During my 40 years of involvement with hand surgery, I have witnessed the following major breakthroughs:-Tendon surgery and tendon program-Development of artificial finger joints-Microsurgery-Various fixation systems for fractures-Wrist arthroscopy Certain breakthroughs are appearing in the horizon:-3-D printing-Tissue engineering-Genetic engineering-Intra-uterine surgery At organizational leve...

Lunotriquetral injury is an important consideration in the evaluation of ulnarsided wrist pain. An understanding of the anatomy, kinematics, and pathomechanics of this injury assists in elucidating the diagnosis through history and physical examination. The use of appropriate radiographic imaging may provide additional support for the diagnosis. Arthroscopy has emerged as not only the gold stan...

Carpal malalignments in malunion of distal radius fracture are considered as an adaptive response of the carpus to loss of normal architecture of the distal radius. This condition leads to mechanical overload, ligament attenuation and progressive dynamic instability around the wrist joint. Radial corrective osteotomy is suggested as a treatment option of carpal malalignment after distal radius ...

infraclavicular nerve block versus general anesthesia for hand and wrist day-case surgeries. Anesthesiology 2004; 101(1): 127–132. 3. Hadzic A, Williams BA, Karaca PE et al. For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia. Anesthesiology 2005; 102(5): 1001–1007. 4. Williams BA, Kentor ML, Vogt MT et al. Economics of nerve b...

In this publication we describe three techniques for endoscopic carpal tunnel release which use the palmar portal approach and the superficial plane to enable a view from above the transverse carpal ligament. These techniques prevent any iatrogenic compression of the median nerve inside the already narrow tunnel. Although the necessary instruments are inexpensive and recommended in instrumentat...

Injuries to the scapholunate complex present the surgeon with both diagnostic and treatment dilemmas. The anatomic features, biomechanical properties, radiographic appearance, and surgical treatment algorithms of this small but structurally and kinematically important joint continue to be refined. A thorough history and physical examination, combined with a radiographic evaluation that can incl...

Malunion of distal radius fracture is often complicated with shortening of the radius with disturbed radio- ulnar variance, frequently associated with lesions of triangular fibrocartilage complex and instability of the distal radioulnar joint. Positive ulnar variance may result in wrist pain located in ulnar part of the joint, limited ulnar deviation and forearm rotation with development of deg...

15 Introduction 16 The application of radiofrequency energy (RFE) has become widespread for 17 surgical performed chondroplasty especially due to the estimated sealing 18 effect. But safety for procedures in the wrist remains obscure. The purpose of 19 this study was to investigate the subchondral temperature during 20 radiofrequency energy (RFE) application simulating chondroplasty in an 21 ar...