Carpal Instability. The Comprehensive Case-Based Approach

1. Carpal Bone Anatomy
2. Carpal Instability: Physical Examination Tips and Tricks
3. Imaging of Carpal Instability
4. Classification of Intercarpal Ligament Injuries
5. Kinematics of the Scapholunate Ligament
6. A Case of Scapholunate Instability Treated by Arthroscopic Dorsal Capsuloligamentous Repair (ADCLR)
7. Pre-dynamic Scapholunate Ligament Injury: Arthroscopic Thermal Shrinkage
8. Dynamic Scapholunate Ligament Injury: Arthroscopic Volar Capsulodesis
9. Acute SL Instability: Arthroscopic Treatment
10. Static Acute Scapholunate Ligament Injury: Arthroscopic RADiCL (Repair/Augmentation Dorsal Capsular Ligaments)
11. Static Acute Scapholunate Ligament Injury: Open Suture Anchor Repair
12. Capsulodesis with Internal Brace Augmentation for Treatment of Static Scapholunate Instability
13. Chronic, Reducible Scapholunate Ligament Injury: Arthroscopic Supercapsuloplasty
14. Chronic, Reducible Scapholunate Ligament Injury: Arthroscopic Box Reconstruction
15. Chronic, Reducible Scapholunate Ligament Injury: Double Circle Arthroscopic Ligamentoplasty
16. Chronic Scapholunate Instability: The Role of the Three-Ligament Tenodesis
17. Antipronation Spiral Tenodesis for the Treatment of Chronic Reducible Scapholunate Instability with Associated Radiolunate or Perilunate Instability
18. Reduction and Association of the Scaphoid and Lunate (RASL) Reconstruction for Chronic Static Scapholunate Instability
19. Chronic, Reducible Scapholunate Ligament Injury: Scapholunate Axis Method (SLAM)
20. Chronic, Reducible Scapholunate Ligament Injury: Scapho-Luno-Triquetral Tenodesis (SLT)
21. Chronic, Reducible Scapholunate Ligament Injury: ANAFAB
22. Chronic, Reducible Scapholunate Ligament Injury: 360 Reconstruction
23. Chronic, Reducible Scapholunate Ligament Injury: Bone-Ligament-Bone (BLB) Reconstruction
24. Volar Capsulodesis in the Management of Dynamic Scapholunate Instability
25. Chronic Scapholunate Dissociation Reconstruction with Internal Brace
26. Subacute Lunotriquetral Ligament Injury: Reconstruction
27. Subacute Lunotriquetral Ligament Injury: Arthrodesis
28. Management of Chronic Lunotriquetral Intercarpal Ligament Injuries
29. Midcarpal Instability
30. CIND: Radiocarpal Instability
31. Non-dissociative Carpal Instability in Distal Radius Fractures
32. Carpal Instability Adaptive in Distal Radius Malunions
33. Arthroscopic Management of Perilunate Injuries
34. Perilunate Injuries: Open Management
35. Perilunate Injuries Non-dislocated
36. Partial Wrist Denervation for SLAC Wrist
37. Case Scapholunate Ligament Partial Tear
38. SLAC Wrist: Proximal Row Carpectomy
39. SLAC Wrist: Midcarpal Fusion
40. Midcarpal Total Wrist Arthroplasty
41. Acellular Dermal Allograft Arthroplasty for Wrist Arthritis
42. Special Consideration for Intercarpal Ligament Injuries in the Pediatric Patient

This case-based guide is the most comprehensive, up-to-date work focusing on the topic of carpal instability.  This work presents all aspects of the conditions including anatomy, physical examination, classification, kinematics, and nonsurgical and surgical methods of management. A wide variety of topics are presented, such as dynamic, static acute, and chronic reducible scapholunate ligament injury, subacute lunotriquetral ligament injury, perilunate injury, SLAC wrist, and more. For each topic, the traditional options as well as the most cutting-edge treatment modalities are discussed in detail, illustrated with numerous clinical and intraoperative photos.  

Written by a world-class international group of authors comprised of the most widely known experts in the field of carpal instability from around the world, this practical guide will serve as the authoritative resource for young and senior surgeons alike.

Jeffrey Yao, MD, Department of Orthopedic Surgery, Stanford University Medical Center, Stanford, CA, USA

Dr Yao joined the Hand and Upper Extremity Service at Stanford University Medical Center in 2005. He graduated from Cornell University Medical College in 1999. His Orthopaedic Surgery residency was completed at the Albert Einstein College of Medicine / NSUH-LIJ Health System in New York in 2004, where he was voted the Surgical Intern of the Year in 2000 and the Orthopaedic Surgery Resident of the Year in 2001. He completed the Hand and Upper Extremity surgical fellowship at Thomas Jefferson University Hospital and the Philadelphia Hand Center in 2005. He earned his Orthopaedic Surgery Board Certification in 2007. He learned his Certificate of Added Qualification in Surgery of the Hand in 2009. He was promoted to the rank of Associate Professor of Orthopaedic Surgery at Stanford University in 2012, and the rank of Professor of Orthopaedic Surgery at Stanford University in 2020.

Dr Yao has clinical training and interest in the treatment of disorders of the entire upper extremity/limb, including the hand, wrist, elbow and shoulder. He is specifically trained in the minimally-invasive and arthroscopic treatment of common upper extremity problems including fractures, arthritis, tendon and ligament injuries and nerve compression disorders. This minimally-invasive approach is unique and highly sought after by patients. His clinical volume is quite extensive as he sees over 3000 patients per year.

Dr Yao’s research interests include the evolution of arthroscopic and minimally-invasive surgical techniques for the management of common upper limb disorders. He is also involved in utilizing stem cells in the treatment of tendon injuries. He has presented his research with over 500 podium presentations at numerous regional, national and international meetings and is active in the educationof other surgeons, fellows, residents medical students and hand and occupational therapists. He has authored over 130 peer-reviewed publications in topics involving all aspects of upper limb surgery. He has served as a visiting professor at several academic medical centers, both nationally and internationally at sites including Japan, Singapore, Hong Kong, Taiwan, Brazil, Columbia, Peru, Chile, Canada, South Africa, Italy, Germany, England, Mexico, Australia, Korea, Poland, Peru, Hungary, Fiji, Spain, India and France. 

Dr Yao was awarded the Sumner Koch national research award in 2009 and the Emmanuel B Kaplan national research award in 2012. He was also awarded the prestigious JOA-AOA traveling fellowship in 2010 and spent one month in Japan teaching at a number of institutions. He was awarded the prestigious Sterling Bunnell Traveling Fellowship by the American Society for Surgery of the Hand (ASSH) in September 2015. This honor is bestowed upon just one member of the ASSH per year and is one of the Society’s most prestigious and competitive awards. As the 2016 Bunnell Fellow, Dr Yao traveled to many medical centers nationally and internationally for the mutual exchange of clinical and research ideas.  He is the Hand and Upper Limb Fellowship Director at the Stanford University Medical Center.

He has been the Editor-in-Chief of the Yearbook of Hand and Upper Limb Surgery and was also on the editorial board of HAND and reviews manuscripts for many other journals for their suitability for publication. He has authored over 110 peer-reviewed publications in the field of hand and upper extremity surgery. He is the editor for a textbook on Scaphoid Fractures and Nonunions and two special issues of Hand Clinics and Current Orthopaedic Practice.

Dr Yao is an active member of the American Association of Orthopaedic Surgeons, the American Society for Surgery of the Hand, the American Association of Hand Surgery, the International Wrist Arthroscopy Society, The International Wrist Investigators’ Workshop, the Arthroscopy Association of North America and the Western Orthopaedic Association.