15,238 results match your criteria Fracture Hand


Value of Ultrasound-Guided Closed Reduction and Minimally Invasive Fixation in the Treatment of Metacarpal Fractures.

J Ultrasound Med 2019 Feb 21. Epub 2019 Feb 21.

Department of Ultrasound, Luoyang Orthopedic-Traumatological Hospital, Luoyang, China.

Objectives: To investigate the value of ultrasound-guided closed reduction and minimally invasive fixation in the treatment of metacarpal fractures.

Methods: Twenty-four patients with acute metacarpal fractures were randomly divided into experimental and control groups, with 12 patients in each group. Ultrasound-guided closed reduction and fixation were performed in the experimental group, whereas C-arm fluoroscopy-assisted fixation was performed in the control group. Read More

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http://dx.doi.org/10.1002/jum.14967DOI Listing
February 2019

[Pale and pulseless hand after luxation of the left elbow in a 9‑year-old boy].

Unfallchirurg 2019 Feb 20. Epub 2019 Feb 20.

Klinik für Gefäßchirurgie und Gefäßmedizin, Schwarzwald-Baar-Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Deutschland.

Background: Luxation of the elbow occurs around the age of 7 years instead of a supracondylar humeral fracture. The most common complication is a fracture of the medial epicondyle of the ulna in the sense of a bony avulsion of the ligament. There are only few case reports regarding collateral injuries of the brachial artery. Read More

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http://dx.doi.org/10.1007/s00113-019-0616-xDOI Listing
February 2019

Imitating human soft tissue on basis of a dual-material 3D print using a support-filled metamaterial to provide bimanual haptic for a hand surgery training system.

Quant Imaging Med Surg 2019 Jan;9(1):30-42

Regensburg Medical Image Computing (ReMIC), Ostbayerische Technische Hochschule Regensburg (OTH Regensburg), Galgenbergstraße 32, 93053 Regensburg, Germany.

Background: Currently, it is common practice to use three-dimensional (3D) printers not only for rapid prototyping in the industry, but also in the medical area to create medical applications for training inexperienced surgeons. In a clinical training simulator for minimally invasive bone drilling to fix hand fractures with Kirschner-wires (K-wires), a 3D-printed hand phantom must not only be geometrically but also haptically correct. Due to a limited view during an operation, surgeons need to perfectly localize underlying risk structures only by feeling of specific bony protrusions of the human hand. Read More

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http://dx.doi.org/10.21037/qims.2018.09.17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351818PMC
January 2019

Association of Modifiable Risk Factors with Bone Mineral Density among People with Distal Radius Fracture: A Cross-Sectional Study.

Physiother Can 2019 ;71(1):58-68

School of Rehabilitation Science, Faculty of Health Sciences.

This study determined the extent to which modifiable risk factors (balance, muscle strength, and physical activity [PA]) explained variability in bone mineral density (BMD) among people with a recent distal radius fracture (DRF). This cross-sectional study included 190 patients, aged 50-80 years, with a DRF. Participants were assessed for balance, muscle strength, PA, fracture-specific pain, and disability. Read More

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http://dx.doi.org/10.3138/ptc.2017-72DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373603PMC
January 2019

Screws with larger core diameter and lower thread pitch increase the stability of locked plating in osteoporotic proximal humeral fractures.

Clin Biomech (Bristol, Avon) 2019 Feb 14;63:21-26. Epub 2019 Feb 14.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, building W1, 48149 Münster, Germany.

Background: Little is known about the screw design as a factor for stability of the bone-implant interface in locking plate fixation of proximal humeral fractures. Aim of the present study was to analyze if locking screws with a large core diameter and a low thread pitch provide increased stability when compared to conventional locking screws.

Methods: 3-Part proximal humeral fractures were created in ten pairs of osteoporotic human cadaveric humeri and fixed with a locking plate. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.02.006DOI Listing
February 2019

The use of chimeric musculocutaneous posterior interosseous artery flaps for treatment of osteomyelitis and soft tissue defect in hand.

Microsurgery 2019 Feb 19. Epub 2019 Feb 19.

Swissparc AG, Hand Surgery Service, Zürich, Switzerland.

Introduction: There is growing evidence of the superior ability of muscular tissue to clear bacterial bone infection. Unfortunately, in the hand, there are almost no small local muscular flaps, and muscular transfers to the hand are mainly microsurgical free transfers. In this report, we present the results of the use of a chimeric posterior interosseous flap including part(s) of the forearm muscles to treat osteomyelitis and soft tissue defect of hand from a series of patients. Read More

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http://dx.doi.org/10.1002/micr.30434DOI Listing
February 2019

The severity of ulnar variance compared with contralateral hand: its significance on postoperative wrist function in patients with distal radius fracture.

Sci Rep 2019 Feb 18;9(1):2226. Epub 2019 Feb 18.

Department of Orthopaedics, Changzhou Traditional Chinese Medicine hospital, Changzhou, 213003, China.

The aim of this study was to detect the severity of ulnar variance (UV) compared with contralateral hand on postoperative wrist function in patients with distal radius fracture. 116 cases with unilateral distal radius fracture were retrospectively analyzed and divided into high or low UV severity groups (Dividing value = 2.5 mm). Read More

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http://dx.doi.org/10.1038/s41598-018-36616-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379370PMC
February 2019

Comparison of Hand Drills for the Insertion of Skeletal Traction Pins.

J Surg Orthop Adv 2018 ;27(4):274-276

Cooper Bone & Joint Institute, Cooper University Hospital, Camden, New Jersey.

Skeletal traction pins are inserted as part of emergent stabilization of lower extremity fractures. The purpose of this study is to compare two drill options: a reusable store-bought drill and a single-use, sterilely packaged drill. The reusable drill and disposable drill were compared by having volunteers insert traction pins within a foam bone, fully encased, knee joint model using both systems. Read More

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January 2018

The Effect of Distal Radius Fracture Location on Distal Radioulnar Joint Stability: A Cadaveric Study.

J Hand Surg Am 2019 Feb 15. Epub 2019 Feb 15.

Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY. Electronic address:

Purpose: To investigate whether the location of distal radius osteotomy/shortening relative to the radial insertion of the distal interosseous membrane (DIOM) is correlated with distal radioulnar joint (DRUJ) instability. We hypothesized that distal radius osteotomy and shortening proximal to the DIOM insertion would result in increased DRUJ instability because of induced laxity in the DIOM.

Methods: Osteotomies of the distal radius were performed proximal and distal to the DIOM insertion in 14 fresh-frozen cadaveric specimens. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.002DOI Listing
February 2019

Experience of nail bed injuries at a tertiary hand trauma unit: a 12-month review and cost analysis.

J Hand Surg Eur Vol 2019 Feb 18:1753193419826465. Epub 2019 Feb 18.

1 Plastic Surgery Department, Royal Free London NHS Foundation Trust, London, UK.

The aim of this study was to analyse the management of nail bed injuries from a clinical and economic perspective. We carried out a retrospective analysis of nail bed injuries treated operatively at a tertiary Plastic Surgery Hand Trauma Unit during 2016. The National Schedule of Reference Costs (2015-2016) was used to estimate the costs of treating 630 patients. Read More

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http://dx.doi.org/10.1177/1753193419826465DOI Listing
February 2019

Optimal management of post-traumatic radioulnar synostosis.

Orthop Res Rev 2017 5;9:101-106. Epub 2017 Dec 5.

KSF Orthopaedic Center, Houston, TX, USA,

Post-traumatic radioulnar synostosis is a rare complication after forearm or elbow injury that can result in loss of motion and significant disability. Risk factors include aspects of the initial trauma and of the surgical treatment of that trauma. Surgical intervention for synostosis is the standard of care and is determined based on the location of the bony bridge. Read More

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http://dx.doi.org/10.2147/ORR.S109483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209360PMC
December 2017

SPRING PLATES IN DISTAL RADIO FRACTURES: MECHANICAL PROPERTIES.

Acta Ortop Bras 2018 ;26(6):423-427

Hand Surgery Program, Hospital das Clínicas de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Background: Distal radius fractures are one of the most common orthopedic injuries and appear in various patterns. Volar plate fixation is not always considered the gold standard treatment.

Objective: To measure the resistance of a fragment-specific fixation assembly model obtained by plate fixation associated with different K-wire sizes. Read More

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http://dx.doi.org/10.1590/1413-785220182606190551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362686PMC
January 2018

EPIDEMIOLOGY OF TRAUMATIC INJURIES OF THE UPPER LIMBS IN A UNIVERSITY HOSPITAL.

Acta Ortop Bras 2018 ;26(6):370-373

Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.

Objective: To evaluate the epidemiology of traumatic injuries of the upper limbs treated at a university hospital and identify the causes, types of injuries, and risk factors.

Methods: A prospective study was performed with accidents resulting in trauma categorized into three groups: domestic, occupational, or transportation-related. A questionnaire containing information about the patient and the accident was administered. Read More

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http://dx.doi.org/10.1590/1413-785220182606180607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362678PMC
January 2018

Physical function assessment of older adults with lower body fractures at 3 months post-discharge from hospital.

Ther Clin Risk Manag 2019 29;15:201-210. Epub 2019 Jan 29.

Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia,

Background And Purpose: Physical function assessment can be performed to assess functional mobility among older adults, especially after a traumatic incident such as lower body fracture (LBF). The objective of this study was to evaluate physical function of older patients with LBF after 3 months of discharge from the hospital.

Patients And Methods: A total of 89 patients were followed up at the discharge phase. Read More

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http://dx.doi.org/10.2147/TCRM.S189748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357875PMC
January 2019

Complex radial head and neck fractures treated with modern locking plate fixation.

J Shoulder Elbow Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedics and Traumatology, University Medical Center of Johannes Gutenberg University, Mainz, Germany.

Background: Internal fixation of complex radial head and neck (CRHN) fractures is difficult, and postoperative complications are common. This study evaluated elbow function and patient clinical status after internal fixation of CRHN fractures with modern locking plates.

Methods: We included 40 patients with 41 fractures (1 bilateral lesion). Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.056DOI Listing
February 2019
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Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures.

Injury 2019 Feb 10. Epub 2019 Feb 10.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Germany. Electronic address:

Background: Fractures of the proximal humerus are often associated with lesions of the long head of the biceps (LHB) tendon. This often leads to prolonged shoulder pain. Hence, many surgeons decide to perform a tenodesis of the LHB tendon simultaneous to ORIF. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.003DOI Listing
February 2019

Complications of Volar Locked Plating of Distal Radius Fractures: A Prospective Investigation of Modern Techniques.

Hand (N Y) 2019 Feb 15:1558944719828001. Epub 2019 Feb 15.

1 Duke University Medical Center, Durham, NC, USA.

Background: Although volar locked plating (VLP) of distal radius fractures is common, complications remain a considerable concern for upper extremity specialists using modern techniques.

Methods: Complications following VLP of DR fractures were recorded prospectively from January 2005 to January 2017. Fractures were characterized using the AO classification, and complications were described by severity. Read More

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http://dx.doi.org/10.1177/1558944719828001DOI Listing
February 2019

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

The changing shape of hand trauma: an analysis of Hospital Episode Statistics in England.

J Hand Surg Eur Vol 2019 Feb 14:1753193419828986. Epub 2019 Feb 14.

2 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.

Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. Read More

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http://dx.doi.org/10.1177/1753193419828986DOI Listing
February 2019

The effectiveness and safety of cervus and cucumis polypeptide injection in promoting fracture healing after bone fracture surgeries: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Feb;98(7):e14571

Department of Orthopaedics, Inner Mongolia Baogang Hospital, The Third Affiliated Hospital of Inner Mongolia Medical University, Baotou, Inner Mongolia Autonomous Region, China.

Background: Bone fractures are a common occurrence, and, according to clinical investigations, approximately 5% to 10% of patients with fractures will suffer from delayed healing or even non-healing. The high efficacy of traditional Chinese medicine in promoting fracture healing has been fully verified over a long history of diagnosis and treatment. Traditional Chinese medicine has a long history of applying Chinese herbs to treat fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000014571DOI Listing
February 2019

Incidence of surgical-site infection following open reduction and internal fixation of a distal femur fracture: An observational case-control study.

Medicine (Baltimore) 2019 Feb;98(7):e14547

Department of Orthopaedic Surgery.

Surgical-site infection (SSI) is a common complication in orthopedic surgery; however, SSI after surgically managed distal femur fractures was not well studied. The aim of this study was to investigate the incidence of SSI and identify some modifiable and nonmodifiable risk factors.The patients' electronic medical records (EMRs) were reviewed to identify those who sustained a distal femur fracture and treated by open reduction and internal fixation (ORIF) between March 2014 and February 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000014547DOI Listing
February 2019

Fracture of the Sesamoid Bone of the Thumb: A Case Report and Review of the Literature.

JBJS Case Connect 2019 Feb 13. Epub 2019 Feb 13.

Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

Case: Fracture of a sesamoid bone of the thumb is rare. We report a case of such a fracture after hyperextension of the thumb in a 26-year-old woman. After a volar plate injury was excluded, she was treated nonoperatively with 5 weeks of immobilization followed by physical therapy. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00147DOI Listing
February 2019

Two-Staged Reconstruction for Symptomatic Humeral Medial Epicondyle Nonunion in Children: A Case Report.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):105-109

* Department of Orthopaedic Surgery, Toyonaka Municipal Hospital, Osaka, Japan.

Few cases of humeral medial epicondyle nonunion develop to symptomatic condition. We report a pediatric case of distally displaced nonunion. At first, the palliative repair surgery was chosen due to irreduciblity of the epicondyle fragment at 10 years old. Read More

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http://dx.doi.org/10.1142/S2424835519720056DOI 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
March 2019
1 Read

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

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

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

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

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

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

Flexor Tendon Lacerations Secondary to Closed Proximal Phalangeal Fracture.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):123-126

1 Hand Unit, Sydney Hospital, Sydney, Australia.

We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis. Read More

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http://dx.doi.org/10.1142/S2424835519720093DOI Listing

Chondrosarcoma of the Hand Bones: A Report of 6 Cases and Review of the Literature.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):45-49

‡ Division of Trauma, Department of Orthopedic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Background: Primary malignant tumours of the hand are extremely rare, with chondrosarcoma being the most common. We describe six consecutive cases of chondrosarcoma (CS) of the hand, with a follow-up of 12 months to 10 years after surgical intervention.

Methods: Five cases were primary tumors and one was secondary to Ollier's disease. Read More

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http://dx.doi.org/10.1142/S2424835519500085DOI Listing

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

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

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

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

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

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

Associations of Serum 25-Hydroxyvitamin D with Physical Performance and Bone Health in Overweight and Obese Older Adults.

Int J Environ Res Public Health 2019 Feb 12;16(3). Epub 2019 Feb 12.

Department of Medicine, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton 3168, Australia.

Low vitamin D status commonly accompanies obesity, and both vitamin D deficiency and obesity have been associated with falls and fracture risk in older adults. We aimed to determine the associations of serum 25-hydroxyvitamin D (25(OH)D) concentrations with physical performance and bone health in community-dwelling, overweight and obese older men and women. Serum 25(OH)D concentrations were measured in 84 participants with body mass index ≥25 kg/m² (mean ± SD age 62. Read More

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http://dx.doi.org/10.3390/ijerph16030509DOI Listing
February 2019

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
1 Read

[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

Telesurveillance: Exploring the Use of Mobile Phone Imaging in the Follow-Up of Orthopedic Patients with Hand Trauma.

Telemed J E Health 2019 Feb 8. Epub 2019 Feb 8.

Department of Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.

Background: Intra-articular phalangeal fractures involving the proximal interphalangeal joint (PIPJ) are notoriously difficult injuries to treat and often require regular follow-up to assess progress, guide treatment, and determine outcomes. Some patients often have to travel long distances for follow-up care. The aim of our study was to assess the clinical outcomes of intra-articular fractures of the PIPJ through use of clinical pictures sent through a mobile phone. Read More

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http://dx.doi.org/10.1089/tmj.2018.0210DOI Listing
February 2019
1 Read

Effect of fentanyl nasal packing treatment on patients with acute postoperative pain after closed reduction of nasal bone fracture: a randomized double-blind controlled trial.

J Plast Surg Hand Surg 2019 Feb 8:1-6. Epub 2019 Feb 8.

c Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center , University of Ulsan College of Medicine , Seoul , Korea.

Purpose: Nasal bone fracture reduction surgery is normally followed by nasal packing to control bleeding. Yet, patients suffer from pain and require further analgesic treatments following nasal packing and removal. This study aimed to evaluate the effect of fentanyl-soaked packing as a method of controlling pain after nasal surgeries in a prospective, randomized, double-blind controlled trial. Read More

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http://dx.doi.org/10.1080/2000656X.2019.1566738DOI Listing
February 2019
1 Read

Complications of Corrective Osteotomies for Extra-Articular Distal Radius Malunion.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopaedic Surgery, Southern California Permanente Medical Group, Anaheim, CA. Electronic address:

Purpose: Osteotomy of the distal radius for a fracture malunion is a challenging procedure. The purpose of this study was to review a series of osteotomies to determine the type and risk of complications.

Methods: A retrospective cohort study was performed, including all Kaiser Permanente Southern California patients who were aged 18 years or older between January 1, 2007, and September 25, 2015, and underwent osteotomy for an extra-articular distal radius fracture malunion. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.013DOI Listing
February 2019
1 Read

An Extensile Approach to the Radial Aspect of the Carpus: "The Link Incision".

Tech Hand Up Extrem Surg 2019 Feb 5. Epub 2019 Feb 5.

Dumfries and Galloway Royal Infirmary, Dumfries, Scotland, UK.

The structures on the radial side of the wrist and thumb base can be approached by a longitudinal incision on the radial side of the wrist. However, longer longitudinal scars can be cosmetically unacceptable and can result in a scar contracture. It is preferable to curve longer incisions along the Langer's skin lines to achieve better scar characteristics. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000232DOI Listing
February 2019
9 Reads

An Evidence-Based Approach to Casting and Orthosis Management of the Pediatric, Adolescent, and Young Adult Population for Injuries of the Upper Extremity: A Review Article.

Clin J Sport Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida.

Objective: Review the use of upper-extremity orthoses and casts after injuries to the wrist and hand in the pediatric, adolescent, and young adult population. The common injuries reviewed include pediatric distal radius fractures, scaphoid fractures, metacarpal fractures, mallet fingers, volar plate injuries of the proximal interphalangeal (PIP) joint, and ulnar collateral ligament (UCL) tears of the thumb metacarpophalangeal (MCP) joint.

Data Sources: We conducted a literature review from 1985 to 2016 of upper-extremity orthotic interventions. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000718DOI Listing
February 2019
1 Read

Plantar pressure changes in hindfoot relief devices of different designs.

J Exp Orthop 2019 Feb 7;6(1). Epub 2019 Feb 7.

Department of Orthopaedics, Trauma and Hand Surgery, Klinikum Osnabrück, Osnabrück, Germany.

Background: It is frequently observed that overloading the foot can impair bone and soft tissue healing and can lead to harmful sequelae (i.e. ulcers, stress reactions) in context of pre-existing tissue disabilities. Read More

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http://dx.doi.org/10.1186/s40634-019-0173-9DOI Listing
February 2019
1 Read

Association of scapholunate dissociation and two-part articular fractures of the distal radius.

J Hand Surg Eur Vol 2019 Feb 6:1753193419826490. Epub 2019 Feb 6.

1 Department of Orthopedics, Flinders University, Bedford Park, SA, Australia.

Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. Read More

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http://dx.doi.org/10.1177/1753193419826490DOI Listing
February 2019

Minimally Invasive Dual Iliac-Screw and Dual-Rod Construct: A Case Report Describing Optimal Subcrestal Iliac-Screw Entry Points in the Surgical Treatment of Metastatic Lumbosacral Fracture.

Oper Neurosurg (Hagerstown) 2019 Feb 5. Epub 2019 Feb 5.

University Orthopaedic, Hand and Reconstructive Surgery Cluster, National University Health System, National University Hospital, Singapore.

Background And Importance: Dual iliac-screw and dual-rod fixation provides additional stability to lumbopelvic constructs and can be employed in management of neoplastic disease with extensive osseous involvement. Optimal iliac-screw positioning is vital to achieve the desired dual iliac-screw and dual-rod linkage.

Clinical Presentation: In this report, we describe our technique with particular focus on subcrestal iliac-screw entry point position using a 4-quadrant teardrop radiological view concept in a case of minimally invasive L3-iliac spinopelvic fixation using dual iliac-screw and dual-rod for a patient with pathological sacral fracture. Read More

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http://dx.doi.org/10.1093/ons/opy410DOI Listing
February 2019

Yoga-Induced Myositis Ossificans Traumatica of the Scapholunate Ligament.

J Wrist Surg 2019 Feb 26;8(1):80-83. Epub 2018 Jun 26.

Department of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, California.

 Myositis ossificans traumatica (MOT) involves the heterotopic development of lamellar bone after a traumatic injury. Despite being termed "myositis," MOT is not limited to muscle but rather can involve tendons, fat, and fascia. "Traumatica" reflects that lesions are usually associated with a history of significant trauma, that is, fractures or surgery; however, many reports suggest they can also be linked to repetitive low-energy insults. Read More

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http://dx.doi.org/10.1055/s-0038-1661354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358443PMC
February 2019
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Minimally Invasive Plate Osteosynthesis for Extra-articular Distal Radius Fracture in Postmenopausal Women: Longitudinal versus Transverse Incision.

J Wrist Surg 2019 Feb 7;8(1):18-23. Epub 2018 Aug 7.

Department of Hand Surgery, University Hospital of Strasbourg, Fédération de Médecine Translationnelle de Strasbourg, University of Strasbourg, Illkirch, France.

 This work aimed to compare two mini-invasive palmar approaches (longitudinal and transverse) to osteosynthesize fractures of the distal radius. The main hypothesis was that the longitudinal technique gave smaller incisions. The secondary hypothesis was that the longitudinal technique would be better for the recovery of pain, functional scores, strength, and mobility. Read More

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http://dx.doi.org/10.1055/s-0038-1667305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358455PMC
February 2019
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Postoperative Treatment of Distal Radius Fractures Using Sensorimotor Rehabilitation.

J Wrist Surg 2019 Feb 27;8(1):2-9. Epub 2018 Sep 27.

Carmel Lady Davis Medical Center Occupational Therapy, Haifa, Israel.

 Sensorimotor and specifically proprioception sense has been used in rehabilitation to treat neurological and joint injuries. These feedback loops are not well understood or implemented in wrist treatment. We observed a temporary sensorimotor loss, following distal radius fractures (DRF) that should be addressed postsurgery. Read More

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http://dx.doi.org/10.1055/s-0038-1672151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358444PMC
February 2019

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
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Prospective associations of osteosarcopenia and osteodynapenia with incident fracture and mortality over 10 years in community-dwelling older adults.

Arch Gerontol Geriatr 2019 Jan 29;82:67-73. Epub 2019 Jan 29.

Menzies Institute for Medical Research, University of Tasmania, Australia. Electronic address:

Aim: To determine whether older adults with low muscle mass (sarcopenia) and strength (dynapenia), in the presence of osteoporosis/osteopenia, have an increased risk of fracture and mortality over 10 years, compared to those with low muscle or low bone mass alone or with neither condition.

Methods: 1032 participants (52% women; mean age 62.9 ± 7. Read More

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http://dx.doi.org/10.1016/j.archger.2019.01.015DOI Listing
January 2019
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The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma.

Arch Orthop Trauma Surg 2019 Feb 4. Epub 2019 Feb 4.

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

Introduction: Several different systems of classification have been developed to understand the complexity of pelvic ring fractures, to facilitate communication between physicians and to support the selection of appropriate therapeutic measures. The purpose of this study was to measure the inter- and intraobserver reliability of Tile AO, Young and Burgess, and FFP classification in pelvic ring fractures. The Rommens classification system (FFP) is analyzed for the first time. Read More

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http://dx.doi.org/10.1007/s00402-019-03123-9DOI Listing
February 2019

The Role of Additional K-Wires on AO Type C Distal Radius Fracture Treatment with External Fixator in Young Population.

Adv Orthop 2019 1;2019:8273018. Epub 2019 Jan 1.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Objectives: Several methods have been proposed to treat AO type C distal radius fracture. External fixator has gained popularity for its simple procedure and rapid recovery. Some surgeons suggested that additional K-wires may play a critical role in the outcome. Read More

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http://dx.doi.org/10.1155/2019/8273018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332986PMC
January 2019
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Surgical revision of radial head fractures: a multicenter retrospective analysis of 466 cases.

J Shoulder Elbow Surg 2019 Feb 1. Epub 2019 Feb 1.

Center for Orthopedic and Trauma Surgery, University Medical Center of Cologne, Cologne, Germany.

Background: Radial head fractures lead to persisting disability in a considerable number of cases. This study aimed to investigate their most common revision causes and procedures.

Methods: This multicenter retrospective study reviewed the cases of 466 adult patients who had undergone surgical revision after operative or nonoperative treatment of a radial head fracture. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.047DOI Listing
February 2019
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The shape match of the olecranon tip for reconstruction of the coronoid process: influence of side and osteotomy angle.

J Shoulder Elbow Surg 2019 Jan 31. Epub 2019 Jan 31.

Roth|McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, University of Western Ontario, London, ON, Canada.

Background: The integrity of the coronoid process is critical to maintaining elbow stability. Unreconstructible fractures and chronic coronoid deficiency are challenging clinical problems with no clear solution. The purposes of this study were to investigate the shape match of the ipsilateral and contralateral olecranon tips as graft options and to determine the influence of the osteotomy angle on fitment. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.022DOI Listing
January 2019

Minimally invasive internal fixation for extra-articular distal radius fracture: Comparison between volar plate and intramedullary nail.

Orthop Traumatol Surg Res 2019 Jan 30. Epub 2019 Jan 30.

Department of Hand Surgery, SOS Main, CCOM, University of Strasbourg, University Hospital of Strasbourg, FMTS, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address:

Introduction: There are numerous internal fixation techniques for distal radius fracture, using pins, plates or nails. Some authors have developed minimally invasive procedures. The aim of the present study was to compare two minimally invasive internal fixation techniques for unstable extra-articular distal radius fracture in women over 50 years of age: volar plate (minimally invasive plate osteosynthesis: MIPO), and intramedullary nail. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183035
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http://dx.doi.org/10.1016/j.otsr.2018.10.013DOI Listing
January 2019
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