15,397 results match your criteria Fracture Hand


A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report.

Cureus 2019 Feb 4;11(2):e4007. Epub 2019 Feb 4.

Orthopaedics, General Hospital of Piraeus Tzaneio, Piraeus, GRC.

Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to be followed. A simple and cheap device consisting of two Kirschner wires and a nylon suture can work as an external fixation system based on the principle of ligamentotaxis. Read More

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http://dx.doi.org/10.7759/cureus.4007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450595PMC
February 2019

Erythropoietin does not improve fracture healing in aged mice.

Exp Gerontol 2019 Apr 16;122:1-9. Epub 2019 Apr 16.

Department of Trauma, Hand and Reconstructive Surgery, Saarland University, 66421 Homburg, Germany; Institute for Clinical & Experimental Surgery, Saarland University, 66421 Homburg, Germany.

Fracture healing in the elderly is associated with a declined healing potential caused by multiple factors including a delay of vascularization. Erythropoietin (EPO) has been demonstrated to improve vascularization and fracture healing in adult mice. We, therefore, hypothesized that EPO in aged mice also improves fracture healing. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S05315565193012
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http://dx.doi.org/10.1016/j.exger.2019.04.005DOI Listing
April 2019
1 Read

Three-Dimensional Corrective Osteotomy for Malunited Fractures of the Upper Extremity Using Patient-Matched Instruments: A Prospective, Multicenter, Open-Label, Single-Arm Trial.

J Bone Joint Surg Am 2019 Apr;101(8):710-721

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: Medical image processing has facilitated simulation of 3-dimensional (3-D) corrective osteotomy, and 3-D rapid prototyping technology has further enabled the manufacturing of patient-matched surgical guides and implants (patient-matched instruments, or PMIs). However, 3-D corrective osteotomy using these technologies has not been the standard procedure. We aimed to prospectively verify the efficacy and safety of PMIs in corrective osteotomy for deformities of the upper extremity. Read More

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http://dx.doi.org/10.2106/JBJS.18.00765DOI Listing
April 2019
1 Read

The association between hand grip strength and rehabilitation outcome in post-acute hip fractured patients.

Aging Clin Exp Res 2019 Apr 16. Epub 2019 Apr 16.

Beit Rivka Geriatric Rehabilitation Center, 4 Hachamisha St, 49245, Petach Tikva, Israel.

Purpose: Various factors have been shown to affect the rehabilitation outcome of hip fractured patients. Considering the decrease in muscle mass with aging and its impact on mobility, we hypothesized that a relationship exists between hand grip strength and rehabilitation outcome.

Methods: We retrospectively studied 373 post-hip fracture patients, admitted for rehabilitation. Read More

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http://dx.doi.org/10.1007/s40520-019-01200-yDOI Listing

[Bilateral pneumothorax during awake fiberoptic intubation : A rare complication of bronchoscopy].

Med Klin Intensivmed Notfmed 2019 Apr 16. Epub 2019 Apr 16.

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.

An 86-year-old woman was scheduled for surgical treatment of a periprosthetic femoral fracture after a fall. Because of a known difficult airway due to multiple surgeries and radiation for cancer in the orofacial area, awake fiberoptic intubation was planned. During the fiberoptic maneuver the patient experienced a massive bout of coughing which resulted in large soft tissue emphysema and double-sided pneumothorax. Read More

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http://link.springer.com/10.1007/s00063-019-0582-7
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http://dx.doi.org/10.1007/s00063-019-0582-7DOI Listing
April 2019
2 Reads

The current evidence-based management of distal radial fractures: UK perspectives.

J Hand Surg Eur Vol 2019 Apr 16:1753193419843201. Epub 2019 Apr 16.

1 Academic Team of Musculoskeletal Surgery, Leicester General Hospital, Leicester, UK.

Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national standards and best-practice guidelines based on review of the best available evidence and expert knowledge. All guideline groups agree that when surgery is needed for dorsally displaced distal radial fractures, that can be reduced closed, K-wire fixation and cast immobilization, should be offered. Read More

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http://dx.doi.org/10.1177/1753193419843201DOI Listing

Comparison of functional metacarpal splint and ulnar gutter splint in the treatment of fifth metacarpal neck fractures: a prospective comparative study.

BMC Musculoskelet Disord 2019 Apr 13;20(1):169. Epub 2019 Apr 13.

Department of Orthopaedics and Traumatology, Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No: 53, Fatih, Istanbul, Turkey.

Background: Fifth metacarpal fractures are the most common fractures of the hand. These fractures are generally treated with conservative methods. The aim of this study was to compare the radiological and clinical outcomes of two conservative treatment methods, functional metacarpal splint(FMS) and ulnar gutter splint(UGS), for the treatment of fifth metacarpal neck fractures. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-019-2556-6DOI Listing
April 2019
1 Read

Pins and rubbers traction system for fractures of the proximal interphalangeal joint.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019840771

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Purpose: We aimed to evaluate the clinical results using the pins and rubbers traction system (PRTS) as described by Suzuki et al. for unstable intra-articular fractures of the proximal interphalangeal (PIP) joint and to assess the efficacy and the indication of the technique of the PRTS.

Methods: Thirty-nine fingers in 39 patients (mean age 46. Read More

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http://dx.doi.org/10.1177/2309499019840771DOI Listing
April 2019
1 Read

Wrist arthroscopy for the treatment of scaphoid delayed or nonunions and judging the need for bone grafting.

J Hand Surg Eur Vol 2019 Apr 15:1753193419841253. Epub 2019 Apr 15.

2 Upper Limb Unit, Wrightington Hospital, Wigan, UK.

This study reports outcomes of arthroscopy in the treatment of delayed or nonunions of 25 scaphoids (25 patients). The surgery was performed between 8 and 43 weeks after injury. Intraoperatively, 11 fractures were deemed stable to probing and underwent percutaneous screw fixation only; 14 were unstable and received arthroscopic bone grafting with percutaneous screw fixation. Read More

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http://dx.doi.org/10.1177/1753193419841253DOI Listing
April 2019
1 Read

Hamate's coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up.

GMS Interdiscip Plast Reconstr Surg DGPW 2019 29;8:Doc05. Epub 2019 Mar 29.

Department of Cranio-maxillofacial, Plastic, and Reconstructive Surgery, Carl-Thiem-Klinikum, Cottbus, Germany.

Hamate fractures are commonly divided into hook fractures and body fractures. The coronal fractures as a special form of hamate's body fracture are very rare injuries. Because of unspecific clinical findings and the mostly inconclusive x-ray imaging, these fractures are frequently overseen or misdiagnosed. Read More

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http://dx.doi.org/10.3205/iprs000131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459031PMC
March 2019
2 Reads

[Advances in diagnosis and treatment of acute scaphoid fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):507-510

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, P.R.China.

Objective: To review the advances in diagnosis and treatment of acute scaphoid fractures.

Methods: The characteristic, classification, diagnosis, and treatment of acute scaphoid fractures were reviewed and summarized.

Results: As one of the common fracture in hand, scaphoid fractures are generally classified as either undisplaced and stable or displaced and unstable. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201811057
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http://dx.doi.org/10.7507/1002-1892.201811057DOI Listing
April 2019
1 Read

Bone Turnover Markers Predict Type of Bone Histomorphometry and Bone Mineral Density in Asian Chronic Hemodialysis Patients.

Nephrology (Carlton) 2019 Apr 13. Epub 2019 Apr 13.

Division of Nephrology, Department of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital.

Background: Although the levels of intact parathyroid hormone (iPTH) are well-controlled following the KDIGO guideline, the incidence of osteoporosis and fracture are still high in hemodialysis (HD) patients. This study was conducted to investigate the correlation between bone turnover markers, bone mineral density (BMD), and bone histomorphometry in HD patients.

Methods: Twenty-two chronic HD patients were enrolled. Read More

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http://dx.doi.org/10.1111/nep.13593DOI Listing
April 2019
1 Read

[Open reduction and plate/screw osteosynthesis of proximal phalanx fractures].

Oper Orthop Traumatol 2019 Apr 12. Epub 2019 Apr 12.

Handchirurgie Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

Objective: Anatomical open reduction and internal fixation using screw/plate osteosynthesis.

Indications: Extra-articular fractures with clinically evident malrotation of the finger, comminution fracture and/or loss of length, which cannot be treated non-operatively; fracture instability; intra-articular fracture with step off greater than 1 mm, which cannot be treated percutaneously but openly using plate/screw osteosythesis; failure of conservative treatment.

Contraindications: General operative limitations. Read More

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http://dx.doi.org/10.1007/s00064-019-0598-4DOI Listing
April 2019
1 Read

A new technique for olecranon osteotomy in the treatment of distal humeral fractures.

JSES Open Access 2019 Mar 24;3(1):1-4. Epub 2018 Dec 24.

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR, USA.

Background: Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a Gigli saw is used to perform the osteotomy while the plate is in place.

Methods: By use of a standard posterior approach, a precontoured olecranon plate is applied to the olecranon and affixed with screws both proximally and distally to the planned osteotomy site. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24686026183003
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http://dx.doi.org/10.1016/j.jses.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443936PMC
March 2019
2 Reads

Optoelectronic measurement of wrist movements in various casts and orthoses used in scaphoid fractures.

J Hand Surg Eur Vol 2019 Apr 11:1753193419842519. Epub 2019 Apr 11.

Cardiff School of Engineering, Cardiff University, Cardiff, UK.

We developed an optoelectronic motion analysis protocol to measure anatomical and functional ranges of wrist motion in Colles'-type and scaphoid-type splints and casts. The protocol was used to study the restriction of wrist motion in casts and splints in ten healthy volunteers. Scaphoid-type casts were no more restrictive to wrist motion than Colles'-type casts, but casts were significantly more restrictive than removable splints. Read More

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http://dx.doi.org/10.1177/1753193419842519DOI Listing

In Vitro Evaluation of the Gore Viabahn Balloon-Expandable Stent-Graft for Fenestrated Endovascular Aortic Repair.

J Endovasc Ther 2019 Apr 11:1526602819842569. Epub 2019 Apr 11.

2 Department of Vascular Surgery, St Franziskus Hospital Münster, Germany.

Purpose: To evaluate the safety and integrity of a new stent-graft as a potential bridging device in fenestrated stent-grafts using an in vitro fenestrated model.

Materials And Methods: Polyester test sheets with ten 6-mm- or 8-mm-diameter fenestrations were used to simulate a fenestrated main body endoprosthesis. In total, 50 Viabahn balloon-expandable (VBX) stent-grafts of varying lengths (29 and 39 mm) and diameters (6, 7, and 8 mm) were implanted in the fitting fenestrations. Read More

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http://dx.doi.org/10.1177/1526602819842569DOI Listing
April 2019
1 Read

The Pronator Quadratus Muscle After Volar Plating: Ultrasound Evaluation of Anatomical Changes Correlated to Patient-Reported Clinical Outcome.

Hand (N Y) 2019 Apr 11:1558944719840737. Epub 2019 Apr 11.

2 Zealand University Hospital, Koege, Denmark.

Background: Repair of the pronator quadratus (PQ) muscle with sutures has been reported durable after volar plating of distal radius fractures (DRF). It is unclear how the muscle reacts if not repaired and if a retracted muscle correlates to worse functional outcome or complications. In this study, we use ultrasound to investigate the anatomy of the PQ muscle after volar plating with PQ repair or nonrepair and correlate the ultrasound findings with patient-reported outcome. Read More

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http://dx.doi.org/10.1177/1558944719840737DOI Listing

Epidemiology of Hand and Wrist Injuries in NCAA Men's Football: 2009-2010 to 2013-2014.

Orthop J Sports Med 2019 Apr 1;7(4):2325967119835375. Epub 2019 Apr 1.

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

Background: Participation in National Collegiate Athletic Association (NCAA) football is at an all-time high. This population of athletes experiences a substantial injury burden, with many injuries affecting the upper extremities.

Purpose/hypothesis: The purpose of this study was to describe the epidemiology of hand and wrist injuries in college football players from the academic years 2009-2010 to 2013-2014. Read More

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http://dx.doi.org/10.1177/2325967119835375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444788PMC
April 2019
1 Read

Microcirculation After Trochanteric Femur Fractures: A Prospective Cohort Study Using Non-invasive Laser-Doppler Spectrophotometry.

Front Physiol 2019 25;10:236. Epub 2019 Mar 25.

Department of Orthopaedic Trauma Surgery, RWTH Aachen University Hospital, Aachen, Germany.

Proximal femur fractures represent a major healthcare problem in the aging society. High rates of post-operative infections are linked to risk factors that seem to affect local microcirculation. Patterns and time courses of alterations in microcirculation have, however, not been previously investigated. Read More

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http://dx.doi.org/10.3389/fphys.2019.00236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442516PMC
March 2019
2 Reads

Fixation of the Various Coronal Plane Fracture Fragments, Including the Entire Coronoid Process, in Patients with Mayo Type IIB Olecranon Fractures - Four Methods for Fixation.

Indian J Orthop 2019 Mar-Apr;53(2):224-231

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.

Background: We introduce several methods for fixation of unique Mayo type II olecranon fractures with the coronal plane fragment (CPF) including the entire coronoid process and report the radiological and clinical results through a case series.

Materials And Methods: 12 patients were operated using this method with a mean age of 44 years. CPFs were fixed with concurrent fixation by a locking plate screw for the olecranon in three patients (method 1), cerclage wiring in six patients (method 2), a mini plate in two patients (method 3), and a double-locking plate (method 4) in one patient. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_42_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415574PMC
April 2019
1 Read

Efficiency of a pelvic circumferential compression device for continuous hemorrhage of peripheral soft tissue of the pelvis: A case report.

Trauma Case Rep 2019 Jun 22;21:100183. Epub 2019 Mar 22.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Japan.

Background: A pelvic circumferential compression device (PCCD) is a belt that is wrapped around a fractured pelvis and tightened with a closing mechanism. The SAM Sling® is one of the most common PCCDs used for trauma management. Although the use of the SAM Sling® for reduction and stabilization of unstable pelvic ring fracture has become the standard of care in most relevant trauma scenarios, it is not usually used for stopping continuous hemorrhage of the peripheral soft tissue of the pelvis without unstable pelvic ring fractures. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434492PMC
June 2019
1 Read

Most coronoid fractures and fracture-dislocations with no radial head involvement can be treated nonsurgically with elbow immobilization.

J Shoulder Elbow Surg 2019 Apr 4. Epub 2019 Apr 4.

Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery and Trauma Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Hypothesis: Conservative treatment of isolated coronoid fractures and fracture-dislocations focused on soft-tissue healing can provide good clinical results in the majority of patients. Our aims were (1) to evaluate the outcome of a conservative treatment protocol designed for isolated coronoid fractures with or without associated elbow dislocations (ICFs) and (2) to characterize the fractures with a dedicated image analysis protocol.

Methods: Of 38 consecutive patients sustaining acute ICFs, 28 were treated nonsurgically after meeting specific inclusion criteria, prospectively followed up, and clinically evaluated at least 1 year after sustaining their injuries. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.005DOI Listing
April 2019
3 Reads

Pinning of supracondylar fractures in children - Strategies to avoid complications.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany. Electronic address:

In the pediatric population supracondylar humerus fracture (SHF) is one of the most common injuries. Diagnosis is based on inspection and conventional radiography. SHFs should be classified according to the modified Gartland classification, which guides treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.042DOI Listing
March 2019
3 Reads

Minimal Clinically Important Difference for PROMIS Physical Function in Patients With Distal Radius Fractures.

J Hand Surg Am 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis MO. Electronic address:

Purpose: This study was conducted to determine the minimal clinically important difference (MCID) of the Patient-Reported Outcomes Information System (PROMIS) Physical Function computer adaptive test (CAT) after distal radius fracture.

Methods: This study retrospectively analyzed data from 187 adults receiving nonsurgical care for a unilateral distal radius fracture at a single institution between February 2016 and November 2017. All patients completed the PROMIS Physical Function v1. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.02.015DOI Listing

[Conservative treatment of periprosthetic humeral fractures years after cemented fracture prostheses : A case series].

Unfallchirurg 2019 Apr 5. Epub 2019 Apr 5.

Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Martin-Luther Universität, Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.

Background: The exact incidence of postoperative periprosthetic humeral fractures (PPHF) months or years after fracture-related implantation of a hemiprosthesis is unknown. The currently available literature is predominantly concerned with operative treatment approaches. As a rule, these involved older patients and severe fracture conditions so that severe complications and unsatisfactory healing results were described. Read More

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http://link.springer.com/10.1007/s00113-019-0638-4
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http://dx.doi.org/10.1007/s00113-019-0638-4DOI Listing
April 2019
3 Reads

Age and "general health"-beside fracture classification-affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study.

Int Orthop 2019 Apr 4. Epub 2019 Apr 4.

Department of Trauma Surgery, BG Trauma Centre Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.

Purpose: Pelvic ring fractures in the elderly gain increasing importance. Nonetheless, data on factors influencing treatment decision in relation to fracture classification, age, and the resulting treatment are still rare.

Methods: Prospectively collected data of the German Pelvic Injury Registry from patients aged over 65 years with a pelvic ring fracture were evaluated retrospectively. Read More

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http://dx.doi.org/10.1007/s00264-019-04326-wDOI Listing
April 2019
1 Read

Pucker sign in an adult distal radial fracture.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Medicine, University of Manchester, Manchester, Manchester, UK.

Puckering of the skin following a fracture is a rare sign which can result in skin necrosis if the fracture is not urgently reduced. Skin puckering is associated with humeral, tibia and clavicular fractures. We present a case of a 79-year-old woman who fell on to her outstretched hand sustaining a right radial fracture with obvious skin puckering. Read More

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http://dx.doi.org/10.1136/bcr-2018-228046DOI Listing

Delayed Extension Block Pinning in 27 Patients With Mallet Fracture.

Hand (N Y) 2019 Apr 4:1558944719840749. Epub 2019 Apr 4.

1 St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.

Background: Untreated bony mallet fingers can cause an array of problems; therefore, adequate treatment is essential. The primary aim of this study was to determine the patient-reported functional outcome of delayed surgical intervention of bony mallet fingers. The secondary aim was to determine the complication rate of delayed surgical intervention. Read More

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http://dx.doi.org/10.1177/1558944719840749DOI Listing

Minimally invasive treatment of calcaneal fractures via the sinus tarsi approach based on a 3D printing technique.

Math Biosci Eng 2019 02;16(3):1597-1610

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

The sinus tarsi approach can be used for a limited exposure of the calcaneal fracture site. The reduction of the posterior articular surface, the shape of the calcaneus, the precise placement of the sustentacular screw (SS), the posterior articular surface screw of the calcaneal (PASS), and the long axis screw of the calcaneal (LAS) are still challenging. To that end, we proposed a minimally invasive technique for the treatment of calcaneal fractures via the sinus tarsi approach in combination with a three-dimensional (3D) printing technique. Read More

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http://dx.doi.org/10.3934/mbe.2019076DOI Listing
February 2019
1 Read
0.866 Impact Factor

Effector memory regulatory T cells were most effective at suppressing RANKL but their frequency was downregulated in tibial fracture patients with delayed union.

Immunol Lett 2019 Apr 1;209:21-27. Epub 2019 Apr 1.

Department of Orthopedics, Jinling School of Clinical Medicine, Nanjing Medical University, Jinling Hospital, Nanjing, 210002, Jiangsu Province, China. Electronic address:

Delayed union and nonunion occur in a minor subject of bone fractures, presenting ongoing challenges to treatment. RANKL, which promotes the differentiation of bone-resorbing osteoclasts, is thought to negatively impact bone healing. In this study, we recruited patients with isolated closed tibial fracture, who were later categorized into normal healing and delayed healing groups based on their healing progression. Read More

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http://dx.doi.org/10.1016/j.imlet.2019.03.018DOI Listing
April 2019
2 Reads

Surgical treatment for acute ischial tuberosity avulsion fracture: A case report.

Medicine (Baltimore) 2019 Apr;98(14):e15040

Department of Orthopedics, China-Japan Union Hospital of Jilin University.

Rationale: Ischial tuberosity avulsion fracture (ITAF) is a very rare sports injury, and there is currently no consensus on its diagnosis and treatment. Although conservative treatment is adequate for most patients, those with large displacement of the fracture need surgical management.

Patient Concerns: A 13-year-old male athlete experienced tearing pain in the right hip during a sprint. Read More

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http://dx.doi.org/10.1097/MD.0000000000015040DOI Listing
April 2019
4 Reads

The Effectiveness of a Flexible Locked Intramedullary Nail and an Anatomically Contoured Locked Plate to Treat Clavicular Shaft Fractures: A 1-Year Randomized Control Trial.

J Bone Joint Surg Am 2019 Apr;101(7):628-634

Division of Orthopaedic Surgery, Department of Surgical Studies, Stellenbosch University, Tygerberg, South Africa.

Background: Displaced and shortened clavicular shaft fractures can be treated operatively with intramedullary or extramedullary fixation. The aim of the present study was to compare the union rates and functional outcomes of displaced and/or shortened clavicular shaft fractures treated with a flexible locked intramedullary nail or with an anatomically contoured locked plate.

Methods: Seventy-two patients with acute displaced and/or shortened clavicular shaft fractures underwent randomly assigned management with either an intramedullary locked nail or an anatomically contoured locked plate. Read More

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http://dx.doi.org/10.2106/JBJS.18.00660DOI Listing
April 2019
5.280 Impact Factor

Non-union of the ulnar styloid process in children is common but long-term morbidity is rare: a population-based study with mean 11 years (9-15) follow-up.

Acta Orthop 2019 Apr 4:1-10. Epub 2019 Apr 4.

a Department of Children and Adolescents, Pediatric Surgery and Orthopedics , Oulu University Hospital , Oulu ;

Background and purpose - Fracture of the ulnar styloid process (USP) is common in children in connection with distal radius fracture. The long-term morbidity of USP non-union following a childhood distal radius fracture is unclear. We evaluated long-term clinical and radiographic findings of USP non-union. Read More

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http://dx.doi.org/10.1080/17453674.2019.1596561DOI Listing
April 2019
1 Read

A Thoroughbred racehorse with a unicortical palmar lateral condylar fracture returned to training 14 days after surgery: a hypothesis on the role of a single bone screw on crack propagation.

J Equine Sci 2019 Mar 3;30(1):7-12. Epub 2019 Apr 3.

The Orthopedic Institute, FL 32607, U.S.A.

A 2-year-old Thoroughbred racehorse had LF lameness that began post high-speed exercise and persisted for two days before the horse once again became sound. Diagnostic analgesia localized the lameness to the LF distal metacarpus, and a standing MRI identified a unicortical condylar fracture. A single 5. Read More

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http://dx.doi.org/10.1294/jes.30.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445752PMC
March 2019
1 Read

Abdominal aortic calcification, bone mineral density and fractures: a systematic review and meta-analysis protocol.

BMJ Open 2019 Apr 2;9(4):e026232. Epub 2019 Apr 2.

The University of Sydney, Centre for Kidney Research, School of Public Health, Sydney Medical School, Children's Hospital at Westmead, New South Wales, Australia.

Introduction: Abdominal aortic calcification (AAC) is associated with low bone mass and increased fracture risk. Two previous meta-analyses have investigated the association between AAC and fracture. However, these meta-analyses only identified articles until December 2016, undertook limited searches and did not explore potential sources of between-study heterogeneity. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026232DOI Listing
April 2019
1 Read

Dorsal Lunate Facet Fracture Reduction Using a Bone Reduction Forceps.

J Wrist Surg 2019 Apr 3;8(2):118-123. Epub 2018 Oct 3.

Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

 The dorsal lunate facet fragment represents part of a complex articular injury of the distal radius and is challenging to reduce through a standard volar approach. We propose reduction through a standard volar approach and intraoperative dorsal lunate facet reduction using a bone forceps. To evaluate the postoperative reduction, we used computed tomography (CT) scan. Read More

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http://dx.doi.org/10.1055/s-0038-1673407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443535PMC
April 2019
10 Reads

Carpal Alignment: A New Method for Assessment.

J Wrist Surg 2019 Apr 3;8(2):112-117. Epub 2018 Oct 3.

Department of Trauma and Hand Surgery, Maasstad Hospital, Rotterdam, The Netherlands.

 Carpal alignment may be used as a tool to evaluate fracture reduction in patients with distal radius fractures. However, there is little consensus on how to measure and quantify carpal alignment.  The aim of this study was to compare the inter- and intraobserver variability of a new perpendicular method with the existing method in fractured and unfractured wrists. Read More

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http://dx.doi.org/10.1055/s-0038-1673406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443383PMC
April 2019
1 Read

Moderate Interrater Reliability in the Diagnosis of Scaphoid Waist Fractures.

J Wrist Surg 2019 Apr 18;8(2):104-107. Epub 2018 Oct 18.

Department of Orthopedics, Hand Clinic, Herlev-Gentofte University Hospital of Copenhagen, Copenhagen, Denmark.

 Conventional radiographs have been shown to yield unreliable results in classifying scaphoid fractures. Computed tomography (CT) has been claimed to be the tool of choice in determining the treatment as well as fracture displacement.  The purpose of the study was to examine the interrater reliability and intrarater reproducibility in the decision-making of the treatment of scaphoid waist fractures. Read More

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http://dx.doi.org/10.1055/s-0038-1673335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443394PMC

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

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

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

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

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

Impact of obesity on operative treatment and inpatient outcomes of paediatric limb fractures.

Bone Joint J 2019 Apr;101-B(4):491-496

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Aims: The aim of this study was to utilize a national paediatric inpatient database to determine whether obesity influences the operative management and inpatient outcomes of paediatric limb fractures.

Patients And Methods: The Kids' Inpatient Database (KID) was used to evaluate children between birth and 17 years of age, from 1997 and 2012, who had undergone open and closed treatment of humeral, radial and ulna, femoral, tibial, and ankle fractures. Demographics, hospital charges, lengths of stay (LOS), and complications were analyzed. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0740.R2DOI Listing
April 2019
3 Reads

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

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http://dx.doi.org/10.1055/s-0039-1677699DOI Listing
April 2019
1 Read

Mini hook plate fixation for thumb ulnar collateral ligament avulsion fracture: A technical report.

Orthop Traumatol Surg Res 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

Ulnar collateral ligament (UCL) injuries of the thumb sometimes occur with avulsion fracture. Avulsion fractures generally require open reduction and internal fixation to restore stability of the metacarpophalangeal (MP) joint of the thumb. Although several surgical techniques have been reported, UCL avulsion fractures are still challenging hand injuries to treat and to obtain stable fixation that allows early finger motion because of small size of fragment. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.01.008DOI Listing
March 2019
1 Read

Association between longitudinal clinical outcomes in patients with hip fracture and their pre-fracture place of residence.

Psychogeriatrics 2019 Mar 28. Epub 2019 Mar 28.

Department of Psychiatry and Psychotherapy, University Medical Center, Goettingen, Germany.

Background: Clinical outcomes of patients with proximal femoral fracture within 1 year after hospitalization are presented. In particular, associations between the patients' clinical status and their pre-fracture residence were evaluated (community-dwelling vs nursing home).

Methods: Patients aged ≥60 years with proximal femoral fractures were included in a prospective, single-centre observational study and followed for 12 months. Read More

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http://dx.doi.org/10.1111/psyg.12450DOI Listing

[Metacarpophalangeal joint replacement].

Orthopade 2019 Mar 26. Epub 2019 Mar 26.

Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

Background: Arthroplasty of metacarpophalangeal (MCP) joints is crucial for patients with rheumatoid arthritis. Motion preserving therapies are mandatory for this joint, since loss of function of the MCP joint is detrimental. Many protheses or spacers have been introduced over the last 80 years, but most of them have been dismissed due to major complications. Read More

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http://link.springer.com/10.1007/s00132-019-03715-8
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http://dx.doi.org/10.1007/s00132-019-03715-8DOI Listing
March 2019
2 Reads

Devising Osteosynthesis for the Reverse Oblique Olecranon Fracture: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):82-84

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan.

Introduction: We encountered a patient with a reverse oblique olecranon fracture in whom redisplacement occurred after osteosynthesis using routine tension band wiring (TBW). In this case report, methods for stable fixation used during reoperation are reported with a review of the literature.

Case Report: A 60-year-old male got the left olecranon fracture (Colton classification, type 2A) visited our hospital. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424316PMC

Isolated Regan-Morrey Type III Fracture of the Ulnar Coronoid Process: A Report of Two Cases.

J Orthop Case Rep 2018 Nov-Dec;8(6):65-67

Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.

Introduction: Fracture of the ulnar coronoid process is uncommon. It is commonly associated with posterior dislocation of the elbow, but it may also present as an isolated fracture. In general, all ulnar coronoid process fractures with elbow joint instability and large fracture fragments are fixed surgically. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424314PMC
March 2019
1 Read

Intra-articular Monteggia Fracture: A Case Study of Using the Center of Rotational Angulation to Improve a Functional Outcome.

J Orthop Case Rep 2018 Nov-Dec;8(6):27-30

Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.

Introduction: Elbow fractures are the most common pediatric fracture to require operative fixation and can be associated with significant morbidities such as vascular injury, neurologic injury, and loss of function. Specifically, the chronic Monteggia fracture-dislocation causes devastating losses in range of motion. Presenting as a proximal to midshaft ulna fracture and radiocapitellar joint disruption, the acute injury can be successfully managed with closed reduction, serial casting, and close follow-up. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424305PMC
March 2019
1 Read

Periprosthetic Tibial Fracture with Nonunion and Ascending Prosthetic Joint Infection: A Case Report of an Individual Treatment Strategy.

J Orthop Case Rep 2018 Nov-Dec;8(6):3-8

Department of Traumatology, Orthopaedics and Hand Surgery, Klinikum Südstadt Rostock, Südring 81, 18059 Rostock, Germany.

Introduction: Periprosthetic fractures are severe injuries that demand the surgeon's full expertise and special diagnostic and therapeutic strategies. A major complication is the occurrence of an infectious nonunion, including an ascending infection from the fracture site to the arthroplasty.

Case Report: This case report presents on a patient with a well-functioning revision total knee arthroplasty (TKA) who suffered a periprosthetic tibia fracture. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424315PMC
March 2019
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Do Systemic Factors Influence the Fate of Nonunions to Become Atrophic? A Retrospective Analysis of 162 Cases.

Biomed Res Int 2019 19;2019:6407098. Epub 2019 Feb 19.

Westfaelische-Wilhelms-University of Muenster, University Hospital Muenster, Department of Trauma-, Hand- and Reconstructive Surgery, Albert-Schweitzer-Campus 1, W1, 48149 Muenster, Germany.

Introduction: Nonunions are a challenge for orthopedic surgeons. In hypertrophic nonunions, improvement of mechanical stability usually is the satisfactory treatment, whereas in atrophic nonunions improvement of the biological environment is most important. However, scientific evidence revealed that "avital" nonunions are not avascular and fibrous tissue contains cells with osteogenic potential. Read More

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http://dx.doi.org/10.1155/2019/6407098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399554PMC
February 2019

Patient Perceptions and Preferences for Osteoporosis Treatment.

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

Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address:

Purpose: Despite the high prevalence, morbidity, and treatment costs for osteoporosis-related fractures, studies have shown that patients infrequently receive the recommended treatment for low bone density (LBD). This study investigated patient perceptions about evaluation, management, and willingness to pursue osteoporosis treatment to further elucidate potential barriers to LBD treatment.

Methods: A survey was prospectively administered to patients over 50 years old addressing patient history of fragility fractures and osteoporosis evaluation and treatment, medication administration preferences, and willingness to start a new medication to treat or prevent future fragility fractures. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.018DOI Listing