6,708 results match your criteria Carpal Bone Injuries

Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome.

Pain Res Manag 2022 8;2022:1975803. Epub 2022 Jun 8.

Department of Physical Therapy, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.

Background: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population.

Objective: This study aimed to compare the efficacy of the neurodynamic technique (NT) and carpal bone mobilization technique (CBMT) incorporated with tendon gliding exercises (TGE) as an effect-enhancing adjunct while managing the participants with chronic CTS.

Methods: The study followed a two-arm parallel-group randomized comparative design. Read More

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Pancarpal dissociation, a very rare type of injury: A case report.

Medicine (Baltimore) 2022 Jun 17;101(24):e29479. Epub 2022 Jun 17.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Pan-carpal dissociation is very rare injury and there is little information as to diagnosis, treatment, and prognosis of this injury.

Patient Concerns: A 35-year-man presented to our hospital with severe pain and swelling of the left wrist and forearm after slipping and falling while riding a motorcycle.

Diagnosis: The wrist simple radiographs demonstrated unrecognizable severe fracture-dislocation of the carpal bones concomitant with fractures of the radioulnar shaft. Read More

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Simultaneous Bilateral Chronic Volar Lunate Dislocation: A Case Report.

JBJS Case Connect 2022 04 15;12(2). Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.

Case: A 24-year-old professional judo competitor suffered injuries to both the wrists when he fell on his back while lifting a 90-kg barbell in the bilateral dorsiflexed wrist position. Simultaneous bilateral volar lunate dislocation had been missed for a year. The degenerated lunates were simultaneously removed using a palmar approach. Read More

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Proximal Hamate Autograft for Proximal Scaphoid Pole Reconstruction A Case Report.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):155-159

Avascular necrosis (AVN) and subsequent fragmentation of the proximal pole of the scaphoid following fracture is a challenging problem to treat. Multiple treatment methods have been described, although they have been shown to have varying degrees of success and are associated with donor site morbidities. This case report demonstrates a technique and the excellent radiographic and clinical outcome at 8 months postoperatively for reconstruction of the proximal pole of the scaphoid using an ipsilateral proximal pole of the hamate autograft. Read More

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Virtual management of clinically suspected scaphoid fractures.

Bone Joint J 2022 Jun;104-B(6):709-714

Queen Margaret Hospital, Dunfermline, UK.

Aims: The aim of this study was to describe the introduction of a virtual pathway for the management of patients with a suspected fracture of the scaphoid, and to report patient-reported outcome measures (PROMs) and satisfaction following treatment using this service.

Methods: All adult patients who presented with a clinically suspected scaphoid fracture that was not visible on radiographs at the time of presentation during a one-year period were eligible for inclusion in the pathway. Demographic details, findings on examination, and routine four-view radiographs at the time of presentation were collected. Read More

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Resurfacing capitate pyrocarbon implant as salvage procedure in several serious outcomes of carpal injuries. Clinical experience and follow-up.

Acta Biomed 2022 03 10;92(S3):e2021536. Epub 2022 Mar 10.

Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Roma, Italia..

Background And Aim: Resurfacing Capitate Pyrocarbon Implant has been introduced in the surgical practice as an alternative method to restore wrist motion, strength and functions in patients suffering from wrist osteoarthritis. It has already been well described in the literature as a treatment for advanced stages of degenerative wrist diseases which follow scaphoid's and lunate's injuries such as scapho-lunate advanced collapse, scaphoid non-union advanced collapse, and advanced stages of Kienböck disease. Authors extended the use of RCPI to other selected cases of complicated wrist injuries, spreading out from the classic indications for which this device was designed. Read More

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Locking plate osteosynthesis of scaphoid nonunion with severe bone defects: a case series.

Sci Rep 2022 May 19;12(1):8379. Epub 2022 May 19.

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.

The treatment of scaphoid nonunion can be challenging with increasing defect size. We evaluated the outcome of scaphoid nonunion with a substantial bone defect treated with a multidirectional locking plate combined with cancellous bone grafting only. Thirteen patients with significant osseous defects measuring 6 mm or more suffering from primary nonunion without treatment (n = 6) or recalcitrant nonunion following Herbert screw osteosynthesis (n = 7) were treated and reviewed retrospectively. Read More

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Quantitative anatomical analysis of the carpal tunnel in women and men.

Ann Anat 2022 Aug 14;243:151956. Epub 2022 May 14.

Unit of Human Anatomy and Embryology, University of Barcelona, C/Casanova 143, 08036 Barcelona, Spain; Institut d'Arqueologia de la Universitat de Barcelona (IAUB), Faculty of Geography and History, University of Barcelona, 08001 Barcelona, Spain. Electronic address:

Purpose: The main objective of this study was to identify anatomical differences between men and women in the absolute and relative size of the carpal tunnel (CT), its inner structures, and related external anatomical structures in order to shed light on the higher prevalence of CT syndrome (CTS) in women.

Basic Procedures: We have dissected the forearms and hands of ten men and ten women and compared the cross-sectional area (CSA) of the CT between the two sexes. The size of the CT relative to the tendons passing through it, the median nerve (MN), and to hand and wrist size was also compared between men and women. Read More

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Steel syndrome: Report of three patients, including monozygotic twins and review of clinical and mutation profiles.

Eur J Med Genet 2022 Jun 11;65(6):104521. Epub 2022 May 11.

Department of Medical Genetics, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium; Current affiliation: Center for Human Genetics, University Hospitals Leuven and KU Leuven, Leuven, Belgium. Electronic address:

Steel syndrome (MIM# 615155) is an autosomal recessive skeletal disorder, characterized by dislocations of the hips and radial heads, carpal coalition, short stature, facial dysmorphism, and scoliosis. Until date 47 patients have been reported. However, disease causing variants have been identified only in twenty Puerto Rican and nine non-Puerto Rican families. Read More

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An uncommon case of traumatic pisiform dislocation with triquetral fracture.

J Radiol Case Rep 2022 Apr 1;16(4):1-10. Epub 2022 Apr 1.

Department of Diagnostic Radiology, Changi General Hospital, Singapore.

The pisiform is a sesamoid bone that acts as one of the key medial stabilizers of the wrist. We present a case of a 35-year-old gentleman who presented with medial wrist pain following a fall while rollerblading. Radiographs and Magnetic resonance imaging (MRI) revealed a rare combination of an acute pisiform dislocation with associated triquetral fracture. Read More

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Bone grafting for scaphoid nonunion surgery : a systematic review and meta-analysis.

Bone Joint J 2022 May;104-B(5):549-558

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The purpose of this systematic review was to determine the rates of union for vascularized versus non-vascularized grafting techniques in the operative management of scaphoid nonunion. Secondary aims were to determine the effect of the fixation techniques used, the source of grafting, as well as the influence of fracture location (proximal pole) and avascular necrosis (AVN).

Methods: A search of PubMed, MEDLINE, and Embase was performed in June 2021 using the Preferred Reporting Items for Systematic Review and Meta-Analyses statement and registered using the PROSPERO International prospective register of systematic reviews. Read More

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Dorsal Trans-Scaphoid Perilunate Fracture-Dislocation in Association with Dorsal Dislocation of the Thumb Carpometacarpal Joint: A Rare Injury Pattern.

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):385-388. Epub 2022 Apr 19.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Japan.

We report a dorsal trans-scaphoid perilunate fracture-dislocation associated with dorsal dislocation of the thumb carpometacarpal joint in a 25-year-old man. This is a rare injury and we discuss a possible mechanism for the injury. Level V (Therapeutic). Read More

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Complete Occlusion of Radial and Ulnar Arteries Following Hand Crush Injury with Multiple Carpometacarpal Joint Fracture-Dislocations.

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):376-380. Epub 2022 Apr 19.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, School of Medicine, CHA University, Seongnam-si, Gyeonggi-do, South Korea.

Multiple dorsal fracture-dislocations of the carpometacarpal joints (CMCJ) occur from very high-energy trauma and are often associated with soft tissue injury or ischaemia. We report a 54-year-old male manual worker and a smoker who presented to the emergency room with history of compression of his right hand in a press machine. Radiographs showed dorsal fracture-dislocations of the scapho-trapezio-trapezoidal and third to fifth CMCJ's. Read More

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Treatment of upper extremity palsies, gunshot wounds and scaphoid nonunion: my preferred approaches.

Shai Luria

J Hand Surg Eur Vol 2022 Jun 17;47(6):580-589. Epub 2022 Apr 17.

Faculty of Medicine, Hebrew University of Jerusalem, Israel.

The article reviews key considerations and our preferred methods in treating upper extremity palsies, gunshot wounds and scaphoid nonunion. For these three difficult conditions, I highlight the importance of a team approach when treating upper extremity neuromuscular disease, flexibility and creativity when treating gunshot wounds, and my personal protocol for dealing with scaphoid fracture nonunions. V. Read More

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Acta Ortop Bras 2022 28;30(1):e248404. Epub 2022 Jan 28.

. Universidade de São Paulo, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Hand and Microsurgery Group, São Paulo, SP, Brazil.

Introduction: The radiographic and surgical findings, and treatment of radiocarpal fracture dislocations, were analyzed retrospectively in 40 patients.

Materials And Methods: All patients were classified according to Dumontier´s radiological classification and compared with the surgical findings. Based on this analysis, a new classification and treatment are proposed. Read More

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January 2022

Effect of the Articular Surface Incongruency on Surgical Outcome of the Distal Radius Fracture.

Biomed Res Int 2022 9;2022:8357675. Epub 2022 Mar 9.

Department of Orthopaedic Surgery, Dongtan Sacred Hospital, Hallym University, Hwaseong, Republic of Korea.

Purpose: The aim of this study was to demonstrate the joint fragment that mostly affects the outcome of the distal radius fracture surgically treated with a volar locking plate (VLP).

Methods: The outcomes of 69 patients with the distal radius fractures were evaluated at their final follow-up. The articular surface was divided into six specific fragments, and computed tomography (CT) was used to evaluate the degree of mismatch of each fragments. Read More

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Reconstruction of scaphoid waist non-unions using a radial approach: Preliminary outcome analyses.

Hand Surg Rehabil 2022 Jun 10;41(3):334-340. Epub 2022 Mar 10.

Department of Orthopedics and Traumatology, Division of Hand Surgery, Dışkapı Y. Beyazıt Training and Research Hospital, Ö. Halisdemir Blv., No:20, 06110, Ankara, Turkey.

This study aimed to evaluate clinical and radiographic outcomes in a consecutive series of patients who underwent open surgery via a radial approach for reconstruction of scaphoid waist non-union. Over a 2-year period, 16 males with scaphoid waist non-union received surgery using a radial approach; we performed limited styloidectomy, biconcave curettage, ovoid bone grafting from the styloidectomy fragment, and placement of a retrograde radial-entry screw. Mean patient age was 25. Read More

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Acute Calcium Pyrophosphate Crystal Arthritis of the Wrist Elicited by Anti-COVID-19 Vaccination After Carpal Tunnel Release.

Am J Case Rep 2022 Mar 12;23:e934833. Epub 2022 Mar 12.

Plastic and Reconstructive Surgery Unit, Padua University Hospital, Padua, Italy.

BACKGROUND Calcium pyrophosphate dihydrate deposition disease includes a variety of clinical syndromes, including acute calcium pyrophosphate (CPP) crystal arthritis. Most patients with CPP crystal arthritis have a primary/idiopathic form presenting with severe pain, swelling, and stiffness. COVID-19 infection, which originated in China in December 2019, required extraordinary efforts to develop and test new vaccines to halt the pandemic. Read More

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Isolated lunate dislocation.

BMJ Case Rep 2022 Mar 7;15(3). Epub 2022 Mar 7.

Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

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Incidence of carpal fractures and risk factors for recurrent fractures after arthroscopic removal of carpal chip fracture fragments in Thoroughbred racehorses.

Vet Rec 2022 May 28;190(10):e1482. Epub 2022 Feb 28.

Clinical Veterinary Medicine Division, Equine Research Institute, Japan Racing Association, 1400-4 Shiba, Shimotsuke-shi, Tochigi, Japan.

Background: We aimed to investigate the recent incidence of carpal fractures and the risk factors for recurrent ipsilateral fractures after arthroscopic removal of clinically active unilateral carpal chip fracture fragments in Thoroughbred racehorses.

Methods: The findings for horses managed under the Japan Racing Association that developed carpal bone fractures between 2014 and 2018 were retrospectively reviewed. The proportion of cases that developed a recurrent carpal fracture in the originally affected joint was calculated, and the risk factors for recurrent fractures were analysed. Read More

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Anatomy, Biomechanics, and Loads of the Wrist Joint.

Life (Basel) 2022 Jan 27;12(2). Epub 2022 Jan 27.

Department of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074 Aachen, Germany.

The wrist is by far the most differentiated section of the musculoskeletal system. The spectrum of wrist injuries ranges from minor injuries to complex traumas with simultaneous loss of functions, resulting in enormous economic costs. A proper understanding of the anatomy and biomechanics is essential for effective treatment, whether conservative or surgical; this applies to the wrist no less than to other parts of the human body. Read More

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January 2022

Hamate vs. capitate grafting for proximal interphalangeal joint fracture-dislocation: an MRI-based study of 35 hands.

J Hand Surg Eur Vol 2022 Jul 20;47(7):755-760. Epub 2022 Feb 20.

Orthopaedic Department, Tauranga Hospital, Tauranga, New Zealand.

We examined the MRI scans of 35 adult hands to assess the feasibility of the hamate and the capitate as potential donor grafts in the management of comminuted intra-articular fractures at the base of the middle phalanges. Essentially neither the hamate nor the capitate were perfect anatomic matches in most digits, but the capitate had the advantage of having more uniform facets, and the capitate facet shapes were similar to those of the little finger. The measurement of angles in the coronal and sagittal plane showed that in some respects the differences between the potential graft and the base of the middle phalanges were smaller for the capitate than for the hamate. Read More

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A Large Animal Model for Orthopedic Foot and Ankle Research.

Front Vet Sci 2022 3;9:816529. Epub 2022 Feb 3.

Preclinical Surgical Research Laboratory, Department of Clinical Sciences, Colorado State University, Fort Collins, CO, United States.

Trauma to the soft tissues of the ankle joint distal syndesmosis often leads to syndesmotic instability, resulting in undesired movement of the talus, abnormal pressure distributions, and ultimately arthritis if deterioration progresses without treatment. Historically, syndesmotic injuries have been repaired by placing a screw across the distal syndesmosis to provide rigid fixation to facilitate ligament repair. While rigid syndesmotic screw fixation immobilizes the ligamentous injury between the tibia and fibula to promote healing, the same screws inhibit normal physiologic movement and dorsiflexion. Read More

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February 2022

Flexor Digitorum Superficialis Tendon Transfer for Wrist Extension.

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Nov 8.

Shriners Hospital, Philadelphia, Pennsylvania.

Peripheral nerve injuries are among the most complex conditions facing upper-extremity surgeons. Loss of wrist extension can result in marked limitations, including loss of pinch and grip strength with discoordination of grasp and release. Tendon transfers represent the mainstay of operative treatment and have proven to be an effective method for restoring loss of wrist extension. Read More

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November 2021

[Management of the nondisplaced type Herbert D1 scaphoid fracture with robot navigation combined with wrist arthroscopy].

Zhonghua Yi Xue Za Zhi 2022 Feb;102(7):513-517

Department of Hand Surgery of Xuzhou Renci Hospital, Xuzhou 221004, China.

To investigate the feasibility and the clinical efficiency of robot navigation combined with wrist arthroscopy in minimally invasive treatment of nondisplaced type Herbert D1 scaphoid fracture. A retrospective analysis was performed on 9 patients who underwent nondisplaced type Herbert D1 scaphoid fracture in Xuzhou Renci Hospital from December 2019 to January 2021. Before the operation and at the last follow-up, grip strength, pinching force, modified wrist Mayo score and visual analogue scale (VAS) of wrist pain were recorded and compared. Read More

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February 2022

Arthroscopic-assisted radiocarpal ligaments tensioning for dynamic radiocarpal instability.

BMC Musculoskelet Disord 2022 Feb 17;23(1):158. Epub 2022 Feb 17.

Department of Orthopaedics, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan.

Background: Dynamic radiocarpal instability is one of the causes of post-trauma radial-sided wrist pain. It is not easy to diagnose and may possibly be overlooked. The key ligaments responsible for dynamic radiocarpal instability are the radioscaphocapitate (RSC) and long radiolunate (LRL) ligaments. Read More

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February 2022

Volar Dislocation of Trapezoid with Coronal Fracture - A Case Report and Review of Literature.

J Hand Surg Asian Pac Vol 2022 Feb 17;27(1):195-199. Epub 2022 Feb 17.

Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Volar dislocation of the trapezoid is a rare injury and is easily missed. It is more common to have a dorsal dislocation of trapezoid or multiple carpometacarpal joint dislocations. The rare nature of the injury also means that there is little guidance in literature regarding optimal treatment. Read More

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February 2022

[Establishing a standardized diagnostic Procedure for sonographic Imaging and Evaluation of the scapholunate Ligament].

Handchir Mikrochir Plast Chir 2022 Feb 15;54(1):28-37. Epub 2022 Feb 15.

Berufsgenossenschaftliche Kliniken Bergmannstrost Halle Unfallchirurgie.

Background: Ultrasound has not yet been established in the diagnostic workup of scapholunate ligament lesions. We aimed to develop a standardised examination procedure to visualise and evaluate the SL ligament.

Patients And Methods: Forty patients (70 hands) were examined prospectively with ultrasonography and the results were compared with arthroscopy and MRI findings. Read More

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February 2022

Outcomes after Bone-Ligament-Bone Intercarpal Ligament Reconstruction.

Plast Reconstr Surg 2022 Apr;149(4):901-910

From the Department of Orthopaedic Surgery and Sports Medicine, University of Cincinnati College of Medicine; Department of Orthopaedic Surgery and Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School; and Department of Biostatistics, University of Pittsburgh.

Background: Numerous surgical reconstructive techniques have been described for chronic scapholunate and lunotriquetral interosseous ligament instability.

Methods: The authors retrospectively reviewed 16 consecutive patients who underwent bone-ligament-bone reconstruction for scapholunate or lunotriquetral intraosseous ligament predynamic and dynamic instability at a single tertiary care institution from 2013 to 2019. Clinical and radiographic outcomes, and complications, were recorded. Read More

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Outcomes of Pediatric Scaphoid Nonunions Treated With Distal Radius Cancellous Autograft.

J Pediatr Orthop 2022 May-Jun 01;42(5):260-264

Department of Orthopaedics, The Ohio State University.

Background: The optimal management of pediatric scaphoid fracture nonunions is controversial. We hypothesize that pediatric patients with scaphoid fracture nonunions will have favorable functional outcomes with the utilization of nonvascularized distal radius cancellous autograft with open reduction and internal fixation (ORIF).

Methods: A review was performed from 2012 to 2017 identifying skeletally immature patients with scaphoid fracture nonunions treated with ORIF and nonvascularized distal radius cancellous autograft, including demographic data, mechanism of injury, length of time from injury to treatment, operative procedure, length of immobilization, time to union, and complications. Read More

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