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Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume 4(4):e20 October 22, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume

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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Scott N. Oishi et al. JBJS Essent Surg Tech 2014;4:e20

©2014 by The Journal of Bone and Joint Surgery, Inc.