5,987 results match your criteria Carpal Bone Injuries


Retro-lunar dislocation of carpal bones with trans-capitate, trans-lunate fractures and intact scaphoid. What if Bain was right?

Trauma Case Rep 2019 Jun 29;21:100186. Epub 2019 Mar 29.

Department of Traumatology and Orthopedics of E.H.S ZEMIRLI, Route de Beraki- El Harrach, Algiers, Algeria.

We report the case of retro-lunar dislocation of carpal bones detaching the proximal pole of the capitate with intact scaphoid, associated with lunate fracture. A rare case where the pathomechanics of the lesion has not yet been precisely identified. We present our conservative approach in the treatment of the capitate fracture and propose a theory-based explanatory pattern that combines the ligaments injuries sequences described by Mayfield from lateral to medial (corresponding to Johnson's lesser arc injuries), and the displacement of the transmitted force along Wagner's dislocation line from medial to lateral, causing bones injuries, following Johnson's greater arc injuries and Bain's translunate arc. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444300PMC
June 2019
2 Reads

The role of magnetic resonance imaging in the evaluation of scaphoid fractures.

J Med Radiat Sci 2019 Mar;66(1):3-4

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore, Singapore.

Radiographs are currently accepted as the first-line modality for the investigation of scaphoid fractures. Early use of magnetic resonance imaging (MRI) in patients with radio-occult scaphoid fractures has been shown to be beneficial in the management of such patients. Incorporation of early MRI into the management protocol for scaphoid fracture is recommended. Read More

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http://dx.doi.org/10.1002/jmrs.316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399182PMC
March 2019
2 Reads

Return to sport following scaphoid fractures: A systematic review and meta-analysis.

World J Orthop 2019 Feb 18;10(2):101-114. Epub 2019 Feb 18.

Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Scotland EH16 4SA, United Kingdom.

Background: Scaphoid fracture is the most commonly fractured carpal bone in the athletic patient, accounting for over 85% of all sport-related carpal bone fractures, and is particularly common in sports involving high impact injuries to the wrist. The management of such injuries comprises both conservative and surgical techniques, as guided by fracture location and type. Athletes demonstrate a unique challenge with regards to the management of scaphoid fractures due to their requirement to return to sport, as soon as able. Read More

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http://dx.doi.org/10.5312/wjo.v10.i2.101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379737PMC
February 2019

Ulnar Variance in Scaphoid Fractures: Retrospective Analysis of 182 Cases.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):13-16

* Clinic for Hand and Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

Background: Literature provides little and controversial evidence regarding the influence of ulnar variance (UV) on the incidence of scaphoid fractures. The aim of this retrospective study was to assess UV in a large number of patients with acute scaphoid fracture in comparison to a control group of the same population.

Methods: During a two year period, 182 patients with acute scaphoid fractures (fracture group) and 182 ethnicity-, gender- and age-matched patients with wrist contusions (control group) were treated in three non-university hospitals. Read More

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http://dx.doi.org/10.1142/S2424835519500036DOI Listing

Comparison of Five Years Clinical and Radiological Outcomes between Progressive and Non-Progressive Wrist Osteoarthritis after Volar Locking Plate Fixation of Distal Radius Fractures.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):30-35

‡ Department of Hand Surgery, Nara Medical University, Kashihara, Nara, Japan.

Background: This study aimed to identify the effect of the progression of postoperative wrist osteoarthritis on 5 years clinical and radiological outcomes after volar locking plate fixation of distal radius fractures.

Methods: Altogether, 56 patients with distal radius fractures were followed up 5 years after surgery. Clinical assessment was performed using the Mayo modified wrist score, a visual analogue scale of pain, the Japanese version of the Disabilities of the Arm, Shoulder, and Hand score, and Patient-related wrist evaluation. Read More

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http://dx.doi.org/10.1142/S2424835519500061DOI Listing
March 2019
1 Read

Outcomes after Scaphoid Excision and Midcarpal Arthrodesis for SNAC and SLAC Wrist Arthritis.

Ortop Traumatol Rehabil 2018 Oct;20(5):389-399

Klinika Chirurgii Ogólnej i Chirurgii Ręki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska / Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.

Background: Persistent, long-lasting pseudoarthrosis of the scaphoid or scapholunate dissociation results in arthrosis of the radio-scaphoid joint termed scaphoid non-union advanced collapse (SNAC) or scapholunate advanced collapse (SLAC), which causes pain, reduction in wrist movements and weakness of the hand grip. Scaphoid resection followed by "four-corner" midcarpal arthrodesis is a recognized treatment for this condition.

Material And Methods: The study evaluated the results of treatment of 27 patients with arthrosis of the wrist type SNAC (n = 15) and SLAC (n = 12) after an average of 4 years after surgery (range from 2 to 8 years) Results. Read More

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http://dx.doi.org/10.5604/01.3001.0012.8275DOI Listing
October 2018
8 Reads

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
5 Reads

Volar Approach to Percutaneous Fixation of Acute Nondisplaced Fractures of the Scaphoid.

Tech Hand Up Extrem Surg 2019 Mar;23(1):6-9

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

Scaphoid fractures typically occur in young, healthy males at the peak of their employment and productivity, and left untreated or inadequately treated will ultimately progress to nonunion and a "predictable" pattern of wrist arthritis and carpal collapse. Nonoperative treatment of these fractures requires prolonged cast immobilization, which can lead to wrist stiffness, loss of grip strength, muscle atrophy, and protracted loss of economic productivity. To prevent these devastating sequelae, percutaneous techniques for scaphoid fixation have been described and popularized; however, these techniques are technically demanding as optimal position of the compression screw is required to achieve bony union. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000213DOI Listing
March 2019
5 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
2 Reads

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
6 Reads

Treatment of scaphoid waist nonunion by one, two headless compression screws or plate with or without additional extracorporeal shockwave therapy.

Arch Orthop Trauma Surg 2019 Feb 6;139(2):281-293. Epub 2018 Dec 6.

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

Introduction: Scaphoid nonunion remains challenging for hand surgeons. Several treatment options are available such as: non-vascularized or vascularized bone grafting, with or without additional stabilization. In the last few decades, extracorporeal shockwave therapy (ESWT) has become an established procedure for treating delayed and nonunions. Read More

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http://dx.doi.org/10.1007/s00402-018-3087-6DOI Listing
February 2019
6 Reads

Computer-assisted Surgery for Scaphoid Fracture.

Curr Med Sci 2018 Dec 7;38(6):941-948. Epub 2018 Dec 7.

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

The computer-assisted surgery (CAS) has significantly improved the accuracy, reliability and outcomes of traumatic, spinal, nerve surgery and many other operations with a less invasive way. The application of CAS for scaphoid fractures remains experimental. The related studies are scanty and most of them are cadaver researches. Read More

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http://dx.doi.org/10.1007/s11596-018-1968-0DOI Listing
December 2018
3 Reads

The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up.

Med Arch 2018 Oct;72(4):253-256

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted.

Materials And Methods: In the set time frame of 6 years we treated 15 SNAC wrist cases. Read More

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http://dx.doi.org/10.5455/medarh.2018.72.253-256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194931PMC
October 2018
6 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
8 Reads

A new method of measuring the thumb pronation and palmar abduction angles during opposition movement using a three-axis gyroscope.

J Orthop Surg Res 2018 Nov 16;13(1):288. Epub 2018 Nov 16.

Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-4-5, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Background: Thumb opposition is vital for hand function and involves pronation and palmar abduction. The improvement of pronation is often used as one of the evaluation items of the opponensplasty method for severe carpal tunnel syndrome. However, most of the studies used substitution evaluation methods for measurement of the pronation angle. Read More

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http://dx.doi.org/10.1186/s13018-018-0999-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240257PMC
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
6 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
26 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
11 Reads

[Mini locked-plate trans-carpometacarpal joint internal fixation for treating comminuted fracture of base of the fifth metacarpal].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 11;32(11):1382-1385

Department of Bone Trauma and Reconstructive Surgery, Changzheng Hospital Affiliated to Naval Medical University【?】, Shanghai, 200003, P.R.China.

Objective: To evaluate the effectiveness of open reduction and trans-carpometacarpal joint internal fixation with mini locked-plate for treatment of comminuted fracture of base of the fifth metacarpal.

Methods: Between July 2015 and December 2017, 8 cases of comminuted fractures of base of the fifth metacarpals were treated with open reduction and trans-carpometacarpal joint internal fixation with mini locked-plate. There were 7 males and 1 female with an age of 19-45 years (mean, 32. Read More

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http://dx.doi.org/10.7507/1002-1892.201805077DOI Listing
November 2018
3 Reads

Dorsal buttress plate fixation for the treatment of fracture-dislocation of the fifth carpometacarpal joint with avulsion fracture of the hamate: a case report.

Arch Orthop Trauma Surg 2019 Jan 9;139(1):135-139. Epub 2018 Nov 9.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu, 501-1194, Japan.

Fracture-dislocations of the fourth and fifth carpometacarpal (CMC) joints present a complex situation. Misdiagnosis and inadequate treatment may cause malunion and residual subluxation, which lead to painful arthritis and grip weakness. Open reduction along with internal fixation is the treatment of choice, but there is no consensus on an optimal treatment approach. Read More

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http://link.springer.com/10.1007/s00402-018-3072-0
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http://dx.doi.org/10.1007/s00402-018-3072-0DOI Listing
January 2019
20 Reads

Evaluation, Management, and Outcomes of Lunate and Perilunate Dislocations.

Orthopedics 2019 Jan 7;42(1):e1-e6. Epub 2018 Nov 7.

Lunate and perilunate dislocations are potentially devastating injuries that are often unrecognized at initial evaluation. Prompt recognition and treatment is necessary to prevent adverse sequelae, including median nerve dysfunction, carpal instability, posttraumatic arthritis, reduced functionality, and avascular necrosis. In patients who are surgical candidates, operative intervention is warranted to restore carpal kinematics and provide optimal outcomes. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01477447-2018
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http://dx.doi.org/10.3928/01477447-20181102-05DOI Listing
January 2019
13 Reads
0.980 Impact Factor

Volar Vascularized Strut Graft for Avascular Scaphoid Nonunion Using the 1,2 Intercompartmental Supraretinacular Artery.

Tech Hand Up Extrem Surg 2019 Mar;23(1):14-21

Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA.

In this retrospective study, we report the preliminary results of a novel technique for volar vascularized strut grafting to treat avascular scaphoid nonunion by using the 1,2 intercompartmental supraretinacular artery through a single incision. Forty-three of 45 patients with avascular scaphoid nonunion healed at a mean of 13 weeks (range, 3 to 10 mo). Complications consisted of 1 pin tract infection that resolved with oral antibiotics and 4 cases of transient dysesthesia of the radial sensory nerve. Read More

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http://Insights.ovid.com/crossref?an=00130911-900000000-9980
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http://dx.doi.org/10.1097/BTH.0000000000000215DOI Listing
March 2019
17 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
16 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
18 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

Percutaneous elevation of depressed lunate fossa: A surgical technique.

Chin J Traumatol 2018 Oct 27;21(5):304-307. Epub 2018 Sep 27.

Department of Orthopaedics, Indraprastha Apollo Hospital, New Delhi, India.

Die-punch fractures or impaction fractures of distal radius articular surface are difficult to treat and hard to achieve satisfactory reduction. We present a unique, percutaneous and minimally invasive technique to elevate the depressed lunate fossa and maintain the reduction of the elevated fragment with no need of grafting in such fractures. This technique is simple, reproducible and can be executed with simple instrumentations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183008
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http://dx.doi.org/10.1016/j.cjtee.2018.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235794PMC
October 2018
17 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
4 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
5 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 08;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
7 Reads

Arthroscopic scapholunate dorsal capsulodesis: A 30-patient case series comparing postoperative splint immobilization versus immobilization and connected K-wiring.

Hand Surg Rehabil 2018 12 13;37(6):352-357. Epub 2018 Sep 13.

Icube CNRS 7357, service de chirurgie de la main, université de Strasbourg, hôpitaux universitaires de Strasbourg, FMTS, 10, avenue Baumann, 67403 Illkirch cedex, France. Electronic address:

The aim of this retrospective study was to compare the results of arthroscopic dorsal capsulodesis performed with or without temporary K-wiring to treat patients who had sustained scapholunate ligament injuries. Our case series included 30 patients with an average age of 37 years (range: 19-55) of whom 12 were female. Dorsal scapholunate capsulodesis was carried out in all patients. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.08.003DOI Listing
December 2018
1 Read

A Unique Presentation of Scaphocapitate Syndrome With Extrusion Into the Carpal Tunnel: A Case Report.

Hand (N Y) 2018 11 12;13(6):NP39-NP45. Epub 2018 Sep 12.

2 NYU Langone Orthopedic Hospital, NYU Langone Health, New York City, USA.

Background: Scaphocapitate syndrome is a rare variety of perilunate instability, described as a trans-scaphoid, trans-capitate fracture, with rotation of the capitate head either 90° or 180°.

Methods: We present a unique case of scaphocapitate syndrome in which the rotated proximal capitate fragment expelled into the carpal canal.

Results: The capitate head was extricated from the carpal tunnel via the volar approach, and was anatomically aligned and fixed through the dorsal approach using two 2. Read More

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http://dx.doi.org/10.1177/1558944718799461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300171PMC
November 2018
1 Read

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
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http://dx.doi.org/10.1097/MD.0000000000012161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133437PMC
September 2018
38 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
5 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
40 Reads

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

J Med Radiat Sci 2019 Mar 30;66(1):30-37. 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
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http://dx.doi.org/10.1002/jmrs.302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399186PMC
March 2019
6 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
4 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
12 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
3 Reads

A novel radiographic projection for the detection of sagittal plane slab fracture of the equine third carpal bone.

Authors:
P H L Ramzan

Equine Vet J 2019 Mar 29;51(2):258-260. Epub 2018 Aug 29.

Rossdales LLP, Beaufort Cottage Stables, Newmarket, Suffolk, UK.

Background: Some sagittal plane fractures of the equine third carpal bone are difficult to detect with conventional radiographic projections.

Objectives: To describe a novel radiographic projection for the detection of sagittal plane slab fractures of the equine third carpal bone.

Study Design: Retrospective study of radiological records. Read More

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http://dx.doi.org/10.1111/evj.12999DOI Listing
March 2019
2 Reads

An Unusual Variant of a Floating Forearm Injury: A Case Report and Review.

Hand (N Y) 2018 11 18;13(6):NP32-NP38. Epub 2018 Jul 18.

1 San Antonio Military Medical Center, TX, USA.

Background: "Floating forearm" injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat.

Methods: We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow. Read More

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http://dx.doi.org/10.1177/1558944718789411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300180PMC
November 2018
24 Reads

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
10 Reads

Diffusion tensor imaging findings of the median nerve before and after carpal tunnel corticosteroid injection in patients with carpal tunnel syndrome: a preliminary study.

Acta Radiol 2019 Mar 6;60(3):347-355. Epub 2018 Jul 6.

1 Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Background: Corticosteroid injections are a popular technique for carpal tunnel syndrome (CTS) treatment and are believed to provide rapid symptom relief.

Purpose: To use magnetic resonance diffusion tensor imaging (MR-DTI) to determine the association between diffusion values of the median nerve (MN) at several anatomic locations and symptom relief in patients with CTS following corticosteroid injection.

Material And Methods: MR-DTI was performed on 15 wrists of 12 patients with CTS before and two weeks after ultrasound-guided corticosteroid injections. Read More

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http://dx.doi.org/10.1177/0284185118784977DOI Listing
March 2019
6 Reads

A traumatic wrist injury.

BMJ 2018 Jun 28;361:k2574. Epub 2018 Jun 28.

St George's University NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1136/bmj.k2574DOI Listing
June 2018
1 Read

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
5 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
3 Reads