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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 open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.
Comprised exclusively of more than two dozen clinical cases covering common injuries of and around the wrist, this concise, practical casebook will provide clinicians with the best real-world strategies to properly manage open and closed fractures, dislocations and nonunions of the distal radius, scaphoid and perilunate. Each chapter is a case that opens with a unique clinical presentation with associated radiology, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls. Cases included illustrate the surgical management of intra- and extra-articular fractures and malunions of the distal radius - volar plating, k-wires and fracture-specific fixation - Galeazzi fractures, DRUJ fixation, scaphoid-scapholunate-perilunate dislocation and more, including pediatric cases. Pragmatic and reader-friendly, Fractures of the Wrist: A Clinical Casebook will be an excellent resource for orthopedic surgeons and sports medicine specialists confronted with these common injuries of the Wrist.
This book is a one-stop guide to managing acute orthopedic injuries. Unlike other handbooks, this reference provides a comprehensive, yet concise, set of diagnostic and management tools to help readers deliver optimal, evidence-based, and efficient patient care. Additional focus on physical exam techniques, emergency room orthopedic procedures, and on-field athletic management strategies empowers readers with real tips and tricks used by orthopedic surgeons at top-tier institutions. This guide is a must have for emergency medicine providers, orthopedic surgeons, and other clinicians, trainees, and students caring for adult or pediatric patients in the emergency setting.
This illustrated textbook is an essential and invaluable guide to young clinicians and researchers of Trauma and Orthopaedics, reporting all classification systems which are currently utilised in the clinical setting. It includes classifications relevant to both Elective Orthopaedic Practice and Orthopaedic Trauma. Clear graphic illustrations accompany the description of all different classification schemes in a comprehensive manner, together with a structured presentation of existing clinical evidence. In this manner each chapter of the different anatomical sites and pathologies assists the decision making of the readers regarding treatment strategy as well as informed consent of their patients. It is envisaged that this textbook will be a point of reference not only to the surgeons in training (residents) but also to senior surgeons and academic clinicians.
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 atlas presents X-ray images of nearly every bone in the body broken, accompanied by written descriptions and clinical context.
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.
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.
This book of 85 index cases is organized by clinical presentations that simulate real-life radiology practice in the emergency department. Companion cases spanning the differential diagnoses and spectrum of disease provide hundreds more examples for a fast, focused, effective education we like to call COFFEE (Case-Oriented Fast Focused Effective Education).