5,946 results match your criteria Carpal Bone Injuries


MRI of a painful carpal boss: variations at the extensor carpi radialis brevis insertion and imaging findings in regional traumatic and overuse injuries.

Skeletal Radiol 2019 Jan 12. Epub 2019 Jan 12.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Thomas Jefferson University Hospitals, Sidney Kimmel Medical College at Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA, 19107, USA.

Objective: To report patterns of MRI findings involving carpal boss and extensor carpi radialis brevis (ECRB) tendon insertion in individuals with overuse-related or post-traumatic wrist pain.

Materials And Methods: Eighty-four MRI cases with carpal bossing between December 2006 and June 2015 were analyzed by two fellowship-trained musculoskeletal radiologists. The following MRI findings were reviewed: type of carpal bossing (bony prominence, partial coalition, os styloideum), insertion of ECRB tendon (to the 3rd metacarpal, to carpal boss or to both), bone marrow edema (BME), insertion site, and tenosynovitis/tendinosis of ECRB tendon. Read More

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http://dx.doi.org/10.1007/s00256-018-3136-9DOI Listing
January 2019
2 Reads

Carpal tunnel syndrome caused by synovial osteochondromatosis of the finger flexor tendon: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13943

Department of Rehabilitation Medicine.

Rationale: Carpal tunnel syndrome (CTS) is the most common peripheral nerve neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel. The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000013943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314781PMC
December 2018
1 Read

Non-dislocation lunate fracture combined with distal radius fracture: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13574

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Rationale: Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000013574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310596PMC
December 2018
5 Reads

Surgical versus nonsurgical treatment for scaphoid waist fracture with slight or no displacement: A meta-analysis and systematic review.

Medicine (Baltimore) 2018 Nov;97(48):e13266

Hand & Foot Surgery and Reparative & Reconstruction Surgery Center, The Second, Hospital of Jilin University, Changchun, China.

Background: Surgical or nonsurgical treatment for scaphoid waist fracture with slight or no displacement is still controversial. This study compared the efficacy of the 2 methods through meta-analysis to provide a reference for the choice of clinical treatment options.

Methods: Two individuals independently searched for relevant RCTs and cohort studies from PubMed (1946-February 2018), Embase (1946-February 2018), and Cochrane library (1997-February 2018). Read More

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http://dx.doi.org/10.1097/MD.0000000000013266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283056PMC
November 2018
3 Reads

Isolated hook of hamate fracture in sports that require a strong grip comprehensive literature review.

Medicine (Baltimore) 2018 Nov;97(46):e13275

Departments of Physical Medicine and Rehabilitation, Dongguk University College of Medicine, Gyeonggi-do.

Background: The aim of the study was to report characteristics of isolated hook of hamate fractures related to sports that require a strong grip and to identify factors affecting early diagnosis and recovery period.

Methods: A comprehensive literature search was conducted using MEDLINE, EMBASE, SCOPUS, Web of Science, the Cochrane Central Register of Controlled Trials, the World Health Organization International Clinical Trials Registry Platform, and the clinical trials registry and database of the US National Institutes of Health (ClinicalTrials.gov). Read More

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http://dx.doi.org/10.1097/MD.0000000000013275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257646PMC
November 2018
5 Reads

Surgical Strategy for Scaphoid Nonunion Treatment.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):450-462

1 Department of Orthopaedic Surgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Scaphoid fracture is the most common carpal fracture. Nonunion rate has been reported around 10 to 15% of scaphoid fractures. Risk factors for scaphoid nonunion are known as location, displacement, poor vascularity, time to treatment etc. Read More

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http://dx.doi.org/10.1142/S2424835518300049DOI Listing
December 2018
16 Reads

Existing or Worsening Symptoms of Kienböck's Disease after Distal Radius Fracture: Two Case Reports.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):585-588

1 Department of Orthopedic Surgery and Sports Medicine, Mito Clinical Education and Training Center University of Tsukuba Hospital, Mito Kyodo General Hospital, Ibaraki, Japan.

We report two rare cases of existing or worsening symptoms due to Kienböck's disease after distal radius fracture (DRF). During examination, radiographs show changes in the lunate bone; there was persistent wrist pain after treatment for DRF. In each case, surgeries were performed: A combined therapy (bone marrow transfusion, bone peg graft, external fixation, and low intensity pulsed ultrasound) for one, as well as carpal coalition for another. Read More

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http://dx.doi.org/10.1142/S2424835518720359DOI Listing
December 2018
9 Reads

Does computerized tomography help to shorten the immobilization period in the plaster treatment of nondisplaced scaphoid fractures?

Ulus Travma Acil Cerrahi Derg 2018 Sep;24(5):468-473

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.

Background: There are conflicting results regarding the duration of the plaster treatment of nondisplaced scaphoid fractures. The aim of the present study was to evaluate the healing process and to determine the role of computed tomography (CT) on shortening the duration of plaster treatment of nondisplaced scaphoid fractures.

Methods: A total of 42 patients diagnosed with nondisplaced scaphoid fractures between January 2012 and January 2014 were investigated. Read More

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http://dx.doi.org/10.5505/tjtes.2018.32069DOI Listing
September 2018
10 Reads

Ultrasonographic and clinical evaluation of additional contribution of kinesiotaping to tendon and nerve gliding exercises in the treatment of carpal tunnel syndrome

Turk J Med Sci 2018 Oct 31;48(5):925-932. Epub 2018 Oct 31.

Background and aim: This study aims to ultrasonographically and clinically evaluate the additive contribution of kinesiotaping to tendon and nerve gliding exercises in the treatment of mild or moderate carpal tunnel syndrome (CTS). Materials and methods: Thirty-eight wrists of patients (n = 21) with CTS were randomized into two groups as the intervention group (n = 19) and the control group (n = 19). Tendon and nerve gliding exercises were given to both groups. Read More

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http://dx.doi.org/10.3906/sag-1709-72DOI Listing
October 2018
13 Reads

Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?

Eklem Hastalik Cerrahisi 2018 Dec;29(3):165-9

Department of Orthopedics and Traumatology, Selçuk University Medical Faculty, 42130 Selçuklu, Konya, Turkey.

Objectives: This study aims to evaluate the distance between the median nerve and the hook of the hamate pre- and postoperatively in patients with carpal tunnel syndrome and to investigate the efficiency of magnetic resonance imaging in diagnosis and postoperative follow-up.

Patients And Methods: Median nerve decompression was performed by releasing the carpal tunnel in 15 patients (4 males, 11 females; mean age 51 years; range, 41 to 66 years) with carpal tunnel syndrome. The shortest distance between the median nerve and the hook of the hamate was measured with magnetic resonance imaging preoperatively and at three months after the operation and radial and ulnar translations were assessed. Read More

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http://dx.doi.org/10.5606/ehc.2018.61262DOI Listing
December 2018
2 Reads

Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate.

Arch Orthop Trauma Surg 2018 Dec 19;138(12):1773-1782. Epub 2018 Oct 19.

AUVA Trauma Hospital Lorenz Böhler, European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria.

Introduction: Distal radius fractures (DRF) are the most common fractures of the upper extremities. The incidence is expected to continue rising in the next years due to the increased life expectancy. Palmar locking plate stabilizing has since become the standard treatment for dorsally displaced DRF with a complication rate of 8-39% reported in the literature. Read More

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http://dx.doi.org/10.1007/s00402-018-3051-5DOI Listing
December 2018
2 Reads

[Proximal Row Carpectomy - Five-Year Results].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):120-124

Ortopedické oddělení, Nemocnice Pardubice.

PURPOSE OF THE STUDY This study aims to evaluate the results of patients treated by proximal row carpectomy at a follow-up of at least 5 years after the surgery. MATERIAL AND METHODS A total of 25 patients were treated by proximal row carpectomy for degenerative changes of the wrist as a consequence of the previous trauma or avascular necrosis of the lunate bone, of whom 21 patients underwent a follow-up examination at least 5 years postoperatively. Proximal row carpectomy was indicated in 15 patients for SLAC wrist, in 4 patients for avascular necrosis of the lunate bone, in 1 patient for SNAC wrist, and in 1 patient for inveterate dislocation of the wrist. Read More

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January 2019
3 Reads

Trans-scaphoid Perilunate Fracture-dislocation with Concomitant Lunotriquetral Ligament Disruption: A Case Report.

J Nippon Med Sch 2018 ;85(4):231-235

Department of Orthopedic Surgery, Nippon Medical School Hospital.

We report a case of trans-scaphoid perilunate fracture-dislocation with concomitant lunotriquetral ligament disruption of the right wrist in a 44-year-old man, sustained from a 10-m fall landing on his outstretched right hand. Open reduction was performed 1 day after injury; at first the palmar dislocation of the lunate was reduced with the palmar approach. Under direct view with the dorsal approach, the scaphoid was comminuted and then treated with open reduction and internal fixation with a double threshold screw using a dorsal approach and a bone graft from the distal radius. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2018_85-36DOI Listing
November 2018
2 Reads

[Ultrasound-guided percutaneous Herbert screw for the treatment of fresh nondisplaced carpal scaphoid fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Aug;32(8):989-992

Department of Hand Microsurgery, Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Luoyang Henan, 471002, P.R.China.

Objective: To explore the effectiveness of ultrasound-guided percutaneous Herbert screw for the treatment of fresh nondisplaced carpal scaphoid fracture.

Methods: Between May 2013 and August 2015, 15 patients with fresh nondisplaced carpal scaphoid fractures (Krimmer type A2) were treated with ultrasound-guided Herbert screw fixation. There were 12 males and 3 females with an average age of 33. Read More

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http://dx.doi.org/10.7507/1002-1892.201802023DOI Listing
August 2018
5 Reads

Conservative treatment of a pathologic fracture of the scaphoid bone in a child: A case report.

Medicine (Baltimore) 2018 Sep;97(36):e12161

Pediatric Orthopaedic Surgery, Lenval University Children's Hospital.

Rationale: Tumors of the scaphoid are rare, and some can cause pathological fractures. No cases of pathological fractures of the scaphoid have been reported in children. The most common treatment for pathologic fractures of the scaphoid bone associated with a benign lesion in adults is surgical, with intralesional curettage associated with autologous bone grafting and internal fixation. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809070-0005
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133437PMC
September 2018
21 Reads

Screw Fixation Without Bone Grafting for Delayed Unions and Nonunions of Minimally Displaced Scaphoids.

Am J Orthop (Belle Mead NJ) 2018 Aug;47(8)

Section of Orthopaedic Sports Medicine, Orthopaedic and Rehabilitation Centers, Chicago, IL.

Delayed unions and nonunions of the scaphoid are most often treated by open reduction and internal fixation with bone grafting. We sought to evaluate a large consecutive series of nondisplaced or minimally displaced scaphoid nonunions and delayed unions treated by a compression screw without bone grafting by 2 fellowship trained hand surgeons. A total of 23 patients (19 males, 4 females) were identified who had fractures located at the distal third (2), the waist (18), and the proximal third (3). Read More

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http://dx.doi.org/10.12788/ajo.2018.0064DOI Listing
August 2018
3 Reads

Scapholunate Ligament Internal Brace 360-Degree Tenodesis (SLITT) Procedure.

J Wrist Surg 2018 Sep 30;7(4):336-340. Epub 2018 Jan 30.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

 Scapholunate (SL) joint instability is one of the most common injuries of the wrist and may result from a fall or high-energy mechanism on the outstretched hand. The purpose of this case report is to describe the outcome of a 360-degree tenodesis to the SL joint with an internal brace (SLITT) for the treatment of SL instability.  A 42-year-old male patient underwent SL ligament reconstruction with the SLITT procedure 12 months after injury. Read More

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http://dx.doi.org/10.1055/s-0038-1625954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117169PMC
September 2018
34 Reads

The utility of cross-sectional imaging in the management of suspected scaphoid fractures.

J Med Radiat Sci 2018 Aug 30. Epub 2018 Aug 30.

Sydney Medical School, University of Sydney, Sydney, Australia.

Introduction: Scaphoid fractures are the commonest carpal bone fracture. If untreated they pose significant risk to patients, thus if a scaphoid fracture is suspected, patients are managed with immobilisation. Although scaphoid fractures may be difficult to diagnose on plain radiography, sometimes for months after injury, ongoing radiographic surveillance is preferred due to its low upfront cost. Read More

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http://doi.wiley.com/10.1002/jmrs.302
Publisher Site
http://dx.doi.org/10.1002/jmrs.302DOI Listing
August 2018
4 Reads

A new acute scaphoid fracture assessment method: a reliability study of the 'long axis' measurement.

BMC Musculoskelet Disord 2018 Aug 29;19(1):310. Epub 2018 Aug 29.

Buckinghamshire Hospitals NHS Trust, High Wycombe Hospital, High Wycombe, Amersham, HP11 2TT, UK.

Background: The aim of this study was to assess the inter observer and intra observer reliability of acute scaphoid fracture classification methods including a novel 'long axis' measurement, a simple method which we have developed with the aim of improving agreement when describing acute fractures.

Methods: We identified sixty patients with acute scaphoid fractures at two centres who had been investigated with both plain radiographs and a CT (Computed Tomography) scan within 4 weeks of injury. The fractures were assessed by three observers at each centre using three commonly used classification systems and the 'long axis' method. Read More

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http://dx.doi.org/10.1186/s12891-018-2236-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116451PMC
August 2018
3 Reads

Pancarpal and partial carpal arthrodesis with 3 locking compression plates in 6 horses.

Vet Surg 2018 Jul;47(5):692-704

Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.

Objective: To report the outcome of horses after pancarpal or partial carpal arthrodesis with 3 locking compression plates (LCP).

Study Design: Case series.

Animals: Six horses ranging in age from 8 months to 16 years and weighing 227-580 kg with severe carpal pathology including acute fractures, chronic osteoarthritis, and chronic angular limb deformity. Read More

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http://dx.doi.org/10.1111/vsu.12916DOI Listing
July 2018
10 Reads

Effect of bandaging techniques on sub-bandage pressures in the equine distal limb, carpus, and tarsus.

Vet Surg 2018 Jul;47(5):640-647

Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas.

Objective: To determine the influence of 3 types of bandages on sub-bandage pressures over the distal limb, carpus, and tarsus.

Study Design: Observational study.

Animals: Eight healthy horses. Read More

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http://dx.doi.org/10.1111/vsu.12914DOI Listing
July 2018
1 Read

Radiographic analysis of anatomic risk factors for scaphoid fractures; A case-control study.

Clin Imaging 2018 Sep - Oct;51:341-346. Epub 2018 Jun 30.

Akdeniz University, Medical Faculty, Department of Anatomy, Antalya, Turkey. Electronic address:

Aim: The purpose of this study was to investigate the role of anatomic variations in distal radius radiographic indices in patients with or without scaphoid fractures.

Materials And Methods: Radial inclination (RI), volar tilt (VT), radial height (RH) and ulnar variance (UV) were measured on wrist radiographs of 320 patients with (Group I, n = 167) or without (Group II, n = 153) scaphoid fracture, fall on outstretched hand (FOOSH). Receiver operating characteristics (ROC) curve analysis was used to assess the diagnostic performance for each variable. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.06.014DOI Listing
November 2018
9 Reads

The Impact of Obesity on Orthopedic Upper Extremity Surgery.

Orthop Clin North Am 2018 Jul;49(3):345-351

Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Mail Stop 9436, 3601 4th Street, Lubbock, TX 79430, USA; UMC Health System, 602 Indiana Avenue, Lubbock, TX 79415, USA. Electronic address:

Obese patients have increased rates of upper extremity injury, carpal tunnel syndrome, and upper extremity osteoarthritis. Preoperative considerations include cardiovascular disease, pulmonary disease, and diabetes mellitus. Intraoperative and anesthetic considerations include specialized equipment, patient positioning, and the physiology of obese patients. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.02.008DOI Listing
July 2018
3 Reads

Concepts and Artistry in the Treatment of Scapholunate Ligament Injuries.

Plast Reconstr Surg 2018 09;142(3):322e-333e

Ann Arbor, Mich. From the Section of Plastic Surgery, University of Michigan Health System.

Background: Scapholunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of scapholunate injuries. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004690DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113079PMC
September 2018
2 Reads

Divergent Axial Carpal Dislocation and Its Pathomechanics.

J Wrist Surg 2018 Jul 22;7(3):253-257. Epub 2017 Sep 22.

Division of Orthopedics and Trauma Surgery, Department of Upper Limb Surgery UMAE "Dr. Victorio de la Fuente Narváez" IMSS, Trauma Hospital, México City, México.

 Axial carpal dislocations and fracture dislocations are 1.4 to 2.08% of all the fractures and dislocations of the wrist. Read More

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http://dx.doi.org/10.1055/s-0037-1607029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005779PMC
July 2018
2 Reads

Segmental fracture of the scaphoid.

BMJ Case Rep 2018 Jun 8;2018. Epub 2018 Jun 8.

Department of Orthopaedics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

We present a rare case of segmental fracture of the scaphoid. This case highlights the importance of using appropriate imaging modalities to assess the presence and morphology of fractures. Read More

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http://dx.doi.org/10.1136/bcr-2017-223556DOI Listing
June 2018
6 Reads

Disability and return to work after MRI on suspicion of scaphoid fracture: Influence of MRI pathology and occupational mechanical exposures.

PLoS One 2018 4;13(6):e0197978. Epub 2018 Jun 4.

Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital West Jutland-University Research Clinic, Herning, Denmark.

Objectives: We aimed to determine the prognosis after early MRI on clinical suspicion of scaphoid fracture, hypothesising that MRI pathology is associated with more disability and that MRI pathology and high occupational mechanical hand-arm exposures are associated with slower return to work (RTW).

Methods: We conducted a follow-up study of a cohort of 469 patients, who were scanned in the period 2006 to 2010. The respondents constituted our cohort for disability analysis and the subset that was in the labour market at the time of the trauma constituted our sub-cohort for RTW analysis. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0197978PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986122PMC
December 2018
16 Reads

Prevalence and clinical characteristics of radiographic central triangular fibrocartilage complex tears in symptomatic and asymptomatic individuals younger than 50 years.

Arch Orthop Trauma Surg 2018 Aug 31;138(8):1173-1178. Epub 2018 May 31.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Background: Few studies have addressed the prevalence of central triangular fibrocartilage complex (TFCC) tears or their risk factors for symptom development. The aim of this study was to determine the prevalence of radiographic central TFCC tears in both symptomatic and asymptomatic individuals, and evaluate clinical characteristics of symptomatic individuals.

Methods: In this retrospective case control study, 221 patients younger than 50 years who exhibited positive ulnocarpal provocation test and underwent MRI to identify abnormalities associated with TFCC were age- and sex-matched with 221 controls who had undergone hand or wrist MRI for tumorous lesions or pain in hand other than ulnar-sided wrist. Read More

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http://dx.doi.org/10.1007/s00402-018-2969-yDOI Listing
August 2018
3 Reads

[Treatment of elbow joint stiffness by open release combined with distal radius fixation hinged external fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):134-138

Department of Orthopaedics, Shanghai Sixth People's Hospital of Eastern Hospital, Shanghai, 201306,

Objective : To observe the effectiveness of open release combined with distal radius fixation hinged external fixation for the treatment of elbow stiffness.

Methods: A total of 77 patients with elbow stiffness caused by trauma were enrolled in this study between October 2014 and October 2015. The patients were divided into control group (39 cases) and observation group (38 cases) by random number table method. Read More

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http://dx.doi.org/10.7507/1002-1892.201705102DOI Listing
February 2018
4 Reads

An anatomical study on the effectiveness of Arthrex Mini TightRope ligament reconstruction in an unstable trapeziometacarpal joint.

Arch Orthop Trauma Surg 2018 Jul 23;138(7):1029-1033. Epub 2018 May 23.

Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.

Introduction: Laxity in the trapeziometacarpal (TMC) joint is a debilitating condition usually affecting a young population. It can be treated operatively with ligament reconstruction. The purpose of this study was to determine the effectiveness of the Arthrex Mini TightRope in reinforcing the stabilizing ligaments in an unstable TMC joint without decreasing the range of motion of the thumb. Read More

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http://dx.doi.org/10.1007/s00402-018-2942-9DOI Listing
July 2018
111 Reads

Clinical and functional outcomes of vascularized bone graft in the treatment of scaphoid non-union.

PLoS One 2018 22;13(5):e0197768. Epub 2018 May 22.

Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Introduction: Scaphoid non-union is a challenging and complex problem. Various methods have been proposed for the management of patients with scaphoid non-union and to reduce the risk of complications. In this study, our aim was to evaluate the clinical and functional outcomes of using a vascularized bone graft in the treatment of scaphoid non-union. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0197768PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963744PMC
November 2018
1 Read

Hemi-Hamate Autograft Arthroplasty for the Proximal Interphalangeal Joint Revisited: A New Surgical Approach.

J Hand Surg Asian Pac Vol 2018 Jun;23(2):297-301

‡ Department of Plastic Surgery, Erasmus MC, Rotterdam, The Netherlands.

The hemi-hamate arthroplasty for proximal interphalangeal joint (PIPJ) dorsal fracture dislocations relies on complete dislocation of the joint using the 'shotgun' approach which provides excellent exposure but damages the delicate intrinsic joint stabilisers. We present a new approach to the PIPJ when performing the hemi-hamate arthroplasty. The volar surgical approach involves freeing up the whole tendon sheath-periosteal unit as a single layer, and retracting this to one side. Read More

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http://dx.doi.org/10.1142/S2424835518710029DOI Listing
June 2018
25 Reads

Outcomes in Early Versus Late Presentation of Focal Fibrocartilaginous Dysplasia Affecting the Upper Extremity: A Review of 4 Cases.

J Pediatr Orthop 2018 Jul;38(6):e360-e368

Orthopaedic Surgery, Shriners Hospital for Children Philadelphia, Philadelphia, PA.

Background: Focal fibrocartilaginous dysplasia (FFCD) is a rare disorder of the upper and lower extremities. In the distal ulna, a ligamentous tether emerging from the metaphysis crosses the physis and restricts growth, leading to deformity. Lesion excision before radiocapitellar subluxation has been shown to restore growth and allow remodeling. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001175DOI Listing
July 2018
6 Reads

[Three-dimensional architecture of intraosseous vascular anatomy of the hamate: a micro-computed tomography study].

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Apr;50(2):245-248

Department of Human Anatomy & Histology and Embryology, Peking University School of Basic Medical Sciences, Beijing 100191, China.

Objective: To obtain three-dimensional intraosseous artery of the hamate and to provide the vascular anatomy basis of hamate fracture fixation.

Methods: PbO (lead monoxide, Sinopharm Chemical Reagent Beijing Co. Ltd) was ground into particles less than 40 μm and suspended in turpentine oil (Chemical Reagent Beijing Co. Read More

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April 2018
2 Reads

Dimensional changes of the carpal tunnel and the median nerve during manual mobilization of the carpal bones.

Musculoskelet Sci Pract 2018 08 4;36:12-16. Epub 2018 Apr 4.

Department of Physiatry and Nursery, Faculty of Heath Sciences, University of Zaragoza, C/Domingo Miral s/n, CP: 50009. Zaragoza, Spain.

Introduction: The carpal tunnel is a clinically important fibro-osseous conduit for the median nerve and associated tendons. It is mechanically dynamic, such that the dimensions of the tunnel and median nerve change with position, movement and application of externally applied force with mechanical devices. Therapeutic manual techniques that appear to move and change tunnel shape are part of clinical practice. Read More

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http://dx.doi.org/10.1016/j.msksp.2018.04.002DOI Listing
August 2018
3 Reads

Management of Proximal Interphalangeal Joint Fracture Dislocations.

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.005DOI Listing
May 2018
7 Reads

Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome.

J Orthop Surg Res 2018 Apr 3;13(1):69. Epub 2018 Apr 3.

Ultrasonic Department, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32, West Section 2, Yihuan Road, Qingyang District, Chengdu, 610072, People's Republic of China.

Background: To compare the clinical effectiveness of ultrasound-guided needle release of the transverse carpal ligament (TCL) with and without corticosteroid injection in carpal tunnel syndrome (CTS).

Methods: From June 2016 to June 2017, 49 CTS patients (50 wrists) were included in this study. Twenty-five wrists were treated with ultrasound-guided needle release of the TCL plus corticosteroid injection (group A), and 25 wrists were treated with single ultrasound-guided needle release of the TCL (group B). Read More

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http://dx.doi.org/10.1186/s13018-018-0771-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883285PMC
April 2018
21 Reads

The clinical result of arthroscopic bone grafting and percutaneous K-wires fixation for management of scaphoid nonunions.

Medicine (Baltimore) 2018 Mar;97(13):e9987

Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Shatin, N.T., Hong Kong.

The purpose of this study is to analyze the clinical results of patients with scaphoid nonunion treated with arthroscopic bone grafting and K (Kirschner)-wires fixation.We retrospectively reviewed the records of 27 patients with scaphoid nonunion who had been treated with arthroscopic bone grafting and K-wires fixation method from November 2008 to February 2014. The average patient age was 35 years. Read More

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http://dx.doi.org/10.1097/MD.0000000000009987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895373PMC
March 2018
4 Reads
5.720 Impact Factor

Evaluation of median nerve by shear wave elastography and diffusion tensor imaging in carpal tunnel syndrome.

Eur J Radiol 2018 Apr 9;101:59-64. Epub 2018 Feb 9.

Istanbul University, Cerrahpasa Medical Faculty, Department of Neurology, Turkey.

Purpose: The aim of the current study is to investigate the diagnostic role of shear-wave elastography and diffusion tensor imaging in patients with carpal tunnel syndrome.

Material And Methods: The study included a total of 77 wrists; 18 normal, 35 wrists with mild, 9 wrists with moderate and 15 wrists with severe carpal tunnel syndrome. Elastography of the median nerve was performed by defining the boundaries of a segment of the nerve at sagittal plane at the level of proximal carpal row. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183004
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http://dx.doi.org/10.1016/j.ejrad.2018.02.005DOI Listing
April 2018
15 Reads

A Systematic Review and Meta-analysis of Randomized Controlled Trials Comparing Surgical versus Conservative Treatments for Acute Undisplaced or Minimally-Displaced Scaphoid Fractures.

Clin Orthop Surg 2018 Mar 27;10(1):64-73. Epub 2018 Feb 27.

Department of Plastic and Reconstructive Surgery, Security Forces Hospital, Riyadh, Saudi Arabia.

Background: Surgical and conservative methods have been reported by various studies for high rates of fracture union and subsequent regain of function among patients with undisplaced or minimally-displaced scaphoid fractures. Hence, this study aims to analyze the best available evidence to comprehend the relative benefits and risks of these therapeutic options.

Methods: A systematic search of the literature from different databases and search engines was performed with strict eligibility criteria to obtain the highest quality of evidence. Read More

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http://dx.doi.org/10.4055/cios.2018.10.1.64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851856PMC
March 2018
3 Reads

Early scaphoid fractures are better diagnosed with ultrasonography than X-rays: A prospective study over 114 patients.

Chin J Traumatol 2018 Aug 31;21(4):206-210. Epub 2018 Jan 31.

Department of Radio Diagnosis, SAMC and PGI, Indore, MP, India.

Purpose: Wrist has a complex anatomy and undergoes complex injuries. Scaphoid fracture is one of such injuries. It is the most common fracture in carpal bone. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085198PMC
August 2018
3 Reads

More than 40 years' follow-up of an unconstrained metal lunate replacement for the treatment of Kienböck's disease.

BMJ Case Rep 2018 Mar 15;2018. Epub 2018 Mar 15.

Trauma and Orthopaedics, Royal United Hospital Bath NHS Trust, Bath, UK.

Kienböck's disease is characterised by avascular necrosis of the lunate bone, and over the years it has been a challenging disease to manage, with differing opinions on the best intervention. We present an interesting case of a metallic unconstrained lunate replacement that is still functioning well in a patient 40 years after surgery. This case report represents the longest follow-up of any such prosthesis. Read More

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http://dx.doi.org/10.1136/bcr-2017-223546DOI Listing
March 2018
8 Reads

Scaphoid Nonunions.

Bull Hosp Jt Dis (2013) 2018 Mar;76(1):27-32

Scaphoid nonunions are challenging injuries to manage and the optimal treatment algorithm continues to be debated. Most scaphoid fractures heal when appropriately treated; however, when nonunions occur, they require acute treatment to prevent future complications like scaphoid nonunion advanced collapse. Acute nonunion treatment technique depends on nonunion location, vascular status of the proximal pole, fracture malalignment, and pre-existing evidence of arthrosis. Read More

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March 2018
5 Reads

[Mediocarpal instability of the wrist].

Unfallchirurg 2018 May;121(5):365-372

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.

Typical lesions of the carpal ligaments are mostly found after a fall on the wrist in hyperextension or as complex injuries after severe trauma, e. g. after a fall from a significant height, motorcycle accident or as accompanying lesions in multiple trauma. Read More

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http://dx.doi.org/10.1007/s00113-018-0476-9DOI Listing
May 2018
4 Reads

Volar percutaneous screw fixation for scaphoid nonunion.

Niger J Clin Pract 2018 Mar;21(3):388-391

Department of Plastic Reconstructive and Aesthetic Surgery, Firat University School of Medicine, Elazig, Turkey.

Background: Percutaneous screw fixation is widely used in acute fractures of the scaphoid. In this study, we aimed to present our results with volar percutaneous screw fixation in patients with scaphoid nonunions.

Methodology: A total of 12 patients with scaphoid nonunion (≥13 weeks) that underwent volar percutaneous screw fixation were evaluated retrospectively. Read More

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http://dx.doi.org/10.4103/njcp.njcp_24_17DOI Listing
March 2018
2 Reads

Pisiform malalignment associated with distal radius fractures.

J Orthop Sci 2018 May 2;23(3):511-515. Epub 2018 Mar 2.

Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu, 807-8555, Japan. Electronic address:

Background: The association of scaphoid or other carpal bone fractures with distal radius fractures is frequently reported, whereas few studies have described pisiform malalignment associated with distal radius fractures. The purpose of this study was to investigate the frequency and characteristics of pisiform malalignment associated with distal radius fractures.

Methods: We performed a retrospective study by reviewing the data of 152 consecutive patients with a mean age of 63 years who were treated surgically for distal radius fractures during a five-year period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183005
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http://dx.doi.org/10.1016/j.jos.2018.02.010DOI Listing
May 2018
4 Reads