161 results match your criteria Joint Reduction Thumb Dislocation


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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January 2019

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018
15 Reads

Bennett Fractures: A Biomechanical Model and Relevant Ligamentous Anatomy.

J Hand Surg Am 2018 Jun 8. 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
June 2018
22 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
1 Read

Volar Dislocation of Second, Third and Fourth Carpometacarpal Joints in Association with a Bennet's Fracture of the Thumb .

Open Orthop J 2017 29;11:1035-1040. Epub 2017 Aug 29.

Department of Orthopaedic Surgery, Hospital Sant Joan de Deu de Manresa (Fundació Althaia Xarxa Assistencial Universitària de Manresa), C/ Dr.Joan Soler, 1-3, 08243 Manresa, Barcelona, Spain.

Injuries of the carpometacarpal joints of the long fingers are infrequent and go often unnoticed if a thorough clinical exploration and complete radiological assessment is not carried out. The overall frequency of carpometacarpal joints injuries is of 1-2% among trauma of the wrist and the carpus. These are normally secondary to high energy trauma (such as a car or a motorbike accidents). Read More

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http://dx.doi.org/10.2174/1874325001711011035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612027PMC
August 2017
19 Reads

Multiple Carpometacarpal Dislocations of the Hand - An Uncommon Variant: A Rare Case.

J Hand Surg Asian Pac Vol 2017 Sep;22(3):371-375

‡ Department of Orthopedics, Goa Medical College, Bambolim, Goa, India.

Carpometacarpal fracture dislocations of the hand are a relatively uncommon injury. The injury is difficult to diagnose because of the gross swelling of the hand. The diagnosis of this unusual form of injury requires a high index of suspicion, vigilant examination and high-quality radiography. Read More

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http://dx.doi.org/10.1142/S0218810417720261DOI Listing
September 2017
5 Reads

Radiographic Analysis of Simulated First Dorsal Interosseous and Opponens Pollicis Loading Upon Thumb CMC Joint Subluxation: A Cadaver Study.

Hand (N Y) 2018 01 16;13(1):40-44. Epub 2017 Feb 16.

6 Stryker Spine, Allendale, NJ, USA.

Background: Therapy programs to treat thumb carpometacarpal (CMC) arthritis may engage selective activation and reeducation of thenar muscles, particularly the first dorsal interosseous (FDI) and opponens pollicis (OP) to reduce subluxation of the joint. We describe the effect of simulated selective activation of the FDI and OP muscles upon radiographic subluxation of the thumb CMC joint.

Methods: In a cadaver model of CMC subluxation, loads were applied to the FDI, the OP, and then concomitantly at 0%, 25%, 50%, 75%, and 100% maximal loads and radial subluxation of the joint and reduction in subluxation was measured. Read More

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http://dx.doi.org/10.1177/1558944717691132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755865PMC
January 2018
4 Reads

MAÏA Trapeziometacarpal Joint Arthroplasty: Clinical and Radiological Outcomes of 80 Patients With More than 6 Years of Follow-Up.

J Hand Surg Am 2017 Oct 13;42(10):838.e1-838.e8. Epub 2017 Jul 13.

Division of Shoulder, Hand and Upper Extremity Surgery, Clinique Beau Soleil, Polyclinique Saint Jean, Montpellier, France.

Purpose: Trapeziometacarpal (TMC) total joint replacement is increasingly being performed in Europe. MAÏA TMC total joint arthroplasty is a modular uncemented ball-and-socket hydroxyapatite-coated implant. This study assessed the midterm clinical and radiological results of the MAÏA TMC prosthesis. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.06.008DOI Listing
October 2017
7 Reads

Volar dislocation of the metacarpophalangeal joint of the thumb: A case report.

Acta Orthop Traumatol Turc 2017 Jul 27;51(4):352-354. Epub 2017 Apr 27.

Bagcilar Training and Research Hospital, Department of Orthopedic and Traumatology, Istanbul, Turkey.

We present an 18 year-old patient with a volar dislocation of the metacarpophalangeal joint of the thumb. Open reduction was performed through a dorsal incision. Because of the soft tissue interposition such as dorsal capsule, volar plate, dislocated extensor pollicis longus and brevis tendons, ruptured ulnar collateral ligament; open reduction, soft tissue and ligament repair are recommended for this type of thumb dislocations. Read More

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http://dx.doi.org/10.1016/j.aott.2017.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197413PMC
July 2017
5 Reads

Scaphotrapeziotrapezoidal Joint Osteoarthritis: A Systematic Review of Surgical Treatment.

J Hand Surg Asian Pac Vol 2017 Mar;22(1):1-9

1 Department of Hand Surgery, Salford Royal NHS Foundation Trust, Stott Lane, Salford, UK.

Background: The management of scaphotrapeziotrapezoidal (STT) joint osteoarthritis (OA) remains controversial. This systematic review aims to review the evidence for surgical interventions specific to STT OA.

Methods: Medline and Embase libraries were searched using a pre-defined search strategy in October 2014. Read More

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http://dx.doi.org/10.1142/S0218810417300017DOI Listing
March 2017
28 Reads

Simultaneous Bennett's Fracture/Dislocation and Dorsal Fracture/Dislocation of Inter Phalangeal Joint of Thumb- A Case Report.

J Clin Diagn Res 2016 Sep 1;10(9):RD01-RD02. Epub 2016 Sep 1.

Post Graduate Student, Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .

Simultaneous closed double dislocations of the hand are not a common presentation. We hereby report a 40-year-old male patient with an unusual presentation of Bennett's fracture/dislocation associated with dorsal fracture dislocation of the interphalangeal joint of thumb along with its management by Open Reduction and Internal Fixation (ORIF) with K-wires and physiotherapy. The patient had near normal functions after three months. Read More

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http://dx.doi.org/10.7860/JCDR/2016/19912.8534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072035PMC
September 2016
7 Reads

Trapeziometacarpal joint dislocation complicated by a trapezium fracture: A case report and literature review.

Hand Surg Rehabil 2016 09 27;35(4):288-291. Epub 2016 Jul 27.

Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.

The authors report and discuss the management of a 25-year-old male patient with a trapeziometacarpal joint dislocation complicated by a trapezium fracture. This injury combination is rare with only reported 15 cases. After closed reduction resulted in dorsal instability, anatomical reduction of the trapezium fracture and internal screw fixation were performed using an open approach. Read More

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http://dx.doi.org/10.1016/j.hansur.2016.05.003DOI Listing
September 2016
5 Reads

Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients.

J Hand Microsurg 2016 Apr;8(1):13-6

Department of Orthopaedics, SKIMS Medical College, Srinagar, India.

Objectives: Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.

Patients And Methods: Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Read More

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http://dx.doi.org/10.1055/s-0035-1571262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016973PMC
April 2016
2 Reads

Dorsal Approach Decreases Operative Time for Complex Metacarpophalangeal Dislocations.

J Hand Surg Am 2016 Sep 9;41(9):e259-62. Epub 2016 Jul 9.

Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, Saint Paul, MN. Electronic address:

Purpose: Complex metacarpophalangeal (MCP) dislocations require open surgical reduction, but surgeons disagree about the best surgical approach. We hypothesized that a dorsal approach would require less operative time than would a volar approach and result in a decreased need for a secondary approach.

Methods: We performed a retrospective chart review of all isolated irreducible dorsal MCP dislocations treated at 2 level 1 trauma centers between 2005 and 2015. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.020DOI Listing
September 2016
4 Reads

Ligamentous Reconstruction of Traumatic Dislocation of Thumb Carpometacarpal Joint: Case Report and Review of Literature.

J Orthop Case Rep 2015 Oct-Dec;5(4):79-81

Department of Orthopaedics, Kasturba Medical College, Mangalore 575001, Manipal University. India.

Introduction: Thumb carpometacarpal dislocation is a rare injury with many treatment options described in literature.

Case Description: A 47-year-old male patient presented to hospital with an isolated dorsal dislocation of the thumb carpometacarpal joint. Closed reduction of the dislocation could be easily done but joint was grossly unstable and redislocated. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845467PMC
June 2016
4 Reads

Delayed Presentation of Metacarpophalangeal Joint Dislocation of the Thumb in Children Requiring Open Reduction: Two Cases Reported and Review ofLiterature.

J Orthop Case Rep 2015 Jul-Sep;5(3):5-8

Department of Orthopaedics, Alder Hey Children's Hospital, Liverpool, UK.

Introduction: Dislocation of the metacarpophalangeal joint (MCPJ) of the thumb is rare in children and delayed presentation of this injury is even more uncommon in the literature. We report two cases, both children, who presented to fracture clinic with a dislocated thumb over one week after initial injury. In each case closed reduction was attempted but failed, and open reduction was necessary. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719401PMC
June 2016
6 Reads

Retrospective Study of a Series of 20 Ivory Prostheses in the Treatment of Trapeziometacarpal Osteoarthritis.

J Wrist Surg 2016 May 15;5(2):131-6. Epub 2016 Jan 15.

Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands; Department of Plastic, Reconstructive and Hand Surgery, University Medical Centre Utrecht, The Netherlands.

Background Many surgical treatment options for osteoarthritis (OA) of the trapeziometacarpal (TMC) joint exist. However, no procedure has been proven superior. Good results have been described for TMC joint replacement. Read More

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http://dx.doi.org/10.1055/s-0036-1571283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838478PMC
May 2016
17 Reads

[Treatment of Colles fracture with manipulative closed reduction and U-shaped gypsum functional fixation].

Authors:
Su Jian-cai

Zhongguo Gu Shang 2016 Jan;29(1):18-20

Objective: To investigate the effect of U-shaped gypsum functional fixation after closed manipulative reduction for treatment of Colles' fractures.

Methods: From January 2011 to April 2014,47 cases of Colles fracture were treated by closed reduction and U-shaped gypsum functional fixation including 12 males and 35 females with an average age of 54.8 years old ranging from 8 to 72 years old. Read More

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January 2016
8 Reads

First Carpometacarpal Joint Dislocation and Review of Literatures.

Arch Bone Jt Surg 2015 Oct;3(4):300-3

Department of Orthopedic Surgery, Akhtar Hospital, Shahid Beheshti Medical University, Tehran, Iran.

Dislocation of the first carpometacarpal (CMC) is a rare occurrence. Treatment of this dislocation varies from closed reduction and casting to ligament repair. Neglected dislocation or incomplete reduction of the 1(st) CMC cause chronic instability and painful arthritis, muscle imbalance and decreased grip force. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628640PMC
October 2015
1 Read

Total carpometacarpal joint dislocation combined with trapezium fracture, trapezoid dislocation and hamate fracture.

Chir Main 2015 Oct 19;34(5):264-8. Epub 2015 Sep 19.

Orthopedic Surgery Department, Hand Surgery Unit, Gentofte Hospital, Copenhagen University, 28, Kildegaardsvej, 2900 Hellerup, Denmark. Electronic address:

Multiple metacarpal dislocations combined with carpal fracture - dislocations are rare injuries. We report a new combination of these injuries where fracture-dislocation of the base of the 1st metacarpal bone occurred simultaneously with a comminuted fracture of the trapezium, dislocation of the trapezoid and metacarpal joints (2nd to 5th) and an avulsion fracture of the hamate. This specific carpal injury has not been previously described and our description will contribute to understanding the mechanism of these complex injuries. Read More

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http://dx.doi.org/10.1016/j.main.2015.06.003DOI Listing
October 2015
11 Reads

[Ligament reconstruction for trapeziometacarpal joint instability].

Oper Orthop Traumatol 2015 Oct 16;27(5):414-26. Epub 2015 Sep 16.

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie und Mikrochirurgie, Universitätsklinikum Münster, Münster, Deutschland.

Objective: Restoring stability and preventing subluxation/dislocation of the trapeziometacarpal (first carpometacarpal = CMC-I) joint while preserving mobility.

Indications: Posttraumatic, acquired or congenital instability of the CMC-I joint.

Contraindications: Existence of osteoarthritis of the CMC-I joint. Read More

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http://dx.doi.org/10.1007/s00064-015-0418-4DOI Listing
October 2015
5 Reads

First dorsal interosseous muscle contraction results in radiographic reduction of healthy thumb carpometacarpal joint.

J Hand Ther 2015 Oct-Dec;28(4):375-80; quiz 381. Epub 2015 Jun 27.

University of Minnesota, Department of Orthopaedic Surgery, 2450 Riverside Ave. South, Suite 200, Minneapolis, MN 55454, USA.

Introduction: Hand therapists selectively strengthen the first dorsal interosseus (FDI) to stabilize arthritic joints yet the role of the FDI has not yet been radiographically validated.

Purpose: To determine if FDI contraction reduces radial subluxation (RS) of the thumb metacarpal (MC).

Methods: Fluoroscopy was used to obtain true anterior-posterior radiographs of non-arthritic CMC joints: 1) at rest, 2) while stressed and 3) while stressed with maximal FDI contraction. Read More

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http://dx.doi.org/10.1016/j.jht.2015.06.002DOI Listing
August 2016
11 Reads

Emergency Open Reduction for an Irreducible Dislocation of the Metacarpophalangeal Joint of the Thumb in a Child.

J Hand Microsurg 2015 Jun 14;7(1):166-9. Epub 2014 May 14.

Department of Orthopaedic Surgery, The University of Arizona, 1609 N. Warren Ave. Bld. 220, Room 108, Tucson, AZ 85719 USA.

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http://dx.doi.org/10.1007/s12593-014-0135-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461604PMC
June 2015
1 Read

Floating thumb metacarpal in a motorcyclist: A case report.

Chir Main 2015 Apr 10;34(2):91-3. Epub 2015 Mar 10.

Service de traumatologie-orthopédie, CHU Mohammed VI, Marrakech, Morocco.

We present a case of simultaneous dislocation of the carpometacarpal and the metacarpophalangeal joints of the thumb (floating thumb metacarpal) in a 47-year-old motorcyclist. The treatment consisted of closed reduction of both joints with cast immobilization. After 24 months, the functional result was excellent. Read More

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http://dx.doi.org/10.1016/j.main.2015.01.007DOI Listing
April 2015
2 Reads

Floating thumb with double dislocation of carpometacarpal and metacarpo-phalangeal joints.

Int J Surg Case Rep 2014 15;5(12):1102-5. Epub 2014 Nov 15.

Department of Trauma and Orthopaedics, Queen Elizabeth Hopsital, Gateshead NE9 6SX, UK.

Introduction: Double dislocations of carpometacarpal and metacarpo-phanlageal joints are rare. We report an unusual case of simultaneous dislocation of both CMC and MCP joints in the thumb.

Presentation Of Case: A 31 year old male was admitted following a road traffic accident. Read More

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http://dx.doi.org/10.1016/j.ijscr.2014.11.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276275PMC
December 2014

[Treatment of old radial head dislocation in children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2014 Aug;28(8):929-32

Objective: To evaluate the short-term effectiveness of transarticular fixation of humeroradial joint by Kirschner wire (or combined with proximal ulnar osteotomy) for old radial head dislocation after open reduction of the radial head in children.

Methods: A retrospective analysis was made on the clinical data of 25 children with old radial head dislocation between January 2008 and December 2010. There were 18 boys and 7 girls, aged 2 years and 5 months to 9 years and 5 months (mean, 5 years and 11 months). Read More

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August 2014
7 Reads

Traumatic Floating 1st Metacarpal in a 14-Year-Old Boy Managed by Close Reduction and Thumb Spica Immobilization: A Rare Case Report.

J Orthop Case Rep 2014 Oct-Dec;4(4):44-7

Department of Orthopaedics, Gujarat Medical College & Hospital, Gandhinagar, Gujarat, India.

Introduction: Double dislocation of thumb metacarpal (MC) is a rare injury which may be secondarily complicated by growth plate injury in children. The management of floating 1st MC is also controversial since the treatment ranges from simple reduction to complex reconstruction surgeries. It is also important to understand the long-term results of different management strategies (close reduction, K-wire fixation, ligament reconstruction) as any residual stiffness or instability of thumb may result in severe disability of the hand. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719270PMC
June 2016
4 Reads

Management of neglected Bennett fracture in manual laborers by tension fixation.

J Hand Surg Am 2014 Sep 5;39(9):1728-33. Epub 2014 Aug 5.

Kasr El Aini Hospital, Cairo University, Faculty of Medicine, Cairo, Egypt; Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY. Electronic address:

Purpose: To report the results of open reduction and internal fixation (ORIF) of Bennett fractures in young, active patients using a K-wire and wire loop construct to achieve anatomical reduction and to allow return to manual labor.

Methods: In this prospective series, we treated 10 male manual laborers (mean age, 30 y; range, 20-44 y) with Bennett fractures diagnosed after a minimum of 12 weeks (mean, 16 wk; range, 12-18 wk). ORIF using 2 K-wires with a wire loop and a neutralizing transarticular K-wire was performed with direct articular visualization. Read More

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http://dx.doi.org/10.1016/j.jhsa.2014.06.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154309PMC
September 2014
2 Reads

Irreducible dislocation of the thumb interphalangeal joint due to displaced flexor pollicis longus tendon: case report and new reduction technique.

Arch Orthop Trauma Surg 2014 Aug 6;134(8):1175-8. Epub 2014 Jun 6.

Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka, 410-2295, Japan,

Dislocation of the thumb interphalangeal (IP) joint is uncommon because of the inherent stability of the joint. Cases in which reduction was blocked by the volar plate, the flexor pollicis longus (FPL) tendon, the sesamoid bone, and an osteochondral fragment have been described in the literature. This article reports a case of closed thumb IP joint dislocation caused by the displacement of the FPL tendon. Read More

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http://dx.doi.org/10.1007/s00402-014-2024-6DOI Listing
August 2014
6 Reads

Multiple volar dislocations of the carpometacarpal joints with an associated fracture of the first metacarpal base.

Chin J Traumatol 2014 ;17(1):38-40

Department of Orthopaedic Surgery, J N Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh 202002,India.

Multiple volar dislocations of carpometacarpal (CMC) joints are uncommon and have been reported rarely. A 25 years old male presented with injury to his left hand 6 days following a road traffic accident. Clinical examination revealed gross swelling of the hand and diffuse tenderness over the carpometacarpal area. Read More

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November 2014
5 Reads

Modified Eaton-Littler's Reconstruction for Traumatic Dislocation of the Carpometacarpal Joint of the Thumb-A Case Report and Review of Literature.

J Hand Microsurg 2013 Jun 28;5(1):36-42. Epub 2012 Apr 28.

Trauma and Orthopaedics, Southport and Ormskirk Hospital NHS trust, Town Lane, Kew, Southport, Merseyside, PR8 6PN UK.

Isolated traumatic dislocation of the carpometacarpal joint of the thumb is an uncommon injury. Left untreated, resulting mechanical instability of this joint interferes with normal function of the hand and can lead to articular degeneration of the joint. Most are amenable to closed reduction with or without supplementary pinning. Read More

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http://dx.doi.org/10.1007/s12593-012-0067-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3650165PMC
June 2013
14 Reads

A rare case of closed isolated dislocation of the third metacarpophalangeal joint of the hand.

J Clin Orthop Trauma 2013 Dec 9;4(4):199-203. Epub 2013 Oct 9.

Professor & HOD, Dept Of Orthopaedics, Sri Satya Sai Medical College & Research Institute, Chennai 603108, Tamil Nadu, India.

Metacarpophalangeal joint [MCP] dislocations of the index, little and thumb are common; that of the middle finger is very rare. In all the literature consulted only five cases of isolated closed dorsal dislocation of the MCP joint of the middle finger have been reported. Hyperextension of MCP joint is the mechanism of injury. Read More

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http://dx.doi.org/10.1016/j.jcot.2013.09.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880955PMC
December 2013
1 Read

[Enlargement plasty of the first dorsal compartment for the surgical treatment of de Quervain's tenosynovitis].

Oper Orthop Traumatol 2013 Aug 14;25(4):361-70; quiz 371. Epub 2013 Aug 14.

Orthopädische Klinik, Luzerner Kantonsspital, 6000, Luzern, Schweiz.

Objective: Reliable reduction of pain, observance of anatomical variations, avoidance of complications.

Indications: Failure of conservative treatment, clinically obvious diagnosis, positive Finkelstein test (pathognomonic).

Contraindications: Previous splitting of the retinaculum of the first dorsal compartment, uncertainty of diagnosis. Read More

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http://dx.doi.org/10.1007/s00064-012-0206-3DOI Listing
August 2013
1 Read

Rare double fracture-dislocation of the thumb: a case report and review of the literature.

Chin J Traumatol 2013 ;16(4):240-2

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.

Simultaneous fracture/dislocation of the thumb carpometacarpal (CMC) joint and dislocation of the metacarpophalangeal (MCP) joint is considered as a rare injury pattern. We report an unusual case of dorsal dislocation of MCP joint of the thumb associated with extraarticular fracture of the base of the first metacarpal in a 28-year-old man. The dislocation of MCP joint had been missed during initial presentation at a peripheral centre. Read More

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June 2014
2 Reads
3 Citations

Palmar dislocation of the thumb metacarpophalangeal joint: report of four cases and a review of the literature.

Authors:
H Senda H Okamoto

J Hand Surg Eur Vol 2014 Mar 1;39(3):276-81. Epub 2013 Aug 1.

1Department of Orthopaedic Surgery, Rinko Hospital, Nagoya, Japan.

We report four cases of palmar dislocation of the thumb metacarpophalangeal joint and review of an additional 22 cases in the literature. Our four cases were associated with ligamentous injuries that prevented stable closed reduction. The patients were treated with open reduction and ligament repair and ultimately had a decreased range of motion. Read More

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http://dx.doi.org/10.1177/1753193413499291DOI Listing
March 2014
2 Reads

Complete dislocation of the thumb metacarpal with extreme displacement.

J Plast Surg Hand Surg 2014 Feb 9;48(1):91-3. Epub 2013 Jul 9.

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

This study reports a rare case of complete dislocation of the thumb metacarpal with extreme displacement. Although there are several reported cases of similar injury in earlier published reports, metacarpals of all the cases remained in situ. In this case, the metacarpal was totally displaced out of the hand. Read More

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http://dx.doi.org/10.3109/2000656X.2012.760462DOI Listing
February 2014
3 Reads

Posterior interosseous nerve entrapment after Monteggia fracture-dislocation in children.

Chin J Traumatol 2013 ;16(3):131-5

Department of Pediatric Orthopaedics, Xin-Hua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.

Objective: Although most of nerve injuries associated with Monteggia fracture-dislocation in children are neurapraxias and will recover spontaneously after conservative treatment, surgical exploration of the involved nerve is always required in the cases with the entrapment of posterior interosseous nerve (PIN). However, the necessity and time frame for surgical intervention for specific patterns of nerve dysfunction remains controversial. The aim of the report is to observe and understand the pathology of PIN injury associated with Monteggia fracture-dislocation in children, and to propose the possible indication for the exploration of nerve. Read More

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March 2014
4 Reads

A painful thumb.

Authors:
Yuen Chan

BMJ Case Rep 2013 May 22;2013. Epub 2013 May 22.

Department of Trauma and Orthopaedics, Fairfield General Hospital, Bury, UK.

Isolated traumatic carpometacarpal (CMC) dislocation of the thumb is a rare injury. There are many different ways to manage a thumb CMC joint dislocation which ranges from closed reduction with or without Kirschner wires and casting to ligament reconstruction. However, it is still up for debate on the best management for this injury. Read More

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http://dx.doi.org/10.1136/bcr-2013-009349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669859PMC

Operative treatment of Bennett's fracture.

Coll Antropol 2013 Mar;37(1):169-74

University of Zagreb, "Sestre milosrdnice" University Hospital Center, Clinic of Traumatology, Department of Hand Surgery, Zagreb, Croatia.

We present 89 patients (average age 33 years) with Bennett's fracture (two part fracture to the first metacarpal base). All patients were treated surgically with open reduction internal fixation: 26 patients with K-wires, 19 with titanium mini T-plate, and 44 with titanium osteosynthetic screws (Herbert, AO, TwinFix). The surgical approach we used is a minimal incision of 2-3 cm modification of the radiopalmar curving incision. Read More

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March 2013
7 Reads

[Maïa trapeziometacarpal implant for treatment of advanced osteoarthritis of the basal joint of the thumb].

Authors:
P Kubát L Trtík

Acta Chir Orthop Traumatol Cech 2012 ;79(6):520-3

Ortopedicko-traumatologické oddělení Nemocnice Havlíčkův Brod.

Purpose Of The Study: Osteoarthritis of the thumb's basal joint is a frequent and, in some cases, very painful condition that usually affects middle-aged and elderly women. Several surgical procedures have been proposed for severe carpometacarpal (CMC) joint arthritis; of these, joint replacement has proved to be an effective approach to its treatment. The aim of this study is to present the outcomes of the total non-cemented trapeziometacarpal implant Maďa in the treatment of more advanced stages of this disease. Read More

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July 2013
8 Reads

Bilateral carpometacarpal joint dislocations of the thumb.

Clin Orthop Surg 2012 Sep 14;4(3):246-8. Epub 2012 Aug 14.

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

A traumatic carpometacarpal joint dislocation of the thumb accounts for less than 1% of all hand injuries. Optimal treatment strategies for this injury are still a subject of debate. In this article, we report a case of bilateral thumb carpometacarpal joint dislocations: a unique combination of injuries. Read More

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http://dx.doi.org/10.4055/cios.2012.4.3.246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425657PMC
September 2012
2 Reads

Treatment of a Bennett fracture using tension band wiring.

J Hand Surg Am 2012 Mar 2;37(3):427-33. Epub 2012 Feb 2.

Hand Surgery Department, The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, China.

Purpose: To describe and assess a tension band wiring technique for the treatment of Bennett fractures and to compare this technique of open reduction and internal fixation versus closed reduction and percutaneous pinning.

Methods: From July 2005 to April 2008, we treated 56 Bennett fractures in 56 patients using tension band wiring. The mean age of the patients was 32 years. Read More

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http://dx.doi.org/10.1016/j.jhsa.2011.12.025DOI Listing
March 2012
8 Reads

Temporomandibular joint structural derangement and general joint hypermobility.

J Orofac Pain 2012 ;26(1):33-8

Department of Dentistry, Mackay Medicine, Nursing and Management College, Taipei, Taiwan.

Aim: To explore the relationship between general joint hypermobility (GJH) and displacement of the temporomandibular joint (TMJ) disc as evident from magnetic resonance imaging (MRI).

Methods: Fifth finger extension, thumb apposition, elbow extension, knee extension, trunk flexion, and ankle dorsiflexion were measured in 66 young female patients with MRI-evident TMJ internal derangement (ID) and in 30 age-matched female controls. The Beighton score of each subject was measured quantitatively. Read More

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May 2012
4 Reads

Isolated Carpo-Metacarpal Dislocation of the Thumb.

J Orthop Case Rep 2012 Jan-Mar;2(1):15-7

Dept of Orthopaedics Ibri Regional Referral Hospital, Sultanate of Oman.

Introduction: Isolated dislocations of the trapezio metacarpal joint without associated fracture has been reported very rarely in the literature. There are reports of associated injuries like fracture of the trapezium, dislocation of the metacarpophalangeal joint and fractures of the base of the thumb metacarpal.

Case Report: Authors report a case of isolated carpometacarpal dislocation of the right thumb, in an adult, successfully managed conservatively. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844493PMC
June 2016
21 Reads

Isolated trapezium subluxation in EMS provider with a novel reduction technique.

Authors:
Christopher Gee

Am J Emerg Med 2012 Sep 6;30(7):1320.e1-3. Epub 2011 Dec 6.

University of Utah Division of Emergency Medicine, Salt Lake City, UT 84132, USA.

Hand injuries are a common complaint in the emergency department (ED). Oftentimes, these injuries occur in work settings. We report a case of a healthy EMS provider presenting to the ED with a left thumb injury that turned out to be an isolated trapezium subluxation. Read More

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http://dx.doi.org/10.1016/j.ajem.2011.05.012DOI Listing
September 2012
2 Reads

Bennett fracture dislocation - review and management.

Aust Fam Physician 2011 Jun;40(6):394-6

Department of Orthopaedics, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Background: Bennett fracture dislocation is an intra-articular fracture of the base of the first metacarpal with resultant dislocation of the first carpometacarpal joint. The fracture is unstable, and with inadequate treatment leads to osteoarthritis, weakness and/or loss of function of the first carpometacarpal joint.

Objective: This article reviews the current literature on Bennett fracture and describes the clinical assessment and management of a Bennett fracture. Read More

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June 2011
3 Reads

Locked metacarpophalangeal joint of the little finger due to hyperextension injury: a case report.

Hand Surg 2011 ;16(2):197-200

Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Naka-gun, Kanagawa, Japan.

We treated a rare case of locked metacarpophalangeal joint of the little finger due to a hyperextension injury. The mechanism of the occurrence was considered to be closely similar to those that happened in the thumb, and the locking was successfully released by a manual reduction without complication. Read More

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http://dx.doi.org/10.1142/S0218810411005357DOI Listing
November 2011
3 Reads

Distraction arthroplasty of the trapeziometacarpal joint without trapeziectomy.

Asian J Surg 2011 Jan;34(1):41-5

Department of Orthopaedics, Chi-Mei Medical Center, Tainan, Taiwan.

Background: Thumb carpometacarpal joint (CMC) arthrosis leads to pain and joint instability. Therefore, pain relief and functional restoration of the CMC joint are primary goals of surgical treatment, after failure of conservative treatment. Several options for surgical treatment were listed, ranging from simple debridement of the joint, reconstruction with tendon graft, arthroplasty, to arthrodesis. Read More

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http://dx.doi.org/10.1016/S1015-9584(11)60017-1DOI Listing
January 2011
35 Reads

Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases.

J Hand Surg Am 2011 Apr 25;36(4):665-9. Epub 2011 Feb 25.

Department of Orthopaedics, Geisinger Medical Center, Danville, PA 17822, USA.

Volar dislocation of the metacarpophalangeal joint of the thumb may be irreducible by closed means. We describe 2 patients with volar dislocation of the thumb metacarpophalangeal joint treated with closed reduction and casting. Read More

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http://dx.doi.org/10.1016/j.jhsa.2010.12.006DOI Listing
April 2011
1 Read

[Dislocation of the carpometacarpal joint of the thumb associated with trapezium and Bennett's fractures].

Chir Main 2011 Apr 1;30(2):130-2. Epub 2011 Feb 1.

Service de chirurgie ostéoarticulaire, CHU Hassan II Fès, Maroc.

We report a case of a carpometacarpal joint dislocation of the thumb associated with trapezium and Bennett's fractures. This combined injury pattern appears to be very rare. To our knowledge, no such case was found in the literature. Read More

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http://dx.doi.org/10.1016/j.main.2011.01.002DOI Listing
April 2011
3 Reads