85 results match your criteria Splinting Volar


Management of intraarticular proximal interphalangeal joint fracture-dislocations and pilon fractures with the Ligamentotaxor® device.

Arch Orthop Trauma Surg 2020 Aug 25;140(8):1133-1141. Epub 2020 May 25.

St Andrews Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, CM1 7ET, UK.

Introduction: Fracture-dislocation and pilon injuries of the proximal interphalangeal joints (PIPJ) continue to pose significant management challenges. Stable fracture configurations can be treated with extension block splinting or pinning. Unstable fractures usually require open or closed reduction and fixation either directly/internally onto the fracture using Kirschner wires, cerclage wires, screws or miniplates or indirectly/externally by ligamentotaxis using external fixators which can be dynamic or static. Read More

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http://dx.doi.org/10.1007/s00402-020-03482-8DOI Listing

Wrist opener splint: An effective way to treat chronic wrist flexion contracture.

Hand Surg Rehabil 2020 Feb 15. Epub 2020 Feb 15.

Service d'orthopédie-traumatologie, Hôpital Aristide-Le-Dantec, 30, avenue Pasteur, B.P. 3001, Dakar, Senegal. Electronic address:

In Senegal, patients are seen an average of 16 months after their injury in a specialized hand and upper limb surgery department. Because of this lengthy delay, these patients have severe functional sequelae, such as wrist flexion contracture, averaging 45 degrees in our case series (range, 35 to 90 degrees). After reviewing the literature, we did not find any splint that was well suited to these patients. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.02.003DOI Listing
February 2020

Splinting after Distal Radius Fracture Fixation: A Prospective Cohort Analysis of Postoperative Plaster Splint versus Soft Dressing.

J Wrist Surg 2019 Dec 27;8(6):452-455. Epub 2019 May 27.

Rothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

 The effect of postoperative dressing and splinting after distal radius fracture (DRF) open reduction internal fixation (ORIF) is not well understood. A prospective cohort analysis was performed to assess differences in functional and radiographic outcomes with the use of plaster splinting or soft dressing following DRF ORIF.  All patients undergoing DRF ORIF with locking volar plates were consecutively enrolled. Read More

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http://dx.doi.org/10.1055/s-0039-1688946DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892648PMC
December 2019

Electrophysiological responsiveness and clinical outcomes of local corticosteroid injection in the treatment of carpal tunnel syndrome.

Arq Neuropsiquiatr 2019 23;77(9):638-645. Epub 2019 Sep 23.

University of Health Sciences, Sisli Hamidiye Etfal Research and Training Hospital, Department of Neurosurgery, Istanbul, Turkey.

Carpal tunnel syndrome (CTS) is the most common mononeuropathy caused by entrapment of the median nerve at the wrist. Common treatment options for CTS include oral analgesics, splinting, hand therapy, local injections with steroids or surgery. OBJECTIVE The aim of the present study was to assess the short-term clinical and electrophysiological outcomes of local corticosteroid injection (LCI) in patients with symptomatic CTS. Read More

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http://dx.doi.org/10.1590/0004-282X20190106DOI Listing
April 2020
3 Reads
1.006 Impact Factor

Interesting effectiveness of ozone injection for carpal tunnel syndrome treatment: a randomized controlled trial.

Orthop Res Rev 2019 6;11:61-67. Epub 2019 May 6.

Physical Medicine and Rehabilitation Department, Tehran University of Medical Sciences (TUMS), School of Medicine, Tehran, Iran.

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in the upper limb. Local injection of different substances has been increasingly used as an acceptable conservative treatment in non-severe cases. This study aimed to evaluate the efficacy and safety of local ozone injection in the management of non-severe CTS. Read More

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http://dx.doi.org/10.2147/ORR.S202780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510386PMC
May 2019
8 Reads

Dorsal Block Splinting of Volar Plate Injuries at Neutral Position.

Ann Plast Surg 2019 05;82(5):520-522

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

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http://dx.doi.org/10.1097/SAP.0000000000001820DOI Listing
May 2019
14 Reads

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft.

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

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http://dx.doi.org/10.1142/S2424835519500097DOI Listing
March 2019
9 Reads

The patterns of phalangeal fractures in children and adolescents: a review of 512 cases.

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

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http://dx.doi.org/10.1055/a-0824-7167DOI Listing
February 2019
10 Reads

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
39 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
8 Reads

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

Hand (N Y) 2020 Jan 15;15(1):125-130. Epub 2018 Jul 15.

Mayo Clinic, Rochester, MN, USA.

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966284PMC
January 2020
6 Reads

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
Publisher Site
http://dx.doi.org/10.4103/jfmpc.jfmpc_14_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958577PMC
June 2018
14 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
5 Reads

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
14 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
Publisher Site
http://dx.doi.org/10.1055/s-0037-1606379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658227PMC
November 2017
12 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
83 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
20 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
32 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://Insights.ovid.com/crossref?an=01241398-201707000-0001
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http://dx.doi.org/10.1097/BPO.0000000000000967DOI Listing
November 2017
9 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
85 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
16 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
29 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
19 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
Publisher Site
http://dx.doi.org/10.1097/BTH.0000000000000094DOI Listing
September 2015
14 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
29 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
9 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
13 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
28 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
72 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
15 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
Publisher Site
http://dx.doi.org/10.1097/PRS.0000000000000854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241553PMC
December 2014
13 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
10 Reads

Carpal Wedge Osteotomy in the Arthrogrypotic Patient.

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

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http://dx.doi.org/10.2106/JBJS.ST.M.00054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355043PMC
December 2014
3 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
163 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
11 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
11 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
13 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
20 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
11 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
5 Reads

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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http://dx.doi.org/10.3113/jsoa.2012.0141DOI Listing
January 2013
20 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
10 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
31 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
58 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
65 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
7 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
12 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
9 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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http://dx.doi.org/10.1017/s1481803500012239DOI Listing
May 2010
10 Reads