6,239 results match your criteria Carpal Bone Injuries


The serious full-length forearm injury - a case report and literature review.

Authors:
Jun Wang

BMC Musculoskelet Disord 2020 Jun 15;21(1):381. Epub 2020 Jun 15.

Department of orthopedic, Xiaoshan 1st People's Hospital, Hangzhou, 311200, China.

Background: Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. Read More

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http://dx.doi.org/10.1186/s12891-020-03394-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296690PMC

Evaluation and Management of Carpal Fractures Other Than the Scaphoid.

J Am Acad Orthop Surg 2020 Jun 4. Epub 2020 Jun 4.

From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

Fractures of the carpus can be debilitating injuries and often lead to chronic pain and dysfunction when not properly treated. Although scaphoid fractures are more common, fractures of the other carpal bones account for nearly half of all injuries of the carpus. Often missed on initial presentation, a focused physical examination with imaging tailored to the suspected injury is needed to identify these fractures. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00062DOI Listing

Capitate and Hamate Fracture. Case Study.

Ortop Traumatol Rehabil 2020 Apr;22(2):143-149

University Center of Anápolis - UniEVANGÉLICA.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Read More

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http://dx.doi.org/10.5604/01.3001.0014.1185DOI Listing

Fractures of the scaphoid.

BMJ 2020 May 27;369:m1908. Epub 2020 May 27.

Guy's and St Thomas' NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1136/bmj.m1908DOI Listing

Hand fractures and return to play in elite Australian cricketers.

J Orthop 2020 Nov-Dec;22:100-103. Epub 2020 Mar 26.

Cricket Australia, 60 Jolimont St, Jolimont, VIC, Australia.

Introduction: Hand fractures are one of the most common injuries sustained whilst playing cricket. Further research is required to inform future clinical management and risk-reduction strategies.

Methods: This retrospective cohort study reviewed all cases of hand fractures in elite Australian cricket players over a three-year period. Read More

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http://dx.doi.org/10.1016/j.jor.2020.03.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154999PMC

[Proximal carpectomy versus four-cornered arthrodesis in patients with lesions SLAC and SNAC].

Acta Ortop Mex 2019 May-Jun;33(3):146-149

Hospital de Traumatología y Ortopedia «Lomas Verdes». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

Advanced scafosemilunar collapse (SLAC) and advanced scaphoid pseudoarthrosis (SNAC) collapse are the result of trauma causing scaphoid fracture and the consequent pseudoarthrosis resulting in abnormal kinematics of the wrist and a scapholunate ligament injury, respectively. Current surgical options for SLAC/SNAC treatment include partial arthrodesis, carpal proximal row resection.

Material And Methods: Retrospective, cross-cutting and descriptive study was carried out in the period from January 2010 to December 2015. Read More

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The interobserver reliability of the diagnosis and classification of scaphoid fractures using high-resolution peripheral quantitative CT.

Bone Joint J 2020 Apr;102-B(4):478-484

NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Aims: Besides conventional radiographs, the use of MRI, CT, and bone scintigraphy is frequent in the diagnosis of a fracture of the scaphoid. However, which techniques give the best results remain unknown. The investigation of a new imaging technique initially requires an analysis of its precision. Read More

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http://dx.doi.org/10.1302/0301-620X.102B4.BJJ-2019-0632.R3DOI Listing

A painful swollen hand.

BMJ 2020 Mar 5;368:m614. Epub 2020 Mar 5.

Rotherham Hospital, Rotherham, UK.

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http://dx.doi.org/10.1136/bmj.m614DOI Listing

[Wrist arthroscopic treatment of Diepunch fracture of distal radius].

Zhongguo Gu Shang 2020 Jan;33(1):59-63

Department of Wrist, Sichuan Orthopaedic Hospital, Chengdu 610041, Sichuan, China.

Objective: To evaluate the effect of open reduction assisted by wrist arthroscopy in the treatment of Diepunch fracture of the distal radius.

Methods: The clinical data of 50 patients with die punch fracture of distal radius from December 2015 to May 2017 were analyzed retrospectively, including 31 males and 19 females, aged 20 to 45 (34.12±2. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2020.01.011DOI Listing
January 2020

Scapholunate Ligament Injury: Management Strategies From Occult Injury to Arthritis.

Instr Course Lect 2020 ;69:331-346

This chapter will explore scapholunate ligament injuries with a focus on injury recognition, diagnosis, the natural history, and options for treatment. Treatment is based upon injury factors, patient factors, and surgeon preference. The classification systems in common use will be discussed, and treatment options will be explored, including nonsurgical, arthroscopic, repair, reconstruction, pain relieving measures, and salvage procedures. Read More

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February 2020

Reevaluation of the Scaphoid Fracture: What Is the Current Best Evidence?

Instr Course Lect 2020 ;69:317-330

Scaphoid fractures are common and notorious for their troublesome healing. The aim of this review is to reevaluate the current best evidence for the diagnosis, classification, and treatment of scaphoid fractures and nonunions. MRI and CT are used to establish a "definitive diagnosis" with comparable diagnostic accuracy although neither is 100% specific. Read More

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February 2020

Comparison of the diagnostic accuracy of X-ray and computed tomography in patients with wrist injury.

Injury 2020 Mar 27;51(3):651-655. Epub 2020 Jan 27.

University of Health Sciences, Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Background: This study aimed to compare CT and XR images of patients admitted to the emergency department due to wrist injuries and to evaluate the accuracy of XR in the diagnosis of fractures.

Methods: Patients; who admitted to ED with injuries due to wrist trauma and who underwent XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018, were included in the study. CT scan image interpretation reports recorded in the hospital automation system were considered eligible to be included in the study. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.034DOI Listing

A Mini-Open, Dorsal Approach for Scaphoid Fracture Fixation With a Ligament Sparing Arthrotomy.

Tech Hand Up Extrem Surg 2020 Mar;24(1):32-36

Department of Orthopaedics, University of North Dakota, ND.

There are several surgical approaches that are currently used to address nondisplaced scaphoid waist fractures, including percutaneous fixation, limited exposure fixation, and traditional open techniques through a volar or dorsal approach. Although percutaneous fixation has some theoretical advantages, it is much more difficult to achieve an accurate starting point for a headless compression screw. The purpose of this paper is to describe a simple, dorsal, mini-open approach to the scaphoid that minimizes incision size, extensor tendon dissection, capsular trauma, and vascular disruption, while still allowing for direct visualization of the proximal pole and optimal exposure for accurate screw placement. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000278DOI Listing

The V-Y advancement flap based on the dorsal carpal perforators for dorsal metacarpal reconstruction: Anatomical and clinical study.

Clin Anat 2020 Jan 1. Epub 2020 Jan 1.

Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi, Jiangsu, China.

Introduction: Soft-tissue defects on the dorsal hand accompanied by exposed bone and tendon remain a challenge for plastic surgeons. The purpose of this study was to observe the morphological characteristics of the dorsal carpal perforators in the wrist and to design a V-Y advancement flap based on the dorsal carpal perforators.

Materials And Methods: Thirty cadaveric hand specimens were dissected to observe the origin, course, branches, and anastomoses of the dorsal carpal perforators, and a V-Y advancement flap was designed based on these perforators. Read More

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http://dx.doi.org/10.1002/ca.23554DOI Listing
January 2020

PHYSICAL TRAINING IN REHABILITATION OF 10-13 YEARS OLD CHILDREN WITH FRACTURES OF BONES OF THE LOWER THIRD OF FOREARM.

Georgian Med News 2019 Nov(296):36-41

1V. Hnatyuk Ternopil National Pedagogical University, Ukraine.

The research is devoted to the problem of rehabilitation of 10-13 years old children with the fractures of bones of the lower third of forearm by means of physical training. The purpose of the work is to identify factors of injuries emergence in children, creating and checking efficiency of the physical rehabilitation program on the example of the fractures of bones of the lower third of forearm. The causes of children's school injuries have been analyzed and the following are established: organizational-methodical, sanitary-hygienic and psychophysiological. Read More

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November 2019

Prospective investigation of the relationship between dorsal tilt, carpal malalignment, and capitate shift in distal radial fractures.

Bone Joint J 2020 Jan;102-B(1):137-143

Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.

Aims: Carpal malalignment after a distal radial fracture occurs due to loss of volar tilt. Several studies have shown that this has an adverse influence on function. We aimed to investigate the magnitude of dorsal tilt that leads to carpal malalignment, whether reduction of dorsal tilt will correct carpal malalignment, and which measure of carpal malalignment is the most useful. Read More

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http://dx.doi.org/10.1302/0301-620X.102B1.BJJ-2019-0738.R1DOI Listing
January 2020

Experimental Study and Preliminary Clinical Application of Mini-invasive Percutaneous Internal Screw Fixation for Scaphoid Fracture under the Guidance of a 3D-printed Guide Plate.

Curr Med Sci 2019 Dec 16;39(6):990-996. Epub 2019 Dec 16.

Peking University Shenzhen Hospital, Shenzhen, 518036, China.

This study explored the feasibility of employing computer-aided design (CAD) and 3 dimensional (3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid. The study consisted of two parts: (1) experimentation on upper limbs from corpses and (2) preliminary clinical application. Corpse experiments involved upper limbs of 6 adult corpses. Read More

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http://dx.doi.org/10.1007/s11596-019-2133-0DOI Listing
December 2019

The Emergent Evaluation and Treatment of Hand and Wrist Injuries: An Update.

Emerg Med Clin North Am 2020 Feb;38(1):61-79

Department of Emergency Medicine, University of Maryland School of Medicine, UM Upper Chesapeake Health System, 500 Upper Chesapeake Drive, Bel Air, MD 21014, USA. Electronic address:

Injury patterns of the hand and wrist can be complex and challenging for the emergency physician to diagnose and treat. The ability of the hand to perform delicate maneuvers requires a very intricate interplay of bones, ligaments, and tendons. Unfortunately, due to the omnipresence of the hand, the hand and wrist are commonly injured. Read More

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http://dx.doi.org/10.1016/j.emc.2019.09.004DOI Listing
February 2020

Current Techniques in Scapholunate Ligament Reconstruction.

Orthop Clin North Am 2020 Jan;51(1):77-86

Hand Center of San Antonio, 21 Spurs Lane Suite #310, San Antonio, TX 78240, USA.

Scapholunate ligament injuries are common and can lead to a predictable pattern of arthritis (scaphoid lunate advanced collapse wrist) if unrecognized or untreated. This article describes the relevant anatomy, biomechanics, and classification system, and provides an up-to-date literature-based review of treatment options, including acute repair and various reconstruction techniques. It also helps guide surgeons in making decisions regarding a systematic treatment algorithm for these injuries. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.09.002DOI Listing
January 2020

Scaphoid Reconstruction.

Orthop Clin North Am 2020 Jan 17;51(1):65-76. Epub 2019 Oct 17.

Division of the Orthopedics and Traumatology Department, Santa Casa Hospital Complex, Porto Alegre, Brazil; Clinica da Mao ao Cotovelo, 569/601 Soledade Street, Porto Alegre, Rio Grande do Sul 90470-340, Brazil.

Surgical strategies for scaphoid nonunions become more complex based on time from injury to treatment. The decision-making process, however, can follow a logical sequence. Scaphoid nonunions less than 1 year after trauma and no carpal malalignment can be treated with percutaneous screw fixation under fluoroscopic and/or arthroscopic guidance. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.08.010DOI Listing
January 2020

Combined Pedicled Vascularized and Wedge Nonvascularized Bone Graft for Treating Scaphoid Waist Nonunion With Humpback Deformity.

Tech Hand Up Extrem Surg 2019 Dec;23(4):155-159

Department of Orthopedics, E-Da Hospital/I-Shou University, Kaohsiung City, Taiwan.

Pedicled vascularized bone graft (VBG) is a useful method in treating the scaphoid fracture nonunion, especially when the avascular necrosis exists. Humpback deformity is an important issue that we have to correct it during the treatment. We describe a method by using combined wedge non-VBG to correct the nonunion deformity when treating scaphoid nonunion with pedicled VBG. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000244DOI Listing
December 2019

Prospective Evaluation of Median Nerve Dysfunctions in Patients with a Distal Radius Fracture Treated with Volar Locking Plating.

J Hand Surg Asian Pac Vol 2019 Dec;24(4):392-399

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

The aim of this study was to identify the risk factors for median nerve dysfunctions after volar locking plate (VLP) fixation for distal radius fracture (DRF). We prospectively assessed the incidence of median nerve symptoms (MNS) such as numbness, pain, paresthesia, or hypesthesia in the area innervated by the median nerve and evaluated post-operative nerve conduction (NC) in 91 hands of 121 patients after VLP fixation for DRF. Multivariate logistic regression analysis was conducted to identify factors independently associated with MNS and abnormal NC in the injured wrist. Read More

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http://dx.doi.org/10.1142/S2424835519500498DOI Listing
December 2019

The use of 4D-CT in assessing wrist kinematics and pathology: a narrative view.

Bone Joint J 2019 11;101-B(11):1325-1330

Princess Alexandra Hospital, Brisbane, Australia.

The wrist is a complex joint involving many small bones and complicated kinematics. It has, therefore, been traditionally difficult to image and ascertain information about kinematics when making a diagnosis. Although MRI and fluoroscopy have been used, they both have limitations. Read More

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http://dx.doi.org/10.1302/0301-620X.101B11.BJJ-2019-0361.R1DOI Listing
November 2019
1 Read

Features of intra-hamate vascularity and its possible relationship with avascular risk of hamate fracture.

Chin Med J (Engl) 2019 Nov;132(21):2572-2580

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

Background: The angiography with micro-computed tomography (micro-CT) has been proved its great advantages on investigating the intra-osseous vascularity of carpal bones. But few researches have focused on the intra-hamate vascularity. This study aimed to illustrate the intra-osseous arteries of the hamate and the relationship between the intra-hamate vascularity and the avascular risk of different types of hamate fractures. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846259PMC
November 2019
1 Read

A candidate-SNP retrospective cohort study for fracture risk in Japanese Thoroughbred racehorses.

Anim Genet 2020 Feb 14;51(1):43-50. Epub 2019 Oct 14.

Genetic Analysis Department, Laboratory of Racing Chemistry, 1731-2 Tsurutamachi, Utsunomiya, Tochigi, 320-0851, Japan.

Fractures are medical conditions that compromise the athletic potential of horses and/or the safety of jockeys. Therefore, the reduction of fracture risk is an important horse and human welfare issue. The present study used molecular genetic approaches to determine the effect of genetic risk for fracture at four candidate SNPs spanning the myostatin (MSTN) gene on horse chromosome 18. Read More

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http://dx.doi.org/10.1111/age.12866DOI Listing
February 2020

20-year-old male college basketball prospect • wrist pain after falling on wrist • normal ROM • pain with active/passive wrist extension • Dx?

J Fam Pract 2019 10;68(8):462;464;467

Division of Sports Medicine, Department of Family Medicine, University of Colorado School of Medicine, Denver, USA. Email:

Right wrist pain 4 days after falling on wrist while playing basketball. Normal range of motion of wrist and hand. Pain with active and passive wrist extension. Read More

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October 2019
0.735 Impact Factor

Radiographic/MR Imaging Correlation of the Wrist.

Magn Reson Imaging Clin N Am 2019 Nov;27(4):601-623

Medvue, 5811 Côte-des-Neiges Road, Montreal, Québec H3S 1Z2, Canada.

In this review article, the authors discuss the imaging features of the most common pathologic conditions of the wrist by putting the emphasis on radiographic and MR imaging correlations. A topographic approach based on the 3 functional columns of the wrist (radial, central, and ulnar) serves as a framework. The pathologic conditions are classified, based on the structures involved, as fractures, ligament injuries, arthropathies, bone abnormalities, and tendinopathies. Read More

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http://dx.doi.org/10.1016/j.mric.2019.07.012DOI Listing
November 2019
2 Reads

[Occult scaphoid fractures: current evidence and diagnostic algorithm].

Unfallchirurg 2020 Mar;123(3):238-243

Handchirurgie, Orthopädie und Traumatologie, Bürgerspital Solothurn, 4500, Solothurn, Schweiz.

Scaphoid fractures are frequent but are overlooked in 20-40% of cases on initial radiographs. In so-called occult scaphoid fractures, i.e. Read More

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http://dx.doi.org/10.1007/s00113-019-00722-4DOI Listing
March 2020
1 Read

Approach to Isolated Trapezoid Fractures.

Ochsner J 2019 ;19(3):271-275

Department of Orthopedics, Ochsner Clinic Foundation, New Orleans, LA.

The trapezoid is the least commonly fractured carpal bone, comprising 4% of all carpal fractures. To date, few articles have been published on isolated trapezoid fractures. Mechanisms of injury have typically been reported as an axial load, with or without forced wrist flexion/extension, that is transmitted from the second metacarpal indirectly to the trapezoid. Read More

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http://dx.doi.org/10.31486/toj.18.0157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6735605PMC
January 2019
2 Reads

TREATMENT OF SCHAPHOID NONUNION WITH VOLAR LOCKED PLATE.

Acta Ortop Bras 2019 May-Jun;27(3):141-145

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Orthopedics and Traumatology Institute, Hand and Microsurgery Group, São Paulo, SP, Brazil.

Objective: To assess and compare radiographic, tomographic and functional pre and postoperative parameters of patients submitted to treatment of nonunion of the scaphoid waist with locked plate for scaphoid.

Methods: This is a case series of scaphoid waist nonunion, operated from March 2017 to March 2018 at the Institute of Orthopedics and Traumatology of HCFMUSP, using the technique of Fisk-Fernandez and osteosynthesis with locked plate for scaphoid APTUS®Hand from Medartis. The patients were submitted to radiographs, computed tomography and functional evaluation by the occupational therapy team in the pre and postoperative periods. Read More

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http://dx.doi.org/10.1590/1413-785220192703214849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699398PMC
August 2019
1 Read

Outcomes of the Hemi-Hamatum Arthroplasty.

J Hand Surg Asian Pac Vol 2019 Sep;24(3):342-346

Riga Stradins University, Riga, Latvia.

Multi-fragmental intra-articular middle phalanx base fractures mostly occur in young adults during sports or work-related activities. If left untreated properly proximal interphalangeal joint (PIPJ) instability and pain persists, thus impairing the hand's function and the patient's quality of life. Joint surface reconstruction with hamate osteochondral graft can be used for multi-fragmental middle phalanx base reconstruction. Read More

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http://dx.doi.org/10.1142/S2424835519500437DOI Listing
September 2019

Stress Fracture of the Ossification Center of the Scaphoid in a Skeletally Immature Gymnast.

J Hand Surg Asian Pac Vol 2019 Sep;24(3):386-388

Department of Orthopaedic Surgery, Hyogo College of Medicine, Nishinomiya, Japan.

An eleven-year-old male gymnast felt right wrist pain when performing handstands on the floor without any major traumas. Displaced scaphoid fracture was observed on the anteroposterior view of the radiograph. Both on the T1-weighted image from magnetic resonance imaging (MRI) and on the short TI inversion recovery (STIR) image from MRI, low intensity was detected at the middle of the ossification center of the scaphoid and the physis and the articular cartilage covering the scaphoid bone were preserved without any injury. Read More

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http://dx.doi.org/10.1142/S2424835519720172DOI Listing
September 2019
4 Reads

[Palmar angular stable plate fixation of nonunions and comminuted fractures of the scaphoid].

Oper Orthop Traumatol 2019 Oct 21;31(5):433-446. Epub 2019 Aug 21.

AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, Donaueschingenstraße 13, 1200, Wien, Österreich.

Objective: Stabilization of comminuted fractures and nonunions of the scaphoid with an angular stable low-profile scaphoid plate.

Indications: Scaphoid nonunions with a large palmar defect, second and third surgical procedure after previous stabilization by headless compression screw (HCS). Comminuted fractures of the scaphoid that cannot be sufficiently stabilized by screws. Read More

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http://dx.doi.org/10.1007/s00064-019-00623-0DOI Listing
October 2019

Closed rupture of extensor tendon resulting from untreated Kienböck disease: A case report and a review of the literature.

Medicine (Baltimore) 2019 Aug;98(33):e16900

Departments of Orthopaedic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Rationale: Spontaneous closed extensor tendon rupture is a rare complication of Kienböck disease with only 23 cases reported in the English literature.

Patient Concerns: We present a case of painless attritional rupture of the extensor tendons of the right fourth finger in a 69-year-old woman with Kienböck disease and review reported cases of Kienböck disease with subcutaneous closed tendon rupture.

Diagnoses: Physical examination had shown mild painless swelling of the dorsum of the right hand. Read More

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http://dx.doi.org/10.1097/MD.0000000000016900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831435PMC
August 2019
2 Reads

Epidemiological survey and risk factor analysis of dialysis-related amyloidosis including destructive spondyloarthropathy, dialysis amyloid arthropathy, and carpal tunnel syndrome.

J Bone Miner Metab 2020 Jan 14;38(1):78-85. Epub 2019 Aug 14.

Department of Orthopaedic Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

The RDT population, initially at 215 patients, exceeded 300,000 in 2011, with a total of 329,609 patients at the end of December 2016. In our Institute, the number of patients with destructive spondylosis is increasing with the increase in the number of dialysis patients in Japan. We had 14 Cases in the 1990s, and then 82 cases in the 2000s and have already had 131 cases in the 2010s. Read More

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http://dx.doi.org/10.1007/s00774-019-01028-6DOI Listing
January 2020
3 Reads

Generating Differential Ligamentotaxis Across the Radiocarpal Joint.

J Surg Orthop Adv 2019 ;28(2):104-107

The Curtis National Hand Center, Baltimore, Maryland.

This study sought to determine if traction through the index or long finger metacarpal provided a selective distraction force through either the distal radius' radial or ulnar column. In eight specimens, the radius was cut transversely 1 cm proximal to the Lister tubercle. Index and long finger metacarpals were cut and two-hole plates were fixed to metacarpals. Read More

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October 2019
1 Read

Reconstruction of chronic scapholunate dissociation with the modified scapholunate axis method (SLAM).

Arch Orthop Trauma Surg 2019 Nov 12;139(11):1641-1647. Epub 2019 Aug 12.

Department for Plastic, Hand and Reconstructive Surgery, University Medical Center Regensburg, Regensburg, Germany.

Introduction: Injury to the scapholunate (SL) ligament represents a common trauma of the wrist but is frequently misdiagnosed because of non-specific pain. Established methods for SL reconstruction mainly focus on reducing pain and maintaining the reposition result at the expense of mobility and strength. This study aimed at restoring stability and reducing pain while simultaneously maintaining mobility and strength using the scapholunate axis method (SLAM). Read More

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http://link.springer.com/10.1007/s00402-019-03248-x
Publisher Site
http://dx.doi.org/10.1007/s00402-019-03248-xDOI Listing
November 2019
8 Reads

Arthroscopic treatment of scaphoid nonunion with humpback deformity and DISI with corticocancellous bone grafting: Technical note.

Hand Surg Rehabil 2019 10 5;38(5):280-285. Epub 2019 Aug 5.

Department of Orthopedics, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

For two decades, scaphoid nonunion has been treated arthroscopically. However, compressed cancellous bone graft does not have the same mechanical properties as corticocancellous bone graft for reducing the scaphoid humpback deformity and DISI tilt. Here, we describe an arthroscopic technique to treat Alnot stage IIB scaphoid nonunion. Read More

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http://dx.doi.org/10.1016/j.hansur.2019.07.007DOI Listing
October 2019
3 Reads

Role of Ligament Stabilizers of the Proximal Carpal Row in Preventing Dorsal Intercalated Segment Instability: A Cadaveric Study.

J Bone Joint Surg Am 2019 Aug;101(15):1388-1396

Department of Biomechanics (K.N.M.), and Hand and Upper Extremity Service, Department of Orthopedic Surgery (R.G.J., E.S.V., S.K.L., and S.W.W.), Hospital for Special Surgery, New York, NY.

Background: Isolated injuries of the scapholunate interosseous ligament (SLIL) are insufficient to produce dorsal intercalated segment instability. There is no consensus about which additional ligamentous stabilizers are critical determinants of dorsal intercalated segment instability. The aim of this study was to evaluate the role of the long radiolunate (LRL), scaphotrapeziotrapezoid (STT), and dorsal intercarpal (DIC) ligaments in preventing dorsal intercalated segment instability. Read More

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http://dx.doi.org/10.2106/JBJS.18.01419DOI Listing
August 2019
2 Reads

Comparison of SCAphoid fracture osteosynthesis by MAGnesium-based headless Herbert screws with titanium Herbert screws: protocol for the randomized controlled SCAMAG clinical trial.

BMC Musculoskelet Disord 2019 Aug 7;20(1):357. Epub 2019 Aug 7.

StatSol, Moenring 2, 23560, Lübeck, Germany.

Background: Scaphoid fractures are the most common carpal fractures. They often need to be treated by surgery, where the use of a compression screw is the globally accepted gold standard. Surgeons may choose between different implant materials including titanium alloys, which remain in the body or are removed after healing. Read More

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http://dx.doi.org/10.1186/s12891-019-2723-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685162PMC
August 2019
1 Read

Clinical and cost implications of using immediate MRI in the management of patients with a suspected scaphoid fracture and negative radiographs results from the SMaRT trial.

Bone Joint J 2019 Aug;101-B(8):984-994

Department of Orthopaedics, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Aims: The aim of the Scaphoid Magnetic Resonance Imaging in Trauma (SMaRT) trial was to evaluate the clinical and cost implications of using immediate MRI in the acute management of patients with a suspected fracture of the scaphoid with negative radiographs.

Patients And Methods: Patients who presented to the emergency department (ED) with a suspected fracture of the scaphoid and negative radiographs were randomized to a control group, who did not undergo further imaging in the ED, or an intervention group, who had an MRI of the wrist as an additional test during the initial ED attendance. Most participants were male (52% control, 61% intervention), with a mean age of 36. Read More

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http://dx.doi.org/10.1302/0301-620X.101B8.BJJ-2018-1590.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681676PMC

Radiographic and arthroscopic features of third carpal bone slab fractures and their impact on racing performance following arthroscopic repair in a population of racing Thoroughbreds in the UK.

Equine Vet J 2020 Mar 19;52(2):213-218. Epub 2019 Aug 19.

Newmarket Equine Hospital, Newmarket, Suffolk, UK.

Background: Slab fractures of the third carpal bone (C3) are a common injury of Thoroughbred racehorses. Results of arthroscopically guided repair have not been reported since the initial description of the technique in 1986. Additionally, fracture details and racing outcomes in a population of Thoroughbreds racing under UK jurisdiction have not previously been described. Read More

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http://dx.doi.org/10.1111/evj.13155DOI Listing
March 2020
6 Reads

The Acutely Injured Wrist.

Radiol Clin North Am 2019 Sep 26;57(5):943-955. Epub 2019 Jun 26.

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio 1, Coppito, L'Aquila (AQ) 67100, Italy. Electronic address:

Wrist traumas are a frequent clinical emergency for which instrumental imaging assessment is required. The purpose of this article is to review the role of imaging assessment of traumatic wrist injuries, with particular reference to fractures and associated lesions. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.05.003DOI Listing
September 2019
2 Reads

Nickel-titanium arched shape-memory alloy connector combined with bone grafting in the treatment of scaphoid nonunion.

Eur J Med Res 2019 Jul 27;24(1):27. Epub 2019 Jul 27.

Department of Emergency, Changhai Hospital, Second Military Medical University, Shanghai, China.

Purpose: To summarize the techniques and clinical effectiveness in treating scaphoid nonunion with nickel-titanium (Ni-Ti) arched shape-memory alloy connector in combination with autologous iliac bone grafts.

Methods: This study retrospectively analyzed 18 scaphoid nonunion cases treated with arched connectors with autologous iliac bone grafts. Based on scaphoid nonunion, 2 cases were classified as type II (fibrous union), 4 cases as type III (mild sclerotic union), 6 cases as type IV (moderate resorption and sclerosis), 5 cases as type V (severe bone resorption and sclerosis), and 1 case as type VI (pseudarthrosis formation). Read More

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http://dx.doi.org/10.1186/s40001-019-0380-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660670PMC