6,418 results match your criteria Carpal Bone Injuries


Perilunate fracture-dislocations: Clinical and functional outcomes at a mean follow-up of 3.3 years.

Orthop Traumatol Surg Res 2021 May 27:102973. Epub 2021 May 27.

CHU Lille, Service d'Orthopédie-Traumatologie 1, 59000 Lille, France. Electronic address:

Introduction: Perilunate lesions in the carpus are severe injuries whose functional consequences can limit patients' ability to regain their pre-injury activity levels. The aim of this study was to evaluate the outcomes of a series of patients who suffered a perilunate fracture-dislocation and to assess their ability to resume their social and professional activities.

Hypothesis: After surgical management of this injury, the medium-term functional outcomes will allow patients to return to their pre-injury social and professional activities. Read More

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An Atypical Dorsal Perilunate Dislocation with No Scapho-Lunate Ligament Injury in Bilateral Complex Wrist Injury - a Case Report.

Acta Chir Plast 2021 ;63(1):23-29

Perilunate fracture-dislocation is rare. We report a case of a 17-year-old patient with an atypical dorsal perilunate dislocation with no scapholunate ligament injury and an associated contralateral radiocarpal fracture-dislocation. When the initial diagnostic is uncertain, in order not to delay the treatment, computed tomography scan is strongly recommended. Read More

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[Meta-analysis of external fixator and open reduction and internal fixation for the treatment of distal radius fracture].

Zhongguo Gu Shang 2021 May;34(5):429-37

Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China.

Objective: To compare clinical efficacy and safety of plate internal fixation (ORIF) and external fixator (EF) in treating distal radius fractures by Meta-analysis.

Methods: From establishment of database to August, 2019, randomized controlled trial (RCT) about open reduction and internal fixation (ORIF) and external fixation (EF) in treating distal radius fractures was conducted by using computer-based databases, including CNKI, VIP, Wanfang Data, Medline, Cochrane library databases. Data extraction and quality evaluation of included study according to inclusion and exclusion criteria, RevMan 5. Read More

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How to ease the fixation of carpal bones? Twenty-four lesions treated by 1,5 mm headless compression screws.

J Clin Orthop Trauma 2021 Jul 20;18:56-60. Epub 2021 Apr 20.

Hand Team Unit, Marienklinik, Bolzen, IT, Italy.

Background: Carpal bone lesions are common, even in acute injuries or as sequalae of missed fractures. If not correctly diagnosed and treated, can lead to loss of function, especially in active patients. The surgical management remain difficult particularly in case of small, atypical or non-unions fragments. Read More

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Wrist pain that should not be missed.

BMJ 2021 05 12;373:n1067. Epub 2021 May 12.

AToMS-academic team of musculoskeletal surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.

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Orthobiologics in Hand Surgery.

J Hand Surg Am 2021 May;46(5):409-415

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Orthobiologic agents are used as innovative adjuvant therapy to treat common upper-extremity pathology, including carpal tunnel syndrome, de Quervain tenosynovitis, and distal radius fractures. In this article, we perform a narrative review and evaluate current literature on orthobiologics in the upper extremity. Orthobiologics evaluated include bone morphogenetic proteins, platelet-rich plasma, bone marrow aspirate concentrate, mesenchymal stem cells, and amniotic membrane. Read More

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Treatment of Multiple Coronal Fractures in the Proximal Carpal Row with a Dorsal Distraction Bridge Plate: A Case Report.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):290-296

Department of Orthopedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Lunate coronal fracture is a rare injury, associated with impact along the capitate and lunate axis; neutralization of this axial force is important for satisfactory patient outcomes. This report presents a case of a 51-year-old man with a lunate coronal fracture associated with coronal fractures in the proximal carpal bones and volar and proximal dislocation of the distal carpal row. Open reduction and internal fixation with a dorsal distraction bridge plate were performed. Read More

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Open Reduction for Dorsal Dislocation of Second to Fifth Carpometacarpal Joints: A Case Report.

J Wrist Surg 2021 Apr 27;10(2):164-168. Epub 2020 Aug 27.

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.

 Fracture-dislocations of all four ulnar (second to fifth) carpometacarpal (CMC) joints are rare hand injuries and frequently overlooked or missed. These injuries can be treated conservatively when closed reduction is successfully achieved, though they are sometimes irreducible and unstable.  We report the case of a 17-year-old boy involved in a vehicular accident. Read More

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Incidence of Scaphoid Fractures and Associated Injuries at US Trauma Centers.

J Wrist Surg 2021 Apr 11;10(2):123-128. Epub 2020 Nov 11.

Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas.

 The scaphoid is the most commonly fractured carpal bone and often presents as a diagnostic challenge. Fractures can often go unnoticed on initial radiographic evaluation and clinical presentation can vary significantly among patients. Awareness of high-risk cohorts assists practitioners in making the appropriate clinical diagnosis of acute scaphoid fracture. Read More

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[A painful, swollen wrist after a fall from a bicycle].

Ned Tijdschr Geneeskd 2021 03 18;165. Epub 2021 Mar 18.

Tergooi, afd. Orthopedie, Hilversum.

This case concerns a male with a painful and swollen wrist after a fall from a bicycle. Physical examination of the wrist showed medial nerve compression. Radiographic analyses showed a lunate dislocation. Read More

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[What does the hand surgeon expect from the radiologist in diagnostic imaging of the hand?]

Authors:
F von Stillfried

Radiologe 2021 Apr 3;61(4):335-342. Epub 2021 Mar 3.

Klinik für Rekonstruktive und Plastische Chirurgie, Handchirurgie, Sankt Vincentius Krankenhaus, Holzstr. 4a, 67346, Speyer, Deutschland.

Background: For hand surgeons, in addition to anamnesis and clinical examination, imaging is the essential component in diagnostics and the basis for therapy planning. The focus on the special field of the "hand" and the adjacent joints is limited with regard to the anatomical extent, but with regard to the possible clinical pictures it encompasses the entire range of pathological changes.

Clinical Issue: Which imaging techniques support the goal of maintaining the functionality of the hand?

Performance: The carpal bones can be represented by computer tomography without superimposition. Read More

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Mid-term clinical and radiographic outcomes of perilunate injuries treated with open reduction and internal fixation.

Acta Orthop Traumatol Turc 2021 Jan;55(1):57-61

Clinic of Orthopaedics and Traumatology, VM Medical Park Pendik Hospital, İstanbul, Turkey.

Objective: This study aimed to present the mid-term clinical and radiographic outcomes of patients with perilunate injuries treated with open reduction and internal fixation (ORIF).

Methods: Patients who underwent ORIF due to perilunate injuries from 2004 to 2015 were retrospectively reviewed. Surgery was mostly performed using a standard dorsal approach. Read More

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January 2021

[Comparison between navigated and conventional percutaneous screw fixation of non-displaced scaphoid fractures].

Handchir Mikrochir Plast Chir 2021 Feb 15;53(1):47-54. Epub 2021 Feb 15.

Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Jena.

Background: Incorrect screw placement and penetration in screw fixation of scaphoid fractures are found in 5 to 30 %. Therefore, optimizing of screw placement is desirable, especially because an exact central position of the screw in the proximal fragment leads to a significant higher stability as a more peripheral position.

Patients Und Methods: 36 patients with an acute non-displaced scaphoid fracture were included in this randomized prospective study. Read More

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February 2021

Breaking Barriers: Studying Fracture Healing in the BONES Program.

J Orthop Trauma 2021 03;35(Suppl 1):S22-S27

Department of Orthopaedics, Louisiana State University Health Sciences Center, New Orleans, LA.

Summary: The Bioventus Observational Noninterventional EXOGEN Studies (BONES) Program includes 3 concurrent studies designed to estimate the incidence of fracture nonunions in patients treated with the EXOGEN Ultrasound Bone Healing System compared with those receiving standard fracture care. This article outlines the design and methodology within the fifth metatarsal fracture study; similar approaches are taken in the second and third BONES Program studies, which examine nonunions of the tibia and scaphoid. The BONES Program is an external comparator design and incorporates several unique, fit-for-purpose components to strengthen the approach and allow it to be submitted to the US Food and Drug Administration (FDA) to be considered for a label expansion. Read More

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T2 mapping of the median nerve in patients with carpal tunnel syndrome and healthy volunteers.

Muscle Nerve 2021 05 23;63(5):774-777. Epub 2021 Feb 23.

Department of Orthopaedic Surgery, Fujita Health University, Toyoake, Japan.

Introduction: We investigated the changes in MRI T2 mapping values in subjects with carpal tunnel syndrome (CTS) compared to healthy controls.

Methods: We enrolled 71 patients with CTS and 26 healthy controls. Median nerve T2 values were measured at the distal carpal tunnel, hamate bone, proximal carpal tunnel, and forearm levels. Read More

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Patient-specific plate for navigation and fixation of the distal radius: a case series.

Int J Comput Assist Radiol Surg 2021 Mar 11;16(3):515-524. Epub 2021 Feb 11.

Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Purpose: Corrective osteotomy of a malunited distal radius conventionally relies on 2D imaging techniques for alignment planning and evaluation. However, this approach results in suboptimal bone repositioning, which is associated with poor patient outcomes. In this case series, we evaluate the use of novel patient-specific plates (PSPs), which feature navigation and fixation of bone segments as preoperatively planned in 3D. Read More

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Dual-Layer Detector CT With Virtual Noncalcium Imaging: Diagnostic Performance in Patients With Suspected Wrist Fractures.

AJR Am J Roentgenol 2021 04 10;216(4):1003-1013. Epub 2021 Feb 10.

Department of Radiology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, South Korea.

The purpose of this study was to evaluate the diagnostic utility of dual-layer CT (DLCT) for evaluating wrist injuries and to compare it with MRI. The cases of 62 patients with suspected wrist fractures who underwent imaging with both DLCT and MRI from January 2018 through February 2019 were retrospectively reviewed. By means of a calcium suppression algorithm, virtual noncalcium (VNCa) image reconstruction was performed, and the images were reviewed by two readers to identify fractures, bone contusions, and nontraumatic lesions in the radius, ulna, and carpal bones. Read More

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Five Wrist Operations That Give the Best Results.

Plast Reconstr Surg 2021 Feb;147(2):295e-302e

From the Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic; and the Department of Plastic Surgery, University Hospital Getafe.

Learning Objectives: After reading this article and viewing the videos, the participant should be able to: 1. Recognize the following five wrist operations as consistent options for different wrist injuries: carpal tunnel release, medial femoral condyle bone flap for scaphoid nonunion associated with carpal collapse and avascular necrosis, scaphocapitate arthrodesis for Kienböck disease, percutaneous screw fixation of nondisplaced scaphoid fracture, and four-corner arthrodesis. 2. Read More

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February 2021

Evaluation of Four-Dimensional Computed Tomography as a Technique for Quantifying Carpal Motion.

J Biomech Eng 2021 Jun;143(6)

School of Biomedical Engineering, Western University, 1151 Richmond St, London, ON N6A 3K7, Canada; Roth McFarlane Hand and Upper Limb Centre, St Joseph's Health Care London, 268 Grosvenor St, London, ON N6A 4V2, Canada.

Delayed diagnosis of dynamic carpal instability often occurs because early changes in bone alignment and movement are difficult to detect and manifest mainly during a dynamic/functional task. Current diagnostic tools are only able to examine the carpal bones under static or sequential-static conditions. Four-dimensional (three dimensions + time) computed tomography (4DCT) enables quantification of carpal mechanics through 3D volume sequences of the wrist in motion. Read More

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Arthroscopic-assisted bone grafting and percutaneous K-wires fixation for the treatment of scaphoid nonunion in the skeletally immature patient: Three cases report.

Medicine (Baltimore) 2021 Jan;100(3):e24095

Department of Orthopedic surgery, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University Medical School Jeonju, Jeonbuk, 54907 - 54896, Republic of Korea.

Rationale: The treatment methods of pediatric scaphoid nonunion are still controversial. To our knowledge, arthroscopic-assisted treatments for pediatric scaphoid nonunion has not been reported in the English-language literature. Therefore, the purpose of this study is to report the use of arthroscopic-assisted bone grafting for scaphoid nonunion fracture in 3 patients and present a literature review. Read More

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January 2021

Hamate bone fractures.

Tidsskr Nor Laegeforen 2021 02 1;141(2). Epub 2021 Feb 1.

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February 2021

Treatment of acute perilunate dislocation or fracture dislocation using dorsal approach and diamond-shaped Kirschner-wire fixation.

Jt Dis Relat Surg 2021 26;32(1):42-50. Epub 2020 Oct 26.

Selçuk Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 42250 Selçuklu, Konya, Türkiye.

Objectives: This study aims to evaluate the clinical and radiological outcomes of diamond-shaped Kirschner (K)-wire fixation for the treatment of acute perilunate dislocation (PLD) or trans-scaphoid perilunate fracture dislocation (PLFD).

Patients And Methods: We performed a retrospective review of 18 patients (18 wrists; 17 males, 1 female; mean age 31.5±2. Read More

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Canine Carpal Injuries: From Fractures to Hyperextension Injuries.

Vet Clin North Am Small Anim Pract 2021 Mar 13;51(2):285-303. Epub 2021 Jan 13.

Queensland Veterinary Specialists, 263 Appleby Road, Stafford Heights, Queensland 4053, Australia. Electronic address:

The canine and feline carpus is a complex arrangement of bones, ligaments, and joint spaces that functions as a ginglymus joint to provide carpal flexion and extension. Given the demanding biomechanical demands on the carpus during weight bearing, a variety of region-specific pathology, often secondary to trauma, are reported. This review details carpal anatomy, biomechanical understandings, and current evidence surrounding carpal pathology and its management. Read More

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Scaphoid non-union with pre-existing screws treated by 3D preoperative planning.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Department of Orthopedic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.

Scaphoid fractures, if deemed operative, can often be treated successfully by headless compression screw fixation. Unfortunately, some patients go on to develop a scaphoid fracture non-union with screw loosening, bone resorption, bone deformity and carpal malalignment. To assist surgeons in managing these difficult cases, specifically designed scaphoid fracture plates have recently been introduced. Read More

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January 2021

Pisiform dislocation.

BMJ Case Rep 2021 Jan 6;14(1). Epub 2021 Jan 6.

Furness General Hospital, Barrow-in-Furness, Cumbria, UK

A pisiform dislocation is an uncommon injury which can lead to significant morbidity if missed. The literature regarding pisiform dislocation is limited and largely from case reports. In this case, we present a 51-year-old right-hand dominant male who sustained the injury after a fall. Read More

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January 2021

Isolated comminuted trapezium fracture: A case report and literature review.

Int J Surg Case Rep 2021 Jan 24;78:363-368. Epub 2020 Dec 24.

Orthopedic Surgery Department, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction And Importance: Trapezium, as a carpal bone positioned at the distal row, is often associated with other wrist injuries such as distal radius fracture. Isolated trapezium fracture, especially in a comminuted form, rarely occurs. There are only six reports of isolated comminuted trapezium fractures in the literature to the best of our knowledge. Read More

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January 2021

Prevalence of transthyretin amyloid cardiomyopathy in male patients who underwent bilateral carpal tunnel surgery: The ACTUAL study.

Int J Cardiol 2021 04 30;329:144-147. Epub 2020 Dec 30.

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, IRCCS Italian Cardiovascular Network, Genova, Italy; Department of Internal Medicine, University of Genova, Genova, Italy. Electronic address:

Introduction: Bilateral carpal tunnel syndrome (CTS), particularly in male individuals with left ventricular hypertrophy (LVH), has been recognized as a red flag for transthyretin cardiac amyloidosis (TTR-CA). Nonetheless, the opportunity of screening CTS patients for TTR has yet to be determined.

Methods: Medical records of 1689 CTS surgeries performed at our institution between 2008 and 2018 were reviewed. Read More

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[Fractures of the carpal bones without the scaphoid bone].

Unfallchirurg 2021 Jan;124(1):59-73

Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.

With the exception of the relatively frequent fractures of the scaphoid bone, isolated fractures of individual carpal bones are rare. Because these injuries are uncommon and because of the complex anatomy and function of the carpus, treatment of carpal bone fractures can be challenging. Carpal bone fractures generally occur in young, sports active and professional patients, can be easily overlooked in plain radiographs and are frequently associated with ligamentous instability, neurovascular injuries and tendon lesions. Read More

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January 2021

Dual-energy CT in the diagnosis of occult acute scaphoid injury: a direct comparison with MRI.

Eur Radiol 2021 Jun 19;31(6):3610-3615. Epub 2020 Dec 19.

Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Windmill Road, Headington, OX3 7HE, Oxford, UK.

Objectives: Scaphoid injuries occult on plain radiography often require further imaging for definitive diagnosis. We investigate the utility of dual-energy computed tomography (DECT) for the detection of acute bone marrow oedema and fracture of scaphoid compared to MRI.

Materials And Methods: Twenty patients who presented acutely (without prior injury) to the emergency department with clinically suspected occult scaphoid fracture and had MRI of the wrist were prospectively recruited to have DECT (GE Revolution CT). Read More

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