5,322 results match your criteria Wrist Arthritis

Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review.

Cartilage 2021 Jun 15:19476035211021909. Epub 2021 Jun 15.

Cartilage Research Unit, Region Halland Orthopaedics, Kungsbacka Hospital, University of Gothenburg, Kungsbacka, Sweden.

Objective: Focal cartilage injuries, and posttraumatic osteoarthritis (OA) in the wrist are likely common and a cause of wrist pain. To estimate the incidence of cartilage lesions and to understand the pathomechanisms leading to wrist cartilage injuries and OA, a literature review on the subject was performed combined with a presentation of one of the authors' own experience.

Design: This study includes a literature review of the topic. Read More

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Proximal Row Carpectomy in Young Patients.

JBJS Essent Surg Tech 2021 Jan-Mar;11(1). Epub 2021 Feb 4.

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

Background: There continues to be controversy regarding the treatment of early-stage arthritis of the wrist, particularly in young patients, because of the large number of techniques, the poor long-term results for many of these techniques, and the overall paucity of high-level scientific data. Proximal row carpectomy (PRC) and 4-corner arthrodesis (4CA) have been established as the mainstay motion-sparing surgical treatment options in cases of early scapholunate advanced collapse and scaphoid nonunion advanced collapse arthritis. However, there is marked controversy surrounding the best treatment option for younger patients with greater physical demands because of the questionable outcomes associated with these motion-sparing options in such patients. Read More

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February 2021

A Novel Approach to New-Onset Hemiplegic Shoulder Pain With Decreased Range of Motion Using Targeted Diagnostic Nerve Blocks: The ViVe Algorithm.

Front Neurol 2021 28;12:668370. Epub 2021 May 28.

Canadian Advances in Neuro-Orthopedics for Spasticity Congress, Victoria, BC, Canada.

Hemiplegic shoulder pain (HSP) is the most common pain disorder after stroke with incidence estimates of 30-70% and associated with reductions in function, interference with rehabilitation, and a reduced quality of life. Onset may occur as soon as a week after stroke in 17% of patients. Management of HSP represents a complex treatment pathway with a lack of evidence to support one treatment. Read More

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Preliminary Report of Arthroscopically Assisted Sauvé-Kapandji Procedure for Distal Radioulnar Joint Arthritis.

J Wrist Surg 2021 Jun 5;10(3):262-267. Epub 2021 Jan 5.

Department of Orthopaedic Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.

 The arthroscopically assisted Sauvé-Kapandji (S-K) procedure has been described as a safe and promising technique for distal radioulnar joint (DRUJ) arthrodesis. Our purpose was to investigate the advantages and disadvantages of the arthroscopically assisted S-K procedure.  Eight patients underwent an arthroscopically assisted S-K procedure. Read More

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Scaphoid Excision and Bicolumnar Carpal Fusion with Retrograde Headless Screws.

J Wrist Surg 2021 Jun 20;10(3):201-207. Epub 2021 Jan 20.

The Ottawa Hospital - Civic Campus (J159), Ottawa, Ontario, Canada.

 Scaphoid excision and partial wrist fusion is used for the treatment of scapholunate advanced collapse/scaphoid nonunion advanced collapse wrist arthritis. The purpose of this study was to report midterm functional and radiographic outcomes in a series of patients who underwent bicolumnar fusion of the lunocapitate and triquetrohamate joints using retrograde headless screws.  Twenty-three consecutive patients (25 wrists) underwent surgery with this technique from January 2014 to May 2017 with a minimum follow-up of 1 year. Read More

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Range of Motion after the Sauvé-Kapandji and Darrach Procedures without Extensor Tendon Rupture.

J Wrist Surg 2021 Jun 26;10(3):190-195. Epub 2020 Dec 26.

Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.

 Previous study demonstrated that distal radioulnar joint (DRUJ) plays a biomechanical role in extension and flexion of the wrist and suggested that fixation of the DRUJ could lead to loss of motion of the wrist. Little is known about the pre- and postoperative range of motion (ROM) after the Sauvé-Kapandji (S-K) and Darrach procedures without tendon rupture. To understand the accurate ROM of the wrist after the S-K and Darrach procedures, enrollment of patients without subcutaneous extensor tendon rupture is needed. Read More

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Snapping thumb: a rare case of stenosing tenosynovitis of the extensor pollicis longus tendon.

BMJ Case Rep 2021 Jun 8;14(6). Epub 2021 Jun 8.

Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Tenosynovitis of the extensor pollicis longus (EPL) is rarely reported in patients without rheumatoid arthritis but may lead to thumb snapping as a consequence of EPL stenosing tenosynovitis.This case presents painful thumb snapping that developed after a wrist trauma and repetitive loading. Ultrasound and MRI were used as diagnostic tools, before surgical release of the EPL in the third extensor compartment was performed. Read More

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Effectiveness of Percutaneous Pinning of Acute Partial Scapholunate Injury during Volar Locking Plating for Distal Radius Fractures: A Comparative Study of Pinning and Conservative Treatment.

Clin Orthop Surg 2021 Jun 1;13(2):252-260. Epub 2021 Apr 1.

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Backgroud: We hypothesized that concurrent temporary fixation of scapholunate ligament (SL) injury during volar locking plate (VLP) fixation of distal radius fractures (DRFs) would improve restoration outcomes based on both radiological and clinical results. Here, we performed a prospective, comparative study investigating the effectiveness of temporary percutaneous reduction/pinning during VLP fixation in DRFs.

Methods: The first 43 consecutive SL injuries were treated concurrently after VLP fixation by closed pinning (group 1); the next 36 consecutive injuries were treated nonoperatively (group 2). Read More

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Ultrasound findings of finger, wrist and knee joints in Mucopolysaccharidosis Type I.

Mol Genet Metab 2021 Jun 1. Epub 2021 Jun 1.

Ospedale Provinciale Madonna del Soccorso, Department of Internal Medicine, San Benedetto del Tronto, Marche, Italy.

Introduction: Musculoskeletal findings in MPS can progress after enzyme replacement. Our aim was to examine synovial recesses, tendons, retinacula and pulleys using ultrasonography for structural and inflammatory changes.

Material And Methods: The wrist, metacarpophalangeal (MCP), proximal and distal interphalangeal (PIP and DIP) joints, the finger flexor tendons and the knee including entheses of quadriceps and patella tendons were assessed clinically. Read More

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Rheumatoid Hand and Other Hand-deforming Rheumatic Conditions.

Semin Musculoskelet Radiol 2021 Apr 3;25(2):232-245. Epub 2021 Jun 3.

Service de Radiologie et Imagerie Musculosquelettique, Centre de Consultation et d'Imagerie de l'Appareil Locomoteur, CHU, France.

The hand and wrist are commonly involved in rheumatic conditions, particularly rheumatoid arthritis and other systemic connective tissue diseases. With spondyloarthritis, hand and wrist involvement frequently occurs in psoriatic arthritis but generally does not occur in the remaining subtypes. The hand and wrist may also be affected in various metabolic and endocrine diseases, but these lie beyond the scope of this review. Read More

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Application of ImageJ software for quantification of Hand Joint Space Narrowing in Patients with Rheumatoid Arthritis.

Curr Rheumatol Rev 2021 Jun 2. Epub 2021 Jun 2.

Director office, Military Hospital 103, Hanoi, Vietnam.

Background: ImageJ software is used to quantify the joint space width (JSW) of hand and wrist in patients with rheumatoid arthritis (RA) as well as in the healthy control group.

Method: Forty-one RA patients and 31 healthy controls are included in this study. All of 72 participants underwent digital radiography of the bilateral hand and wrist, then all the images were opened by ImageJ software to measure the width of wrist and hand joint space (total 2160 joints). Read More

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Estimation of free-living walking cadence from wrist-worn sensor accelerometry data and its association with SF-36 quality of life scores.

Physiol Meas 2021 May 28. Epub 2021 May 28.

Novartis Pharma AG, Basel, Basel-Stadt, SWITZERLAND.

Objective: We evaluate the stride segmentation performance of the Adaptive Empirical Pattern Transformation (ADEPT) for subsecond-level accelerometry data collected in the free-living environment using a wrist-worn sensor.

Approach: We substantially expand the scope of the existing ADEPT pattern-matching algorithm. Methods are applied to subsecond-level accelerometry data collected continuously for 4 weeks in 45 participants, including 30 arthritis and 15 control patients. Read More

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Results of interposition arthroplasty with the Amandys® pyrocarbon implant in rheumatoid wrist at a mean 5 years' follow-up.

Hand Surg Rehabil 2021 May 24. Epub 2021 May 24.

Institut de la Main Nantes-Atlantique, Santé Atlantique, Avenue Claude Bernard, 44800 Saint Herblain, France. Electronic address:

Management of severe joint involvement in rheumatoid wrist is controversial. The gold-standard is total wrist fusion, but total wrist replacement offers a motion-conserving alternative. The purpose of this study was to present the results of interposition arthroplasty with the Amandys® pyrocarbon implant in rheumatoid wrist. Read More

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Positive rate and prognostic significance of the superb microvascular imaging signal in joints of rheumatoid arthritis patients in remission with normal C-reactive protein levels and erythrocyte sedimentation rates.

J Med Ultrason (2001) 2021 May 20. Epub 2021 May 20.

Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Purpose: This study aimed to evaluate the positive rate and prognostic significance of superb microvascular imaging (SMI) in rheumatoid arthritis (RA) patients in remission with normal C-reactive protein (CRP) levels and erythrocyte sedimentation rates (ESR).

Methods: The study enrolled 112 RA patients, and ultrasound (US) assessment was performed on 28 joints of each patient.

Results: The SMI signal-positive rates for each joint were: metacarpophalangeal (MCP) joints: 20. Read More

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Identifying potential classification criteria for calcium pyrophosphate deposition disease (CPPD): Item generation and item reduction.

Arthritis Care Res (Hoboken) 2021 May 10. Epub 2021 May 10.

Division of Rheumatology, University of Alabama at Birmingham, Birmingham Veterans Affairs Medical Center, Birmingham, United States.

Objective: Classification criteria for calcium pyrophosphate deposition disease (CPPD) will facilitate clinical research on this common crystalline arthritis. We report on the first two phases of a four-phase process for developing CPPD classification criteria.

Methods: CPPD classification criteria development is overseen by a 12-member Steering Committee. Read More

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Phase I trial of intravesical Bacillus Calmette-Guérin combined with intravenous pembrolizumab in recurrent or persistent high-grade non-muscle-invasive bladder cancer after previous Bacillus Calmette-Guérin treatment.

World J Urol 2021 May 8. Epub 2021 May 8.

Simmons Cancer Institute At Southern Illinois University School of Medicine, Springfield, IL, USA.

Objectives: We conducted the first phase I dose-escalation trial (NCT02324582) of intravesical Bacillus Calmette-Guérin (BCG) in combination with systemic pembrolizumab in patients with high-grade non-muscle-invasive bladder cancer (HGNMIBC) who had persistent or recurrent disease after prior intravesical therapy with BCG. The primary endpoint was the safety of this combination. The secondary endpoint was clinical activity at three months following BCG treatment. Read More

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Orthobiologics in Hand Surgery.

J Hand Surg Am 2021 May;46(5):409-415

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Orthobiologic agents are used as innovative adjuvant therapy to treat common upper-extremity pathology, including carpal tunnel syndrome, de Quervain tenosynovitis, and distal radius fractures. In this article, we perform a narrative review and evaluate current literature on orthobiologics in the upper extremity. Orthobiologics evaluated include bone morphogenetic proteins, platelet-rich plasma, bone marrow aspirate concentrate, mesenchymal stem cells, and amniotic membrane. Read More

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Development and Validation of a Deep Learning Model Using Convolutional Neural Networks to Identify Scaphoid Fractures in Radiographs.

JAMA Netw Open 2021 May 3;4(5):e216096. Epub 2021 May 3.

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor.

Importance: Scaphoid fractures are the most common carpal fracture, but as many as 20% are not visible (ie, occult) in the initial injury radiograph; untreated scaphoid fractures can lead to degenerative wrist arthritis and debilitating pain, detrimentally affecting productivity and quality of life. Occult scaphoid fractures are among the primary causes of scaphoid nonunions, secondary to delayed diagnosis.

Objective: To develop and validate a deep convolutional neural network (DCNN) that can reliably detect both apparent and occult scaphoid fractures from radiographic images. Read More

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A Clinical Approach to Diagnosing Trigger Wrist.

Indian J Orthop 2021 Apr 5;55(2):492-497. Epub 2020 Sep 5.

Department of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.

Background: Trigger wrist is a relatively unusual condition, produced by wrist or finger motion. The various causes of trigger wrist can originate from flexor tendon, extensor tendon, bones, or tumour. A proper clinical approach is required to diagnose and manage patients with trigger wrist. Read More

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Ulnar-Side Wrist Pain Management Guidelines: All That Hurts is Not the TFCC!

Indian J Orthop 2021 Apr 1;55(2):310-317. Epub 2021 Jan 1.

Division of Hand and Microvascular Services, Sancheti Hospital, Pune, Maharashtra 411005 India.

Background: Ulnar-sided wrist pain is a common clinical problem, most often misdiagnosed as triangular fibrocartilage complex (TFCC) injury. It may be frustrating to the patient, as one may end up wearing a wrist splint for an unusually long period, disrupting their routine.

Purpose: Because of the dilemmas in the diagnosing the cause of ulnar-sided wrist pain, various algorithms have been suggested but it is an individual's choice to do a systematic assessment and follow in their routine clinical practice. Read More

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Long-Term Results of the Modular Physiological Wrist Prosthesis (MPW) in Patients with Inflammatory Diseases.

Life (Basel) 2021 Apr 18;11(4). Epub 2021 Apr 18.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.

The wrist is among the predilection sites of over 90% of cases of rheumatoid arthritis (RA). In advanced cases, total wrist arthroplasty (TWA) is an alternative to arthrodesis. The aim of this study is to present the long-term results of the modular physiological wrist prosthesis (MPW) and to match them in context with the results of a standard population survey. Read More

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Factors associated with the synovial membrane thickness of wrist detected by ultrasonography in rheumatoid arthritis patients: a retrospective study.

L Xiao Y Yang G Li

J Biol Regul Homeost Agents 2021 Mar-Apr;35(2):797-801

Department of Radiology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Hainan, China.

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Development and reliability of a novel ultrasonographic joint-specific scoring system for synovitis with reference atlas for patients with juvenile idiopathic arthritis.

RMD Open 2021 Apr;7(2)

Department of Rheumatology, Oslo University Hospital, Oslo, Norway.

Objective: To develop an ultrasonographic image acquisition protocol and a joint-specific scoring system for synovitis with reference atlas in patients with juvenile idiopathic arthritis (JIA) and to assess the reliability of the system.

Methods: Seven rheumatologists with extensive ultrasound experience developed a scanning protocol and a semiquantitative joint-specific scoring system for B-mode (BM) synovitis for the elbow, wrist, metacarpophalangeal 2-3, proximal interphalangeal 2-3, hip, knee, ankle and metatarsophalangeal 2-3 joints. An ultrasonographic reference atlas for BM synovitis, divided in four age groups (2-4, 5-8, 9-12, 13-18 years), and power Doppler (PD) activity was then developed. Read More

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Quantifying the bone marrow composition of the healthy adult wrist with dual-energy CT.

Eur J Radiol 2021 Jun 16;139:109725. Epub 2021 Apr 16.

Department of Radiology, Bispebjerg and Frederiksberg Hospital, Bispebjerg Bakke 23, 2400, København, Denmark.

Purpose: Purpose of this study was to investigate Dual-energy CT (DECT) derived virtual non-calcium (VNCa) values for absolute quantification of the bone marrow composition in the wrist.

Materials And Methods: We prospectively included consecutive adult participants and examined their wrists with DECT. Ranges of VNCa and calcium values were measured in the carpal bones, radius and ulna using a semi-automatic method. Read More

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Long-term follow-up of the three-ligament tenodesis for scapholunate ligament lesions: 9-year results.

Hand Surg Rehabil 2021 Apr 18. Epub 2021 Apr 18.

UZ Leuven, Department of Orthopedic Surgery, Herestraat 49, 3000 Leuven, Belgium. Electronic address:

We report on a retrospective cohort of 50 cases of three-ligament tenodesis for scapholunate instability. Fifteen cases (30% of our cohort) needed salvage surgery (11 proximal row carpectomies, 2 partial and 2 total wrist fusions) at an average of 33 months and are considered "failures". Of the 35 remaining cases ("success"), 16 (32% of our cohort) were reviewed at average 111 months and had good functional outcomes (QuickDASH 18/100, PRWE 11/100, pain 1/10, satisfaction 9/10). Read More

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The Effect of Malunited Scaphoid Fractures on Joint Congruency.

J Hand Surg Am 2021 Apr 16. Epub 2021 Apr 16.

School of Biomedical Engineering, Faculty of Engineering, The University of Western Ontario, Ontario, Canada; Department of Surgery, The University of Western Ontario, Ontario, Canada; Department of Mechanical and Materials Engineering, The University of Western Ontario, Ontario, Canada. Electronic address:

Purpose: Although the consequences of scaphoid nonunion have been well-established, the implications of malunions are not well-known. To date, malunions have mainly been studied with 2-dimensional imaging. The objective of this study was to employ 3-dimensional computed tomography (CT) imaging and inter-bone distance mapping to determine the implications of a scaphoid malunion on 3-dimensional joint surface area (JSA) (a measure of joint contact area) at an average of 7 ± 2 years (range, 4-12 years) after fracture. Read More

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Axial and peripheral spondyloarthritis triggered by sars-cov-2 infection: a report of two cases.

Reumatismo 2021 Apr 19;73(1):59-63. Epub 2021 Apr 19.

Division of Rheumatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can show musculoskeletal symptoms such as peripheral arthritis. In rare cases, peripheral arthritis can develop after the resolution of SARS-CoV-2. We present two cases of spondyloarthritis induced by SARS-CoV-2; one case with axial and peripheral spondyloarthritis and the other with peripheral spondyloarthritis. Read More

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Midterm Patient-Reported Outcomes in Wrist Denervation for Post-Traumatic Arthritis.

J Hand Surg Am 2021 Apr 15. Epub 2021 Apr 15.

Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, AZ. Electronic address:

Purpose: To analyze patient-reported outcomes and range of motion in a cohort of patients who underwent wrist denervation for advanced wrist osteoarthritis. We hypothesized that improvements in pain and function would be seen with preserved range of motion.

Methods: Thirty patients underwent wrist denervation for symptomatic stage 1-4 scapholunate advanced collapse (SLAC) arthritis. Read More

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The positive effect of pregnancy in rheumatoid arthritis and the use of medications for the management of rheumatoid arthritis during pregnancy.

Inflammopharmacology 2021 Apr 12. Epub 2021 Apr 12.

Acharya and BM Reddy College of Pharmacy, Soldevanahalli, Bangalore, Karnataka, India.

Rheumatoid arthritis (RA) is an autoimmune systemic inflammatory disorder that is mostly characterised by progressive symmetrical joint destruction, particularly in the wrist and fingers, while it may also affect additional joints and several organs, such as the skin, heart, blood vessels, and lungs. It is identified by raised anti-rheumatoid factor and anti-cyclic citrullinated peptide antibodies. The chemical mediators involved in the activity of RA are IL-1β, TNF-α, and IL-6. Read More

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Abatacept for rheumatoid arthritis complicated by disseminated cryptococcosis: a case report.

Mod Rheumatol Case Rep 2021 Apr 15:1-8. Epub 2021 Apr 15.

Department of Internal Medicine, Osaka Anti-Tuberculosis Association Osaka Hospital, Neyagawa, Osaka, Japan.

A 78-year-old man developed disseminated cryptococcosis with central nervous system involvement as encapsulated yeast cells were detected in transbronchial biopsy and skin biopsy specimens, and cerebrospinal fluid. was confirmed by culture. He had been treated with low-dose prednisolone and methotrexate for rheumatoid arthritis. Read More

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