Carpal Instability-Annual Meeting 2016 Instructional Course: Management Options for Perilunate Injuries

Annual Meeting 2016 Instructional Course: Management Options for Perilunate Injuries

Video Transcription

Video Summary

The speaker discusses various approaches and treatment options for wrist injuries, specifically focusing on perilunate and trans-scaphoid injuries. They mention that nonoperative treatment for these injuries often leads to poor outcomes and is no longer recommended. They reference a classic paper from 1993 by Guillaume that highlights the high rate of missed injuries. The speaker shares their own experience with treating these injuries, including the use of pins and screws to maintain alignment, and the importance of early motion for better outcomes. They also discuss the use of arthroscopic procedures and percutaneous techniques in certain cases. The speaker mentions some ongoing research and emerging techniques, including percutaneous screw fixation and percutaneous bone grafting. They conclude by discussing immediate salvage procedures and the challenges involved in treating severe wrist injuries. No credits were provided in the transcript.

Keywords

wrist injuries

treatment options

perilunate injuries

trans-scaphoid injuries

early motion