Courtesy – Dr. Esther Chow, Dr Ashok Shyam, Ortho TV Introduction Scaphoid fractures are the most common carpal bone fractures of the wrist. Management of undisplaced scaphoid waist fractures (Herbert Type B2) remains controversial. Undisplaced fracture definition: <1 mm displacement, step, or gap on imaging. Indications for Surgical Management of Scaphoid Fractures Common indications […]
-Hand and Wrist Trauma
Perilunate Injuries
Courtesy Dr Jefferey Yao, Dr Ashok Shyam, Ortho TV Basic Wrist Ligament Anatomy Wrist ligaments act as static stabilizers that guide and constrain motion of the carpus. Wrist ligaments are classified into two main groups: Intrinsic Ligaments Located entirely within the carpal bones. Connect adjacent carpal bones. Example: Scapholunate ligament Lunotriquetral ligament Extrinsic Ligaments Connect […]
Perilunate Injuries
Courtesy Dr Bo LIU, Dr Ashok Shyam, Ortho TV Introduction Perilunate injuries are uncommon but devastating carpal injuries. They may occur as: Perilunate fracture-dislocations (most commonly involving the scaphoid fracture). Pure ligamentous injuries involving disruption of: Scapholunate (SL) ligament Lunotriquetral (LT) ligament These injuries cause severe carpal instability and functional impairment. Classification of Perilunate […]
PIP Joint Injuries
Courtesy Dr. Hemant Patankar, Dr Ashok Shyam, Ortho TV Introduction PIP joint injuries are among the most common injuries of the hand. Common causes include: Sports injuries (especially cricket ball injuries) Twisting injuries Motorbike accidents These injuries are frequently missed because: Inadequate history is taken Improper imaging is obtained Injuries appear trivial initially. Importance […]
Secrets Of Phalangeal Fractures
Courtesy: Dr. Sudhir Warrier, Dr Ashok Shyam, Ortho TV Introduction Injuries to the proximal interphalangeal joint are among the most common injuries of the hand. They are frequently encountered in sports such as cricket, where the finger is struck directly by a ball. Despite their frequency, these injuries are often missed or underestimated, which can […]
Flexor Tendon Injuries, Diagnosis and Treatment
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Scapholunate Instability: Evidence-based Management
Courtesy: Dr. Ahlam Arnaout, MD, Paris France Introduction Scapholunate instability (SLI) is one of the most common causes of carpal instability. Despite extensive research, no universally accepted optimal treatment exists. Understanding of scapholunate pathology has evolved significantly over time. Historical Concepts of Scapholunate Instability Early Understanding Initial focus was on scapholunate interosseous ligament (SLIL) […]
Volar Osteotomy for Distal Radius Malunion
Courtesy: Ashok Gavaskar, Chennai
Ulnar Collateral Ligament Injury of Thumb
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Introduction Injury of the ulnar collateral ligament (UCL) of the thumb MCP joint is a common hand injury. It leads to instability of the metacarpophalangeal (MCP) joint, affecting pinch and grasp. The goal of treatment is to restore ligament stability and allow proper healing. Terminology […]
High Pressure Injection Injury of the Hand
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Introduction High-pressure injection injuries are serious hand injuries caused by accidental injection of material under high pressure into the hand. Most commonly seen in young male workers. Typically associated with: Paint spray guns Grease guns Industrial high-pressure equipment. Despite appearing minor externally, these injuries are surgical […]
Carpal Instability, Injuries and Perilunate Dislocations
Courtesy: Saurabh Agarwal, Consultant, UK Introduction Perilunate injuries involve disruption of the ligamentous and bony relationships between the lunate, adjacent carpal bones, and the distal radius. These injuries represent severe wrist trauma and can lead to persistent pain, instability, and functional impairment if not recognized early. Perilunate and lunate dislocations together account for the majority […]
Intramedullary Compression Fixation of Metacarpal and Phalangeal Fractures
Courtesy: Marco Guidi MD, University Hospitals Zurich, Switzerland Introduction Intramedullary fixation is an emerging technique for the treatment of metacarpal and phalangeal fractures. It is considered a minimally invasive alternative to traditional plate fixation. However, plate fixation is still relevant, and treatment should always be based on proper fracture indication and pattern. Limitations of […]
Flexor Tendon Injuries Treatment
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Flexor Tendon Injuries
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Flexor Tendon Injuries
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Overview Flexor tendon injuries involve trauma to the flexor digitorum superficialis and flexor digitorum profundus tendons. These injuries are commonly caused by lacerations or blunt trauma. They usually result from volar-sided injuries of the hand. Associated neurovascular injuries are common due to close anatomical proximity. Tendon […]