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Thumb CMC Arthritis: Fellowship Virtual Debate Series

Drs Buterbaugh, Putnam, Fitzpartick, and Stepan debate the merits of LRTI, Suture button suspension arthroplasty, Suture suspension arthroplasty with or without an implant, and arthrodesis for management of thumb CMC arthritis
Links
https://bit.ly/ASSH_Hande
Date
07/09/2020
Jurisdiction
USA

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Proximal Interphalangeal (PIP) Joint Implant Arthroplasty Using a Volar Approach

Proximal interphalangeal (PIP) joint arthroplasty can provide pain-free and functional restoration to the mobility and stability of the joint. In cases with less than 30 degrees of deviation in the coronal plane, silicone implant interposition arthroplasty canbe used. While a dorsal approach is used most frequently, post-operative immobilization of varying amounts of time are required to allow for healing of the extensor mechanism. Although technically more demanding, the volar approach allows for immediate post-operative rehabilitation. In this case, a 65-year-old patient presented with painful osteoarthritis of the PIP joint of the right index finger, resulting in weakness of pinch and loss of motion. She has had a previous DIP arthrodesis. Plain radiographs revealed coronal deformity without sagittal malalignment, and 10-55 degrees of passive motion. A volar approach was recommended. This video describes the successful reconstruction of the index PIP joint using silicone implant arthroplasty from a volar approach.
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Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

In this video, a reverse shoulder arthroplasty on a 70 year-old patient with an upper-left proximal humerus fracture is discussed and visually explained
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Physical Examination of the Wrist

Dr. Kleinman provides a comprehensive review of how to examine the wrist and the specific diagnosis that can be made with a good clinical exam.
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Finger Extensor Tendon Mechanism: Anatomy and Pathology

This video describes the anatomy and pathology of the extensor tendon mechanism in fingers and the role of the extrinsic and intrinsic tendon systems
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Dorsal Capsular-based Vascularized Distal Radius Graft for Advanced Kienböck's Disease

In this video, a vascularized distal radius bone graft and spanning plate for the management of Kienbock's disease is visually explained and discussed.
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