498 results match your criteria Joint Reduction Finger Dislocation


[Effect of decoction (, BYHWD) on X-ray evaluation of early callus and level of serum alkaline phosphatase in elderly patients with Colles fracture after manual reduction and splint external fixation].

Zhongguo Gu Shang 2020 Mar;33(3):241-6

The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410208, Hunan, China.

Objective: To explore effects of Decoction (, BYHWD) on early callus X-ray evaluation and level of serum alkaline phosphatase in elderly patients with Colles fracture after manual reduction and splint external fixation.

Methods: From October 2016 to October 2018, 60 elderly patients with Colles fractures were treated with manual reduction and splint external fixation and were divided into experimental group and control group. There were 30 patients in control group, including 15 males and 15 females; aged from 56 to 75 years old with an average of (67. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.03.011DOI Listing

Percutaneous pinning for treating distal radial fractures in adults.

Cochrane Database Syst Rev 2020 02 7;2:CD006080. Epub 2020 Feb 7.

Cairo University, KasrAlAiny School of Medicine, Cairo, Egypt.

Background: Fracture of the distal radius is a common clinical problem. A key method of surgical fixation is percutaneous pinning, involving the insertion of wires through the skin to stabilise the fracture. This is an update of a Cochrane Review published in 2007. Read More

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http://dx.doi.org/10.1002/14651858.CD006080.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007181PMC
February 2020

Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger.

J Orthop Surg Res 2019 Dec 21;14(1):459. Epub 2019 Dec 21.

Department of Orthopedics, The Forth Medical Center of the General Hospital of People's Liberation Army of China, Haidian District, Beijing, China.

Background: The management of old bony mallet fingers is complicated. The aim of the study is to present a new method of open reduction and compression with double Kirschner wires (K-wires) in treating old bony mallet fingers.

Methods: This was a retrospective analysis of patients with old closed bony mallet fingers treated between June 2013 and December 2016. Read More

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http://dx.doi.org/10.1186/s13018-019-1513-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925853PMC
December 2019
1.577 Impact Factor

A Novel External Fixation Technique for Injuries of the Proximal Interphalangeal Joint.

Tech Hand Up Extrem Surg 2019 Dec;23(4):176-181

Department of Orthopaedic Surgery, University of Alabama, Birmingham, AL.

Digital external fixation is often used for the management of complex injuries involving the proximal interphalangeal joint, including pilon fractures of the middle phalanx base and unstable fracture-dislocations. Several dynamic "homemade" constructs have been described which utilize only K-wires and rubber bands and allow early range of motion within the construct. Although these constructs are inexpensive and their application is fairly straightforward, their designs pose a few potential problems when the construct is stressed during rehabilitation efforts. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000250DOI Listing
December 2019

Modified Hemihamate Arthroplasty With Oblique Osteotomy of the Middle Phalanx Base to Reconstruct Proper Contour of the Articular Surface.

Tech Hand Up Extrem Surg 2020 Jun;24(2):79-84

Hand Surgery Center, National Hospital Organization Murayama Medical Center, Musashimurayama City, Tokyo, Japan.

Treatments of unstable dorsal fracture dislocations of the proximal interphalangeal (PIP) joint are very challenging. The authors performed modified hemihamate arthroplasty for these injuries in 13 patients (13 fingers). Our surgical technique was unique in the point that we put volarly oblique osteotomy in the coronal plane at the recipient site to create an adequate reconstruction of the volar lip of the articular surface of the middle phalanx. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000268DOI Listing
June 2020
1 Read

Single versus dual Kirschner wires for closed reduction and intramedullary nailing of displaced fractures of the fifth metacarpal neck (1-2 KiWi): a randomized controlled trial.

Bone Joint J 2019 10;101-B(10):1263-1271

Department of Research, Business Division Medicine, BG Kliniken - Klinikverbund der gesetzlichen Unfallversicherung gGmbH, Berlin, Germany.

Aims: The aim of this study was to investigate whether clinical and radiological outcomes after intramedullary nailing of displaced fractures of the fifth metacarpal neck using a single thick Kirschner wire (K-wire) are noninferior to those of technically more demanding fixation with two thinner dual wires.

Patients And Methods: This was a multicentre, parallel group, randomized controlled noninferiority trial conducted at 12 tertiary trauma centres in Germany. A total of 290 patients with acute displaced fractures of the fifth metacarpal neck were randomized to either intramedullary single-wire (n = 146) or dual-wire fixation (n = 144). Read More

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http://dx.doi.org/10.1302/0301-620X.101B10.BJJ-2019-0410.R1DOI Listing
October 2019
2 Reads

Surgical Management of Proximal Interphalangeal Joint Fracture-Dislocations: A Review of Outcomes.

Hand (N Y) 2019 Sep 13:1558944719873152. Epub 2019 Sep 13.

University of Pittsburgh Medical Center, PA, USA.

Treatment of proximal interphalangeal joint (PIPJ) fracture-dislocations is difficult given the potential long-term complications of the involved finger and entire hand. Several surgical methods have been utilized for management of these injuries, none of which have shown consistently favorable results. The purpose of this systematic review of the literature is to report the post-operative outcomes of multiple treatment modalities for PIPJ fracture-dislocations in various studies. Read More

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http://journals.sagepub.com/doi/10.1177/1558944719873152
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http://dx.doi.org/10.1177/1558944719873152DOI Listing
September 2019
3 Reads

Iatrogenic displacement of the metacarpal head of the index finger while attempting closed reduction of a complex dorsal metacarpophalangeal joint dislocation.

Trauma Case Rep 2019 Oct 28;23:100243. Epub 2019 Aug 28.

Department of Orthopaedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.

We describe the case of an 84-year-old woman with a dorsal dislocation of the metacarpophalangeal (MCP) joint of the left index finger. Closed reduction was performed at an orthopaedic clinic which led to an iatrogenic complete displacement of the second metacarpal head to the volar side. Because reduction was impossible, surgery was performed. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727105PMC
October 2019
1 Read

Complex metacarpophalangeal joint dislocation of the litter finger: A sesamoid bone seen within joint. What does it mean?

Trauma Case Rep 2019 Oct 25;23:100225. Epub 2019 Jul 25.

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), University Mohamed V Faculty of Medecine and Pharmacy, BP 10100 Rabat, Morocco.

Dislocation of the metacarpophalangeal joint is a rare injury. The index finger is most frequently involved, followed by the thumb; the little finger is very seldom affected. The Complex dislocation of the little finger metacarpophalangeal joint is extremely rare. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664224PMC
October 2019
5 Reads

Pure divergent dislocation of the index and middle finger carpometacarpal joints: A rare case.

Trauma Case Rep 2019 Oct 18;23:100222. Epub 2019 Jul 18.

Department of Orthopaedic Surgery & Traumatology II, Military Hospital Mohammed V, Rabat 10100, Morocco.

A pure divergent dislocation involving the index and middle finger carpometacarpal joints is an extremely rare injury. We present a case of 21-year-old military man, victim of a motor vehicle accident, admitted at the emergency department unable to move his left hand with major swelling. X-rays and CT scan showed a dorsal dislocation of second and palmar dislocation of the third carpometacarpal joints without associated fracture, In the Operating room under general anesthesia, patient underwent closed reduction and internal fixation with percutaneous K-Wires followed by cast immobilization during 6 weeks. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6656699PMC
October 2019
5 Reads

[Percutaneous treatment of unstable fractures of the base of the middle phalanx : Technique according to Hintringer and Ender].

Oper Orthop Traumatol 2019 Oct 25;31(5):384-392. Epub 2019 Jul 25.

AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, 1200, Wien, Österreich.

Objective: Reconstruction of intra-articular impression fractures of the middle phalanx by percutaneous reduction over a small dorsal cortical window. Stabilization by lattice-like arranged K‑wires.

Indications: Impression fractures of the base of the middle phalanx with or without dislocation in the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1007/s00064-019-0621-9DOI Listing
October 2019
4 Reads

Irreducible Dorsal Distal Interphalangeal Joint Dislocation of Finger: A Case Report and Perspectives on Management.

Cureus 2019 May 2;11(5):e4588. Epub 2019 May 2.

Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

Irreducible closed dorsal dislocation of distal interphalangeal (DIP) joint of the finger is a rare injury. The causes of irreducibility of the DIP joint are volar plate interposition, entrapment of flexor digitorum profundus tendon behind the head of middle phalanx, and buttonholing of the middle phalanx head through the volar plate or flexor tendon. Open reduction with a volar approach is recommended with the advantages of better wound healing, ease of releasing entrapped structures, and possibilities of a volar plate, collateral ligaments, and/or flexor tendon repair. Read More

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http://dx.doi.org/10.7759/cureus.4588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609283PMC
May 2019
1 Read

Open Reduction Internal Fixation of a Medial Epicondyle Avulsion Fracture With Incarcerated Fragment.

J Orthop Trauma 2019 Aug;33 Suppl 1:S9-S10

Cooper University Hospital, Camden, NJ.

Purpose: The purpose of this video is to present a technique for open reduction and internal fixation of a displaced unstable medial epicondyle avulsion fracture.

Method: A 13-year-old boy presented 2 days after injury at our institution after sustaining a medial epicondyle avulsion fracture with incarcerated fragment and posterolateral dislocation of the elbow after a fall off a fence. He described paresthesia in the ulnar nerve distribution and demonstrated slight weakness to intrinsic hand strength on examination. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001530DOI Listing
August 2019
2 Reads

Carpometacarpal Fracture-Dislocations: A Retrospective Review of Injury Characteristics and Radiographic Outcomes.

Hand (N Y) 2019 Jun 11:1558944719852743. Epub 2019 Jun 11.

1 The University of Oklahoma, Oklahoma City, USA.

The purpose of this study was to evaluate the demographics and early radiographic treatment outcome of patients with carpometacarpal (CMC) injuries at our institution over a 10-year period. We conducted a retrospective review of all patients who sustained CMC injuries of the second to fifth digits between 2005 and 2015. We recorded demographic data, mechanisms of and associated injuries, treatment methods, and complications. Read More

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http://dx.doi.org/10.1177/1558944719852743DOI Listing
June 2019
9 Reads

Modified Transosseous Wiring Technique for Neglected Fracture-Dislocation of the Proximal Interphalangeal Joint.

Clin Orthop Surg 2019 Jun 9;11(2):220-225. Epub 2019 May 9.

Department of Orthopaedic Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea.

Background: Fracture-dislocation of the proximal interphalangeal (PIP) joint of the finger is challenging due to the high risk of stiffness. The purpose of this study is to evaluate the clinical and radiological results of a modified transosseous wiring technique for the management of chronic fracture-dislocations of the PIP joint.

Methods: Ten patients (nine men and one woman; mean age, 38. Read More

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http://dx.doi.org/10.4055/cios.2019.11.2.220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526134PMC
June 2019
7 Reads

The Lateral Approach in the Surgical Treatment of a Complex Dorsal Metacarpophalangeal Joint Dislocation of the Index Finger.

Case Rep Orthop 2019 10;2019:1063829. Epub 2019 Apr 10.

Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.

Complex dorsal metacarpophalangeal (MCP) joint dislocations as a result of hyperextension injuries are uncommon in the pediatric population and irreducible to closed maneuvers. Treatment of these complex lesions is invariably surgical, and dorsal or volar approaches are traditionally used. The authors describe a case of a 16-year-old male who suffered a fall onto his outstretched right hand in a soccer game. Read More

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http://dx.doi.org/10.1155/2019/1063829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481117PMC
April 2019
8 Reads

Isolated Radial Nerve Palsy as a Complication After Anterior Dislocation of the Glenohumeral Joint: A Case Report and Clinical Review.

J Investig Med High Impact Case Rep 2019 Jan-Dec;7:2324709619844289

1 General Hospital of Heraklion-Venizeleio, Crete, Greece.

Shoulder dislocation is the most common feature in emergencies, while the anterior dislocation of the glenohumeral joint is the most frequent and requires reduction. Accompanied nerve injury is common with an incidence of 21%, while radial nerve palsy is very rare. We describe the case of a 56-year-old man who presented with an anterior dislocation of the left shoulder due to a fall on an outstretched hand with wrist drop 8 hours after injury. Read More

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http://dx.doi.org/10.1177/2324709619844289DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537276PMC
May 2020
9 Reads

Concurrent Index-to-Little Finger Dorsal Dislocations of the Carpometacarpal Joints with Carpal Bone Fractures.

Indian J Orthop 2019 Mar-Apr;53(2):374-376

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

A 32-year-old man presented with simultaneous dorsal dislocations of the index-to-little finger carpometacarpal (CMC) joint with carpal bone fractures. Closed reduction was unsuccessful even after general anesthesia. During open dorsal approach, we found interposed joint capsule in the CMC joints and after removal of the joint capsule open reduction was easily achieved. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_550_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415555PMC
April 2019
6 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
24 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
12 Reads

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
9 Reads

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
8 Reads

Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature.

J Orthop Case Rep 2018 Sep-Oct;8(5):29-31

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohamed V (HMIMV), BP 10100 Rabat, Morocco.

Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast.

Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367302PMC
February 2019
18 Reads

Comparison of Percutaneous Reduction and Pin Fixation in Acute and Chronic Pediatric Mallet Fractures.

J Pediatr Orthop 2019 Mar;39(3):146-152

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas, Dallas, TX.

Background: Although pediatric mallet fractures are more common than adult fractures, no techniques have focused on surgical fixation of pediatric mallet fractures. This study aims to describe the technique and results of percutaneous reduction and fixation in acute and chronic pediatric mallet fractures.

Methods: This is a retrospective review of 51 pediatric mallet fractures treated with percutaneous wire fixation from 2007 to 2014; 38 were acute fractures and 13 were chronic (>4 wk from injury). Read More

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http://dx.doi.org/10.1097/BPO.0000000000000896DOI Listing
March 2019
9 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 01 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
10 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
8 Reads

Simultaneous Metacarpophalangeal Dislocation and Carpometacarpal Fracture-Dislocation of the Ring Finger: A Case Report.

J Orthop Case Rep 2018 May-Jun;8(3):68-70

Department of Orthopedics and Traumatology, Istanbul University, Turkey, Istanbul.

Introduction: Fracture-dislocations of the carpometacarpal (CMC) joints are pretty uncommon injuries with an incidence of 1%. A 17-year-old male was referred due to multiple traumas following a car accident with Glasgow Coma Score of 9.

Case Report: Simultaneous metacarpophalangeal dislocation and CMC fracture-dislocation of the ring finger were present in the 4th finger (ring finger) of the right hand. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298718PMC
December 2018
11 Reads

Pediatric Complex Metacarpophalangeal Joint Dislocation of the Index Finger.

Ochsner J 2018 ;18(4):398-401

Department of Orthopedics, Ochsner Clinic Foundation, New Orleans, LA.

Background: Metacarpophalangeal (MCP) joint dislocations are the result of a hyperextension injury. Complex MCP joint dislocations-those that are irreducible to closed maneuvers and require surgical intervention-are considered uncommon, even in the pediatric population. Although several structures have been identified that contribute to irreducible dislocations, the volar plate is the most significant barrier to reduction through interposition into the MCP joint. Read More

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http://dx.doi.org/10.31486/toj.18.0032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292477PMC
January 2018
10 Reads

Locked Thumb Metacarpophalangeal Joint Caused by Entrapment of the Sesamoid Bone: A Report of 2 Cases.

Ann Plast Surg 2019 01;82(1S Suppl 1):S130-S135

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, and.

Locked thumb metacarpophalangeal joint caused by entrapment of the sesamoid bone is an uncommon entity. The intact volar plate, strong ligamentous attachment between the sesamoid bone and the joint, and altered axis of inserted muscle all contribute to failure of closed reduction. The patient's history, clinical presentation, and plain radiographic findings are all important clues to diagnosing this rare disease. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001702DOI Listing
January 2019
31 Reads

Use of dorsal buttress plate fixation for ulnar carpometacarpal joint fracture dislocations for early mobilization: outcomes of 11 cases.

Musculoskelet Surg 2019 Apr 22;103(1):77-82. Epub 2018 Oct 22.

Department of Hand Surgery, Singapore General Hospital, The Academia, 20 College Road, Singapore, 169856, Singapore.

Aim: This study reviews the surgical outcomes of using dorsal buttress plate for open reduction and internal fixation of ulnar (5th, or 4th and 5th) CMCJ fracture subluxation or dislocations.

Methods: A retrospective review of 11 patients at our center who underwent operative fixation with dorsal buttress plating technique was performed. The surgery was performed between February 2012 and March 2017. Read More

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http://link.springer.com/10.1007/s12306-018-0571-7
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http://dx.doi.org/10.1007/s12306-018-0571-7DOI Listing
April 2019
17 Reads

Joint distraction and early mobilization using a new dynamic external finger fixator for the treatment of fracture-dislocations of the proximal interphalangeal joint.

J Orthop Sci 2018 Nov 9;23(6):959-966. Epub 2018 Aug 9.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University Kasumi, 1-2-3, Minami-ku, Hiroshima, Hiroshima 734-8551, Japan.

Background: Dynamic external fixation is a useful treatment option for unstable fracture-dislocations of the proximal interphalangeal (PIP) joint, because it simultaneously reduces axial pressure load on the joint surface, maintains congruent joint reduction, and permits early joint motion. However, most current devices are large, hindering finger movement, and unstable. To address these problems, we developed a dynamic external finger fixator, named the Micro Ortho Fixator. Read More

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http://dx.doi.org/10.1016/j.jos.2018.07.013DOI Listing
November 2018
36 Reads

[Phalangeal fractures of the hand].

Ugeskr Laeger 2018 Aug;180(32)

Phalangeal fractures are common in all ages. Stable, extra-articular fractures can be treated non-operatively by closed reduction and buddy taping, while surgical fixation should be considered for unstable and displaced extra-articular fractures and most intra-articular fractures. The treatment should aim at early, active mobilisation in order to achieve the optimal functional outcome. Read More

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August 2018
18 Reads

Proposal of a New Dynamic Distraction Device to Treat Complex Periarticular Fractures of the Metacarpophalangeal Joint of Long Finger.

Hand (N Y) 2020 Jan 17;15(1):87-91. Epub 2018 Jul 17.

University Hospital of Pisa, Italy.

Complex periarticular fractures of the metacarpophalangeal joint (MCPJ) are often challenging to treat. Conservative and operative treatments are often burdened with stiffness, loss of function, and poor clinical outcome. These phenomena could be a direct consequence of long period of immobilization. Read More

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http://dx.doi.org/10.1177/1558944718787859DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966295PMC
January 2020
16 Reads

Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair.

Plast Reconstr Surg Glob Open 2018 May 18;6(5):e1729. Epub 2018 May 18.

Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland.

The "jammed finger" is among the most common hand injuries and may include simple sprains, dislocations, fractures, and fracture-dislocations. In contrast, irreducible dislocations of the proximal interphalangeal joint are rare injuries. However, they must not be overlooked in the primary assessment, because persistent subluxation may lead to joint contracture, severely compromising hand function. Read More

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http://Insights.ovid.com/crossref?an=01720096-201805000-0001
Publisher Site
http://dx.doi.org/10.1097/GOX.0000000000001729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999442PMC
May 2018
16 Reads

Bennett Fractures: A Biomechanical Model and Relevant Ligamentous Anatomy.

J Hand Surg Am 2019 Feb 8;44(2):154.e1-154.e5. Epub 2018 Jun 8.

Department of Orthopedic Surgery, Stanford Hospital and Clinics, Redwood City, CA.

Purpose: This study examined a palmar beak fracture model to determine which thumb carpometacarpal (CMC) joint ligament is the primary ligament relevant to the pattern of injury.

Methods: Six fresh-frozen cadaveric wrists were used. The radius, ulna, and first metacarpal were secured and tested with a materials testing system, holding the wrist in 20° extension, 20° ulnar deviation, and 30° palmar abduction of the first metacarpal. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.04.024DOI Listing
February 2019
37 Reads

Divergent dislocation of the carpometacarpal joints: a case report.

J Med Case Rep 2018 Jun 7;12(1):157. Epub 2018 Jun 7.

Orthopedic Surgery Department of Ibn Sina Hospital, University Mohamed V, Rabat, Morocco.

Background: Divergent carpometacarpal joint dislocations of the fingers are very rare. Due to severe swelling and overlapping of bones on a radiograph of the wrist and hand, dislocations are missed. The purpose of this clinical case report is to highlight this unusual injury to avoid missing diagnosis. Read More

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http://dx.doi.org/10.1186/s13256-018-1695-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991434PMC
June 2018
11 Reads

Isolated ulnopalmar dislocation of the fifth carpometacarpal joint.

BMJ Case Rep 2018 May 7;2018. Epub 2018 May 7.

Orthopaedic Surgery, HagaZiekenhuis, The Hague, The Netherlands.

Dislocations of the carpometacarpal (CMC) joints are uncommon and are frequently missed on standard radiographs of the hand. Dislocations could be dorsal or palmar; dorsal dislocations are seen more frequently. Palmar dislocations can be either ulnopalmar or radiopalmar. Read More

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http://dx.doi.org/10.1136/bcr-2018-225363DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950705PMC
May 2018
13 Reads

Management of Proximal Interphalangeal Joint Fracture Dislocations.

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.005DOI Listing
May 2018
16 Reads

Treating Proximal Interphalangeal Joint Dislocations.

Hand Clin 2018 05;34(2):139-148

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Hospitals, 5841 South Maryland Avenue, Room P-211, MC 3079, Chicago, IL 60637, USA. Electronic address:

Proximal interphalangeal (PIP) joint dislocation a common injury. Usually, concentric stable reduction can be achieved with closed reduction. Occasionally, PIP joint dislocations are irreducible and open reduction is necessary. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.004DOI Listing
May 2018
14 Reads

Treatment of dorsal fracture-dislocations of the proximal interphalangeal joint using the shotgun approach.

J Hand Surg Eur Vol 2018 Jun 28;43(5):499-505. Epub 2018 Mar 28.

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

This study assessed the outcome of open reduction and internal fixation of proximal interphalangeal joint fracture-dislocations through a shotgun approach, while keeping hemi-hamate arthroplasty as a back-up plan. After using the shotgun approach, fixation was carried out when the anterior fragment was large enough to accept two 1.5 mm screws. Read More

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http://dx.doi.org/10.1177/1753193418766274DOI Listing
June 2018
23 Reads

Fracture-dislocation of the proximal interphalangeal joint of the long fingers: Report of an unusual case requiring open surgery.

Hand Surg Rehabil 2018 06 21;37(3):191-194. Epub 2018 Mar 21.

SOS mains, hôpital Privé Dijon Bourgogne, 22, avenue François-Giroud, 21000 Fontaine-lDijon, FranceFontaine-l.

Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint of the long fingers are in most cases unstable. They require surgery, whose primary aim is to restore and maintain articular congruency. While numerous techniques exist to treat these injuries, none have been shown to be superior to any of the others in terms of outcomes and complications. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.01.005DOI Listing
June 2018
16 Reads

Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report.

Pan Afr Med J 2017 18;28:155. Epub 2017 Oct 18.

Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia.

The long fingers' paddlefish carpometacarpal (CMC) dislocation is exceptional. Most dislocations occur after high energy trauma. Untreated, these lesions can result in chronic instability of the CMC joints and early osteoarthritis. Read More

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http://www.panafrican-med-journal.com/content/article/28/155
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http://dx.doi.org/10.11604/pamj.2017.28.155.12517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847124PMC
March 2018
18 Reads

[Bone setting manipulative reduction for the treatment of children's distal radioulnar fracture and dorsal dislocation].

Zhongguo Gu Shang 2017 Jul;30(7):664-668

Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China.

Objective: To observe the effect of different manipulative reduction for children's distal radioulnar fracture and dorsal dislocation.

Methods: From June 2013 to June 2014, 80 children with distal radioulnar fracture and dorsal dislocation were treated by bone setting manipulative reduction including 51 males and 29 females with an average age of 6.5 years old ranging from 3 to 14 years old. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.07.017DOI Listing
July 2017
20 Reads

Management of fracture-dislocations of the little finger carpometacarpal joint: a systematic review.

J Hand Surg Eur Vol 2018 Jun 7;43(5):530-538. Epub 2018 Feb 7.

4 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, (NDORMS), University of Oxford, Oxford, UK.

Fracture-dislocations of the carpometacarpal joint (CMCJ) of the little ray involve dorsal subluxation of the metacarpal base and they may be associated with injury of neighbouring CMCJs. Different treatment options are described, with no clear consensus on their management. This study presents a systematic review of comparative studies describing the management of these injuries. Read More

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http://dx.doi.org/10.1177/1753193417752317DOI Listing
June 2018
13 Reads

Irreducible Volar Rotatory Subluxation of the Proximal Interphalangeal Joint of the Finger.

J Hand Surg Asian Pac Vol 2018 Mar;23(1):111-115

† Department of Orthopaedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.

We describe 4 cases of irreducible volar rotatory subluxation of the proximal interphalangeal (PIP) joint of the finger that required open reduction. All of the patients had radiographically proven (in lateral-view radiographs) volar rotatory subluxation of the PIP joint, without fracture. The causes of irreducibility were interposition of the lateral band about the condyle of the middle phalanx in 2 cases, interposition of the collateral ligament in 1 case, and scarring of the injured central slip in 1 case. Read More

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http://dx.doi.org/10.1142/S2424835518720013DOI Listing
March 2018
8 Reads

Biomechanical evaluation of pyrocarbon proximal interphalangeal joint arthroplasty: An in-vitro analysis.

Clin Biomech (Bristol, Avon) 2018 02 3;52:72-78. Epub 2018 Feb 3.

Orthopaedics Department, Coimbra University Hospital, Portugal.

Background: Pyrocarbon proximal interphalangeal joint arthroplasty provided patients with excellent pain relief and joint motion, however, overall implant complications have been very variable, with some good outcomes at short-medium-term follow-up and some bad outcomes at longer-term follow-up. Implant loosening with migration, dislocation and implant fracture were the main reported clinical complications. The aim of the present work was to test the hypothesis that the magnitude proximal interphalangeal joint cyclic loads in daily hand functions generates stress-strain behaviour which may be associated with a risk of pyrocarbon component loosening in the long-term. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2018.01.005DOI Listing
February 2018
5 Reads

Outcomes Following Acute Metacarpophalangeal Joint Arthroplasty Dislocation: An Analysis of 37 Cases.

J Hand Surg Am 2018 03 11;43(3):289.e1-289.e6. Epub 2017 Nov 11.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: There remains a paucity of information regarding the treatment outcomes of dislocation after metacarpophalangeal (MCP) joint arthroplasty. The purpose of this study was to assess the outcomes of surgical and nonsurgical treatment modalities of MCP arthroplasty dislocations.

Methods: Of 816 MCP joint arthroplasties over a 14-year period, there were 37 (4%) acute MCP joint dislocations that required intervention by a health care professional. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.10.001DOI Listing
March 2018
22 Reads

Carpometacarpal fracture dislocation of the fourth and fifth finger: mid-term results of 15 patients.

Eklem Hastalik Cerrahisi 2017 Dec;28(3):164-70

Department of Orthopedics and Traumatology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, 34890 Kartal, İstanbul, Turkey.

Objectives: This study aims to retrospectively evaluate and compare the mid-term clinical follow-up results of patients who were treated with open or closed reduction due to carpometacarpal (CMC) fracture dislocation.

Patients And Methods: Medical charts of 15 patients (1 male, 14 females; mean age 32.5±10. Read More

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http://dx.doi.org/10.5606/ehc.2017.54608DOI Listing
December 2017
11 Reads

[Plate osteosynthesis of patellar fractures].

Oper Orthop Traumatol 2017 Dec 25;29(6):509-519. Epub 2017 Oct 25.

Chirurgisch-Traumatologisches Zentrum, Asklepios Klinik St. Georg, Lohmühlenstraße 5, 20099, Hamburg, Deutschland.

Objective: Anatomic reconstruction of the retropatellar articular surface and repair of the extensor mechanism of the knee joint. The osteosynthesis should allow immediate mobilization as part of an early functional postoperative rehabilitation protocol.

Indications: Displaced fractures of the patella, especially multifragment and comminuted fractures with a retropatellar incongruity or dislocation of >2 mm. Read More

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http://dx.doi.org/10.1007/s00064-017-0522-8DOI Listing
December 2017
10 Reads

Vertical locking of the metacarpophalangeal joint of the little finger: A case report.

Authors:
Yasuhiro Seki

Chin J Traumatol 2017 Oct 22;20(5):303-304. Epub 2017 Sep 22.

Department of Orthopaedic Surgery, Suwa Central Hospital, 4300 Tamagawa, Chino, Nagano 391-8503, Japan. Electronic address:

Locking of the metacarpophalangeal (MCP) joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend actively or passively. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831043PMC
October 2017
12 Reads