Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley...
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Transcript of Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley...
![Page 1: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/1.jpg)
Carpal Wedge Osteotomy in the Arthrogrypotic Patient
by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki
JBJS Essent Surg TechVolume 4(4):e20October 22, 2014
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/2.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/3.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/4.jpg)
Incision on the volar side of the distal part of the forearm with assessment of tight structures.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/5.jpg)
Location of the incision for the carpal wedge osteotomy.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/6.jpg)
Isolation of the finger and thumb extensors.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/7.jpg)
Isolation of the wrist extensors and extensor carpi ulnaris tendon.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/8.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/9.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/10.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/11.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/12.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/13.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 14: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/14.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 15: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/15.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 16: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/16.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 17: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/17.jpg)
The osteotomy being performed with a number-15 scalpel.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 18: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/18.jpg)
The carpal wedge being removed.
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 19: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/19.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 20: Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062517/56649f265503460f94c3d6fd/html5/thumbnails/20.jpg)
Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20
©2014 by The Journal of Bone and Joint Surgery, Inc.