Skeletal Trauma of the Upper Extremity

From the sternoclavicular joint to the distal phalanx, Skeletal Trauma of the Upper Extremity is a practical, one-volume resource covering all aspects of upper limb trauma and surgery. Comprehensive in scope, it features a multidisciplinary, step-by-step approach to evaluation and management, including concise background information and a detailed focus on practical points and surgical techniques. Written by global experts in traumatology, sports medicine, and shoulder, elbow, and hand surgery, this richly illustrated guide brings you into the operating room with leaders in the field.

Table of Contents:

Prelims

Introduction

Section 1

Clavicle

Sternoclavicular Joint Dislocations

Technique: Allograft stabilization

Tech: Allograft docking technique

Medial Clavicle Fractures

Tech: Medial Hook Plate

Midshaft Clavicle Fractures

Tech: ORIF with plate

Tech: ORIF with IMN

Lateral Clavicle Fractures

Tech: Hook Plate

Tech: ORIF with CC "tightrope"

AC joint Instability

Tech: ORIF with CC "tightrope"

Tech: Anatomic ligament recon

Section 2

Scapula

Scapula Body

Tech: ORIF scapula

Floating Shoulder, Acromion, and Coracoid: The SSSC

Scapulothoracic Dissociation

Section 3

Glenohumeral joint instability

Anterior Instability Evaluation and Decision Making

Tech: Arthroscopic labral repair

Tech: Arthroscopic Remplissage

Tech: Arthroscopic Latarjet

Posterior instability

Tech: Open reduction and bone grafting of reverse hill sachs

Section 4

Proximal Humerus

Treatment Algorithm for Proximal humerus fractures

Tech: Nonoperative rehab

Tech: ORIF with plate/screws

Tech: ORIF with IMN

Tech: RSA for fracture

Tech: Endosteal allograft for complex reconstruction

Section 5

Humeral Shaft

Humeral Shaft fractures

Tech: Non-op treatment with functional bracing

Tech: Posterior approaches

Tech: Anterolateral Approach

Section 6

Distal Humerus

Adult Distal humerus fractures

Tech: Principle Based Internal Fixation of Distal Humerus Fractures

Tech: TEA for distal humerus fracture

Section 7

Elbow

Traumatic elbow ligamentous injury (incl PMRI and PLRI)

Tech: LUCL repair

Tech: LUCL recon

Tech: UCL recon

Isolated Radial Head/neck Fractures

Tech: ORIF radial head and neck-- Techniques for exposure, avoiding the PIN. Fixation options for head fractures. Plate options and approach options for neck fractures

Tech: Radial Head Arthroplasty

Coronoid fractures and The Terrible Triad: An Algorithm for Successful Management

Tech: Terrible triad

Tech: ORIF medial coronoid fracture

Tech: Approach to chronic elbow instability

Proximal Ulna fractures and fracture-dislocations (monteggia)

Tech: ORIF Comminuted Olecranon fracture--Dual plating and triceps off-loading

Tech: ORIF with intramedullary fixation

Tech: ORIF trans-olecranon fracture/dislocation—Pattern recognition and fixation options

Tech: ORIF Monteggia

Section 8

Forearm and Wrist

Essex-Lopresti—When do all three levels require attention?

Tech: Interosseous Ligament Reconstruction

Radial and Ulnar Shaft Fractures: Choice of approach, Nails vs Plates, Compression tips and tricks

Tech: ORIF both bones forearm fracture approaches

Distal Radius fractures

Tech: ORIF inta-articular distal radius fracture

Tech: Bridge plating

Tech: Application of wrist external fixator for distal radius/carpal injuries

Distal Radioulnar joint Instability and Galeazzi Fractures

Tech: ORIF Galeazzi

Galeazzi Fractures

Tech: Tips and tricks for predicting which will be unstable; repair options for the DRUJ/TFCC after radial fixation

Distal Radius Fractures

Tech: Volar plate, dorsal plate, spanning plates, fragment specific options

Radiocarpal Dislocations

Dumontier type 1 vs type 2; when and how to fix the radial styloid fragment; neutralization device options

Section 9

Hand and Digits

Scaphoid Fractures

Tech: Volar vs. Dorsal, Open vs. percutaneous; Bone graft options

Perilunate and Lunate Dislocations

Tech: Lesser vs. Greater arc injuries; volar vs. dorsal approach – when and how; fixation options for intercarpal stabilization

Metacarpal Fractures

Tech: Pins vs. plates vs. intramedullary devices – when and how

Metacarpophalangeal Joint Dislocations

Tech: Volar vs. dorsal approaches

Phalanx Fractures

Tech: Pins vs. screws vs. plates – when and how

Proximal Interphalangeal Joint Dislocations

Tech: ORIF (seattle seat belt) vs. extension block pinning vs. dynamic external fixation

Index

Grant E. Garrigues , MD, Associate Professor of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Director of Upper Extremity Research, Co-Team Physician, Chicago White Sox and Chicago Bulls; Marc J. Richard, MD, Associate Professor, Director, Hand, Upper Extremity & Microvascular Surgery Fellowship, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina and Mark J. Gage, MD, Assistant Professor, Director of Orthopaedic Trauma, Duke University Hospital, Department of Orthopaedic Surgery, Duke University, Durham, North Carolina