OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Hand and Wrist Trauma

PIP Joint Dislocations and Fracture Dislocations

Courtesy: Prof Abhijeet Wahegaonkar, Sancheti Hospital, Pune, India   PIP Joint Fracture-Dislocations Definition Injury involving dislocation of the proximal interphalangeal (PIP) joint with an associated fracture Most commonly involves the base of the middle phalanx articular surface Importance Commonly missed injury Delayed or inadequate treatment can lead to: Stiffness Instability Post-traumatic arthritis Loss of function […]

Scaphoid Nonunion

Courtesy: Gustavo Gomez Rodriguez, Buenos Aires, Argentina   Scaphoid Nonunion: Principles of Management Overview Scaphoid nonunion occurs because of: Fragment instability Poor blood supply to proximal pole Large cartilage-covered surface Exposure to synovial fluid Successful treatment requires: Fracture union Restoration of normal scaphoid anatomy Correction of deformity Failure to restore anatomy can lead to: Abnormal […]

Carpal Instability for the FRCS Orth

Courtesy: Sreenadh Gella, Sandwell and West Birmingham NHS Trust, Birmingham, UK   Carpal Instability – High-Yield Orthopedic Notes Introduction Carpal instability is an important cause of chronic wrist pain and dysfunction Frequently tested in: Viva examinations MCQs Clinical case discussions Requires understanding of: Wrist anatomy Ligament biomechanics Radiological patterns Management principles Basic Anatomy & Biomechanics […]

Perilunate Instability and Dislocation

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA     Perilunate and Lunate Dislocation Carpal Bone Arrangement Normal proximal-to-distal relationship: Scaphoid Lunate Triquetrum Capitate Carpal bones are stabilized by strong interconnecting ligaments. Types of Perilunate Injuries Lesser Arc Injury Purely ligamentous injury Greater Arc Injury Combination of ligamentous and bony injury Common patterns: Trans-radial […]

Metacarpal Fractures and Complications

COurtesy: AO Trauma North America, Ashok Shyam, IORG, OrthoTV ? Course Faculty : ?Chairperson : Emil Dionysian, MD, MS ?Lecturer: Brett Peterson, MD ?Lecturer: Jeffrey Yao, MD ?Hand Therapist: Stephanie Kannas, OTD

Mallet Finger- Mechanism of Injury and Treatment

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Mallet Finger Overview Mallet finger is caused by disruption of the terminal extensor tendon at the distal interphalangeal (DIP) joint Results in inability to actively extend the DIP joint Injury may be: Pure tendon rupture Bony avulsion fracture at base of distal phalanx Comparison Injury: […]

Scapholunate Ligament Injuries

Courtesy: Vaikunthan Rajarathnam, Hand Surgeon   Scapholunate Ligament Injury Introduction The scapholunate ligament is the primary stabilizer between the scaphoid and lunate Maintains normal carpal alignment and wrist biomechanics The dorsal component is the strongest and most functionally important portion Injury can lead to: Wrist instability Weakness Progressive arthritis Carpal collapse Anatomy Components of the […]

Plating of Phalanges using Curved Medial/Lateral Plate

Courtesy: Randy Bindra FRCS Orth and Acumed Inc   Lateral Plating Technique for Phalangeal Fractures Overview Lateral plating is used for selected phalangeal fractures requiring stable fixation Technique aims to: Preserve tendon gliding Minimize soft tissue irritation Allow stable fixation with early motion Careful plate positioning is essential to avoid impingement and stiffness Incision Planning […]

Acute Scaphoid Fractures

Courtesy: AO Trauma, Ashok Shyam, IORG, OrthoTv   Scaphoid Fractures – Evaluation, Treatment & Nonunion Management Overview Common wrist injury, especially in adolescents and young adults Usually occurs after a fall on an outstretched hand Early diagnosis is critical to prevent nonunion and avascular necrosis Management depends on: Fracture displacement Stability Blood supply Presence of […]