Surgical management of hand, wrist and elbow injuries
Surgical management of hand, wrist and elbow injuries6th
Singapore Sports Imaging Seminar - Imaging of Hand, Wrist and Elbow
injuries 25 February 2017Mr Vaikunthan RajaratnamSenior Consultant
Hand SurgeonMBBS(Mal),AM(Mal),FRCS(Ed),FRCS(Glasg),FICS(USA),Dip
Hand Surgery(Eur), Dip MedEd(Dundee), MIDT Dist. (OUM), MBA(USA),
FHEA(UK), FFST(Ed)[email protected]
Learning PointsMost P3 fractures uniteORIF are possible with
good resultsCan be done under LAGood exposure with J incision under
the lateral nail fold
9
10
11
LeddyPacker TypeIII
Complex intra articular fractures
13
Results
14
Buttress plating for dorsal unstable fracture-dislocations of
the proximal interphalangeal joint Talvinder Singh, Ayaz Lakdawala,
Dominic Power, Vaikunthan Rajaratnam, Michael Craigen
Buttress Plating using Cage Plate: Technique
Conclusion
Allows small fragments to be buttressed and held reduced.
Joint congruity can be maintained.
Early active and passive mobilisation can be achieved.
Can be applied to almost all types of dorsal fracture
dislocations.
Range of motion same or better than most other techniques.
PIPJ Arthroplasty
Percutaneous
Open & graft
31
Collateral Ligament Repair
35
36
09/02/2017, 09:45 - Messages you send to this chat and calls are
now secured with end-to-end encryption. Tap for more
info.09/02/2017, 09:45 - Suresh: Paid advance to Paul Koh for
Interior Deco! 17/02/2017, 10:23 - Suresh: Skiing was good, I was
trying to do a ski jump,17/02/2017, 10:23 - Suresh:
IMG-20170217-WA0003.jpg (file attached)17/02/2017, 10:24 - Suresh:
Left mcpj painful, what to do?17/02/2017, 10:24 - vaikunthan: Come
Down to dsot17/02/2017, 10:24 - vaikunthan: Game keepers
thumb17/02/2017, 10:24 - Suresh: Still in Japan17/02/2017, 10:25 -
vaikunthan: Ok when you back17/02/2017, 10:25 - Suresh: Arriving
Sunday17/02/2017, 10:25 - vaikunthan: Monday in dsot17/02/2017,
10:25 - Suresh: Okay 17/02/2017, 10:25 - Suresh: Thanks20/02/2017,
09:10 - Suresh: S7087991C20/02/2017, 09:47 - Suresh:
IMG-20170220-WA0003.jpg (file attached)20/02/2017, 09:48 -
vaikunthan: Avulsion fracture20/02/2017, 09:48 - vaikunthan:
Surgery bro20/02/2017, 15:43 - vaikunthan: IMG-20170220-WA0018.jpg
(file attached)Instability under ga20/02/2017, 15:44 - vaikunthan:
IMG-20170220-WA0019.jpg (file attached)UCL avulsed from proximal
phalanx20/02/2017, 15:46 - vaikunthan: IMG-20170220-WA0020.jpg
(file attached)Bone anchor with sutures in proximal
phalanx20/02/2017, 15:47 - vaikunthan: IMG-20170220-WA0021.jpg
(file attached)Sutures tied over UCL20/02/2017, 15:48 - vaikunthan:
IMG-20170220-WA0022.jpg (file attached)Stability post repair under
stress20/02/2017, 18:22 - Suresh: Thanks Boss20/02/2017, 18:22 -
Suresh: You are the best20/02/2017, 18:22 - vaikunthan: How you
feeling20/02/2017, 18:26 - Suresh: Okay20/02/2017, 18:37 - Suresh:
Almost no pain now 20/02/2017, 18:37 - vaikunthan: Great
anesthetics21/02/2017, 13:03 - Suresh:
https://youtu.be/na1V6FrwHOM23/02/2017, 19:22 - Suresh:
IMG-20170223-WA0021.jpg (file attached)23/02/2017, 20:05 -
vaikunthan: This may be why Teachers retire early or turn to
drinking: the following questions were in a (UK) GED (grade 12
equivalent) examination (they are genuine answers):
Q. What is a turbine?A. Something an Arab or Sheik wears on his
head. Once an Arab boy reaches puberty, he removes his diaper and
wraps it around his head.
Q. How is dew formed?A. The sun shines down on the leaves and
makes them perspire.
Q. In a democratic society, how important are elections?A. Very
important. Sex can only happen when a male gets an election.
Q. What are steroids?A. Things for keeping carpets still on the
stairs.
Q. What happens to your body as you age?A. When you get old, so
do your bowels and you get intercontinental.
Q. What happens to a boy when he reaches puberty?A. He says
goodbye to his boyhood and looks forward to his adultery. I am
Q. Name a major disease associated with cigarettes.A. Premature
death.
Q. What is artificial insemination?A. When the farmer does it to
the bull instead of the cow.
Q. How can you delay milk turning sour?A. Keep it in the cow
Q. How are the main 20 parts of the body categorized (e.g. the
abdomen)?A. The body is consisted into 3 parts - the brainium, the
borax and the abdominal cavity. The brainium contains the brain,
the borax contains the heart and lungs and the abdominal cavity
contains the 5 bowels... A,E,I,O,U
Q. What is the fibula?A. A small lie.
Q. What does 'varicose' mean?A. Nearby.
Q. What is the most common form of birth control?A. Most people
prevent contraception by wearing a condominium
Q. Give the meaning of the term 'Caesarean section.'A. The
caesarean section is a district in Rome.
Q. What is a seizure?A. A Roman Emperor (Julius Seizure, I came,
I saw, I conked out.)
Q. What is a terminal illness?A. When you are sick at the
airport
Q. Name the four seasons?A. Salt, pepper, mustard and
vinegar.
AND THEY CAN VOTE NOW? 23/02/2017, 20:08 - Suresh: 23/02/2017,
21:35 - vaikunthan: An old Italian Mafia Don is dying and he called
his grandson to his bed
"Grandson I wanta you to listen to me. I wanta you to take mya
45 automatic pistol, so you will always remember me."
"But grandpa I really don't like guns, how about you leaving me
your Rolex watch instead", answered the grandson
"You lisina to me, some day you goin a be runna da bussiness,
you goina have a beautiful wife, lotsa money, a biga home and maybe
a couple odd bambino, some day you goina come hom and maybe finda
you wife in bed with another man. Whata you gonna do then?"
Pointa to you watch and say, "TIMES UP"?23/02/2017, 22:27 -
Suresh: