Sennwald The Wrist

Anatomical and Pathophysiological Approach to Diagnosis and Treatment
1987
ISBN: 978-3-642-71622-5
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 269 Seiten, eBook

Zielgruppe

Research

Autoren/Hrsg.

Sennwald, Gontran

Weitere Mitwirkende

Le Vay, David

Sennwald, Gontran

Comtet, J.-J.

Segmüller, G.

Inhaltsverzeichnis

History.- The Carpus.- The Concept of Stability.- The Radius and the Radio-carpal Joint.- References.- I Anatomical Approach.- A. Bony Anatomy.- B. Ligamentous Anatomy.- Nomenclature.- Classification.- 1. Articular Ligamentous System.- Interosseous Group.- The Palmar V Group.- The Ulnocarpal Complex.- The Dorsal V Group.- Systematic Analysis.- 2. Extra-articular Ligamentous System.- Extensor Retinaculum.- Flexor Retinaculum.- 3. Anatomical Study: Conclusions.- C. Kinematics.- 1. Analysis of the Mobility of the Proximal Row in the Frontal Plane.- Ulnar Deviation.- Radial Deviation.- Neutral Position.- 2. Analysis in the Sagittal Plane.- D. Functional Ligamentous Anatomy.- “Restraining” Ligaments.- “Stabilizing” Ligaments.- “Guiding” Ligaments.- Conclusion.- E. The Concepts of Stability.- History.- Discussion.- Ligamentous Anatomy.- Observation of the Stretched Carpus.- Concept of Stability.- Conclusions.- References.- II Diagnosis of Osteo-ligamentous Lesions of the Carpus.- A. Physical Examination.- B. Radiology.- Routine Projections.- “Dynamic” View.- Arthography.- CT Scanner.- Xerography.- Isotope Scintigraphy.- Costs and Chronology of Radiographical Examinations.- References.- III Hyperextension Injuries of the Wrist: Pathomechanics, Clinical Approach.- A. Pathomechanics.- Pathophysiology of Lesions.- Clinical Cases.- De Quervain’s Fracture-Dislocation.- Conclusions.- References.- B. Clinical Aspects.- 1. Instability of the Carpus and Pseudarthrosis of the Scaphoid.- Case Material.- Type of Operation Related to Cure.- Analysis of Risk Factors.- Analysis of Matti-Russe Procedures with Kirschner Wire Fixation.- Secondary Matti-Russe.- The Problem of Statistical Evaluation.- Conclusions and Consequences.- References.- 2. The Therapeutic Concept of Carpal Instability.- Ligamentoplasties and Partial Arthrodeses.- Anatomical Review.- Systematic Analysis.- Discussion.- Conclusions.- References.- IV Fractures of the Distal Radius.- A. The Specific Problem.- Distribution of Radial Fractures According to Age and Sex.- Current Treatment of Fracture of the Radius.- Tolerance of Malunion.- Analysis of Results.- Subjective Results.- Relationship Between Reduction and Symptoms.- Relationship Between Mobiiity and Symptoms.- Statistical Analysis of Results.- Conclusions.- Discussion.- B. Morphology and Classification of Fractures of the Distal Radius in Relation to the Quality of the Bone: Therapeutic Implications.- Anatomy.- Physiology.- Morphology.- Pathomechanics.- Classification of Fractures and Relation to Treatment.- Special Problems.- C. The Possibilities of Treatment.- Choice of Patients.- Methods of Measurement.- Analysis of Results.- Discussion.- References.- V Operative Techniques and Indications.- A. The Avascular Osteonecroses.- Kienböck’s Disease (Avascular Osteonecrosis of the Lunate).- Avascular Necrosis of the Scaphoid.- References.- B. Pseudarthrosis of the Scaphoid.- Treatment by Inset Cortico-Cancellous Graft.- Osteosynthesis (OS).- Stable OS Without Graft.- Stable OS With Sandwich Graft.- Special Problems.- Conclusions.- C. Recent Fractures of the Scaphoid.- Stable Fractures.- Minimally Stable Fractures Without Lunate Tilt.- Unstable Fractures With Lunate Tilt.- D. Perilunate Dislocations, With or Without Fracture.- Therapeutic Approach.- Special Problems.- Conclusions.- References.- E. Operative Technique for Opening the Carpal Tunnel.- F. Partial Arthrodeses of the Wrist, Arthroplasties and Ligamentous Reconstructions.- Indications.- Technical Problems.- Approaches.- Piso-triquetral Arthrosis.- Skin Incisions.- Conclusions.- Complications.- References.- G. Arthrodeses of the Wrist.- Indications.- Operative Principles.- Operative Technique.- Infections of the Carpus.- Examples.- Remarks.- References.- H. Fractures of the Radius.- Unstable Monoblock Fracture.- Marginal Fracture (Split Epiphyseal Block).- Comminuted Fracture (Multifragmented Epiphyseal Block).- Instability of the Carpus and Fracture of the Distal Radius.- I. Malunion of the Radius.- Intervention Involving the Ulna.- Sauve-Kapandji Technique (1985).- Technique of Oblique Resection Arthroplasty.- Darrach Resection.- Intervention Involving the Distal Radius.- K. Madelung’s Deformity.- References.- Epilogue.