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Strategies Trauma Limb Reconstr 2022 Jan-Apr;17(1):59-62

Department of Orthopedic Surgery, Hospital 12 de Octubre, Madrid, Spain.

Isolated dorsal lunate dislocation is a rare injury. Only one case has been reported previously in which the treatment was performed in the chronic stage. In this report, we present the case of a 49-year-old handworker male who presented a dorsal dislocation of the lunate after a traffic accident. Read More

Medicine (Baltimore) 2022 Jun 17;101(24):e29479. Epub 2022 Jun 17.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Pan-carpal dissociation is very rare injury and there is little information as to diagnosis, treatment, and prognosis of this injury.

Patient Concerns: A 35-year-man presented to our hospital with severe pain and swelling of the left wrist and forearm after slipping and falling while riding a motorcycle.

Diagnosis: The wrist simple radiographs demonstrated unrecognizable severe fracture-dislocation of the carpal bones concomitant with fractures of the radioulnar shaft. Read More

JBJS Case Connect 2022 04 15;12(2). Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.

Case: A 24-year-old professional judo competitor suffered injuries to both the wrists when he fell on his back while lifting a 90-kg barbell in the bilateral dorsiflexed wrist position. Simultaneous bilateral volar lunate dislocation had been missed for a year. The degenerated lunates were simultaneously removed using a palmar approach. Read More

Int J Clin Pract 2022 31;2022:6414247. Epub 2022 Jan 31.

Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: This study aimed to evaluate the injury mechanism of medial epicondylar fractures in children and adolescents and its association with increased carrying angle (CA) as a predisposing factor.

Materials And Methods: We evaluated 37 patients with medial epicondylar fractures who were surgically treated at our institution. Medical records and plain radiographs were reviewed to determine the mechanism of injury and the humerus-elbow-wrist angle (HEWA) and CA of the uninjured arm. Read More

Semin Musculoskelet Radiol 2022 Jun 2;26(3):295-313. Epub 2022 Jun 2.

Department of Orthopaedic Surgery, University of Arizona, Tucson, Arizona.

Common indications for surgical procedures of the wrist and hand include acute fractures or fracture-dislocations; nonunited fractures; posttraumatic, degenerative, and inflammatory arthritides and tendinopathies; injuries to tendons, ligaments, and the triangular fibrocartilage complex; and entrapment neuropathies. Soft tissue or osseous infections or masses may also need surgical treatment. Several of these procedures require surgical hardware placement, and most entail clinical follow-up with periodic imaging. Read More

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Liverpool University Hospitals NHS Foundation Trust, UK.

Introduction: Isolated volar dislocations of the distal radioulnar joint are reported as rare. We observed three such cases over a 12-month period. Literature to date consists of multiple case reports and case series with no structured reviews. Read More

Orthop Traumatol Surg Res 2022 May 21:103332. Epub 2022 May 21.

Orthopedic surgery of the upper limb, hand and peripheral nerve surgery, CHU Lapeyronie, 371 Avenue du Doyen Gaston Giraud, 34090 Montpellier, France.

Introduction: Perilunate dislocations and fracture-dislocations are severe injuries that often have serious functional sequelae. Our goal was to evaluate the long-term clinical and radiological results of these perilunate injuries, and to look for prognostic factors of a poor clinical outcome.

Hypothesis: All patients who suffered perilunate injuries in their wrist have functional sequelae and long-term radiographic changes despite optimal treatment with anatomical surgical reduction. Read More

Int J Surg Case Rep 2022 Jun 11;95:107190. Epub 2022 May 11.

Orthopedics and Trauma, Faculty of Medicine, Hashemite University, Jordan.

Introduction: Isolated acute distal radioulnar joint (DRUJ) dislocation is a rare injury that should be early recognized and treated promptly to avoid the limitation and disability associated with delayed diagnosis and management.

Case Presentation: We present a patient with a traumatic dorsal isolated DRUJ dislocation who was successfully treated with a closed reduction and k-wire pinning along with cast immobilization.

Discussion: Previous reports of distal radioulnar joint dislocation have described the mechanics of this injury as well as a guidance to diagnosis and treatment. Read More

J Radiol Case Rep 2022 Apr 1;16(4):1-10. Epub 2022 Apr 1.

Department of Diagnostic Radiology, Changi General Hospital, Singapore.

The pisiform is a sesamoid bone that acts as one of the key medial stabilizers of the wrist. We present a case of a 35-year-old gentleman who presented with medial wrist pain following a fall while rollerblading. Radiographs and Magnetic resonance imaging (MRI) revealed a rare combination of an acute pisiform dislocation with associated triquetral fracture. Read More

Hand (N Y) 2022 May 3:15589447221092057. Epub 2022 May 3.

Montefiore Medical Center, Bronx, NY, USA.

Background: The standard of care of distal radius fractures requiring operative intervention involves restoration of anatomical alignment radiologically by comparing preoperative films and intraoperative fluoroscopy with established values based on population norms. The objective of this study is to evaluate the use of plain radiographs obtained from the uninjured wrist of patients who present with unilateral displaced distal radius fractures as a measure of successful achievement of anatomical realignment.

Methods: A retrospective review was performed on 133 consecutive patients who presented from August 2020 to August 2021 with a diagnosis of unilateral distal radius fracture as confirmed on 3-view plain radiography. Read More

J Wrist Surg 2022 Apr 15;11(2):161-163. Epub 2021 Nov 15.

Department of Orthopedics, TRues Wrist Surgery Unit, Clinique Parc Lyon, Lyon, France.

 Reverse perilunate injuries (REPLI) are rare variants of the classic radial-sided perilunate injuries (PLI) whose mechanism was described by Mayfield in 1980. Classic radial-sided nontranscaphoid dorsal PLI invariably display a flexed, foreshortened position of the scaphoid on their initial posteroanterior (PA) and lateral radiographs. We observed that some dorsal perilunate dislocations displayed an position of the scaphoid on their initial radiographs. Read More

Adv Emerg Nurs J 2022 Apr-Jun 01;44(2):116-120

School of Nursing, Education, and Human Studies, Robert Morris University, Moon Township, Pennsylvania.

A Galeazzi fracture-dislocation is defined as a distal radius fracture with disruption of the distal radioulnar joint (DRUJ). The typical mechanism of injury is a forceful axial load with forearm torsion, which is often seen in a fall on the out stretched hand (FOOSH). The diagnosis is made with radiographs of the distal forearm and the wrist. Read More

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):385-388. Epub 2022 Apr 19.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Japan.

We report a dorsal trans-scaphoid perilunate fracture-dislocation associated with dorsal dislocation of the thumb carpometacarpal joint in a 25-year-old man. This is a rare injury and we discuss a possible mechanism for the injury. Level V (Therapeutic). Read More

J Hand Surg Asian Pac Vol 2022 Apr 19;27(2):370-375. Epub 2022 Apr 19.

Department of Hand and Upper Limb Surgery, Department of Diseases of the Musculoskeletal System, University of Turku, Turku University Hospital and CoE TYKS ORTO, Turku, Finland.

A Galeazzi-equivalent lesion occurs in children and adolescents following a traumatic distal radius fracture when the strong radioulnar ligaments and relative weakness of the ulnar physis result in an avulsion-type Salter-Harris III fracture of the distal ulna. In unreduced fractures, the osteogenic nature of the torn periosteal sleeve may result in the formation of a bifid distal ulna. We describe two cases of bifid distal ulna that developed after missed Galeazzi-equivalent lesions. Read More

J Orthop Case Rep 2021 Jun;11(6):63-67

Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Plainview, New York, United States.

Introduction: Perilunate dislocations are rare high-energy injuries, and the diagnosis is not infrequently missed at initial presentation. The combination of fractures resulting in a trans-styloid, trans-scaphoid, and trans-triquetral perilunate fracture dislocation is extremely rare. Early recognition and diagnosis of these injuries is prudent to restore patient function and prevent morbidity. Read More

J Orthop Case Rep 2021 Jun;11(6):32-35

Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India.

Introduction: Neck of femur fractures is the most common fractures in elderly people as they present with osteoporosis. There is a higher chance of proximal femur fracture in a schizophrenic patient as there is a loss of bone mineral density due to a drug-induced increase in the level of prolactin and immobility. Patients with Parkinson's disease were at higher risk for the development of hip fractures due to gait disturbances and instability. Read More

World J Clin Cases 2022 Mar;10(8):2559-2568

Department of Orthopedics, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China.

Background: Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair.

Case Summary: A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. Read More

Ann Transl Med 2022 Mar;10(6):385

Department of Radiology, Hebei Province Hospital of Chinese Medicine, Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases, Shijiazhuang, China.

Background: Isolated complete dislocation of the hamate bone is a rare wrist injury. Only 22 cases have been reported in the literature. Four of them were associated with nerve injury, but it is a pity that the causes of ulnar nerve injury had never been deeply analyzed. Read More

Acta Ortop Bras 2022 28;30(1):e248404. Epub 2022 Jan 28.

. Universidade de São Paulo, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Hand and Microsurgery Group, São Paulo, SP, Brazil.

Introduction: The radiographic and surgical findings, and treatment of radiocarpal fracture dislocations, were analyzed retrospectively in 40 patients.

Materials And Methods: All patients were classified according to Dumontier´s radiological classification and compared with the surgical findings. Based on this analysis, a new classification and treatment are proposed. Read More

J Hand Surg Glob Online 2021 Sep 27;3(5):289-293. Epub 2021 Jun 27.

Orthopedic Surgery Department, Riyadh Care Hospital, Riyadh, Saudi Arabia.

Volar distal radioulnar joint (DRUJ) dislocation is a rare clinical entity that is commonly missed during initial evaluation. We report a case of a locked volar DRUJ dislocation associated with ulnar artery transection in a 53-year-old patient. He presented to the hospital after sustaining an injury to the right wrist by a heavy machinery object. Read More

J Orthop Case Rep 2021 Sep;11(9):24-28

Department of Trauma and Orthopaedics, Arrowe Park Hospital, Arrowe Park Road, Wirral - CH49 5PE, UK.

Introduction: Carpo-metacarpal joint fracture-dislocations are rare injuries. They constitute less than 1% of all hand injuries [1]. They often go unnoticed [2]. Read More

J Orthop Case Rep 2021 Sep;11(9):82-85

Department of Orthopedics, MIOT International, Chennai, Tamil Nadu, India.

Introduction: Monteggia fracture-dislocation is defined as a proximal third ulna fracture with radiocapitellar joint dislocation. The term "Monteggia equivalent or variant" describes various injuries with similar radiographic patterns and injury biomechanics. Several isolated cases of unusual injuries associated with Monteggia fractures have been reported. Read More

J Orthop Case Rep 2021 Nov;11(11):107-111

Serviço de Ortopedia e Traumatologia, Centro Hospitalar Tondela, Viseu, Portugal.

Introduction: Scaphoid dislocations are rare injuries, usually resulting from high-energy trauma and therefore associated to other lesions which may obscure the diagnosis.

Case Presentation: The authors present a case of a 59-year-old man with a partial complex dislocation of the scaphoid, diagnosed 6 days after the initial injury. Closed reduction was unsuccessfully attempted, so the patient was submitted to open reduction and internal fixation. Read More

J Pediatr Orthop B 2022 Apr 11. Epub 2022 Apr 11.

Department for Plastic, Reconstructive and Aesthetic Surgery, Clinical Hospital Dubrava, Zagreb, Croatia.

The objective of this study was to assess whether the positioning of the wrist joint in the cast in such a manner that it counteracts the direction of angulation of fragments is more important than the cast index in the prevention of secondary displacements in distal forearm fractures. A retrospective review of all pediatric patients (0-16 years of age) who were hospitalized in our institution with displaced fractures of the distal forearm (either isolated fractures of the distal radius or both bone fractures) who underwent subsequent closed reduction and splinting in the period from August 2018 to October 2020. Patients with physeal fractures and open fractures, and skeletally mature patients were excluded from the study. Read More

Jt Dis Relat Surg 2022 28;33(1):40-50. Epub 2022 Mar 28.

Department of Orthopedics, Shanghai Sixth People's Hospital, 200233 Shanghai, China.

Objectives: In this study, we present a specified hinge positioning method to achieve satisfying and steerable lengthening and angulation to correct forearm multiple hereditary exostoses (MHE) combined with severe radiocapitellar joint dislocation using Ilizarov ring fixators.

Patients And Methods: Between January 2014 and December 2018, a total of 30 forearms of 23 patients (11 males, 12 females; mean age: 18.3±6. Read More

Hand (N Y) 2022 Mar 27:15589447211043194. Epub 2022 Mar 27.

Cleveland Clinic Foundation, OH, USA.

Background: Failure to recognize a potential wrist arthrotomy may lead to missed septic arthritis and devastating sequelae. The saline load test is routinely used to recognize traumatic arthrotomies of other joints; however, there are limited data optimizing this test for the wrist. The purpose of this study was to investigate and perform saline load testing to identify traumatic arthrotomies of the wrist. Read More

Hand (N Y) 2022 Mar 23:15589447221077374. Epub 2022 Mar 23.

Consorci Sanitari de Terrassa, Spain.

Giant cell tumor (GCT) is a benign, locally aggressive neoplasm with little incidence at the carpal bone level. We present a case of pyramidal bone GCT that required open biopsy for diagnosis. As a definitive treatment, en bloc resection of the pyramidal bone and luno-capitate arthrodesis were performed to avoid frequent relapses of these neoplasms and ensure proper functionality of the anatomical segment. Read More

Hand (N Y) 2022 Mar 23:15589447221084009. Epub 2022 Mar 23.

Loma Linda University Health, CA, USA.

Background: There is widespread use of pneumatic tourniquet for both upper and lower extremity orthopedic surgeries. Tourniquet use improves visualization, decreases blood loss, and as a result, decreases operative time. Exceeding a certain amount of tourniquet time can cause lasting neuromuscular damage. Read More

Hand (N Y) 2022 Mar 18:15589447221082156. Epub 2022 Mar 18.

Gunma University Graduate School of Medicine, Maebashi, Japan.

Background: There is still no certainty about factors delaying functional recovery after surgery, although volar locking plate (VLP) fixation is the mainstay of treatment for distal radius fractures (DRFs), and several good postoperative recoveries have been reported. The purpose of this study was to investigate factors affecting functional recovery after VLP fixation for DRF.

Methods: The subjects included 104 patients (84 females, 20 males, mean age: 63. Read More

BMJ Case Rep 2022 Mar 7;15(3). Epub 2022 Mar 7.

Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.