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It is today admitted that a traumatic carpal ligamentary lesion joint may lead to an instability and then to a carpal degenerative arthritis. However, the variety of anatomo-pathological classifications, and the multiplicity of surgical techniques of repair reflect the difficulty to conceive this ligamentary pathology. It is true that the clinical analysis and traditional techniques of investigation face to the complexity of the wrist, and to the small size of its components, especially the carpal bones.
The mechanical complexity of the wrist is due to the number of synchronized bones in every movement of the hand, since the forearm to the palm there is not less than fifteen in a few volume.
Clinical analysis is in this wrist joint insufficient to measure exactly the mobility, normal or pathologic, of this carpal bones. Paraclinical examinations have a particular place. From x-Ray to arthroscopy, including arthroCTscan and soon MRI, the tools are today available.
Talking about the repairing techniques, their diversity must not hide that a biomechanical and physiological principle is looming and must be sought.
This book is the result of a reflection of an expert group of wrist pathology. It attempts to analyze, to understand, to explain, to make logical if not obvious, the reflection which must accompany each practitioner in diagnosis and treatment of the carpal ligamentary lesions. The aim of this book has voluntarily left aside the degenerative carpal pathology, which usually benefits more visibility in the various scientific works.
We hope that with this work, the reader may apprehend more globally quite dispersed knowledges, and find in this beginning of synthesis the matter to rethink a difficult and sometimes thankless surgery, to make a surgical adventure of the XXIst century.
- HerausgaberEmmanuel Camus,Luc Van Overstraeten
- FormatGebundene Ausgabe
- Seiten306 Seiten
- Gewicht613 g
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