2022 ASSH CME Webinar: What Do I Do Now? The Initial Wrist Surgery Did Not Alleviate Symptoms Recording-CME Webinar Recording

Video Transcription

Video Summary

In the first video summary, the topic is scaphoid non-union, a complication of scaphoid fractures. Risk factors, such as delayed treatment and proximal pole fractures, are discussed. The role of avascular necrosis (AVN) in non-union is explored, along with the recommendation for vascularized bone grafting. However, recent studies question its superiority over non-vascularized grafting. Treatment options like debridement and bone grafting, vascularized grafting, or salvage procedures are mentioned, with the decision depending on factors like AVN presence and patient preferences. Overall, scaphoid non-union management requires consideration of various factors.<br /><br />In the second video summary, the focus is on treating thumb carpometacarpal (CMC) joint arthritis and revising failed CMC arthroplasties. Causes of failed arthroplasties are discussed, including subsidence and nerve injuries. Proper diagnosis and physical examination are emphasized for determining treatment. Surgical options like suture button suspensionplasty, ECRL graft, and free graft with an anchor are mentioned. Other topics covered include STT arthritis, metacarpal impingement, hyperextension deformity, flail thumb, and neuromas. The use of imaging and selective injections for diagnosis is discussed, along with surgical technique tips. The lack of consensus on the best surgical approach and the outcomes of revision surgeries are also mentioned.<br /><br />Please note that no specific credits are mentioned in either of the summaries.

Keywords

scaphoid non-union

complication

scaphoid fractures

risk factors

avascular necrosis

vascularized bone grafting

surgical options

thumb carpometacarpal joint arthritis

failed CMC arthroplasties

diagnosis

surgical technique

revision surgeries