Salvage Procedures for Proximal Carpal Row Arthritidies: Proximal Row Carpectomy and Partial Wrist Fusion
| Autor: | Robert R.L. Gray |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Scapholunate advanced collapse business.industry medicine.medical_treatment Arthritis 030229 sport sciences Scapholunate ligament Wrist medicine.disease Degenerative change Arthroplasty Proximal row carpectomy Surgery body regions Lunate 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Orthopedics and Sports Medicine business |
| Zdroj: | Operative Techniques in Orthopaedics. 30:100829 |
| ISSN: | 1048-6666 |
| Popis: | Derangements of the proximal carpal row are a common cause of wrist arthritis. The two most common types, Scaphoid Non-Union Advanced Collapse (SNAC) and Scapholunate Advanced Collapse (SLAC) induce flexion of the distal half of the scaphoid either through a fracture or through an incompetent scapholunate ligament. This, in turn leads to arthritis between the scaphoid and the radial styloid. As a secondary consequence, the lunate goes into extension and creates degenerative change between it and the capitate. At this point, there are salvage treatment strategies short of total wrist arthrodesis or arthroplasty that can provide the patient with excellent long-term functional outcomes. |
| Databáze: | OpenAIRE |
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