proliferation and altered collagen matrix composition lead to thickened and contracted palmar fascia; the resultant digital flexion contractures may …

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Surgical Exposures of the Wrist and Hand

Última actualización 12/01/12Louis W. Catalano JAAOS January 2012; 20 (1) Abstract The neurovascular anatomy of the carpus and hand is complex. Therefore, precise exposures are required to avoid iatrogenic injury. In general, dorsal exposures are more forgiving than volar exposures because major neurovascular structures lie on the volar aspect of …

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Galeazzi Fracture

Última actualización 24/10/11J Am Acad Orthop Surg October 2011 Kivanc I. Atesok, MD, Jesse B. Jupiter, MD and Arnold-Peter C. Weiss, MD Abstract Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). Typically, the mechanism of injury is forceful axial loading and …

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Perilunate Dislocation and Perilunate Fracture-dislocation

Última actualización 22/09/11Spencer J. Stanbury, John C. Elfar. J Am Acad Orthop Surg September 2011 ; 19: Abstract Perilunate dislocations and perilunate fracture-dislocations usually result from high-energy traumatic injuries to the wrist and are associated with a characteristic spectrum of bony and ligamentous damage. Radiographic evaluation of the wrist reveals …

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