3,138 results match your criteria Dislocation Wrist


Case report: Isolated acute dorsal distal radioulnar joint (DRUJ) dislocation.

Int J Surg Case Rep 2022 May 11;95:107190. Epub 2022 May 11.

Orthopedics and Trauma, Faculty of Medicine, Hashemite University, Jordan.

Introduction: Isolated acute distal radioulnar joint (DRUJ) dislocation is a rare injury that should be early recognized and treated promptly to avoid the limitation and disability associated with delayed diagnosis and management.

Case Presentation: We present a patient with a traumatic dorsal isolated DRUJ dislocation who was successfully treated with a closed reduction and k-wire pinning along with cast immobilization.

Discussion: Previous reports of distal radioulnar joint dislocation have described the mechanics of this injury as well as a guidance to diagnosis and treatment. Read More

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An uncommon case of traumatic pisiform dislocation with triquetral fracture.

J Radiol Case Rep 2022 Apr 1;16(4):1-10. Epub 2022 Apr 1.

Department of Diagnostic Radiology, Changi General Hospital, Singapore.

The pisiform is a sesamoid bone that acts as one of the key medial stabilizers of the wrist. We present a case of a 35-year-old gentleman who presented with medial wrist pain following a fall while rollerblading. Radiographs and Magnetic resonance imaging (MRI) revealed a rare combination of an acute pisiform dislocation with associated triquetral fracture. Read More

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Use of Plain Radiography of Uninjured Wrists as Patient-Specific Markers of Successful Reduction of Unilateral Distal Radius Fractures.

Hand (N Y) 2022 May 3:15589447221092057. Epub 2022 May 3.

Montefiore Medical Center, Bronx, NY, USA.

Background: The standard of care of distal radius fractures requiring operative intervention involves restoration of anatomical alignment radiologically by comparing preoperative films and intraoperative fluoroscopy with established values based on population norms. The objective of this study is to evaluate the use of plain radiographs obtained from the uninjured wrist of patients who present with unilateral displaced distal radius fractures as a measure of successful achievement of anatomical realignment.

Methods: A retrospective review was performed on 133 consecutive patients who presented from August 2020 to August 2021 with a diagnosis of unilateral distal radius fracture as confirmed on 3-view plain radiography. Read More

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Reverse Perilunate Injuries-The "Extended Scaphoid" Sign.

J Wrist Surg 2022 Apr 15;11(2):161-163. Epub 2021 Nov 15.

Department of Orthopedics, TRues Wrist Surgery Unit, Clinique Parc Lyon, Lyon, France.

 Reverse perilunate injuries (REPLI) are rare variants of the classic radial-sided perilunate injuries (PLI) whose mechanism was described by Mayfield in 1980. Classic radial-sided nontranscaphoid dorsal PLI invariably display a flexed, foreshortened position of the scaphoid on their initial posteroanterior (PA) and lateral radiographs. We observed that some dorsal perilunate dislocations displayed an position of the scaphoid on their initial radiographs. Read More

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Galeazzi Fracture-Dislocation.

Authors:
Denise R Ramponi

Adv Emerg Nurs J 2022 Apr-Jun 01;44(2):116-120

School of Nursing, Education, and Human Studies, Robert Morris University, Moon Township, Pennsylvania.

A Galeazzi fracture-dislocation is defined as a distal radius fracture with disruption of the distal radioulnar joint (DRUJ). The typical mechanism of injury is a forceful axial load with forearm torsion, which is often seen in a fall on the out stretched hand (FOOSH). The diagnosis is made with radiographs of the distal forearm and the wrist. Read More

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Dorsal Trans-Scaphoid Perilunate Fracture-Dislocation in Association with Dorsal Dislocation of the Thumb Carpometacarpal Joint: A Rare Injury Pattern.

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):385-388. Epub 2022 Apr 19.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Japan.

We report a dorsal trans-scaphoid perilunate fracture-dislocation associated with dorsal dislocation of the thumb carpometacarpal joint in a 25-year-old man. This is a rare injury and we discuss a possible mechanism for the injury. Level V (Therapeutic). Read More

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Treatment Options for Bifid Ulna Deformity Following Galeazzi-equivalent Injury in Adolescents.

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):370-375. Epub 2022 Apr 19.

Department of Hand and Upper Limb Surgery, Department of Diseases of the Musculoskeletal System, University of Turku, Turku University Hospital and CoE TYKS ORTO, Turku, Finland.

A Galeazzi-equivalent lesion occurs in children and adolescents following a traumatic distal radius fracture when the strong radioulnar ligaments and relative weakness of the ulnar physis result in an avulsion-type Salter-Harris III fracture of the distal ulna. In unreduced fractures, the osteogenic nature of the torn periosteal sleeve may result in the formation of a bifid distal ulna. We describe two cases of bifid distal ulna that developed after missed Galeazzi-equivalent lesions. Read More

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Case Study: Trans-styloid, Trans-scaphoid, Trans-triquetral, and Perilunate Dislocation.

J Orthop Case Rep 2021 Jun;11(6):63-67

Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Plainview, New York, United States.

Introduction: Perilunate dislocations are rare high-energy injuries, and the diagnosis is not infrequently missed at initial presentation. The combination of fractures resulting in a trans-styloid, trans-scaphoid, and trans-triquetral perilunate fracture dislocation is extremely rare. Early recognition and diagnosis of these injuries is prudent to restore patient function and prevent morbidity. Read More

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The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement- A Rare Case Report.

J Orthop Case Rep 2021 Jun;11(6):32-35

Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India.

Introduction: Neck of femur fractures is the most common fractures in elderly people as they present with osteoporosis. There is a higher chance of proximal femur fracture in a schizophrenic patient as there is a loss of bone mineral density due to a drug-induced increase in the level of prolactin and immobility. Patients with Parkinson's disease were at higher risk for the development of hip fractures due to gait disturbances and instability. Read More

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Isolated scaphoid dislocation: A case report and review of literature.

World J Clin Cases 2022 Mar;10(8):2559-2568

Department of Orthopedics, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China.

Background: Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair.

Case Summary: A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. Read More

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Isolated complete dislocation of hamate bone with an ulnar nerve injury: a case report and literature review.

Ann Transl Med 2022 Mar;10(6):385

Department of Radiology, Hebei Province Hospital of Chinese Medicine, Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases, Shijiazhuang, China.

Background: Isolated complete dislocation of the hamate bone is a rare wrist injury. Only 22 cases have been reported in the literature. Four of them were associated with nerve injury, but it is a pity that the causes of ulnar nerve injury had never been deeply analyzed. Read More

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RADIOCARPAL FRACTURE DISLOCATIONS: A NEW CLASSIFICATION AND TREATMENT PROPOSAL.

Acta Ortop Bras 2022 28;30(1):e248404. Epub 2022 Jan 28.

. Universidade de São Paulo, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Hand and Microsurgery Group, São Paulo, SP, Brazil.

Introduction: The radiographic and surgical findings, and treatment of radiocarpal fracture dislocations, were analyzed retrospectively in 40 patients.

Materials And Methods: All patients were classified according to Dumontier´s radiological classification and compared with the surgical findings. Based on this analysis, a new classification and treatment are proposed. Read More

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January 2022

Locked Volar Distal Radioulnar Joint Dislocation Associated With Asymptomatic Transection of the Ulnar Artery.

J Hand Surg Glob Online 2021 Sep 27;3(5):289-293. Epub 2021 Jun 27.

Orthopedic Surgery Department, Riyadh Care Hospital, Riyadh, Saudi Arabia.

Volar distal radioulnar joint (DRUJ) dislocation is a rare clinical entity that is commonly missed during initial evaluation. We report a case of a locked volar DRUJ dislocation associated with ulnar artery transection in a 53-year-old patient. He presented to the hospital after sustaining an injury to the right wrist by a heavy machinery object. Read More

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September 2021

An Uncommon Presentation of Fracture-dislocation of the 4th and 5th Carpometacarpal Joints with Volar Displacement and its Management.

J Orthop Case Rep 2021 Sep;11(9):24-28

Department of Trauma and Orthopaedics, Arrowe Park Hospital, Arrowe Park Road, Wirral - CH49 5PE, UK.

Introduction: Carpo-metacarpal joint fracture-dislocations are rare injuries. They constitute less than 1% of all hand injuries [1]. They often go unnoticed [2]. Read More

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September 2021

Monteggia Fracture-Dislocation with Associated TFCC Injury and DRUJ Subluxation - A Very Rare Case Report.

J Orthop Case Rep 2021 Sep;11(9):82-85

Department of Orthopedics, MIOT International, Chennai, Tamil Nadu, India.

Introduction: Monteggia fracture-dislocation is defined as a proximal third ulna fracture with radiocapitellar joint dislocation. The term "Monteggia equivalent or variant" describes various injuries with similar radiographic patterns and injury biomechanics. Several isolated cases of unusual injuries associated with Monteggia fractures have been reported. Read More

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September 2021

Scaphoid Dislocation: A Rare Pattern of Wrist Instability - A Case Report.

J Orthop Case Rep 2021 Nov;11(11):107-111

Serviço de Ortopedia e Traumatologia, Centro Hospitalar Tondela, Viseu, Portugal.

Introduction: Scaphoid dislocations are rare injuries, usually resulting from high-energy trauma and therefore associated to other lesions which may obscure the diagnosis.

Case Presentation: The authors present a case of a 59-year-old man with a partial complex dislocation of the scaphoid, diagnosed 6 days after the initial injury. Closed reduction was unsuccessfully attempted, so the patient was submitted to open reduction and internal fixation. Read More

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November 2021

Secondary displacement in distal forearm fractures in children: adequate positioning of the wrist in the cast is more important than cast index.

J Pediatr Orthop B 2022 Apr 11. Epub 2022 Apr 11.

Department for Plastic, Reconstructive and Aesthetic Surgery, Clinical Hospital Dubrava, Zagreb, Croatia.

The objective of this study was to assess whether the positioning of the wrist joint in the cast in such a manner that it counteracts the direction of angulation of fragments is more important than the cast index in the prevention of secondary displacements in distal forearm fractures. A retrospective review of all pediatric patients (0-16 years of age) who were hospitalized in our institution with displaced fractures of the distal forearm (either isolated fractures of the distal radius or both bone fractures) who underwent subsequent closed reduction and splinting in the period from August 2018 to October 2020. Patients with physeal fractures and open fractures, and skeletally mature patients were excluded from the study. Read More

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Hinge positioning method of Ilizarov apparatus in correcting radial head luxation caused by multiple hereditary exostoses.

Jt Dis Relat Surg 2022 28;33(1):40-50. Epub 2022 Mar 28.

Department of Orthopedics, Shanghai Sixth People's Hospital, 200233 Shanghai, China.

Objectives: In this study, we present a specified hinge positioning method to achieve satisfying and steerable lengthening and angulation to correct forearm multiple hereditary exostoses (MHE) combined with severe radiocapitellar joint dislocation using Ilizarov ring fixators.

Patients And Methods: Between January 2014 and December 2018, a total of 30 forearms of 23 patients (11 males, 12 females; mean age: 18.3±6. Read More

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Wrist Arthrotomy Saline Load Test.

Hand (N Y) 2022 Mar 27:15589447211043194. Epub 2022 Mar 27.

Cleveland Clinic Foundation, OH, USA.

Background: Failure to recognize a potential wrist arthrotomy may lead to missed septic arthritis and devastating sequelae. The saline load test is routinely used to recognize traumatic arthrotomies of other joints; however, there are limited data optimizing this test for the wrist. The purpose of this study was to investigate and perform saline load testing to identify traumatic arthrotomies of the wrist. Read More

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Giant Cell Tumor of the Triquetrum: Clinical Case and Literature Review.

Hand (N Y) 2022 Mar 23:15589447221077374. Epub 2022 Mar 23.

Consorci Sanitari de Terrassa, Spain.

Giant cell tumor (GCT) is a benign, locally aggressive neoplasm with little incidence at the carpal bone level. We present a case of pyramidal bone GCT that required open biopsy for diagnosis. As a definitive treatment, en bloc resection of the pyramidal bone and luno-capitate arthrodesis were performed to avoid frequent relapses of these neoplasms and ensure proper functionality of the anatomical segment. Read More

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The Effect of Upper Extremity Tourniquet Time on Postoperative Pain and Opiate Consumption.

Hand (N Y) 2022 Mar 23:15589447221084009. Epub 2022 Mar 23.

Loma Linda University Health, CA, USA.

Background: There is widespread use of pneumatic tourniquet for both upper and lower extremity orthopedic surgeries. Tourniquet use improves visualization, decreases blood loss, and as a result, decreases operative time. Exceeding a certain amount of tourniquet time can cause lasting neuromuscular damage. Read More

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Factors Affecting Functional Recovery After Volar Locking Plate Fixation for Distal Radius Fractures.

Hand (N Y) 2022 Mar 18:15589447221082156. Epub 2022 Mar 18.

Gunma University Graduate School of Medicine, Maebashi, Japan.

Background: There is still no certainty about factors delaying functional recovery after surgery, although volar locking plate (VLP) fixation is the mainstay of treatment for distal radius fractures (DRFs), and several good postoperative recoveries have been reported. The purpose of this study was to investigate factors affecting functional recovery after VLP fixation for DRF.

Methods: The subjects included 104 patients (84 females, 20 males, mean age: 63. Read More

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Isolated lunate dislocation.

BMJ Case Rep 2022 Mar 7;15(3). Epub 2022 Mar 7.

Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

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Volar Plating of Scaphoid Fractures: A Retrospective Case Series.

Hand (N Y) 2022 Feb 28:15589447221075674. Epub 2022 Feb 28.

The Alfred Hospital, Melbourne, Victoria, Australia.

Background: The purpose of this study was to evaluate the rate of union of scaphoid fractures managed with volar plating and assess postoperative complications.

Methods: Retrospective consecutive case series of 28 patients with scaphoid fractures, 9 acute and 19 chronic nonunions, undergoing surgical fixation with volar scaphoid plating by a single surgeon between 2013 and 2019. Patients were followed up for a minimum of 3 months with scaphoid bony union being confirmed on radiograph or computed tomography. Read More

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February 2022

Future Fracture Risk in Upper Extremity Fracture and Non-Fracture Patients.

Hand (N Y) 2022 Feb 26:15589447211049521. Epub 2022 Feb 26.

Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Background: Upper extremity (UE) fragility fractures are common and strong predictors of subsequent fractures. To investigate the relative importance of an UE fragility fracture in determining future fracture risk, we conducted a cross-sectional study to compare future fracture risk between patients presenting for osteoporosis evaluation after an UE fragility fracture and a similarly aged cohort of patients without an UE fracture.

Methods: In all, 129 UE fracture patients seen in our bone health clinic (BHC) and 114 non-fracture UE fracture patients seen in an UE clinic completed clinic intake surveys assessing for fracture risk factors. Read More

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February 2022

Elbow Dislocation with Irretrievable Rotating-Rope Injury of the Forearm: Case Report and Literature Review.

Orthop Surg 2022 Apr 22;14(4):769-774. Epub 2022 Feb 22.

Department of Orthopaedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.

Background: Simultaneous dislocation of the elbow, radioulnar joint and proximal radius fracture with rotary noose injury to the medial ulna tubercle is extremely rare. An emergency surgery was performed to reduce it. The radial head with the backbone was reset after two hammers were fixed, then the radial capitulum safety was fixed with a locking plate. Read More

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Volar Dislocation of Trapezoid with Coronal Fracture - A Case Report and Review of Literature.

J Hand Surg Asian Pac Vol 2022 Feb 17;27(1):195-199. Epub 2022 Feb 17.

Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Volar dislocation of the trapezoid is a rare injury and is easily missed. It is more common to have a dorsal dislocation of trapezoid or multiple carpometacarpal joint dislocations. The rare nature of the injury also means that there is little guidance in literature regarding optimal treatment. Read More

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February 2022

Extensor Tendon Injury After Volar Locking Plating for Distal Radius Fractures: A Systematic Review.

Hand (N Y) 2022 Feb 15:15589447211068186. Epub 2022 Feb 15.

Columbia University Medical Center, New York, NY, USA.

Distal radius fractures are common orthopedic injuries. Treatment has varied historically, but volar locking plating currently predominates. Although flexor tendon injury is a well-studied complication of this operation, extensor tendon injury is less well studied. Read More

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February 2022

[Perilunares dislocations of minor arch what is the best therapeutic method?]

Acta Ortop Mex 2021 Jul-Aug;35(4):362-368

Instituto Nacional de Ortopedia y Traumatología (INOT), Montevideo, Uruguay.

Introduction: Carpal dislocations and fracture-dislocations are uncommon injuries and represent approximately 5-7% of all wrist injuries, or about 10% of all carpal injuries. Multiple treatments are proposed to treat these injuries. The aim of our paper is to review the evidence about the treatment of lesser arc perilunate dislocations and to assess the results of the different therapeutic methods. Read More

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February 2022

The Radiolunate Index: a retrospective radiographic analysis of a new diagnostic measurement for perilunate injuries.

J Hand Surg Eur Vol 2022 Jun 6;47(6):660-661. Epub 2022 Feb 6.

Department of Orthopedic Surgery, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.

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