76 results match your criteria Splinting Volar


Immobilization following Distal Radius Fractures: A Randomized Clinical Trial.

J Wrist Surg 2018 Nov 7;7(5):409-414. Epub 2018 Aug 7.

Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.

 No consensus exists regarding postoperative splinting position following volar plate fixation of distal radius fractures.  The purpose of this study was to determine whether immobilization in supination would result in superior outcomes compared with no restriction of forearm range of motion.  All patients >18 years of age with distal radius fractures indicated for volar plate fixation were eligible. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667302
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http://dx.doi.org/10.1055/s-0038-1667302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196089PMC
November 2018
11 Reads

Minimally Invasive Plate Osteosynthesis for a Distal Radius Fracture with Forearm Skin Problem.

Case Rep Orthop 2018 24;2018:8195376. Epub 2018 Jun 24.

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan.

In this study, we performed osteosynthesis for a distal radius fracture using a minimally invasive approach for a patient with skin disorder of the forearm and obtained favorable results. This case report may provide new findings confirming the usefulness of this surgical approach for distal radius fractures. Blister formation on the right forearm was observed in a 53-year-old female who was diagnosed with a distal fracture of the right radius and underwent splinting in a local hospital, and she was referred to our hospital 2 days after the injury. Read More

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http://dx.doi.org/10.1155/2018/8195376DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035807PMC
June 2018
1 Read

Early Versus Late Motion Following Volar Plating of Distal Radius Fractures.

Hand (N Y) 2018 Jul 1:1558944718787880. Epub 2018 Jul 1.

1 Mayo Clinic, Rochester, MN, USA.

Background: Distal radius fractures are common, and the trend in fixation has included the use of locked volar plating. The duration of splinting required after surgery and the effect splinting has upon outcome of the wrist are not clear. Our aim was to compare outcome of patients treated with early versus late motion protocol after volar plating. Read More

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http://dx.doi.org/10.1177/1558944718787880DOI Listing
July 2018
1 Read

A novel surgical correction and innovative splint for swan neck deformity in hypermobility syndrome.

J Family Med Prim Care 2018 Jan-Feb;7(1):242-245

Department of Physiotherapy, KMPIP, Shree Krishna Hospital, Anand, Gujarat, India.

Splinting is a great domain of occupational therapy profession. Making a splint for the patient would depend on the need or requirement of the problems and deformities. Swan neck deformity is an uncommon condition, and it can be seen in rheumatoid arthritis, cerebral palsy, and after trauma. Read More

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http://www.jfmpc.com/text.asp?2018/7/1/242/231544
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http://dx.doi.org/10.4103/jfmpc.jfmpc_14_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958577PMC
June 2018
7 Reads

Treatment of Proximal Interphalangeal Joint Contracture.

Hand Clin 2018 05;34(2):229-235

Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address:

Proximal interphalangeal joint (PIPJ) flexion contracture is a challenging and often frustrating problem. Treatment of PIPJ contracture begins with conservative measures. With good compliance and prolonged use, favorable results can be achieved using these modalities. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.012DOI Listing
May 2018
1 Read

Treating Proximal Interphalangeal Joint Dislocations.

Hand Clin 2018 05;34(2):139-148

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Hospitals, 5841 South Maryland Avenue, Room P-211, MC 3079, Chicago, IL 60637, USA. Electronic address:

Proximal interphalangeal (PIP) joint dislocation a common injury. Usually, concentric stable reduction can be achieved with closed reduction. Occasionally, PIP joint dislocations are irreducible and open reduction is necessary. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.004DOI Listing
May 2018
4 Reads

Palmer Midcarpal Instability: An Algorithm of Diagnosis and Surgical Management.

J Wrist Surg 2017 Nov 30;6(4):262-275. Epub 2017 Aug 30.

Department of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

 Palmar midcarpal instability (PMCI) is an uncommon form of nondissociative carpal instability. However, it is an important cause of chronic ulnar wrist pain. Diagnosis can be difficult and high index of suspicion is mandatory. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606379
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http://dx.doi.org/10.1055/s-0037-1606379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658227PMC
November 2017
6 Reads

The Role of Dynamic Ultrasound in the Immediate Conservative Treatment of Volar Plate Injuries of the PIP Joint: A Series of 78 Patients.

Plast Surg (Oakv) 2017 Aug 15;25(3):151-156. Epub 2017 Sep 15.

Department of Hand Surgery, INSELSPITAL Bern, University of Bern, Bern, Switzerland.

Introduction: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization.

Material And Methods: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound. Read More

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http://dx.doi.org/10.1177/2292550317716122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626207PMC
August 2017
43 Reads

[Early active motion management of volar plate disruption of the proximal interphalangeal joint after finger hyperextension injury: extension block splinting versus buddy taping].

Handchir Mikrochir Plast Chir 2017 Oct 5;49(5):297-303. Epub 2017 Sep 5.

Kantonsspital Winterthur, Klinik für Hand- und Plastische Chirurgie.

Volar plate disruption of the proximal interphalangeal joint (PIP) is a common hand injury following finger hyperextension. At our institution, patients presenting with disruptions of the palmar plate (Eaton and Littler types I and II) before 2011 were treated with extension block splinting (group A). Since 2011, all patients with Eaton and Littler types I and II have received buddy taping (group B). Read More

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http://dx.doi.org/10.1055/s-0043-117736DOI Listing
October 2017
15 Reads

The Effect of Isolated Finger Stiffness on Adjacent Digit Function.

Hand (N Y) 2017 Mar 1:1558944717697430. Epub 2017 Mar 1.

1 Division of Plastic Surgery, Department of Surgery, Western University, London, Ontario, Canada.

Background: Isolated stiffness in a single finger can affect the function of adjacent digits and decrease overall hand function due to the quadriga phenomenon. This study objectively quantifies the dysfunctional impact of each individual stiff finger upon the remaining digits.

Methods: Twenty-five individuals (10 men and 15 women) with a mean age of 31 years (range, 18-58 years) without any upper limb pathology, neuropathy, or systemic illness were recruited. Read More

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http://dx.doi.org/10.1177/1558944717697430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987966PMC
March 2017
11 Reads

Early Results of Surgical Management of Camptodactyly.

J Pediatr Orthop 2017 Jul/Aug;37(5):e317-e320

*Harvard Combined Orthopaedic Residency Program †Department of Orthopaedic Surgery, Boston Children's Hospital ‡Harvard Medical School, Boston, MA.

Background: We hypothesize that surgery for moderate-to-severe camptodactyly (>50 degrees) results in modest gains in range of motion and improved digital position.

Methods: A retrospective analysis of patients undergoing surgery for camptodactyly at a tertiary children's hospital between 2000 and 2014 was performed. Surgery was indicated for patients with persistent, functionally limiting flexion contractures despite observation, therapy, and splinting. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000967DOI Listing
November 2017
4 Reads

Efficacy of Combined Ultrasound-Guided Steroid Injection and Splinting in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Trial.

Arch Phys Med Rehabil 2017 05 14;98(5):947-956. Epub 2017 Feb 14.

Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, National Yang Ming University, Taipei, Taiwan. Electronic address:

Objective: To compare the effectiveness of local steroid injection plus splinting with that of local steroid injection alone using clinical and electrophysiological parameters in patients with carpal tunnel syndrome (CTS).

Design: Randomized controlled study with 12 weeks of follow-up.

Setting: Tertiary care center. Read More

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http://dx.doi.org/10.1016/j.apmr.2017.01.018DOI Listing
May 2017
37 Reads

Efficient Construction of Volar Wrist Splints: A Biomechanical Study Comparing Splints of Different Material, Thickness, and Design.

Hand (N Y) 2016 09 2;11(3):310-313. Epub 2016 Feb 2.

George Washington University, Washington, DC, USA.

The aim was to test the null hypothesis that splint material, thickness, or longitudinal ridging does not affect the strength of a wrist splint. Ten splints were made according to each of 7 different splint designs (resulting in 7 groups of 10 splints each). All splints were the same length and were molded to approximate the contour of the volar hand, wrist, and forearm with the wrist in neutral. Read More

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http://dx.doi.org/10.1177/1558944715627213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030856PMC
September 2016
9 Reads

Combined effect of botulinum toxin and splinting on motor components and function of people suffering a stroke.

Med J Islam Repub Iran 2016 21;30:373. Epub 2016 May 21.

PhD student of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran.

Background: Spasticity is one of the problems after a stroke. Due to this increase in muscle tone, patients are confronted with problems in motor control and difficulties in activities of daily living and complications such as shortness and contracture. The aim of this study was to examine the effects of the simultaneous use of both splint and botulinum toxin-A (BTX-A) injection on spasticity, range of motion and upper extremity function in a 3-month period. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972075PMC
August 2016
9 Reads

Problematic Pediatric Hand and Wrist Fractures.

JBJS Rev 2016 05;4(5)

1UC Davis School of Medicine, 2101A Education Building, 4610 X Street, Sacramento, CA 958172Boston Children's Hospital, HUN 213, 300 Longwood Avenue, Boston, MA 02115.

Seymour fractures are open juxta-physeal fractures of the distal phalanx. A true lateral radiograph should be obtained for diagnosis, and treatment should include removal of the nail, irrigation and debridement of the fracture, and percutaneous Kirschner wire stabilization. Mallet fractures are more common in children than adults, and treatment is generally nonoperative for nondisplaced or minimally displaced fractures without volar subluxation of the distal phalanx; however, splinting compliance should be carefully assessed in younger populations. Read More

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http://dx.doi.org/10.2106/JBJS.RVW.O.00028DOI Listing
May 2016
6 Reads

A Simplified Lateral Hinge Approach to the Proximal Interphalangeal Joint.

Tech Hand Up Extrem Surg 2015 Sep;19(3):129-32

*Department of Orthopaedics and Trauma †Discipline of Anatomy and Pathology, University of Adelaide ‡Department of Orthopaedics and Trauma, Modbury Public Hospital §Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, SA, Australia ∥Department of Hand Surgery, Norrland's University Hospital ¶Department of Anatomy, Integrative Medical Biology, Umea University, Umea, Sweden.

Proximal interphalangeal joint replacement is an effective treatment for painful arthritis affecting the joint. However, the complication rate is relatively high, with many of these complications related to soft-tissue imbalance or instability. Volar, dorsal, and lateral approaches have all been described with varying results. Read More

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http://pdfs.journals.lww.com/techhandsurg/9000/00000/A_Simpl
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BTH.0000000000000094DOI Listing
September 2015
8 Reads

Improving education: just-in-time splinting video.

Clin Teach 2016 Jun 25;13(3):183-6. Epub 2015 Jun 25.

Pediatrics Department, Children's Hospital Los Angeles, California, USA.

Background: Just-in-time training (JITT) is an emerging concept in medical procedural education, but with few studies to support its routine use. Providing a brief educational intervention in the form of a digital video immediately prior to patient care may be an effective method to reteach knowledge for procedural techniques learned previously.

Methods: Paediatric resident physicians were taught to perform a volar splint in a small workshop setting. Read More

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http://dx.doi.org/10.1111/tct.12394DOI Listing
June 2016
4 Reads

Teaching Splinting Techniques Using a Just-in-Time Training Instructional Video.

Pediatr Emerg Care 2017 Mar;33(3):166-170

From the *Division of Emergency Medicine, Rady Children's Hospital, San Diego; †Division of Emergency Medicine, Children's Hospital Los Angeles; and ‡Keck School of Medicine, University of Southern California, Los Angeles, CA.

Objective: Splinting is a multistep procedure that is seldom performed by primary care physicians. Just-in-time training (JITT) is an emerging teaching modality and can be an invaluable asset for infrequently performed procedures or in locations where teaching resources and trained professionals are limited. Our objective was to determine the utility of JITT for teaching medical students the short-arm (SA) volar splinting technique. Read More

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http://dx.doi.org/10.1097/PEC.0000000000000390DOI Listing
March 2017
3 Reads

Dorsal proximal interphalangeal joint fracture-dislocations: evaluation and treatment.

Instr Course Lect 2015 ;64:261-72

Assistant Professor, Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.

Proximal interphalangeal joint injuries are common and often can be treated nonsurgically. Some dorsal fracture-dislocations, however, require special attention or surgical management to optimize outcomes. Treatment options for dorsal proximal interphalangeal fracture-dislocations include splinting, percutaneous pinning, fracture fixation, external fixation devices, volar plate arthroplasty, and hemihamate arthroplasty. Read More

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August 2015
2 Reads

The use of split-thickness versus full-thickness skin graft to resurface volar aspect of pediatric burned hands: A systematic review.

Burns 2015 Aug 24;41(5):890-906. Epub 2015 Feb 24.

Diponegoro 71, Jakarta 13410, Indonesia. Electronic address:

Objective: The aim of this systematic review was to discuss the comparison of split-thickness skin graft (STSG) and full-thickness skin graft (FTSG) use as the treatment for volar digital and palmar burns in children.

Methods: We conducted PubMed and Cochrane Library searches using keywords "hand injuries", "contracture" and "skin transplantation". The search was limited to studies published from 1st January 1980 until 31st December 2013 and used English language. Read More

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http://dx.doi.org/10.1016/j.burns.2015.01.011DOI Listing
August 2015
20 Reads

Comparison of static wrist splint with static wrist and metacarpophalangeal splint in carpal tunnel syndrome.

J Back Musculoskelet Rehabil 2015 ;28(4):761-7

Physical Medicine and Rehabilitation Department, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.

Background: The position of metacarpophalangeal (MCP) joints may be an important factor affecting the efficacy of splinting in patients with carpal tunnel syndrome (CTS).

Objective: The aim of the present study was to compare the efficacy of a neutral volar static wrist splint with a neutral volar static wrist and MCP splint in patients with CTS.

Methods: Fifty-four hands were included into the study. Read More

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http://dx.doi.org/10.3233/BMR-140580DOI Listing
August 2016
33 Reads

Finger joint injuries.

Clin Sports Med 2015 Jan 25;34(1):99-116. Epub 2014 Nov 25.

Harborview Medical Center and the University of Washington, Seattle, Washington, USA. Electronic address:

Finger joint dislocations and collateral ligament tears are common athletic hand injuries. Treatment of the athlete requires a focus on safe return to play and maximizing function. Certain dislocations, such as proximal interphalangeal and distal interphalangeal volar dislocations, may be associated with tendon injuries and must be treated accordingly. Read More

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http://dx.doi.org/10.1016/j.csm.2014.09.002DOI Listing
January 2015
8 Reads

Current concepts in treatment of fracture-dislocations of the proximal interphalangeal joint.

Plast Reconstr Surg 2014 Dec;134(6):1246-57

Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.

Background: Proximal interphalangeal joint fracture-dislocations are common injuries that require expedient and attentive treatment for the best outcomes. Management can range from protective splinting and early mobilization to complex surgery. In this review, the current concepts surrounding the management of these injuries are reviewed. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/PRS.0000000000000854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241553PMC
December 2014
7 Reads

Mallet fingers with bone avulsion and DIP joint subluxation.

Authors:
T Wada T Oda

J Hand Surg Eur Vol 2015 Jan 21;40(1):8-15. Epub 2014 Oct 21.

Department Orthopaedic Surgery, Saisei-kai Otaru Hospital, Otaru, Japan.

One-third of all mallet fingers are associated with a fracture. Mallet fractures associated with large fracture fragments may result in volar subluxation of the distal phalanx. The management of mallet fractures varies based on injury pattern and surgeon preference. Read More

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http://dx.doi.org/10.1177/1753193414554772DOI Listing
January 2015
5 Reads

Radial ridge excision for symptomatic volar tendon subluxation following de Quervain's release.

Authors:
Evan D Collins

Tech Hand Up Extrem Surg 2014 Sep;18(3):143-5

*Houston Methodist Hand & Upper Extremity Center †Department of Orthopaedic Surgeon - Hand & Upper Extremity ‡Department of Plastic & Reconstructive Surgery §Houston Methodist Center for Performing Arts Medicine (CPAM), Houston Methodist Hospital, Houston, TX.

Traditional surgical release to address de Quervain's stenosing tenosynovitis can lead to the rare complication of volar tendon subluxation. This study presents a surgical procedure, which entails excision of the radial ridge as an alternative treatment to relieve pain associated with symptomatic volar tendon subluxation following de Quervain's release. The procedure was performed on 6 patients complaining of painful volar tendon subluxation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB), following a first dorsal compartment release and postoperative splinting. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000054DOI Listing
September 2014
112 Reads
1 Citation

Relationship of bone mineral density of spine and femoral neck to distal radius fracture stability in patients over 65.

J Hand Surg Am 2014 May 24;39(5):861-6.e3. Epub 2014 Mar 24.

Departments of Orthopaedics and Surgery, Scott and White Healthcare, Temple, TX.

Purpose: We hypothesized that an increasing degree of osteopenia in the femoral neck and lumbar spine would be associated with loss of reduction after closed manipulation and splinting of distal radius fractures in patients over 65 years of age.

Methods: We performed a retrospective review, evaluating 78 patients with displaced distal radius fractures managed with closed reduction and splinting. T-scores from the lumbar spine and femoral neck were recorded from dual-energy x-ray absorptiometry scans performed either within 1 year before or after injury. Read More

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http://dx.doi.org/10.1016/j.jhsa.2014.01.043DOI Listing
May 2014
4 Reads

Post-traumatic Raynaud's phenomenon following volar plate injury.

R I Med J (2013) 2014 Apr 1;97(4):24-6. Epub 2014 Apr 1.

Department of Orthopaedics, The Warren Alpert Medical School, Brown University, Providence, RI.

Post-traumatic Raynaud's phenomenon following non-penetrating or non-repetitive injury is rare. We report a case of Raynaud's phenomenon occurring in a single digit 3 months following volar plate avulsion injury. Daily episodes of painless pallor of the digit occurred for 1 month upon any exposure to cold, resolving with warm water therapy. Read More

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April 2014
3 Reads

[Mallet finger: surgery versus splinting].

Ned Tijdschr Geneeskd 2014 ;158:A6941

Medisch Centrum Haaglanden, afd. Orthopedie, Den Haag.

Mallet finger is a very common injury, but there is still much discussion about the best treatment. Mallet finger should be operated on if a fracture is larger than 1/3 of the articular surface or in volar subluxation, because otherwise the fracture may remain unstable or there may be loss of function. However, we believe that most mallet fingers can be treated conservatively. Read More

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November 2014
4 Reads

Current concepts in the evaluation and treatment of mallet finger injury.

Plast Reconstr Surg 2013 Oct;132(4):560e-566e

Rochester, N.Y. From the Division of Plastic Surgery and the Department of Orthopedics, University of Rochester Medical Center.

The mallet finger is a frequently encountered fingertip injury that leads to extensor lag of the distal phalanx. Classification systems stratify these injuries as ranging from soft-tissue disruption of the extensor mechanism alone to those that have articular involvement and volar subluxation. The management of mallet finger injuries varies based on injury pattern and surgeon preference. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/PRS.0b013e3182a0148cDOI Listing
October 2013
3 Reads

Double parabolic Kirschner-wires as dynamic distractor for treatment of unstable intraarticular phalangeal fractures of hand.

Indian J Orthop 2012 Nov;46(6):680-4

Department of Orthopaedics and Trauma, North-Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

Background: Treatment of complex injuries of interphalangeal joints (IPJs) is difficult. The restoration of joint stability for early joint mobility till fracture union is the key for successful outcome. Although various treatment options like dynamic splinting, external fixator, closed reduction, transarticular Kirschner (K)-wire and ORIF, etc. Read More

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http://www.ijoonline.com/text.asp?2012/46/6/680/104213
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http://dx.doi.org/10.4103/0019-5413.104213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543887PMC
November 2012
4 Reads

Acute calcific tendinitis of the flexor carpi ulnaris causing acute compressive neuropathy of the ulnar nerve: a case report.

Authors:
Sam Yasen

J Orthop Surg (Hong Kong) 2012 Dec;20(3):414-6

Basingstoke and North Hampshire Hospital, United Kingdom.

This study reports a case of acute calcific tendinitis of the flexor carpi ulnaris in a 64-year-old woman. She presented with symptoms of acute ulnar nerve compression mimicking a volar compartment syndrome. Owing to rapidly progressive symptoms, emergency surgical exploration was carried out. Read More

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http://dx.doi.org/10.1177/230949901202000333DOI Listing
December 2012
1 Read

Ligamentous and capsular injuries to the metacarpophalangeal joints of the hand.

J Surg Orthop Adv 2012 ;21(3):141-6

Department of Orthopaedic Surgery, University of Illinois, Chicago, IL, USA.

The mechanism of dorsal dislocation of the metacarpophalangeal (MCP) joint is with forced hyperextension of the joint and the main structure injured is the volar plate. A simple dislocation can be reduced by closed means whereas a complex dislocation cannot. Care must be taken not to put traction across the joint, which may cause the volar plate to slip into the joint, converting a simple dislocation into a complex dislocation. Read More

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January 2013
3 Reads

Acute calcific tendinitis of the wrist.

J Emerg Med 2013 Feb 30;44(2):352-4. Epub 2012 Oct 30.

Department of Emergency Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.

Background: Acute calcific tendinitis, a benign and self-limiting inflammatory condition commonly seen in the shoulder, is also described in many other tendons, including those in the hand and wrist. When involving the wrist, acute calcific tendinitis is often misdiagnosed and mistaken for infection.

Objective: We present this case to increase familiarity with this condition to avoid errors in diagnosis resulting in inappropriate treatment with antibiotics or even surgery. Read More

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http://dx.doi.org/10.1016/j.jemermed.2012.08.028DOI Listing
February 2013
3 Reads

Soft tissue distraction using pentagonal frame for long-standing traumatic flexion deformity of interphalangeal joints.

Chin J Traumatol 2012 ;15(4):206-11

Firoozgar Clinical Research Development Center, Tehran University of Medical Sciences, Tehran 1951955531, Iran.

Objective: Interphalangeal joint contracture is a challenging complication of hand trauma, which reduces the functional capacity of the entire hand. In this study we evaluated the results of soft tissue distraction with no collateral ligament transection or volar plate removal in comparison with traditional operation of contracture release and partial ligament transection and volar plate removal.

Methods: In this prospective study, a total of 40 patients in two equal groups (A and B) were studied. Read More

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April 2016
7 Reads

Hand splinting for poststroke spasticity: a randomized controlled trial.

Top Stroke Rehabil 2012 Jul-Aug;19(4):329-37

Physical Medicine and Rehabilitation Clinic, Konya Beyhekim State Hospital, Konya, Turkey.

Purpose: To determine the effect of volar and dorsal splinting on the spasticity of the wrist flexor muscles in patients who had stroke.

Method: Thirty-nine subjects were prospectively randomized to use a dorsal or volar splint or no splint (control group). All the patients underwent home-based exercise program, and the experimental groups used either dorsal or volar hand splints according to their distribution. Read More

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http://dx.doi.org/10.1310/tsr1904-329DOI Listing
August 2012
16 Reads

[Treatment of rheumatoid swan neck deformity by tenodesis of proximal interphalangeal joint with a half flexor digitorum superficialis tendon. About 23 fingers at 61 months follow-up].

Chir Main 2012 Jun 11;31(3):118-27. Epub 2012 May 11.

Service d'orthopédie B, hôpital Roger-Salengro, CHRU de Lille, rue Emile-Laine, 59037 Lille cedex, France.

Objectives: Surgical treatment of finger swan neck deformities is versatile. We aimed to assess the outcome of PIP tenodesis on unfixed deformities, in patients suffering from rheumatoid arthritis.

Methods: Twenty-three PIP tenodeses were performed on eight patients, using half of a superficialis flexor digitorum tendon sutured to A2 pulley through a volar approach. Read More

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http://dx.doi.org/10.1016/j.main.2012.04.010DOI Listing
June 2012
28 Reads

Anatomic landmarks for Basal joint injections.

Eplasty 2012 18;12:e2. Epub 2012 Jan 18.

University of Louisville School of Medicine, Division of Plastic surgery, Louisville, KY.

Objective: Basal joint arthritis is a common cause of pain and disability, particularly in elderly women. Corticosteroid injection with splinting provides a reliable long-term relief for patients with mild arthritis. Proper location of the basal joint with anatomic landmarks can facilitate diagnosis and treatment of basal joint arthritis while avoiding inadvertent injury to local structures. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261775PMC
August 2012
3 Reads

Inpatient occupational therapists hand-splinting practice for clients with stroke: A cross-sectional survey from Ireland.

J Neurosci Rural Pract 2011 Jul;2(2):141-9

Occupational Therapy Discipline, School of Health Sciences, National University of Ireland, Galway, Ireland.

Introduction: Hand splinting after stroke is a common practice despite inadequate evidence. This warrants a better understanding of the therapists' splinting practice, to develop clinically meaningful treatment options.

Aims: The study examined the nature and prevalence of the factors associated with therapists' hand splinting practice and their perceived splinting efficacy. Read More

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http://dx.doi.org/10.4103/0976-3147.83579DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3159349PMC
July 2011
7 Reads

Efficacy of acupuncture versus night splinting for carpal tunnel syndrome: a randomized clinical trial.

J Med Assoc Thai 2010 Dec;93(12):1463-9

Department of Rehabilitation Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand.

Objective: To compare the efficacy of acupuncture with night splinting for carpal tunnel syndrome (CTS).

Material And Method: Sixty one mild-to-moderate degree CTS patients, aged 27-67 were randomly assigned to acupuncture (Acu) and night splinting (NS) groups. The Acu group received 10 sessions of electro-acupuncture twice a week. Read More

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December 2010
4 Reads

A prospective randomized controlled trial comparing circumferential casting and splinting in displaced Colles fractures.

CJEM 2010 May;12(3):192-200

Department of Emergency Medicine St. Paul's Hospital, Vancouver, BC.

Objective: Our primary objective was to determine the effectiveness of 3 immobilization methods (circumferential casting [CC], volar-dorsal splinting [VDS] and modified sugar-tong [MST] splinting) in maintaining the position of displaced distal radius fractures after successful closed reduction. Our secondary objective was to assess longterm functional outcomes associated with immobilization with fibreglass splinting versus standard CC in patients maintaining initial nonoperative reductions.

Methods: We conducted a prospective randomized single-blind controlled trial in patients over 18 years of age who presented to the emergency department with a displaced fracture of the distal radius requiring closed reduction. Read More

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May 2010
5 Reads

The treatment of complex fractures and fracture-dislocations of the hand.

Instr Course Lect 2010 ;59:333-41

Harvard Medical School, Boston, Massachusetts, USA.

Most fractures of the phalanges or metacarpals are amenable to closed treatment, with favorable outcomes. However, two groups of complex fractures are difficult to diagnose and treat. The first group includes unicondylar and bicondylar fractures, fracture-dislocations, and fracture-related instability of the proximal interphalangeal joint. Read More

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July 2010
6 Reads

Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger.

J Hand Surg Am 2010 Apr;35(4):580-8

Department of Orthopaedics, Washington School of Medicine, St. Louis, MO, USA.

Purpose: To compare volar, dorsal, and custom splinting techniques in acute Doyle I mallet finger injuries.

Methods: We developed a radiographic lag measurement using the contralateral normal digit as an internal control for establishing the approximate preinjury maximal extension of the mallet finger. The difference in maximal distal interphalangeal joint extension between the injured and contralateral normal digit was defined as the radiographic lag difference. Read More

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http://dx.doi.org/10.1016/j.jhsa.2010.01.005DOI Listing
April 2010
4 Reads

Conservative treatment of stable volar plate injuries of the proximal interphalangeal joint in children and adolescents: a prospective study.

Pediatr Emerg Care 2009 Sep;25(9):547-9

Department of Pediatric Surgery, University Children's Hospital, Zurich, Switzerland.

Objectives: The purpose of this study was to assess a standard conservative management for stable volar plate injuries of the proximal interphalangeal joint in children and adolescents. No study is available regarding this subject for this age group.

Methods: A prospective study was performed on 37 consecutive patients (aged between 9 and 15 years; mean, 13 years) with stable acute volar plate injuries of the proximal interphalangeal joints, including 22 avulsion fractures without dislocation. Read More

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http://dx.doi.org/10.1097/PEC.0b013e3181b4f471DOI Listing
September 2009
9 Reads

Prevalence of carpal tunnel syndrome in pregnant women.

WMJ 2009 Jul;108(4):194-6

University of Wisconsin School of Medicine and Public Health, Department of Orthopedics and Rehabilitation, Madison, Wis, USA.

Carpal tunnel syndrome (CTS) is a frequent complication of pregnancy, with a prevalence reported as high as 62%. The most typical symptoms are numbness and tingling in the thumb, index finger, middle finger, and radial half of the ring finger. Other common manifestations include burning dysesthetic wrist pain, as well as the loss of grip strength and dexterity. Read More

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July 2009
4 Reads

Two unusual cases of coronal lunate fracture.

Orthopedics 2009 Apr;32(4)

Department of Orthopedics, Naval Medical Center San Diego, San Diego, CA 92134, USA.

Volar lunate fractures are rare injuries, usually seen as a result of high-energy trauma and often in association of other carpal injuries. We present 2 unusual cases of coronal volar lunate fractures. The first case involved a proximal pole scaphoid fracture in association with a volar lunate fracture. Read More

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April 2009
6 Reads

[Modified volar plate arthroplasty for posttraumatic and idiopathic osteoarthritis of the metacarpophalangeal and proximal interphalangeal joints].

Authors:
P Brüser

Orthopade 2008 Dec;37(12):1180-6

Heinrich-Fritsch-Strasse 8a, 53127, Bonn, Deutschland.

This article presents the results of modified resectional arthroplasty with interposition of the proximally based palmar plate and economic partial resection of the proximal joint surface without cutting the collateral ligaments. Indications were posttraumatic, idiopathic, and tumorous arthrosis of the metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints.In MP joints, the range of motion improved in eight patients from 40 degrees to a median of 70 degrees with an extension deficit of 10 degrees and a pinch strength of 4. Read More

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http://dx.doi.org/10.1007/s00132-008-1324-3DOI Listing
December 2008
6 Reads

Different surgical reconstruction modalities of the post-burn mutilated hand based on a prospective review of a cohort of patients*.

Ann Burns Fire Disasters 2008 Sep;21(3):141-9

Plastic Surgery Department, Assiut University Hospital, Assiut, Egypt.

This study covered 40 patients (22 females and 18 males) suffering from post-burn hand deformities admitted to Assiut University Hospital and Luxor International Hospital (Egypt) from June 2004 to May 2006. Their ages ranged between 4 and 45 yr (mean, 24.5 yr). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188171PMC
September 2008
3 Reads

Pediatric ganglion cysts of the hand and wrist: an epidemiologic analysis.

Hand (N Y) 2008 Dec 16;3(4):359-62. Epub 2008 Jul 16.

Christine M. Kleinert Institute for Hand and Microsurgery, 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202, USA.

We analyzed all hand and wrist ganglions in patients aged 12 years and younger that were treated at our institution during a 3-year period. Our patients were predominately female (1.8:1). Read More

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http://dx.doi.org/10.1007/s11552-008-9122-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584211PMC
December 2008
4 Reads

Arthroscopic dorsal capsular release in the wrist: a new technique.

Tech Hand Up Extrem Surg 2008 Sep;12(3):191-4

Modbury Public Hospital, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia.

Wrist stiffness is a multifactorial condition that is debilitating for those which it affects. Although good results have been achieved in the past with aggressive physiotherapy and splinting regimens, however, there are some cases that remain refractory to this treatment. In those cases that are caused primarily by arthrofibrosis, arthroscopic surgical release of the capsule is another treatment option. Read More

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http://dx.doi.org/10.1097/BTH.0b013e3181839bb4DOI Listing
September 2008
6 Reads