Surgical improvement in case of spastic hand

The patient, Alan, 30 years old, suffers from spastic paralysis in his right hand, after a motorcycle accident in which he sustained a head injury with neurological damage. Specifically, he presents function problems in the limb and, in particular, the muscles that determine thumb mobility are in hyperreflexia, that is, continuously contracting (co-contraction), which prevents […]

Radius fracture in childhood: rescue surgery and removal of ulnar pain in adult age

The patient, a nurse by profession, suffered a radius fracture in childhood that slowed the normal growth of this bone. This shorter radius length leads to an ulna plus situation, in which the head of the ulna is well above the radial border and impacts extensively (impaction syndrome) with the ulnar carpal area. This bone […]

Salvage surgery in case of dorsal subluxation of the ulna

The patient starts from an ulna plus picture (that is, the ulna is longer than the radius at its distal ends) with ulnar pain, due to impaction of the ulnar head against the lunate bone of the right wrist. Before going to Dr Piñal, she had undergone an incorrectly executed arthroscopic Wafer procedure, in which […]