5,150 results match your criteria Wrist Arthritis


F. Brunelli Ligamentoplasty as Treatment in Thumb Basal Joint Arthritis: Up to 9 Years Follow-up.

Tech Hand Up Extrem Surg 2020 Jul 29. Epub 2020 Jul 29.

Hand Surgery and Orthopedics Unit, Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Thumb basal joint arthritis treatment with biological arthroplasty is a widely used procedure in hand surgery centers. The several described techniques are based on the use of different tendons of the wrist, implying frequently a tenoplasty around flexor carpi radialis or transosseous tunnels to stabilize the articulation. The authors have been using, for many years, the technique conceived by F. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000308DOI Listing

Collaboration in Hand Surgery: Experiences From Silicone Arthroplasty in Rheumatoid Arthritis, Finger Replantation and Amputation Challenges in Assessing Impairment, Satisfaction, and Effectiveness, Wrist and Radius Injury Surgical Trial, and Surgery of the Ulnar Nerve.

J Am Acad Orthop Surg 2020 Aug;28(15):e670-e678

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School (Mr. Kane), and the Section of Plastic Surgery, Department of Surgery,University of Michigan Medical School (Dr. Chung), Ann Arbor, MI.

Outcomes research has historically been driven by single-center investigations. However, multicenter studies represent an opportunity to overcome challenges associated with single-center studies, including generalizability and adequate power. In hand surgery, most clinical trials are single-center studies, with few having randomized controls and blinding of both participants and assessors. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00102DOI Listing

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital-based Study in China.

Orthop Surg 2020 Jul 29. Epub 2020 Jul 29.

Department of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.

Propose: To analyze the clinical and epidemiological features of patients who underwent wrist arthroscopy procedures.

Methods: This is a cross-sectional epidemiological study. The study included a cohort of patients who underwent wrist arthroscopy procedures in a national orthopaedic referral center from 1 February, 2014 to 1 February, 2019. Read More

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http://dx.doi.org/10.1111/os.12746DOI Listing

Wrist Arthroplasty to Facilitate Communication in the Hearing Impaired.

J Hand Surg Asian Pac Vol 2020 Sep;25(3):384-387

Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, QLD, Australia.

Management of wrist arthritis may involve many options, including motion preserving and motion sacrificing procedures. Total wrist arthrodesis is often considered the gold standard for severe wrist arthritis, failing non-operative management. We present the first case to our knowledge of total wrist arthroplasty (TWA) for patient with rheumatoid arthritis who is also deaf, requiring sign language for communication with excellent results. Read More

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http://dx.doi.org/10.1142/S2424835520720145DOI Listing
September 2020

Insufficiency fractures of the knee, ankle, and foot in rheumatoid arthritis: A case series and case-control study.

Eur J Rheumatol 2020 Jul 21. Epub 2020 Jul 21.

Department of Rheumatology, North Jutland Region Hospital, Hjørring, Denmark.

Objective: To evaluate cases of insufficiency fractures verified by magnetic resonance imaging (MRI) of the knee, ankle, and foot in patients with rheumatoid arthritis (RA) cared for in our clinic over an 8-year period, to identify possible risk factors, and to test these in a case-control study.

Methods: All patients in the rheumatology clinic with RA were registered prospectively in the database, DANBIO. All MRIs ordered from the clinic were registered and coded according to the anatomical region. Read More

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http://dx.doi.org/10.5152/eurjrheum.2020.19196DOI Listing

Understanding the Role of Inflammasomes in Rheumatoid Arthritis.

Inflammation 2020 Jul 25. Epub 2020 Jul 25.

Chitkara College of Pharmacy, Chitkara University, Rajpura, Punjab, India.

Inflammasomes are the molecular pathways that activate upon conditions of infection or stress and trigger the activation and maturation of inflammatory cytokines. Immune reactions in conjugation with inflammatory processes play a pivotal role in developing innumerable diseases. An over reactive immune system fabricates many allergic and hypersensitive reactions in response to autoantibodies activated against modified self-epitopes and similar molecules. Read More

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http://dx.doi.org/10.1007/s10753-020-01301-1DOI Listing
July 2020
1.921 Impact Factor

[Recurrence of septic arthritis of the wrist by Pseudomonas aeruginosa due to colonization of a central venous indwelling catheter].

Z Rheumatol 2020 Jul 23. Epub 2020 Jul 23.

Hand- und funktionelle Mikrochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland.

A diabetic patient, wearer of a port and with a history of gonarthritis due to Pseudomonas aeruginosa presented with subacute arthritis of a wrist. After a protracted interval P. aeruginosa was detected by microbial culture from the explanted port and the affected joint. Read More

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http://dx.doi.org/10.1007/s00393-020-00842-yDOI Listing

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain.

Hand (N Y) 2020 Jul 19:1558944720937369. Epub 2020 Jul 19.

Massachusetts General Hospital, Boston, USA.

The clinical picture of ulnar-sided wrist pain is oftentimes confusing because various pathologies may be coexistent. In this study, we aimed: (1) to compare the prevalence of potential causes of ulnar-sided wrist pain on magnetic resonance imaging (MRI) in patients who underwent triangular fibrocartilage complex (TFCC) repair and control subjects: and (2) to evaluate whether inferior clinical results were associated with specific patient characteristics or other potential causes of ulnar-sided wrist pain. We included 67 patients who underwent a TFCC repair and 67 control subjects. Read More

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http://dx.doi.org/10.1177/1558944720937369DOI Listing

Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach.

Hand (N Y) 2020 Jul 19:1558944720939199. Epub 2020 Jul 19.

Samara State Medical University, Russian Federation.

Malunited distal radius (DR) fractures following conservative treatment range from 6% to 80% of clinical observations. Surgical treatment is used to return the articular surface of the radius to original anatomical position and to restore the natural transfer of strength, wrist kinematics, and function of the entire hand. The aim of this research was to study and analyze the results of corrective osteotomy of malunited distal radius fractures using a combined approach. Read More

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http://dx.doi.org/10.1177/1558944720939199DOI Listing

Management of chronic scapholunate ligament injury.

J Clin Orthop Trauma 2020 Jul-Aug;11(4):529-536. Epub 2020 Jun 11.

Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK.

Scapholunate ligament is the most commonly injured ligament in the wrist and requires accurate diagnosis and treatment. It presents with pain, stiffness and can lead to carpal instability as well as degenerative arthritis if left untreated, with subsequent loss of function and disability. There are several management options currently available but there is no consensus on how best to manage a wrist with chronic sequelae of scapholunate ligament injury. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.05.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7355074PMC

A Reliability Study of Multiplanar Radiographs for the Evaluation of SNAC Wrist Arthritis.

Hand (N Y) 2020 Jul 16:1558944720937359. Epub 2020 Jul 16.

Duke University Medical Center, Durham, NC, USA.

Scaphoid nonunion advanced collapse (SNAC) is a common form of wrist arthritis, the treatment of which depends on the arthritic stage. The Vender classification serves to describe SNAC arthritis based on a single posteroanterior (PA) radiograph. The purpose of this study was to evaluate the intraobserver and interobserver agreement of the Vender classification, comparing multi versus single radiographic views. Read More

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http://dx.doi.org/10.1177/1558944720937359DOI Listing

Painless and painful synovitis have similar ultrasound and clinical outcomes: one-year cohort study in longstanding rheumatoid arthritis women patients.

Clin Exp Rheumatol 2020 Jul 10. Epub 2020 Jul 10.

Rheumatology Division, Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil.

Objectives: We aimed to compare the painless synovitis evolution with painful synovitis, based on bone erosion by ultrasonography over a year in women with longstanding rheumatoid arthritis. Ultrasound inflammatory measurements and radiographic, functional and clinical findings were also compared between groups at the end of the same follow-up.

Methods: A prospective cohort study was rolled out, involving 60 women with RA, divided into two groups: painless and painful, with 30 patients in each group. Read More

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Exploring contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist.

Pediatr Radiol 2020 Jul 13. Epub 2020 Jul 13.

Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Academic Medical Center Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands.

Background: Knowledge of the synovial and tenosynovial appearance of the clinically non-arthritic symptomatic juvenile wrist using contrast-enhanced magnetic resonance imaging (MRI) is sparse.

Objectives: To analyze contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist, focusing on the enhancing synovial and tenosynovial membrane. To evaluate the coexistent presence of (teno)synovial enhancement, joint fluid, bony depressions and medullary changes suggestive of bone marrow edema. Read More

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http://dx.doi.org/10.1007/s00247-020-04739-5DOI Listing

Partial wrist denervation versus total wrist denervation: A systematic review of the literature.

Hand Surg Rehabil 2020 Jul 10. Epub 2020 Jul 10.

Department of Orthopedic Surgery, "Federico II" University, Via S. Pansini 5, bd. 12, 80131 Napoli, Italy.

The aim of this systematic review was to understand which procedure-total or partial wrist denervation-provides better results in terms of pain relief and function. This review was registered on PROSPERO (CRD42018088856). We searched the Medline (PubMed), Web of Science and Scopus databases. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.05.010DOI Listing

BCGitis of the wrist after intravesical BCG therapy: A case report.

Hand Surg Rehabil 2020 Jul 10. Epub 2020 Jul 10.

Département de chirurgie orthopédique, Hôpital Pierre-Paul-Riquet, place du Docteur-Baylac, 31059 Toulouse, France. Electronic address:

Septic arthritis of the wrist can result in joint destruction, making timely diagnosis crucial for initiating empiric antibiotics and surgical intervention. Mycobacterium is a rare cause of this disorder. A 47-year-old man with bladder cancer was treated surgically and received BCG intravesical therapy. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.05.011DOI Listing

Whole-Body Magnetic Resonance Imaging Assessment of Joint Inflammation in Rheumatoid Arthritis-Agreement With Ultrasonography and Clinical Evaluation.

Front Med (Lausanne) 2020 19;7:285. Epub 2020 Jun 19.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.

To compare joint inflammation seen by whole-body magnetic resonance imaging (WBMRI), with "whole-body" ultrasound and clinical assessments, in patients with active rheumatoid arthritis (RA) before and during tumor necrosis factor-inhibitor (TNF-I, adalimumab) treatment. In 18 patients with RA, clinical assessment for joint tenderness and swelling, WBMRI, and ultrasound were obtained at baseline and week 16. Wrist, metacarpophalangeal (MCP) and proximal interphalangeal (PIP), elbow (except for WBMRI), shoulder, knee, ankle, and metatarsophalangeal joints were examined. Read More

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http://dx.doi.org/10.3389/fmed.2020.00285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317301PMC

Extensor tendon ruptures in rheumatoid wrists.

Eur J Orthop Surg Traumatol 2020 Jul 3. Epub 2020 Jul 3.

Klinik Und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie-Operative Notaufnahme, UKGM Universitätsklinikum Gießen Und Marburg, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.

Background And Aims: Rheumatoid arthritis is a chronic inflammatory disease. The associated involvement of hands and tendons is over 90% and impairs overall function. In the course of the disease, the joints are often operated on. Read More

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http://dx.doi.org/10.1007/s00590-020-02731-1DOI Listing

Patient characteristics affecting knowledge of the possibility of surgical reconstruction for rheumatoid hand and wrist deformities.

Mod Rheumatol 2020 Jul 20:1-7. Epub 2020 Jul 20.

Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Objectives: We aimed to investigate patient characteristics affecting their knowledge of surgical reconstruction for rheumatoid hand and wrist deformities, and to investigate such characteristics affecting their hope of receiving hand surgery if patients with rheumatoid arthritis (RA) knew surgical reconstruction options.

Methods: We carried out a questionnaire survey for all patients with RA who came to our outpatient department of rheumatology. Multivariate logistic regression analysis was performed to examine significant characteristics associated with the knowledge of surgical reconstruction and patients' hope of receiving hand surgery. Read More

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http://dx.doi.org/10.1080/14397595.2020.1790779DOI Listing

Perfusion in hand arthritis on dynamic contrast-enhanced computed tomography: a randomized prospective study using MRI as a standard of reference.

Skeletal Radiol 2020 Jun 30. Epub 2020 Jun 30.

Department of Radiology, Charité - Universitätsmedizin Berlin, Campus Mitte, Humboldt - Universität zu Berlin, Freie Universität Berlin, Berlin, Germany.

Objective: To evaluate the performance of dynamic contrast-enhanced CT (DCE-CT) in detecting and quantitatively assessing perfusion parameters in patients with arthritis of the hand compared with dynamic contrast-enhanced MRI (DCE-MRI) as a standard of reference.

Materials And Methods: In this IRB-approved randomized prospective single-centre study, 36 consecutive patients with suspected rheumatoid arthritis underwent DCE-CT (320-row, tube voltage 80 kVp, tube current 8.25 mAs) and DCE-MRI (1. Read More

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http://dx.doi.org/10.1007/s00256-020-03526-5DOI Listing

Percutaneous Radiofrequency Ablation of the Posterior and Anterior Interosseous Nerves for Chronic Wrist Pain: A Novel Technique.

Tech Hand Up Extrem Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, "Federico II" University.

The treatment of chronic wrist pain, due to posttraumatic, degenerative, or inflammatory arthritis, is challenging to adequately manage. The ideal surgical procedure should preserve wrist mobility and provide long-lasting pain relief. In this regard, denervation aims to decrease wrist pain by interrupting sensory innervation, without impairing motor function, and avoids the need for postoperative immobilization to decrease the risk of stiffness. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000304DOI Listing

Septic Joints: Finger and Wrist.

Authors:
Brian Chenoweth

Hand Clin 2020 Aug;36(3):331-338

University of Oklahoma, 800 Stanton L Young Boulevard, Suite 3400, Oklahoma City, OK 73003, USA. Electronic address:

Infections in the joints of the hand and wrist carry the risk of significant morbidity. Common presenting symptoms include joint redness, swelling, and pseudoparalysis that occurs several days following a penetrating trauma. Diagnostic workup should be expedited, including a laboratory evaluation and arthrocentesis. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.006DOI Listing

Severely destructive unilateral wrist arthritis as a rare variant of rheumatoid arthritis: analysis of clinical and imaging features.

Clin Exp Rheumatol 2020 Jun 23. Epub 2020 Jun 23.

Department of Nephrology and Rheumatology, University Medical Centre Göttingen, Germany.

Objectives: Rheumatoid arthritis (RA) is a common autoimmune disease typically affecting joints symmetrically. A small number of patients develop unilateral and severely destructive wrist arthritis (DWA). The objective of our study was to characterise patients with this type of affection. Read More

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Neutrophil activation identifies patients with active polyarticular gout.

Arthritis Res Ther 2020 06 18;22(1):148. Epub 2020 Jun 18.

Division of Rheumatology, University of Washington, Seattle, WA, USA.

Background: Gout is the most prevalent inflammatory arthritis in developed countries. A gout flare is mediated by phagocytosis of monosodium urate crystals by macrophages and neutrophils leading to subsequent activation of neutrophils contributing to synovitis, local joint destruction, and systemic inflammation. We hypothesize that biomarkers from activated neutrophils reflect gout disease activity. Read More

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http://dx.doi.org/10.1186/s13075-020-02244-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304179PMC

Twenty years' follow-up of radiocarpal arthrodesis for rheumatoid wrists.

Mod Rheumatol 2020 Jul 10:1-7. Epub 2020 Jul 10.

Department of Rheumatology, Niigata Rheumatic Center, Shibata City, Japan.

Objectives: A pain-free stable wrist is a prerequisite for patients with rheumatoid arthritis to improve their activity of daily life. The present study investigated whether or not radiocarpal arthrodesis yielded good results for more than 20 years.

Methods: A retrospective study was performed on 20 unstable wrists in 17 patients with rheumatoid arthritis. Read More

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http://dx.doi.org/10.1080/14397595.2020.1782565DOI Listing

Pisotriquetral arthritis: 'forgotten' joint in ultrasound imaging of the wrist.

Ann Rheum Dis 2020 Jun 8. Epub 2020 Jun 8.

Misericordia di Pistoia, Pistoia, Italy.

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http://dx.doi.org/10.1136/annrheumdis-2020-217980DOI Listing

Developing Smartphone-Based Objective Assessments of Physical Function in Rheumatoid Arthritis Patients: The PARADE Study.

Digit Biomark 2020 Jan-Apr;4(1):26-43. Epub 2020 Apr 30.

Digital Clinical Trials, R&D Development, GlaxoSmithKline, Collegeville, Pennsylvania, USA.

Background: Digital biomarkers that measure physical activity and mobility are of great interest in the assessment of chronic diseases such as rheumatoid arthritis, as it provides insights on patients' quality of life that can be reliably compared across a whole population.

Objective: To investigate the feasibility of analyzing iPhone sensor data collected remotely by means of a mobile software application in order to derive meaningful information on functional ability in rheumatoid arthritis patients.

Methods: Two objective, active tasks were made available to the study participants: a wrist joint motion test and a walk test, both performed remotely and without any medical supervision. Read More

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http://dx.doi.org/10.1159/000506860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250400PMC

Scaphometacarpal Space and Postoperative Outcomes: A Systematic Review.

J Wrist Surg 2020 Jun 12;9(3):263-267. Epub 2019 Jul 12.

Department of Orthopaedic Surgery, School of Medicine, New York University, New York.

 A common notion is that more complex techniques for treating trapeziometacarpal arthritis such as ligament reconstruction and tendon interposition (LRTI) better preserve the scaphometacarpal (SMC) space compared to a simple trapeziectomy and that this leads to superior functional outcomes.  The purpose of this systematic review is to evaluate the relationship between scaphometacarpal space and objective outcomes such as grip and pinch strength as well as subjective patient-reported outcomes.  A systematic review of the literature was conducted according to PRISMA guidelines. Read More

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http://dx.doi.org/10.1055/s-0039-1692477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263858PMC

Treatment Outcomes in Patients Undergoing Surgical Treatment for Arthritis of the Distal Radioulnar Joint.

J Wrist Surg 2020 Jun 16;9(3):230-234. Epub 2020 Mar 16.

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

 Surgical treatment options for distal radioulnar joint (DRUJ) arthritis include distal ulnar resection (DUR), DRUJ arthrodesis, and ulnar head replacement. Ulnar convergence leading to persistent pain and clicking is a relatively common complication of complete DUR and DRUJ arthrodesis with distal ulnar segment resection (DRUJA). This led to the development of the distal ulna hemiresection (DUHR) and distal ulnar stump stabilization techniques to reduce the risk of this complication. Read More

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http://dx.doi.org/10.1055/s-0040-1702200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263868PMC

Thumb Disability Examination (TDX) as a New Reliable Tool for Basal Joint Arthritis.

J Wrist Surg 2020 Jun 19;9(3):209-213. Epub 2020 Feb 19.

Department of Orthopaedics, NewYork-Presbyterian Hospital, Columbia University Medical Center, New York, New York.

 The general assessment of basal joint arthritis (BJA) is limited using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. This has been shown to be insensitive to pain and disability levels, leading to the development and validation of the thumb disability examination (TDX) as a specific tool for BJA in 2014.  The goal of this study was to evaluate the reliability, sensitivity, and specificity of the TDX score for BJA. Read More

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http://dx.doi.org/10.1055/s-0040-1701510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263863PMC

Functional Outcome for Arthroscopic Treatment of Septic Arthritis of the Wrist.

J Wrist Surg 2020 Jun 30;9(3):190-196. Epub 2019 Dec 30.

Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, HKSAR, China.

 Septic arthritis is a potentially joint-destructing condition if not treated properly. Septic wrist accounts for ∼5% of all septic arthritis. Arthroscopic lavage is a well-documented treatment for septic arthritis of the knee, hip, or shoulder only. Read More

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http://dx.doi.org/10.1055/s-0039-3402423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263864PMC

Medial Femoral Trochlea Graft for Scaphoid Waist Nonunion: A Case Report and Review of the Literature.

J Wrist Surg 2020 Jun 17;9(3):186-189. Epub 2019 Dec 17.

St. Vincent's Hand Surgery Unit, Victorian Hand Surgery Associates, Fitzroy, Victoria, Australia.

The medial femoral trochlea (MFT) of the knee is a donor site for convex osteochondral vascularized bone that has been used for the salvage of fractures of the proximal pole of the scaphoid. Chronic nonunited fractures of the scaphoid may lead to a sequence of degenerative change often referred to as scaphoid nonunion advance collapse. The vascularized MFT osteochondral graft has been reported as a salvage procedure for fractures of the proximal pole of the scaphoid, in situations where fixation is not an option. Read More

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http://dx.doi.org/10.1055/s-0039-3401015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263860PMC

Experience of Chikungunya in a Chikungunya Clinic at Tertiary Medical College Hospital in Bangladesh.

Mymensingh Med J 2020 Apr;29(2):431-437

Professor Md Titu Miah, Professor of Medicine, Dhaka Medical College (DMC), Dhaka, Bangladesh; E-mail:

A large outbreak of Chikungunya occurred in Bangladesh in 2017. It caused a serious impact on sufferers of the disease. Study aimed to assess the real scenario unfolding as case reporting to Directorate General of Health is less in Bangladesh by physicians. Read More

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Infections of Deep Hand and Wrist Compartments.

Microorganisms 2020 Jun 3;8(6). Epub 2020 Jun 3.

Hand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.

The human hand is the most exposed part of the body to highest risk for injuries, loss of the skin integrity, and to the inoculation of bacteria, most commonly Staphylococcus aureus, Streptococcus β-haemolytic, and gram-negative. In case of an infection, the mobile anatomical structures and the synovial membranes in close proximity to each other may spread the pus towards deep spaces and compartments. Mild early infections without an abscess formation may respond to antibiotics, but at more advanced stage, erythema, swelling, stiffness, and severe pain may ensue. Read More

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http://dx.doi.org/10.3390/microorganisms8060838DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356554PMC

Risk factors for rupture of extensor tendons in the rheumatoid wrist.

J Hand Surg Eur Vol 2020 Jun 3:1753193420928481. Epub 2020 Jun 3.

Department of Hand Surgery, Nagoya University, Nagoya, Japan.

This study assessed the risk factors for spontaneous extensor tendon rupture in the rheumatoid wrist. The rupture group consisted of 25 wrists that had rupture of the extensor tendons and later received tendon reconstruction. The non-rupture group included 77 rheumatoid wrists without extensor tendon rupture. Read More

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http://dx.doi.org/10.1177/1753193420928481DOI Listing

Do magnetic resonance imaging-detected erosions predict progression to rheumatoid arthritis in patients presenting with clinically suspect arthralgia? A longitudinal study.

Scand J Rheumatol 2020 Jun 2:1-7. Epub 2020 Jun 2.

Department of Rheumatology, Leiden University Medical Centre , Leiden, The Netherlands.

Objective: Radiographic joint erosions are a hallmark of rheumatoid arthritis (RA). Magnetic resonance imaging (MRI) is more sensitive than radiographs in detecting erosions. It is unknown whether MRI-detected erosions are predictive for RA development in patients with clinically suspect arthralgia (CSA). Read More

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http://dx.doi.org/10.1080/03009742.2020.1737221DOI Listing

Fractures of the scaphoid.

BMJ 2020 May 27;369:m1908. Epub 2020 May 27.

Guy's and St Thomas' NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1136/bmj.m1908DOI Listing

Left Ventricular Thrombus and Heart Failure With Preserved Ejection Fraction in a Patient With Rheumatoid Arthritis: A Comprehensive Assessment Using Serial Echocardiography.

Circ Cardiovasc Imaging 2020 Jun 28;13(6):e010222. Epub 2020 May 28.

Department of Cardiovascular Ultrasound, First Hospital of China Medical University, Shenyang, Liaoning (S.L., J.S., Y.P., J.Y., C.M., L.Z.).

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010222DOI Listing

What Is the Effect of the Ulnar-Plus Variance on the Outcomes of Arthroscopic Repair of the Peripheral Ulnar-side Triangular Fibrocartilage Complex Tear?

Arthroscopy 2020 May 20. Epub 2020 May 20.

Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.

Purpose: To compare the outcomes of arthroscopic repair of peripheral ulnar-side triangular fibrocartilage complex (TFCC) tears between patients with and without ulnar-plus variance (UPV) and to identify factors associated with index surgery failure in these patients.

Methods: We retrospectively analyzed 50 consecutive patients who underwent arthroscopic repair of peripheral ulnar-side TFCC tears from June 2014 to February 2018. We selected patients who were aged at least 18 years and underwent arthroscopic repair of peripheral ulnar-side TFCC tears. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.012DOI Listing

Radioscapholunate fusion for posttraumatic osteoarthritis with consecutive excision of the distal scaphoid and the triquetrum: A comparative study.

Hand Surg Rehabil 2020 May 18. Epub 2020 May 18.

Department of Hand and Upper Extremity Surgery, Peripheral Nerves Surgery, Lapeyronie University Hospital of Montpellier, 371, avenue du Doyen-Gaston-Giraud, 34090 Montpellier, France. Electronic address:

The aim of this study was to assess the clinical and radiographic outcomes after radioscapholunate (RSL) fusion for posttraumatic osteoarthritis. This was a retrospective, dual-center study of all patients who underwent RSL fusion between 1995 and 2015 for posttraumatic radiocarpal osteoarthritis. Patients were assessed at the final review to determine clinical (pain, wrist range of motion and strength), self-reported (QuickDASH, PRWE and MWS scores) and radiological (degenerative osteoarthritis in the scaphotrapeziotrapezoid (STT) or midcarpal joint and radiocarpal fusion) outcomes. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.05.002DOI Listing

A Pauci-Immune Synovial Pathotype Predicts Inadequate Response to TNFα-Blockade in Rheumatoid Arthritis Patients.

Front Immunol 2020 5;11:845. Epub 2020 May 5.

Experimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom.

To assess whether the histopathological features of the synovium before starting treatment with the TNFi certolizumab-pegol could predict clinical outcome and examine the modulation of histopathology by treatment. Thirty-seven RA patients fulfilling UK NICE guidelines for biologic therapy were enrolled at Barts Health NHS trust and underwent synovial sampling of an actively inflamed joint using ultrasound-guided needle biopsy before commencing certolizumab-pegol and after 12-weeks. At 12-weeks, patients were categorized as responders if they had a DAS28 fall >1. Read More

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http://dx.doi.org/10.3389/fimmu.2020.00845DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214807PMC

Adalimumab dose tapering in patients with rheumatoid arthritis who are in long-standing clinical remission: results of the phase IV PREDICTRA study.

Ann Rheum Dis 2020 Aug 13;79(8):1023-1030. Epub 2020 May 13.

Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.

Objective: To investigate the association between baseline disease activity and the occurrence of flares after adalimumab tapering or withdrawal in patients with rheumatoid arthritis (RA) in sustained remission.

Methods: The PREDICTRA phase IV, randomised, double-blind (DB) study (Imact of esidual Inflammation Detected via Imaging Tchniques, rug Levels, and Patient Characteristics on the Outcome of Dose Taperng of Adalimumab in linical Remission Rheumatoid Arhritis () Patients) enrolled patients with RA receiving adalimumab 40 mg every other week who were in sustained remission ≥6 months. After a 4-week, open-label lead-in (OL-LI) period, patients were randomised 5:1 to DB adalimumab taper (every 3 weeks) or withdrawal (placebo) for 36 weeks. Read More

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http://dx.doi.org/10.1136/annrheumdis-2020-217246DOI Listing

Disseminated of the wrist.

IDCases 2020 23;20:e00763. Epub 2020 Apr 23.

Department of Infectious Disease, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, United States.

Disseminated gonococcal infection (DGI) is seen in about 0.5-3% of patients with . Patients with DGI present with mucosal involvement, septic arthritis and sometimes bacteremia. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210423PMC

Four-Corner Arthrodesis Versus Proximal Row Carpectomy for Scapholunate Advanced Collapse: A Systematic Literature Review and Meta-analysis.

Ann Plast Surg 2020 May 7. Epub 2020 May 7.

From the Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Background: Scapholunate advanced collapse (SLAC) of the wrist is one of the most common patterns of degenerative arthritis in the wrist. Surgical intervention is warranted for individuals with symptomatic SLAC and degenerative disease that affects the radioscaphoid joint. The most popular options for motion-preserving reconstruction and treatment of this disease include 4-corner arthrodesis and proximal row carpectomy. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002398DOI Listing

Septic Arthritis of the Pediatric Wrist: A Case Report and Review of the Literature.

Cureus 2020 Mar 28;12(3):e7444. Epub 2020 Mar 28.

Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Hershey, USA.

Septic arthritis of the wrist in pediatric patients is a rare diagnosis and is not well described in the literature. We present a case of a 4-month old patient with monoarticular septic arthritis of the wrist treated with surgical drainage and antibiotics. Although a rare diagnosis, septic arthritis of the wrist should be considered in patients with pseudoparalysis of the upper extremity and systemic signs of inflammation. Read More

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http://dx.doi.org/10.7759/cureus.7444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186098PMC

Tocilizumab treatment in Felty's syndrome.

Rheumatol Int 2020 Jul 28;40(7):1143-1149. Epub 2020 Apr 28.

Department of Rheumatology and Immunology, Jingzhou Central Hospital, Jingzhou Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Jingzhou, 434000, China.

Felty's syndrome (FS) is a deforming disease, characterized by the triad of rheumatoid arthritis (RA), neutropenia, and splenomegaly. Currently, FS patients are treated mainly with immunosuppressants, such as methotrexate and glucocorticoids, which however are not suitable to some patients and may cause severe side effects. Here we report a clinical FS case that was treated with Tocilizumab (TCZ) successfully. Read More

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http://dx.doi.org/10.1007/s00296-020-04588-3DOI Listing

Collaboration in Hand Surgery: Experiences From Silicone Arthroplasty in Rheumatoid Arthritis, Finger Replantation and Amputation Challenges in Assessing Impairment, Satisfaction, and Effectiveness, Wrist and Radius Injury Surgical Trial, and Surgery of the Ulnar Nerve.

J Am Acad Orthop Surg 2020 Apr 27. Epub 2020 Apr 27.

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School (Mr. Kane), and the Section of Plastic Surgery, Department of Surgery,University of Michigan Medical School (Dr. Chung), Ann Arbor, MI.

Outcomes research has historically been driven by single-center investigations. However, multicenter studies represent an opportunity to overcome challenges associated with single-center studies, including generalizability and adequate power. In hand surgery, most clinical trials are single-center studies, with few having randomized controls and blinding of both participants and assessors. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00102DOI Listing

Efficacy of non-bridging external fixation in treating distal radius fractures.

Orthop Surg 2020 Jun 28;12(3):776-783. Epub 2020 Apr 28.

The Second Department of Orthopaedics, Cangzhou Central Hospital, Cangzhou, China.

Objective: To investigate the efficacy of non-bridging external fixation in treating distal radius fractures (DRF) and its effect on wrist joint function.

Methods: The medical records of 207 patients who were treated for DRF between May 2008 and April 2017 in our hospital (age, 18.0-70. Read More

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http://dx.doi.org/10.1111/os.12677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307264PMC

Pseudotumoral calcinosis in systemic sclerosis: Data from systematic literature review and case series from two referral centres.

Semin Arthritis Rheum 2020 Apr 9. Epub 2020 Apr 9.

Rhumatologie, Hôpital Cochin, APHP, Université de Paris, Hôpital Cochin, 27 rue du Faubourg Saint-Jacques, 75014 Paris, France. Electronic address:

Objectives: We aimed to clarify the definition, distribution, clinical association and outcomes of large calcinosis in patients with systemic sclerosis (SSc).

Methods: We conducted a systematic literature review (SLR) focusing on SSc-related large calcified masses. Upon updating the terminology and definition, all cases of "pseudotumoral" calcinosis seen at the Cochin and Padova University Hospitals were reviewed. Read More

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http://dx.doi.org/10.1016/j.semarthrit.2020.03.009DOI Listing