Arthroscopic Management of Distal Radius Fractures

Seeing is believing. This is the title of a new campaign promoted by the International Agency for Prevention of Blindness to raise funds to help tackle avoidable loss of sight in poorly developed countries, truly an admirable initiative. This book could have used a similar leitmotiv: if you see what happens inside of a joint, you will be able to believe in your patient’s symptoms. But it would not be right. Arthroscopy is not out there just to make a diagnosis; it was not developed just to certify that the patient’s complaints are based on something physical. Arthroscopy was introduced to help patients, to make our treatments more reliable, to have better control of our p- cedures. It is merely a tool, indeed, but a marvelous one which nobody should und- score among all surgical options we have when it comes to solving wrist trauma. Seeing is understanding. This could be another leitmotiv for these authors’ c- paign to get more hand surgeons to incorporate arthroscopy in their practices. Certainly, mastering these newly developed techniques help understanding the patient’s problems. But again, that statement would also be misleading for not always what we see through the scope is the real cause of dysfunction. The enemy may be outside of the capsular enclosure. Indeed, arthroscopy provides lots of useful inf- mation, but the surgeon need not accept biased interpretations of the patient’s pr- lem based only on what appears on the screen.

Instructively illustrated with line drawings, X-rays, and clinical photos, this practical guide to treating wrist fractures describes state-of-the-art general and arthroscopic techniques. It includes chapters for beginners and step-by-step instructions.

Seeing is believing. This is the title of a new campaign promoted by the International Agency for Prevention of Blindness to raise funds to help tackle avoidable loss of sight in poorly developed countries, truly an admirable initiative. This book could have used a similar leitmotiv: if you see what happens inside of a joint, you will be able to believe in your patient’s symptoms. But it would not be right. Arthroscopy is not out there just to make a diagnosis; it was not developed just to certify that the patient’s complaints are based on something physical. Arthroscopy was introduced to help patients, to make our treatments more reliable, to have better control of our p- cedures. It is merely a tool, indeed, but a marvelous one which nobody should und- score among all surgical options we have when it comes to solving wrist trauma. Seeing is understanding. This could be another leitmotiv for these authors’ c- paign to get more hand surgeons to incorporate arthroscopy in their practices. Certainly, mastering these newly developed techniques help understanding the patient’s problems. But again, that statement would also be misleading for not always what we see through the scope is the real cause of dysfunction. The enemy may be outside of the capsular enclosure. Indeed, arthroscopy provides lots of useful inf- mation, but the surgeon need not accept biased interpretations of the patient’s pr- lem based only on what appears on the screen.

Pre-Operative Assessment in Distal Radius Fractures.- Portals and Methodology.- Management of Simple Articular Fractures.- Treatment of Explosion-Type Distal Radius Fractures.- Management of Distal Radius Fracture-Associated TFCC Lesions Without DRUJ Instability.- Arthroscopic Management of DRUJ Instability Following TFCC Ulnar Tears.- Radial Side Tear of the Triangular Fibrocartilage Complex.- Arthroscopic Management of Scapholunate Dissociation.- Lunotriquetral and Extrinsic Ligaments Lesions Associated with Distal Radius Fractures.- Management of Concomitant Scaphoid Fractures.- Perilunate Dislocations and Fracture Dislocations/Radiocarpal Dislocations and Fracture Dislocations.- The Role of Arthroscopy in Postfracture Stiffness.- Treatment of the Associated Ulnar-Sided Problems.- Arthroscopic-Assisted Osteotomy for Intraarticular Malunion of the Distal Radius.- The Role of Arthroscopic Arthrodesis and Minimal Invasive Surgery in the Salvage of the Arthritic Wrist: Midcarpal Joint.- Arthroscopic Radiocarpal Fusion for Post-Traumatic Radiocarpal Arthrosis.