4,716 results match your criteria Hand Dislocation


Plastic recovery and self-healing in longitudinally twinned SiGe nanowires.

Nanoscale 2019 Apr 24. Epub 2019 Apr 24.

Department of Mechanical and Industrial Engineering, University of Illinois at Chicago, Chicago, IL 60607, USA.

This paper reports on plastic recovery and self-healing behavior in longitudinally-twinned and [112] orientated SiGe nanowire (NW) beams when they are subjected to large bending strains. The NW alloys are comprised of lamellar nanotwin platelet(s) sandwiched between two semi-cylindrical twins. The loading curves, which are acquired from atomic force microscope (AFM) based three-point bending tests, reveal the onset of plastic deformation at a characteristic stress threshold, followed by further straining of the NWs. Read More

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http://dx.doi.org/10.1039/c9nr02073jDOI Listing

Tuning the Structure and Electronic Properties of B-N Fused Dipyridylanthracene and Implications on the Self-Sensitized Reactivity with Singlet Oxygen.

J Am Chem Soc 2019 Apr 18. Epub 2019 Apr 18.

We demonstrate that the modification of anthracene with B-N Lewis pairs at their periphery serves as a highly effective tool to modify the electronic structure with important ramifications on the generation and reactivity towards singlet oxygen. A series of BN-fused dipyridylanthracene with Me groups in different positions of the pyridyl ring have been prepared via directed electrophilic borylation. The steric and electronic effects of the substituents on the structural features and electronic properties of the isomeric borane-functionalized products have been investigated in detail, aided by experimental tools and computational studies. Read More

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http://dx.doi.org/10.1021/jacs.9b01958DOI Listing
April 2019
2 Reads

Isolated open anterior shoulder release in brachial plexus birth palsy.

J Shoulder Elbow Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopedics, Service of Hand Surgery, Clinique du Mont Louis, Paris, France.

Background: In children with brachial plexus birth palsy (BPBP), a shoulder joint internal contracture is commonly observed, which may result in glenohumeral osseous deformities and posterior joint subluxation. The purpose of this retrospective study was to evaluate the impact of an isolated anterior shoulder release on osteoarticular disorders and assess the subsequent clinical improvements.

Methods: Forty consecutive BPBP patients with glenohumeral dysplasia underwent an open anterior shoulder release. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.016DOI Listing
April 2019
2 Reads

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

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

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

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

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

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

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

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

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

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

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

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

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

Injury 2019 Mar 29. Epub 2019 Mar 29.

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

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

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

Maïa trapeziometacarpal joint arthroplasty: Survival and clinical outcomes at 5 years' follow-up.

Hand Surg Rehabil 2019 Apr 2. Epub 2019 Apr 2.

Centre Hospitalier de EpiCURA Baudour, 136, rue Louis-Caty, 7334 Baudour, Belgium; Polyclinique du Parc, 48, rue Henri-Barbusse, 59880 Saint-Saulve, France.

We sought to report the clinical and radiological outcomes and the survival of Maïa trapeziometacarpal joint arthroplasty retrospectively at a mean 5 years' follow-up. We evaluated the implant survival and the clinical outcomes of 93 patients (113 prostheses). Patients were examined during a consultation and their mobility, key pinch strength and satisfaction were recorded. Read More

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http://dx.doi.org/10.1016/j.hansur.2019.03.004DOI Listing
April 2019
5 Reads

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

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

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

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

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

Isolated first carpometacarpal joint dislocation managed with closed reduction and splinting.

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong.

A 56-year-old man, right-hand-dominant office worker, complained of pain and swelling at the base of his right thumb after using his hand to press onto the front passenger seat during an emergency brake. X-ray showed a dorsal dislocation of the first carpometacarpal joint of his right hand. Closed reduction of the joint was performed. Read More

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http://dx.doi.org/10.1136/bcr-2018-228715DOI Listing
March 2019
1 Read

Occupational injuries and diseases in fish farming in Finland 1996-2015.

Int Marit Health 2019 ;70(1):47-54

University of Nebraska Medical Centre, Omaha, NE, USA.

Background: The agriculture, forestry and fishing industry sector has high rates of occupational injuries. Fishing has globally particularly high occupational fatality rates, but injuries and illnesses to people working in its sub-sectors, aquaculture and fish farming, are not well understood.

Materials And Methods: This study characterised injuries and occupational diseases to fish farmers and people employed on fish farms in Finland using national employment and accident insurance (workers' compensation) data. Read More

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https://journals.viamedica.pl/international_maritime_health/
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http://dx.doi.org/10.5603/IMH.2019.0007DOI Listing
January 2019
3 Reads

Accuracy of leg length and femoral offset restoration after total hip arthroplasty with the utilisation of an intraoperative calibration gauge.

Hip Int 2019 Mar 29:1120700019836383. Epub 2019 Mar 29.

Department of Orthopaedic Surgery, Concord Repatriation General Hospital, Concord, Australia.

Background:: Offset and leg length (LL) restoration are critical for the achievement of a stable, well-functioning hip following total hip arthroplasty (THA). Several techniques are described in the literature, including a hip calibration gauge. We question whether meticulous preoperative planning of a specific surgical technique in combination with the utilisation of a calibration gauge can provide an accurate offset and LL restoration. Read More

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http://dx.doi.org/10.1177/1120700019836383DOI Listing
March 2019
4 Reads

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

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

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

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

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

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

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

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

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

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

Nearthrosis in true long-standing temporomandibular joint dislocation; a report on pathogenesis and clinical features with review of literature.

Authors:
Orhan Güven

J Craniomaxillofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ankara, Ankara, Turkey. Electronic address:

The behavior and function of the condyle are not the same in every type of temporomandibular joint (TMJ) dislocation. Acute displacement or dislocation of the condyle is not a rare incident, and the treatment modalities have been well known by physicians for a long time. Chronic dislocation of the condyle is considered a relatively common entity for which treatment may indispensably be surgical intervention. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.02.013DOI Listing
March 2019
2 Reads

An increase in the risk of excessive femoral anteversion for relatively younger age and types of femoral morphology in total hip arthroplasty with direct anterior approach.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019836816

Department of Orthopedic Surgery, Nagano Prefectural Shinshu Medical Center, Nagano, Japan.

Background:: Direct anterior approach (DAA) is known to diminish a dislocation risk and widely used for total hip arthroplasty (THA). On the other hand, anterior dislocation due to increasing stem anteversion and cup anteversion is an important complication.

Methods:: A retrospective analysis of 140 (male/female: 10/130) consecutive patients with 149 hips who had undergone primary THA in the period between 2011 and 2015 was conducted. Read More

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http://dx.doi.org/10.1177/2309499019836816DOI Listing
March 2019
4 Reads

Open Volar Dislocation of the Thumb Metacarpophalangeal Joint.

J Hand Microsurg 2019 Apr 24;11(1):59-60. Epub 2018 Dec 24.

Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts, United States.

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http://dx.doi.org/10.1055/s-0038-1676762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431287PMC
April 2019
1 Read

Clinical significance of asymmetric skin folds in the medial thigh for the infantile screening of developmental dysplasia of the hip.

Pediatr Neonatol 2019 Mar 2. Epub 2019 Mar 2.

Department of Orthopedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address:

Background: The presence of asymmetric skin folds in the medial thigh (ASM) is often used as one of the screening items for developmental dysplasia of the hip (DDH). However, few studies have evaluated the clinical relevance of ASM in DDH.

Methods: We reviewed the data of 584 infants aged 4-12 months who were referred to our institute because of suspicious findings in periodic infantile DDH screenings. Read More

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http://dx.doi.org/10.1016/j.pedneo.2019.02.004DOI Listing
March 2019
1 Read

[Extended medial and extended lateral approach for tibial plateau fractures].

Oper Orthop Traumatol 2019 Apr 18;31(2):127-142. Epub 2019 Mar 18.

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

Objective: Complete visualization of the articular surface in comminuted uni- or bicondylar tibial plateau fractures as a prerequisite for anatomical reconstruction to reduce the risk of posttraumatic osteoarthritis.

Indications: Unicondylar lateral or medial as well as bicondylar intra-articular tibial plateau fractures with central and/or dorsal fracture lines; comminuted destruction of the medial or lateral tibial plateau with dislocation of >2 mm.

Contraindications: Critical soft tissue in the approach area, femoral condylar fracture, intraligamentous ruptures of the medial or lateral ligaments or the posterolateral corner. Read More

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http://dx.doi.org/10.1007/s00064-019-0593-9DOI Listing
April 2019
1 Read

Dorsal Block Splinting of Volar Plate Injuries at Neutral Position.

Ann Plast Surg 2019 May;82(5):520-522

Purpose: Volar plate injuries of the proximal interphalangeal joint (PIPJ) of a finger are common, often occurring in sporting or workplace incidents. Treatment of a stable dorsal dislocation entails a conservative approach, directed at preventing hyperextension and allowing the ligament to heal in position that does not negatively impact on healing. Current treatment regimens include dorsal block splinting (DBS) in 30° of flexion, which maintains the PIPJ in flexion in order to prevent any strain on the healing tissue while attempting to restore anatomical position. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001820DOI Listing
May 2019
1 Read

Dislocated distal radial fractures in adult patients: 4 weeks versus 6 weeks of cast immobilisation following reduction, a multicentre randomised controlled trial, study protocol.

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

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

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

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02654
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http://dx.doi.org/10.1136/bmjopen-2018-026540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429892PMC
March 2019
5 Reads

[Metatarsal and toe fractures].

Unfallchirurg 2019 Apr;122(4):309-322

Abteilung für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Metatarsal and toe fractures are the most frequent injuries of the foot skeleton. Nondislocated fractures can be conservatively treated with good success. Long-term relief and immobilization including the ankle joint are unnecessary. Read More

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http://link.springer.com/10.1007/s00113-019-0620-1
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http://dx.doi.org/10.1007/s00113-019-0620-1DOI Listing
April 2019
8 Reads

Sternoclavicular Joint Dislocation: A systematic review and meta-analysis.

J Orthop Trauma 2019 Feb 26. Epub 2019 Feb 26.

Pikeville Medical Center Orthopedic Trauma, Pikeville, KY.

Objectives: This meta-analysis was performed to answer the following questions: (1) What is the expected outcome of SC dislocations left untreated? (2) What are the indications for closed reduction of SC dislocations? (3) What are the indications for open reduction of SC dislocations? (4) Does the evidence support the need for a cardiothoracic surgeon to be available for the open reduction of a SC dislocation?

Data Sources: Articles were obtained from the database EBSCOhost and supplemented by hand searching of bibliographies of included references. A search using the following terms: sternoclavicular joint AND (dislocation OR injuries OR vascular injury OR cardiovascular surgeon) of the English-language literature from 1970-2018 on the topic of SC joint dislocations was performed.

Study Selection: Studies were included if they contained clinical data on one or more of our study objectives. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001463DOI Listing
February 2019
7 Reads

[Modified SLAM (scapholunate axis method) technique for secondary SL reconstruction: preliminary results].

Handchir Mikrochir Plast Chir 2019 Feb 5;51(1):32-37. Epub 2019 Mar 5.

Universitätsklinikum Regensburg, Zentrum für Plastische, Hand- und Wiederherstellungschirurgie.

Background: The common techniques for scapholunate (SL) ligament reconstruction achieve pain relief and maintenance of reposition at the expense of mobility and grip strength. In contrast, the scapholunate axis method (SLAM) technique seems to stabilise the scaphoid and lunate bones without a loss of function. We modified the technique with an additional anchor fixation of the tendon graft to the capitate bone in order to prevent palmar dislocation of the scaphoid bone. Read More

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http://dx.doi.org/10.1055/a-0839-4926DOI Listing
February 2019

Ulnar Wrist Deviation in Children With Obstetric Brachial Plexus Palsy: A Descriptive Study of Clinical and Radiological Findings of Impaired Ulnar Growth and Associated Incongruence of the Distal Radioulnar Joint.

Hand (N Y) 2019 Feb 28:1558944719831243. Epub 2019 Feb 28.

4 SportsMed, Carlanderska Hospital, Göteborg, Sweden.

Backround: Some children with obstetric brachial plexus palsy (OBPP) present later on with an ulnarly deviated wrist. The aim of this study was to present a retrospective analysis of a subgroup of OBPP children with ulnarly deviated wrists and to describe their morphologic wrist deformity in terms of clinical and radiological appearance.

Methods: We present a retrospective analysis of the records of 27 children with an ulnarly deviated wrist as a consequence of OBPP. Read More

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http://dx.doi.org/10.1177/1558944719831243DOI Listing
February 2019
3 Reads

A rare case of floating fifth metacarpal and review of literature.

Trauma Case Rep 2019 Apr 15;20:100168. Epub 2019 Feb 15.

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

Background: Floating metacarpal is a rare concurrent bipolar dislocation of metacarpal at both ends. Isolated dislocations of Carpo-metacarpal (CMC) or Metacarpo-phalangeal (MCP) have been previously reported, simultaneous dislocations of both joints is scarcely reported in literature and bares high chance of diagnosis being missed on presentation.

Patient: A 29-year-old male presented with pain, swelling in left hand and loss of movement in fifth and fourth finger following a motorcycle fall injury. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378847PMC
April 2019
1 Read

[Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].

Oper Orthop Traumatol 2019 Feb 26. Epub 2019 Feb 26.

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

Objective: Elimination of pain or instability by arthrodesis of the thumb joint in functional position by dorsal plateosteosynthesis.

Indications: Painful primary or secondary arthrosis of the thumb, nonreconstructable ulnar, radial or palmar instability, posttraumatic dislocation, defect injuries, bone tumors in the region of the thumb metacarpophalangeal joint.

Contraindications: Local infection of the thumb metacarpophalangeal joint area. Read More

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http://dx.doi.org/10.1007/s00064-019-0592-xDOI Listing
February 2019

Quantitative 3-dimensional Computerized Tomography Modeling of Isolated Greater Tuberosity Fractures with and without Shoulder Dislocation.

Arch Bone Jt Surg 2019 Jan;7(1):24-32

Department of General Surgery, OLVG, Amsterdam, The Netherlands.

Background: The aim of this study was to assess differences in fracture morphology and displacement between isolated greater tuberosity (GT) fractures (i.e. fractures of the greater tuberosity without other fractures of the proximal humerus) with and without shoulder dislocation utilizing quantitative 3-dimensional CT imaging. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372273PMC
January 2019
1 Read

Technique of Tendon Interposition Arthroplasty for Chronic Volar Dislocation of the Distal Radioulnar Joint.

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

Case Western Reserve University School of Medicine, Cleveland, OH. Electronic address:

Volar distal radioulnar joint (DRUJ) dislocations are uncommon wrist injuries. Failed diagnosis or treatment can result in irreversible damage to the articulating surfaces and ultimately lead to chronic degenerative arthritis. When the DRUJ is reducible, and the cartilage is preserved, ligament reconstruction and ulnar osteotomy are surgical options for residual wrist instability or pain. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.007DOI Listing
February 2019
1 Read

Clinical outcomes of the reverse McLaughlin procedure for Hill-Sachs lesions in anterior shoulder instability.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018816444

2 Department of Orthopaedic Surgery, University Orthopaedics, Hand & Reconstructive Microsurgery Cluster, National University Hospital, National University Health System, Singapore.

Introduction:: Engaging Hill-Sachs lesions in recurrent anterior shoulder dislocation have been managed with the remplissage procedure. Clinical and cadaveric studies have reported limitation of rotation after this procedure. We introduce the reverse McLaughlin procedure where the infraspinatus and the underlying capsule are detached and approximated into the Hill-Sachs defect with transosseous sutures. Read More

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http://dx.doi.org/10.1177/2309499018816444DOI Listing
February 2019

[Pale and pulseless hand after luxation of the left elbow in a 9‑year-old boy].

Unfallchirurg 2019 Feb 20. Epub 2019 Feb 20.

Klinik für Gefäßchirurgie und Gefäßmedizin, Schwarzwald-Baar-Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Deutschland.

Background: Luxation of the elbow occurs around the age of 7 years instead of a supracondylar humeral fracture. The most common complication is a fracture of the medial epicondyle of the ulna in the sense of a bony avulsion of the ligament. There are only few case reports regarding collateral injuries of the brachial artery. Read More

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http://link.springer.com/10.1007/s00113-019-0616-x
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http://dx.doi.org/10.1007/s00113-019-0616-xDOI Listing
February 2019
4 Reads

Unusual combination of elbow dislocation with a retained intraarticular fragment and trochlear fracture and ipsilateral distal radius fracture in an amateur snowboarder: A case report and review of literatures.

Int J Surg Case Rep 2019 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

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http://dx.doi.org/10.1016/j.ijscr.2019.01.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374697PMC
February 2019

[Rare case of palmar disc dislocation after wrist distorsion].

Unfallchirurg 2019 Feb 14. Epub 2019 Feb 14.

Abteilung für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Tübingen, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Deutschland.

Objective: The aim of this study was the elaboration of clinical symptoms and image findings in injuries of the wrist and ulnar-sided pain with accompanying damage to the articular disc and the triangular fibrocartilage complex (TFCC).

Material And Methods: This article reports about a 26-year-old male patient who presented to the department of surgery of this hospital after repeated falls onto the right wrist. Following the latest fall there was persistent wrist pain and limited movement, especially in supination. Read More

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http://dx.doi.org/10.1007/s00113-019-0613-0DOI Listing
February 2019
1 Read

Radial Dislocation of Extensor Tendon Over the Metacarpophalangeal Joint of the Thumb due to Cerebral Hemorrhage: A Case Report.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):96-99

1 Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.

We report a rare case of radial dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint of the thumb. Ulnar dislocation has been reported, but previous reports have not mentioned radial dislocation of the extensor tendon in the thumb. Radial dislocation of the extensor tendon of the thumb gradually progressed after cerebral hemorrhage and the patient could not extend MCP joint of the thumb. Read More

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http://dx.doi.org/10.1142/S2424835519720032DOI Listing
March 2019
1 Read

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):50-54

1 Birmingham Hand Centre, Queen Elizabeth Hospital, Birmingham, UK.

Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates.

Methods: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present.

Results: Restoration of PIPJ articular anatomy and congruence by hook plate fixation permitted full-range mobilization of the joint during fracture healing, with an average arc of motion of 81° and an average loss of extension of 12. Read More

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http://dx.doi.org/10.1142/S2424835519500097DOI Listing
March 2019
1 Read

A novel dynamic distraction external fixator for proximal interphalangeal joint fracture dislocation.

J Int Med Res 2019 Apr 12;47(4):1628-1635. Epub 2019 Feb 12.

*These authors contributed equally to this work.

Objective: To evaluate the efficacy of a novel dynamic distraction external fixator for proximal interphalangeal joint (PIPJ) fracture-dislocation.

Methods: From March 2005 to March 2014, 20 patients with PIPJ fracture-dislocation were treated with our technique. Function scores according to the Michigan Hand Outcome Questionnaire (MHQ) score, union time, grip strength, and range of motion (ROM) were recorded before and after treatment. Read More

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http://dx.doi.org/10.1177/0300060519826821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460624PMC
April 2019
2 Reads

[Fractures of the patella].

Chirurg 2019 Mar;90(3):243-254

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

With 1% of all skeletal fractures patellar fractures are rare. The majority of cases are caused by a direct trauma to the flexed knee. The diagnosis is made via the injury mechanism as well as the physical and radiological findings. Read More

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http://dx.doi.org/10.1007/s00104-019-0797-4DOI Listing
March 2019
3 Reads

Replacement or repair of terrible triad of the elbow: A systematic review and meta-analysis.

Medicine (Baltimore) 2019 Feb;98(6):e13054

Department of Surgery, College of Clinical Medicine, Dali University, Dali 671000,Yunnan Province, China.

Background: Surgical treatment for terrible triad injuries remains a challenging clinical problem, and controversy exists of whether it is better to repair or replace the radial head. The objective of this systematic review was to evaluate the clinical outcomes of repair and arthroplasty replacement of the radial head in patients with terrible triad injury.

Methods: Medline, Cochrane Library, EMBASE, and Google Scholar were searched up to July 30, 2018 to identify the relevant studies, which included patients who had received treatments of the terrible triad of the elbow and also had reported with the quantitative outcomes. Read More

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http://dx.doi.org/10.1097/MD.0000000000013054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380772PMC
February 2019
18 Reads

[Recommendations for the Diagnostic Testing and Therapy of Atlas Fractures].

Z Orthop Unfall 2019 Feb 5. Epub 2019 Feb 5.

Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle (Saale).

In a consensus process with four sessions in 2017, the working group on "the upper cervical spine" of the German Society for Orthopaedic and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Fractures to the Upper Cervical Spine", incorporating their own experience and current literature. The following article describes the recommendations for the atlas vertebra. About 10% of all cervical spine injuries include the axis vertebra. Read More

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http://dx.doi.org/10.1055/a-0809-5765DOI Listing
February 2019
5 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

OLVG, locatie Oost, afd. Plastische, Reconstructieve en Handchirurgie, Amsterdam.

A 7-year-old girl was seen at the ER with severe pain of her index finger after twisting her hand whilst performing a handstand. Physical examination and X-rays showed an isolated dorsal dislocation of the metacarpophalangeal joint, also known as a Kaplan's lesion. A Kaplan's lesion is a complex dislocation with volar plate interposition. Read More

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January 2019
3 Reads

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.031DOI Listing
February 2019
2 Reads

Ulnar hemimelia: a report of four cases.

Skeletal Radiol 2019 Feb 2. Epub 2019 Feb 2.

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

Ulnar hemimelia is a very rare skeletal abnormality characterized by the total or partial absence of the ulna. It is reported to occur in approximately 1 per 150,000 live births. Some shortening of the forearm, radial bowing, and tendency of the hand to drift to the ulnar side of the wrist usually accompany ulnar hemimelia. Read More

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http://dx.doi.org/10.1007/s00256-019-3167-xDOI Listing
February 2019
8 Reads

Nerve transfers for peripheral nerve injury in the upper limb: a case-based review.

Bone Joint J 2019 02;101-B(2):124-131

Division of Hand Surgery, Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.

Nerve transfer has become a common and often effective reconstructive strategy for proximal and complex peripheral nerve injuries of the upper limb. This case-based discussion explores the principles and potential benefits of nerve transfer surgery and offers in-depth discussion of several established and valuable techniques including: motor transfer for elbow flexion after musculocutaneous nerve injury, deltoid reanimation for axillary nerve palsy, intrinsic re-innervation following proximal ulnar nerve repair, and critical sensory recovery despite non-reconstructable median nerve lesions. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
Publisher Site
http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0839.R1DOI Listing
February 2019
11 Reads

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.

Plast Reconstr Surg 2019 02;143(2):503-510

Salt Lake City, Utah From the Department of Orthopaedics, Division of Public Health, and the Department of Pediatric Research Enterprise, School of Medicine, University of Utah.

Background: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition.

Methods: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352723PMC
February 2019
2 Reads

The use of static progressive and serial static orthoses in the management of elbow contractures after complex fracture dislocation injuries: A pediatric case study.

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

Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.

Introduction: Contractures are the most common complication after traumatic injury to the elbow. Although evidence supporting the use of static progressive and serial static orthoses to help recover range of motion after these complex injuries is growing, there is currently a paucity of literature exploring its efficacy in pediatric populations.

Case Description: The following case study presents the results of the use of static progressive and serial static orthoses with a young patient who presented with both elbow extension and flexion contractures after a complex fracture dislocation injury. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.004DOI Listing
January 2019
2 Reads

Hand dominance in traumatic shoulder dislocations.

JSES Open Access 2018 Jul 22;2(2):137-140. Epub 2018 May 22.

Western Orthopaedic Clinic and St John of God, Subiaco, WA, Australia.

Background: Shoulder dislocations are common injuries among athletes. Patients with instability after their injury often require stabilization procedures for treatment. The primary outcome measure was to see whether there was any correlation between the side of traumatic shoulder dislocation and dominance of hand. Read More

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http://dx.doi.org/10.1016/j.jses.2018.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334865PMC
July 2018
2 Reads

Shoulder apprehension: A multifactorial approach.

EFORT Open Rev 2018 Oct 24;3(10):550-557. Epub 2018 Oct 24.

Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.

Shoulder apprehension is related to changes in functional cerebral networks induced by dislocations, peripheral neuromuscular lesions and persistent mechanical glenohumeral instability consisting of micro-motion.All the damage to the osseous and soft-tissue stabilizers of the shoulder, as well as neurologic impairment persisting even after stabilization, must be properly identified in order to offer the best possible treatment to the patient.There is growing evidence supporting the use of a global multimodal approach, involving, on the one hand, shoulder 'reafferentation', including proprioception, mirror therapy and even cognitive behavioural approaches, and, on the other hand, surgical stabilization techniques and traditional physical therapy in order to minimize persistent micro-motion, which may help brain healing. Read More

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http://dx.doi.org/10.1302/2058-5241.3.180007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335591PMC
October 2018
2 Reads

New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation.

Case Rep Orthop 2018 13;2018:8515781. Epub 2018 Dec 13.

Department of Orthopedic Surgery, Juntendo University Urayasu Hospital, Chiba, Japan.

We developed a new fixation method that involves the insertion of two wires and external wire fixation using a metal clamp. The aim of this technique was to increase the stability and rigidity of conventional percutaneous Kirchner wire fixation. Here, we present a patient with dislocation of the fourth and fifth carpometacarpal joints who was satisfactorily treated with closed reduction and percutaneous fixation with a linking external wire fixator (Ichi-Fixator). Read More

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http://dx.doi.org/10.1155/2018/8515781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311754PMC
December 2018
2 Reads

Dorsal Metacarpophalyngeal Dislocations of Thumb in Children-Clues to the Clinical Decision Making and a Dorsal Approach to Open Reduction.

Authors:
P Baral

Kathmandu Univ Med J (KUMJ) 2018 Apr-Jun;16(62):191-195

Department of Orthopaedics, BP Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.

Dorsal Metacarpophalyngeal joint dislocation of thumb in children is a rare occurrence. All the three different types, namely Simple Complete, Complex Complete and Incomplete dislocations have been described in this article with clinical and radiological clues to differentiate the closely reducible (simple) dislocations from irreducible ones (complex). A simple approach to treatment decision making has been adopted for all cases, starting with attempt of closed reduction which if fails, moving to open reduction. Read More

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March 2019
2 Reads

Introduction of a self-holding retractor for optimized abdominal visualization in ventriculoperitoneal shunt surgery: first experiences at a single center.

Acta Neurochir (Wien) 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, University Hospital of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.

Objective: Ventriculoperitoneal shunt implantation is a common procedure in general neurosurgery. The patient population is often fragile, ranging from elderly to pediatric patients, and avoidance of perioperative complication is of utmost importance. Abdominal catheter dislocation has been found to be a common cause for early shunt dysfunction and needs to be avoided by optimal visualization of the abdominal catheter insertion zone. Read More

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http://dx.doi.org/10.1007/s00701-018-03794-0DOI Listing
January 2019
6 Reads