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Sample text

11B). If exposure of the midcarpal joint is required, a distally based capsulotomy can be performed [6]. The landmarks for this include the triquetrum, the scaphoid, and the dorsal intercarpal ligament. Again, the width of the dorsal intercarpal ligament is estimated, and it is bisected sharply down its middle in a fiber-splitting fashion from the triquetrum to the scaphoid. The flap is then elevated from the triquetrum and reflected distally, leaving the capsular attachments to scaphoid intact. The midcarpal joint will be exposed with the distal articular surfaces of the scaphoid, lunate, and triquetrum, and the proximal surfaces of the trapezium, trapezoid, capitate, and hamate.

Ann Plast Surg 1995;35:54–9. [8] Millender LH, Nalebuff EA. Arthrodesis of the rheumatoid wrist. An evaluation of sixty patients and a description of a different surgical technique. J Bone Joint Surg Am 1973;55:1026–34. [9] Potts H, Noble J. Surgical approaches to the dorsum of the wrist: brief report. J Bone Joint Surg Br 1988; 70:328–9. [10] Auerbach DM, Collins ED, Kunkle KL, et al. The radial sensory nerve. An anatomic study. Clin Orthop Relat Res 1994;241–9. [11] Abrams RA, Brown RA, Botte MJ.

A longitudinal incision (dotted line) is made in the floor of the sheath, dividing the RSC and LRL. (E ) The long radiolunate and the radioscaphocapitate ligament should be sharply incised to allow later repair. Care should be taken not to injure the underlying cartilage of the scaphoid. (F ) Complete exposure of the volar surface of the scaphoid is achieved with appropriate retraction. ) compartments, extending proximally from the level of the ulnar styloid [32]. The fifth compartment lies right over the distal radioulnar joint.

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Carpal Disorders


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