eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity

Wrist Arthrodesis: Multimedia

Author: John J Walsh IV, MD, Associate Professor, Department of Orthopedic Surgery, University of South Carolina School of Medicine
Coauthor(s): Mark Harper, MD, Staff Physician, Department of Orthopedic Surgery, Palmetto Richland Memorial Hospital
Contributor Information and Disclosures

Updated: Jun 25, 2008

Multimedia

Wrist arthrodesis. Lateral wrist radiograph depic...Media file 1: Wrist arthrodesis. Lateral wrist radiograph depicting marked wear in radiocarpal articulation.
Wrist arthrodesis. Lateral wrist radiograph depic...

Wrist arthrodesis. Lateral wrist radiograph depicting marked wear in radiocarpal articulation.

Wrist arthrodesis. Posteroanterior wrist radiogra...Media file 2: Wrist arthrodesis. Posteroanterior wrist radiograph demonstrating marked radiolunate degenerative joint disease. Either a radioscapholunate fusion or total wrist fusion is an appropriate treatment option.
Wrist arthrodesis. Posteroanterior wrist radiogra...

Wrist arthrodesis. Posteroanterior wrist radiograph demonstrating marked radiolunate degenerative joint disease. Either a radioscapholunate fusion or total wrist fusion is an appropriate treatment option.

Wrist arthrodesis. Stage III scapholunate advanc...Media file 3: Wrist arthrodesis. Stage III scapholunate advanced collapse wrist. This patient desired a motion-preserving procedure.
Wrist arthrodesis. Stage III scapholunate advanc...

Wrist arthrodesis. Stage III scapholunate advanced collapse wrist. This patient desired a motion-preserving procedure.

Wrist arthrodesis. Sequence of degenerative chang...Media file 4: Wrist arthrodesis. Sequence of degenerative changes in the scapholunate advanced collapse (SLAC) wrist arthritis pattern.
Wrist arthrodesis. Sequence of degenerative chang...

Wrist arthrodesis. Sequence of degenerative changes in the scapholunate advanced collapse (SLAC) wrist arthritis pattern.

Wrist arthrodesis. Radiograph of a patient follow...Media file 5: Wrist arthrodesis. Radiograph of a patient following wrist fusion. No distal ulna resection was necessary in this case.
Wrist arthrodesis. Radiograph of a patient follow...

Wrist arthrodesis. Radiograph of a patient following wrist fusion. No distal ulna resection was necessary in this case.

Wrist arthrodesis. Lateral view following wrist ...Media file 6: Wrist arthrodesis. Lateral view following wrist fusion demonstrating dorsiflexion provided by plate.
Wrist arthrodesis. Lateral view following wrist ...

Wrist arthrodesis. Lateral view following wrist fusion demonstrating dorsiflexion provided by plate.

Wrist arthrodesis. Intraoperative view after pla...Media file 7: Wrist arthrodesis. Intraoperative view after plate application. A portion of distal radius and dorsal capitate have been resected to allow proper plate fitting.
Wrist arthrodesis. Intraoperative view after pla...

Wrist arthrodesis. Intraoperative view after plate application. A portion of distal radius and dorsal capitate have been resected to allow proper plate fitting.

Wrist arthrodesis. Retinaculum split and repaire...Media file 8: Wrist arthrodesis. Retinaculum split and repaired to avoid tendon attrition by plate and prevent bow stringing.
Wrist arthrodesis. Retinaculum split and repaire...

Wrist arthrodesis. Retinaculum split and repaired to avoid tendon attrition by plate and prevent bow stringing.

Wrist arthrodesis. Posteroanterior radiograph of...Media file 9: Wrist arthrodesis. Posteroanterior radiograph of wrist following scaphoid excision and 4-corner (lunate-capitate-hamate-triquetrum) fusion.
Wrist arthrodesis. Posteroanterior radiograph of...

Wrist arthrodesis. Posteroanterior radiograph of wrist following scaphoid excision and 4-corner (lunate-capitate-hamate-triquetrum) fusion.

Wrist arthrodesis. Lateral radiograph of 4-corner...Media file 10: Wrist arthrodesis. Lateral radiograph of 4-corner arthrodesis.
Wrist arthrodesis. Lateral radiograph of 4-corner...

Wrist arthrodesis. Lateral radiograph of 4-corner arthrodesis.

Wrist arthrodesis. Note well-preserved joint int...Media file 11: Wrist arthrodesis. Note well-preserved joint interval in radiolunate articulation, as well as dorsal translation of the capitate, which must be corrected during fusion.
Wrist arthrodesis. Note well-preserved joint int...

Wrist arthrodesis. Note well-preserved joint interval in radiolunate articulation, as well as dorsal translation of the capitate, which must be corrected during fusion.

Wrist arthrodesis. Schematic emphasizing the need...Media file 12: Wrist arthrodesis. Schematic emphasizing the need for correct capitolunate alignment during 4-corner arthrodesis.
Wrist arthrodesis. Schematic emphasizing the need...

Wrist arthrodesis. Schematic emphasizing the need for correct capitolunate alignment during 4-corner arthrodesis.

Wrist arthrodesis. Completed radioscapholunate fu...Media file 13: Wrist arthrodesis. Completed radioscapholunate fusion.
Wrist arthrodesis. Completed radioscapholunate fu...

Wrist arthrodesis. Completed radioscapholunate fusion.

Wrist arthrodesis. Radioscapholunate fusion techn...Media file 14: Wrist arthrodesis. Radioscapholunate fusion technique.
Wrist arthrodesis. Radioscapholunate fusion techn...

Wrist arthrodesis. Radioscapholunate fusion technique.

Wrist arthrodesis. Position of dowel grafts for s...Media file 15: Wrist arthrodesis. Position of dowel grafts for scaphotrapezoid-trapezial (STT) fusion (radial) and 4-corner fusion (ulnar).
Wrist arthrodesis. Position of dowel grafts for s...

Wrist arthrodesis. Position of dowel grafts for scaphotrapezoid-trapezial (STT) fusion (radial) and 4-corner fusion (ulnar).

Wrist arthrodesis. Side-to-side range of motion a...Media file 16: Wrist arthrodesis. Side-to-side range of motion after scaphotrapezoid-trapezial (STT) fusion.
Wrist arthrodesis. Side-to-side range of motion a...

Wrist arthrodesis. Side-to-side range of motion after scaphotrapezoid-trapezial (STT) fusion.

More on Wrist Arthrodesis

Overview: Wrist Arthrodesis
Workup: Wrist Arthrodesis
Treatment: Wrist Arthrodesis
Follow-up: Wrist Arthrodesis
Multimedia: Wrist Arthrodesis
References

References

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  18. Chung KC, Watt AJ, Kotsis SV. A prospective outcomes study of four-corner wrist arthrodesis using a circular limited wrist fusion plate for stage II scapholunate advanced collapse wrist deformity. Plast Reconstr Surg. Aug 2006;118(2):433-42. [Medline].

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Further Reading

Keywords

wrist fusion, limited intercarpal arthrodesis, limited intercarpal fusion, subtotal arthrodesis, arthropathy of the wrist, wrist joint arthritis, bone-on-bone contact between the carpal bones and the distal radius, bony consolidation, midcarpal fusion

Contributor Information and Disclosures

Author

John J Walsh IV, MD, Associate Professor, Department of Orthopedic Surgery, University of South Carolina School of Medicine
John J Walsh IV, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Society for Surgery of the Hand, and Christian Medical & Dental Society
Disclosure: Nothing to disclose.

Coauthor(s)

Mark Harper, MD, Staff Physician, Department of Orthopedic Surgery, Palmetto Richland Memorial Hospital
Mark Harper, MD is a member of the following medical societies: American Medical Association, Southeastern Society of Plastic and Reconstructive Surgeons, Southeastern Surgical Congress, Southern Association for Oncology, Southern California Society of Gastroenterology, Southern Clinical Neurological Society, Southern Medical Association, Southern Orthopaedic Association, Southern Society for Pediatric Research, Southern Thoracic Surgical Association, Southwest Oncology Group, Southwest Pediatric Nephrology Study Group, Southwestern Association of Clinical Microbiology, Southwestern Surgical Congress, Special Operations Medical Association, State Medical Society of Wisconsin, Surgical Infection Society, Swedish Medical Association, Sydenham Society, Tennessee Medical Association, Tennessee Radiological Society, Teratology Society, Texas Medical Association, Texas Orthopaedic Association, Texas Pediatric Society, Texas Society of Plastic Surgeons, Trauma Association of Canada, Turkish Society for Parasitology, and US Virgin Islands Medical Society
Disclosure: Nothing to disclose.

Medical Editor

A Lee Osterman, MD, Director of Hand Surgery Fellowship, Director, Philadelphia Hand Center; Director, Professor, Department of Orthopedic Surgery, Division of Hand Surgery, University Hospital, Thomas Jefferson University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

N Ake Nystrom, MD, PhD, Associate Professor of Orthopedic Surgery and Plastic Surgery, University of Nebraska Medical Center
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

 
 
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