16,109 results match your criteria Fracture Hand


Rotational stability of scaphoid waist non-union bone graft and fixation techniques.

J Hand Surg Am 2020 Jul 9. Epub 2020 Jul 9.

Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA.

Purpose: Rotational instability of scaphoid fracture nonunions can lead to persistent nonunion. We hypothesized that a hybrid Russe technique would provide improved rotational stability compared with an instrumented corticocancellous wedge graft in a cadaver model of scaphoid nonunion.

Methods: A volar wedge osteotomy was created at the scaphoid waist in 16 scaphoids from matched-pair specimens. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.05.012DOI Listing

Three-dimensional printing of patient-specific plates for the treatment of acetabular fractures involving quadrilateral plate disruption.

BMC Musculoskelet Disord 2020 Jul 10;21(1):451. Epub 2020 Jul 10.

Department of Hand Surgery, and Department of Plastic Reconstructive Surgery, Ningbo No. 6 Hospital, Ningbo, 315040, China.

Background: Complicated acetabular fractures comprise the most challenging field for orthopedists. The purpose of this study was to develop three-dimensional printed patient-specific (3DPPS) Ti-6Al-4 V plates to treat complicated acetabular fractures involving quadrilateral plate (QLP) disruption and to evaluate their efficacy.

Methods: Fifty patients with acetabular fractures involving QLP disruption were selected between January 2016 and June 2017. Read More

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http://dx.doi.org/10.1186/s12891-020-03370-7DOI Listing

Bipolar Disruption of the Lateral Ulnar Collateral Ligament of the Elbow: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0335

1Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina 2Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi," Buenos Aires, Argentina 3Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.

Case: The lateral ulnar collateral ligament (LUCL) is one of the primary stabilizers of the elbow. Disruption typically occurs from the humeral origin and may be because of an elbow dislocation or fracture/dislocation. If not identified and properly managed, posterolateral rotatory instability may result from LUCL insufficiency. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00335DOI Listing

Flexor Tendon Rupture After Distal Radius Malunion Associated With Electromyographic Abnormalities: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0309

1Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California.

Case: A 63-year-old woman with a history of a malunited distal radius fracture presented with left hand pain and inability to flex her thumb, index, and middle fingers. Anterior interosseous neuropathy was suggested because of abnormal electromyography findings. However, magnetic resonance imaging later revealed flexor tendon ruptures. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00309DOI Listing

Early results of reverse total shoulder arthroplasty using a patient-matched glenoid implant for severe glenoid bone deficiency.

J Shoulder Elbow Surg 2020 Jul;29(7S):S139-S148

Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA.

Background: Reverse total shoulder arthroplasty (rTSA) in the presence of significant glenoid bone loss remains a challenge. This study presents preliminary clinical and radiographic outcomes of primary and revision rTSA using a patient-matched, 3-dimensionally printed custom metal glenoid implant to address severe glenoid bone deficiency.

Methods: Between September 2017 and November 2018, 19 patients with severe glenoid bone deficiency underwent primary (n = 9) or revision rTSA (n = 10) using the Comprehensive Vault Reconstruction System (VRS) (Zimmer Biomet, Warsaw, IN, USA) at a single institution. Read More

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http://dx.doi.org/10.1016/j.jse.2020.04.024DOI Listing

Early Mobilization After Volar Locking Plate Osteosynthesis of Distal Radial Fractures in Older Patients-A Randomized Controlled Trial.

J Hand Surg Am 2020 Jul 4. Epub 2020 Jul 4.

Department of Orthopedic Surgery, Zealand University Hospital, Køge.

Purpose: To investigate if early mobilization after open reduction internal fixation of distal radius fractures improved the functional outcome. We hypothesized that early mobilization would lead to improved patient-reported outcome. Second, we aimed to assess whether early mobilization increased the risk of postoperative implant loosening or breakage. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.05.009DOI Listing

Vascularization strategies in the prevention of non-union formation.

Tissue Eng Part B Rev 2020 Jul 7. Epub 2020 Jul 7.

Saarland University Hospital and Saarland University Faculty of Medicine, 39072, Department of Trauma, Hand and Reconstructive Surgery, Homburg, Germany;

Delayed healing and non-union formation are major challenges in orthopedic surgery, which require the development of novel treatment strategies. Vascularization is considered one of the major prerequisites for successful bone healing, providing an adequate nutrient supply and allowing the infiltration of progenitor cells to the fracture site. Hence, during the last decade a considerable number of studies have focused on the evaluation of vascularization strategies to prevent or to treat non-union formation. Read More

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http://dx.doi.org/10.1089/ten.TEB.2020.0111DOI Listing

Putative Cut-Points in Sarcopenia Components and Incident Adverse Health Outcomes: An SDOC Analysis.

J Am Geriatr Soc 2020 Jul 7;68(7):1429-1437. Epub 2020 Jul 7.

Boston Claude D. Pepper Older Americans Independence Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Objectives: Analyses performed by the Sarcopenia Definitions and Outcomes Consortium (SDOC) identified cut-points in several metrics of grip strength for consideration in a definition of sarcopenia. We describe the associations between the SDOC-identified metrics of low grip strength (absolute or standardized to body size/composition); low dual-energy x-ray absorptiometry (DXA) lean mass as previously defined in the literature (appendicular lean mass [ALM]/ht ); and slowness (walking speed <.8 m/s) with subsequent adverse outcomes (falls, hip fractures, mobility limitation, and mortality). Read More

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http://dx.doi.org/10.1111/jgs.16517DOI Listing

The management of acute fracture dislocations of proximal interphalangeal joints: a systematic review.

J Plast Surg Hand Surg 2020 Jul 7:1-5. Epub 2020 Jul 7.

Pulvertaft Hand Centre, Royal Derby Hospital.

A systematic review was conducted to identify the best management for acute proximal interphalangeal joint fracture-dislocations. A study protocol was designed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Due to limited data in the primary assessment, the hypothesis was tested in a secondary analysis of articles that marginally met the inclusion criteria (i. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1788041DOI Listing

Operative treatment of 2-part surgical neck type fractures of the proximal humerus in the elderly: Cement augmented locking plate PHILOS™ vs. proximal humerus nail multiloc®.

Injury 2020 Jun 16. Epub 2020 Jun 16.

Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Germany.

Introduction: The purpose of this prospective randomized controlled clinical trial was to compare locked plating with intramedullary nailing in the treatment of displaced 2-part surgical neck type proximal humeral fractures in elderly patients.

Patients And Methods: Patients ≥60 years of age with a displaced 2-part surgical neck type fracture of the proximal humerus were surgically treated and randomized for either augmented locking plate fixation Group LP or multiplanar intramedullary nailing Group IN. The primary outcome parameter was the Disabilities of the Shoulder, Arm and Hand (DASH) Score after 24 months. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.026DOI Listing

The Influence of Reverse Arthroplasty Humeral Component Design Features on Scapular Spine Strain.

J Shoulder Elbow Surg 2020 Jul 1. Epub 2020 Jul 1.

Investigations conducted at the Bioengineering Laboratory at the Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada. Electronic address:

Background: Reverse shoulder arthroplasty (RSA) humeral implant parameters have been previously studied with respect to range-of-motion, deltoid function, and stability. However, limited literature exists on the influence of humeral design features on scapular spine strain. The purpose of this cadaveric biomechanical simulator study was to evaluate the role of humeral component lateralization and neck-shaft angle (NSA) on scapular spine strain. Read More

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http://dx.doi.org/10.1016/j.jse.2020.06.011DOI Listing

A Rare Case of Patella Fracture in Osteopetrosis: A Case Report.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900474

Department of Orthopaedic Surgery, University Orthopaedic Hand and Microsurgery Reconstruction, National University Hospital Systems, Singapore.

Case: Fractures in patients with osteopetrosis pose unique technical challenges to the orthopaedic surgeon. We present a case of a 43-year-old man with osteopetrosis who underwent tension band wiring of a patella fracture. The intraoperative appearance of osteopetrotic bone, technical difficulties in passing wires through dense bone, and how this was overcome are presented. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00474DOI Listing

Rotational Anatomy of the Radius and Ulna: Surgical Implications.

J Hand Surg Am 2020 Jun 29. Epub 2020 Jun 29.

Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario.

Purpose: The rotational anatomy of the forearm bones is not well defined. This study aims to further the understanding of the torsion of the radius and ulna to better guide treatment.

Methods: Computed tomography images of 98 cadaveric forearms were obtained and 3-dimensional models of the radius and ulna were generated and analyzed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.018DOI Listing

Surgical fixation of fractures of the distal radius within 2 weeks reduces postoperative finger stiffness.

J Hand Surg Eur Vol 2020 Jul 2:1753193420936591. Epub 2020 Jul 2.

The Hand and Wrist Service, St Mary's Hospital Imperial College Healthcare NHS Trust, London, UK.

Locked anterior plating remains the most common form of surgical fixation for displaced fractures of the distal radius. We hypothesized that delayed surgical fixation later than 2 weeks after injury contributes to poorer patient outcomes for patients with displaced or intra-articular fractures of the distal radius. We conducted a retrospective cohort study of 158 patients who underwent locked anterior plating for an intra-articular or displaced fracture of the distal radius using multiple regression analysis to identify any relationship between patient, injury or treatment factors with the patient-rated wrist and hand evaluation score or finger and wrist stiffness. Read More

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http://dx.doi.org/10.1177/1753193420936591DOI Listing

Fixation of Displaced Avulsion Fracture of the Anterior Superior Iliac Spine (ASIS) after Bone Graft Harvesting Using Anatomic Low-Profile Locking Plate: Case Report and Surgical Technique.

Z Orthop Unfall 2020 Jul 2. Epub 2020 Jul 2.

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena.

Bone graft harvesting from the anterior iliac crest is a frequently performed surgical procedure widely used to treat bone defects in orthopedic trauma and reconstructive surgery. Fracture of the iliac crest or avulsion of the anterior superior iliac spine (ASIS) is a potential complication. Displaced fractures require surgical treatment, i. Read More

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http://dx.doi.org/10.1055/a-1192-7544DOI Listing

Adjusting conventional FRAX estimates of fracture probability according to the recency of sentinel fractures.

Osteoporos Int 2020 Jul 1. Epub 2020 Jul 1.

Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK.

The risk of a recurrent fragility fracture is particularly high immediately following the fracture. This study provides adjustments to FRAX-based fracture probabilities accounting for the site of a recent fracture.

Introduction: The recency of prior fractures affects subsequent fracture risk. Read More

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http://dx.doi.org/10.1007/s00198-020-05517-7DOI Listing

Risk of fragility fractures in obesity and diabetes: a retrospective analysis on a nation-wide cohort.

Osteoporos Int 2020 Jul 1. Epub 2020 Jul 1.

Rheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.

This study aims to investigate the role of obesity and diabetes on bone health in a nation-wide cohort of women with high risk of fracture.

Introduction: The role of obesity and diabetes on fracture risk is yet poorly understood. Body mass index (BMI) and bone mineral density (BMD) are strongly correlated; however, patients with elevated BMI are not protected against fractures, configuring the obesity paradox. Read More

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http://dx.doi.org/10.1007/s00198-020-05519-5DOI Listing

Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial.

J Hand Surg Eur Vol 2020 Jul 1:1753193420936543. Epub 2020 Jul 1.

Hospital Maradei, Clínica dos Acidentados, Belém, PA, Brazil.

We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistically significant difference. Read More

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http://dx.doi.org/10.1177/1753193420936543DOI Listing

Management and Outcomes of Clinical Scaphoid Fractures in Children.

Hand (N Y) 2020 Jul 1:1558944720930293. Epub 2020 Jul 1.

University of Ottawa, Ontario, Canada.

Acute wrist trauma with clinical suspicion of a scaphoid fracture, but normal radiographs, is known as a clinical scaphoid fracture. Standard treatment involves immobilization and repeat radiographs in 10 to 14 days. When repeat radiographs are normal but a scaphoid fracture is still clinically suspected, the optimal management in children is unknown. Read More

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http://dx.doi.org/10.1177/1558944720930293DOI Listing

A pilot biomechanical study comparing a novel, intramedullary Nail/Plate construct to standard Dual-Plate fixation of intra-articular C2.3 distal humerus fractures.

Injury 2020 Jun 23. Epub 2020 Jun 23.

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, 450 Clarkson Ave, MSC 30, Brooklyn, NY 11203, USA. Electronic address:

Background: The gold-standard treatment for intra-articular distal humerus fractures (DHFs) is dual-plate/dual-column fixation, though optimal orientation is not yet established. With a superior method not yet identified, we propose a load-sharing construct, combining absolute stability (extramedullary plate fixation) for distal articular fragments and relative stability (load-sharing intramedullary nail) for the metaphyseal segment. The purpose of this pilot study was to evaluate the biomechanical performance of a novel implant compared to orthogonal dual-plating. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.034DOI Listing

Treatment Modality of Distal Ulnar Head and Neck Fractures Associated With Operatively Treated Distal Radius Fractures Does Not Affect Outcomes.

Hand (N Y) 2020 Jun 29:1558944720922923. Epub 2020 Jun 29.

University of Cincinnati, OH, USA.

This study compares the functional outcomes and complications between operatively and nonoperatively treated distal ulnar head and neck fractures associated with internal fixation of concomitant distal radius fractures. A 7-year retrospective chart review was performed to identify patients with operatively treated distal radius fractures associated with distal ulnar head and neck fractures. Ulnar styloid fractures were excluded. Read More

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http://dx.doi.org/10.1177/1558944720922923DOI Listing

Betadine-Soaked Alcohol Pad and Rigid Immobilization: An Inexpensive and Effective Method to Diminish Infections With Exposed Kirschner Wires in Hand Fractures.

Plast Surg (Oakv) 2020 May 21;28(2):83-87. Epub 2020 May 21.

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

This study describes a novel method of pin care with a Betadine-soaked alcohol pad in conjunction with immobilization to reduce pin site complications in hand fractures treated with exposed Kirschner wires (K-wires). We conducted a retrospective review of all phalangeal and metacarpal fractures from 2010 to 2016 treated with K-wire fixation, a Betadine-soaked alcohol pad, and immobilization in a well-moulded plaster cast. A total of 155 patients with metacarpal or phalangeal fractures were identified, of which 149 were included with 164 fractures treated with 217 exposed K-wires. Read More

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http://dx.doi.org/10.1177/2292550320925924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298569PMC

The risk of osteoporosis in patients with asthma.

Eur Clin Respir J 2020 19;7(1):1763612. Epub 2020 May 19.

Department of Medicine, Vejle Hospital, Vejle, Denmark.

It is well-known that use of continuous systemic corticosteroids (SG) affects bone metabolism, bone mineral density (BMD), and ultimately increases the risk of osteoporosis. In patients with asthma, on the other hand, the effects of long-term high-dose inhaled corticosteroids (ICS) on BMD and risk of osteoporotic fractures is controversial. The reasons for this inconsistency could be explained by the fact that only few long-term studies investigating the effect of ICS in patients with asthma exist. Read More

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http://dx.doi.org/10.1080/20018525.2020.1763612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301699PMC

Extensor pollicis longus tendon rupture from Dorsal Nail Plate distal radius fixation with concomitant myostatic atrophy.

BMJ Case Rep 2020 Jun 28;13(6). Epub 2020 Jun 28.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA

Distal radius fractures are one of the most common upper extremity injuries seen by hand surgeons each year. Many of these fractures require reduction and surgical fixation because of displacement, comminution or inherent fracture instability. New hardware is designed and introduced each year to help surgeons manage these injuries. Read More

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http://dx.doi.org/10.1136/bcr-2019-232659DOI Listing

Use of a locking intramedullary nail for the treatment of initial varus proximal humeral fracture: a prospective pilot study.

J Int Med Res 2020 Jun;48(6):300060520935286

Department of Orthopaedic Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: To evaluate the feasibility of locked intramedullary nailing, rather than locking plate fixation combined with fibular allograft augmentation, for initial varus proximal humeral fractures.

Methods: This prospective pilot study enrolled patients with initial varus proximal humeral fractures that were treated with a locking intramedullary nail. Radiography was performed to evaluate fracture healing. Read More

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http://dx.doi.org/10.1177/0300060520935286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323304PMC
June 2020
1.095 Impact Factor

LncRNA ENST00000563492 promoting the osteogenesis-angiogenesis coupling process in bone mesenchymal stem cells (BMSCs) by functions as a ceRNA for miR-205-5p.

Cell Death Dis 2020 Jun 25;11(6):486. Epub 2020 Jun 25.

Department of Orthopedics, The Second Xiangya Hospital, Central South University, 410011, Changsha, Hunan, P. R. China.

Pain, physical dysfunction, and mental disorders caused by bone nonunion bring great burden to patients. Bone mesenchymal stem cells (BMSCs) isolated from bone nonunion patients with poor proliferation and osteogenic ability are compared with that from normal bone-healing patients. Long noncoding RNAs (lncRNAs) are a class of RNAs that are more than 200 nucleotides in length, lack an open-reading frame encoding a protein, and have little or no protein-coding function, and could regulate gene expression, which is involved in the regulation of important life activities, such as growth, development, aging, and death at epigenetic, transcriptional, and post-transcriptional levels. Read More

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http://dx.doi.org/10.1038/s41419-020-2689-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316863PMC

The Use of Percutaneous Screw Fixation Without Fracture Site Preparation in the Treatment of Fifth Metatarsal Base Nonunion.

Authors:
Andrea Poggetti

J Foot Ankle Surg 2020 Jun 22. Epub 2020 Jun 22.

Consultant, Hand and Reconstructive Microsurgery Unit, Careggi University Hospital, largo Palagi 2, Florence, Italy. Electronic address:

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http://dx.doi.org/10.1053/j.jfas.2020.04.008DOI Listing

Pediatric Hand Infections.

Authors:
Joseph F Styron

Hand Clin 2020 Aug;36(3):381-386

9500 Euclid Avenue Mail Code A40, Cleveland, OH 44195, USA. Electronic address:

Infections are an important source of morbidity in pediatric hands that come from frequent exposure to mouths and other dangers while exploring the world. Although Staphylococcus aureus is still the most common organism in pediatric hand infections, it is less common than in adults because pediatric patients are more likely to develop mixed aerobic/anaerobic infections or group A Streptococcus pyogenes infection. Pediatric patients with open physes potentially may sustain Seymour fractures of the distal phalanges that may become infected and sources for osteomyelitis if not recognized early. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.012DOI Listing

Does endoscopic sinus surgery alter the biomechanics of the orbit?

J Otolaryngol Head Neck Surg 2020 Jun 26;49(1):44. Epub 2020 Jun 26.

Department of Otolaryngology - Head & Neck Surgery, Division of Facial Plastic & Reconstructive Surgery, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.

Objective: The purpose of this study is to determine if removal of ethmoid cell septations as commonly performed in endoscopic sinus surgery leads to a change in orbital wall fracture patterns and the force required to create them.

Methods: Six fresh-frozen cadaveric heads were acquired and underwent endoscopic uncinectomy, maxillary antrostomy, and anterior and posterior ethmoidectomy on one, randomized, side. The contralateral sinuses were used as intra-specimen control. Read More

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http://dx.doi.org/10.1186/s40463-020-00442-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318533PMC

Structural alterations and inflammation in the heart after multiple trauma followed by reamed versus non-reamed femoral nailing.

PLoS One 2020 25;15(6):e0235220. Epub 2020 Jun 25.

Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, Center of Surgery, University of Ulm, Ulm, Germany.

Background: Approximately 30,000 patients with blunt cardiac trauma are recorded each year in the United States. Blunt cardiac injuries after trauma are associated with a longer hospital stay and a poor overall outcome. Organ damage after trauma is linked to increased systemic release of pro-inflammatory cytokines and damage-associated molecular patterns. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235220PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316303PMC

Capitellum fractures: Treatment with headless screws and outcomes.

Jt Dis Relat Surg 2020 18;31(2):291-297. Epub 2020 Jun 18.

Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34147 Bakırköy İstanbul, Türkiye.

Objectives: This study aims to present the results of 21 patients with capitellum fractures treated with open reduction and headless screws by a single experienced surgeon.

Patients And Methods: Twenty-one patients (13 males, 8 females; mean age 39 years; range, 18 to 63 years) who were admitted to our clinic between June 2011 and January 2018 with the diagnosis of capitellum fracture and followed-up for a mean period of 45 months (range, 12 to 90 months) were included in this retrospective study. The fractures were fixed with headless cannulated screws by a single surgeon. Read More

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http://dx.doi.org/10.5606/ehc.2020.72821DOI Listing

Maximization Personality, Disability and Symptoms of Psychosocial Disease in Hand Surgery Patients.

J Surg Orthop Adv 2020 ;29(2):106-111

Department of Orthopaedic Surgery, Stanford University, Palo Alto, California.

There are different frameworks to describe how people make decisions. One framework, maximization, is an approach where individuals approach choices with a goal of finding the 'best' possible alternative. We sought to determine the relationship between maximization and patient reported disability in patients with hand problems. Read More

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January 2020

[Periprosthetic fractures of the shoulder girdle].

Chirurg 2020 Jun 24. Epub 2020 Jun 24.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude W1, 48149, Münster, Deutschland.

Periprosthetic fractures of the shoulder girdle will increasingly become part of routine clinical practice due to rising numbers of joint replacements and the demographic changes. Diagnostically, the status of the rotator cuff, bed of the implant (stable or loose), type of shoulder arthroplasty as well as exclusion of joint infections are crucial for therapeutic decision-making. Novel imaging tools, such as dual-energy computed tomography provide improved preoperative planning options. Read More

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http://dx.doi.org/10.1007/s00104-020-01225-4DOI Listing

Spondylodiscitis and spinal epidural abscess related to long-term placement of an airway stent for malignant central airway obstruction.

Thorac Cancer 2020 Jun 24. Epub 2020 Jun 24.

Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan.

A 70-year-old male was referred to our hospital with lower limb muscle weakness and numbness of the left hand. The patient had previously been diagnosed seven years ago with lung cancer accompanied by central airway obstruction and had received chemoradiotherapy following placement of a metallic stent. Computed tomography (CT) scan revealed an osteolytic lesion which was adjacent to the fractured stent. Read More

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http://dx.doi.org/10.1111/1759-7714.13530DOI Listing

Static and Dynamic External Fixation are Equally Effective for Unstable Elbow Fracture-Dislocations.

J Orthop Trauma 2020 Jun 22. Epub 2020 Jun 22.

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

Objective: To compare the clinical outcomes of static versus dynamic external fixation for elbow fracture-dislocations with persistent instability after surgical management.

Design: Comparative, retrospective review.

Setting: Two tertiary referral upper extremity centers. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001876DOI Listing

Cementless femoral stem fixation and leg-length discrepancy after total hip arthroplasty in different proximal femoral morphological types.

Int Orthop 2020 Jun 22. Epub 2020 Jun 22.

Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška 9, 1000, Ljubljana, Slovenia.

Purpose: Leg-length changes at total hip arthroplasty (THA) may result from too proximal position of the femoral component, i.e. not being sunk deep enough into the femoral canal due to the size and shape of both medullary canal and implant. Read More

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http://dx.doi.org/10.1007/s00264-020-04671-1DOI Listing

Measurement and Interpretation of Handgrip Strength for Research on Sarcopenia and Osteoporosis.

J Bone Metab 2020 May 31;27(2):85-96. Epub 2020 May 31.

Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Handgrip strength (HGS) is associated with several chronic diseases, cognitive decline, length of hospital-stay, and mortality. More importantly, HGS is one of the diagnostic criteria of sarcopenia and gaining attention because of its relevance to bone mineral density (BMD) and osteoporotic fractures. As the measurement of HGS is widely used in clinical practice as well as in research, its accurate measurement and interpretation are becoming more crucial. Read More

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http://dx.doi.org/10.11005/jbm.2020.27.2.85DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297622PMC

A 3-Dimensional-Printed Hand Model for Home-Based Acquisition of Fracture Fixation Skills Without Fluoroscopy.

J Surg Educ 2020 Jun 19. Epub 2020 Jun 19.

Department of Plastic and Reconstructive Surgery, Brown University Alpert Medical School, Lifespan, Providence, Rhode Island.

Objective: To design a low cost ($40), realistic and fluoroscopy-free percutaneous Kirschner wire hand fracture fixation training instrument kit for home-based skill acquisition during the COVID-19 pandemic.

Design: A 3D-printed hand was designed from a computed tomography scan of a healthy hand. These data were used to create replaceable hand and wrist bones and reusable silicone molds for a replica of the soft tissue envelope. Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.05.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304390PMC

Exercise handout and one-on-one hand therapy for management of stiffness after plaster cast immobilization of simple phalangeal and metacarpal fractures in children: A randomized, noninferiority trial.

J Hand Ther 2020 Jun 19. Epub 2020 Jun 19.

Physiotherapy Department, Perth Children's Hospital, Perth, Western Australia, Australia.

Study Design: This is a noninferior, single-blind, randomized controlled trial.

Introduction: Joint stiffness is common after plaster cast immobilization for simple phalanx and metacarpal fractures in children. The limited literature suggests this joint stiffness in children resolves without one-on-one therapy; however, without robust studies confirming that there is no detrimental effect from withdrawing treatment, many children are still referred. Read More

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http://dx.doi.org/10.1016/j.jht.2020.03.017DOI Listing

Fractures of the base of the proximal phalanx in children: comparison between cast immobilization and Kirschner wire fixation.

J Pediatr Orthop B 2020 Jun 17. Epub 2020 Jun 17.

Department of Pediatric Orthopedics, Guangzhou Women and Children's Medical Center, Guangzhou, China.

Background: To retrospectively evaluate the clinical and radiographic outcomes of fractures of the base of the proximal phalanx (FBPP) in children by closed reduction and cast immobilization (CRCI) and closed reduction and percutaneous pinning (CRPP).

Material And Methods: Thirty-four consecutive children with FBPP were treated by CRCI (group A) and CRPP (group B). The diaphyseal axis-metacarpal head angle (DHA) was measured in anteroposterior radiographs before and after treatment. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000761DOI Listing

Pathophysiology and Management of Type 2 Diabetes Mellitus Bone Fragility.

J Diabetes Res 2020 22;2020:7608964. Epub 2020 May 22.

Department of Medicine, Surgery and Neurosciences, University of Siena, Italy.

Individuals with type 2 diabetes mellitus (T2DM) have an increased risk of bone fragility fractures compared to nondiabetic subjects. This increased fracture risk may occur despite normal or even increased values of bone mineral density (BMD), and poor bone quality is suggested to contribute to skeletal fragility in this population. These concepts explain why the only evaluation of BMD could not be considered an adequate tool for evaluating the risk of fracture in the individual T2DM patient. Read More

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http://dx.doi.org/10.1155/2020/7608964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262667PMC

Traumatic rib head subluxation through the intervertebral foramen causing spinal cord contusive injury in a cat.

JFMS Open Rep 2020 Jan-Jun;6(1):2055116920929260. Epub 2020 Jun 8.

Dovecote Veterinary Hospital, Derby, UK.

Case Summary: A 4-year-old cat involved in a road traffic accident presented with paraparesis, which was worse on the right-hand side. Neurolocalisation was to the T3-L3 spinal cord segments. Survey radiographs showed rib fractures but no definitive diagnosis for the paraparesis. Read More

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http://dx.doi.org/10.1177/2055116920929260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285950PMC

[Periprosthetic fractures: basics, classification and treatment principles].

Chirurg 2020 Jun 20. Epub 2020 Jun 20.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyer Straße 1, 48149, Münster, Deutschland.

Periprosthetic fractures (PPFx) are becoming an increasingly important topic in orthopedics and trauma surgery due to the rising number of endoprosthetic joint replacements. The recently published unified classification system (UCS) has replaced numerous historical classification systems and can be applied to all PPFx regardless of the bone or joint involved. The treatment of PPFx requires individual therapeutic concepts taking patient-dependent and patient-independent factors into consideration. Read More

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http://dx.doi.org/10.1007/s00104-020-01219-2DOI Listing

White Tea Reduced Bone Loss by Suppressing the TRAP/CTX Pathway in Ovariectomy-Induced Osteoporosis Model Rats.

Cells Tissues Organs 2020 Jun 19:1-10. Epub 2020 Jun 19.

Department of Radiology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.

Osteoporosis is an important skeletal disease characterized by bone weakness and high risk of fracture in postmenopausal women. Tea consumption is known to play an important role in the prevention or alleviation of osteoporosis. However, the therapeutic effects of aqueous extracts of white tea (WT) have not been evaluated in osteoporosis rat models. Read More

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http://dx.doi.org/10.1159/000507791DOI Listing

DendroPrime as an adhesion barrier on fracture fixation plates: an experimental study in rabbits.

J Hand Surg Eur Vol 2020 Jun 19:1753193420932477. Epub 2020 Jun 19.

Department of Fibre and Polymer Technology, KTH Royal Institute of Technology, Stockholm, Sweden.

We tested the anti-adhesional effect of a new thiol-ene-based coating in a rabbit model. In 12 New Zealand white rabbits, the periosteum and cortex of the proximal phalanx of the second toe of both hind paws was scratched. Stainless steel plates were fixated with screws. Read More

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http://dx.doi.org/10.1177/1753193420932477DOI Listing

Comparison of 3D X-ray tomography with computed tomography in patients with distal extremity fractures.

Skeletal Radiol 2020 Jun 18. Epub 2020 Jun 18.

Department of Radiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Objective: To compare fracture detection, image quality, and radiation dose in patients with distal extremity fractures using 3D tomography and computed tomography (CT).

Materials And Methods: IRB approval was obtained including informed consent for this prospective study from June to December 2016. Patients diagnosed with an acute fracture at CT were consecutively scanned on the same day using 3D tomography. Read More

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http://dx.doi.org/10.1007/s00256-020-03508-7DOI Listing

An in-depth study of the associations between osteoarthritis- and osteoporosis-related phenotypes at different skeletal locations.

Osteoporos Int 2020 Jun 16. Epub 2020 Jun 16.

Human Population Biology Research Unit, Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Ramat-Aviv, Tel Aviv, Israel.

The relationship between OA and osteoporosis characteristics remains controversial. This study revealed that age-adjusted hand OA is associated with lower hand/arm BMD levels. Wrist fracture occurrence is associated with increased OA hand scores and low arm BMD. Read More

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http://dx.doi.org/10.1007/s00198-020-05504-yDOI Listing

Management of the bone loss by metaphyseal sleeves in primary and revision knee arthroplasty: clinical experience and outcome after forty three cases.

Int Orthop 2020 Jun 17. Epub 2020 Jun 17.

Jinnah Hospital, Karachi, Pakistan.

Aim Of The Study: Management of metaphyseal bone loss in complex primary and revision TKA is a challenge for surgeons. Out of various types of bony defects, large metaphyseal bone loss (AORI types IIB and III) requires special augments in the form of cones or sleeves. The aim of this study is to assess the reliability of metaphyseal sleeves, in dealing with massive bone defects to provide stability for immediate weight bearing and also to check short to mid-term survivorship of metaphyseal sleeves in Asian population by assessing various parameters and complications. Read More

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http://dx.doi.org/10.1007/s00264-020-04663-1DOI Listing