tendon transfers

Technique

1.  Templating

 

Xray

 

Rotator Cuff Arthropathy

 

AP in plane of scapula

- template glenoid 

- most inferior screw is in thick bone of scapular axillary border

 

AP humerus

- size and fit of diaphyseal and metaphyseal humeral components

 

CT

Rheumatoid Wrist

EpidemiologyRheumatoid Wrist

 

Extremely common

- 90% by 10 years have wrist problems

 

Principles

 

Landsmeer 1961

- treat wrist at same time as treat fingers or will recur

 

Frequently combine procedures

- synovectomy

- tendon transfer

- ulna procedure