4,650 results match your criteria Hand Dislocation


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

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

Pulvertaft Hand Centre, Royal Derby Hospital.

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

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

Periosteum interposition after dorsolateral dislocation of the proximal interphalangeal joint.

J Hand Surg Eur Vol 2020 Jul 6:1753193420937563. Epub 2020 Jul 6.

Centre Hospitalier Universitaire Vaudois, Service de chirurgie plastique et de la main, Lausanne, Switzerland.

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http://dx.doi.org/10.1177/1753193420937563DOI Listing

Isolated Volar Dislocation of the Fifth Carpometacarpal Joint.

Ochsner J 2020 ;20(2):215-218

The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.

Isolated dislocation of the carpometacarpal (CMC) joints is a rare injury that accounts for less than 1% of hand injuries. Few cases of isolated volar dislocations of the fifth CMC joint have been reported, making such injuries worthy of reporting. Given the rarity of these injuries, they are easily overlooked in the emergency setting and thus require a high index of clinical suspicion. Read More

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http://dx.doi.org/10.31486/toj.18.0151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310188PMC
January 2020

Early clinical results of minimally invasive coracoclavicular ligament reconstruction can be maintained at a minimum of five years' follow-up.

Bone Joint J 2020 Jul;102-B(7):918-924

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Westfalian-Wilhelms University Muenster, Muenster, Germany.

Aims: There is a lack of long-term data for minimally invasive acromioclavicular (AC) joint repair. Furthermore, it is not clear if good early clinical results can be maintained over time. The purpose of this study was to report long-term results of minimally invasive AC joint reconstruction (MINAR) and compare it to corresponding short-term data. Read More

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http://dx.doi.org/10.1302/0301-620X.102B7.BJJ-2020-0114.R1DOI Listing

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

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

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

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

Design: Comparative, retrospective review.

Setting: Two tertiary referral upper extremity centers. Read More

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

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

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

Dovecote Veterinary Hospital, Derby, UK.

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

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

Medium- to long-term results of acromioclavicular joint stabilisation using the Ligament Augmentation Reconstruction System (LARS) ligament.

Shoulder Elbow 2020 Jun 13;12(3):163-169. Epub 2019 Mar 13.

Royal Stoke University Hospital, University Hospitals of North Midlands, Stoke-on-Trent, UK.

Background: Opinion is divided as to optimum management of grade III acromioclavicular joint injuries that have failed conservative management. We objectively investigated the radiological and functional outcome of acromioclavicular joint reconstruction using the Ligament Augmentation Reconstruction System (LARS®).

Methods: Retrospective review of patients with LARS reconstruction of acromioclavicular joint dislocations with minimum six-year follow-up. Read More

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http://dx.doi.org/10.1177/1758573219833697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285975PMC

Biomechanical analysis of simultaneous distal and proximal radio-ulnar joint instability.

Clin Biomech (Bristol, Avon) 2020 Jun 7;78:105074. Epub 2020 Jun 7.

Department of Orthopedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, Japan.

Background: Simultaneous dislocation of the proximal and distal radio-ulnar joints without bony injuries has been reported, but the mechanism remains unclear. We investigated concurrent proximal and distal radio-ulnar joint instability after sequential sectioning of the annular ligament, triangular fibrocartilage complex, and quadrate ligament.

Methods: We performed this biomechanical study with six fresh-frozen cadaveric upper extremities. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105074DOI Listing

Simple and stable elbow dislocations: results after conservative treatment.

Acta Biomed 2020 05 30;91(4-S):224-231. Epub 2020 May 30.

Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy.

Background And Aim Of The Work: In adults, elbow dislocations are second in frequency after shoulder dislocations. They are often the result of a trauma due to accidental falls on the palm of the hand with the elbow flexed. In most cases this mechanism produces a posterior dislocation of the radius and ulna with respect to the humerus. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9637DOI Listing

Anatomic healing after non-operative treatment of a large, displaced anterior glenoid rim fracture after primary traumatic anterior shoulder dislocation - a case report.

BMC Musculoskelet Disord 2020 Jun 9;21(1):361. Epub 2020 Jun 9.

Department of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: Large, displaced anterior glenoid rim fractures after primary traumatic anterior shoulder dislocation are usually managed by surgical stabilization. Although there is little evidence supporting surgical management, it is often preferred over non-operative treatment. This case report describes non-operative management of such large, displaced anterior glenoid rim fracture with CT- and MRI-based documentation of anatomical healing of the fracture fragment, a finding that has not been described previously. Read More

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http://dx.doi.org/10.1186/s12891-020-03384-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285733PMC

Do "Anatomic" Distal Ulna Plating Systems Fit the Distal Ulna Without Causing Soft Tissue Impingement?

Hand (N Y) 2020 Jun 10:1558944720930302. Epub 2020 Jun 10.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Distal ulna fracture fixation plates commonly cause irritation, necessitating removal, due to the narrow area between the ulna articular cartilage and the extensor carpi ulnaris. This study defines the safe zone for plate application and determines whether wrist position affects risk of impingement. Four different distal ulna anatomic plates (Acumed, Medartis, Skeletal Dynamics, and Synthes) were applied to 12 cadaveric specimens. Read More

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http://dx.doi.org/10.1177/1558944720930302DOI Listing

Surgical Treatment for Delayed Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Jun 5;9(3):235-239. Epub 2019 Jul 5.

Department of Orthopaedic Surgery, Graduate School of Medicine, Mie University, Tsu City, Japan.

 Fracture and dislocations of the carpometacarpal (CMC) joints except the thumb are relatively rare. Herein, we report the case of a delayed fracture-dislocation of fourth and fifth carpometacarpal joints.  The patient is a 41-year-old, right-handed male. Read More

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http://dx.doi.org/10.1055/s-0039-1693051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263869PMC

Angular stable plate versus reverse shoulder arthroplasty for proximal humeral fractures in elderly patient.

Musculoskelet Surg 2020 Jun 5. Epub 2020 Jun 5.

Clinical Orthopaedics, Department of Clinical and Molecular Science, Marche Polytechnic University, Via Tronto 10/A, 60126, Ancona, Italy.

Background: Treatment of complex proximal humeral fractures in the elderly is a challenge and reverse shoulder arthroplasty (RTSA) is now an important alternative to open reduction internal fixation (ORIF) with angular stable plate. The purpose of this study is to compare clinical and radiological outcomes of RTSA and ORIF in the elderly.

Methods: We retrospectively analyzed patients treated for three- or four-part displaced fractures of the proximal humerus. Read More

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http://dx.doi.org/10.1007/s12306-020-00669-5DOI Listing

On the real-time atomistic deformation of nano twinned CrCoFeNi high entropy alloy.

Nanotechnology 2020 Sep 5;31(38):385705. Epub 2020 Jun 5.

School of Science, Harbin Institute of Technology, Shenzhen 518055, People's Republic of China.

High entropy alloys (HEAs) holding several principal elements in high concentration have unprecedented combination properties. The design of strong and highly ductile HEAs has attracted extensive attention from researchers in the last decade, such as in mechanisms for inducing different types of phase and nano-sized precipitates. Since some HEAs have low stacking fault energy, nanotwins can form during the plastic deformation process or magnetron sputtering, resulting in enhanced mechanical properties due to the existence of twin boundaries. Read More

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http://dx.doi.org/10.1088/1361-6528/ab99efDOI Listing
September 2020

Proposal of a novel predictive radiological method to assess the possibility of closed reduction in late presenting developmental dysplasia of the hip: the femoro-acetabular zones.

J Pediatr Orthop B 2020 Jun 2. Epub 2020 Jun 2.

Orthopaedic Department, Sligo University Hospital, Sligo, Ireland.

Objective: Late presentation of developmental dysplasia of the hip (DDH) remains a major orthopedic problem. However, existing management is not standardized and is highly surgeon dependent.The theory behind femoro-acetabular zones (FAZ) system is to find a relationship between acetabular maturity and severity of dislocation in one hand, and the outcome of closed reduction, on the other hand in late presenting cases. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000749DOI Listing

Dorsal fracture-dislocation of the radiocarpal joint: a new classification and implications in surgical treatment.

J Hand Surg Eur Vol 2020 Jun 3:1753193420926801. Epub 2020 Jun 3.

Surgery and Reconstructive Microsurgery Unit of the Hand, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Dorsal dislocations and fracture-dislocations of the radiocarpal joint are a spectrum of pathology involving both the bony and ligamentous structures that stabilize the radiocarpal joint. We retrospectively reviewed 63 dorsal radiocarpal dislocations treated in our Institute in order to propose a new classification and define surgical treatment. Preoperative CT-scan findings together with clinical and radiological outcomes were recorded. Read More

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http://dx.doi.org/10.1177/1753193420926801DOI Listing

Surgical management of isolated orbital floor and zygomaticomaxillary complex fractures with focus on surgical approaches and complications.

J Plast Surg Hand Surg 2020 Jun 4:1-7. Epub 2020 Jun 4.

Division of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

Zygomaticomaxillary complex (ZMC) and orbital blow out fractures are commonly encountered midfacial fractures that may result in aesthetic and functional impairment. This retrospective study reports on the surgical treatment and associated postoperative complications in our patient collective. We evaluated 100 patients who underwent open reduction and internal fixation of midfacial fractures between 2010 and 2015. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1746664DOI Listing

Can the Workplace Limitations Questionnaire Capture Short-term Productivity Losses in Acute Distal Radius Fractures Treated With Operative Fixation Versus Cast Immobilization in the Working Population?

Hand (N Y) 2020 Jun 2:1558944720918356. Epub 2020 Jun 2.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Orthopaedic Surgery, Hempstead, NY, USA.

Distal radius fractures (DRFs) contribute substantially to overall morbidity in the elderly population. We believe that accurately capturing total productivity losses is vital to understanding the true economic impact of these injuries in working patients. We conducted a prospective nonrandomized cohort study and enrolled working patients with DRF treated with either casting or operative fixation. Read More

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http://dx.doi.org/10.1177/1558944720918356DOI Listing

Effect of Processing Route on Microstructure and Mechanical Properties in Single-Roll Angular-Rolling.

Materials (Basel) 2020 May 28;13(11). Epub 2020 May 28.

Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), Pohang 37673, Korea.

This paper reports the effect of the processing route on the microstructure and mechanical properties in the pure copper sheets processed by single-roll angular-rolling (SRAR). The SRAR process was repeated up to six passes in two processing routes, called routes A and C in equal-channel angular pressing. As the number of passes increased, the heterogeneous evolution of hardness and microstructural heterogeneities between the core and surface regions gradually became intensified in both processing routes. Read More

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http://dx.doi.org/10.3390/ma13112471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321117PMC

Results of proximal interphalangeal arthroplasty: border digits versus middle digits.

J Hand Surg Eur Vol 2020 May 31:1753193420926127. Epub 2020 May 31.

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

This investigation assessed 106 consecutive primary proximal interphalangeal joint arthroplasties performed on border digits: 73 index or 33 little fingers. This was compared with 193 arthroplasties performed in non-border digits: 121 middle or 72 ring fingers. There were 20 proximal interphalangeal joint arthroplasties in the border digits that required revision surgery for pain and stiffness (10 digits), dislocation (six digits), implant fracture (one digit), and infection (three digits). Read More

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http://dx.doi.org/10.1177/1753193420926127DOI Listing

Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis.

Hand (N Y) 2020 May 28:1558944720918342. Epub 2020 May 28.

Thomas Jefferson University, Philadelphia, PA, USA.

Scapholunate (SL) ligament injuries can occur concomitantly with distal radius fractures (DRFs), and the management of acute SL injury in the setting of DRFs remains controversial. The purpose of the study is to identify the radiographic incidence of SL widening in DRF treated with volar plate fixation and to determine the functional outcomes of DRF with concomitant radiographic SL-widening. One hundred and seventeen patients with DRFs, with and without radiographic SL-widening, and treated with volar locked plating, were prospectively enrolled. Read More

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http://dx.doi.org/10.1177/1558944720918342DOI Listing

Comparable clinical outcomes using knotless and knot-tying anchors for arthroscopic capsulolabral repair in recurrent anterior glenohumeral instability at mean 5-year follow-up.

Knee Surg Sports Traumatol Arthrosc 2020 May 18. Epub 2020 May 18.

Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Purpose: To compare rates of recurrent instability, revision surgery and functional outcomes following arthroscopic anterior capsulolabral repair for recurrent anterior instability using knot-tying versus knotless suture anchor techniques.

Methods:  Patients who had undergone arthroscopic anterior labrum and capsular repair for recurrent anterior glenohumeral instability using knotless anchors were identified. Those with minimum 2-year follow-up were matched (1:2) to knot-tying anchor repair patients. Read More

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http://dx.doi.org/10.1007/s00167-020-06057-7DOI Listing

Characteristics and Injury Patterns in Electric-Scooter Related Accidents-A Prospective Two-Center Report from Germany.

J Clin Med 2020 May 22;9(5). Epub 2020 May 22.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, 60590 Frankfurt, Germany.

Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new means of transport has been the subject of extensive public debate. However, valid data on injuries and usage habits are not yet available. This retrospective two-center study included a total of 76 patients who presented to the emergency department following E-scooter-related accidents. Read More

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http://dx.doi.org/10.3390/jcm9051569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290505PMC

Headless Compression Screw Fixation for Proximal Phalanx Fractures: A Biomechanical Study.

Hand (N Y) 2020 May 26:1558944720926647. Epub 2020 May 26.

University of Louisville, KY, USA.

Proximal phalanx fractures are common injuries of the hand with multiple treatment options. Intramedullary (IM) screw fixation has become more widely used, and early outcomes are promising. However, biomechanical data regarding this type of fixation are sparse. Read More

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http://dx.doi.org/10.1177/1558944720926647DOI Listing

Patient Outcomes After Transolecranon Fracture-Dislocation.

J Am Acad Orthop Surg 2020 May 18. Epub 2020 May 18.

From the Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT (Dr. Haller, Mr. Cardon, and Dr. Tashjian), and the Department of Orthopedic Surgery, Harborview Medical Center, University of Washington, Seattle WA (Dr. Hulet, Dr. Hannay, and Dr. Beingessner).

Introduction: There are few small case series that discuss patient outcomes after a transolecranon fracture-dislocation, and they suggest that patients have reasonable function after injury. The purpose of this study was to describe the injury pattern and clinical outcomes of transolecranon fracture-dislocations.

Methods: After Institutional Review Board approval, transolecranon fracture-dislocations treated at two academic level 1 trauma centers between 2005 and 2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00254DOI Listing

Patient and Surgeon Factors Associated With Prosthetic Replacement Rather Than With Open Reduction and Internal Fixation of a Radial Head Fracture.

Hand (N Y) 2020 May 20:1558944720918358. Epub 2020 May 20.

The University of Texas at Austin, USA.

The decision between radial head arthroplasty and open reduction internal fixation in the context of a terrible triad elbow fracture-dislocation is debated. This study investigated both surgeon and patient factors associated with surgeons' recommendations to use arthroplasty. One hundred fifty-two surgeon members of the Science of Variation Group participated. Read More

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http://dx.doi.org/10.1177/1558944720918358DOI Listing

Arthroscopic "S"-shaped Ligamentoplasty for Floating Lunate.

Tech Hand Up Extrem Surg 2020 May 15. Epub 2020 May 15.

Orthopedic and Trauma Department, Infanta Leonor University Hospital.

The concurrence of tears of the scapholunate (SL) and lunotriquetral (LT) ligaments is not unusual and can also occur without an apparent perilunate dislocation. Badia and Khanchandani called this combined lesion a "floating lunate" because the ligamentous attachments on both sides of the lunate are absent and the lunate floats in a neutral position. There have been few published papers referring to the treatment of this kind of instability. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000291DOI Listing

Superior Temperature-Dependent Mechanical Properties and Deformation Behavior of Equiatomic CoCrFeMnNi High-Entropy Alloy Additively Manufactured by Selective Laser Melting.

Sci Rep 2020 May 15;10(1):8045. Epub 2020 May 15.

Department of Materials Science and Engineering, Inha University, Incheon, 22212, Republic of Korea.

The microstructure, temperature-dependent mechanical properties and deformation behaviors of equiatomic CoCrFeMnNi high-entropy alloy (HEA) additively manufactured by selective laser melting (SLM) were investigated. SLM-built HEA had a face-centered cubic (FCC) single-phase random solid solution. In addition, SLM-built HEA was composed of epitaxial growth grains, dislocation network and nano-sized oxides. Read More

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http://dx.doi.org/10.1038/s41598-020-65073-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229066PMC

Effect of Twin Boundary Motion and Dislocation-Twin Interaction on Mechanical Behavior in Fcc Metals.

Materials (Basel) 2020 May 13;13(10). Epub 2020 May 13.

Microstructure Physics and Alloy Design, Max-Planck-Institut für Eisenforschung,40237 Düsseldorf, Germany.

The interplay of interface and bulk dislocation nucleation and glide in determining the motion of twin boundaries, slip-twin interaction, and the mechanical (i.e., stress-strain) behavior of fcc metals is investigated in the current work with the help of molecular dynamics simulations. Read More

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http://dx.doi.org/10.3390/ma13102238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287619PMC

Two-year results of the Moovis trapeziometacarpal joint arthroplasty with focus on early complications.

J Hand Surg Eur Vol 2020 May 12:1753193420921307. Epub 2020 May 12.

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

In this prospective study, we aimed to analyse the early results of 200 consecutive total trapeziometacarpal joint arthroplasties using the Moovis cup, a new generation, dual-mobility, uncemented conical cup, with special focus on early complications. At the 24-month follow-up, we found clinically relevant improvement of function and comfort. Among intraoperative complications were nine intraoperative trapezial fractures, which were treated by screw osteosynthesis; prolonged immobilization; and conversion to cemented cup fixation or primary or secondary trapeziectomy. Read More

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http://dx.doi.org/10.1177/1753193420921307DOI Listing

Trapeziometacarpal total joint arthroplasty: The effect of capsular release on range of motion.

Hand Surg Rehabil 2020 May 6. Epub 2020 May 6.

Department of Orthopedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600 Genk, Belgium. Electronic address:

It has been suggested that trapeziometacarpal total joint arthroplasty be combined with complete release of the joint capsule to prevent ligament tethering and implant dislocation. Our goal was to evaluate the consequences of capsular release on range of motion. Trapeziometacarpal joint motion was measured with a 3D motion tracking system in seven fresh frozen human cadaver hands before and after capsular release and total joint arthroplasty with subsequently longer neck lengths. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.04.008DOI Listing

Bilateral radial collateral ligament rupture in a shoemaker: A case report and brief literature review.

Medicine (Baltimore) 2020 May;99(19):e20126

Department of Hand Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin.

Introduction: Rupture of the radial collateral ligament (RCL) of the index metacarpophalangeal (MCP) joint is mostly related to acute local mechanical causes, which severely affect the stability of the MCP joint. However, few cases of chronic bilateral job-related RCL injury have been reported in the literature. There is no consensus on the knowledge of the disease to date. Read More

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http://dx.doi.org/10.1097/MD.0000000000020126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220783PMC

Results of fracture-dislocation of interphalangeal treatment with volar buttressing hook plating techniques.

Orthop Traumatol Surg Res 2020 Jun 29;106(4):765-769. Epub 2020 Apr 29.

Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

Introduction: Proximal interphalangeal joint (PIP) is one of the joints exposed to upper limb injury. The dorsal fracture-dislocations of the PIP is a common injury. Treatment of cases with small avulsed bone fragments is challenging. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.02.012DOI Listing

Percutaneous Reduction of a Dislocation of the Interphalangeal Joint of the Great Toe: A Case Report.

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

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

Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.047DOI Listing

Irreducible Ankle Fracture Due to Incarceration of the Long Flexor Tendons Together With the Neurovascular Bundle in the Tibial Fibular Interosseous Space: A Case Report and Short Literature Review.

J Foot Ankle Surg 2020 Jul - Aug;59(4):849-852. Epub 2020 Apr 25.

Consultant, Hospital for Trauma and Reconstructive Surgery, BG Hospital Bergmannstrost Halle gGmbH, Halle/S., Germany; Senior Physician, Hospital for Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Ankle fracture dislocations with frustrating attempts at closed reduction are a rare traumatic entity. We present a case of an irreducible ankle fracture due to incarceration of all the flexor tendons including the neurovascular bundle in the tibial fibular interosseous space; to date, only one such case has been published in the literature. A computed tomography scan in both bone and soft tissue windows was necessary to clarify the structures that were inhibiting repositioning. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.10.012DOI Listing

Open Reduction Internal Fixation of Distal Radius Fractures: Retrospective Cohort Analysis of the Geriatric Population Using the NSQIP Database.

Hand (N Y) 2020 Apr 27:1558944720915716. Epub 2020 Apr 27.

Medical University of South Carolina, Charleston, SC, USA.

Distal radius fractures (DRFs) are the most common upper extremity fractures with more than 600 000 cases per year in the United States and account for up to 18% of fractures in the geriatric population. The purpose of our study was to identify the influence of age on 30-day postoperative outcomes while adjusting for patient demographics and comorbidities. The National Surgery Quality Improvement Program database was queried for patients having undergone open reduction internal fixation (ORIF) of DRFs. Read More

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http://dx.doi.org/10.1177/1558944720915716DOI Listing

Radial head fractures.

Br J Hosp Med (Lond) 2020 Apr 14;81(4):1-6. Epub 2020 Apr 14.

Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK.

Radial head fractures are a common fracture involving the elbow joint. Patients typically present after a fall onto an outstretched hand with elbow pain and swelling. Without adequate treatment, this can lead to long-term complications, including loss of elbow motion and pain. Read More

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http://dx.doi.org/10.12968/hmed.2019.0404DOI Listing

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review.

Kurume Med J 2020 Jul 24;66(1):65-70. Epub 2020 Apr 24.

Department of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens.

Anterior shoulder dislocations following an epileptic event are considered rare. An extremely rare case of a 41 year old female suffering from bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures after an epileptic seizure is presented. The patient presented to the out-patient orthopaedic clinic due to persistent pain and restriction of shoulders movement, 4 weeks after an epileptic seizure. Read More

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http://dx.doi.org/10.2739/kurumemedj.MS661008DOI Listing

Revision hip arthroplasty using a porous tantalum acetabular component.

Hip Int 2020 Apr 20:1120700020913294. Epub 2020 Apr 20.

Department of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Pohjois-Savo, Finland.

Introduction: Reconstruction of acetabulum in case of bone defects can be challenging. The aim of this retrospective study was to investigate the 10-year survival of trabecular tantalum metal (TM) acetabulum component in revision hip arthroplasty operations and to evaluate complications.

Methods: A total of 100 consecutive acetabulum revision hip arthroplasties (100 patients) were operated on between May 2004 and October 2006 at Kuopio University Hospital. Read More

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http://dx.doi.org/10.1177/1120700020913294DOI Listing

An unusual phenotype of radial longitudinal deficiency (radial hemimelia) presenting in a young adult male.

Radiol Case Rep 2020 Jun 10;15(6):741-744. Epub 2020 Apr 10.

Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Radiology, University of Health Sciences, Ankara, Turkey.

Radial longitudinal deficiency is a rare skeletal anomaly characterized by a defect in the development of structures that form the radial half of the forearm. The disorder is associated with a large spectrum of preaxial abnormalities. It is shown that the thumb and preaxial carpal bones are almost always hypoplastic or absent in almost all types of radial longitudinal deficiency. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.02.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155002PMC

Kosaki overgrowth syndrome: A novel pathogenic variant in PDGFRB and expansion of the phenotype including cerebrovascular complications.

Clin Genet 2020 Jul 4;98(1):19-31. Epub 2020 May 4.

Centre de Génétique et Centre de référence « Anomalies du Développement et Syndromes Malformatifs », Hôpital d'Enfants, Centre Hospitalier Universitaire de Dijon, Dijon, France.

Heterozygous activating variants in platelet-derived growth factor, beta (PDGFRB) are associated with phenotypes including Kosaki overgrowth syndrome (KOGS), Penttinen syndrome and infantile myofibromatosis (IM). Here, we present three new cases of KOGS, including a patient with a novel de novo variant c.1477A > T p. Read More

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http://dx.doi.org/10.1111/cge.13752DOI Listing
July 2020
3.931 Impact Factor

Evaluation of the clinical and radiological outcome of hemi-hamate arthroplasty in the reconstruction of proximal interphalangeal Joint fracture-dislocations.

Med J Islam Repub Iran 2019 26;33:152. Epub 2019 Dec 26.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Hemi-hamate arthroplasty, a new attractive method for treatment of unstable Proximal Interphalangeal (PIP) joint fracture-dislocations, offers several advantages over the previous methods. This study was designed to evaluate the clinical and radiological outcome of this procedure. In this study, 14 patients and 15 fingers with PIP joint fracture-dislocations were evaluated, including 8 acute and 7 chronic injuries. Read More

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http://dx.doi.org/10.34171/mjiri.33.152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137877PMC
December 2019

Postoperative Dorsal Proximal Interphalangeal Joint Subluxation in Volar Base Middle Phalanx Fractures.

J Hand Microsurg 2020 Apr 2;12(1):32-36. Epub 2019 Nov 2.

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

 This study was designed to assess factors associated with postoperative dorsal proximal interphalangeal (PIP) joint subluxation after operative treatment of volar base middle phalanx fractures. Our second purpose was to study the association between postoperative dorsal subluxation with postoperative arthritis.  We identified 44 surgically treated volar base PIP joint fractures with available pre- and postoperative radiographs between 2002 and 2015 at two academic medical systems with a median follow-up of 3. Read More

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http://dx.doi.org/10.1055/s-0039-1697063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141896PMC

Treatment of terrible triad injuries at a mean follow-up of nine years.

Shoulder Elbow 2019 Dec 6;11(6):450-458. Epub 2018 Nov 6.

Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.

Background: To evaluate the sustainability of the early clinical and radiological outcomes of terrible triad injuries at long-term follow-up.

Methods: Twelve consecutive patients who underwent fixation of terrible triad injuries with minimum of seven years of follow-up. Functional and radiological outcomes at one year and final follow-up were compared. Read More

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http://dx.doi.org/10.1177/1758573218809375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094064PMC
December 2019

Nonoperative Treatment of Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Apr 9;9(2):160-163. Epub 2019 May 9.

Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.

 Ulnar carpometacarpal (CMC) joint dislocations and fracture-dislocations are uncommon injuries that are often overlooked. Most authors advocate surgical stabilization in order to prevent a secondary dislocation assuming that these injuries are inherently unstable.  This is a series of eight ulnar CMC joint dislocations and fracture-dislocations treated by closed reduction and splint immobilization after assessing the joint stability. Read More

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http://dx.doi.org/10.1055/s-0039-1688468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113011PMC

Clinical and Functional Outcomes of Ulnar Lengthening in the Treatment of Masada Type I Forearm Deformities in Hereditary Multiple Osteochondromas.

J Hand Surg Am 2020 Apr 3. Epub 2020 Apr 3.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Purpose: Forearm deformity is common in hereditary multiple osteochondromas (HMO). The results of ulnar lengthening and osteochondroma excision are generally favorable, both clinically and radiographically. This study aimed to assess the clinical, radiographic, and functional results of forearm reconstruction in patients with Masada type I deformity (osteochondroma in the distal ulna with radial bowing, without radial head dislocation). Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.02.010DOI Listing

Osteoarticular distal clavicle autograft for the management of instability-related glenoid bone loss: an anatomic and cadaveric study.

J Shoulder Elbow Surg 2020 Mar 17. Epub 2020 Mar 17.

Mechatronics Laboratory, Roth|McFarlane Hand and Upper Limb Center, London, ON, Canada. Electronic address:

Background: The reconstructive options for instability-related anterior glenoid bone loss include iliac crest autograft, allograft, or coracoid transfer. The use of distal clavicle autograft (DCG) has also been described. The purpose of this imaging and cadaveric study was to examine the dimensions, morphology, and bone density of the DCG and compare it with the Latarjet procedure. Read More

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http://dx.doi.org/10.1016/j.jse.2019.12.027DOI Listing

Chronic complex persistent elbow instability: a consecutive and prospective case series and review of recent literature.

J Shoulder Elbow Surg 2020 Apr;29(4):e103-e117

Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, "Sapienza" University of Rome-Policlinico Umberto I, Rome, Italy.

Background: Chronic complex persistent elbow instability (CCPEI) is a condition that even expert elbow surgeons find challenging to treat. The results of the few studies that have dealt with the treatment of this condition are conflicting. We describe the surgical results of a consecutive prospective series of patients with CCPEI and provide a review of the recent literature. Read More

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http://dx.doi.org/10.1016/j.jse.2019.11.021DOI Listing