Tips and Tricks for Problem Fractures

Preface
Contents
Abbreviations
Contributors
Chapter 1: Clavicle Fracture: Open Reduction Internal Fixation
	Introduction
	Equipment
	Positioning
	Approach
	Reduction Techniques
	Implant Choice
	Plate Placement
	Closure
	References
Chapter 2: Acromioclavicular and Sternoclavicular Joint Injuries
	Sternoclavicular Injuries
		Statistics and Introduction
		Anatomy
		Imaging
		Classification
		Options
			Anterior Sternoclavicular Dislocation
			Posterior Sternoclavicular Dislocation
		Preferred Surgical Technique
			Patient Positioning
		Closed Reduction
		Approach
		Procedure
		Post-operatively
		Pearls and Pitfalls
	Acromioclavicular Injuries
		Statistics and Introduction
		Anatomy
		Imaging
		Classification [30]
		Options [31]
		Patient Positioning
		Open Approach
		Fixation
		Tips and Tricks
	References
Chapter 3: Proximal Humerus Fractures
	Introduction
	Authors’ Preferred Approach: General Principles and Case Examples
		Case 1: Avoiding Varus
		Case 2: Avoiding Impingement
		Case 3: Supplemental Fixation
	Summary
	References
Chapter 4: Humeral Shaft Fractures
	Case 1. Non-operative Treatment
	Case 2. Plate Fixation of Comminuted Fracture with Associated Nerve Injuries, Anterolateral Approach
	Case 3. Plate Fixation of a Distal Humeral Shaft Comminuted Fracture with Radial Nerve Injury, Posterior Approach
	Cases 4 and 5. Management of Polytrauma Patients
	References
Chapter 5: Distal Humerus Fractures
	Case Presentation
	Additional Imaging
	Preoperative Planning
	Patient Positioning
	Intraoperative Imaging
	Implant Choices
		Non-anatomic Plates
		Pre-contoured Periarticular Locking Plates
		Mini-fragment Plates
	Operative Treatment
		Surgical Approach
		Post-operative Protocol and Follow-Up
	Outcomes
	Summary
	References
Chapter 6: Olecranon Fractures
	Preoperative Imaging
	Planning
	Patient Positioning
	Surgical Approach
		Skin Incision
		Simple Fracture Pattern (Transverse or Short Oblique)
		Complex Fracture Patterns and Fracture Dislocations
			Initial Fixation Through the Fracture
			Assessing Reduction
			Plate Contouring
			Triceps Incision
			Plate Seating
			Suturing the Triceps
			Wound Closure and Dressing
			Postoperative Care
	Outcomes
	References
Chapter 7: Radial Head Fractures
	References
Chapter 8: Monteggia and Monteggia Variant Fractures
	Introduction
	Classification
	Diagnosis
	Preoperative Planning
		Patient Positioning
	Surgical Approach
	Surgical Principles
		Joint Reconstruction Without Remaining Steps and Gaps in the Articular Surface
		Restoration of the Anatomical Axis of the Proximal Ulna and the Radius
		Stability of the Osteosynthesis
		Stability of the Joint
	Rehabilitation
	References
Chapter 9: Fractures of the Distal Radius
	Case Presentation
	Preoperative Planning
	Operative Treatment
	Postoperative Protocol
	Complications
	References
Chapter 10: Scaphoid Fractures
	Illustrative Cases
	Diagnostic Evaluation
		Plain Radiographs
		MRI
		CT Scan
	Treatment
		Non-displaced Distal Third/Waist Fractures
		Displaced Scaphoid Waist/Proximal Pole Fractures
		Surgical Technique: Volar Approach
	Bone Graft
	References
Chapter 11: Lunate and Perilunate Dislocations: Tips and Tricks for Problem Fractures
	Background
	Diagnosis
	Classification
	Closed Management
		Closed Reduction
		Reduction Maneuver
		Splinting
	Surgical Management
		Surgical Indications
		Approaches to the Wrist
		Management of Chronic Perilunar Injuries
	Complications and Outcomes
	References
Chapter 12: Metacarpal Fractures: Tips and Tricks
	Case 1: Closed Reduction Percutaneous Pinning
		History
		Indications
		Description of Operation
		Post-Operative Course
	Case 2: Intramedullary Pin Fixation
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 3: Low Profile Plate Fixation
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 4: Lag Screw/Plate Fixation
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 5: Retrograde Headless Compression Screw Fixation
		History
		Indications
		Description of Operation
		Post-operative Course
	References
Chapter 13: Phalanx Fractures: Tips and Tricks
	Case 1
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 2
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 3
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 4
		History
		Indications
		Description of Operation
		Post-operative Course
	Case 5
		History
		Indications
		Description of Operation
		Post-operative Course
	References
Index