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E-book

Title Carpal ligament surgery : before arthritis / edited by Emmanuel Camus, Luc Van Overstraeten
Published Paris ; New York : Springer, ©2013

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Description 1 online resource (xxiii, 306 pages) : illustrations (some color)
Contents Part I: Fundamentals -- Anatomy of the Carpal Ligaments -- Carpal Biomechanics: Application to Ligamentous Injuries -- Clinical Examination of Wrist Ligaments -- Imaging of Traumatic Carpal Instability -- MRI of Normal Anatomy and Injuries of Extrinsic Ligaments -- Definition and Classification of Carpal Instability -- Normal Wrist Arthroscopy -- Application of Wrist Arthroscopy to the Study of the Intrinsic Ligaments -- Arthroscopic Anatomy and Lesions of the Extrinsic Ligaments -- Dynamic Arthroscopic Testing: False Positives and False Negatives -- Arthroscopic Criteria to Date Traumas -- Part II: Treatment of Ligament Lesions -- Management of Wrist Sprain by the General Practitioner -- Role of the Specialist to Sensitize First-Line Therapists -- Management of Painful Constitutional Laxities -- Rotatory Radiocarpal Instability -- Vertical Instability of the Carpus -- Axial Dislocation and Fracture-Dislocation: Review of the Literature -- Arthroscopic Debridement Pinning: Management of Recent and Unstable Perilunate Injuries -- Technique of Open Scapholunate Ligament Repair -- Management of Scapholunate Instabilities Resorting to Blatt's Capsulodesis -- Management of Chronic Scapholunate Ligament Tears Before Arthritis Occurrence or to Prevent Arthritis -- Berger's Capsulodesis with Dorsal Intercarpal Ligament in Chronic Scapholunate Instability -- Dorsal Scapholunate Capsulodesis: Viegas' Technique -- The Capsulo-Fibrodesis: Horizontal Proximal Carpal Row Retightening Capsulodesis with Scapholunate 'Fibrodesis' -- A New Surgical Option -- The Brunelli's Tenodesis Chronic Lunotriquetral Ligament Injuries: Arthrodesis or Capsulodesis -- Scapholunate Ligament Reconstruction Using a Bone-Ligament-Bone Autograft -- Reduction and Association of the Scaphoid and Lunate (RASL) -- Results of the Modified Brunelli Technique for Chronic Static Scapholunate Instability -- Scaphocapitate Arthrodesis -- Medicolegal Aspects of Traumatic Wrist Ligament Injuries -- Socioeconomic Aspects of Traumatic Wrist Ligament Injuries
Summary Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone. Paraclinical examinations are also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscan and soon MRI. As concerns repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book is the result of a reflection of an expert group in the field of wrist pathology. It attempts to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this beginning synthesis inspiring to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century
Bibliography Includes bibliographical references and index
Notes English
Print version record
Subject Wrist -- Surgery.
Orthopedic surgery.
Orthopedics -- surgery
Wrist -- surgery
Ligaments -- surgery
MEDICAL -- Surgery -- General.
Médecine.
Orthopedic surgery
Wrist -- Surgery
Form Electronic book
Author Camus, Emmanuel.
Van Overstraeten, Luc.
ISBN 9782817803791
2817803795