The Broken Scaphoid

In this volume, a leading authority on scaphoid fractures shares his insights and techniques in this engagingly written, liberally illustrated volume. The book offers a clinical approach to the successful treatment of this common, potentially troublesome, wrist injury. It approaches the problem of the fractured scaphoid from the viewpoint of a practicing clinician who may be approached by a patient who is relatively symptom-free in the initial stage of the injury, necessitating the use of effective imaging techniques for proper diagnosis.

The Scaphoid brings together in one definitive reference every aspect of carpal scaphoid injury treatment. Featuring insights from pioneers in the field, its comprehensive coverage extends from standard open procedures to state-of-the-art percutaneous methods and mini-incision techniques.Each chapter covers a different procedure, beginning with a discussion of relevant anatomical considerations, indications, contraindications, and potential outcomes. The expert authors then present step-by-step demonstrations of each surgical approach complemented by clearly labeled illustrations that help readers to visualize the specific procedure while reinforcing their understanding of the basic principles of scaphoid fracture fixation.Features Comprehensive information on arthroscopic bone grafting, vascularized grafts, salvage procedures, the various types of implants, and much more 600 vivid illustrations -- including 300 in full-color -- enhance the text Concise, narrated videos on an accompanying Thieme MediaCenter web page demonstrate procedures described in the book, including percutaneous, mini-open and arthroscopic assisted scaphoid screw insertion, volar and dorsal vascularized scaphoid bone grafts, and more This highly practical clinical reference is an indispensable resource for every resident, fellow, or clinician in hand surgery, orthopedic trauma surgery, or plastic surgery.

In this volume, a leading authority on scaphoid fractures shares his insights and techniques in this engagingly written, liberally illustrated volume. The book offers a clinical approach to the successful treatment of this common, potentially troublesome, wrist injury. It approaches the problem of the fractured scaphoid from the viewpoint of a practicing clinician who may be approached by a patient who is relatively symptom-free in the initial stage of the injury, necessitating the use of effective imaging techniques for proper diagnosis.

Broken Bones contains 434 individual cases and 1,101 radiologic images illustrating the typical and less typical appearances of fractures and dislocations throughout the body. The first chapter describes fractures and dislocations of the fingers, starting with fractures of the phalangeal tufts and progressing through the distal, middle, and proximal phalanges and the DIP and PIP joints. Subsequent chapters cover the metacarpals, the carpal bones, the radius and ulna, the elbow and upper arm, and the shoulder and thoracic cage. The cervical spine and the thoracic and lumbosacral spine are covered in separate chapters, followed by the pelvis, the femur, the knee and lower leg, the ankle, the tarsal bones, and the metatarsals and toes. The final three chapters cover the face, fractures and dislocations in children, and fractures and dislocations caused by bullets and nonmilitary blasts.

Get a quick, expert overview of current diagnosis and management of scaphoid fractures with this concise, practical resource by Drs. Geert Buijze and Jesse B. Jupiter. This easy-to-read reference presents a summary of today’s best evidence-based approaches to diagnosis and management in this critical area. Provides must-know information on scaphoid fractures, including how to apply evidence-based management, anatomy, diagnosis, acute fracture management, malunion treatment, and nonunion management. Presents case scenarios followed by discussions of the importance of the problem, current opinion, evidence, and key recommendations. Consolidates today’s evidence-based information on scaphoid fractures into one convenient resource.

Offers fingertip access to the diagnostic tools necessary for the definitive diagnosis and treatment of the most common musculo-skeletal disorders found in adults and children.

The Wrist: Diagnosis and Operative Treatment, Second Edition is the most comprehensive text and reference on diagnosis and treatment of wrist disorders. Written by world-renowned experts from the Mayo Clinic and other leading institutions, this definitive text covers examination techniques for the wrist and diagnosis and treatment of fractures, dislocations, carpal instability, distal radius injuries, rheumatoid problems, soft tissue disorders, and developmental problems. The treatment chapters provide extensive coverage of current surgical techniques. More than 3,000 illustrations complement the text. This thoroughly updated Second Edition has many new contributors, including several international wrist investigators. New chapters cover wrist outcome assessment scores; treatment subtypes for carpal instability (tenodesis/capsulodesis and intercarpal fusions); denervation procedures; acute and chronic instability of the distal radioulnar joint; and evaluation and treatment of axial forearm instability (Essex-Lopresti lesion). A companion website includes the fully searchable text and an image bank.

Comprised exclusively of clinical cases covering scaphoid fractures and nonunions, this concise, practical casebook will provide clinicians in orthopedic, plastic and hand surgery with the best real-world strategies to properly diagnose and treat the various forms of the condition they may encounter. After a brief introduction covering scaphoid anatomy, each chapter is in the form of a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Cases included illustrate different injuries and management strategies from acute scaphoid fractures and nonunions to advanced collapse, covering non-operative and arthroscopic techniques as well as autograft procedures and salvage options. Pragmatic and reader-friendly, Scaphoid Fractures and Nonunions: A Clinical Casebook will be an excellent resource for seasoned as well as those training to be orthopedic surgeons, plastic surgeons, hand surgeons and emergency medicine physicians alike.

This work demonstrates that hand and wrist rehabilitation calls for precise anatomical, biomechanical, and physiological expertise, as well as mastery of manual techniques and targeted physiotherapy. Particular attention is given to the complementarity between theoretical knowledge and practical aspects; accordingly, refreshers on the underlying theory; descriptions of the rehabilitation protocols and the specific manual and instrumental techniques; and the type of orthesis used depending on the delay of healing are provided for each pathology. This publication will appeal to a broad readership, from physiotherapists and occupational therapists, to surgeons and practitioners specialized in physical rehabilitation, to students in the fields of physiotherapy and occupational therapy.

Includes the papers and/or proceedings of various surgical associations.

In the past, conservative (or nonoperative) treatment of fractures of the hand has been the rule and severe and multiple fractures usually did not receive surgical atten tion. There are probably several reasons why this is so. Rarely did these fractures threaten life; they usually healed rapidly; and after immobilization, hand pain usually subsided. At the same time, intraarticular fractures frequently were unstable and often displaced and attempts to correct deformity were considered difficult to achieve. As a result, the ultimate joint motion in many cases was limited. It can fairly be said that decisions and techniques regarding internal fixation of small joints and bones were not known to most surgeons. Although the history of internal fixation is not extensive, there have been some exciting events. In the 16th century gold plates were used to repair cleft palates. Later, the Chinese employed wire loop sutures to correct difficult fractures. In the 18th century silver cerclage wires were used to achieve fixation and promote early bone healing. Although these fracture treatments occasionally proved successful, more frequently they did not and they never enjoyed wide acceptance. Doctors Alan Free land, Michael Jabaley, and James Hughes have described this history of bone fixation in a manner that is both colorful and educational and they have managed to extract the essential features that lend continuity to the story of the development of internal fixation.

Edited by rising stars in orthopaedic surgery, this book is written by internationally recognized experts in hand surgery. The book begins with a basic science section on pathophysiology of the hand, wrist and forearm. The rest of the two-volume book then follows a progressive organization from the most common problems to the least common problems of the hand. Implements a practical approach by containing a chapter on the principles of portal placement, and features over 700 full-color illustrations. Section topics covered include radiographic imaging of the hand, wrist and forearm, avascular necrosis of the carpus, forearm injuries, tumors, and much more.

A quick reference bedside text with step-by-step guides on how to care for orthopedic emergencies.

Published in association with the Federation of European Societies for Surgery of the Hand

According to reports in the literature, despite the severe disruption of carpal anatomy, fracture-dislocations of the wrist are missed on clinical and radiographic examination in a high percentage of cases. Orthopedic surgeons’ lack of familiarity with these injuries is one of the factors contributing to failed or delayed diagnosis. This richly illustrated book covers all types of wrist dislocation and fracture-dislocation. Detailed information is provided on anatomy and biomechanics, while terminology and classification of injuries are explained. Treatment options are thoroughly analysed, with special emphasis on surgical treatment, which is presented step by step. All of the figures – radiological and surgical – relate to patients treated by the author himself. Most of the cases are from the Red Cross Hospital of Athens that admits many patients with such injuries, in part through referral from other centres due to the author’s acknowledged expertise in the field. This volume, with its highly informative and up-to-date chapters and reviews, and a wealth of color figures, will be of great practical value for clinicians and residents in orthopedic surgery, who assist them in daily decision making.

This important reference textbook covers the surgical management of all major orthopaedic and traumatological conditions. The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within and beyond Europe. The emphasis throughout is on the application of current knowledge and research to technical problems, how to avoid operative problems, and how to salvage complications if they occur. The didactic text is complemented by abundant illustrations that highlight the essentials of each clinical scenario. The authors are all recognized international authorities active at congresses and workshops as well as in universities and hospitals across the world. ​

Offering expert, comprehensive guidance on the basic science, diagnosis, and treatment of acute musculoskeletal injuries and post-traumatic reconstructive problems, Skeletal Trauma, 6th Edition, brings you fully up to date with current approaches in this challenging specialty. This revised edition is designed to meet the needs of orthopaedic surgeons, residents, fellows, and traumatologists, as well as emergency physicians who treat patients with musculoskeletal trauma. International thought leaders incorporate the latest peer-reviewed literature, technological advances, and practical advice with the goal of optimizing patient outcomes for the full range of traumatic musculoskeletal injuries. Offers complete coverage of relevant anatomy and biomechanics, mechanisms of injury, diagnostic approaches, treatment options, and associated complications. Includes eight new chapters dedicated to advances in technology and addressing key problems and procedures, such as Initial Evaluation of the Spine in Trauma Patients, Management of Perioperative Pain Associated with Trauma and Surgery, Chronic Pain Management (fully addressing the opioid epidemic), Understanding and Treating Chronic Osteomyelitis, and more. Features a complimentary one-year subscription to OrthoEvidence, a global online platform that provides high-quality, peer-reviewed and timely orthopaedic evidence-based summaries of the latest and most relevant literature. Contains unique, critical information on mass casualty incidents and war injuries, with contributions from active duty military surgeons and physicians in collaboration with civilian authors to address injuries caused by road traffic, armed conflict, civil wars, and insurgencies throughout the world. Features important call out boxes summarizing key points, pearls and pitfalls, and outcomes. Provides access to nearly 130 instructional videos that demonstrate principles of care and outline detailed surgical procedures. Contains a wealth of high-quality illustrations, full-color photographs, and diagnostic images.

In medical writing brevity is the kiss of life. Nevertheless most articles are unnecessarily lengthy and publications continue to multiply. Pity the poor reader! A succession of unduly long articles is bad enough, but if each is followed by a plethora of references the effect is positively daunting. Even the reader who is impressed by the length of a list may question the author's discrimination. Were all those references needed? Were they helpful? Has the authorreally read every one? All too often we look in vain for evidence of selectivity. Here lies the strength of this book. The authors have combed the literature and culled it ruthlessly, selecting just a few hand-picked references on every important aspect of orthopaedic trauma. They have ranged widely but chosen narrowly, and with a sense of balance. And having selected, they have also distilled, adding a brief and thoughtful commentary on each group of entries. The four authors, of varying vintages, met at frequent intervals to discuss each section in tum and to debate the value of every inclusion. I can almost hear the cut and thrust as well-informed views were exchanged, and also the sighs of relief as differences were resolved. The authors compare their meetings with those of the Editorial Board of the IBIS; since these are a delightful mixture of conflict, entertainment and enlightenment, what a marvellous time they must have had.