By Philippe Saffar
Classification of the carpal accidents is helping us to appreciate the connection among them. The turning out to be curiosity during this box has been complex through contemporary imaging strategies. healing suggestion and remedy are nonetheless now not thoroughly outlined, even via the main popular experts. there's nonetheless room for brand spanking new concepts.
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Additional info for Carpal injuries: Anatomy, radiology, current treatment
Arthrogram showing scapholunate passage of contrast derably overlaps the inner end of the radius. There is proximal displacement of the capitate, which tends to insinuate itself between the scaphoid and lunate to approach the lower end of the radius, this displacement facilitated by all movements in compression of the wrist. The capitate no longer encounters any resistance and pro- gressively separates the scaphoid and lunate. The height of the carpus is decreased. Compression films increase the gap.
78. Anterior approach Fig. 79. Pinning after reduction of all lesions Fig. 80. Scapholunate and scaphocapitate pinning called for if there is considerable comminution with anterior wedging of the scaphoid. The approach may have to be more extensive if there is an irreducible transscaphoid-perilunate dislocation. Such a case may be approached by a dorsal approach. The scaphoid is clearly visible and can be exactly reduced and pinned by this route after reduction of the dislocation (Fig. 79). Pure retrolunate dislocations.
38 a-c) This may be done using transverse sections, which allow assessment of bony relationships and their texture. Coronal sections are also important. Sections in the axis of the thumb have afforded important progress in the diagnosis of pseudarthrosis of the scaphoid or its postoperative fusion. There is good resolution of bony density. Three-dimensional reconstruction This is a technique for the future requiring a very elaborate program, but one which will eventually prove by far the most useful method of visualizing the carpus.
Carpal injuries: Anatomy, radiology, current treatment by Philippe Saffar