355 results match your criteria Metacarpal Fracture and Dislocation


Nonoperative Treatment of Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Apr 9;9(2):160-163. Epub 2019 May 9.

Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.

 Ulnar carpometacarpal (CMC) joint dislocations and fracture-dislocations are uncommon injuries that are often overlooked. Most authors advocate surgical stabilization in order to prevent a secondary dislocation assuming that these injuries are inherently unstable.  This is a series of eight ulnar CMC joint dislocations and fracture-dislocations treated by closed reduction and splint immobilization after assessing the joint stability. Read More

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http://dx.doi.org/10.1055/s-0039-1688468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113011PMC

Volar Dislocation of the Fourth and Fifth Carpometacarpal Joint Associated with Hamate Hook Fracture: A Case Report and Literature Review.

Case Rep Orthop 2020 3;2020:6301692. Epub 2020 Mar 3.

Orthopaedic Trauma Center, Sapporo Tokushukai Hospital, Sapporo, Hokkaido, Japan.

We report a case of volar fourth and fifth carpometacarpal (CMC) joint dislocation complicated by a hamate hook fracture. The CMC joint was reduced in a closed fashion and temporally fixed with Kirschner wires. Using intraoperative computed tomography, the displaced fracture of the hamate hook was reduced by open reduction and internal fixation and fixed with a screw. Read More

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http://dx.doi.org/10.1155/2020/6301692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079263PMC

Opening-wedge V-shaped corrective osteotomy for malunited fractures of metacarpal bones.

J Orthop 2020 May-Jun;19:208-211. Epub 2019 Nov 6.

Department of Traumatology, Orthopaedics and Outpatient Surgery, Samara State Medical University, Samara, Russian Federation.

Currently, the most commonly used method of treatment of patients with fractures of the metacarpal bones is closed reposition with immobilization of short-arm cast. This often leads to dislocation of fragments, their malunion, which leads to wrist functionality disorders and reduces the quality of patients' life. The main way to eliminate the deformities ‒ osteotomy of the metacarpal bones, followed by osteosynthesis. Read More

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http://dx.doi.org/10.1016/j.jor.2019.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011004PMC
November 2019

Comparison of the diagnostic accuracy of X-ray and computed tomography in patients with wrist injury.

Injury 2020 Mar 27;51(3):651-655. Epub 2020 Jan 27.

University of Health Sciences, Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Background: This study aimed to compare CT and XR images of patients admitted to the emergency department due to wrist injuries and to evaluate the accuracy of XR in the diagnosis of fractures.

Methods: Patients; who admitted to ED with injuries due to wrist trauma and who underwent XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018, were included in the study. CT scan image interpretation reports recorded in the hospital automation system were considered eligible to be included in the study. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.034DOI Listing

Iatrogenic metacarpal fracture after K-wire fixation: A case report and prevention.

Int J Surg Case Rep 2019 9;65:267-270. Epub 2019 Nov 9.

Department of Plastic Surgery, Dankook University Hospital, Cheonan, Chungnam, South Korea.

Introduction: Iatrogenic fractures after failed K-wire fixation in the management of a carpometacarpal (CMC) joint fracture-dislocation have not yet been reported (Hsu et al., 2011). We present a case of K-wire-related complication in the management of a CMC joint fracture-dislocation and highlight the importance of planning K-wire placement and minimizing the number of K-wire passes. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864321PMC
November 2019

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

Wrist-Spanning Fixation of Radiocarpal Dislocation: A Cadaveric Assessment of Ulnar Translation.

Hand (N Y) 2019 Sep 13:1558944719873148. Epub 2019 Sep 13.

Keck Medical Center of University of Southern California, Los Angeles, USA.

Radiocarpal dislocations represent a high-energy wrist injury that can occur with or without concomitant fractures about the wrist. Poor outcomes are often due to radiocarpal instability and secondary ulnar translation. The purpose of this cadaveric study is to determine if there is any difference in the radiographic parameters in a wrist dislocation model given the different location of distal fixation. Read More

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http://dx.doi.org/10.1177/1558944719873148DOI Listing
September 2019
2 Reads

Open reduction and internal fixation versus closed reduction and percutaneous fixation in the treatment of Bennett fractures: A systematic review.

Injury 2019 Aug 28;50(8):1470-1477. Epub 2019 Jun 28.

Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Purpose: Open reduction and internal fixation (ORIF) of Bennett fractures is increasingly preferred over closed reduction and percutaneous fixation (CRIF) in an attempt to prevent the development of post-traumatic arthrosis. The aim of this systematic review was to determine whether the preference for ORIF is justified based on the available literature regarding functional outcome and complications after surgery.

Methods: A systematic review was performed in Medline, Embase, Cochrane CENTRAL, Web of science, and Google scholar. Read More

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http://dx.doi.org/10.1016/j.injury.2019.06.027DOI Listing

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

Effect of Metacarpal Fixation Configuration on Strength and Fracture Gap Displacements in a Cadaveric Model of Externally Fixed Distal Radius Fractures.

Hand (N Y) 2019 Jun 10:1558944719851231. Epub 2019 Jun 10.

1 Penn State Health Milton S. Hershey Medical Center, PA, USA.

Background: The purpose of the study was to determine the biomechanical effect of distal pin configuration in unilateral external fixation of distal radius fracture in a cadaveric model.

Methods: A standardized 2-part extra-articular distal radius fracture model with dorsal comminution was created in 6 matched pairs of cadaveric upper extremities. Specimens within each matched pair were randomly assigned to either 4 or 6 cortices of distal pin metacarpal fixation. Read More

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http://dx.doi.org/10.1177/1558944719851231DOI Listing
June 2019
18 Reads

Pediatric Hand Injuries Requiring Closed Reduction at a Tertiary Pediatric Care Center.

Hand (N Y) 2019 Jun 4:1558944719850635. Epub 2019 Jun 4.

2 Division of Emergency Medicine, Children's Hospital of Eastern Ontario, Ottawa, Canada.

Objectives: Hand fractures and dislocations are common injuries in the pediatric population. This study aims to characterize the pediatric hand injuries that required closed reduction and identify those that required multiple reduction attempts.

Methods: A retrospective cohort study was carried out in patients younger than 18 years of age with hand fractures or dislocations who underwent closed reduction in the emergency department (ED). Read More

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http://dx.doi.org/10.1177/1558944719850635DOI Listing
June 2019
6 Reads

Multiple open wrist fractures and dislocation of the distal radioulnar joint from a dog bite injury.

Radiol Case Rep 2019 Jul 28;14(7):837-841. Epub 2019 Apr 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, PO Box 354755, Seattle, WA 98105, USA.

Dogs are commonly kept as household pets, but sometimes pet dogs bite people. We report the case of a 69-year-old man who was bitten by his pet pit bull terrier. The dog bite resulted in multiple open wrist fractures and dislocation of the distal radioulnar joint, requiring surgical debridement, open reduction and internal fixation, and bone grafting. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488688PMC
July 2019
7 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

Acute Traumatic Pseudo-pointing Index Finger Due to an Isolated Second Metacarpal-Trapezoid Dislocation: A Case Report.

J Orthop Case Rep 2019 ;9(4):6-9

Department of Orthopaedics, Medical Trust Hospital, Cochin, Kerala, India.

Introduction: An isolated second metacarpal dislocation is one of the least reported injuries of the hand. This particular injury assumes clinical significance as they occur subsequent to high energy direct trauma and are usually missed with associated carpal and metacarpal bone fractures. We describe this unique case of an isolated metacarpal-trapezoidal disruption with clinical presentation as the pseudo-pointing index finger and also describe a novel radiological sign to ascertain the rotational deformity of metacarpals on plain radiographs. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i04.1454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210917PMC
January 2019

Augmented External Fixation of Ulnar Carpometacarpal Joint Fracture Dislocations.

Tech Hand Up Extrem Surg 2019 Jun;23(2):84-87

Cleveland Clinic.

Ulnar-sided carpometacarpal (CMC) joint fracture dislocations are relatively uncommon, frequently associated with fractures of the metacarpal base and/or hamate, and often sustained by young male individuals secondary to striking a hard object. The complexity of ulnar-sided CMC fracture dislocations necessitates careful restitution of anatomic alignment and joint congruency for mobility and stability. Miniaturization of the external fixation device has allowed application to the hand. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000223DOI Listing
June 2019
53 Reads

A Rare Case of Complex Carpal Injury: Divergent Trapezium-Trapezoid Fracture Dislocation.

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

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http://dx.doi.org/10.1055/s-0038-1630143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255733PMC
December 2018
6 Reads

[Post-traumatic carpo-metacarpal arthrosis of the fifth finger treated with stabilized arthroplasty: about two cases and literature review].

Pan Afr Med J 2018 22;30:163. Epub 2018 Jun 22.

Service de Chirurgie Orthopédique et Traumatologique, CHU Habib Bourguiba de Sfax-Tunisie.

Old fractures and dislocations of the base of the fifth metacarpal may result in post-traumatic arthrosis which is troublesome from a functional point of view and characterized by a difficult management. Stabilized arthroplasty is based on arthroplastic resection of the base of the fifth metacarpal associated with lateral diaphysometaphyseal arthrodesis between the fourth and the fifth metacarpal. This study involving two patients aimed to describe the advantages and the peculiarities of stabilized arthroplasty compared to other techniques in the treatment of the sequelae of fractures and dislocations of the base of the fifth metacarpal. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.163.12445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235465PMC
December 2018
9 Reads

[Mini locked-plate trans-carpometacarpal joint internal fixation for treating comminuted fracture of base of the fifth metacarpal].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 11;32(11):1382-1385

Department of Bone Trauma and Reconstructive Surgery, Changzheng Hospital Affiliated to Naval Medical University【?】, Shanghai, 200003, P.R.China.

Objective: To evaluate the effectiveness of open reduction and trans-carpometacarpal joint internal fixation with mini locked-plate for treatment of comminuted fracture of base of the fifth metacarpal.

Methods: Between July 2015 and December 2017, 8 cases of comminuted fractures of base of the fifth metacarpals were treated with open reduction and trans-carpometacarpal joint internal fixation with mini locked-plate. There were 7 males and 1 female with an age of 19-45 years (mean, 32. Read More

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http://dx.doi.org/10.7507/1002-1892.201805077DOI Listing
November 2018
11 Reads

[Effectiveness analysis of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 08;32(8):984-988

Department of Hand Surgery, People's Hospital of Longhua, Shenzhen Guangdong, 518109, P.R.China.

Objective: To explore the effectiveness of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury.

Methods: Between September 2015 and June 2017, 13 cases of hamate-metacarpal joint injury were treated, including 12 males and 1 female, aged from 17 to 55 years (mean, 30.8 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201711006DOI Listing
August 2018
7 Reads

Patterns of Complex Carpal Injuries in the Hand from Fireworks.

J Hand Microsurg 2018 Aug 25;10(2):93-100. Epub 2018 Apr 25.

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, United States.

To describe the various patterns of complex carpal and metacarpal fracture dislocations observed in a consecutive series of firework injuries and the operative management performed. We performed a retrospective study of seven consecutive patients (six males; mean age = 22 ± 13, range, 8-39 years) who presented to a level I trauma center with firework injuries to the hand between July 2014 and January 2016. All injuries were sustained while a lighted firework was held in the hand. Read More

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http://dx.doi.org/10.1055/s-0038-1642069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103762PMC
August 2018
18 Reads

[Analysis on Injury Manners of 31 Cases of Bennett Fracture and Rolando Fracture].

Authors:
X R Zhou D Ran

Fa Yi Xue Za Zhi 2018 Jun 25;34(3):257-259. Epub 2018 Jun 25.

Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.

Objectives: To study the injury manners of Bennett fracture and Rolando fracture and explore its identification principle of the first metacarpal base fractures.

Methods: Totally 31 cases of Bennett fracture and Rolando fracture were collected. The injury manners of cases of 19 Bennett fractures and 12 Rolando fracture were classified, and various injury manners were analysed statistically. Read More

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http://dx.doi.org/10.12116/j.issn.1004-5619.2018.03.008DOI Listing
June 2018
5 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

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

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

Translunate, Transradial, Transtriquetral, Transtrapezoid Perilunate Dislocation With Multiple Metacarpal Neck Fractures.

Am J Orthop (Belle Mead NJ) 2017 Nov/Dec;46(6):E435-E438

Department of Trauma and Orthopaedics, Gwynedd Hospital, Penrhosgarnedd, Bangor, United Kingdom.

We report a rare case of translunate, transradial, transtriquetral, transtrapezoid perilunate dislocation with multiple metacarpal neck fractures in a young adult. The injury was treated with open reduction and internal fixation. Although the injury was severe, the patient had a satisfactory functional result. Read More

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August 2018
8 Reads

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
31 Reads

Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures.

Eur J Trauma Emerg Surg 2019 Feb 14;45(1):65-71. Epub 2017 Sep 14.

Department of Traumatology, St Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands.

Purpose: The objective of this study was to analyze complications and patient-related functional outcome after antegrade intramedullary Kirschner-wire fixation of metacarpal shaft fractures.

Methods: All consecutive patients treated from January 2010 until December 2015 were retrospectively analyzed using patient logs and radiographic images. Indications for operative fixation were angulation > 40°, shortening > 2 mm, or rotational deficit. Read More

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http://dx.doi.org/10.1007/s00068-017-0836-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394543PMC
February 2019
24 Reads

Common Ice Hockey Injuries and Treatment: A Current Concepts Review.

Curr Sports Med Rep 2017 Sep/Oct;16(5):357-362

1Department of Orthopedic Surgery, University of Chicago, Chicago, IL; 2Department of Orthopedic Surgery, Peconic Bay Medical Center/Northwell Health.

Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000402DOI Listing
March 2018
62 Reads

Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury.

Case Rep Emerg Med 2017 15;2017:7524563. Epub 2017 Aug 15.

Electricwala Hospital and Clinics, Himalayan Heights, Pune, Maharashtra 411013, India.

We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. Read More

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http://dx.doi.org/10.1155/2017/7524563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574274PMC
August 2017
7 Reads

[Transtrapezoid carpal dislocation: a case report].

Handchir Mikrochir Plast Chir 2017 Oct 28;49(5):309-314. Epub 2017 Aug 28.

Fracture dislocations of the STT joint are extremely rare. We present the case of a 50-year-old worker, who sustained a crush injury of his left hand with a dorsal fracture dislocation of the trapezoid bone and the associated second metacarpal bone at the STT, and a concomitant compartment syndrome of the hand. The fracture was reduced immediately and compartment release was performed, followed by percutaneous stabilisation using three K-wires. Read More

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http://dx.doi.org/10.1055/s-0043-115219DOI Listing
October 2017
12 Reads

Coronal Hamate Fracture Associated With Carpometacarpal Dislocations of All of the Fingers: Review of the Literature and Case Report.

Hand (N Y) 2017 09 22;12(5):NP51-NP54. Epub 2016 Sep 22.

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

Background: Dislocation of all 5 carpometacarpal (CMC) joints of a single hand is a rare injury.

Methods: The literature regarding CMC fracture-dislocations was reviewed and a case was presented.

Results: The relevant literature was consolidated to clinically relevant categories including 'Clinical Presentation and Diagnosis,' 'Management of CMC Fracture Dislocation and Hamate Fractures,' and 'Outcomes. Read More

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http://dx.doi.org/10.1177/1558944716668860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684916PMC
September 2017
12 Reads

Results of the Dubert procedure for chronic painful fracture-dislocations of the fifth carpometacarpal joint. A report of 6 cases.

Hand Surg Rehabil 2017 Oct 14;36(5):373-377. Epub 2017 Jul 14.

Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex, France. Electronic address:

Carpometacarpal (CMC) fracture-dislocations of the fifth ray are common. For chronic injuries, Dubert proposed combining resection arthroplasty of the base of the fifth metacarpal (M5) with synostosis with the fourth metacarpal (M4). Our aim was to evaluate the results of this procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229173011
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http://dx.doi.org/10.1016/j.hansur.2017.04.005DOI Listing
October 2017
9 Reads

Fractures and dislocations of the hand in polytrauma patients: Incidence, injury pattern and functional outcome.

Injury 2017 Apr 6;48(4):930-935. Epub 2017 Mar 6.

Department of Surgery, University Medical Centre Utrecht, The Netherlands. Electronic address:

Introduction: Injuries of the hand can cause significant functional impairment, diminished quality of life and delayed return to work. However, the incidence and functional outcome of hand injuries in polytrauma patients is currently unknown. The aim of this study was to determine the incidence, distribution and functional outcome of fractures and dislocation of the hand in polytrauma patients. Read More

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http://dx.doi.org/10.1016/j.injury.2017.02.034DOI Listing
April 2017
54 Reads

Thumb Injuries in Athletes.

Hand Clin 2017 02;33(1):161-173

Department of Orthopaedics, University of Pittsburgh, Suite 911, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA. Electronic address:

Thumb injuries are common in athletes and present a challenging opportunity for upper extremity physicians. Common injuries include metacarpal base fractures (Bennett and Rolando types), ulnar and radial collateral ligament injuries, dislocation of the carpometacarpal and metacarpophalangeal joints, and phalanx fractures. This review, although not exhaustive, highlights some of the most common thumb injuries in athletes. Read More

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http://dx.doi.org/10.1016/j.hcl.2016.08.008DOI Listing
February 2017
27 Reads

Bennett Fractures A Review of Management.

Bull Hosp Jt Dis (2013) 2016 Sep;74(3):197-202

A Bennett fracture is a common injury that involves an intra-articular fracture at the base of the first metacarpal. This fracture typically results in a dorsally and radially displaced metacarpal shaft relative to the well-anchored volar ulnar fragment. Most Bennett fractures are treated with operative fixation, including closed reduction and percutaneous fixation, open reduction and internal fixation, or arthroscopically assisted fixation. Read More

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September 2016
16 Reads

[Isolated Palmarly Dislocated Intraarticular Fracture Of The Base Of The Index Metacarpal: A Case Report].

Authors:
M Koch A Jenzer

Handchir Mikrochir Plast Chir 2016 Aug 31;48(5):313-5. Epub 2016 Aug 31.

Spital Emmental, Klinik für Unfallchirurgie und Orthopädie, Burgdorf, Schweiz.

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http://dx.doi.org/10.1055/s-0042-113190DOI Listing
August 2016
8 Reads

Multiple Volar Carpometacarpal Dislocations: Case Report/Review of the Literature.

J Wrist Surg 2016 Aug 9;5(3):236-40. Epub 2016 Mar 9.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Simultaneous volar dislocations of the second through fifth carpometacarpal joints are rare injuries, usually a result of high-energy trauma to the hand. The literature regarding this topic is sparse and consists primarily of case reports. We present a case associated with median nerve contusion that was treated with open reduction and pin fixation. Read More

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http://dx.doi.org/10.1055/s-0036-1580602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4959901PMC
August 2016
11 Reads

Correction of Volar Subluxation Deformities of the Metacarpophalangeal Joints Following a Distal Radius Fracture in a Patient With Systemic Lupus Erythematosus.

J Hand Surg Am 2016 Sep 9;41(9):e295-8. Epub 2016 Jul 9.

Hand and Microsurgery Section, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Extensor tendon subluxation over the metacarpal head, leading to metacarpophalangeal joint ulnar deviation, is a hand deformity seen in patients with systemic lupus erythematosus. Apart from soft tissue procedures, metacarpal shortening osteotomy is a previously described surgical treatment for this deformity. We present a patient whose fixed deformity was spontaneously corrected after a displaced distal radius fracture. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.017DOI Listing
September 2016
12 Reads

Complex Dorsal Metacarpophalangeal Dislocation: Long-Term Follow-Up.

J Hand Surg Am 2016 Aug 14;41(8):e229-33. Epub 2016 Jun 14.

Orthopedic Department, Emek Medical Center, Afula, Israel; Faculty of Medicine, Technion, Haifa, Israel.

Purpose: To describe the long-term follow-up results of complex dorsal metacarpophalangeal joint dislocation (MPJD). We hypothesize that there would be no long-term functional deficit in most patients, even with the presence of one of the familiar complications.

Methods: We describe 5 patients with a median follow-up of 13 (range, 7-36) years and review the literature focusing on follow-up and complications. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.010DOI Listing
August 2016
27 Reads

[Dorsal carpometacarpal dislocations of fourth and fifth metacarpal without fracture].

Pan Afr Med J 2016 15;23:92. Epub 2016 Mar 15.

Chirurgie Traumato-Orthopédie au Centre Hospitalier Universitaire de Fez, Fez, Maroc.

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http://dx.doi.org/10.11604/pamj.2016.23.92.8369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867725PMC
February 2017
13 Reads

A rare combined injury of dorsal fracture-dislocation of four carpometacarpal joints and trapezium, trapezoid and distal radius bone fractures.

Acta Biomed 2016 05 6;87(1):101-5. Epub 2016 May 6.

Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy.

Incorrect or delayed diagnosis and treatment of the carpometacarpal fracture-dislocations is often associated with poor prognosis. We present a rare case of unusual pattern of injury, involving dorsal dislocation of four ulnar carpometacarpal joints, associated with fracture of the trapezium, a burst fracture of the trapezoid  bone and an extra-articular fracture of the third distal  of the radius. The first surgical intervention was followed by unsatisfactory results, confirmed by the CT scans. Read More

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May 2016
14 Reads

Transradial, Transscaphoid, Transcapitate, Perilunate Dislocation; A Case Report and Approach to the Patient.

Bull Emerg Trauma 2016 Jan;4(1):54-7

Department of Orthopedics, National Institute of Medical Sciences, Medical College, Jaipur.

Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accidentwith head, face and left wrist injury. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779472PMC
January 2016
11 Reads

Hand Fractures: Indications, the Tried and True and New Innovations.

J Hand Surg Am 2016 Jun 22;41(6):712-22. Epub 2016 Apr 22.

Robert A. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA. Electronic address:

Hand fractures are the second most common fracture of the upper extremity, and management of patients with these injuries is common for most hand surgery practices. In this article, we outline the principles of management of these injuries with a special focus on those that are common or complex. We also highlight recent innovations in the context of these injuries. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.03.007DOI Listing
June 2016
29 Reads

Suspension Arthroplasty for Old Fracture-Dislocations of the Fifth Carpometacarpal Joint.

Tech Hand Up Extrem Surg 2016 Jun;20(2):83-7

Saitama Hand Surgery Institute, Saitama Seikeikai Hospital, Saitama, Japan.

It is well known that treatment of the old fracture-dislocations of the fifth carpometacarpal (CMC) joint is challenging. For patients with persistent pain due to this condition, numerous surgical techniques have been proposed. Here, we present a novel surgical technique, CMC joint suspension arthroplasty, using a partial slip of the extensor carpi ulnaris tendon. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000120DOI Listing
June 2016
9 Reads

Dorsal Buttress Plate Fixation of Ulnar Carpometacarpal Joint Fracture Dislocations.

Tech Hand Up Extrem Surg 2016 06;20(2):77-82

Department of Hand Surgery, Singapore General Hospital, Singapore.

We propose a method for open reduction and internal fixation of early and unstable ulnar (fourth and/or fifth) carpometacarpal joint (CMCJ) fracture subluxations or dislocations using a dorsal buttress plate. In ulnar CMCJ fracture dislocations, the metacarpal has a tendency to displace dorsally and proximally when there is an axial load. Using the dorsal buttress plate method of fixation, a plate is fixed proximally to the hamate, aligned parallel and dorsal to the metacarpal to act as a buttress, to resist this movement. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000119DOI Listing
June 2016
11 Reads

A Modification to Simplify the Harvest of a Hemi-hamate Autograft.

J Hand Surg Am 2016 May 30;41(5):e99-e102. Epub 2016 Mar 30.

Department of Orthopedic Surgery, St. Joseph's Regional Medical Center, Seton Hall University, Paterson, NJ. Electronic address:

Hemi-hamate arthroplasty is a valuable option for subacute dorsal fracture-dislocations of the proximal interphalangeal joint. Various harvesting techniques have been recommended via both anterograde and retrograde directions, both posing some technical challenges. We propose a technique for simplifying the hemi-hamate graft harvest by creating a window of visualization onto the dorsal hamate articular surface. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.02.007DOI Listing
May 2016
10 Reads

Bennett fracture: Arthroscopically assisted percutaneous screw fixation versus open surgery: Functional and radiological outcomes.

Orthop Traumatol Surg Res 2016 05 15;102(3):357-61. Epub 2016 Mar 15.

Service de chirurgie plastique, et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, 49, rue Hermite, 54052 Nancy, France.

Background: Arthroscopically assisted percutaneous screw fixation has been introduced to decrease the invasiveness of treatments for intra-articular fractures.

Hypothesis: Arthroscopically assisted percutaneous screw fixation of Bennett fracture simplifies the postoperative course compared to open surgery.

Material And Methods: Twenty-one Bennett fractures detaching at least one-third of the joint surface were studied retrospectively. Read More

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http://dx.doi.org/10.1016/j.otsr.2016.01.015DOI Listing
May 2016
8 Reads