5,176 results match your criteria Hand Dislocation


Complications and range of motion of patients with an elbow dislocation treated with a hinged external fixator: a retrospective cohort study.

Eur J Trauma Emerg Surg 2022 Jun 25. Epub 2022 Jun 25.

Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Purpose: Elbow dislocations are at risk for persistent instability and stiffness of the joint. Treatment with a hinged external fixation provides elbow joint stability, and allows early mobilization to prevent stiffness. Mounting a hinged elbow fixator correctly, however, is technically challenging. Read More

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Concomitant Glenolabral Articular Disruption (GLAD) Lesion is Not Associated With Inferior Clinical Outcomes After Arthroscopic Bankart Repair for Shoulder Instability: A Retrospective Comparative Study.

Arthrosc Sports Med Rehabil 2022 Jun 31;4(3):e1015-e1022. Epub 2022 Mar 31.

Steadman Philippon Research Institute, Vail, Colorado.

Purpose: The purpose of this study was to compare outcomes between anterior shoulder instability patients with and without glenolabral articular disruption (GLAD) lesions after undergoing arthroscopic Bankart repair and to evaluate potential risk factors for inferior outcomes and recurrent instability.

Methods: Prospectively collected data were retrospectively reviewed for patients who underwent arthroscopic Bankart repair with and without GLAD lesions at a minimum of 2 years follow-up. Consecutive patients were matched by age, sex, and number of anchors. Read More

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Probing the Mechanical Properties of Porous Nanoshells by Nanoindentation.

Nanomaterials (Basel) 2022 Jun 10;12(12). Epub 2022 Jun 10.

Centro para el Desarrollo de la Nanociencia y la Nanotecnología, CEDENNA, Avda. Ecuador 3493, Santiago 9170124, Chile.

In this contribution, we present a study of the mechanical properties of porous nanoshells measured with a nanoindentation technique. Porous nanoshells with hollow designs can present attractive mechanical properties, as observed in hollow nanoshells, but coupled with the unique mechanical behavior of porous materials. Porous nanoshells display mechanical properties that are dependent on shell porosity. Read More

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Terrible triad injury of the elbow: A PROCESS-compliant surgical case series from Eastern Morocco.

Ann Med Surg (Lond) 2022 Jun 4;78:103914. Epub 2022 Jun 4.

Department of Traumatology and Orthopedics, Mohammed VI University Hospital, Oujda, Morocco.

Introduction: The terrible triad of the elbow (TTE) is a lesion associating a dislocation of the elbow, a fracture of the radial head, and a fracture of the coronoid process, with a high potential of complication. The treatment is based on the restoration of bone lesions and external capsular ligament repair. The systematic repair of the medial collateral ligament (MCL) is still debated in the literature. Read More

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Pancarpal dissociation, a very rare type of injury: A case report.

Medicine (Baltimore) 2022 Jun 17;101(24):e29479. Epub 2022 Jun 17.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Pan-carpal dissociation is very rare injury and there is little information as to diagnosis, treatment, and prognosis of this injury.

Patient Concerns: A 35-year-man presented to our hospital with severe pain and swelling of the left wrist and forearm after slipping and falling while riding a motorcycle.

Diagnosis: The wrist simple radiographs demonstrated unrecognizable severe fracture-dislocation of the carpal bones concomitant with fractures of the radioulnar shaft. Read More

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Simultaneous Bilateral Chronic Volar Lunate Dislocation: A Case Report.

JBJS Case Connect 2022 04 15;12(2). Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.

Case: A 24-year-old professional judo competitor suffered injuries to both the wrists when he fell on his back while lifting a 90-kg barbell in the bilateral dorsiflexed wrist position. Simultaneous bilateral volar lunate dislocation had been missed for a year. The degenerated lunates were simultaneously removed using a palmar approach. Read More

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Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation.

Tech Hand Up Extrem Surg 2022 Apr 5. Epub 2022 Apr 5.

Department of First Orthopaedic, Georgios Papanikolaou Hospital, Aristotle University, Thessaloniki.

The task of achieving a good clinical outcome on patients with chronic elbow dislocation is arduous. Any stabilization method used should be robust enough in order to allow for early elbow motion. Immobilization of the elbow for a prolonged time period may lead to stiffness and heterotopic ossification. Read More

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Outcomes in Ballistic Injuries to the Hand: Fractures and Nerve/Tendon Damage as Predictors of Poor Outcomes.

Hand (N Y) 2022 Jun 13:15589447221092111. Epub 2022 Jun 13.

Children's Hospital of The King's Daughters, Norfolk, VA, USA.

Background: Gunshot injuries can be devasting, regardless of their location. However, ballistic injuries involving the upper extremity have not been thoroughly investigated. The goal of this study is to evaluate the injury patterns and outcomes of patients who sustained gunshot injuries to the hand. Read More

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Medial Epicondyle Fracture in Children and Its Association with Increased Carrying Angle.

Int J Clin Pract 2022 31;2022:6414247. Epub 2022 Jan 31.

Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: This study aimed to evaluate the injury mechanism of medial epicondylar fractures in children and adolescents and its association with increased carrying angle (CA) as a predisposing factor.

Materials And Methods: We evaluated 37 patients with medial epicondylar fractures who were surgically treated at our institution. Medical records and plain radiographs were reviewed to determine the mechanism of injury and the humerus-elbow-wrist angle (HEWA) and CA of the uninjured arm. Read More

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Pyrocardan® interpositional arthroplasty for trapeziometacarpal osteoarthritis: a minimum four year follow-up.

Int Orthop 2022 Jun 8. Epub 2022 Jun 8.

Department of Public Health, Division of Orthopaedic Surgery, Federico II" University, Via S. Pansini 5, bd. 12, 80131, Naples, Italy.

Background: Pyrocardan® (Wright Medical-Tornier) is a pyrocarbon implant proposed in the treatment of trapeziometacarpal joint (TMCJ) osteoarthritis. Our aim was to assess the clinical and radiographic results after Pyrocardan® arthroplasty at midterm follow-up.

Methods: In this prospective monocentric study, we enrolled 119 patients treated with Pyrocardan® for TMCJ osteoarthritis and followed up at a minimum of four years. Read More

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Acute Thumb Reconstruction With Medial Femoral Condyle and Radial Forearm Free Flaps: A Case Report.

Hand (N Y) 2022 Jun 6:15589447221096705. Epub 2022 Jun 6.

Division of Plastic Surgery, University of British Columbia, Vancouver, Canada.

Traumatic thumb injuries often result in significant functional disability. With segmental bone loss, reconstructive options include antibiotic cement with delayed bone graft, revision amputation with webspace deepening, metacarpal distraction osteogenesis, index pollicization, bone flap, and free toe transfer. We present a case of a subtotal thumb amputation just distal to the metacarpal phalangeal joint resulting in loss of both soft tissue and a segmental bone defect of the proximal and distal phalanx. Read More

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A Novel Prescription Method Reduces Postoperative Opioid Distribution and Consumption: A Randomized Clinical Trial.

Hand (N Y) 2022 Jun 3:15589447221096709. Epub 2022 Jun 3.

University of Iowa Hospitals and Clinics, Iowa City, USA.

Background: Prescription opioid abuse in the United States has risen substantially over the past 2 decades. Narcotic prescription refill restrictions may paradoxically be contributing to this epidemic. We investigated a novel, refill-based opioid prescription method to determine whether it would alter postoperative narcotic distribution or consumption. Read More

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Posttreatment Imaging of the Wrist and Hand: Update 2022.

Semin Musculoskelet Radiol 2022 Jun 2;26(3):295-313. Epub 2022 Jun 2.

Department of Orthopaedic Surgery, University of Arizona, Tucson, Arizona.

Common indications for surgical procedures of the wrist and hand include acute fractures or fracture-dislocations; nonunited fractures; posttraumatic, degenerative, and inflammatory arthritides and tendinopathies; injuries to tendons, ligaments, and the triangular fibrocartilage complex; and entrapment neuropathies. Soft tissue or osseous infections or masses may also need surgical treatment. Several of these procedures require surgical hardware placement, and most entail clinical follow-up with periodic imaging. Read More

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Floating phalanx; simultaneous double dislocation of the interphalangeal joint in a finger: A case report and literature review.

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):876-878

Department of Orthopedics and Traumatology, Marmara University Pendik Training and Research Hospital, İstanbul-Turkey.

Isolated proximal and distal interphalangeal joint (DIPJ) dislocations are widely seen as a result of sporting injuries and major trauma. The combination of dorsal dislocation of the DIPJ in the same finger concomitant to traumatic dorsal dislocation of the proximal interphalangeal joint (PIPJ) is a rarely seen injury. The case is, here, presented of a 65-year-old female patient with proximal and DIPJ dislocation of the right-hand ring finger accompanied by volar and dorsal plate injuries in the proximal and distal joints. Read More

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Association of Acute Trapeziometacarpal Joint Dislocation and Trapezium Fracture in a 14-Year-Old Boy: A Case Report.

Hand (N Y) 2022 Jun 1:15589447221092121. Epub 2022 Jun 1.

ASST Sette Laghi, Varese, Italy.

Fracture-dislocation of the trapeziometacarpal (TM) joint in adolescent patients is a rare injury, with only 3 cases reported in literature to our knowledge. Its low incidence, together with the complexity of the anatomy and biomechanics of TM joint, may represent a challenge for surgeons in choosing the best treating option. Here, we report a case of a TM fracture dislocation in a 14-year-old boy treated with percutaneous Kirschner wire pinning. Read More

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Long-term outcomes after extension block pinning for fracture-dislocations of the proximal interphalangeal joint.

J Hand Surg Eur Vol 2022 May 31:17531934221102251. Epub 2022 May 31.

Department of Hand Surgery, Töölö Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.

Level Of Evidence: IV. Read More

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Risk factors for fracture-related infection after open reduction and internal fixation of proximal humerus fractures: A multicenter retrospective study of 496 fractures (TRON group study).

Injury 2022 Jul 27;53(7):2573-2578. Epub 2022 May 27.

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

Introduction: One of the complications of the surgical therapy for proximal humerus fractures is fracture-related infection (FRI). This multicenter study aimed to investigate the incidence of FRI and clarify the risk factors associated with FRI in patients receiving open reduction and internal fixation for proximal humerus fracture.

Material And Methods: Among 684 patients diagnosed as having proximal humerus fracture and who were treated by surgical therapy in 13 institutions (named TRON group) from 2015 through 2020, 496 patients (men, n = 134, women, n = 362; mean [SD] age, 68. Read More

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Late Presentation of Palmar Dislocation of the Fifth Metacarpal Bone: Review of the Literature, Treatment Algorithm, and Case Report.

J Orthop Case Rep 2022 Jan;12(1):84-88

Department of Hand and Microsurgery, Hospital Universitario Fundación Santa Fe de, Bogotá, Colombia.

Introduction: Isolated palmar carpometacarpal dislocation of the small finger is infrequent, this injury often goes unnoticed in the evaluation at the emergency room, for which physical evaluation and X-ray findings can avoid missing this diagnosis. We describe a case report and propose a treatment algorithm for isolated dislocations of the carpometacarpal joint of the fifth finger to the palmar that is not diagnosed and treated early, using this algorithm, the surgeon will have a vision of the probable best treatment option.

Case Presentation: A 50-year-old with late presentation of palmar dislocation of the fifth metacarpal bone, the diagnosis that went unnoticed in the initial emergency assessment. Read More

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January 2022

Perilunate dislocation and fracture dislocation of the wrist: outcomes and long-term prognostic factors.

Orthop Traumatol Surg Res 2022 May 21:103332. Epub 2022 May 21.

Orthopedic surgery of the upper limb, hand and peripheral nerve surgery, CHU Lapeyronie, 371 Avenue du Doyen Gaston Giraud, 34090 Montpellier, France.

Introduction: Perilunate dislocations and fracture-dislocations are severe injuries that often have serious functional sequelae. Our goal was to evaluate the long-term clinical and radiological results of these perilunate injuries, and to look for prognostic factors of a poor clinical outcome.

Hypothesis: All patients who suffered perilunate injuries in their wrist have functional sequelae and long-term radiographic changes despite optimal treatment with anatomical surgical reduction. Read More

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Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report.

Medicine (Baltimore) 2022 May 20;101(20):e29043. Epub 2022 May 20.

Affiliated Dongguan Hospital, Southern Medical University, Dongguan, Guangdong Province, China.

Rationale: Thumb function is one of the most fundamental components of hand function, and a vast majority of hand functions are derived from thumb motion. Injury of the thumb interphalangeal joint has a tremendous impact on the function of the thumb, and damage to the thumb interphalangeal joint (IPJ) caused by trauma is usually accompanied by dislocation of the surrounding skin; therefore, it is particularly important to restore the thumb anatomy and skin coverage.

Patient Concerns: A 41-year-old woman presented with IPJ disfigurement accompanied by a local skin defect caused by machine compression of her right thumb. Read More

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Fracture Dislocations of the Proximal Humerus Treated with Open Reduction and Internal Fixation: A Systematic Review.

J Shoulder Elbow Surg 2022 May 20. Epub 2022 May 20.

Department of Orthopedic Surgery, Tufts Medical Center, Boston, MA, USA. Electronic address:

Background: The treatment of proximal humerus fracture-dislocations can be challenging given the extensive injury to the proximal humeral anatomy and increased risk of devascularization of the humeral head often seen in these injuries. The purpose of this study is to undertake a systematic review of the literature on the functional outcomes, rate of revision, and short- and long-term complications for proximal humerus fracture-dislocations treated with open reduction and internal fixation (ORIF).

Methods: The PubMed and OVID Embase databases were queried for literature reporting on proximal humerus fracture dislocations treated with ORIF. Read More

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Extension Block Pinning Vs Single Kirshner Wiring To Treat Bony Mallet Finger. A Retrospective Study.

Acta Biomed 2022 03 10;92(S3):e2021535. Epub 2022 Mar 10.

Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Roma, Italia..

Background And Aim: Bony Mallet Finger or Mallet Fracture is a common injury of the hand, which follows a forced flexion of the extended distal interphalangeal joint, that leads to a bony avulsion of the distal phalanx. Depending on fracture extension and dislocation, those lesions can either be treated conservatively or surgically. Several surgical options have been described in the literature. Read More

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Total Joint Arthroplasty of a Proximal Interphalangeal Joint with Proximal Metal Surface Replacement and Distal Hemi-Hamate Autograft: A Long-Term Follow-Up.

J Hand Surg Glob Online 2022 May 3;4(3):189-193. Epub 2022 Mar 3.

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.

A 28-year-old female recreational athlete presented with middle finger proximal interphalangeal joint pain, stiffness, and ulnar deviation deformity 2 years after internal fixation of a middle phalanx base fracture-dislocation. Radiographs revealed posttraumatic changes on both sides of the proximal interphalangeal joint. Having failed nonsurgical measures, she elected to proceed with surgical reconstruction. Read More

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Effect of activated chlorhexidine and irritrol with photon-induced-photoacoustic-streaming and EDDY on the dislocation resistance of biodentine.

Niger J Clin Pract 2022 May;25(5):670-676

Department of Endodontics, Faculty of Dentistry, Necmettin Erbakan University, Konya, Turkey.

Background: Irrigant activation techniques, which are more effective in anatomically complex areas, can be used to maximize irrigant efficacy.

Aim: This in vitro study aimed to evaluate the efficacy of different agitation techniques on the dislocation resistance of Biodentine to the root canal dentin.

Materials And Methods: Seventy single-rooted teeth divided into seven experimental groups (n = 10); Group I-Irritrol/Photon-induced-photoacoustic-streaming (PIPS), Group II-Irritrol/EDDY, Group III- Irritrol/Syringe-needle-irrigation (SNI), Group IV-Chlorhexidine-gluconate (CHX)/PIPS, Group V-CHX/EDDY, Group VI-CHX/SNI, Group VII-Saline. Read More

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Locking plate osteosynthesis of scaphoid nonunion with severe bone defects: a case series.

Sci Rep 2022 May 19;12(1):8379. Epub 2022 May 19.

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.

The treatment of scaphoid nonunion can be challenging with increasing defect size. We evaluated the outcome of scaphoid nonunion with a substantial bone defect treated with a multidirectional locking plate combined with cancellous bone grafting only. Thirteen patients with significant osseous defects measuring 6 mm or more suffering from primary nonunion without treatment (n = 6) or recalcitrant nonunion following Herbert screw osteosynthesis (n = 7) were treated and reviewed retrospectively. Read More

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Traumatic Lens Dislocation in an Eye with Anterior Megalophthalmos.

Authors:
Huda AlGhadeer

Case Rep Ophthalmol Med 2022 9;2022:6366949. Epub 2022 May 9.

King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Anterior megalophthalmos is a rare, bilateral, nonprogressive, hereditary, congenital disorder characterized by the enlargement of all anterior segment structures of the eye, with megalocornea, iris atrophy, and zonular abnormalities. We report a case of an 8-year-old male who presented to the emergency department with a history of visual loss after a blunt ocular trauma to the left eye. The patient presented with markedly enlarged corneas and deepened anterior chambers bilaterally. Read More

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Direct anterior approach hip arthroplasty: How to reduce complications - A 10-years single center experience and literature review.

World J Orthop 2022 Apr 18;13(4):388-399. Epub 2022 Apr 18.

Department of Orthopedic Trauma, SS Annunziata Hospital, Savigliano 12038, Italy.

Background: The direct anterior approach for total hip arthroplasty (DAA-THA) is increasing in popularity due to some advantages such as less surgical trauma, minimal dissection of soft tissues, shorter rehabilitation times, faster return to daily activities, lower incidence of dislocation. On the other hand, the literature reports a high rate of intraoperative complications, with many different rates and complication types in the published papers.

Aim: To analyze our complications comparing results with the literature; to report measures that we have taken to reduce complications rate. Read More

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Greater tuberosity fractures are not a continuation of Hill-Sachs lesions, but do they have a similar etiology?

JSES Int 2022 May 12;6(3):396-400. Epub 2022 Jan 12.

Shoulder and Elbow Unit, Joint Research, OLVG, Amsterdam, the Netherlands.

Background: It is unclear whether greater tuberosity fractures (GTF) in the setting of a shoulder dislocation are due to an avulsion of the rotator cuff or a result of an extensive Hill-Sachs lesion (HSL). To explore whether these lesions have similar etiology, the primary aim of this study is to compare the postinjury morphology of the proximal humerus after GTF and HSL.

Methods: Computed tomography scans of 19 patients with HSL and 18 patients with GTF after first-time shoulder dislocations were analyzed. Read More

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The "Hand as Foot" teaching method in the patellar dislocation.

Asian J Surg 2022 May 11. Epub 2022 May 11.

Inner Mongolia Medical University, Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China.

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The "Hand as Foot" teaching method in shoulder dislocation.

Asian J Surg 2022 May 10. Epub 2022 May 10.

Inner Mongolia Medical University, Department of Orthopedics, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, 010050, China. Electronic address:

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