3,055 results match your criteria Phalangeal Fractures


Ultrasound-guided peripheral forearm nerve block for digit fractures in a pediatric emergency department.

Am J Emerg Med 2018 Nov 24. Epub 2018 Nov 24.

Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Japan.

Although ultrasound-guided peripheral nerve block (UGPNB) has recently been introduced into pediatric emergency departments (EDs), knowledge of its use is still limited among pediatric emergency physicians. Ultrasound-guided ulnar nerve block (UGUNB) is a form of peripheral nerve block available for controlling the pain caused by phalangeal injuries, but studies of its use in pediatric patients are still scarce. The aim of this case series was to describe the experience of UGUNB use for pediatric phalangeal fractures in a pediatric ED setting. Read More

View Article
November 2018

A new biometric: in-utero growth curves for metacarpal and phalangeal lengths reveals an embryonic patterning ratio.

Prenat Diagn 2018 Nov 29. Epub 2018 Nov 29.

Departments of Human Genetics, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095.

Objective: Develop gestational age specific growth curves for fetal third metacarpal and phalangeal lengths and determine if fetal hand proportion is established in utero.

Methods: This prospective cross-sectional study used 2D ultrasound across gestational ages 12-39 weeks to evaluate the third fetal metacarpal and phalangeal measurements. Gestational age specific reference growth curves were developed. Read More

View Article
November 2018
1 Read

Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices.

Oral Radiol 2018 May 4;34(2):172-178. Epub 2017 Sep 4.

Faculdade de Odontologia, Campus de São José dos Campos, Universidade Estadual Paulista Julio de Mesquita Filho, Avenida Engenheiro Francisco José Longo, No. 777-Bairro: Jardim São Dimas, São Paulo, 12245-000, Brazil.

Objectives: Secondary hyperparathyroidism (SHPT) is a disease that affects patients with chronic kidney disease, and is characterized by mineral disturbance and bone loss, known as renal osteodystrophy. The aim of this study was to assess the validity of using intraoral phosphor storage plates to take radiographs of the middle phalanges to evaluate bone loss resulting from SHPT during follow-up of these patients.

Methods: The sample consisted of 24 patients with chronic kidney disease, 12 with parathyroid hormone (PTH) levels ≥500 pg/ml, and 12 with PTH levels <500 pg/ml, who underwent hemodialysis weekly. Read More

View Article
May 2018
1 Read

Metastatic Phalangeal Disease.

QJM 2018 Nov 22. Epub 2018 Nov 22.

Unidad de Gestión Clínica de Medicina Interna y Urgencias, Hospital del SAS San Carlos, San Fernando, Cádiz, SPAIN.

View Article
November 2018
1 Read

Dorsal transosseous reduction and locking plate fixation for articular depressed middle phalangeal base fracture.

Arch Orthop Trauma Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Orthopaedic Surgery, Korea University Anam Hospital, 73, Inchon-ro, Sungbuk-gu, Seoul, 06334, South Korea.

Purpose: An articular depressed fragment at the base of the middle phalanx can be an obstacle to congruent reduction and stable fixation. This study assessed the outcomes of a transosseous reduction technique combined with locking plate fixation for the treatment of articular depressed middle phalangeal base fracture.

Methods: Between 2015 and 2017, seven patients (eight fingers) with intraarticular comminuted middle phalangeal base fracture were included in this study. Read More

View Article
November 2018
7 Reads

A Cleidocranial Dysplasia Case with a Novel Mutation and Growth Velocity Gain with Growth Hormone Treatment.

J Clin Res Pediatr Endocrinol 2018 Nov 23. Epub 2018 Nov 23.

İnonu University Faculty of Medicine, Department of Radiology, Malatya, Turkey.

Cleidocranial dysplasia (CCD) is a rare congenital autosomal dominant skeletal disorder that is characterized by hypoplasia or aplasia of clavicles, failure of cranial suture closure, dental anomalies, short stature and other changes in skeletal patterning and growth. The gene responsible for pathogenesis has been mapped on the short arm of chromosome 6p21, Core Binding Factor Alpha-1 () or Runt Related Transcription Factor 2 (). Here we describe a CCD patient with a novel mutation in the gene. Read More

View Article
November 2018
2 Reads

Pediatric hand injuries: Practical approach for primary care physicians.

Can Fam Physician 2018 Nov;64(11):803-810

Pediatric plastic surgeon at the Children's Hospital of Eastern Ontario in Ottawa.

Objective: To present a practical and evidence-based approach for primary care physicians to the diagnosis and initial management of common pediatric hand injuries, and to identify injuries requiring prompt referral.

Sources Of Information: Clinical evidence and expert recommendations were identified by using MEDLINE and EMBASE for each topic presented.

Main Message: Pediatric hand injuries are a common reason for physician consultation. Read More

View Article
November 2018
6 Reads

The Acute Management of Unstable Intra-Articular Fractures of the Base of the Middle Phalanx: A Systematic Review.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):441-449

1 Brighton and Sussex Medical School, University of Brighton, London, UK.

Background: Within hand trauma, the management of unstable, intra-articular fractures of the base of the middle phalanx remains highly controversial. The objective of this research was to determine which operation gives the best outcome in the management of displaced, intra-articular fractures of the base of the middle phalanx causing instability of the proximal interphalangeal joint.

Methods: A scoping study was performed to determine the evidence available and the terminology used. Read More

View Article
December 2018
9 Reads

Comparison of low-profile plate-screw and Kirschner-wire osteosynthesis outcomes in extra-articular unstable proximal phalangeal fractures.

Eur J Orthop Surg Traumatol 2018 Nov 13. Epub 2018 Nov 13.

Department of Orthopedics and Traumatology, Gölcük State Hospital, Kocaeli, Turkey.

Background: We aimed to present the radiological and clinical results of Kirschner-wire (K-wire) fixation and low-profile plate-screw fixation applied to unstable proximal phalangeal fractures without extension to the joint.

Methods: Clinical and radiological data of 22 patients who underwent fixation with open reduction and low-profile 1.5-mm titanium mini plate and unlocked screws and 18 patients who underwent fixation with K-wire due to closed, unstable extra-articular proximal phalangeal fractures were retrospectively examined. Read More

View Article
November 2018
6 Reads

Jumping mechanics of desert kangaroo rats.

J Exp Biol 2018 Nov 12;221(Pt 22). Epub 2018 Nov 12.

Department of Biological Sciences, University of Idaho, Moscow, ID 83844, USA.

Kangaroo rats are small bipedal desert rodents that use erratic vertical jumps to escape predator strikes. In this study we examined how individual hind limb joints of desert kangaroo rats () power vertical jumps across a range of heights. We hypothesized that increases in net work would be equally divided across hind limb joints with increases in jump height. Read More

View Article
November 2018
4 Reads

A longitudinal investigation of an outbreak of toe tip necrosis syndrome in western Canadian feedlot cattle.

Can Vet J 2018 Nov;59(11):1202-1208

Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Jelinski); University of Calgary Ringgold Standard Institution - Animal Production Health, 2500 University Drive NW, Calgary, Alberta T2N 1N4 (Marti); Clinical Practice, Faculty of Veterinary Medicine, Calgary, Alberta T2N 1N4 (Janzen); Agriculture and Agri-food Canada - Lethbridge Research Centre, Lethbridge, Alberta (Schwartzkopf-Genswein).

This investigation followed a cohort ( = 21) of single-sourced Angus cross yearling heifers diagnosed with toe tip necrosis syndrome (TTNS). The animals were intensively followed for ~7 months, over which time 5 animals were euthanized because of intractable lameness or life-threatening sequelae such as cellulitis and myositis. Treatment consisted of systemic antimicrobial and nonsteroidal anti-inflammatory therapy, removing the necrotic horn tissue to facilitate drainage, and relocating the cattle to an earthen-floor pen. Read More

View Article
November 2018
1 Read

Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.

Acta Chir Orthop Traumatol Cech 2018 ;85(5):325-330

Golhisar State Hospital, Burdur, Turkey.

PURPOSE OF THE STUDY To evaluate the clinical and radiological results of a new modification of relatively less-known Lindgren-Turan osteotomy technique in HV deformity that is performed by combining bunionectomy and capsuloplasty. MATERIAL AND METHODS 60 feet of 52 patients with moderate and heavy deformity who were operated between 2009 and 2014 were included in the study. The patients had clinically severe pain, did not respond to at least 6-month conservative treatment and had moderate and severe deformity before Hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal joint angle (DMAA), proximal phalangeal joint angles (PPAA) and shortening amount in the first metatarsus were measured through preoperative and follow-up radiography. Read More

View Article
January 2018
1 Read

Turf Toe: An Update and Comprehensive Review.

Radiol Clin North Am 2018 Nov 17;56(6):847-858. Epub 2018 Sep 17.

Radiology and Biomedical Imaging, Yale School of Medicine, 20 York Street, New Haven, CT 06510, USA. Electronic address:

Turf toe is a spectrum of injury involving the first metatarsophalangeal joint originally described in football players on artificial surfaces. A detailed description of the complex anatomy and pathology involved in the turf toe injury is presented. We highlight potential pitfalls of image interpretation and emphasize what the referring physician needs to know. Read More

View Article
November 2018
1 Read

Dorsiflexory Phalangeal Osteotomy for Grade II Hallux Rigidus: Patient-Focused Outcomes at Eleven-Year Follow-Up.

J Foot Ankle Surg 2018 Oct 10. Epub 2018 Oct 10.

Consultant Podiatric Surgeon, Ilkeston Hospital, Derbyshire Community Health Services NHS Foundation Trust, Derbyshire, UK; Consultant Podiatric Surgeon, Kingsbridge Private Hospital, Belfast, Northern Ireland.

Dorsiflexory phalangeal osteotomy has been shown to be an effective treatment for mild to moderate hallux rigidus in short- to medium-term follow-up studies. It is speculated that the procedure alters the mechanical function of the joint and reduces the demand for hallux dorsiflexion by elevating the proximal phalanx into a more dorsiflexed position. However, it has been demonstrated that the first metatarsophalangeal (MTP) joint space and joint range of motion are reduced by the procedure, calling into question the long-term effectiveness of the operation. Read More

View Article
October 2018
2 Reads

One-Stage Metatarsal Interposition Lengthening With an Autologous Fibula Graft for Treatment of Brachymetatarsia.

Foot Ankle Spec 2018 Oct 3:1938640018803731. Epub 2018 Oct 3.

Department of Orthopaedic Surgery, Hannover Medical School, Hannover, Germany.

Objective: Brachymetatarsia is defined as the pathological shortening of a metatarsal bone, which can cause cosmetic problems and pain in the forefoot. The main surgical treatment options are: extension osteotomy, interposition of a bone graft, and callus distraction. Usually, a bone graft from the iliac crest is used for the interposition osteotomy. Read More

View Article
October 2018
8 Reads

Treatment of Brachymetatarsia Involving the Great Toe.

JB JS Open Access 2018 Jun 19;3(2):e0046. Epub 2018 Apr 19.

Department of Orthopaedic Surgery and Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.

Background: Brachymetatarsia is usually treated by lengthening the metatarsals, but excessive lengthening can be associated with complications. Our technique combines 1-stage step-cut lengthening of the first metatarsal with shortening and/or lengthening of the neighboring metatarsals and/or phalanges.

Methods: Twenty-four feet (15 patients) were treated for first-ray brachymetatarsia. Read More

View Article
June 2018
5 Reads

Resolving Digital Staphylococcal Osteomyelitis Using Bacteriophage-A Case Report.

Antibiotics (Basel) 2018 Oct 2;7(4). Epub 2018 Oct 2.

VA Northern California, Muir Road, Martinez CA, USA.

Infections involving diabetic foot ulcers (DFU) are a major public health problem and have a substantial negative impact on patient outcomes. Osteomyelitis in an ulcerated foot substantially increases the difficulty of successful treatment. While literature suggests that osteomyelitis in selected patients can sometimes be treated conservatively, with no, or minimal removal of bone, we do not yet have clear treatment guidelines and the standard treatment failure fallback remains amputation. Read More

View Article
October 2018
2 Reads

Custom 3D-printed finger proximal phalanx as salvage of limb function after aggressive recurrence of giant cell tumour.

BMJ Case Rep 2018 Sep 18;2018. Epub 2018 Sep 18.

Department of Paediatric Orthopaedic Oncology, Careggi University Hospital, Florence, Italy.

Giant cell tumours (GCT) of the finger phalanges are extremely rare but have a high rate of recurrence. This report details the case of a GCT of the proximal phalanx of the fourth finger in a 64-year-old man. The patient was initially subjected to systemic neoadjuvant denosumab treatment, and subsequent aggressive curettage, sparing of the articular joints, local cryotherapy and autologous intercalary fibular bone graft. Read More

View Article
September 2018
1 Read

[Reconstruction of the middle phalangeal base of the finger using an osteocartilaginous autograft from the hamate].

Oper Orthop Traumatol 2018 Sep 14. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

View Article
September 2018
1 Read

Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI.

Vet Surg 2018 Oct 14;47(7):908-915. Epub 2018 Sep 14.

Institute of Chronic and Ageing Disease, University of Liverpool, Liverpool, United Kingdom.

Objective: To compare the outcome following conservative vs surgical management of sports horses with a diagnosis of subchondral bone trauma of the proximal aspect of the proximal phalanx (PP) by low-field MRI.

Study Design: Retrospective case series.

Animals: Twenty-one mature sports horses with evidence of high water signal within the proximal sagittal groove of the PP according to low-field MRI of the fetlock, with no definitive radiographic evidence of fracture. Read More

View Article
October 2018
7 Reads

Early Weight-Bearing After Arthrodesis of the First Metatarsal-Phalangeal Joint: A Systematic Review of the Incidence of Non-Union.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1200-1203. Epub 2018 Sep 7.

Clinical Assistant Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.

Arthrodesis of the first metatarsal-phalangeal joint is a reliable procedure for correction of both hallux limitus/rigidus and severe hallux abducto valgus deformities. However, 1 potential contraindication to the procedure is the extended period of non-weight-bearing immobilization that is typically associated with the postoperative course. The objective of this investigation was to perform a systematic review of the incidence of non-union after early weight bearing in patients who underwent arthrodesis of the first metatarsal-phalangeal joint. Read More

View Article
September 2018
5 Reads

Ossification of the Proximal and Middle Phalangeal Condyles: Radiographic Aid in Phalangeal Neck Fracture Reduction.

J Pediatr Orthop 2018 Sep 7. Epub 2018 Sep 7.

Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.

Background: Phalangeal neck fractures are commonly dorsally displaced and angulated. Surgical treatment is often necessary to restore the retrocondylar recess. The purpose of this study was to determine whether radiographic landmarks can serve as a reference tool for assessing phalangeal neck fracture alignment based on age and sex. Read More

View Article
September 2018
11 Reads

Evaluation of the Mechanical Axis of the First Ray Before and After First Metatarsal-Phalangeal Joint Reconstructive Surgery.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1140-1142. Epub 2018 Sep 7.

Clinical Associate Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania. Electronic address:

LaPorta et al published a description of measurement of the mechanical axis of the first ray in an attempt to introduce center-of-rotation angulation principles into forefoot reconstructive surgery. They found significant differences in the measurement of the first intermetatarsal angle between groups of feet with and without hallux abducto valgus deformity, but they found no difference in the measurement of the M1-M2 mechanical axis angle between groups. The objectives of this study were to further investigate the proposed M1-M2 mechanical axis angle and to examine the effect of hallux abducto valgus corrective surgery on its measurement. Read More

View Article
September 2018

[Diagnosis and treatment of thumb polydactyly with symphalangism in children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Sep;32(9)

Department of Pediatric Orthopaedic, Wuxi No.9 People's Hospital Affiliated to Soochow University, the Orthopaedic Hospital of Wuxi, Wuxi Jiangsu, 214000, P.R.China.

Objective: To investigate the diagnosis and treatment of thumb polydactyly with symphalangism in children.

Methods: Seven cases of thumb polydactyly with symphalangism were treated between January 2013 and May 2017. There were 5 males and 2 females, aged from 10 months to 11 years, with an average age of 3. Read More

View Article
September 2018
6 Reads

A novel insertion and deletion mutation in the BHLHA9 underlies polydactyly and mesoaxial synostotic syndactyly with phalangeal reduction.

Eur J Med Genet 2018 Aug 11. Epub 2018 Aug 11.

Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan. Electronic address:

Mesoaxial syndactyly is characterized by fusion of the central digits. The disorder segregates in autosomal recessive pattern and mapped on human chromosome 17p13.3. Read More

View Article
August 2018
1 Read
1.490 Impact Factor

Expression of acetylated tubulin in the postnatal developing mouse cochlea.

Eur J Histochem 2018 Aug 8;62(3). Epub 2018 Aug 8.

Shanghai Jiaotong University Ear Institute, Department of Otorhinolaryngology-Head and Neck Surgery.

Acetylation tubulin is one of the major post-translational modifications of microtubules. Stable microtubules are well known to contain acetylated tubulin. Here, we examined the spatiotemporal expression of acetylated tubulin in the mouse cochlea during postnatal development. Read More

View Article

Nail abnormalities identified in an ageing study of 30 inbred mouse strains.

Exp Dermatol 2018 Aug 3. Epub 2018 Aug 3.

The Jackson Laboratory, Bar Harbor, Maine.

In a large-scale ageing study, 30 inbred mouse strains were systematically screened for histologic evidence of lesions in all organ systems. Ten strains were diagnosed with similar nail abnormalities. The highest frequency was noted in NON/ShiLtJ mice. Read More

View Article

Tricho-rhino-phalangeal syndrome 1 protein functions as a scaffold required for ubiquitin-specific protease 4-directed histone deacetylase 2 de-ubiquitination and tumor growth.

Breast Cancer Res 2018 Aug 2;20(1):83. Epub 2018 Aug 2.

The Key Laboratory of Developmental Genes and Human Disease, Ministry of Education, Institute of Life Science, Southeast University, Nanjing, 210096, People's Republic of China.

Background: Although numerous studies have reported that tricho-rhino-phalangeal syndrome type I (TRPS1) protein, the only reported atypical GATA transcription factor, is overexpressed in various carcinomas, the underlying mechanism(s) by which it contributes to cancer remain unknown.

Methods: Both overexpression and knockdown of TRPS1 assays were performed to examine the effect of TRPS1 on histone deacetylase 2 (HDAC2) protein level and luminal breast cancer cell proliferation. Also, RT-qRCR, luciferase reporter assay and RNA-sequencing were used for transcription detection. Read More

View Article
August 2018
11 Reads

[Phalangeal fractures of the hand].

Ugeskr Laeger 2018 Aug;180(32)

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

View Article
August 2018
9 Reads

Outcome Analysis of Metacarpal and Phalangeal Fixation Techniques at Bellevue Hospital.

Ann Plast Surg 2018 Oct;81(4):407-410

From the Department of Plastic Surgery, New York University School of Medicine, New York, NY.

Purpose: Phalangeal fractures represent a significant portion of upper extremity injuries but are not well studied as a single entity. We define our approach at a level 1 trauma center and determine whether plating or lag screws (ie, rigid fixation) have superior functional outcomes compared with Kirschner wire fixation for phalangeal or metacarpal fractures.

Methods: We performed a systematic review of all surgically managed hand fracture cases at Bellevue Hospital during 2012 and 2013. Read More

View Article
October 2018
3 Reads

Hyperphalangy in a new sinemydid turtle from the Early Cretaceous Jehol Biota.

PeerJ 2018 27;6:e5371. Epub 2018 Jul 27.

College of Earth Science and Engineering, Shandong University of Science and Technology, Qingdao, Shandong, China.

Hyperphalangy is a rare condition in extant aquatic turtles, and mainly limited to soft-shelled turtles. Here we report a new freshwater turtle, gen. et sp. Read More

View Article
July 2018
1 Read

Bilateral Macrodactyly of the Halluces in an Adolescent Girl Corrected with Shortening Osteotomies of the First Metatarsal and the Phalangeal Bones: A Case Report.

JBJS Case Connect 2018 Jul-Sep;8(3):e58

Foot and Ankle Orthopaedics (J.P.K.), Epidemiology Unit (A.M.H.), and Clínica del Campestre (J.P.K., D.A.S., and A.M.H.), Medellín, Colombia.

Case: A 14-year-old girl presented with painful high-arched feet and unusual, asymptomatic, bilateral macrodactyly of the halluces. After a year of observation, a surgical reduction was performed because of the psychological effect that the abnormality had on the patient. Bilateral shortening osteotomies of the metatarsal and the proximal phalangeal bones were performed. Read More

View Article

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

Hand (N Y) 2018 Jul 1:1558944718787859. Epub 2018 Jul 1.

2 University Hospital of Pisa, Italy.

Background: 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

View Article
July 2018
2 Reads

Whole genome sequencing and 6-year follow-up of a mother and daughter with frontometaphyseal dysplasia associated with keratitis, xerosis, poikiloderma, and acro-osteolysis: A case report.

Medicine (Baltimore) 2018 Jul;97(28):e11283

Department of Dermatology.

Rationale: Frontometaphyseal dysplasia (FMD) is a dominant X-linked rare disease caused by mutations of FLNA. The distinctive features of FMD include skeletal dysplasia, facial dysmorphism, extremities anomalies, deafness, cleft palate and eye anterior segment anomalies, yet none of the complications, such as acro-osteolysis, keratitis, xerosis or poikiloderma, have been reported in FMD.

Patient Concerns: A 29-year-old mother and her 7-year-old daughter, both presented with congenital glaucoma, craniofacial dysmorphism, xerosis and poikiloderma, were admitted to our hospital in 2011. Read More

View Article
July 2018
14 Reads
5.720 Impact Factor

Validation Study of the Thumb Ossification Composite Index (TOCI) in Idiopathic Scoliosis: A Stage-to-Stage Correlation with Classic Tanner-Whitehouse and Sanders Simplified Skeletal Maturity Systems.

J Bone Joint Surg Am 2018 Jul;100(13):88

Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Shatin, Hong Kong.

Background: The new simplified thumb ossification composite index (TOCI) based on ossification of the thumb epiphyses and adductor sesamoid has demonstrated simplicity, excellent reliability, and high accuracy for predicting skeletal maturity, comparable with the Sanders simplified skeletal maturity system (SSMS). It was our belief that, because the terminology of the SSMS system has been commonly used for skeletal maturity prediction in idiopathic scoliosis in publications over the past decade, the clinical applicability of the TOCI system would increase if the stages in the 2 systems were found to be interchangeable and highly correlated.

Methods: Hand radiographs of 125 premenarchal girls with newly diagnosed adolescent idiopathic scoliosis who had been followed longitudinally until skeletal maturity were all scored with use of the Tanner-Whitehouse III (TW3) system (stages E through I), the TOCI, and the SSMS. Read More

View Article
July 2018
9 Reads

Evaluation of bone mineralization in former preterm born children: Phalangeal quantitative ultrasound cannot replace dual-energy X-ray absorptiometry.

Bone Rep 2018 Jun 28;8:38-45. Epub 2018 Jan 28.

Department of Pediatrics, Subdivision of Neonatology, Radboudumc Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Preterm infants are at risk of impaired bone health in later life. Dual-energy X-ray absorptiometry-scan (DXA) is the gold standard to determine bone mineralization. Phalangeal quantitative ultrasound (pQUS) is an alternative technique that is inexpensive, easy to use and radiation-free. Read More

View Article
June 2018
9 Reads

Reconstruction of Neglected Flexor Hallucis Longus Tendon Rupture: A Case Report.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1256-1258. Epub 2018 Jun 21.

Professor, Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Isolated rupture of the flexor hallucis longus tendon is an unusual injury. We present the case of a neglected flexor hallucis longus tendon closed traumatic rupture at the plantar aspect of the first phalangeal head of the great toe in a middle-age male. The injury occurred while he was dancing. Read More

View Article
June 2018
3 Reads

Case series: rheumatological manifestations attributed to exposure to Libby Asbestiform Amphiboles.

J Toxicol Environ Health A 2018 21;81(15):734-747. Epub 2018 Jun 21.

e Icahn School of Medicine at Mt Sinai , New York NY.

An increased risk for Systemic Autoimmune Diseases (SAID) has been reported in Libby, Montana, where extensive exposures to fibrous amphiboles occurred due to mining and use of asbestos-laden vermiculite. In addition, positive antinuclear autoantibody tests are associated with exposure to Libby Asbestiform Amphiboles (LAA) in both humans and mice. Among 6603 subjects who underwent health screening at the Center for Asbestos Related Diseases (CARD, Libby MT), 13. Read More

View Article
June 2018
3 Reads

Response to: "Letter to the editor: Mesoaxial synostotic syndactyly with phalangeal reduction (MSSD): syndactyly type IX".

Skeletal Radiol 2018 Sep;47(9):1203

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Hamburg-Eppendorf, Martinistraße 52, 20251, Hamburg, Germany.

View Article
September 2018
1 Read

Comparison of Open and Closed Hand Fractures and the Effect of Urgent Operative Intervention.

J Hand Surg Am 2018 Jun 13. Epub 2018 Jun 13.

Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, NY.

Purpose: To establish and compare the incidence of 30-day postoperative infection in surgically managed open and closed metacarpal and phalangeal fractures, and to determine whether open fractures treated urgently had a lower incidence of postoperative infection.

Methods: We conducted a retrospective analysis of patient demographics, comorbidities, and 30-day infection rates of patients undergoing operative fixation of metacarpal, proximal, or middle phalanx fractures from 2008 to 2015 using the American College of Surgeons' National Surgical Quality Improvement Program database. A total of 3,506 patients were identified and patient variables and infection incidence were compared between open and closed injuries, as well as open injuries managed within 1 day of admission and those treated on an elective basis or treated more than 1 day after admission. Read More

View Article
June 2018
9 Reads

Aggressive intraosseous lipoma of the intermediate phalanges of the thumb.

Mol Clin Oncol 2018 Jul 18;9(1):62-65. Epub 2018 May 18.

Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan.

Intraosseous lipomas occurring in the bones of the upper limbs are very rare. The tumor often occurs in long bones, especially the calcaneus. Usually patients with intraosseous lipomas present with mild clinical features. Read More

View Article
July 2018
1 Read

Central Coalition Osteotomy of Phalangeal Synostoses in the Management of the Type III Apert Hand.

J Hand Surg Am 2018 Nov 8;43(11):1042.e1-1042.e8. Epub 2018 Jun 8.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Purpose: We report a technique in the management of the type III Apert hand. The proposed approach facilitates the creation of a 5-fingered hand in 3 stages.

Methods: We reviewed records of patients with Apert syndrome and type III hands surgically treated at our institution from 1995 through 2014. Read More

View Article
November 2018
1 Read

The assessment of skeletal status in young patients with Turner syndrome by 2 densitometric techniques: Phalangeal quantitative ultrasound and dual energy X-ray absorptiometry.

Adv Clin Exp Med 2018 Jun;27(6):759-764

Department of Medical Simulation, University of Opole, Poland.

Background: Studies using dual energy X-ray absorptiometry (DXA) demonstrate a reduction in bone mineral density (BMD) in children and adolescents with Turner syndrome (TS). However, these studies do not take into account changes in bone size, which influence BMD in the case of short-statured patients. Phalangeal quantitative ultrasound (phQUS) measurements have shown an ability to reveal changes due to skeletal growth, aging, and bone and mineral disorders. Read More

View Article
June 2018
8 Reads

Accuracy and Reliability of Radiographic Estimation of Volar Lip Fragment Size in PIP Dorsal Fracture-Dislocations.

Hand (N Y) 2018 Jun 1:1558944718777831. Epub 2018 Jun 1.

3 The Roosevelt Hand to Shoulder Center, New York, NY, USA.

Background: A cadaveric study was performed to evaluate the accuracy and reliability of radiographic estimation of the volar lip fragment size in proximal interphalangeal joint fracture-dislocations.

Methods: Middle phalangeal base volar lip fractures of varying size and morphology were simulated in 18 digits. Radiographs and digital photographs of the middle phalangeal joint surface were obtained pre- and postinjury. Read More

View Article
June 2018
23 Reads

Complications Following Allograft and Xenograft Resurfacing of the First Metatarsal Head: A Case Series.

Clin Podiatr Med Surg 2018 Jul 4;35(3):271-280. Epub 2018 May 4.

Division of Podiatric Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Floor 2, Cambridge, MA 02139, USA. Electronic address:

Ten cases using decellularized allografts and xenografts for the purpose of resurfacing the first metatarsal head are reviewed in this article. Although most of the cases were performed without any postoperative complications, the focus of this series is on 2 of the 3 cases in which destruction of the first metatarsal head was observed postoperatively due to a foreign body reaction and severe degeneration within the metatarsal head. A salvage procedure using a silicone total joint to replace the damaged surface is shown. Read More

View Article
July 2018
2 Reads

Hand function outcome in closed small bone fractures treated by open reduction and internal fixation by mini plate or closed crossed pinning: a randomized controlled trail.

Musculoskelet Surg 2018 May 31. Epub 2018 May 31.

Department of Orthopedic, AIIMS Rishikesh, Rishikesh, India.

Purpose: No study in literature clearly gives advantage of one method of surgical fixation of fracture over the other in metacarpal and phalangeal bones of hand comparing wider outcome measures.

Materials And Methods: A randomized controlled trial between closed reduction and percutaneous Kirschner wire fixation or open reduction and internal fixation with mini fragment plates was conducted. A total of 32 patients with 16 in each group were taken in tertiary-level teaching hospital from 2014 to 2016. Read More

View Article
May 2018
2 Reads

Opening Wedge Osteotomy for Valgus Deformity of the Little Finger after Proximal Phalangeal Fracture in Children: Two Case Reports.

Case Rep Orthop 2018 17;2018:1526054. Epub 2018 Apr 17.

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.

In the treatment of posttraumatic valgus deformity of the pediatric little finger, it is usually difficult to achieve accurate correction of angular and rotational deformity using closing wedge osteotomy. We report two cases of valgus deformity of the little finger (both 11-year-old female patients) successfully treated using opening wedge osteotomy followed by intramedullary semirigid fixation with a single Kirschner wire. A wire tip inserted from the retrocondylar fossa of the proximal phalangeal head was advanced along the radial side of the intramedullary cortex after gradual opening of the osteotomy site. Read More

View Article
April 2018
1 Read

Entheseal involvement in asymptomatic human immunodeficiency virus infected patients: preliminary results of a clinical and ultrasonographic study.

Clin Exp Rheumatol 2018 Sep-Oct;36(5):862-870. Epub 2018 May 24.

Rheumatology Unit, Department of Medical Sciences, University of Ferrara and S.Anna University Hospital, Ferrara, Italy.

Objectives: As a strong association between human immunodeficiency virus (HIV) infection and spondyloarthritis (SpA) has been hypothesised, our main objective was to explore by power Doppler ultrasonography (PDUS) the presence of subclinical enthesitis in asymptomatic HIV patients. The presence of subclinical synovitis was also evaluated.

Methods: Consecutive asymptomatic HIV patients were studied and compared with asymptomatic HCV patients and healthy controls (HC). Read More

View Article
May 2018
17 Reads

Phalangeal metastasis in colon adenocarcinoma.

Med Clin (Barc) 2018 May 25. Epub 2018 May 25.

Medical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.

View Article

[Clinical application of anterolateral thigh polyfoliate perforator flap for vascular pedicle protection].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(10):1245-1249

Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To evaluate the effectiveness of anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap for repairing extremities soft tissue defect.

Methods: Between January 2014 and January 2017, 24 patients with extremities soft tissue defects were treated by anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap. There were 15 males and 9 females, with a median age of 33. Read More

View Article
August 2017
9 Reads