3,028 results match your criteria Dislocation Wrist

A Novel Method of Treatment for a Mal-United Galeazzi Fracture With Dislocation of the Distal Radioulnar Joint Using Scarf Osteotomy.

Cureus 2021 Apr 3;13(4):e14276. Epub 2021 Apr 3.

Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.

The Galeazzi fracture is an unstable fracture-dislocation of the forearm. There have been reports of non-union of the radius despite rigid internal fixation with a plate. We present the case of a 25-year-old male who fell from his bicycle, sustaining a closed Galeazzi fracture-dislocation. Read More

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Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly-A Prospective Evaluation of 50 Patients.

J Clin Med 2021 Apr 22;10(9). Epub 2021 Apr 22.

Department of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, Denmark.

Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. Read More

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Long-Term Results of the Modular Physiological Wrist Prosthesis (MPW) in Patients with Inflammatory Diseases.

Life (Basel) 2021 Apr 18;11(4). Epub 2021 Apr 18.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.

The wrist is among the predilection sites of over 90% of cases of rheumatoid arthritis (RA). In advanced cases, total wrist arthroplasty (TWA) is an alternative to arthrodesis. The aim of this study is to present the long-term results of the modular physiological wrist prosthesis (MPW) and to match them in context with the results of a standard population survey. Read More

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"Snapping" of the extensor carpi ulnaris tendon in asymptomatic population.

BMC Musculoskelet Disord 2021 Apr 26;22(1):387. Epub 2021 Apr 26.

Department of Orthopaedics and Traumatology, Gaziosmanpasa University, Tokat, Turkey.

Background: Extensor carpi ulnaris tendinopathy (ECU) can be one cause of ulnar side wrist pain and it is more prominent in pronation-supination movements against resistance. In supination, flexion, and ulnar deviation within the ulnar groove, the tendon is tense and becomes predisposed to subluxation or dislocation. Snapping occurs during this dislocation and relocation. Read More

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Higher-Than-Expected Rates of Distal Radioulnar Joint Fixation in Radial Shaft Fractures: Location of Fracture Matters.

Hand (N Y) 2021 Apr 15:15589447211006836. Epub 2021 Apr 15.

Boston Medical Center, MA, USA.

Background: The purpose of this study was to evaluate rates of distal radioulnar joint (DRUJ) fixation based on location of the radial shaft fracture and risk factors associated with postoperative complications following radial shaft open reduction internal fixation (ORIF).

Methods: Adult patients who underwent isolated radial shaft ORIF from 2014 to 2018 were identified from American College of Surgeons National Surgical Quality Improvement Program database and stratified by fracture location and by the presence or absence of DRUJ fixation. Preoperative patient characteristics and postoperative complications were compared to determine risk factors associated with DRUJ fixation. Read More

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Lunate Revascularization With Temporary Internal Radiocarpal Spanning Fixation for Kienböck Disease.

Hand (N Y) 2021 Apr 15:15589447211006858. Epub 2021 Apr 15.

Duke University School of Medicine, Durham, NC, USA.

Background: The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis.

Methods: We report the outcomes for patients with stages II and III Kienböck disease treated with fourth extensor compartment artery vascularized bone grafting and temporary radiocarpal spanning internal fixation. Nine patients with a mean age of 28. Read More

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Volar Radiocarpal Ligament Repair with Suture Anchors for Radiocarpal Fracture Dislocations: Case Series.

J Wrist Surg 2021 Apr 4;10(2):169-175. Epub 2020 Nov 4.

Department of Orthopedic Surgery, Regions Hospital, St Paul, Minnesota.

 Radiocarpal fracture dislocations cause significant intraarticular disruption and instability difficult to treat with traditional plating methods.  Suture anchor fixation of the volar radiocarpal ligaments through an extended carpal tunnel approach, supplemented with radial styloid fixation, restores stability to the radiocarpal joint.  We performed a retrospective review of 14 consecutive radiocarpal fracture-dislocations (RCFDs) treated at two-level one trauma center from 2011 to 2015. Read More

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

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

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

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

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Proximal Row Carpectomy Using Decellularized Dermal Allograft: Preliminary Results.

J Wrist Surg 2021 Apr 29;10(2):116-122. Epub 2020 Oct 29.

Department of Orthopaedic Surgery, Nicholas Institute of Sports Medicine and Athletic Trauma (NISMAT), Lenox Hill Hospital, New York, New York.

 The purpose of this study was to evaluate the short-term outcomes of patients undergoing proximal row carpectomy (PRC) with interposition arthroplasty using a decellularized dermal allograft.  Patients with a minimum of 1-year follow-up after undergoing a PRC using decellularized dermal allograft were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire as well as the modified Likert scale for patient satisfaction. Nine of ten (90%) consecutive patients who were treated using this surgical technique were available for follow-up. Read More

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

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

Tergooi, afd. Orthopedie, Hilversum.

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

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Bone Morphogenic Protein for Upper Extremity Fractures: A Systematic Review.

Hand (N Y) 2021 Mar 31:1558944721990805. Epub 2021 Mar 31.

William Beaumont Army Medical Center, El Paso, TX, USA.

Purpose: This review discusses success, time to healing, and complications of bone morphogenic proteins (BMPs) 7 and 2 in treating upper extremity nonunions.

Methods: Systematic review identified 26 of 479 studies that met inclusion criteria. Publications described application of BMPs to acute and chronic upper extremity delayed unions/nonunions. Read More

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Hyperbaric oxygen treatment in recurrent development of complex regional pain syndrome: A case report.

Diving Hyperb Med 2021 Mar;51(1):107-110

Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC; JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

A broad spectrum of conditions including neuropathic pain, complex regional pain syndrome (CRPS) and fibromyalgia, have been implicated as causes of chronic pain. There is a need for new and effective treatments that patients can tolerate without significant adverse effects. One potential intervention is hyperbaric oxygen treatment (HBOT). Read More

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Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates.

J Hand Surg Am 2021 Mar 20. Epub 2021 Mar 20.

Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC.

Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the long-ring metacarpal relationship. Both of these patients underwent reduction and fixation using a wrist spanning plate, which was removed approximately 2 months after injury. Read More

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Isolated Dislocation of Hamate with Hook Fracture in Setting of Acute Hand Compartment Syndrome: A Case Report and Review of the Literature.

J Orthop Case Rep 2020 Nov;10(8):76-79

Department of Orthopaedic Surgery, University of California Davis Medical Center, Suite 3800, Sacramento, CA 95817, USA.

Introduction: A rare case of traumatic, isolated dislocation of the hamate with hook fracture in the setting of concomitant acute hand compartment syndrome is presented. This is the first described case of isolated hamate dislocation presenting with symptoms and examination consistent with acute compartment syndrome of the hand.

Case Report: A 28-year-old man presented with a left hand crush injury. Read More

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November 2020

Clinical, functional, and radiological results of the Amandys® interposition arthroplasty in 13 cases of wrist osteoarthritis.

Hand Surg Rehabil 2021 Mar 6. Epub 2021 Mar 6.

SOS Main Grenoble, Unité de Chirurgie Réparatrice, de la Main et des Brûlés, Hôpital A - Michallon, CHU de Grenoble, Avenue du Marquis de Grésivaudan, BP 217, 38043 Grenoble cedex 09, France. Electronic address:

Amandys® pyrocarbon interposition arthroplasty is intended for widespread arthritis of the wrist. The aim of this study was to assess the clinical, functional, and radiological results of this arthroplasty with a minimum follow-up of 12 months. This retrospective single-center study brought together all osteoarthritis indications that can benefit from an Amandys® arthroplasty. Read More

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Diagnostic Reference Levels for Common Orthopedic Hand and Wrist Procedures Using Intraoperative mini C-arm Fluoroscopy.

Hand (N Y) 2021 Mar 6:1558944721994257. Epub 2021 Mar 6.

Rotherham General Hospital, UK.

Background: Diagnostic reference levels are radiation dose levels in medical radiodiagnostic practices for typical examinations for groups of standard-sized individuals for broadly defined types of equipment. This study aimed to contribute to national diagnostic reference levels for common hand and wrist procedures using mini C-arm fluoroscopy. Small joint and digital fracture procedure diagnostic reference levels have not been reported in significant numbers previously with procedure-level stratification. Read More

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Isolated palmar dislocation of the trapezoid associated with distal radius fracture in a patient with major trauma: A case report and literature review.

Trauma Case Rep 2021 Apr 9;32:100403. Epub 2021 Feb 9.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Trapezoid dislocation is infrequent, and palmar trapezoid dislocation is even more rare. This uncommon injury is associated with high-energy trauma and is often combined with other distracting injuries that may lead to misdiagnosis or delayed diagnosis. We present a case of isolated palmar dislocation of the trapezoid in a 49-year-old man with major trauma following a motor vehicle accident. Read More

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[Effectiveness of open reduction and internal fixation for bipolar fracture-dislocation of forearm].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Feb;35(2):149-153

Department of Upper Extremity Orthopaedics, Zhengzhou Orthopaedic Hospital, Zhengzhou Henan, 450052, P.R.China.

Objective: To explore the effectiveness of open reduction and internal fixation for bipolar fracture-dislocation of the forearm.

Methods: Between June 2014 and March 2019, 14 patients with bipolar fracture-dislocation of the forearm were treated. There were 9 males and 5 females, aged from 19 to 52 years (mean, 34. Read More

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February 2021

High Incidence of Hand Injuries From Blocking in Elite Taekwondo Despite the Use of Protective Gear: A 5-Year Descriptive Epidemiology Study.

Orthop J Sports Med 2021 Jan 25;9(1):2325967120973996. Epub 2021 Jan 25.

Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany.

Background: Hand and wrist injuries are a common but underestimated issue in taekwondo. Detailed data on injury risk, patterns, and mechanism are missing.

Purpose: To evaluate (1) the fight time exposure-adjusted injury incidence rate (IIR) and clinical incidence and (2) injury site, type, sport-specific mechanism, and time loss in taekwondo. Read More

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January 2021

Open Galeazzi's Fracture-Dislocation in a 13-Year-Old Boy: A Case Report.

J Wrist Surg 2021 Feb 6;10(1):53-57. Epub 2020 Jul 6.

UOSD Centro Chirurgia Ricostruttiva e della Mano, IRCCS Istituto G. Gaslini-Genova, Italy.

 Galeazzi's fracture-dislocation (GFD) is a rare and complex injury consisting of a radial fracture associated with distal radioulnar joint (DRUJ) dislocation.  We are presenting a case of a boy, who at the onset showed an open GFD and his assessment after a 1-year follow-up. As a treatment, closed reduction and long-arm cast were performed. Read More

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February 2021

A wrist injury.

BMJ 2021 02 5;372:n101. Epub 2021 Feb 5.

Doncaster Royal Infirmary, UK.

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February 2021

A Salter-Harris II Distal Radius Fracture Irreducible by Closed Methods.

JBJS Case Connect 2020 11 20;10(4):e20.00061. Epub 2020 Nov 20.

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.

Case: A 10-year-old boy presented with a Salter-Harris II distal radius fracture that was irreducible by closed methods. An open reduction was performed in the operating room where a sleeve of periosteum was found interposed between the fracture fragments. Successful reduction was performed without difficulty after the periosteum was removed from the fracture. Read More

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November 2020

Nerve Grafting for Chronic PIN Palsy Due to Radiocapitellar Joint Entrapment 2 Years Following Closed Reduction of a Pediatric Monteggia Fracture-Dislocation: A Case Report With 1-Year Follow-up.

Hand (N Y) 2021 Jan 24:1558944720988077. Epub 2021 Jan 24.

McMaster University, Hamilton, ON, Canada.

This article describes the first case of successful nerve grafting for posterior interosseous nerve (PIN) palsy secondary to radiocapitellar joint entrapment 2 years following closed reduction (CR) of a pediatric Monteggia fracture-dislocation (MFD). Patient notes were examined. The literature was reviewed to determine whether similar cases or techniques had been reported. Read More

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January 2021

Diagnostic Performance and Advanced Imaging Reduction With Digital Tomosynthesis in Scaphoid Fracture Management.

Hand (N Y) 2021 Jan 24:1558944720988120. Epub 2021 Jan 24.

Albany Medical Center, NY, USA.

Background: Management of scaphoid fractures often requires advanced imaging to achieve accurate diagnoses and appropriate treatment. Digital tomosynthesis (DTS) is a cross-sectional imaging modality that may be used to substitute magnetic resonance imaging or computed tomographic scans. The purpose of this study is to: (1) determine the diagnostic accuracy of DTS in occult scaphoid fractures; and (2) report on the reduction of other advanced imaging when using DTS. Read More

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January 2021

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

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

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

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

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

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October 2020

Single Versus Dual Headless Compression Screw Fixation of Scaphoid Nonunions: A Biomechanical Comparison.

Hand (N Y) 2021 Jan 7:1558944720974111. Epub 2021 Jan 7.

University of Southern California, Los Angeles, USA.

Background: Management of scaphoid nonunions with bone loss varies substantially. Commonly, internal fixation consists of a single headless compression screw. Recently, some authors have reported on the theoretical benefits of dual-screw fixation. Read More

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January 2021

Isolated Carpal Dislocation of the Pisiform with Distal Radius Fracture in Two Adults: A Rare Entity.

J Hand Microsurg 2020 Dec 22;12(3):215-218. Epub 2019 Nov 22.

Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, United States.

 Pisiform dislocations are an extremely rare injury. There are reports in the literature of isolated dislocations, but to our knowledge there are no reports of distal radius fractures with associated pisiform dislocations.  We present two cases of isolated pisiform dislocation and distal radius fracture in the adult population. Read More

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December 2020

Pisiform dislocation.

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

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

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

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January 2021

The "floating ulna" injury in adults: a case report, literature review and proposed injury classification.

BMC Musculoskelet Disord 2021 Jan 6;22(1):20. Epub 2021 Jan 6.

Department of Orthopedics Surgery, Yantai Yuhuangding Hospital Affiliated to Medical College of Qingdao University, 20 East Yuhuangding Rd, Zhifu District, Yantai, 264400, Shandong, P. R. China.

Background: Ipsilateral Galeazzi fracture with elbow dislocation, namely the "floating ulna" injury, is a rare injury pattern. A few reports have described this type of injury and its treatment.

Case Presentation: A 33-year-old female at 38 weeks gestational age presented with Galeazzi fracture and posterolateral elbow dislocation of the left upper extremity. Read More

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January 2021

An Ulnar-Type Dislocation of Fifth Carpometacarpal Joint: Case Report and Review of the Literature.

J Hand Microsurg 2020 Oct 1;12(Suppl 1):S61-S63. Epub 2019 Mar 1.

Department of Hand and Wrist Surgery, Jehangir Hospital, Pune, Maharashtra, India.

Unilateral pure dislocation of the fifth carpometacarpal joint (CMCJ) is a very rare injury. We are reporting the second case of an ulnar type of unilateral dislocation of a fifth CMCJ. Indian salutation (Namaskar) test and radiographs aid in diagnosis. Read More

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October 2020