TY - JOUR
AU1 - Gonzalez, Mark H.
AB - Edited by William P. Cooney III 2nd ed, 2300 pp, $399 Philadelphia, PA, Lippincott Williams & Wilkins, 2010 ISBN-13: 978-1-6083-1390-7 The Wrist is the second edition of a textbook edited by William Cooney from the Mayo Clinic and a superior treatise on the diagnosis and operative treatment of the wrist. The book maintains the fine standard set forth in the first edition. The book is truly comprehensive and provides in-depth coverage of all aspects of care of the wrist. The book is lengthy and has some redundancies, but the quality and detail is for the most part remarkable. Many of the authors were or are affiliated with the Mayo Clinic and are leaders in the field of hand surgery. The book is divided into 12 sections with a total of 60 chapters. The first 4 chapters comprise a section entitled “Carpal Comprehension.” A curious title to be sure, but these initial chapters are superb and set the tone for the book. The initial chapter on the history of wrist surgery provides a fascinating portrait of the early pioneers of the field. This is followed by a captivating chapter on anthropology and the development of the wrist. The chapter by Berger on wrist anatomy is a classic. That chapter covers osteology, ligament anatomy, and even basic histology in encyclopedic detail. The chapter by Werner on biomechanics is a true gem and in simple language elucidates a very complex topic. The second and third sections cover the examination of the wrist and surgical approaches, respectively. The chapters on wrist examination are ideal for the trainee becoming acquainted with wrist pathology for the first time. Chapter 9, on wrist scoring systems and clinical assessment, covers an area rarely discussed in such detail. It is a must read for surgeons constructing a database for their patients. The fourth section discusses fractures of the wrist and the carpus. The first chapter is an overview of distal radius fractures and provides a broad discussion of the classification and treatment options. The chapters on external fixation and malunions of the wrist are complete and in depth. The chapter on open reduction internal fixation of distal radius fractures is comparatively short and does not rise to the standards of the rest of the book. The discussion of the treatment methods and the long-term results of distal radius plating is perfunctory. Volar plating with locking plates has become exceedingly popular and is commonly used, but it is clear that the data supporting locked plating is lacking and that a more in-depth discussion is warranted in a textbook of this nature. Some valuable methods for the treatment of comminuted intra-articular fractures, such as fragment-specific fixation, are discussed in less than a paragraph. This is a glaring omission, especially in light of the increasing incidence of distal radius fractures. The chapters on acute and chronic scaphoid fractures provide an exceptionally complete review of the pertinent literature. Anatomical blood supply and biomechanics are reviewed in depth. Imaging of the scaphoid and treatment options are discussed, and surgical treatment is clearly described and well illustrated. Likewise, the chapter on lunate fractures and Kienböck disease is an authoritative review of the world's literature—the authors cite 312 references on this subject alone. The chapter on perilunate dislocation provides a broad discussion and recommends reduction through a combined dorsal and volar approach. As the basis for their recommendation, the authors cite a publication that “critically compares” 2 methods of treatment. However, this is not based on a randomized study, and the authors do not acknowledge that the current literature does not provide compelling evidence that a single incision, a double incision, or a percutaneous pinning is really superior. The fifth and sixth sections, on fracture dislocations of the carpus and carpal instability, are thorough and of even quality. Both sections provide a prodigious summary of the world literature on these topics. The chapter by Bishop on lunotriquetral sprains discusses the merits of fusion vs ligamentous reconstruction and is well illustrated and informative. The chapter on midcarpal instability is written by Lichtman, arguably the world authority on that condition. The seventh section, on posttraumatic disorders, discusses in detail the causes and treatment of wrist arthritis that occurs as a result of trauma or infection. The options for treatment, including denervation, partial fusion, complete fusion, and proximal row carpectomy, are discussed in a fair and unbiased fashion. The chapters comprising the eighth section present a wealth of information on developmental disorders and Madelung deformity growth-plate injuries and the child's wrist. The ninth section, on the distal radioulnar joint, is a masterpiece. The first chapter in the section, by Palmer and colleagues, presents a fine discussion of the pathology and surgical treatment. The classification provided by Palmer is illustrated with radiographs, diagrams, and intraoperative photographs. This chapter demystifies an area of wrist surgery that can be very challenging for the young surgeon. The other chapters in this section are of similar quality. Distal radioulnar joint arthroplasty, an evolving field, is well discussed and illustrated by Cooney and Fernandez. The tenth section is on rheumatoid arthritis. The chapter by Cooney on total wrist arthroplasty is noteworthy for its encyclopedic discussion of the history and development of wrist arthroplasty as currently implemented. The book is rounded out with detailed sections on soft-tissue injuries and rehabilitation protocols. The Wrist is authoritative and comprehensive and is the preeminent textbook on the subject. Cooney has assembled a group of authors with international reputation, and the quality of the book is superior. The book will be an excellent addition to all orthopedic libraries and has material applicable to the early trainee and the advanced hand surgeon. Back to top Article Information Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
TI - The Wrist: Diagnosis and Operative Treatment
JF - JAMA
DO - 10.1001/jama.2011.487
DA - 2011-04-20
UR - https://www.deepdyve.com/lp/american-medical-association/the-wrist-diagnosis-and-operative-treatment-xg0FEcqdg0
SP - 1598
EP - 1601
VL - 305
IS - 15
DP - DeepDyve
ER -