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Carpal ligament surgery : before arthritis

https://libcat.nshealth.ca/en/permalink/provcat32597
Emmanuel Camus, Luc Van Overstraeten, editors. --Paris: Springer , c2013.
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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…
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Other Authors
Camus, Emmanuel
Van Overstraeten, Luc
Responsibility
Emmanuel Camus, Luc Van Overstraeten, editors
Place of Publication
Paris
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xxiii, 306 p. : 205 ill., 132 ill. in color)
ISBN
9782817803791
Subjects (MeSH)
Arthritis - prevention & control
Carpal Joints -- surgery
Ligaments, articular - surgery
Subjects (LCSH)
Medicine
Orthopedic surgery
Surgery
Trauma
Abstract
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.
Contents
PART 1: FUNDAMENTALS -- Anatomy of the carpal ligaments -- Biomechanics of the carpus. Application to the ligamentary lesions -- Clinical examination of wrist ligaments -- Imaging traumatic carpal instabilities -- MRI of Normal Anatomy and injuries of extrinsic ligaments -- Definition and classification of carpal instabilities -- Radio-carpal rotary instability -- Vertical Instability of the carpus. Axial dislocation and fracture-dislocation: Review of the literature -- Normal arthroscopy of the wrist -- Wrist arthroscopy to study intrinsic ligaments -- Arthroscopic anatomy and lesions of the extrinsic ligaments -- Dynamic arthroscopic testing: false positives and false negatives -- Arthroscopic criterions to date ligamentary trauma -- PART 2: TREATMENT OF LIGAMENTARY LESIONS -- Management of the wrist sprains by the general practitioner -- Role of the surgeon in raising the awareness of first-line general practitioners -- Management of the constitutional painful mediocarpal laxity -- Arthroscopic debridement and pinning: treatment of peri-lunate unstable recent lesions -- Scapho-lunate ligament suture with arthrotomy -- Treatment of scapho-lunate instability with Blatt's capsulodesis -- Treatment of the chronic lesions of the scapho lunate ligament before arthritis -- Berger's dorsal intercarpal capsulodesis in chronic scapho-lunate instability -- Viegas's dorsal scapho-lunate capsulodesis -- Capsulo Fibrodesis. A new therapeutic option to treat scapho-lunate lesion (Garcia-Elias type 2, 3 and 4) with reducible scaphoid and without arthritis -- Brunelli's tenodesis -- Chronic lunotriquetral ligament injuries: arthrodesis or capsulodesis -- Scapho-lunate reconstruction with a bone-tissue-bone graft -- Reduction and Association of the Scaphoid and Lunate (RASL) -- Treatment of chronic, static scapholunate dissociation with the modified Brunelli technique: preliminary results -- Scapho-capitate arthrodesis -- Medico legal aspect of the carpal ligamentary traumatisms -- Socioeconomic Aspects of Traumatic Wrist Ligament Injuries.
Format
e-Book
Location
Online
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Practical Procedures in Orthopedic Surgery : Joint Aspiration/Injection, Bone Graft Harvesting and Lower Limb Amputations

https://libcat.nshealth.ca/en/permalink/provcat30823
Peter V. Giannoudis, editor. --London: Springer , c2012.
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Location
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Practical Procedures in Orthopaedic Surgery will be an essential guide for surgeons in training, providing step by step approaches to performing Joint Aspiration/Injection, Bone Graft Harvesting and Lower Limb Amputations. Practical guidance will be given on Indications, preoperative assessment, positioning and preparing the patient, approach required, tips and tricks, closure, postoperative complications, protocol of mobilization and follow-up procedure. All the procedures performed will inclu…
Available Online
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Other Authors
Giannoudis, Peter V
Responsibility
Peter V. Giannoudis, editor
Place of Publication
London
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (vii, 103 p. : 102 ill., 98 ill. in color)
ISBN
9780857298171
Subjects (MeSH)
Amputation - methods
Bone and Bones - surgery
Injections, intra-articular - methods
Orthopedic Procedures
Tissue and Organ Harvesting - methods
Subjects (LCSH)
Orthopedic surgery
Abstract
Practical Procedures in Orthopaedic Surgery will be an essential guide for surgeons in training, providing step by step approaches to performing Joint Aspiration/Injection, Bone Graft Harvesting and Lower Limb Amputations. Practical guidance will be given on Indications, preoperative assessment, positioning and preparing the patient, approach required, tips and tricks, closure, postoperative complications, protocol of mobilization and follow-up procedure. All the procedures performed will include numerous intraoperative photographs and illustrations.
Contents
Part I. Joint Aspiration/Injection -- General Part -- Acromio-Clavicular Joint -- Glenohumeral Joint -- Sub-Acromial Bursa -- Elbow Joint -- Common Extensor Origin (Tennis Elbow) -- De Quervain's Tenosynovitis -- Basal Thumb Joint (Carpo-Metacarpal Joint) -- Lumbar Spine Facet Joint -- Sacroiliac Joint -- Hip Joint -- Trochanteric Bursa -- Knee Joint -- Ankle Joint -- Subtalar Joint -- Part II. Bone Graft Harvesting -- Percutaneous Bone Marrow Aspirate Harvesting from the Anterior Iliac Crest -- Anterior Iliac Crest Bone Graft Harvesting -- Posterior Iliac Crest Bone Graft Harvesting -- Autologous Bone Graft Harvesting with the use of RIA (Reamer Irrigator Aspirator system: RIA) -- Autologous Bone Graft Harvesting from the Proximal Tibial Metaphysis -- Free Vascularized Fibular Bone Graft -- Part III. Lower Limb Amputations -- General Part -- Transtibial Amputation: Skewed Flap -- Transfemoral Amputation: Skewed Flap.
Format
e-Book
Location
Online
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