2,843 results match your criteria Dislocation Wrist


A very rare presentation of reoperation combined both old Monteggia fracture and secondary distal radioulnar joint dislocation in adult: A case report.

Medicine (Baltimore) 2019 Apr;98(16):e15310

Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.

Rationale: The old Monteggia fracture is an uncommon lesion pattern in adult, which may lead to the potential complications such as recurrent dislocation of the radial head, heterotopic ossification of the elbow, nerve palsy, malunion of the ulna, and residual forearm deformity. However, the secondary distal radioulnar joint (DRUJ) dislocation is rarely reported in the similar lesion. Here we present a unique reoperation of old Monteggia fracture combined with secondary DRUJ disruption after the initial operation failure. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0006
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http://dx.doi.org/10.1097/MD.0000000000015310DOI Listing
April 2019
1 Read

Hook Plate for Volar Rim Fractures of the Distal Radius: Review of the First 23 Cases and Focus on Dorsal Radiocarpal Dislocation.

J Wrist Surg 2019 Apr 7;8(2):93-99. Epub 2018 Aug 7.

Hand Surgery Unit, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.

 Fragment-specific fixation of the distal radius is born to fix each articular fragment with limited surgical approach and low-profile devices. Over time, many devices with different designs and characteristics have been developed. However, many of them have showed the inability to securely fix marginal, small, and comminuted fragments as bony ligament avulsions and bony compression injuries. Read More

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http://dx.doi.org/10.1055/s-0038-1667306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443400PMC
April 2019
2 Reads

[Essex-Lopresti lesion is often undiagnosed].

Ugeskr Laeger 2019 Mar;181(13)

In this review, the diagnostics of the Essex-Lopresti lesion is discussed. The lesion is a combination of fracture of the head of radius, rupture of the interosseous mebrane (IOM) and dislocation of the distal radioulnar joint. The lesion is often overlooked in the primary clinical settings, and it is correlated to severe instability, osteoarthritis and pain if untreated. Read More

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March 2019
10 Reads

Floating Forearm with Terrible Triad Injury of the Elbow: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):38-41

Department of Orthopedic Surgery, Trauma Center, Ben Arous, Tunisia.

Introduction: Floating forearm is rare. Simultaneous terrible triad injury of the elbow is even rarer.

Case Report: A 47-year-old male patient presented with concurrent dorsal perilunate dislocation of the left wrist combined with a terrible triad injury of the left elbow after a fall from the second floor. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424312PMC
March 2019
1 Read

Dislocated distal radial fractures in adult patients: 4 weeks versus 6 weeks of cast immobilisation following reduction, a multicentre randomised controlled trial, study protocol.

BMJ Open 2019 Mar 15;9(3):e026540. Epub 2019 Mar 15.

Maasstad Ziekenhuis, Department of Trauma Surgery, Rotterdam, the Netherlands.

Introduction: Up to 30% of patients with a dislocated distal radial fracture (DRF) treated with closed reduction and cast immobilisation suffer from long-term functional restrictions. It remains unclear, whether duration of cast immobilisation influences functional outcome. The aim of this study is to evaluate whether the functional outcome of dislocated DRFs could be improved by shortening the period of immobilisation. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02654
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http://dx.doi.org/10.1136/bmjopen-2018-026540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429892PMC
March 2019
5 Reads

[Modified SLAM (scapholunate axis method) technique for secondary SL reconstruction: preliminary results].

Handchir Mikrochir Plast Chir 2019 Feb 5;51(1):32-37. Epub 2019 Mar 5.

Universitätsklinikum Regensburg, Zentrum für Plastische, Hand- und Wiederherstellungschirurgie.

Background: The common techniques for scapholunate (SL) ligament reconstruction achieve pain relief and maintenance of reposition at the expense of mobility and grip strength. In contrast, the scapholunate axis method (SLAM) technique seems to stabilise the scaphoid and lunate bones without a loss of function. We modified the technique with an additional anchor fixation of the tendon graft to the capitate bone in order to prevent palmar dislocation of the scaphoid bone. Read More

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http://dx.doi.org/10.1055/a-0839-4926DOI Listing
February 2019

Ulnar Wrist Deviation in Children With Obstetric Brachial Plexus Palsy: A Descriptive Study of Clinical and Radiological Findings of Impaired Ulnar Growth and Associated Incongruence of the Distal Radioulnar Joint.

Hand (N Y) 2019 Feb 28:1558944719831243. Epub 2019 Feb 28.

4 SportsMed, Carlanderska Hospital, Göteborg, Sweden.

Backround: Some children with obstetric brachial plexus palsy (OBPP) present later on with an ulnarly deviated wrist. The aim of this study was to present a retrospective analysis of a subgroup of OBPP children with ulnarly deviated wrists and to describe their morphologic wrist deformity in terms of clinical and radiological appearance.

Methods: We present a retrospective analysis of the records of 27 children with an ulnarly deviated wrist as a consequence of OBPP. Read More

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http://dx.doi.org/10.1177/1558944719831243DOI Listing
February 2019
3 Reads

Technique of Tendon Interposition Arthroplasty for Chronic Volar Dislocation of the Distal Radioulnar Joint.

J Hand Surg Am 2019 Feb 22. Epub 2019 Feb 22.

Case Western Reserve University School of Medicine, Cleveland, OH. Electronic address:

Volar distal radioulnar joint (DRUJ) dislocations are uncommon wrist injuries. Failed diagnosis or treatment can result in irreversible damage to the articulating surfaces and ultimately lead to chronic degenerative arthritis. When the DRUJ is reducible, and the cartilage is preserved, ligament reconstruction and ulnar osteotomy are surgical options for residual wrist instability or pain. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.007DOI Listing
February 2019
1 Read

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 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374697PMC
February 2019

Congenital orthopaedic limp deformities in Corpus Hippocraticum.

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

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http://link.springer.com/10.1007/s00264-019-04308-y
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http://dx.doi.org/10.1007/s00264-019-04308-yDOI Listing
February 2019
7 Reads

[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
1 Read

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Chin J Traumatol 2019 Feb 30;22(1):59-62. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183009
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http://dx.doi.org/10.1016/j.cjtee.2018.04.007DOI Listing
February 2019
12 Reads

Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature.

J Orthop Case Rep 2018 Sep-Oct;8(5):29-31

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohamed V (HMIMV), BP 10100 Rabat, Morocco.

Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast.

Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367302PMC
February 2019
11 Reads

External Fixator-assisted Ulnar Osteotomy: A Novel Technique to Treat Missed Monteggia Fracture in Children.

Orthop Surg 2019 Feb 4;11(1):102-108. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

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http://dx.doi.org/10.1111/os.12426DOI Listing
February 2019
2 Reads

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
8 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
3 Reads

Prevention and management of early treatment failures in elbow injuries.

Orthop Traumatol Surg Res 2019 Feb 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183030
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http://dx.doi.org/10.1016/j.otsr.2018.05.016DOI Listing
February 2019
12 Reads

Adult Monteggia Lesion with Ipsilateral Distal Radius Fracture: A Case Report and Review of the Literature.

J Orthop Case Rep 2018 May-Jun;8(3):77-80

Department of Orthopaedics, Spine and Trauma Unit, General Hospital of Patras, Greece.

Introduction: Monteggia lesion is a well-known injury that constitutes 0.7% of forearm fractures-dislocations. The combined presentation of Monteggia injury with ipsilateral distal radius fracture is an extremely rare lesion, especially in adults. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298714PMC
December 2018
5 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

Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant.

Case Rep Orthop 2018 8;2018:7430297. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, USA.

"Floating elbow" injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. Read More

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https://www.hindawi.com/journals/crior/2018/7430297/
Publisher Site
http://dx.doi.org/10.1155/2018/7430297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250006PMC
November 2018
23 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
5 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
3 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

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
15 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
3 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
18 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

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018
26 Reads

Volar dislocation of the ulnar head after distal radial fracture: Case report and review of the pertinent literature.

Ann Med Surg (Lond) 2018 Nov 10;35:185-188. Epub 2018 Oct 10.

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

Introduction: We report the case of volar dislocation of the ulnar head occurred after osteosynthesis for the treatment of distal radius fracture.

Presentation Of Case: The patient, 68-year-old female, had the dorsal displaced left distal radius fracture and volar dislocation of the ulnar head. Osteosynthesis was performed using a volar locking plate without postoperative immobilization. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197738PMC
November 2018
5 Reads

Use of dorsal buttress plate fixation for ulnar carpometacarpal joint fracture dislocations for early mobilization: outcomes of 11 cases.

Musculoskelet Surg 2019 Apr 22;103(1):77-82. Epub 2018 Oct 22.

Department of Hand Surgery, Singapore General Hospital, The Academia, 20 College Road, Singapore, 169856, Singapore.

Aim: This study reviews the surgical outcomes of using dorsal buttress plate for open reduction and internal fixation of ulnar (5th, or 4th and 5th) CMCJ fracture subluxation or dislocations.

Methods: A retrospective review of 11 patients at our center who underwent operative fixation with dorsal buttress plating technique was performed. The surgery was performed between February 2012 and March 2017. Read More

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http://link.springer.com/10.1007/s12306-018-0571-7
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http://dx.doi.org/10.1007/s12306-018-0571-7DOI Listing
April 2019
10 Reads

[Ulna osteotomy and joint capsule release and tight for old Monteggia's fracture in children].

Zhongguo Gu Shang 2018 Sep;31(9):799-802

Guangzhou Orthopedic Hospital, Guangzhou 510031, Guangdong, China.

Objective: To explore the experience and effect of surgical treatment in old Monteggia fracture in children.

Methods: From January 2013 to December 2017, 32 cases of old Monteggia's fracture were treated including 18 males and 14 females with an average age of(5.3±1. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.09.004DOI Listing
September 2018
13 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

APSI scaphoid hemiarthroplasty - long-term results.

Rev Bras Ortop 2018 Sep-Oct;53(5):582-588. Epub 2018 Aug 2.

Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal.

Objective: This study is aimed at evaluating the long-term results of proximal scaphoid hemiarthroplasty for post-traumatic avascular necrosis at this institution.

Methods: Twelve patients who underwent this procedure were identified, and the mean follow-up time was 6.5 years (range: 5-8 years). Read More

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http://dx.doi.org/10.1016/j.rboe.2018.07.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148075PMC
August 2018
4 Reads

[Combined ulnar shortening osteotomy and elastic suspended fixation in treatment of ulnar impaction syndrome].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 08;32(8):993-996

The 4th Department of Orthopeadics, Guangdong Provincial Traditional Chinese Medical Hospital Affiliated to Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 520105, P.R.China.

Objective: To investigate the effectiveness of ulnar shortening osteotomy combined with elastic suspension fixation for ulnar impaction syndrome caused by relatively long ulna.

Methods: Between October 2015 and August 2016, 3 cases of ulnar impaction syndrome were treated. One patient was male and 2 patients were females. Read More

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http://dx.doi.org/10.7507/1002-1892.201802058DOI Listing
August 2018
6 Reads

Functional outcomes and complications of open elbow dislocations.

Obere Extrem 2018 11;13(3):204-210. Epub 2018 Jun 11.

1BG Trauma Center Ludwigshafen, Clinic for Trauma and Orthopaedic Surgery, University of Heidelberg, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen on the Rhine, Germany.

Background: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury.

Patients And Methods: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. Read More

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http://dx.doi.org/10.1007/s11678-018-0466-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132405PMC
June 2018
3 Reads

Ilizarov technique for treatment of distal radius deformity and bone defect after trauma

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1275-1280

Department of Orthopaedic Trauma, Lanzhou General Hospital of Lanzhou Military District, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness on the distal radius deformity and bone defect after trauma by using Ilizarov external fixator.

Methods: The clinical data of 9 patients of post-traumatic distal radius deformity with bone defect treated by Ilizarov technique between January 2012 and December 2016 were retrospectively analyzed. There were 7 males and 2 females with an average age of 25. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201804088
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http://dx.doi.org/10.7507/1002-1892.201804088DOI Listing
October 2018
26 Reads

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

Closed Reduction of an Acute Volar Dislocation of the Distal Radio-Ulnar Joint by a Modified Technique.

Case Rep Orthop 2018 2;2018:4289406. Epub 2018 Aug 2.

Department of Surgery, Section of Orthopedics, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada.

There is scarce literature describing treatment of volar dislocation of the distal radio-ulnar joint (DRUJ). Irreducible dislocation is usually treated surgically. We present the case of a 37-year-old male with acute right wrist pain and loss of pronation. Read More

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https://www.hindawi.com/journals/crior/2018/4289406/
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http://dx.doi.org/10.1155/2018/4289406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098930PMC
August 2018
2 Reads

Current perspectives in conventional and advanced imaging of the distal radioulnar joint dysfunction: review for the musculoskeletal radiologist.

Skeletal Radiol 2019 Mar 1;48(3):331-348. Epub 2018 Sep 1.

Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Distal radioulnar joint (DRUJ) dysfunction is a common cause of ulnar sided wrist pain. Physical examination yields only subtle clues towards the underlying etiology. Thus, imaging is commonly obtained towards an improved characterization of DRUJ pathology, especially multimodality imaging, which is frequently resorted to arrive at an accurate diagnosis. Read More

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http://dx.doi.org/10.1007/s00256-018-3042-1DOI Listing
March 2019
11 Reads

Volar dislocation of the second and third carpometacarpal joints - the Lisfranc injury of the hand?

Hand Surg Rehabil 2018 10 28;37(5):320-323. Epub 2018 Aug 28.

Weston General Hospital, Grange Road, Weston-Super-Mare, BS23 4TQ, United Kingdom.

A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229183012
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http://dx.doi.org/10.1016/j.hansur.2018.06.004DOI Listing
October 2018
6 Reads

Epidemiology of boxing-related upper extremity injuries in the United States.

Phys Sportsmed 2018 11 8;46(4):503-508. Epub 2018 Sep 8.

a Department of Orthopaedics , Alpert Medical School of Brown University , Providence , RI , USA.

Objective: The incidence of boxing-related upper-extremity (UE) injuries in the United States has not been well characterized. Recent rule changes have been made to make participation safer for athletes, although the consequences of such rule changes on injury rates is unclear. Therefore, we sought to determine the incidence, characteristics, and trends of boxing-related UE injuries. Read More

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http://dx.doi.org/10.1080/00913847.2018.1516478DOI Listing
November 2018
29 Reads

Patterns of Complex Carpal Injuries in the Hand from Fireworks.

J Hand Microsurg 2018 Aug 25;10(2):93-100. Epub 2018 Apr 25.

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, United States.

To describe the various patterns of complex carpal and metacarpal fracture dislocations observed in a consecutive series of firework injuries and the operative management performed. We performed a retrospective study of seven consecutive patients (six males; mean age = 22 ± 13, range, 8-39 years) who presented to a level I trauma center with firework injuries to the hand between July 2014 and January 2016. All injuries were sustained while a lighted firework was held in the hand. Read More

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http://dx.doi.org/10.1055/s-0038-1642069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103762PMC
August 2018
10 Reads

Comparative Assessment of Outcomes of Surgical Treatment of Smith and Colles Distal Radius Fractures.

Ortop Traumatol Rehabil 2018 Feb;20(1):15-23

Klinika Traumatologii i Ortopedii, Wojskowy Instytut Medyczny CSK MON, Warszawa, Polska / Department of Traumatology and Orthopedics, Military Institute of Medicine at Central Teaching Hospital of Ministry of National Defence, Warsaw, Poland.

Background: The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs. extension fracture).

Material And Methods: A group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. Read More

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https://ortopedia.com.pl/gicid/01.3001.0011.5837
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http://dx.doi.org/10.5604/01.3001.0011.5837DOI Listing
February 2018
12 Reads

Upper extremity injuries associated with all terrain vehicle accidents: A multicenter experience and case review.

Injury 2018 Oct 22;49(10):1805-1809. Epub 2018 Aug 22.

Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC 29425, United States; Ralph H. Johnson Veterans Administration Medical Center, Charleston, SC 29425, United States. Electronic address:

Background: All terrain vehicle accidents are a common cause of trauma admission and often associated with extremity injuries. However specifics of injury patterns to the upper extremity has not previously been described. A multicenter, retrospective study was conducted to determine the frequency and distribution of upper extremity injuries sustained from ATV accidents. Read More

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http://dx.doi.org/10.1016/j.injury.2018.08.018DOI Listing
October 2018
22 Reads

A Prospective Evaluation of Patient-Reported Opioid Utilization After Nonoperative Treatment of Fractures and Dislocations.

J Bone Joint Surg Am 2018 Jul;100(14):1177-1183

Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Background: Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. Read More

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http://dx.doi.org/10.2106/JBJS.17.01475DOI Listing
July 2018
5 Reads

Gradual ulnar lengthening by an Ilizarov ring fixator for correction of Masada IIb forearm deformity without tumor excision in hereditary multiple exostosis: preliminary results.

J Pediatr Orthop B 2019 Jan;28(1):67-72

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Bony exostoses are benign osteocartilaginous growths that start close to growth plates. Approximately 30-60% of patients have forearm deformities. The commonly encountered forearm deformities in these patients are bowing of the radius, with or without ulnar drift of the carpus, radial head dislocation, shortening of the ulna, and radial head dislocation. Read More

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http://Insights.ovid.com/crossref?an=01202412-201901000-0001
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http://dx.doi.org/10.1097/BPB.0000000000000514DOI Listing
January 2019
6 Reads

Diagnosing extensor carpi ulnaris tendon dislocation with dynamic rotation MRI of the wrist.

Clin Imaging 2018 Sep - Oct;51:323-326. Epub 2018 Jun 23.

Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria. Electronic address:

Objective: The purpose of this study was to retrospectively correlate the kinematic dynamic rotation MRI (DR-MRI) of the wrist for assessment of extensor carpi ulnaris (ECU) tendon subluxation and dislocation.

Material And Methods: The presence of an ECU tendon subluxation or dislocation on the DR-MRI report was correlated to findings of the surgical report.

Results: DR-MRI findings showed an ECU subluxation in 12 cases and an ECU dislocation in 13 cases. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.06.015DOI Listing
November 2018
4 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