Executive Editor: Chris Colton

Authors: Matej Kastelec, Renato Fricker, Fiesky Nuñez, Terry Axelrod

Carpus

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Glossary

Scaphoid, waist

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Non displaced waist or distal pole fracture Basic surgical experience, no specialized skills Basic equipment only
Percutaneous screw fixation Undisplaced waist or distal pole fracture, patient request to avoid prolonged cast treatment Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Screw and K-wires fixation Displaced (> 1mm) mid-waist or distal pole fractures, proximal pole fractures, and fractures associated with perilunate injuries Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Scaphoid, proximal pole

Please select a treatment option:
Treatment Main indication Skill Equipment
Prograde screw fixation Virtually all proximal pole scaphoid fractures Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Perilunate, dissociation

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF of Lunotriquetral dissociation Acute LT ligament rupture in a higher demand active individual Some specialized surgical experience Simple surgical and imaging resources
Ligament repair of scapholunate dissociations Acute SL ligament rupture in a higher demand active individual Some specialized surgical experience Simple surgical and imaging resources

Lunate, dislocation

Please select a treatment option:
Treatment Main indication Skill Equipment
Open reduction, internal fixation (ORIF) Presence of a lunate dislocation Highly experienced and skilled surgeon Simple surgical and imaging resources

Perilunate, fracture

Please select a treatment option:
Treatment Main indication Skill Equipment
Open reduction, internal fixation (ORIF) Trans scaphoid perilunate fracture dislocation Highly experienced and skilled surgeon Simple surgical and imaging resources

Special considerations

Principles of management of open fractures
Complications
Infection
Compartment syndrome
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2008-11-08