Search Our Scientific Publications & Authors

Ann Med Surg (Lond) 2022 Jun 6;78:103924. Epub 2022 Jun 6.

Department of Orthopaedics and Traumatology, Cipto Mangunkusumo General Hospital - Faculty of Medicine of Indonesia University, Jakarta, Indonesia.

Introduction: and importance: Chronic mallet finger resulted in mallet deformity or swan neck deformity are caused by imbalance of flexor and extensor mechanism. We tried to offer a reliable option of treatment by terminal tendon reconstruction using needle passer to exchange the use of K-wire which resulted in great result within 3 months of follow up.

Case Presentation: 36 years old male with previous history of several trauma on his right arm and hand about three months ago; consists of distal phalangeal fracture of right index finger, right fifth metacarpal fracture, proximal phalanx fracture of right small finger, and right shaft radius fracture. Read More

Am Fam Physician 2022 Jun;105(6):631-639

Fairfax Family Medicine Residency Program and University of Virginia, Fairfax, VA, USA.

Finger fractures and dislocations are commonly seen in the primary care setting. Patients typically present with a deformity, swelling, and bruising with loss of function. Anteroposterior, lateral, and oblique radiography should be performed to identify fractures and distinguish uncomplicated injuries from those requiring referral. Read More

Injury 2022 Jul 21;53(7):2454-2461. Epub 2022 May 21.

Department of Orthopedics, Ramathibodi Hospital, 270, Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.

Background: Periprosthetic femoral fracture (PFF) is well-known complication in cementless hip arthroplasty (HA), especially in the elderly with osteoporosis. To prevent intraoperative PFFs during HA, prophylactic cerclage wiring on the calcar area during femoral broaching and implant insertion is recommended. However, biomechanical data on the benefits of cerclage wiring in osteoporotic bone during impaction are limited and controversial. Read More

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

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

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

J Hand Surg Asian Pac Vol 2022 04 19;27(2):419-420. Epub 2022 Apr 19.

Surgical Department - Hand Surgery Unit EOC, Locarno's Regional Hospital, 6600 Locarno, Switzerland.

Hand Surg Rehabil 2022 Apr 15. Epub 2022 Apr 15.

Izmir Katip Celebi University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Balatçık Mah, Havaalanı Şosesi Cd. No:33/2, 35620 Atatürk Osb/Çiğli/Izmir, Turkey. Electronic address:

Many different repair methods have been described in the frequently seen mallet finger deformity, but without consensus. The present study aimed to present an alternative tautening technique in mallet finger repair and to compare it versus classical direct repair. Patients with untreated chronic mallet finger of more than three months' progression, treated surgically between March 2017 and October 2020, were included. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Apr;36(4):400-404

Department of Orthopedics, the First Affiliated Hospital, Bengbu Medical College, Bengbu Anhui, 233004, P. R. China.

Objective: To investigate the effectiveness of one-stage closed reduction and elastic compression fixation with double Kirschner wires for Wehbe-Schneider types ⅠB and ⅡB bony mallet fingers.

Methods: Between May 2017 and June 2020, 21 patients with Wehbe-Schneider type ⅠB and ⅡB bony mallet fingers were treated with one-stage closed reduction and elastic compression fixation using double Kirschner wires. There were 15 males and 6 females with an average age of 39. Read More

J Hand Surg Glob Online 2021 Nov 7;3(6):343-347. Epub 2021 Oct 7.

Twin Cities Orthopedics, Edina, MN.

Purpose: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb is a common procedure for multiple diagnoses. The purpose of this study was to evaluate fusion rates and complications in patients who have been previously implanted with an X Fuse superelastic implant (Stryker).

Methods: All patients who underwent distal interphalangeal and/or thumb interphalangeal joint fusion between June 2013 and May 2019 were included by the senior author. Read More

Int Orthop 2022 Jun 25;46(6):1413-1422. Epub 2022 Mar 25.

Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, via Giustiniani 2, 35128, Padova, Italy.

Purpose: Calcaneal fractures are one of the most challenging injuries to treat and one of the most divisive. The purpose of this historical review is to highlight the evidence of calcaneal fracture and its treatment through history.

Methods: Archaeological, religious, artistic, literary and historical accounts were searched for descriptions of calcaneal fracture to give a thorough overview of the subject. Read More

Hand (N Y) 2022 Mar 21:15589447221082165. Epub 2022 Mar 21.

Department of Orthopaedic Surgery, Brown University Warren Alpert School of Medicine, Providence, RI, USA.

Juxtaphyseal fractures of the distal phalanges of upper extremity digits are most commonly of the Salter-Harris II variety and occur most commonly in the thumb. The diagnosis of this injury is essential as it may present as an open fracture with a nailbed injury ("Seymour fracture"). However, an intra-articular, epiphyseal fracture may also occur and mimic a mallet deformity or Seymour fracture. Read More

Dent Res J (Isfahan) 2022 28;19. Epub 2022 Jan 28.

Department of Oral and Maxillofacial Radiology, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Cone-beam computed tomography (CBCT) has the highest sensitivity and specificity for the detection of vertical root fractures (VRFs). This study aimed to compare the diagnostic accuracy of CBCT with different gamma values for the detection of VRFs.

Materials And Methods: In this , experimental study, multiplanar CBCT scans were obtained from 61 extracted premolars with prefabricated titanium posts using NewTom CBCT scanner. Read More

Arch Orthop Trauma Surg 2022 Jun 18;142(6):1301-1308. Epub 2022 Jan 18.

Haseki Education Research Hospital, Ugur Mumcu Mahallesi, Belediye Sokak, No: 7 Sultangazi, Istanbul, Turkey.

Introduction: The extension block pinning technique (EBPT) is a popular surgical treatment for mallet fractures; however, it has several drawbacks. The purpose of this randomized clinical trial was to compare EBPT to the pin orthosis-extension block pinning method (PO-EBPT) in the treatment of mallet fractures involving more than one-third of the joint surface but without primary joint dislocation.

Materials And Methods: Sixty-five patients with mallet fractures were randomized into two groups between June 2017 and January 2020: Group I (33 patients) was treated with EBPT and group II (32 patients) was treated with PO-EBPT. Read More

Arch Orthop Trauma Surg 2022 May 15;142(5):887-900. Epub 2022 Jan 15.

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.

Introduction: The aim of this study was to provide a more precise statement on the outcome after surgical treatment of a bony mallet thumb and possibly give a treatment recommendation regarding the surgical fixation method.

Patients And Methods: All patients (n = 16) who underwent a surgical treatment for an acute bony mallet thumb fracture between January 2006 and July 2019 were enrolled. The surgical method, complications, the range of motion, tip pinch, lateral key pinch, overall grip strength, visual analog score, Disability of the Arm, Shoulder and Hand Score, Mayo Wrist Score, Patient-Rated Wrist Evaluation Score, Buck-Gramcko Score and radiologic parameters were evaluated. Read More

JAMA Netw Open 2021 12 1;4(12):e2138911. Epub 2021 Dec 1.

Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.

Importance: With the global population aging, falls and fall-related injuries are ubiquitous, and several clinical practice guidelines for falls prevention and management for individuals 60 years or older have been developed. A systematic evaluation of the recommendations and agreement level is lacking.

Objectives: To perform a systematic review of clinical practice guidelines for falls prevention and management for adults 60 years or older in all settings (eg, community, acute care, and nursing homes), evaluate agreement in recommendations, and identify potential gaps. Read More

Injury 2022 Feb 25;53(2):676-682. Epub 2021 Nov 25.

Department of Orthopaedic Surgery, National University Hospital Singapore, 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore 119228. Electronic address:

Aim: 3D-printed implants could improve the capture of fracture fragments for improved stability of tibial plateau fracture fixation. The aim of this study was to compare the biomechanical strength of fixation constructs using standard and customised 3D-printed proximal tibial locking plates for fixation of tibial plateau fractures.

Methods: This is a biomechanical study utilising six pairs of cadaveric tibiae. Read More

Jt Dis Relat Surg 2021 19;32(3):625-632. Epub 2021 Nov 19.

EMOT Hastanesi, Ortopedi ve Travmatoloji Bölümü, 35230 Konak, İzmir, Türkiye.

Objectives: The aim of this study was to evaluate the functional results of delayed open reduction and Kirschner wire (K-wire) fixation procedures in patients with delayed presentation of bony mallet finger.

Patients And Methods: Between February 2009 and November 2019, a total of 19 patients (15 males, 4 females; median age: 24.8 years; range, 14 to 47 years) who were diagnosed with a delayed bony mallet finger and treated with dorsal block pin, direct pinning, or the umbrella handle technique were retrospectively analyzed. Read More

Jt Dis Relat Surg 2021 19;32(3):617-624. Epub 2021 Nov 19.

İstanbul Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, El Cerrahisi Kliniği, 3447 Sarıyer, İstanbul, Türkiye.

Objectives: In this study, we aimed to describe a new hook plate technique (HPT) and to compare our results with the conventional extension block technique (EBT) with a Kirschner wire (K-wire) for bony mallet finger treatment.

Patients And Methods: Between April 2015 and January 2018, a total of 19 patients including 10 who were treated with EBT (7 males, 3 females; mean age: 30.1±7. Read More

Med Sci Law 2022 Apr 26;62(2):134-143. Epub 2021 Nov 26.

Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, 37708University of the Witwatersrand, 7 York Road, Parktown, Johannesburg 2193, South Africa.

The accurate radiological detection of skeletal trauma is crucial for the investigation of blunt force trauma (BFT) cases. The sensitivities of CTs, X-rays and Lodox in identifying BFT fractures and minimum number of impacts in pigs, used as proxies for adult humans, were assessed. Ten human sized pig carcasses were struck with a mallet and scanned, after which the number of fractures and minimum number of impacts detected radiologically were recorded. Read More

Acta Biomed 2021 11 3;92(5):e2021246. Epub 2021 Nov 3.

Leeds General Infirmary, Leeds, U.K.

Mallet finger describes a fingertip deformity where the distal interphalangeal joint (DIPJ) of the affected digit is held in flexion, unable to extend the distal phalanx actively. The deformity is typically a consequence of traumatic disruption to the terminal extensor tendon at its insertion at the proximal portion of the distal phalanx or slightly proximally at the level of the DIPJ. Patients typically present with a history describing the event of injury with a typical mallet deformity. Read More

J Clin Med 2021 Oct 6;10(19). Epub 2021 Oct 6.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, 48149 Muenster, Germany.

Reverse shoulder arthroplasty (RSA) is a commonly performed salvage procedure for failed proximal humeral fracture fixation. The rate of intraoperative periprosthetic fractures is higher compared to primary RSA. The goal of this study was to investigate the biomechanical value of a protective cerclage during stem impaction in a revision surgery setting. Read More

Handchir Mikrochir Plast Chir 2021 Sep 28;53(5):447-453. Epub 2021 Sep 28.

Kyung Hee University Hospital at Gangdong, Orthopaedic Surgery.

Purpose: This study compared the clinical and radiographic results between extension block pinning (Group A) and percutaneous reduction of the dorsal fragment with a towel clip followed by extension block pinning with direct pin fixation (Group B) for the treatment of mallet fractures.

Patients And Methods: A total of 69 patients (group A = 34 patients, group B = 35 patients) who underwent operative treatment for mallet fractures from June 2008 to November 2017 with ≥ 6 months post-surgical follow-up were analysed retrospectively. The extent of subluxation of the distal interphalangeal joint, articular involvement of fracture fragment, fracture gap, and articular step-off were examined on plain radiographs before and after surgery. Read More

Int Orthop 2022 03 28;46(3):497-505. Epub 2021 Sep 28.

Orthopaedics and Trauma Department, University Hospital Hôtel-Dieu, UHC of Nantes, 1, place Alexis-Ricordeau, 44093, Nantes Cedex 1, France.

Purpose: The stemmed acetabular cup (SAC) can be considered in several complicated situations. This type of prosthesis uses the iliac isthmus, which is most often preserved, thus allowing solid anchorage. Its implantation is prone to mechanical complications intraoperatively, such as extra-isthmic effraction, fracture, and early aseptic loosening. Read More

J Orthop Case Rep 2021 May;11(5):76-79

Department of Orthopaedic Surgery, University Hospital Limerick, St Nessan's Road, Dooradoyle, Co. Limerick, V94 F858, Ireland.

Introduction: Mallet finger injury is defined by disruption of the terminal extensor tendon distal-to-distal interphalangeal (DIP) joint. While in the fingers, it is a relatively common injury, it is a rarely encountered entity when involving the thumb. Various conservative and operative treatment strategies have been reported for the management of mallet thumb with no consensus by clinicians. Read More

J Orthop Case Rep 2021 May;11(5):45-47

Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Introduction: A nail bed injury concomitant with an underlying physeal injury of the distal phalanx is termed as "Seymour's fracture." These are seemingly innocuous injuries commonly misdiagnosed and are subsequently under-treated. These injuries demand treatment like an open fracture to prevent complications such as infection, growth arrest, and nail dystrophies. Read More

Dent Traumatol 2022 Feb 19;38(1):71-76. Epub 2021 Sep 19.

Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

Background: Crown fractures restored by fragment reattachment are liable to re-fracture, which may cause fragment dislodgement. There is a paucity of literature regarding management of fragment reattachment cases following a further fracture. Hence the aim of the present in-vitro study was to evaluate and compare the efficacy of three different management protocols for such scenarios. Read More

J Hand Surg Asian Pac Vol 2021 Sep;26(3):319-332

University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore.

A mallet finger is a common injury that results from a sudden flexion force on an extended distal phalanx or rarely, from hyperextension of the distal interphalangeal joint. Mallet finger can be purely tendinous or bony when associated with an avulsion fracture. The management of this injury is largely conservative with the use of a splint, although surgery may be indicated for select patients. Read More

J Hand Surg Asian Pac Vol 2021 Sep;26(3):425-431

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

Dorsal rotation or persistent displacement of the fracture fragment is frequently encountered in extension block pinning for mallet fractures. We reviewed nine irreducible mallet fracture patients treated with mini-open reduction and extension block pinning. A small V-shaped incision was made on the fracture gap when there was persistent displacement of fracture fragment despite closed maneuvers and percutaneous procedures while performing extension block pinning. Read More

Semin Musculoskelet Radiol 2021 Apr 9;25(2):277-293. Epub 2021 Aug 9.

Department of Radiology, Antwerp University Hospital, Edegem, Belgium.

Acute bony injuries to the hand and wrist are very common after a fall on an outstretched hand. In the wrist, distal radius fractures are the most common; isolated distal ulna fractures are uncommon. More serious injuries to the wrist include complicated fracture-dislocation injuries such as perilunate dislocations. Read More

JBJS Essent Surg Tech 2021 Apr-Jun;11(2). Epub 2021 May 12.

Shriners Hospitals for Children, Philadelphia, Pennsylvania.

Background: The goal of the osteochondral autograft transplantation (OAT) procedure is to replace both the bone and cartilage that have been compromised by osteonecrosis of the capitellum, a condition known as osteochondritis dissecans (OCD). In children, the vascularity of the capitellum is limited compared with that in adults because the physis acts as a physical barrier to vascular ingrowth from the metaphysis to the epiphysis. The necrotic subchondral bone cannot keep up with the weight-bearing demands of certain high-level athletes such as gymnasts, accumulating microfractures and eventually crumbling. Read More

JBJS Case Connect 2021 07 15;11(3). Epub 2021 Jul 15.

Loma Linda University Medical Center, Loma Linda, California.

Case: Flexor digitorum profundus avulsions are common injuries that manifest as tendinous or bony avulsions from the distal phalanx. Rarely, additional fractures can occur in the distal phalanx. For such injuries, repair of the avulsion and fracture is recommended but difficult because of limited bone stock for fixation. Read More