Scapholunate pathologies disrupt the normal kinematics of the wrist. Common causes of pain and dysfunction include ganglion cysts and scapholunate ligament injuries, which can progress to scapholunate advanced collapse (SLAC).
Scapholunate advanced collapse, or SLAC wrist, is a debilitating complication of a scapholunate injury that results in progressive osteoarthritic changes in response to abnormal kinematics of the wrist. For this advanced pathology, salvage procedures like proximal-row carpectomy and four-corner fusion...
The triangular fibrocartilage complex (TFCC) is a conglomerate of soft-tissue structures on the ulnar side of the wrist that plays a significant biomechanical role in wrist mobility and stabilization. The severity and chronicity of TFCC injuries will help determine the...
Walter R. Lowe, MD (Houston, TX), demonstrates quadriceps tendon graft preparation using FiberTag® TightRope® II implants for an autograft ACL reconstruction using the InternalBrace™ technique. The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the...
When focal cartilage defects of the hip arise, cartilage-preserving techniques are paramount to prevent progression to osteoarthritis. Surgical interventions include the use of autografts, allografts, and biologic treatments.
The femoral head is the most common site for avascular necrosis (AVN), which can lead to subchondral bone loss and joint dysfunction from vascular compromise. Joint-preserving treatment options are available, but early diagnosis is essential to take this route.
True internal snapping hip syndrome, or coxa saltans interna, is rare. The ability to correctly identify this pathology is key for determining an appropriate treatment plan and surgical management, if needed.
Trochanteric bursitis, coxa saltans externa, and abductor tendinopathy and tears are grouped together and identified as greater trochanteric pain syndrome. A thorough history and physical examination are essential for an accurate diagnosis to help differentiate these lateral hip conditions from...
Because they are intracapsular, femoral neck fractures present an increased risk of nonunion and avascular necrosis and require proper surgical stabilization. Open reduction internal fixation and hip arthroplasty are viable treatment options for this common fracture type.
Occurring between the greater and lesser trochanters, intertrochanteric fractures are common following falls in older populations. Intertrochanteric nails are commonly used to stabilize this fracture pattern.
Most hamstring tears occur proximally. Whether a proximal hamstring tear occurs in the muscle belly or musculotendinous junction or is classified as an avulsion tear will help guide whether conservative or surgical treatment is indicated.
Occurring within the 5 cm of femoral shaft distal to the lesser trochanter, subtrochanteric fractures can result from either low-energy or high-energy trauma. Intramedullary nails are commonly used to stabilize this fracture pattern.
More common in those under 40 years old, patellar tendon ruptures often require prompt surgical management to restore function. Transosseous tunnels or suture anchors are standard methods of fixation, with additional options for autograft or allograft augmentation.
James M. Paci, MD (Long Island, NY), demonstrates a midsubstance patella tendon repair using the InternalBrace™ ligament augmentation procedure. The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and...
One of the most common fracture types, distal radius fractures are often associated with concomitant hand and wrist injuries, frequently following a fall onto an outstretched hand. Successful outcomes depend on radiographic indications for conservative treatment or surgical intervention.
Fractures can affect many of the bones that make up the hand and wrist, including the radius, metacarpals, and phalanges. Varied techniques and implants are available for operative fixation.
