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Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Purpose: Volar plate injuries of the proximal interphalangeal joint (PIPJ) of a finger are common, often occurring in sporting or workplace incidents. Treatment of a stable dorsal dislocation entails a conservative approach, directed at preventing hyperextension and allowing the ligament to heal in position that does not negatively impact on healing. Current treatment regimens include dorsal block splinting (DBS) in 30° of flexion, which maintains the PIPJ in flexion in order to prevent any strain on the healing tissue while attempting to restore anatomical position. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):50-54

1 Birmingham Hand Centre, Queen Elizabeth Hospital, Birmingham, UK.

Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates.

Methods: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present.

Results: Restoration of PIPJ articular anatomy and congruence by hook plate fixation permitted full-range mobilization of the joint during fracture healing, with an average arc of motion of 81° and an average loss of extension of 12. Read More

Handchir Mikrochir Plast Chir 2019 Feb 13;51(1):49-53. Epub 2019 Feb 13.

Klinika za djecje bolesti Zagreb Pediatric Surgery.

Introduction: Fractures of the phalanges in children can often be underappreciated by the physician of first contact. Therefore it is necessary to point out which of these fractures, because of the risk of possible future complications, need special mention.

Materials And Methods: A retrospective review of 512 fractures of the phalanges in children and adolescents during an one year period. Read More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

JBJS Essent Surg Tech 2014 Dec 22;4(4):e20. Epub 2014 Oct 22.

Charles E. Seay, Jr. Hand Center, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219. E-mail address for S.N. Oishi:

Introduction: Carpal wedge osteotomy in an arthrogrypotic patient repositions the wrist in neutral alignment while preserving available wrist motion.

Step 1 Mark The Locations Of The Incisions: The location of the incisions allows excellent exposure of the wrist on both the volar and the dorsal surface.

Step 2 Release Tight Palmar Structures: After making the incision, carefully assess tight flexor structures and perform release and/or lengthening as appropriate. Read More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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