Total Wrist Arthroplasty
Arnold-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, provide greater implant longevity, and minimize surgical […]
Fracture-dislocations of the Proximal Interphalangeal Joint
John 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, and pilon. Acceptable outcome is dependent on […]
Advances in Wrist Arthroscopy
J 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 includes management of triangulofibrocartilage complex pathology, evaluation […]
Carpal Instability Nondissociative
J 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 manifested at the midcarpal and/or radiocarpal joints, […]
Flexor Tendon Sheath Infections of the Hand
J 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 sheaths anatomy is essential for diagnosis and to help to guide treatment. The Kanavel cardinal signs are useful for […]
Factitious Disorders of the Upper Extremity
J 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 physical manifestations of the presenting illness. These […]
Dupuytren Disease: An Evolving Understanding of an Age-old Disease
Eric 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 severely limit function. The pathophysiology is multifactorial […]
Surgical Exposures of the Wrist and Hand
Louis 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 the hand and fingers; however, volar, ulnar, […]
Galeazzi Fracture
J 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 torsion of the forearm. Diagnosis is established […]
Perilunate Dislocation and Perilunate Fracture-dislocation
Spencer 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 loss of normal radiocarpal and intercarpal colinearity […]
