4,899 results match your criteria Hand Dislocation


Ultrasonographic incidence of ulnar nerve displacement at the elbow in young baseball players.

PM R 2021 Jun 22. Epub 2021 Jun 22.

Department of Rehabilitation, School of Allied Health Sciences, Kitasato University.

Introduction: Overhead-throwing athletes are at risk of elbow injury due to valgus stress, leading to unstable ulnar nerves and neuropathy. Studies regarding ulnar nerve damage/displacement have been performed primarily in adults.

Objective: To determine the incidence and related factors associated with ulnar nerve displacement at the elbow in young baseball players. Read More

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Operative Intervention for a Chronic Fifth Carpometacarpal Dislocation: A Case Report and Review of Literature.

J Orthop Case Rep 2021 ;11(1):108-112

Department of Orthopaedic Surgery, Largo Medical Center, Largo, Florida, United States of America.

Introduction: Carpometacarpal (CMC) dislocations are infrequent hand injuries that are often missed in the acute care setting, resulting in inappropriate treatment and significant morbidity. CMC dislocations occur in a volar or dorsal direction, and volar dislocations are traditionally subclassified as either volar-ulnar or volar-radial. While various treatment methods and injury identification techniques have been reported in the literature, there remains a lack of standardization in the treatment of these injuries. Read More

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January 2021

Open Reduction on very late-presenting unreduced posterior elbow dislocation: Still promising treatment option.

Int J Surg Case Rep 2021 Jun 2;84:106056. Epub 2021 Jun 2.

Department of Orthopaedics and Traumatology - Faculty of Medicine - University Padjadjaran - Indonesia.

Background: Neglected dislocation of the elbow is associated with instability, pain, and limitation of elbow function. In developing countries, neglected dislocations of the elbow are quite common, and most patients initially go to local bonesetters, which only aggravates the problem.

Presentation Of Case: Two patients with a history of unreduced posterior elbow dislocation for more than 1 year and were treated by a traditional bonesetter were included in this case study. Read More

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The Measurement of the Inclination Angle of the Hamate and Analysis of the Inclination Angle for the Rotation Deformity of the Little Finger in the Fixation of the Carpometacarpal Joint.

Orthop Surg 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Objective: Complex base fractures of the fifth metacarpal bone and dislocation of the fifth carpometacarpal joint are more prone to internal rotation deformity of the little finger sequence after fixation with a transarticular plate. In the past, we have neglected that there is actually a certain angle of external rotation in the hamate surface of transarticular fixation. This study measured the inclination angle of the hamate surface relative to the fifth metacarpal surface for clinical reference. Read More

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Dorsal Dislocation of the Trapezoid with Metacarpal Instability: A Boxing Injury.

J Wrist Surg 2021 Jun 27;10(3):245-248. Epub 2020 Aug 27.

Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.

 The second and third metacarpals are firmly attached, immobile structures which for the stable pillar of the hand. The trapezoid has been described as the keystone of the wrist, allowing a wide range of functional motion as well as inherent anatomic and biomechanical stability to the carpus.  We describe a novel boxing injury with a 180-degree in situ dislocation of the right trapezoid with concomitant second and third carpometacarpal (CMC) joint dislocations. Read More

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Pronator Quadratus Repair Does Not Affect Reoperation Rates Following Volar Locking Plate Fixation of Distal Radius Fractures.

Hand (N Y) 2021 Jun 9:15589447211017239. Epub 2021 Jun 9.

Brigham and Women's Hospital, Boston, MA, USA.

Background: The purpose of this study was to evaluate the impact of pronator quadratus (PQ) repair on reoperation rates after distal radius open reduction internal fixation (ORIF) using a volar locking plate.

Methods: A retrospective study of all patients undergoing distal radius ORIF with a volar locking plate between January 2012 and December 2016 at 2 urban, academic level I trauma centers was performed. Patient demographics, fracture and procedure characteristics, surgeon subspecialty, PQ repair, and reoperations were recorded. Read More

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Palmar fracture-dislocation of the trapezoid with median nerve contusion. Case report and literature review.

Case Reports Plast Surg Hand Surg 2021 May 19;8(1):76-80. Epub 2021 May 19.

Department of Hand Surgery and Microsurgery, Azienda Ospedaliero Universitaria Modena, Modena, Italy.

Complete dislocations of the trapezoid are very uncommon injuries. The authors present a case of open palmar trapezoid fracture-dislocation with significant displacement of the fracture, acute carpal tunnel syndrome and other concomitant carpometacarpal injuries. A review of the literature search for palmar trapezoid dislocations and treatments was performed. Read More

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Hemi-hamate Arthroplasty for Base of Middle Phalanx Fracture: A Systematic Review.

Hand (N Y) 2021 Jun 8:15589447211014623. Epub 2021 Jun 8.

Australian Research Collaboration on the Hand, Mudgeeraba, QLD, Australia.

Intra-articular fracture dislocations of the base of the middle phalanx are complex and debilitating injuries that present a management conundrum when nonreconstructable. Hemi-hamate arthroplasty (HHA) is a treatment modality of particular use in the setting of highly comminuted fractures. This systematic review aims to summarize the reported outcomes of HHA in this context. Read More

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A novel technique of pulley creation for additional sagittal band reconstruction.

Hand Surg Rehabil 2021 Jun 4. Epub 2021 Jun 4.

Department of Orthopedic Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42 Jebong-ro, Dong-gu, Gwangju 61469, South Korea. Electronic address:

Because surgical treatment of chronic extensor tendon dislocation with sagittal band injury is complex and often requires donor grafts, we suggest a new technique: pulley creation for additional sagittal band reconstruction. A 76-year-old man diagnosed with chronic extensor tendon dislocation with radial sagittal band injury was treated by resecting the distended portion of the radial sagittal band, followed by plication. Using the remnant tissue obtained after resection, additional sagittal band reconstruction was performed using two mini soft suture anchors in the form of a pulley surrounding the extensor tendon. Read More

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An Intraoperative Trajectory-Determined Strategy of Patient-Specific Drill Template for C Transoral Pedicle Insertion in Incomplete Reduction of Atlantoaxial Dislocation: An In Vitro Study.

Orthop Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.

Objectives: This study aims to explore a novel intraoperative trajectory-determined strategy of grouped patient-specific drill templates (PDTs) for transoral C pedicle screw insertion (C TOPI) for atlantoaxial dislocation (AAD) with incomplete reduction and to evaluate its efficiency and accuracy.

Methods: Ten cadaveric C specimens were scanned by computed tomography (CT) and randomly divided into two groups (the PDT and freehand groups). A novel intraoperative trajectory-determined strategy of grouped PDTs was created for AAD with incomplete reduction. Read More

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Locked fracture dislocations of the proximal humerus: postoperative results and a proposed modification of the classification.

Eur J Orthop Surg Traumatol 2021 Jun 5. Epub 2021 Jun 5.

Department of Traumatology and Hand Surgery, St. Vincentius Clinic, Teaching Hospital Albert-Ludwigs-University Freiburg, Karlsruhe, Germany.

Background: Locked dislocations of the glenohumeral joint are disabling and often painful conditions and the treatment is challenging. This study evaluates the functional outcome and the different prosthetic treatment options for chronic locked dislocations of the glenohumeral joint and a subclassification is proposed.

Methods: In this single-center retrospective case series, all patients with a chronic locked dislocation treated surgically during a four-year period were analyzed. Read More

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Open total dislocation of ankle joint without fractures: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26247

Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining City, Shandong Province, China.

Rationale: Open total dislocation of ankle joint is rare and often caused by high-energy injury. The present study describes a patient with open total lateral dislocation of ankle joint without fractures and obtained a satisfactory clinical result following early debridement and irrigation, one-stage repairment of ligaments, and plaster external fixation.

Patient Concerns: The patient, a 45-year-old male, complained of right foot pain with bleeding and limited motion. Read More

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Hinge plate technique for osteosynthesis of comminuted proximal humeral fractures.

Injury 2021 May 18. Epub 2021 May 18.

University of Fribourg Medical School, Switzerland; Department of Orthopaedics and Traumatology, Fribourg Cantonal Hospital, Switzerland.

Background: Several surgical techniques of osteosynthesis have been described for treatment of proximal humeral fractures. There is evidence that the quality of reduction improves the clinical outcome and decreases the number of complications. Reduction of the medial calcar is tricky when standard manoeuvres are performed. Read More

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Predictors of Management of Distal Radius Fractures in Patients Aged >65 Years.

Hand (N Y) 2021 May 31:15589447211017217. Epub 2021 May 31.

Harvard Medical School, Boston, MA, USA.

Background: Treatment of distal radius fractures (DRFs) in patients aged >65 years is controversial. The purpose of this study was to identify what patient and fracture characteristics may influence the decision to pursue surgical versus nonsurgical treatment in patients aged >65 years sustaining a DRF.

Methods: We queried our institutional DRF database for patients aged >65 years who presented to a single academic, tertiary center hand clinic over a 5-year period. Read More

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Improved potential quality of intraoperative transcranial motor-evoked potentials by navigated electrode placement compared to the conventional ten-twenty system.

Neurosurg Rev 2021 May 27. Epub 2021 May 27.

Department of Neurosurgery, Klinikum Rechts Der Isar, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.

Intraoperative neurophysiological monitoring of transcranial motor-evoked potentials (tcMEPs) may fail to produce a serviceable signal due to displacements by mass lesions. We hypothesize that navigated placement of stimulation electrodes yields superior potential quality for tcMEPs compared to the conventional 10-20 placement. We prospectively included patients undergoing elective cranial surgery with intraoperative monitoring of tcMEPs. Read More

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Variability of Glenoid Labral Tear Patterns: A Study of 280 Sequential Surgical Cases.

J Shoulder Elbow Surg 2021 May 18. Epub 2021 May 18.

Peachtree Orthopaedics, Atlanta, GA, USA. Electronic address:

Background: Glenoid labrum tears are a common cause of shoulder pain and instability and tear patterns have historically been ascribed into categorical descriptions such as anterior, posterior, and superior labral tears (SLAP) with multiple sub-types. Although often quoted as representing no more than 10% of instabilities, posterior shoulder instability may be more common than previously recognized. The purpose of this study was to review observed labral tear patterns and compare incidence and morphologies to historical descriptions. Read More

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Combined simple elbow dislocation and forearm joint injuries. A systematic review of the literature with injury patterns and current treatment rationale.

Eur J Orthop Surg Traumatol 2021 May 21. Epub 2021 May 21.

Hand Upper Limb Surgery Unit, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, via Zuretti 29, 10126, Turin, Italy.

Introduction: Recent studies have allowed a great improvement in understanding elbow and forearm traumatic injuries. Simple elbow dislocations combined with forearm injuries have been occasionally reported in the literature. The aim of this study was to detect the possible patterns of simple elbow dislocations and forearm fracture-dislocations, providing a classification scheme to guide surgical treatment. Read More

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Bone Allograft and Locking Plate for Severe Proximal Humeral Fractures: Early and Late Outcomes.

Med Sci Monit 2021 May 19;27:e928982. Epub 2021 May 19.

Department of Trauma and Orthopedic Surgery, Sana Hospital Hof, Hof/Saale, Germany.

BACKGROUND Early failure of osteosyntheses is common even with use of locking plates. In patients with comminuted fractures and epiphyseal osseous defects, we performed a series of osteosyntheses by locking plate in combination with an allograft bone augmentation. Because of encouraging short-term results in the literature, we assumed that the method could be a potential alternative to a reverse shoulder prosthesis. Read More

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Primary endoprosthetic replacement of the arthritic CMC-1 joint.

Oper Orthop Traumatol 2021 Jun 18;33(3):228-244. Epub 2021 May 18.

Orthopedic Department, Antwerp University Hospital, Edegem, Belgium.

Objective: Osteoarthritis of the carpometacarpal (CMC)-1 joint is a common condition that can cause significant pain and functional problems. When nonoperative management fails, surgery may be indicated. Resection of the trapezium, often combined with soft tissue stabilization, is still considered the gold standard. Read More

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Traumatic Glenohumeral Dislocation in Pediatric Patients is Associated With a High Risk of Recurrent Instability.

J Pediatr Orthop 2021 May 18. Epub 2021 May 18.

Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh Department of Orthopaedics, University of Edinburgh Department of Trauma and Orthopaedics, Royal Hospital for Sick Children, Edinburgh, UK.

Background: The natural history of traumatic glenohumeral dislocation is well-established in young adults, but it is less clear in pediatric patients. We aimed to determine the rate of recurrent instability and medium-term functional outcome following shoulder dislocation in patients aged 14 years or younger.

Methods: All patients aged 14 years or younger who sustained a glenohumeral dislocation from 2008 to 2019 presenting to our regional health-board were identified. Read More

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Galeazzi fracture-dislocations: Long-term prognosis of the distal radioulnar joint.

Hand Surg Rehabil 2021 May 12. Epub 2021 May 12.

Hand Surgery and Upper Extremity Center, "Carlos E. Ottolenghi" Institute, Hospital Italiano de Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, CABA, C1199ABB Buenos Aires, Argentina. Electronic address:

The aim of the present study was to evaluate long-term functional and radiographic outcome in the distal radioulnar joint (DRUJ) for Galeazzi fracture-dislocation after anatomic reduction and rigid fixation of the radius. Fourteen patients, with an average age of 38 years, presenting with Galeazzi fracture-dislocation treated by open reduction and internal fixation (ORIF) of the radius and closed reduction of the DRUJ were retrospectively evaluated, with a minimum follow-up of 6 years. At final evaluation (mean: 8 years), the DRUJ was objectively and subjectively evaluated for range of motion (RoM), grip strength, ballottement test, pain on axial loading, function on visual analog scale (VAS) and DASH score. Read More

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Mid-Term Outcomes of Arthroscopically-Assisted Anatomic Coracoclavicular Ligament Reconstruction using Tendon Allograft for High-Grade Acromioclavicular Joint Dislocations.

Arthroscopy 2021 Apr 30. Epub 2021 Apr 30.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address:

Purpose: The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically-assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA-ACCR) for the treatment of Rockwood type III-V injuries at minimum 2-year follow-up and to perform subgroup analyses of clinical and radiographic outcomes for acute versus chronic and type III versus type IV-V injuries.

Methods: In this retrospective study of prospectively collected data, patients who underwent primary AA-ACCR for the treatment of type III-V dislocations and had minimum 2-year follow-up were included. Preoperative and postoperative patient-reported outcome scores (PROs) were collected, including American Shoulder and Elbow Surgeons score, Single Numeric Assessment Evaluation score, Short Form-12 Physical Component Summary, Quick Disabilities of the Arm Shoulder and Hand score, and patient satisfaction. Read More

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In-hospital Complications Are More Likely to Occur After Reverse Shoulder Arthroplasty Than After Locked Plating for Proximal Humeral Fractures.

Clin Orthop Relat Res 2021 04 29. Epub 2021 Apr 29.

J. Stolberg-Stolberg, M. J. Raschke, J. C. Katthagen, Department of Trauma, Hand, and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.

Background: Currently, there seems to be a paradigm change in the surgical treatment of proximal humeral fractures in patients aged 65 years and older, with a considerable increase in the use of reverse total shoulder arthroplasty (RTSA) compared with angular stable internal fixation (locking plate fixation). However, even among shoulder specialists there is controversy regarding the best treatment strategy.

Questions/purposes: To evaluate for (1) a greater risk of in-hospital major adverse events, (2) a greater risk for in-hospital surgical complications, and (3) a greater risk of 30-day mortality, locking plate fixation and RTSA were compared for the treatment of proximal humerus fractures of patients aged 65 years and older after controlling for potentially confounding variables in a large-database analysis. Read More

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Anatomy of Distal Articular Surface of Hamate Bone, A Cadaveric Study.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):240-244

Upper Extremity and Reconstructive Unit, Institute of Orthopaedics, Lerdsin Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.

Hemi-hamate arthroplasty is one of the treatment options for dorsal proximal interphalangeal joint fracture dislocation. Many studies reported favorable outcomes. However, some long term studies demonstrated the degenerative change of PIP joint. Read More

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Comparison between the MAIA Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):158-165

Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, Nancy, France.

The purpose of this retrospective study was to report and compare the outcomes of the MAIA prosthesis and trapeziectomy for trapeziometacarpal osteoarthritis. We included 92 consecutive patients (8 men, 84 women) with a mean age of 57 years (range 44-75 years) who underwent trapeziectomy (44 patients) or trapeziometacarpal joint replacement with a MAIA prosthesis (48 patients) for painful osteoarthritis. All patients were evaluated (pain, range of motion, strength, function, X-rays) by an independent examiner. Read More

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Treatment of Multiple Coronal Fractures in the Proximal Carpal Row with a Dorsal Distraction Bridge Plate: A Case Report.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):290-296

Department of Orthopedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Lunate coronal fracture is a rare injury, associated with impact along the capitate and lunate axis; neutralization of this axial force is important for satisfactory patient outcomes. This report presents a case of a 51-year-old man with a lunate coronal fracture associated with coronal fractures in the proximal carpal bones and volar and proximal dislocation of the distal carpal row. Open reduction and internal fixation with a dorsal distraction bridge plate were performed. Read More

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Atlantoaxial Stabilization by Posterior C1 and C2 Screw-Rod Fixation for Various Pathologies: Case Series and Comprehensive Review of Literature.

J Neurosci Rural Pract 2021 Apr 3;12(2):228-235. Epub 2021 Mar 3.

Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India.

We retrospectively analyzed atlantoaxial dislocation (AAD) of various pathologies, namely, rheumatoid arthritis (RA), os odontoideum, and trauma. Various techniques were discussed in relation to C1-C2 stabilization. The study aims to share our clinical experience in a series of six cases of C1-C2 instability that underwent posterior C1-C2 fusion, with free hand technique and limited fluoroscopy. Read More

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Management of thumb carpometacarpal joint dislocations: A systematic review.

J Orthop 2021 May-Jun;25:59-63. Epub 2021 Apr 1.

Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI, 48201, USA.

Although rare, thumb Carpometacarpal (CMC) joint dislocations can have significant complications which impact hand function. Optimal management is crucial in restoring pinch and grasp strength, but no agreement exists regarding treatment due to a paucity of literature on this subject. Systematic review was conducted involving non-operative and operative management of the CMC joint. Read More

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Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly-A Prospective Evaluation of 50 Patients.

J Clin Med 2021 Apr 22;10(9). Epub 2021 Apr 22.

Department of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, Denmark.

Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. Read More

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Long-Term Results of the Modular Physiological Wrist Prosthesis (MPW) in Patients with Inflammatory Diseases.

Life (Basel) 2021 Apr 18;11(4). Epub 2021 Apr 18.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.

The wrist is among the predilection sites of over 90% of cases of rheumatoid arthritis (RA). In advanced cases, total wrist arthroplasty (TWA) is an alternative to arthrodesis. The aim of this study is to present the long-term results of the modular physiological wrist prosthesis (MPW) and to match them in context with the results of a standard population survey. Read More

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