By Hisao Moritomo M.D., Ph.D., Toshiyuki Kataoka M.D. (auth.), Francisco del Piñal (eds.)

ISBN-10: 3642305431

ISBN-13: 9783642305436

ISBN-10: 364230544X

ISBN-13: 9783642305443

Compared with conventional surgeries, wrist arthroscopy reduces the danger to sufferers and accelerates restoration. however, in lots of methods wrist arthroscopy continues to be in its infancy, and its symptoms proceed to adapt. This booklet is dedicated to the optimum use of arthroscopy within the prognosis and therapy of wrist pathologies that provide upward thrust to ulnar ache. the proper method in a large choice of settings is thoroughly defined in step by step type with the aid of various designated illustrations. specific care is taken to hide the entire very important technical concerns. The authors are with out exception the world over stated specialists who draw on their significant adventure to supply readers with sound suggestions at the acceptable use of arthroscopy for every indication.

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Extra resources for Arthroscopic Management of Ulnar Pain

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11). Abnormal translation Fig. 11 Illustration of the abnormal motion of the radius with respect to the ulna. When the TFCC is ruptured at the fovea, abnormal clunk-like motion of the radius appears mostly in the neutral position and further abnormal translation in pronation during dynamic pronosupination motion. Arrows indicate clunk-like motion and abnormal translation Precise mechanism of DRUJ instability has not been revealed yet. , PQ and ECU [9]. Avulsion of the ulnar insertion (origin) of the RUL may be necessary for DRUJ instability ([3, 4, 10, 13, 18].

2. With the wrist slightly flexed, the exploring finger is displaced distally between the fourth and fifth extensor compartments. A soft spot may be identified. Deep in that area, the proximal ulnar corner of the lunate can be found. If painful, a localized chondral defect, an ulnocarpal impaction syndrome, or a Kienböck’s disease may be suspected. 3. Next step consists of assessing the dorsal surface of the ulnar head. In pronation, about two thirds of the articular surface is accessible to palpation.

While the patient’s hand is resting flat on the exploration table in pronation, the explorer exerts pressure onto the prominent ulnar head, aiming at reducing the dorsally subluxed ulna (Fig. 3). Most often, the joint is passively reduced, but springs back to the start position as soon as the pressure is released [3]. ” The examiner uses both hands, one stabilizing the ulna and another mobilizing back and forth the radius [27, 31] (Fig. 4a, b). The test must be performed in various positions of forearm rotation.

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Arthroscopic Management of Ulnar Pain by Hisao Moritomo M.D., Ph.D., Toshiyuki Kataoka M.D. (auth.), Francisco del Piñal (eds.)


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