Download e-book for iPad: Fracture-Dislocations of the Wrist by Emmanuel Apergis

By Emmanuel Apergis

According to studies within the literature, regardless of the critical disruption of carpal anatomy, fracture-dislocations of the wrist are overlooked on scientific and radiographic exam in a excessive percent of circumstances. Orthopedic surgeons’ loss of familiarity with those accidents is likely one of the components contributing to failed or not on time analysis.

This richly illustrated e-book covers all kinds of wrist dislocation and fracture-dislocation. specified info is supplied on anatomy and biomechanics, whereas terminology and type of accidents are defined. cures are completely analysed, with exact emphasis on surgery, that's provided step-by-step. the entire figures – radiological and surgical – relate to sufferers taken care of by way of the writer himself. lots of the instances are from the pink move sanatorium of Athens that admits many sufferers with such accidents, partially via referral from different centres end result of the author’s stated services within the box. This quantity, with its hugely informative and up to date chapters and studies, and a wealth of colour figures, may be of significant useful worth for clinicians and citizens in orthopedic surgical procedure, who support them in day-by-day choice making.

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Sample text

Lunotriquetral interosseous ligament (LTI ligament) The LT ligament is divided histologically into three regions, in a manner similar to the SL ligament (Figs. 18). The dorsal and palmar regions are composed of true ligaments, with collagen fascicles, perifascicular spaces, small blood vessels, and nerves. The proximal region is composed of avascular fibrocartilage [4]. 1 Ligaments of the Wrist and their Functional Significance Fig. 19 The proximal articular surfaces of the distal carpal row. Arrows indicates the volar interosseous ligaments of the distal carpal row.

The radial artery forms the lateral border and the ulnar artery forms the medial border of this system. The anterior interosseous artery has a palmar and dorsal division that form at the proximal border of the pronator quadrates. The dorsal division extends distally on the interosseous membrane to the carpus, where it joins the 33 dorsal carpal arch that provides vascular supply to the proximal carpal row. The palmar division continues deep into the pronator quadrates and bifurcates into branches that communicate with the palmar radiocarpal arch supplying the lunate and the triquetrum, and finally enters the RSL ligament [139].

It supplies the distal radial metaphysic, as well as the lunate and the triquetrum from the dorsum. The basal metacarpal arch was often tenuous and was present in only 27 % of the specimens. On the palmar surface, both the palmar radiocarpal arch and the deep palmar arch were present in 100 % of all specimens while the intercarpal arch was present in only 53 %. 3 Vascularity of the Wrist Fig. 35 Schematic drawing of the volar arterial network. With permission from [157] palmar radiocarpal arch provides the major blood supply both to the lunate and to the triquetrum from the palmar surface.

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