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Int J Surg Case Rep 2019 Feb 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

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

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

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

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

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

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

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

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

Aging Clin Exp Res 2019 Feb 11. Epub 2019 Feb 11.

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Background: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures.

Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT).

Methods: This was an assessor-blinded, randomized controlled trial. Read More

Arch Osteoporos 2019 Feb 12;14(1):19. Epub 2019 Feb 12.

CIUSSS Nord de l'Ile de Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 bl. Gouin ouest, Montreal, QC, H4J 1C5, Canada.

The study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs. Read More

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):138-143

Department of Orthopedics, Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000,

Objective: To investigate the early-term effectiveness of carpal arthroscopy in the treatment of intra-articular fractures of distal radius.

Methods: The clinical data of 50 cases of intra-articular fractures of distal radius between January 2015 and December 2017 were retrospectively analyzed. According to the different methods of intraoperative assisted treatment, the patients were divided into the trial group (11 cases with carpal arthroscopy assisted treatment) and the control group (39 cases with traditional open reduction). Read More

BMC Musculoskelet Disord 2019 Feb 8;20(1):65. Epub 2019 Feb 8.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xue Yuan Xi Road, Wenzhou, 325000, Zhejiang, China.

Background: The aim of this study was to evaluate the efficacy of the use of three-dimensional (3D) printing models for preoperative planning in cases of complex fracture.

Methods: In total, 48 patients with AO type C fractures of the distal radius were enrolled in the study between January 2014 and January 2015. They were divided randomly into 3D model (n = 23) and routine treatment (n = 25) groups. Read More

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

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

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

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

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

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

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

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

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

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

J Wrist Surg 2019 Feb 19;8(1):49-54. Epub 2018 Aug 19.

Department of Orthopedics, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India.

 Fractures of the distal end radius are a common upper extremity fracture. Intra-articular distal end radius fractures are recognized as very complex injuries with a variable prognosis. The aim of the study was to assess the long-term functional outcome of patients treated with Joshi's external stabilizing system (JESS) for displaced intra-articular distal end radius fractures. Read More

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

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

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

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

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

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

Nutr Health 2019 Feb 6:260106019826422. Epub 2019 Feb 6.

1 Department of Oncology and Metabolism, University of Sheffield, Medical School, UK.

Background:: Several studies have revealed a substantial increase in the incidence of fractures in children in the past few decades.

Aim:: To assess the strength of the association between suggested risk factors and fracture prevalence in children.

Method:: A cross sectional observational study. Read More

Ultraschall Med 2019 Feb 5. Epub 2019 Feb 5.

Pediatric surgery, Heinrich-Heine-Universität Düsseldorf Medizinische Fakultät, Düsseldorf, Germany.

Background:  Distal forearm fractures are the most common fractures in childhood and can be diagnosed with ultrasound. The aim of this study was to demonstrate the eligibility of Wrist SAFE for clinical use and the avoidance of X-ray application in children.

Methods:  We enrolled patients from 0 - 12 years with suspected distal forearm fractures. Read More

Acta Biomed 2018 Oct 23;90(1-S):61-66. Epub 2018 Oct 23.

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Background and aim o the work In the recent last years there was a diffusion of new radiolucent plates for the treatment of distal radius fractures. The aim of our study is to evaluate the clinical and radiological outcomes at 12-month-follow-up for the treatment of distal radius fracture with the new triangular CarboFix "Piccolo" Distal Radius Plate. Methods All consecutive patients aged from 18 or over, who were treated for unstable distal radius fracture with a volar CarboFix "Piccolo" Distal Radius Plate with triangular design between September 2015 and May 2016, have been included in the study. Read More

Orthop Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

Arthritis Rheumatol 2019 Feb 4. Epub 2019 Feb 4.

Division of Rheumatology, Immunology and Allergy, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Objective: Poor bone health is common in SLE patients. We evaluated fracture risks among low-income SLE and lupus nephritis patients compared to those without SLE.

Methods: We performed a cohort study within Medicaid 2007-2010, among SLE patients and age- and sex-matched non-SLE comparators. Read More

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

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

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

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

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

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

Orthopedics 2019 Jan 30:1-4. Epub 2019 Jan 30.

Incomplete hook of the hamate fractures are difficult to diagnose and should be promptly removed to expedite return to sport. From January 2000 to November 2016, 143 excisions of the hook of the hamate were performed following fracture of the hamulus. Of these 143 excisions, 17 were performed because of a preoperative diagnosis of incomplete fracture. Read More

An Sist Sanit Navar 2019 Feb 1;0(0):67689. Epub 2019 Feb 1.

Servicio de Traumatología. Hospital Virgen del Camino..

Torus or buckle fractures typically affect children who have suffered indirect minor wrist injuries. They are axial compression-type metaphyseal fractures of cortical and cancellous bone, which are stable and their treatment therefore consists in immobilisation of the joint for three to four weeks. We present an atypical case of distal radius torus fracture in a 19-year-old adult male, which has not been previously reported in adults and can be considered a new type of occult fracture. Read More

Osteoporos Int 2019 Jan 31. Epub 2019 Jan 31.

Department of Orthopedic Surgery, E-Da Hospital / I-Shou University, No.1, E-Da Road, Kaohsiung City, Taiwan, 82445, People's Republic of China.

Benign prostatic hyperplasia is one of the most common diseases in the elderly male population. The urinary tract symptoms may increase the risk of falls and fractures. The results indicated that patients with benign prostatic hyperplasia could increase the risk of vertebral compression fractures in both the thoracic and lumbar spine and also hip fractures, but did not increase the risk of wrist fracture. Read More

Disabil Rehabil 2019 Jan 29:1-7. Epub 2019 Jan 29.

d Section of Clinical Neuroscience , Institute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg University , Gothenburg , Sweden.

Purpose: The aim of this study was to explore the everyday life experiences of people suffering from a symptomatic, malunited, distal radius fracture.

Method: Qualitative interviews were conducted with twenty respondents, median age 59 [16-85] years. The interviews were subjected to qualitative content analysis. Read More

JBJS Rev 2019 Jan;7(1):e10

Department of Orthopaedic Surgery, New York University Medical Center, New York, NY.

Background: Teriparatide, a 1-34 fragment of parathyroid hormone (PTH) that maintains most of the biological activities of PTH, has been employed since 2002 as an anabolic agent for osteoporotic individuals who are at high risk of fracture. The purpose of the present review is to provide a systematic summary and timely update on treatment with teriparatide for fracture prevention.

Methods: Electronic databases, including OVID MEDLINE, OVID Embase, and the Cochrane Library, were searched on February 9, 2018, to identify published systematic reviews and meta-analyses addressing treatment with teriparatide for fracture prevention, and A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) was used to assess the quality of included studies. Read More

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.

Purpose: To determine the reliability of a new radiographic index evaluating sagittal radiocarpal alignment, the capitate-to-axis-of-radius distance (CARD). A secondary purpose was to validate this index by comparing values between normal wrists and those with distal radial fractures (DRFs) and rheumatoid arthritis (RA).

Methods: The CARD is defined as the perpendicular distance from the center of the capitate head to the axis of the radius. Read More

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Health Sciences, Rehabilitation and Functional Performance Postgraduate Program, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil.

Study Design: Case report.

Introduction: Radial nerve injury can cause severe functional impairment due to paralysis of wrist and digit extensors. Various orthotic designs have been described, including static, dynamic, and tenodesis. Read More

Acta Orthop 2019 Jan 23:1-11. Epub 2019 Jan 23.

a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands.

Background and purpose - There are few reports on the outcome of distal radius fractures after 1 year. Therefore we investigated the long-term patient-reported functional outcome and health-related quality of life after a distal radius fracture in adults. Patients and methods - We reviewed 823 patients, treated either nonoperatively or operatively in 2012. Read More

JAMA Netw Open 2019 Jan 4;2(1):e187053. Epub 2019 Jan 4.

Center for Statistical Consulting and Research, University of Michigan, Ann Arbor.

Importance: Complications affect treatment outcomes and quality of life in addition to increasing treatment costs.

Objectives: To evaluate complication rates after the treatment of a distal radius fracture, to determine whether the rate or complication type is associated with treatment method, and to determine predictors of complications.

Design, Setting, And Participants: The multicenter Wrist and Radius Injury Surgical Trial (WRIST), a randomized clinical trial, enrolled participants from April 10, 2012, to December 31, 2016. Read More

Zhonghua Yi Xue Za Zhi 2019 Jan;99(1):62-66

Emergency Center of Trauma, Key Laboratory of Orthopedic Biomechanics of Hebei Province, Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Shijiazhuang 050051, China.

To compare and analyze the epidemiological features of adult patients with Barton's fractures between Western and Eastern in China. The data of adult patients with Barton's fractures treated from January 2010 to December 2011 in 63 hospitals in Western and Eastern of China were collected through the picture archiving and communication systems (PACs) and case reports checking system. The data of 28 hospitals in Western China were classified as group Western, while data of 35 hospitals in Eastern China were classified as group Eastern, and the analytic items included gender, age and age distribution. Read More

Acta Orthop Traumatol Turc 2019 Jan 9. Epub 2019 Jan 9.

Hand Unit and Upper Extremity, Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.

Objective: The aim of this study was to evaluate the outcomes of open reduction and internal fixation (ORIF) in hamate hook fractures and review the literature on this surgical procedure.

Methods: We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 men and 1 woman; mean age: 32 years (range, 22-48 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. Read More

Muscle Nerve 2019 Jan 12. Epub 2019 Jan 12.

Department of Medicine, University of Iowa, Iowa City, Iowa, USA.

Introduction: Patients with Duchenne muscular dystrophy (DMD) exhibit low bone mineral density and increased fracture risk. Because glucocorticoid therapy results in delayed puberty and short stature, it is important to account for delayed skeletal development when interpreting patients' bone mineral density.

Methods: Twelve glucocorticoid-treated patients with DMD were evaluated by dual x-ray absorptiometry scans and wrist x-rays to estimate bone density and bone age, respectively. Read More

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

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany.

Introduction: Few case reports describe the development of a hematoma under oral anticoagulation as the cause of an atraumatic carpal tunnel syndrome.

Case Report: A 76 years old woman presented an acute atraumatic carpal tunnel syndrome of her left hand under oral anticoagulation with rivaroxaban due to atrial fibrillation. 12 years ago, palmar plate osteosynthesis of a distal radius fracture had been performed on the affected wrist. Read More

Tech Hand Up Extrem Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedics Phramongkutklao Hospital and College of Medicine, Bangkok.

In partially or completely displaced intra-articular fracture of the distal radius , achieving satisfactory reduction and maintenance of good reduction before applying the plate may be difficult. Especially to accomplish the anatomic volar tilt remains a problem. Typically, the Kapandji technique has been described to reduce and stabilize a large displaced and extra-articular fracture of the distal radius. Read More

PLoS One 2019 8;14(1):e0210462. Epub 2019 Jan 8.

Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Distal radius fractures are very common yet controversy exists regarding which require treatment and is reflected by significant variation in surgical intervention rate. Evidence regarding which fractures would benefit from intervention is varied and largely poor quality. This study had three aims; identify which radiographic parameters are clinically important; quantify the threshold of displacement at which intervention should occur and investigate which patient factors influence the decision to intervene. Read More

Unfallchirurg 2019 Jan 7. Epub 2019 Jan 7.

Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.

Nonunion of the scaphoid is a severe complication of often insufficiently treated scaphoid fractures or those which have been diagnosed too late. The treatment of scaphoid nonunion is challenging und should be performed by experienced hand surgeons. The anatomical shape, the retrograde blood supply and the biomechanics of the scaphoid complicate the healing process. Read More

Unfallchirurg 2019 Jan 3. Epub 2019 Jan 3.

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

Among the carpal bones the scaphoid (Os scaphoideum) is the most important. The most frequent fracture of the carpus is a fracture of the scaphoid bone. The frequently occurring absence of healing of these fractures as well as unhealed ruptures of the ligament complex between the scaphoid and lunate, lead to the most severe biomechanical and thus the most severe clinical changes of the wrist. Read More

Hand (N Y) 2018 Dec 31:1558944718820962. Epub 2018 Dec 31.

1 University of Pennsylvania, Philadelphia, USA.

Background: The ideal volar locking plate for the treatment of distal radius fracture should anatomically fit the volar surface of the distal radius. The purpose of this study was to measure the volar cortical angle (VCA) of uninjured adult distal radii to determine how well the VCA matches that of modern volar locking plates and whether variations in the VCA are related to demographic factors.

Methods: A retrospective radiographic analysis of 273 uninjured adult distal radii was performed. Read More

Orthop Traumatol Surg Res 2019 Feb 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

J Orthop Case Rep 2018 May-Jun;8(3):77-80

Department of Orthopaedics, Spine and Trauma Unit, General Hospital of Patras, Greece.

Introduction: Monteggia lesion is a well-known injury that constitutes 0.7% of forearm fractures-dislocations. The combined presentation of Monteggia injury with ipsilateral distal radius fracture is an extremely rare lesion, especially in adults. Read More

Maturitas 2019 Feb 16;120:1-6. Epub 2018 Nov 16.

Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Greece; Centre of Orthopaedic and Regenerative Medicine Research (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece.

New anti-osteoporotic agents have been developed, potentially enriching the therapeutic armamentarium. Currently available osteoanabolic therapies are the parathyroid hormone (PTH) and PTH-related peptide (PTHrP) synthetic analogues, teriparatide and abaloparatide. Daily administration at doses of 20 and 80 μg, respectively, in contrast to continuous PTH secretion, leads to increased bone formation and reduces vertebral and non-vertebral fracture risk. Read More

Cochrane Database Syst Rev 2018 12 19;12:CD012470. Epub 2018 Dec 19.

Health and Social Care Institute, Teesside University, Middlesbrough, Tees Valley, UK, TS1 3BA.

Background: Wrist fractures, involving the distal radius, are the most common fractures in children. Most are buckle fractures, which are stable fractures, unlike greenstick and other usually displaced fractures. There is considerable variation in practice, such as the extent of immobilisation for buckle fractures and use of surgery for seriously displaced fractures. Read More

Injury 2018 Dec 4. Epub 2018 Dec 4.

Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia (IOT-HCFMUSP), Sao Paulo, SP, Brasil.

Objectives: The purpose of this study was to compare the pain scores and the rates and doses of opioid use in patients undergoing volar locked plate fixation of intra-articular distal radius fractures using or not postoperative immobilization.

Methods: This was a prospective randomized controlled trial. Thirty-nine patients with distal radius fractures scheduled to receive volar plate fixation were randomly assigned to receive a short forearm splint for two weeks postoperatively or conventional bandage with early wrist mobilization. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13574

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Rationale: Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. Read More

Orthopedics 2019 Jan 13;42(1):e93-e98. Epub 2018 Dec 13.

Wide-awake local anesthesia no tourniquet (WALANT) is used for various hand surgeries, but there are no reports of its use for distal radius fractures. The authors compared perioperative variables and clinical outcomes for volar plating for distal radius fractures with WALANT vs general anesthesia with tourniquet. This retrospective study included 47 patients who presented with distal radius fractures between January 2015 and February 2017. Read More

Unfallchirurg 2018 Dec 11. Epub 2018 Dec 11.

Abteilung für Plastische, Hand- und Rekonstruktive Chirurgie, BG Unfallklinik Frankfurt, Friedberger Landstr. 430, 60389, Frankfurt am Main, Deutschland.

Background: Fractures of the scaphoid bone are common but can easily be overlooked in standard X‑rays. Inadequate diagnostics and therefore inappropriate treatment of scaphoid fractures often leads to problems in healing with formation of non-union and painful osteoarthritis of the wrist.

Objective: This review summarizes the current practical recommendations in the diagnostics and treatment of acute scaphoid fractures. Read More

Curr Med Sci 2018 Dec 7;38(6):941-948. Epub 2018 Dec 7.

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, 100035, China.

The computer-assisted surgery (CAS) has significantly improved the accuracy, reliability and outcomes of traumatic, spinal, nerve surgery and many other operations with a less invasive way. The application of CAS for scaphoid fractures remains experimental. The related studies are scanty and most of them are cadaver researches. Read More