The Broken Scaphoid

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.

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.

A source of up-to-date information on disorders and diseases treated by orthopedic surgeons and related physicians. Includes only those references since 2000, except in cases where classic articles are necessary to refer back to major advances in understanding or treatment, or in situations where there has been little change in the sub-specialization in orthopedics, such as rehabilitation.

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.

Cannulated Screw Fixation is the first volume of its kind to provide both the biomechanics of these screw systems as well as complete operative techniques. This book teaches the orthopaedic surgeon and resident all aspects of cannulated screw fixation from principles (biomechanics, design, materials, manufacturing) to clinical uses including anatomy, imaging techniques, advantages, complications and outcomes. This comprehensive text includes chapters written by well-known orthopaedists in their respective anatomical areas with material on preferred operating techniques and uses in more specialized clinical situations for both upper and lower extremities. Edited by pioneers in the development of the cannulated screw this volume is a "must have" for all orthopaedic surgeons and residents.

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.

Provides a comprehensive overview of imaging of the hand and wrist using all modalities. Written by leading experts in the field, the book includes chapters on the history of image development, physical exam, anatomy, soft tissue, wrist and hand measurements and classification schemes, normal variants, bone scintigraphy, polytomography, arthrography of the wrist, computed tomography, MRI, ultrasound, and more. Discusses all of the diagnostic techniques used for the hand and wrist today, including plain films, CT, MRI, ultrasound, angiography, arthography, bone scintography, and more Organizes chapters to target a specific imaging modality, its proper technique, indications and interpretations, and examples of abnormal findings. Demonstrates how best to spot abnormalities and includes an algorithmic approach to wrist abnormalities

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.

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.

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

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.

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

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 book provides insights into sports medicine addressing trauma of the hand and wrist. This collection of injuries invites readers to trace aetiology, diagnosis, relevant pathology, management principles, and outcomes of numerous injuries in elite and non-elite athletes. The authors present management principles and outcomes. It is an ideal reference for postgraduate musculoskeletal doctors and therapists for Orthopaedic and Sports Medicine postgraduate degrees. Each approach to deal with an injury is underlined by case reports. Readers will also find valuable questions and answers fro self-assessment purpose. Sports Injuries of the Hand and Wrist is aimed at sports doctors, musculoskeletal doctors, senior orthopedic trainees with an interest in upper limb, orthopedic trainees preparing for the FRCSOrth exam and similar international exams, as well as upper hand and wrist surgeons in the earlier years of their practice.

This book covers common fracture and dislocation classifications for nearly every part of the human body. For each part, it introduces readers to the historical evolution of fracture classifications, as well as the commonly used classifications, with likelihood from high to low. To describe these classifications, the book combines extensive descriptions, tree and schematic diagrams, elegant drawings and detailed radiological images. This structure will help readers recognize the differences between various classifications, and make proper decisions on the basis of their specific research purposes. As such, the book offers a valuable reference guide for orthopedists, radiologists and medical students alike.

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.