Ulno carpal abutment

22 yr old male with h/o injury as a child c/o ulnar sided pain od 3 Yrs duration. Xr and MRI shows 4mm long ulnar + with ? Central tear 

of tfcc with triquetrum. chondromalacia

Plan.

 Wrist scopy  and  if central tear - debride the tear and shave the distal ulna thru the tfcc

If peripheral do a ulnar shortening  and dcp plating with peripheral repair of tfcc.

anterior and posterior impingement of ankle

 This  28 yt old boy presented with pain both anterior medial and posterior laterally. with clinical evidence of both anterior and posterior impingement, confirmed by diagnostic injection

 Would one do both anterior and posterior scopy one stage

Thougths on improvement of orthopedic trauma

 Fellow orthopods,  radiologists and mechanotronists  together could help to improve trauma surgery

 my thoughts are as follows

1. 3 D MRI to asses fracture geometry and  soft tissue attachments of each fragment.
2. Use skill of expert surgeons for their technique in reduction and biological fixation with out further collateral damage and write software for it .
3.Use mechanotronics and external frames to devise indirect robotic reduction techniques using threaded pins and wires plain or the olive kind and all what the surgeon need to do is fix the plate biologically

 your views guys