Long-term Results of the Treatment of Scapholunate Instability with Dynamic Extensor Carpi Radialis Brevis Tenodesis.

Unlabelled: Scapholunate dissociation is the most common form of carpal instability. This retrospective case series aimed to assess long-term results obtained by treating scapholunate instability with dynamic tenodesis using the entire extensor carpi radialis brevis tendon, which is detached from the base of the third metacarpal, rerouted in the third extensor compartment, and fixed at the distal portion of the scaphoid to maintain reduced rotatory subluxation.

Methods: Nine patients with scapholunate instability were treated.

Endoscopic Carpal Tunnel Release Without Invading the Tunnel: A New Transretinacular Technique.

Established endoscopic carpal tunnel release (ECTR) techniques carry a not entirely eludible risk of iatrogenic complications, mainly because of incomplete view of the cutting blade and intraoperative pressure increase inside the carpal tunnel (CT). We describe a novel single-portal ECTR method, conceived to reduce these risks, by optimizing visual control and avoiding dilatation of the CT. After incising the well exposed proximal third of the transverse carpal ligament (TCL), transection of the remainder is completed using a pediatric urethrotome.

Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head.

 Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature.  We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively.

Treatment of static scapholunate instability with modified Brunelli tenodesis: results over 10 years.

Purpose: To examine the long-term results of the modified Brunelli tenodesis using a strip of the flexor carpi radialis tendon as a ligament substitute to maintain reduced rotatory subluxation of the scaphoid for scapholunate instability.

Methods: Between 1995 and 1998, 10 patients with scapholunate instability underwent the modified Brunelli procedure. We reviewed 8 patients with static instability with a mean follow-up of 13.

The operative treatment of intraarticular Smith fractures.

Twenty-one intraarticular palmar displaced fractures of the distal radius operated on between 1990 and 1995 were reviewed with a mean follow-up of 27.3 months (range, 8-54). Fifteen fractures were treated with palmar T-plates, two in combination with an external fixator.

[Portal circulation following the Warren operation--computerized tomography study of portal hemodynamics 5 to 11 years following distal splenorenal anastomosis].

18 patients underwent CT-investigation with bolus injection of contrast medium 5 to 11 years after splenorenal Warren shunt. According to this investigation all patients were found to have developed hepatofugal collaterals in consequence of distal splenorenal anastomotic suction. In most cases the portal liver perfusion was maintained.