171 results match your criteria Joint Reduction Thumb Dislocation


Neglected volar subluxation of the metacarpophalangeal joint of the thumb: A case report.

Acta Biomed 2021 Apr 30;92(S1):e2021034. Epub 2021 Apr 30.

Medicine Hospital, Istanbul, Turkey.

We present an 30 year-old female patient with a volar subluxation of the metacarpophalangeal joint of the thumb.Dislocation  of the metacarpophalangeal joint is rare ; volar subluxation is much more rare. Open reduction was performed through a dorsal incision because of the soft tissue interposition. Read More

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Comparison between the MAIA Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):158-165

Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, Nancy, France.

The purpose of this retrospective study was to report and compare the outcomes of the MAIA prosthesis and trapeziectomy for trapeziometacarpal osteoarthritis. We included 92 consecutive patients (8 men, 84 women) with a mean age of 57 years (range 44-75 years) who underwent trapeziectomy (44 patients) or trapeziometacarpal joint replacement with a MAIA prosthesis (48 patients) for painful osteoarthritis. All patients were evaluated (pain, range of motion, strength, function, X-rays) by an independent examiner. Read More

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Management of thumb carpometacarpal joint dislocations: A systematic review.

J Orthop 2021 May-Jun;25:59-63. Epub 2021 Apr 1.

Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI, 48201, USA.

Although rare, thumb Carpometacarpal (CMC) joint dislocations can have significant complications which impact hand function. Optimal management is crucial in restoring pinch and grasp strength, but no agreement exists regarding treatment due to a paucity of literature on this subject. Systematic review was conducted involving non-operative and operative management of the CMC joint. Read More

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Nerve Grafting for Chronic PIN Palsy Due to Radiocapitellar Joint Entrapment 2 Years Following Closed Reduction of a Pediatric Monteggia Fracture-Dislocation: A Case Report With 1-Year Follow-up.

Hand (N Y) 2021 Jan 24:1558944720988077. Epub 2021 Jan 24.

McMaster University, Hamilton, ON, Canada.

This article describes the first case of successful nerve grafting for posterior interosseous nerve (PIN) palsy secondary to radiocapitellar joint entrapment 2 years following closed reduction (CR) of a pediatric Monteggia fracture-dislocation (MFD). Patient notes were examined. The literature was reviewed to determine whether similar cases or techniques had been reported. Read More

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January 2021

Surgical Treatment for Delayed Ulnar Carpometacarpal Fracture-Dislocations.

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

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

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

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Recurrent volar dislocation of the metacarpophalangeal joint of the thumb with radial collateral ligament injury: A case report.

Int J Surg Case Rep 2020 6;68:96-99. Epub 2020 Feb 6.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Japan.

Introduction: A volar dislocation of the metacarpophalangeal (MCP) joint of the thumb is a rare trauma, and in combination with a radial collateral ligament (RCL) injury is much rarer. We present a surgical case with a recurrent volar dislocation of the MCP joint of the thumb with RCL injury.

Presentation Of Case: A 47-year-old man was referred to our hospital in the subacute phase. Read More

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February 2020

Long-term Outcomes of Silastic Arthroplasty of the Thumb Metacarpophalangeal Joint.

Hand (N Y) 2019 Oct 3:1558944719878841. Epub 2019 Oct 3.

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Silastic metacarpophalangeal arthroplasty (SMPA) has proven to be a durable option for end-stage arthritis in the non-thumb digits, while fusion has been the mainstay procedure for the thumb metacarpophalangeal joint (MP). Few studies exist to comment on the viability of thumb MP arthroplasty. This study reports both survival and objective outcomes following SMPA of the thumb. Read More

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October 2019

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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October 2019

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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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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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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January 2019

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 11;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

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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February 2019

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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October 2017

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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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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September 2017

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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January 2018

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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October 2017

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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Scaphotrapeziotrapezoidal Joint Osteoarthritis: A Systematic Review of Surgical Treatment.

J Hand Surg Asian Pac Vol 2017 03;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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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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September 2016

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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September 2016

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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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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September 2016

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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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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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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[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

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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October 2015

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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October 2015