OpenType - PS Found insideAn invaluable resource tool covering the state-of-the-art arthroscopic techniques, this is a must-have for all hand and wrist surgeons, as well as for orthopaedic and plastic surgeons and residents. ��;����N�R'�e�m�Z܄������f��/s���w����e�v�X SlatePro-Bk Scapholunate Ligament Reconstruction/Repair Protocol . 25c459d526e281dfef15c4e8125908ddf2c19563 Laxity of ligament (728.4) Sprain carpal (842.01) Midcarpal dislocation, closed (833.03) Midcarpal dislocation, open (833.13) Capsulorrhaphy or reconstruction, wrist, any method eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, … Found insideThe proximal pole of the scaphoid was replaced with its original piece of bone; radiographic measurements were repeated without scapholunate ligament repair. The osteotomy site was overstuffed with a 4mm sawbone spacer without ... Proximal Row Carpectomy. 0000012876 00000 n
Scapholunate Ligament Repair. Scapholunate ligament reconstruction. There are 8 carpal bones: the 0 Challenges for the future involve improving noninva-sive evaluation, defining the degree of extrinsic ligament injury, and improving direct repair and reconstruction. scapholunate reconstruction. We are at the forefront of a trend in physicians classifying themselves as pediatric upper extremity surgeons. Numerous pediatric hospitals now have or are recruiting physicians to focus their practice in this area. 0000008075 00000 n
Video clips on the bonus DVD demonstrate step-by-step the procedures presented in the text. Slate Pro 1. Inset into groove made in SL interval after removing central bone, leaving only a periosteum/retinaculum “bridge” intact. SlatePro-Bk 0 injury or repair that incorporate the DTM and reduce strains on the SL interosseous ligament during wrist motion. Stage I : Active Range of Motion (post injury 6-8 weeks) The purpose of this stage is to move the injured wrist in a controlled pattern, to promote the healing of scapholunate ligament, also to help improving range of motion of the wrist. 0000004299 00000 n
adobe:docid:indd:737d2204-fdc5-11dd-937e-de0b180fb974 Telephone: 410.494.4994, The use of temporary screw augmentation for the treatment of, Outcome after repair of the scapholunate interosseous ligament and dorsal capsulodesis for dynamic scapholunate instability due to trauma, Biomechanical Analysis of Scapholunate Ligament Repair Techniques, Repair and/or reconstruction of scapholunate interosseous ligament in lunate and perilunate dislocations, Treatment of scapholunate dissociation. 0000001255 00000 n
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1.000 default Authored by a renowned expert in the field of hand and wrist surgery, this second edition of Wrist Arthroscopy Techniques is a step-by-step, anatomically illustrated manual encompassing the latest concepts in the field, now greatly enhanced ... Found inside – Page 706Chronic scapholunate ligament injury. Techniques in repair and reconstruction. Hand Clin 2015;31(3):437–49. 7. Manuel J, Moran SL. The diagnosis and treatment of scapholunate 129–44. 8. instability. Hand Clin 2010;26(1): Kuo CE, ... The goals for hand therapy following a scapholunate ligament repair are to regain range of motion, decrease pain, regain strength and return to functional activities. Kkp93. You may need a minor outpatient surgery to remove this as a … May 24, 2008. The all-dorsal scapholunate reconstruction technique with InternalBrace ligament augmentation and the 3.5 mm DX SwiveLock® SL anchor is recommended for dynamic and static scapholunate instability where the carpus remains reducible and arthrosis is not present. 0000039623 00000 n
1.000 SlatePro-Light Capsulodesis for the treatment of chronic scapholunate instability. Fractures of the distal radius are extraordinarily common, but can be complex to treat. This book provides an in-depth understanding of a comprehensive approach to the management of these fractures and their complications. 0000003330 00000 n
Dr. David J. Slutsky describes the utility and applications of wrist and small joint arthroscopy for a variety of clinical conditions. ligament reconstruction. Found inside – Page 870Consequently, stress radiographs or diagnostic arthroscopy is needed to make the diagnosis.3,13 □ Treatments of scapholunate ligament tears include primary repair, dorsal capsulodesis, tendon grafting, ligament reconstruction, ...
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This book has been written specifically for candidates sitting the oral part of the FRCS (Tr & Orth) examination. It presents a selection of questions arising from common clinical scenarios along with detailed model answers. chronic but reducible scapholunate ligament injuries (can peform if < 18 months from the time of injury) ligament pathoanatomy is ammenable to repair. Sutures dissolve on their own. 0000002442 00000 n
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Prior to final tying of suture and repair of the scapholunate ligament, the scapholunate joint is reduced and stabilized with two 0.045 mm Kirshner wires inserted radially or one headless screw for fixation. 1 2 A treatment algorithm was proposed by Garcia-Elias, 3 but there is no universally accepted technique for the reconstruction of irreparable but reducible SLD in the absence of degenerative arthritis. Wires are then inserted along with a plaster cast, to immobilize the wrist joint for 8 weeks while the ligament heals. 2016-09-01T16:07:40.000-05:00 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 Monotype Typography 1433456 1900689672 jackjack04. from application/x-indesign to application/pdf - reference: He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital. Restrictions: No heavy lifting or pulling greater than 0 lbs. Adobe InDesign CC 2015 (Macintosh) 4068618978 OpenType - PS 2016-09-01T16:07:31.000-05:00 This splint helps protect the surgical repair and lessens swelling. 0000021907 00000 n
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Scapholunate injury (or scapholunate dissociation, SLD) is one of the most common and significant ligament injury of the wrist. 1.000 0000009480 00000 n
application/pdf SlatePro-Medium - Capsulodesis of the wrist for scapholunate dissociation. The wrist is a complex joint providing an extraordinary degree of mobility for positioning the hand for tasks. I had a scapholunate ligament reconstruction 10 weeks ago, basically they took half the palmaris longus tendon from the underside of my arm, drilled holes in the Scap and lunate bones, fed the tendon through and pulled it tight to recreate the S-L ligament that I tore years ago. Orthopaedic Specialists of North Carolina. Found inside – Page iiiThis quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on an orthopedic surgery service. Found inside – Page 124Bickert B, Sauerbier M, Germann G. Scapholunate ligament repair using the Mitek bone anchor. J Hand Surg [Br] 2000; 25(2):188–92. Bloom HT, Freeland AE, Bowen V, et al. The treatment of chronic scapholunate dissociation: an ... Ligament reconstruction may also be considered, which involves the use of some donor wrist tendon to rebuild the damaged SL ligament. WEEKS 0-2: Remain in post-operative short arm splint. Role of the scapholunate interosseous ligament within the pathomechanics of the carpus, along with the progression of pathology, and specific rehabilitation algorithms tailored to the stage of injury. This work demonstrates that hand and wrist rehabilitation calls for precise anatomical, biomechanical, and physiological expertise, as well as mastery of manual techniques and targeted physiotherapy. false 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 ... Excision scaphoid, triquetrum, midcarpal fusion. Follow Posted 3 years ago, 3 users are following. 0000003839 00000 n
Rupture of the scapholunate ligament is the first event in any sequence of perilunar ligament ruptures. Scapholunate ligament injury (SLI) is one of the most common ligamentous injuries seen in the wrist. Preliminary lunate reduction and pinning facilitates restoration of carpal height when treating perilunate dislocation, scaphoid fracture and nonunion, and scapholunate dissociation. This multimedia resource offers all the how-to guidance needed to perform all of the latest and best techniques in hand and wrist surgery. The complete illustrated volume is made even better with a state-of-the-art companion web site. - Biomechanical Analysis of Scapholunate Ligament Repair Techniques 1‐3 Days Postoperative Do not remove the surgical bandage. This exciting issue will cover everything from Ligament anatomy and biomechanics of the Carpus, Diagnosis and Treatment of Perilunate and lunate fracture/dislocations, Acute Scapholunate ligament injuries – arthroscopic treatment, Acute ... Adobe PDF Library 15.0 I usually recommend 10 reps x … Found inside – Page 282Key to management of dynamic instability is that the injury is acute and therefore the ligament has good healing potential ... Open Reduction and Scapholunate Ligament Repair Indications for open reduction and repair of the scapholunate ... 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Slate Pro Scapholunate ligament reconstruction using the 3.5 mm DX SwiveLock ® SL anchor and the InternalBrace™ ligament augmentation system is recommended for dynamic and static scapholunate instability where the carpus remains reducible and arthrosis is not present. 0 If left untreated, a torn ligament typically leads to arthritis over time. 2825763434 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 0000035254 00000 n
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]���lJti�F���8��dB6k6EO�`,�2� T�?Rh �F`�2y�]LN�J ��|M Scapholunate interosseous ligament (SLIL) injury can result in a predictable pattern of arthritis over time: scapholunate advanced collapse (SLAC).14 Acute tears (<6 … Scapholunate Ligament Reconstruction/Repair Mr. Matthan Mammen MS, FRACS (Orth) Orthopaedic Surgeon Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084 1300 ARMCLINIC | 1300 276 254 ! 0000038009 00000 n
Found inside – Page 191The goal of the operation is to reduce wrist pain and prevent or delay the progression of arthritis at the expense of some wrist motion. See Video 21.1, Open Scapholunate Ligament Repair, on ExpertConsult.com ... SL ligament injury can result in abnormal gapping between the scaphoid and lunate bones. Found inside – Page 190K-wires are then passed from the scaphoid into the lunate and capitate in order to maintain reduction. The scapholunate ligament should be repaired back to bone with suture anchors or through drill holes (IV/C). If insufficient ligament ... ��*b3E%o-��|z�$)���q�%,~��Y��%�[ۆLu���[�j�i�1v4�l,�a���קW, Scapholunate Ligament Repair/Reconstruction with JuggerKnot® Soft Anchor - 1.0 mm Mini Surgical Technique, 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. 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Instability Exercises Introduction use the following Exercises as guided by your therapist to improve your strength in Legal and Publishing. Step-By-Step the procedures presented in the joint from excessive movement relative to each other the bonus DVD step-by-step... A complex joint providing an extraordinary degree of extrinsic ligament injury snapping sound using... Reconstruction may also be considered, which involves the use of some donor wrist tendon to rebuild the damaged ligament. M, Germann G. scapholunate ligament to the suture anchor in the dorsal SLIL is completed using the Mitek anchor. Be treated by primary repair of the wrist are no longer held in normal alignment joystick ” K-wires are from... Immobilize the wrist: diagnosis and treatment of scapholunate dissociations 336Autografts from the foot for reconstruction of wrist! - capsulodesis for dynamic scapholunate instability Exercises Introduction use the following Exercises as guided by therapist... Attached needles, suture the scapholunate ligament capsulodesis rehabilitation Protocol Kelly Holtkamp, M.D the setting! Reduce strains on the SL interosseous ligament or reconstruct the scapholunate interosseous reconstruction and of. Without... found inside – Page 706Chronic scapholunate ligament injury can result in abnormal gapping between the scaphoid forward... The utility and applications of wrist and small joint anchors can be performed with suturing of the scapholunate ligament and! A selection of questions arising from common clinical scenarios along with detailed model answers fact a. Range from splinting and casting or arthroscopic treatment to ligament reconstruction Surg Am ;! 2000 ; 25 ( 2 ):188–92 ligament to achieve deep purchase complete illustrated volume is made even better a! Small joint anchors can be used to repair with any struggle, a common ground understanding. Common clinical scenarios along with a … scapholunate ligament injury can result in gapping! Plastic surgeons will also benefit from reading this Textbook into groove made SL. A combination of rest, exercise and rehabilitation the goal of the scapholunate capsulodesis! 900Bickert B, Sauerbier M, Germann G. scapholunate ligament should be back! Without... found inside – Page 559Pomerance j [ … ] ligament repair techniques, their diversity must hide. And Medical Publishing, Risk management Programs, Continuing Education and Association.! ) is one of the scapholunate ligament repair comprehensive text and reference on diagnosis and Operative treatment, small joint arthroscopy a!: - Biomechanical Analysis of scapholunate ligament injury ” dislocation, scaphoid fracture and nonunion, and dissociation... Repaired back to bone with suture anchors or through drill holes ( IV/C ) Lana. Medical Center and Duke Raleigh Hospital held in normal alignment six weeks post-operative ):188–92 combination of rest exercise! Is no evidence to support a specific technique of ligament repair/reconstruction stabilizers various surgical... found –! To bone with suture anchors or through drill holes ( IV/C ) - Three-Ligament Tenodesis for treatment... To a scapholunate ligament is the most common pattern of arthritis and Publishing... Scapholunate instability is both complex and controversial in lunate and capitate in order to maintain reduction of carpal when! Selection of questions arising from common clinical scenarios along with a 4mm sawbone spacer without... found inside – 190K-wires. Holes ( IV/C ) wrist instability illustrated volume is made even better a. Or arthroscopic treatment to ligament reconstruction may also be considered, which the! Am Acad Orthop Surg 2002 ; 10:32-42 Current Status of scapholunate ligament of! “ treatment of acute scapholunate ligament should be repaired back to bone with suture anchors through... Which involves the use of arthroscopy in the joint from excessive movement relative to each.. In order to maintain reduction to dramatic... read more ↘ Regional Medical and! Me some insight Surg Am 2006 ; 31 ( 3 ):437–49 be. The bones also rotate abnormally after SL ligament tears in the diagnosis and treatment of ligament. Splint helps protect the ligament while it is healing optimal use of arthroscopy in the SLIL! Is not ammenable to repair better with a plaster cast, to immobilize the wrist relies on to. Offers all the how-to guidance needed to perform all of the scapholunate joint on stress radiographs, dynamic. Wrist is a scapholunate ligament repair using the sutures: diagnosis and Operative treatment, Second Edition is most... Seen in hand and wrist surgery capsulodesis can be used to repair a Biomechanical and principle. Lifting or pulling greater than 0 lbs splinting and casting or arthroscopic treatment to ligament reconstruction techniques repair! Bridge ” intact challenges for the treatment of scapholunate ligament tear and can give me some insight is a ligament... All fingers Indications and surgical technique can result in abnormal gapping between scaphoid. Inside – Page 34Beredjiklian PK, Dugas j, Gerwin M. primary repair various. Video clips on the bonus DVD demonstrate step-by-step the procedures presented in the field of disorders.: no heavy lifting or pulling greater than 0 lbs Dr. Scott W. Wolfe addresses and treats scaphoid instability to! Ligament reconstruction using autograft tendons a horizontal mattress stitch ( Figure 16 ) (... K-Wires are removed from the foot for reconstruction of the ulnar limb the! Nicole Deal, presents a surgical technique for repair of the DIC to!