Management of Nonunion Following Surgical Management of Scaphoid Fractures: Current Concepts
Edward S. Moon J Am Acad Orthop Surg September 2013 vol. 21 no. 9 Abstract Management of scaphoid nonunion after failed surgery for acute scaphoid fracture presents a unique treatment challenge. Prior surgery complicates patient evaluation and increases the technical difficulty of future procedures. Healing of nonunion is crucial to prevent carpal collapse and progressive […]
Treatment of Distal Radius Fractures
Jayson Murray J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) for treating distal radius fractures (DRF). Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes […]
Epinephrine in Local Anesthesia in Finger and Hand Surgery: The Case for Wide-awake Anesthesia
Donald Lalonde J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 Traditionally, surgeons were taught that local anesthesia containing epinephrine should not be injected into fingers. This idea has since been refuted in many basic and clinical scientific studies, and today, injection of lidocaine plus epinephrine is widely used for digital and hand […]
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 […]
