4,674 results match your criteria Dislocation Hand


Unusual combination of elbow dislocation with a retained intraarticular fragment and trochlear fracture and ipsilateral distal radius fracture in an amateur snowboarder: A case report and review of literatures.

Int J Surg Case Rep 2019 Feb 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.039DOI Listing
February 2019

[Rare case of palmar disc dislocation after wrist distorsion].

Unfallchirurg 2019 Feb 14. Epub 2019 Feb 14.

Abteilung für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Tübingen, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Deutschland.

Objective: The aim of this study was the elaboration of clinical symptoms and image findings in injuries of the wrist and ulnar-sided pain with accompanying damage to the articular disc and the triangular fibrocartilage complex (TFCC).

Material And Methods: This article reports about a 26-year-old male patient who presented to the department of surgery of this hospital after repeated falls onto the right wrist. Following the latest fall there was persistent wrist pain and limited movement, especially in supination. Read More

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http://dx.doi.org/10.1007/s00113-019-0613-0DOI Listing
February 2019

Radial Dislocation of Extensor Tendon Over the Metacarpophalangeal Joint of the Thumb due to Cerebral Hemorrhage: A Case Report.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):96-99

1 Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.

We report a rare case of radial dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint of the thumb. Ulnar dislocation has been reported, but previous reports have not mentioned radial dislocation of the extensor tendon in the thumb. Radial dislocation of the extensor tendon of the thumb gradually progressed after cerebral hemorrhage and the patient could not extend MCP joint of the thumb. Read More

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http://dx.doi.org/10.1142/S2424835519720032DOI Listing

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):50-54

1 Birmingham Hand Centre, Queen Elizabeth Hospital, Birmingham, UK.

Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates.

Methods: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present.

Results: Restoration of PIPJ articular anatomy and congruence by hook plate fixation permitted full-range mobilization of the joint during fracture healing, with an average arc of motion of 81° and an average loss of extension of 12. Read More

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http://dx.doi.org/10.1142/S2424835519500097DOI Listing

A novel dynamic distraction external fixator for proximal interphalangeal joint fracture dislocation.

J Int Med Res 2019 Feb 12:300060519826821. Epub 2019 Feb 12.

*These authors contributed equally to this work.

Objective: To evaluate the efficacy of a novel dynamic distraction external fixator for proximal interphalangeal joint (PIPJ) fracture-dislocation.

Methods: From March 2005 to March 2014, 20 patients with PIPJ fracture-dislocation were treated with our technique. Function scores according to the Michigan Hand Outcome Questionnaire (MHQ) score, union time, grip strength, and range of motion (ROM) were recorded before and after treatment. Read More

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http://dx.doi.org/10.1177/0300060519826821DOI Listing
February 2019

[Fractures of the patella].

Chirurg 2019 Feb 11. Epub 2019 Feb 11.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

With 1% of all skeletal fractures patellar fractures are rare. The majority of cases are caused by a direct trauma to the flexed knee. The diagnosis is made via the injury mechanism as well as the physical and radiological findings. Read More

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http://dx.doi.org/10.1007/s00104-019-0797-4DOI Listing
February 2019
1 Read

[Recommendations for the Diagnostic Testing and Therapy of Atlas Fractures].

Z Orthop Unfall 2019 Feb 5. Epub 2019 Feb 5.

Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle (Saale).

In a consensus process with four sessions in 2017, the working group on "the upper cervical spine" of the German Society for Orthopaedic and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Fractures to the Upper Cervical Spine", incorporating their own experience and current literature. The following article describes the recommendations for the atlas vertebra. About 10% of all cervical spine injuries include the axis vertebra. Read More

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http://dx.doi.org/10.1055/a-0809-5765DOI Listing
February 2019
2 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

OLVG, locatie Oost, afd. Plastische, Reconstructieve en Handchirurgie, Amsterdam.

A 7-year-old girl was seen at the ER with severe pain of her index finger after twisting her hand whilst performing a handstand. Physical examination and X-rays showed an isolated dorsal dislocation of the metacarpophalangeal joint, also known as a Kaplan's lesion. A Kaplan's lesion is a complex dislocation with volar plate interposition. Read More

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January 2019
1 Read

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.031DOI Listing
February 2019
1 Read

Ulnar hemimelia: a report of four cases.

Skeletal Radiol 2019 Feb 2. Epub 2019 Feb 2.

Department of Radiology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

Ulnar hemimelia is a very rare skeletal abnormality characterized by the total or partial absence of the ulna. It is reported to occur in approximately 1 per 150,000 live births. Some shortening of the forearm, radial bowing, and tendency of the hand to drift to the ulnar side of the wrist usually accompany ulnar hemimelia. Read More

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http://dx.doi.org/10.1007/s00256-019-3167-xDOI Listing
February 2019
1 Read

Nerve transfers for peripheral nerve injury in the upper limb.

Bone Joint J 2019 Feb;101-B(2):124-131

Division of Hand Surgery, Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.

Nerve transfer has become a common and often effective reconstructive strategy for proximal and complex peripheral nerve injuries of the upper limb. This case-based discussion explores the principles and potential benefits of nerve transfer surgery and offers in-depth discussion of several established and valuable techniques including: motor transfer for elbow flexion after musculocutaneous nerve injury, deltoid reanimation for axillary nerve palsy, intrinsic re-innervation following proximal ulnar nerve repair, and critical sensory recovery despite non-reconstructable median nerve lesions. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
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http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0839.R1DOI Listing
February 2019
3 Reads

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.

Plast Reconstr Surg 2019 Feb;143(2):503-510

Salt Lake City, Utah From the Department of Orthopaedics, Division of Public Health, and the Department of Pediatric Research Enterprise, School of Medicine, University of Utah.

Background: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition.

Methods: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352723PMC
February 2019
1 Read

The use of static progressive and serial static orthoses in the management of elbow contractures after complex fracture dislocation injuries: A pediatric case study.

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.

Introduction: Contractures are the most common complication after traumatic injury to the elbow. Although evidence supporting the use of static progressive and serial static orthoses to help recover range of motion after these complex injuries is growing, there is currently a paucity of literature exploring its efficacy in pediatric populations.

Case Description: The following case study presents the results of the use of static progressive and serial static orthoses with a young patient who presented with both elbow extension and flexion contractures after a complex fracture dislocation injury. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.004DOI Listing
January 2019
1 Read

Hand dominance in traumatic shoulder dislocations.

JSES Open Access 2018 Jul 22;2(2):137-140. Epub 2018 May 22.

Western Orthopaedic Clinic and St John of God, Subiaco, WA, Australia.

Background: Shoulder dislocations are common injuries among athletes. Patients with instability after their injury often require stabilization procedures for treatment. The primary outcome measure was to see whether there was any correlation between the side of traumatic shoulder dislocation and dominance of hand. Read More

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http://dx.doi.org/10.1016/j.jses.2018.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334865PMC
July 2018
1 Read

Shoulder apprehension: A multifactorial approach.

EFORT Open Rev 2018 Oct 24;3(10):550-557. Epub 2018 Oct 24.

Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.

Shoulder apprehension is related to changes in functional cerebral networks induced by dislocations, peripheral neuromuscular lesions and persistent mechanical glenohumeral instability consisting of micro-motion.All the damage to the osseous and soft-tissue stabilizers of the shoulder, as well as neurologic impairment persisting even after stabilization, must be properly identified in order to offer the best possible treatment to the patient.There is growing evidence supporting the use of a global multimodal approach, involving, on the one hand, shoulder 'reafferentation', including proprioception, mirror therapy and even cognitive behavioural approaches, and, on the other hand, surgical stabilization techniques and traditional physical therapy in order to minimize persistent micro-motion, which may help brain healing. Read More

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http://dx.doi.org/10.1302/2058-5241.3.180007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335591PMC
October 2018
1 Read

New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation.

Case Rep Orthop 2018 13;2018:8515781. Epub 2018 Dec 13.

Department of Orthopedic Surgery, Juntendo University Urayasu Hospital, Chiba, Japan.

We developed a new fixation method that involves the insertion of two wires and external wire fixation using a metal clamp. The aim of this technique was to increase the stability and rigidity of conventional percutaneous Kirchner wire fixation. Here, we present a patient with dislocation of the fourth and fifth carpometacarpal joints who was satisfactorily treated with closed reduction and percutaneous fixation with a linking external wire fixator (Ichi-Fixator). Read More

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http://dx.doi.org/10.1155/2018/8515781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311754PMC
December 2018
1 Read

Introduction of a self-holding retractor for optimized abdominal visualization in ventriculoperitoneal shunt surgery: first experiences at a single center.

Acta Neurochir (Wien) 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, University Hospital of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.

Objective: Ventriculoperitoneal shunt implantation is a common procedure in general neurosurgery. The patient population is often fragile, ranging from elderly to pediatric patients, and avoidance of perioperative complication is of utmost importance. Abdominal catheter dislocation has been found to be a common cause for early shunt dysfunction and needs to be avoided by optimal visualization of the abdominal catheter insertion zone. Read More

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http://dx.doi.org/10.1007/s00701-018-03794-0DOI Listing
January 2019
3 Reads

Management of acute knee dislocations: anatomic repair and ligament bracing as a new treatment option-results of a multicentre study.

Knee Surg Sports Traumatol Arthrosc 2019 Jan 11. Epub 2019 Jan 11.

Clinic of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

Purpose: The literature shows no consensus regarding the best method and timing for the treatment of acute knee dislocations. Studies indicate that a one-stage procedure performed in the early stages of injury can lead to superior results. The aim of this study was to evaluate the results after performing early surgical repair with additional suture augmentation (ligament bracing) of all torn ligaments in acute knee dislocations. Read More

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http://link.springer.com/10.1007/s00167-018-5317-4
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http://dx.doi.org/10.1007/s00167-018-5317-4DOI Listing
January 2019
5 Reads

Locking nail versus locking plate for proximal humeral fracture fixation in an elderly population: a prospective randomised controlled trial.

BMC Musculoskelet Disord 2019 Jan 10;20(1):20. Epub 2019 Jan 10.

Department of Trauma, Orthopaedic, Plastic and Hand Surgery, University Hospital of Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany.

Background: Proximal humeral fractures (PHFs) are the third most common fracture in older patients. The purpose of the study was to prospectively evaluate the outcomes of PHF fixation with a locking blade nail (LBN) or locking plate (PHILOS) osteosynthesis in a homogeneous elderly patient population.

Methods: Inclusion criteria were an age > 60 years and the capacity to give informed consent. Read More

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http://dx.doi.org/10.1186/s12891-019-2399-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329164PMC
January 2019
4 Reads

Adaptive Proximal Scaphoid Implant (APSI): 10-year outcomes in patients with SNAC wrists.

Hand Surg Rehabil 2019 Feb 2;38(1):34-43. Epub 2019 Jan 2.

Institut de la main nantes-atlantique, Clinique Jeanne-d'Arc, 21, rue des martyrs, 44100 Nantes, France. Electronic address:

Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.10.245DOI Listing
February 2019
2 Reads

Simultaneous Metacarpophalangeal Dislocation and Carpometacarpal Fracture-Dislocation of the Ring Finger: A Case Report.

J Orthop Case Rep 2018 May-Jun;8(3):68-70

Department of Orthopedics and Traumatology, Istanbul University, Turkey, Istanbul.

Introduction: Fracture-dislocations of the carpometacarpal (CMC) joints are pretty uncommon injuries with an incidence of 1%. A 17-year-old male was referred due to multiple traumas following a car accident with Glasgow Coma Score of 9.

Case Report: Simultaneous metacarpophalangeal dislocation and CMC fracture-dislocation of the ring finger were present in the 4th finger (ring finger) of the right hand. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298718PMC
December 2018
1 Read

Arthroscopic Bankart Repairs With and Without Remplissage in Recurrent Adolescent Anterior Shoulder Instability With Hill-Sachs Deformity.

Orthop J Sports Med 2018 Dec 14;6(12):2325967118813981. Epub 2018 Dec 14.

Rady Children's Hospital, San Diego, California, USA.

Background: Recurrent shoulder dislocation after surgical intervention in adolescents with anterior instability is now understood to occur with a relatively high frequency. The remplissage procedure is successfully used in the adult population to mitigate the ability of a Hill-Sachs lesion to engage the anterior glenoid and can be used during an arthroscopic Bankart repair for anterior shoulder instability.

Purpose: To compare the clinical outcomes in adolescent patients who underwent a Bankart repair with or without remplissage for treatment of recurrent anterior shoulder instability and associated Hill-Sachs defects. Read More

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http://dx.doi.org/10.1177/2325967118813981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295689PMC
December 2018
1 Read

Vertico-horizontal atlantoaxial index (VHAI): A new craniovertebral radiographic index.

Clin Neurol Neurosurg 2019 Jan 3;176:83-88. Epub 2018 Dec 3.

Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

Objective: The purpose of this study was to develop a new index that can reliably quantify the reduction of basilar invagination with atlantoaxial dislocation.

Patients And Methods: Between May 2012 and September 2017, 40 patients with congenital basilar invagination and atlantoaxial dislocation as well as 100 sex-and age-matched control subjects were recruited for this study. All patients underwent direct posterior reduction and fixation. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.12.002DOI Listing
January 2019
3 Reads

Low dislocation rate of Saturne/Avantage dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up.

Arch Orthop Trauma Surg 2018 Dec 13. Epub 2018 Dec 13.

University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Building 8, Entrance N, 1st floor, Laegaardvej 12, 7500, Holstebro, Denmark.

Introduction: Dislocation is a serious and common complication and a great concern with the use of total hip arthroplasty (THA) when treating displaced femoral neck fracture (FNF). Dual-mobility (DM) THA might reduce the dislocation risk. We aim to report the dislocation and revision rate of primary DM THA in patients with displaced FNF. Read More

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http://link.springer.com/10.1007/s00402-018-3093-8
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http://dx.doi.org/10.1007/s00402-018-3093-8DOI Listing
December 2018
12 Reads

Dynamic instability of the acromioclavicular joint: A new classification for acute AC joint separation.

Obere Extrem 2018 28;13(4):279-285. Epub 2018 Jun 28.

2Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin, Berlin, Germany.

Background: Acute acromioclavicular (AC) dislocation is classified according to Rockwood (RW). Although of clinical relevance, dynamic horizontal translation (DHT) is not listed in this classification or in frequently used clinical evaluation tools. The aim of this study was (a) to evaluate vertical and horizontal AC joint instabilities and assess their combined occurrence and clinical appearance in a consecutive group of patients, as well as (b) to develop a new classification of acute AC joint dislocation. Read More

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http://dx.doi.org/10.1007/s11678-018-0469-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267370PMC

Rate of avascular necrosis after fracture dislocations of the proximal humerus: Timing of surgery.

Obere Extrem 2018 7;13(4):273-278. Epub 2018 Mar 7.

BG Trauma Center Ludwigshafen, Clinic for Trauma and Orthopaedic Surgery at the University of Heidelberg, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen on the Rhine, Germany.

Background: Avascular necrosis (AVN) of the humeral head is a severe complication after proximal humerus fracture dislocations, and leads to a poorer clinical outcome and subsequent revision surgeries. The aim of the current study was to analyze the influence of time to surgery on the AVN rate after locked plating of dislocation fractures of the proximal humerus.

Patients And Methods: This retrospective study included 30 patients with a mean age of 63 ± 14 years with dislocation fractures of the proximal humerus type B3 or C3 according the AO/OTA classification. Read More

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http://dx.doi.org/10.1007/s11678-018-0452-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267377PMC
March 2018
1 Read

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

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

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

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

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

A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults.

Indian J Orthop 2018 Nov-Dec;52(6):584-589

Department of Trauma Surgery, University Hospital Brno, Brno, Czech Republic.

Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-term immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Read More

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http://www.ijoonline.com/text.asp?2018/52/6/584/244987
Publisher Site
http://dx.doi.org/10.4103/ortho.IJOrtho_578_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241047PMC
December 2018
2 Reads

Strengthening Mechanism of a Single Precipitate in a Metallic Nanocube.

Nano Lett 2018 Dec 11. Epub 2018 Dec 11.

Nano-precipitates play a significant role in the strength, ductility and damage tolerance of metallic alloys through their interaction with crystalline defects, especially dislocations. However, the difficulty of observing the action of individual precipitates during plastic deformation has made it challenging to conclusively determine the mechanisms of the precipitate-defect interaction for a given alloy system, and presents a major bottleneck in the rational design of nanostructured alloys. Here we demonstrate the in situ compression of core-shell nanocubes as a promising platform to determine the precise role of individual precipitates. Read More

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http://dx.doi.org/10.1021/acs.nanolett.8b03857DOI Listing
December 2018
3 Reads

Augmented External Fixation of Ulnar Carpometacarpal Joint Fracture Dislocations.

Tech Hand Up Extrem Surg 2018 Nov 30. Epub 2018 Nov 30.

Cleveland Clinic.

Ulnar-sided carpometacarpal (CMC) joint fracture dislocations are relatively uncommon, frequently associated with fractures of the metacarpal base and/or hamate, and often sustained by young male individuals secondary to striking a hard object. The complexity of ulnar-sided CMC fracture dislocations necessitates careful restitution of anatomic alignment and joint congruency for mobility and stability. Miniaturization of the external fixation device has allowed application to the hand. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000223DOI Listing
November 2018
6 Reads

Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.10.007DOI Listing
November 2018
4 Reads

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00051DOI Listing
December 2018
4 Reads

Reattachment of the flexor and extensor tendons at the epicondyle in elbow instability: a biomechanical comparison of techniques.

BMC Musculoskelet Disord 2018 Dec 3;19(1):432. Epub 2018 Dec 3.

Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Elbow dislocation represents a common injury, especially in the younger population. If treated surgically, the reattached tendons require a high amount of primary stability to allow for an early rehabilitation to avoid postoperative stiffness. The purpose of this study was to assess the biomechanical properties of a single and a double row technique for reattachment of the common extensor and common flexor muscles origin. Read More

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http://dx.doi.org/10.1186/s12891-018-2341-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278143PMC
December 2018
2 Reads

Traumatic Divergent Elbow Dislocation with Associated Forearm Amputation in an Adult: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e92-5

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00252DOI Listing
November 2018
2 Reads

A Rare Case of Complex Carpal Injury: Divergent Trapezium-Trapezoid Fracture Dislocation.

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

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http://dx.doi.org/10.1055/s-0038-1630143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255733PMC
December 2018
1 Read

Open Reduction and Tunneled Suspensory Device Fixation Compared with Nonoperative Treatment for Type-III and Type-IV Acromioclavicular Joint Dislocations: The ACORN Prospective, Randomized Controlled Trial.

J Bone Joint Surg Am 2018 Nov;100(22):1912-1918

The University of Edinburgh, Edinburgh, United Kingdom.

Background: Nonoperative management of complete acromioclavicular (AC) joint dislocation has yielded reasonable results, although patients may report dissatisfaction with the outcome. The purpose of this prospective, randomized, controlled trial was to compare patient outcome following nonoperative care versus operative treatment with open reduction and tunneled suspension device (ORTSD) fixation for acute, type-III or IV disruptions of the AC joint.

Methods: Sixty patients aged 16 to 35 years with an acute type-III or IV disruption of the AC joint were randomized to receive ORTSD fixation or nonoperative treatment, following a power analysis to determine sample size. Read More

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http://Insights.ovid.com/crossref?an=00004623-201811210-0000
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http://dx.doi.org/10.2106/JBJS.18.00412DOI Listing
November 2018
21 Reads

Pain, impaired functioning, poor satisfaction and diminished health status eight years following perilunate (fracture) dislocations.

Disabil Rehabil 2018 Nov 19:1-8. Epub 2018 Nov 19.

b Department of Rehabilitation Medicine , University of Groningen, University Medical Center Groningen , Groningen , the Netherlands.

Purpose: Perilunate (fracture) dislocations are rare injuries and diminished functional outcomes are reported. However, Patient Reported Outcomes (PROs) following these injuries are rarely described. The aim of this study was to investigate the long-term impact of perilunate (fracture) dislocations using a range of measures, including pain, function, and quality of life. Read More

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http://dx.doi.org/10.1080/09638288.2018.1512165DOI Listing
November 2018
4 Reads

Evaluation of Temporomandibular Joint Movement After Mandibular Reconstruction.

J Craniofac Surg 2019 Jan;30(1):154-157

Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital.

Mandibular head dislocation and problems with mouth opening may develop after mandibular reconstruction. The authors investigated dislocation of the mandibular head and amount of protrusive sliding (excursion) and their effect on mouth opening. The authors divided 55 mandibular reconstruction patients into 3 groups on the basis of the extent of masticatory muscle and mandibular resection and investigated mandibular head dislocation. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005046DOI Listing
January 2019
10 Reads

Carpal Tunnel Syndrome and Flexor Tendon Rupture in the Wrist with Asymptomatic Scapholunate Advanced Collapse: A Case Report.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):589-592

1 Department of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand. Read More

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http://dx.doi.org/10.1142/S2424835518720360DOI Listing
December 2018
2 Reads

The Treatment of Distal Radius Fractures with Ipsilateral Elbow Injury.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):539-546

1 Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Background: The purpose of this study was to assess the functional outcomes of simultaneous distal radius fractures (DRFs) and ipsilateral elbow injuries (IEI) and to evaluate whether the DRFs and IEI affect each other's outcomes.

Methods: From February 2008 to March 2015, 29 of 846 patients treated for DRFs were found to be associated with IEI and 26 patients with follow-up over 12 months were enrolled. There were 12 men and 14 women with a mean age of 55 years (range, 17-86 years). Read More

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http://dx.doi.org/10.1142/S2424835518500558DOI Listing
December 2018
13 Reads

The Acute Management of Unstable Intra-Articular Fractures of the Base of the Middle Phalanx: A Systematic Review.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):441-449

1 Brighton and Sussex Medical School, University of Brighton, London, UK.

Background: Within hand trauma, the management of unstable, intra-articular fractures of the base of the middle phalanx remains highly controversial. The objective of this research was to determine which operation gives the best outcome in the management of displaced, intra-articular fractures of the base of the middle phalanx causing instability of the proximal interphalangeal joint.

Methods: A scoping study was performed to determine the evidence available and the terminology used. Read More

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https://www.worldscientific.com/doi/abs/10.1142/S24248355183
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http://dx.doi.org/10.1142/S2424835518300037DOI Listing
December 2018
13 Reads

Ion Irradiation-Induced Microstructural Evolution of Ni⁻Mo⁻Cr Low Alloy Steels.

Materials (Basel) 2018 Nov 13;11(11). Epub 2018 Nov 13.

Science and Technology on Reactor Fuel and Materials Laboratory, Nuclear Power Institute of China, Chengdu 610041, China.

As leading candidates of sheet steels for advanced nuclear reactors, three types of Ni⁻Mo⁻Cr high-strength low alloy (HSLA) steels named as CNST1, CNST2 and CNSS3 were irradiated by 400 keV Fe⁺ with peak fluence to 1.4 × 10, 3.5 × 10 and 7. Read More

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http://www.mdpi.com/1996-1944/11/11/2268
Publisher Site
http://dx.doi.org/10.3390/ma11112268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266183PMC
November 2018
13 Reads

The Relationship Between Hemihamate Graft Size and Proximal Interphalangeal Joint Flexion for Reconstruction of Fracture-Dislocations: A Biomechanical Study.

J Hand Surg Am 2018 Nov 9. Epub 2018 Nov 9.

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

Purpose: The purpose of this study was to determine the relationship between hemihamate graft size and proximal interphalangeal (PIP) joint flexion in a biomechanical fracture-dislocation model.

Methods: We simulated middle finger PIP fracture-dislocations in 5 cadaver hands by resecting 50% of the palmar articular surface of the middle phalanx (P2) base. Fluoroscopy was used to confirm dorsal subluxation of the middle phalanx base after resection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023183038
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http://dx.doi.org/10.1016/j.jhsa.2018.09.017DOI Listing
November 2018
14 Reads

The burden of chronic elbow dislocations in Cambodia and early results of a cost-effective surgical approach.

Trop Doct 2018 Nov 12:49475518808637. Epub 2018 Nov 12.

7 Orthopaedic surgeon and CEO of the Children's Surgical Centre, Children's Surgical Centre, Phnom Penh, Cambodia.

Chronic elbow dislocation presents a surgical challenge and there is difficulty in balancing stability with early mobilisation. We present a series of 103 patients treated with open reduction via a posterior approach and provide early results of an alternative combined medial and lateral approach (Soddo technique, Anderson et al.). Read More

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http://dx.doi.org/10.1177/0049475518808637DOI Listing
November 2018
2 Reads

Radial head resection versus prosthetic arthroplasty in terrible triad injury: a retrospective comparative cohort study.

Bone Joint J 2018 Nov;100-B(11):1499-1505

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Aims: The crucial role of the radial head in the stability of the elbow in terrible triad injury is acknowledged. This retrospective study aims to compare the results of resection of a severely comminuted radial head with or without prosthetic arthroplasty as part of the reconstruction for this injury.

Patients And Methods: The outcome of radial head resection was compared with prosthetic arthroplasty in 29 and 15 patients with terrible triad injuries, respectively. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100
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http://dx.doi.org/10.1302/0301-620X.100B11.BJJ-2018-0293.R1DOI Listing
November 2018
8 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 Nov;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
1 Read

Heterotopic ossification following anterior shoulder dislocation.

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

Department of Trauma and Orthopaedics, Royal Lancaster Infirmary, Lancaster, UK.

Heterotopic ossification (HO) is the abnormal growth of extraskeletal bone. Joint involvement may result in chronic stiffness and pain causing considerable functional impairment and the inability to perform the activities of daily living. HO affecting the shoulder joint is rare and little is known about its clinical course or treatment. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22696
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http://dx.doi.org/10.1136/bcr-2018-226968DOI Listing
November 2018
8 Reads

Effect of changing femoral head diameter on bony and prosthetic jumping angles.

Eur J Orthop Surg Traumatol 2018 Oct 30. Epub 2018 Oct 30.

Department of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa, Japan.

Background: In THA, using a larger femoral head can increase the oscillation angle and jumping distance. However, there have been no reports which indicate precisely how increasing the jumping distance leads to an increase in the angle from impingement to dislocation (jumping angle). In this study, we clarified the jumping angle of various head diameters and its relationship with pelvic morphology. Read More

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http://dx.doi.org/10.1007/s00590-018-2325-5DOI Listing
October 2018
3 Reads