OBJECTIVE To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma. METHODS In this prospective randomized study, 20 patients underwent proximal row carpectomy or four-corner fusion to treat wrist arthritis and their functional results were compared. The midcarpal joint was free of lesions in all patients. ...

Partial wrist fusion is a useful technique for the treatment of such specific carpal disorders as arthritis, Kienböck's disease, midcarpal instability, scaphoid nonunion, etc.Many techniques have been described by removing arthritic joint surfaces and transfering load, using, for bone fixation, K-wires, screws, staples, and more recently dedicated plates.The goal of this procedure is to maximis...

The use of reverse-flow pedicled vascularized bone grafts from the dorsal distal radius makes it possible to transfer bone with a preserved circulation and viable osteoclasts and osteoblasts. The resultant primary bone healing without creeping substitution within the dead bone is an alternative to conventional bone grafting in aiding or accelerating healing, replacing deficient bone, and/or rev...

Two Types of Fracture There' are roughly two main types of fracture of the waist of the carpal scaphoid. In type I there is a crack in the bone with negligible or no displacement, whilst in type II fractures there is an appreciable gap and some degree of displacement. The prognosis is best in type I and frequently the cartilage over the fracture line is intact. McLaughlin (1954) decided to trea...

Triquetrum fractures are the second most common carpal fractures after scaphoid. However they are seldom encountered due to their clinical symptoms and since they cause less functional disability. They can be misdiagnosed as soft-tissue injuries by considering the similar localization of pain and prolonged symptoms. The majority of triquetrum fractures can be diagnosed with direct X-ray. Obtain...

DOI: 10.3760/cma.j.issn.1008-1275.2011.01.001 Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000 Monastir, Tunisia (Hamdi MF) Corresponding author: Tel: 216-99-831-236 / 216-984 08 -3 86 , Fax: 21 6-73 -4 6 0-67 8, E m ai l: h am di. [email protected] 【Abstract】Volar perilunate fracture dislocation is an extremely rare carpal injury, but associated with metaca...

Stress fracture of the capitate reports A 42-year-old male physical exercise teacher presented to his general practitioner (GP) with a 4-month history of bilateral wrist pain. He was unable to recall any specific episode of trauma, but the nature of his work as a gymnastics teacher required repeated dorsiflexion of both wrists. The pain was enough to keep him awake at night and he had developed...

Excision of the proximal carpal row has proven over the past 60 years to be an effective technique for certain disorders of the wrist, including degenerative sequelae of scapholunate ligament dissociation and scaphoid nonunions, Kienböck disease, Preisser disease, and other fracture-dislocations of the wrist. The durability of this procedure may be due to remodeling of the capitate head to the ...

INTRODUCTION Isolated trapezium fractures accounts for 3-5% of all carpal fractures, are often missed on initial presentation. Trapezial fractures should be treated early given its importance in grip and pinch. We report a rare isolated coronal fracture of trapezium, following fall on an outstretched hand. CASE REPORT A 40-year-old right lady presented with pain in right hand due to fall on o...

Arthroscopy of the wrist is a recent technique but already validated for many indications. It rarely gives rise to complications but requires a learning curve just like any other endoscopic procedure. It allows complete visualization of the osseous, articular, synovial and ligamentous structures of the different joints comprising the wrist. There are two main indications for wrist arthroscopy: ...