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Ten Tips to Simplify the Spaghetti Wrist
Clifton G Meals1, James Chang2
1Emory University Department of Orthopedics, Atlanta, Ga.
Plastic and Reconstructive Surgery. Global Open
|January 19, 2019
Summary
Deep forearm lacerations, known as "spaghetti wrists," involve complex repairs of tendons, vessels, and nerves. This review simplifies their management with 10 practical tips for hand surgeons.
Area of Science:
- Orthopedics
- Hand Surgery
- Trauma Surgery
Background:
- Deep lacerations of the volar distal forearm are termed "spaghetti wrists" by surgeons.
- These injuries present a management challenge due to the frequent involvement of multiple critical structures.
Purpose of the Study:
- To review the management of "spaghetti wrists."
- To provide simplifying tips for the surgical treatment of these complex injuries.
Main Methods:
- Literature review of deep volar distal forearm lacerations.
- Synthesis of current surgical management strategies.
- Development of a concise list of practical tips.
Main Results:
- "Spaghetti wrists" require careful identification and repair of tendons, nerves, and vessels.
- A systematic approach can simplify the complex surgical repair.
- Ten key tips are proposed to aid in management.
Conclusions:
- Effective management of "spaghetti wrists" is achievable with a structured approach.
- The provided tips aim to reduce the intimidation factor and improve outcomes.
- This review offers valuable guidance for surgeons managing these challenging injuries.
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