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Case Rep Orthop 2019 13;2019:2483142. Epub 2019 Mar 13.

Department of Orthopaedic Surgery, Baba Memorial Hospital, 4-244 Nishiku Hamadera Funao-cho Higashi, Sakai, Osaka 592-8555, Japan.

Hamate hook fractures are usually caused by direct trauma while using a tennis racket or a baseball bat. We report stress fracture of the hamate hook in a water polo player without any specific trauma. We consider that the stress fracture occurred via indirect mechanisms through the flexor tendons. Read More

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

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

MedEdPORTAL 2016 Dec 7;12:10514. Epub 2016 Dec 7.

Assistant Professor, Department of Orthopaedic Surgery, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center; the Assistant Director of Orthopaedic Trauma, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center.

Introduction: Musculoskeletal (MSK) complaints comprise approximately 20% of primary care and emergency department visits annually in the United States. At the same time, there is a shortage of MSK specialists specifically trained to evaluate and treat these conditions. Improper management of patients with MSK diagnoses increases morbidity and undesirable outcomes for patients and leads to higher health care costs resulting from extraneous tests and imaging. Read More

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

Q. M. J. van der Vliet, A. A. R. Sweet, A. R. Bhashyam, R. M. Houwert, L. P. H. Leenen, F. Hietbrink, University Medical Center Utrecht, Department of Traumatology, Utrecht, The Netherlands S. Ferree, M. van Heijl, Diakonessenhuis Utrecht, Department of Surgery, Utrecht, The Netherlands.

Background: Patient-reported outcomes (PROs) are increasingly relevant when evaluating the treatment of orthopaedic injuries. Little is known about how PROs may vary in the setting of polytrauma or secondary to high-energy injury mechanisms, even for common injuries such as distal radius fractures.

Questions/purposes: (1) Are polytrauma and high-energy injury mechanisms associated with poorer long-term PROs (EuroQol Five Dimension Three Levels [EQ-5D-3L] and QuickDASH scores) after distal radius fractures? (2) What are the median EQ-5D-3L, EQ-VAS [EuroQol VAS], and QuickDASH scores for distal radius fractures in patients with polytrauma, high-energy monotrauma and low-energy monotrauma METHODS: This was a retrospective study with followup by questionnaire. Read More

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

J Am Med Dir Assoc 2019 Apr 8. Epub 2019 Apr 8.

Department of Medicine-Western Health, University of Melbourne, Melbourne, Victoria, Australia; Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, Melbourne, Victoria, Australia.

Objectives: To evaluate the effect of clinical care pathways (CCPs) on health-related quality of life (HRQoL) and physical function following fragility fracture and identify the specific characteristics of CCPs that are associated with improved outcomes.

Design: Systematic review and meta-analysis.

Setting And Participants: Randomized controlled studies and nonrandomized studies that involved participants aged ≥50 years who sustained a fragility fracture, evaluated the effects of a CCP compared to usual care, and reported outcomes of HRQoL or physical function. Read More

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

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics, The Warren Alpert Medical School of Brown University.

Background: Recent studies indicate that formal postreduction radiographs may be unnecessary for closed, isolated pediatric wrist, and forearm when mini C-arm fluoroscopy is used for reduction. Our institution changed the Emergency Department (ED) management protocol to reflect this by allowing orthopaedic providers to determine if fluoroscopy was acceptable to assess fracture reduction. We hypothesized that using fluoroscopy as definitive postreduction imaging would decrease total encounter time, without an increase in the rate of rereduction or surgery. Read More

Arch Orthop Trauma Surg 2019 Apr 10. Epub 2019 Apr 10.

Orthopädisch-Unfallchirurgisches Zentrum, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Ruprecht-Karls-Universität Heidelberg, Mannheim, Germany.

To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as their consequences after 1 year. Carpal lesions of different types were found in all treated cases of dislocated DRF. Read More

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

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

Injury 2019 Mar 31. Epub 2019 Mar 31.

Orthopaedic and Trauma Surgery Dpt., Saint Antoine Hospital, 184 rue du Faubourg Saint Antoine, F 75571 Paris cedex, Sorbonne Université, France. Electronic address:

Distal radius fracture is a very common injury representing 17.5% of all fractures seen in the emergency room. However, the most effective treatment is still unclear and controversially debated. Read More

Osteoporos Int 2019 Apr 6. Epub 2019 Apr 6.

Radius Health, Inc., Waltham, MA, USA.

This network meta-analysis assessed the efficacy of abaloparatide versus other treatment options to reduce the risk of fractures in women with postmenopausal osteoporosis. The analysis indicates that abaloparatide reduces the risk of fractures in women with postmenopausal osteoporosis versus placebo and compared with other treatment options.

Introduction: This network meta-analysis (NMA) assessed the relative efficacy of abaloparatide versus other treatments to reduce the risk of fractures in women with postmenopausal osteoporosis (PMO). Read More

Am J Emerg Med 2019 Mar 30. Epub 2019 Mar 30.

Emory University School of Medicine, Department of Orthopaedics, Atlanta, GA, United States of America. Electronic address:

Introduction: There has been a spike in recent news regarding motorized scooter injuries due to the expansion of scooter sharing companies. Given the paucity of literature on this topic, the purpose of our study was to describe and quantify emergency department encounters associated with motorized scooter related injuries.

Methods: The National Electronic Injury Surveillance System (NEISS) was queried for motorized scooter related injuries from 2013 to 2017. Read More

J Am Acad Orthop Surg 2019 Apr 2. Epub 2019 Apr 2.

From the Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.

Injuries to the scapholunate (SL) and lunotriquetral (LT) interosseous ligaments occur in approximately one third of distal radius fractures. The diagnosis of these injuries is challenging because plain radiographs are not reliably diagnostic. Wrist arthroscopy may be the most accurate way to examine and diagnose soft-tissue injuries of the carpus adjacent to a distal radius fracture. Read More

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

Ned Tijdschr Geneeskd 2019 Mar 21;163. Epub 2019 Mar 21.

Luzerner Kantonsspital, afd. Orthopedie en Traumatologie, Luzern, Zwitserland.

Considering that pseudoarthrosis, or non-union, often occurs in patients with scaphoid fractures it is very important to start adequate treatment as soon as possible. On the basis of the literature, we advise immobilisation in a below-elbow cast, whereby the thumb is not immobilised and the wrist is in a slightly extended position. Despite the fact that non-dislocated fractures, at the very least, are usually consolidated within 4 weeks, we advise an immobilisation period of 6 weeks followed by clinical or radiological evaluation. Read More

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

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Clinics of Orthopaedics and Traumatology, Kartal Dr.Lütfi Kırdar Training and Research Hospital, Cevizli District, Şemsi Denizer Street, Kartal, 34890, Istanbul, Turkey.

Purpose: In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results.

Methods: 49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 with IMNs. Read More

J Wrist Surg 2019 Apr 7;8(2):143-146. Epub 2018 Aug 7.

Wrist Surgery Unit, Department of Orthopaedics, Claude-Bernard Lyon 1 University, Herriot Hospital, Lyon, France.

 Translunate perilunate dislocations were recently described as well as perilunate injuries, not dislocated (PLIND). The authors present a case of transradial styloid, translunate PLIND which sustained a full arthroscopic reduction and internal fixation.  A 33-year-old man sustained a transradial styloid, translunate PLIND due to a fall from a truck with his wrist in hyperextension. Read More

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

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

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

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

J Acquir Immune Defic Syndr 2019 Mar 29. Epub 2019 Mar 29.

Johns Hopkins University.

Background: Proteinuria has been associated with bone loss and fractures in general population but data in HIV-infected population is lacking.

Setting: Prospective, multicenter cohort study of men with or at risk for HIV infection.

Methods: Between 2006 and 2015, urine protein measurements and bone fracture histories were ascertained semi-annually in 947 HIV-infected (HIV+) and 969 HIV-uninfected (HIV-) men ≥ age 40. Read More

Ugeskr Laeger 2019 Mar;181(13)

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

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

J Bone Miner Res 2019 Mar 26. Epub 2019 Mar 26.

Sorbonne Université, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale, F-75006, Paris, France.

Recent ultrasound axial transmission techniques exploit the multimode waveguide response of long bones to yield estimates of cortical bone structure characteristics. This pilot cross-sectional study aimed to evaluate the performance at the one-third distal radius of a bidirectional axial transmission (BDAT) device to discriminate between fractured and non-fractured postmenopausal women. Cortical thickness (Ct. Read More

Eur J Radiol Open 2019 13;6:119-121. Epub 2019 Mar 13.

Università degli Studi di Verona, Verona 37100, Italy.

CBCT is an imaging technique consisting of X-ray computed tomography, in which the x-rays are divergent, forming a cone. During 2015, a new model of CBCT, New Tom 5G XL (Verona), was used in the Radiology Department of The University of Verona, in collaboration with the Orthopaedics Department. Our study was carried out from October 2015 to October 2016 (198 patients). Read More

BMJ Open 2019 Mar 23;9(3):e028474. Epub 2019 Mar 23.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Introduction: Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures. Read More

Osteoporos Int 2019 Mar 21. Epub 2019 Mar 21.

Columbia University College of Physicians and Surgeons, New York, NY, USA.

Purpose: Wrist fractures are common, contribute significantly to morbidity in women with postmenopausal osteoporosis, and occur predominantly at the ultradistal radius, a site rich in trabecular bone. This exploratory analysis of the phase 3 ACTIVE study evaluated effects of abaloparatide versus placebo and teriparatide on forearm bone mineral density (BMD) and risk of wrist fracture.

Methods: Forearm BMD was measured by dual energy X-ray absorptiometry in a subset of 982 women from ACTIVE, evenly distributed across the three treatment groups. Read More

J Am Acad Orthop Surg 2019 Apr;27(7):e301-e310

From the Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, CA.

Upper extremity gunshot wounds result in notable morbidity for the orthopaedic trauma patient. Critical neurovascular structures are particularly at risk. The fractures are often comminuted and may be associated with a variable degree of soft-tissue injury. Read More

Insights Imaging 2019 Mar 20;10(1):37. Epub 2019 Mar 20.

Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India.

The ulnar nerve is a branch of the C8 and T1 nerve roots and arises from the medial cord of the brachial plexus. It supplies the intrinsic muscles of the hand and assists the median nerve in functioning of the flexors. Also known as the musician's nerve, it is the second most common nerve involved in compressive neuropathy following the median nerve. Read More

Med Princ Pract 2019 Mar 21. Epub 2019 Mar 21.

Objective: Low serum albumin concentration is associated with poor health outcomes, but its relationship with the risk of fractures has not been reliably quantified. We aimed to assess the prospective association of serum albumin with the risk of fractures in a general population.

Subjects And Methods: Baseline serum albumin concentrations were measured in 2,245 men aged 42-61 years in the Kuopio Ischemic Heart Disease study. Read More

Unfallchirurg 2019 Mar;122(3):211-218

Unfall‑, Hand und Wiederherstellungschirurgie, Helios Klinikum Meiningen, Akademisches Lehrkrankenhaus des Universitätsklinikums Jena, Bergstr. 3, 98617, Meiningen, Deutschland.

Untreated scaphoid nonunion as a rule results in subsequent scaphoid nonunion advanced collapse (SNAC) wrist. While reconstructive treatment of the scaphoid in association with resection of the styloid process of the radius is still promising in stage I SNAC wrist, salvage procedures are available for higher degrees of SNAC wrist to reduce pain and to preserve the function of the wrist. Denervation, proximal row carpectomy and partial wrist fusion maintain wrist mobility. Read More

J Pediatr Rehabil Med 2019 Mar 6. Epub 2019 Mar 6.

Human Movement Sciences Department, Universidade Federal de São Paulo, Baixada Santista Campus, Santos, São Paulo, Brazil.

Purpose: To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures.

Methods: This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2. Read More

Medicine (Baltimore) 2019 Mar;98(11):e14743

Department of Trauma Surgery and Reconstructive Surgery, Diakonie Klinikum Jung-Stilling, Siegen, Germany.

Since its introduction by Metaizeau and Prevot, elastic-stable intramedullary nailing (ESIN) has been used for almost all diaphyseal fractures in children. Here, we present a retrospective study analyzing the long-term results of ESIN of forearm fractures in children.A total of 122 patients with diaphyseal forearm fractures and single subtypes in childhood were treated from 2000 to 2007 at our University Hospital by ESIN. Read More

JBJS Case Connect 2019 Jan-Mar;9(1):e16

Department of Orthopaedic Surgery, Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Case: We report the case of a 39-year-old man who sustained an acute fracture of an os hamulus proprium, which was treated with open surgical excision after nonoperative treatment was unsuccessful. At the most recent follow-up, at 6 years after surgery, the patient was asymptomatic and maintained full function of the hand and the wrist.

Conclusion: An os hamulus proprium is often confused with a fracture of the hook of the hamate, and little information exists in the literature regarding these accessory ossicles. Read More

Plast Reconstr Surg Glob Open 2018 Nov 19;6(11):e1946. Epub 2018 Nov 19.

Cirugía Plastica, Estetica y Reconstructiva, Hospital Ángeles Lomas Cirugía de Mano, Hospital Ángeles Lomas.

Guyon's syndrome results from a lesion of the ulnar nerve at the wrist caused by several conditions. The most common causes are ganglion, lipomas, fractures of the radius or pisiform bone, occupational trauma, neuritis, musculotendinous arch, and diseases of the ulnar artery. The clinical presentation varies with the site of lesion, as described by Sean and McClain in 1969, and can involve combined sensory and motor deficits, motor deficit alone, or sensory deficit alone. Read More

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

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

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

J UOEH 2019 ;41(1):57-61

Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Japan.

We performed open reduction and internal fixation using a distraction plate in two cases of elderly patients with highly communited intraarticular open distal radius fractures. There was no corrective loss of intraarticular fracture fragment in either case. The implant was removed in one case because bone union was achieved. Read More

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):70-74

Several controversies surround the evaluation and treatment of medial epicondyle fractures of the humerus in children. As is well established, the medial epicondyle is the point of attachment for the medial collateral ligament and flexor and pronator musculature, thereby conferring a potentially important role in elbow stability and wrist strength. Traditional x-ray evaluation has been shown to be inaccurate in measuring fracture displacement. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Mar 12. Epub 2019 Mar 12.

Center for Orthopedic and Trauma Surgery, University Medical Center, Kerpenerstrasse 62, 50937, Cologne, Germany.

Purpose: Arthroscopic fixation of radial head radial head fractures is an appealing alternative to open reduction and internal fixation, which presents the advantage of minimal surgical trauma. The aim of this study was to evaluate if modifications to the standard anteromedial (AM) and anterolateral (AL) portals could allow screw placement for radial head fracture osteosynthesis closer to the plane of the radial head articular surface.

Methods: Eight fresh-frozen specimens were prepared to mimic arthroscopic setting. Read More

Ann R Coll Surg Engl 2019 Apr 11;101(4):297-303. Epub 2019 Mar 11.

Department of Trauma and Orthopaedics, Leicester General Hospital, University Hospitals of Leicester , Leicester , UK.

Introduction: This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to aid resource allocation.

Materials And Methods: All paediatric patients(n = 6529) who sustained a distal radius fracture over an eight-year period (2007-2014) were identified. Poisson regression modelling was used to identify change in trends. Read More

J Hand Ther 2019 Mar 7. Epub 2019 Mar 7.

Control Motor and Biomechanical Laboratory, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil. Electronic address:

Study Design: Case report.

Introduction: A severe wrist fracture can cause permanent physical disabilities and deformities, leading to limit patients in their occupation and social environment.

Purpose Of The Study: We aim at presenting a treatment protocol and the functional outcome of a patient with severe clinical state after a rare wrist fracture. Read More

J Surg Educ 2019 Mar 6. Epub 2019 Mar 6.

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota. Electronic address:

Objective: The purpose of this study is to determine whether the 2013 implementation of ACGME minimum case requirements was associated with increased documented case volume of closed manipulation of forearm and wrist fractures (CMFWF) for graduating orthopedic surgery residents.

Design: We reviewed ACGME case log data for CMFWF among graduating orthopedic surgery residents from 2007 to 2016. Annual national mean, and median number of CMFWF performed by residents in the 10th, 30th, 50th, and 90th case volume percentile were evaluated. Read More

Orthop Clin North Am 2019 Apr;50(2):211-221

Department of Orthopaedic Surgery and Biomedical Engineering, Campbell Clinic, University of Tennessee, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

Distal radial fractures account for up to 18% of all fractures in patients over 65 years of age, and osteoporosis is a predominant factor in these fractures. Fracture treatment may include closed reduction and casting/splinting, external fixation, and open reduction and internal fixation. Read More

J Bone Miner Res 2019 Mar 7. Epub 2019 Mar 7.

Edinburgh Clinical Trials Unit, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.

There is a concern that bisphosphonates may impair fracture healing because of their inhibitory effects on bone turnover. Here we evaluated the effects of early bisphosphonate therapy on fracture healing and functional outcome following a fracture of the distal radius. The fracture and bisphosphonates (FAB) trial was a double-blind, randomized, placebo-controlled trial involving 15 trauma centers in the United Kingdom. Read More

J Med Ultrason (2001) 2019 Mar 6. Epub 2019 Mar 6.

Department of Orthopedic Surgery, Niigata University, 757 1bancho, Chuoukuasahimatidori, Niigata, Niigata, 951-8510, Japan.

Purpose: Rupture of the flexor pollicis longus (FPL) and index flexor digitorum profundus (FDP2) tendons often occurs after locking plate fixation for distal radius fracture. This study aimed to determine the shortest tendon-radius distances of different hand positions.

Methods: Fifty-nine hands of 30 healthy volunteers were studied. Read More