Wrist Disorders: Current Concepts and Challenges

ISBN-13: 9784431658764 / Angielski / Miękka / 2012 / 334 str.

Ryogo Nakamura; Ronald L. Linscheid; Takayuki Miura

Opis

In recent years wrist problems have increasingly attracted the attention of orthopaedic and hand surgeons. Numerous advances have been achieved in functional anatomy, biomechanics, diagnosis, and treatment. There are, however, many controversial aspects to these problems. Many clinical and associated investigators from around the world have attempted to increase our knowledge of the wrist with enthusiastic and devoted studies. An international symposium was held at the Nagoya Castle Hotel, Nagoya, Japan from March 6th through March 8th, 1991 to further understanding and promote discussion of wrist problems among a representive international group. Approximately 300 participants from 16 different countries assembled for these discussions. This monograph consists of 40 selected papers based on presentations given at the international symposium. The topics are divided into six chapters: Functional Anatomy, Diagnosis and Basic Studies; Kienbock's Disease; Scaphoid Fracture, Distal Radius Fracture; Carpal Instability and Wrist Pain; and Wrist Arthroplasty. A number of unique observations as well as detailed surgical techniques were presented. These include topics such as the vascularity of the triangular fibrocartilage, radial wedge osteotomy and vascular bundle implantation into the lunate for Kienbock's disease, Herbert screw insertion though a minimal exposure for acute scaphoid fracture, and closing wedge oseotomy of the radial styloid for the early stage of the SLAC wrist. It is hoped that this monograph will be of benefit to surgeons interested in not only achieving more satisfactory clinical outcomes, but also in stimulating further contemplation and research about these difficult wrist problems.

Spis treści

I. Functional Anatomy, Diagnosis, and Basic Studies.- The Wrist Joint: Functional Analysis and Experimental Approach.- Examination of the Wrist.- Imaging of the Painful Wrist.- Wrist Kinematics.- Analysis of Wrist Motion During Basketball.- Aging and Ulnar Variance: Features of the Elbow Joint Affecting Positive Variance.- Microvasculature of the Triangular Fibrocartilage Complex of the Wrist.- Three-Dimensional Reconstruction of the Carpal Bones.- II. Kienböck’s Disease.- The Kienböck’s Dilemma — How to Cope.- Kienböck’s Disease and Ulnar Variance.- The Incidence of Kienböck’s Disease Among Adults with Cerebral Palsy.- Treatment of Kienböck’s Disease with Vascular Bundle Implantation and Triscaphe Arthrodesis.- Radial Shortening and Radial Wedge Osteotomy for Kienböck’s Disease.- An Application of Strut Bone Graft in the Surgical Treatment for Kienböck’s Disease.- Treatment of the Advanced Stages of Kienböck’s Disease by Joint Fusion Between Pro-lunate Iliac Cortico-Cancellous Graft and Scaphoid, Capitate, and Piramidalis Bones.- Replacement of the Lunate by the Pisiform in Kienböck’s Disease.- III. Scaphoid Fractures.- Diagnosis and Management of Acute Scaphoid Fractures.- Scaphoid Non-Union: Current Approach to Management.- Psychological Aspects of Scaphoid Fractures.- Natural History of Chronic Scaphoid Fractures.- The Treatment of Scaphoid Fractures Using Free-Hand Insertion of a Herbert Screw.- Treatment of Acute Stable Scaphoid Fracture Using the Herbert Screw with a Small Skin Incision.- Vascularized Bone Graft Pedicled on the Dorsal Innominate Artery for Scaphoid Non-Union.- IV. Distal Radius Fracture.- Current Management of Intra-Articular Fractures of the Distal Radius.- Reconstruction of Distal Radius Fractures and Associated Carpal Problems.- Treatment of Distal Radius Fractures by Intra-Focal Pinning with Arum Pins.- Rotation of the Forearm in Fracture of the Distal Radius: Clinical and Experimental Studies.- Bone Cementing in the Treatment of Distal Radius Fracture in Elderly Patients.- V. Carpal Instability and Wrist Pain.- Carpal Instability — A Review.- Overuse Syndrome: A Common Soft Tissue Cause of Wrist Pain.- Dorsal Wrist Pain and Occult Ganglion.- Carpal Bone Cyst.- Congenital Deformities of the Carpo-Scaphoid and Styloid Processes of the Radius in Mother and Son.- Carpal Instabilities in Patients After Reduction of Lunate and Perilunar Dislocations.- VI. Wrist Arthroplasty.- Technique and Indications of Kapandji-Sauve Procedure in Non-Rheumatoid Diseases of the Wrist.- Tendon Ball Grafting in Wrist Surgery.- Silicone Rubber Sheet Interpositional Arthroplasty for Rheumatoid Arthritis of the Wrist.- Radial Styloid Wedge Osteotomy for Early SLAC Wrist, Non-Union of the Scaphoid, and Painful Radial Styloid Impingement Syndrome: A Preliminary Report.- Surgical Treatment of Rheumatoid Wrists.- Treatment of Chronic Dislocation of the Distal Radioulnar Joint: Comparative Studies Between Reconstruction and Resection of the Distal Ulna.- An Original Prosthesis of the Distal Radioulnar Joint.