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, with both conservative and surgical options being widely used. Definition of Undisplaced Fracture < 1 mm displacement No step or gap […]
-Hand and Wrist Trauma
Perilunate Injuries
Courtesy Dr Jefferey Yao, Dr Ashok Shyam, Ortho TV Overview Wrist ligaments function as static stabilizers, guiding and constraining motion of the carpal bones. Types of Wrist Ligaments 1. Intrinsic Ligaments Located entirely within the carpus Connect adjacent carpal bones Examples: Scapholunate ligament Lunotriquetral ligament 2. Extrinsic Ligaments Connect carpal bones to the radius or […]
Perilunate Injuries
Courtesy Dr Bo LIU, Dr Ashok Shyam, Ortho TV Introduction Perilunate injuries are uncommon but severe carpal injuries that can lead to significant functional impairment. Types of Perilunate Injuries Perilunate fracture-dislocations (commonly involving scaphoid fractures) Pure ligamentous injuries involving: Scapholunate (SL) ligament Lunotriquetral (LT) ligament Clinical Impact Severe carpal instability Long-term functional limitation if not […]
PIP Joint Injuries
Courtesy Dr. Hemant Patankar, Dr Ashok Shyam, Ortho TV Introduction PIP joint injuries are among the most common hand injuries. Common Causes Sports injuries (especially cricket ball injuries) Twisting injuries Motorbike accidents Why These Injuries Are Missed Inadequate history taking Improper imaging Initially appear trivial Early diagnosis is critical to prevent long-term complications Clinical Evaluation […]
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 Key Insight Despite extensive research, there is no universally accepted optimal treatment, reflecting the complexity of wrist biomechanics Historical Understanding of SLI Focus on Scapholunate Interosseous Ligament (SLIL) The SLIL was traditionally considered the primary stabilizer. Components of SLIL Dorsal portion — Strongest, main stabilizer Volar portion — […]
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 Ulnar Collateral Ligament (UCL) Injury of the Thumb MCP Joint Introduction Injury to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal (MCP) joint is a common hand injury. Clinical Importance Leads to MCP joint instability Impairs pinch and grip strength Treatment aims to restore stability […]
High Pressure Injection Injury of the Hand
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Introduction High-pressure injection injuries are severe hand injuries caused by accidental injection of material under high pressure into soft tissues. Common Causes Paint spray guns Grease guns Industrial high-pressure equipment Key Clinical Insight These injuries may appear minor externally but are true surgical emergencies due to […]
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 minimally invasive technique for managing fractures of the metacarpals and phalanges. It serves as an alternative to plate fixation, though treatment choice must always be guided by: Fracture pattern Stability requirements Soft-tissue considerations Limitations of Plate Fixation Common Complications Finger stiffness […]
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 […]