2,944 results match your criteria Wrist Dislocation


Isolated Volar Dislocation of the Fifth Carpometacarpal Joint.

Ochsner J 2020 ;20(2):215-218

The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.

Isolated dislocation of the carpometacarpal (CMC) joints is a rare injury that accounts for less than 1% of hand injuries. Few cases of isolated volar dislocations of the fifth CMC joint have been reported, making such injuries worthy of reporting. Given the rarity of these injuries, they are easily overlooked in the emergency setting and thus require a high index of clinical suspicion. Read More

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http://dx.doi.org/10.31486/toj.18.0151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310188PMC
January 2020

Terrible triad of the elbow with an ipsilateral Essex-Lopresti injury: case report.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa103. Epub 2020 Jun 15.

Department of Orthopaedy, University Hospital Tivoli, Université libre de bruxelles, La Louvière, Belgium.

Terrible triad of the elbow and the Essex-Lopresti injury are both rare lesions with a historically poor clinical outcome. We present the case of a unique association of the two injuries with an elbow dislocation, radial and coronoid process fractures and a distal radioulnar joint dislocation due to an interosseous membrane rupture. The case was managed with closed reduction of the elbow dislocation and distal radioulnar joint followed by open reduction and repair of the damaged structures in the elbow and an unloading of the interosseous membrane. Read More

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http://dx.doi.org/10.1093/jscr/rjaa103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297562PMC

The serious full-length forearm injury - a case report and literature review.

Authors:
Jun Wang

BMC Musculoskelet Disord 2020 Jun 15;21(1):381. Epub 2020 Jun 15.

Department of orthopedic, Xiaoshan 1st People's Hospital, Hangzhou, 311200, China.

Background: Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. Read More

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http://dx.doi.org/10.1186/s12891-020-03394-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296690PMC

[Clinical application of nitinol memory alloy two foot fixator combined with Kirschner wire in treatment of trans-scaphoid perilunate dislocation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):671-675

Department of Orthopaedics, the 920th Hospital of Joint Logistics Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To evaluate the effectiveness of nitinol memory alloy two foot fixator combined with Kirschner wire in the treatment of trans-scaphoid perilunate dislocation.

Methods: Between September 2011 and October 2018, 17 patients with trans-scaphoid perilunate dislocation were treated with nitinol memory alloy two foot fixator and Kirschner wire. There were 12 males and 5 females, with an average age of 32. Read More

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http://dx.doi.org/10.7507/1002-1892.201911013DOI Listing

Do "Anatomic" Distal Ulna Plating Systems Fit the Distal Ulna Without Causing Soft Tissue Impingement?

Hand (N Y) 2020 Jun 10:1558944720930302. Epub 2020 Jun 10.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Distal ulna fracture fixation plates commonly cause irritation, necessitating removal, due to the narrow area between the ulna articular cartilage and the extensor carpi ulnaris. This study defines the safe zone for plate application and determines whether wrist position affects risk of impingement. Four different distal ulna anatomic plates (Acumed, Medartis, Skeletal Dynamics, and Synthes) were applied to 12 cadaveric specimens. Read More

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http://dx.doi.org/10.1177/1558944720930302DOI Listing

Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head.

J Wrist Surg 2020 Jun 16;9(3):240-243. Epub 2019 Oct 16.

Department of Orthopedics and Traumatology, Tappeiner Hospital, Merano, Italy.

 Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature.  We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. Read More

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http://dx.doi.org/10.1055/s-0039-1698453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263859PMC

Surgical Treatment for Delayed Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Jun 5;9(3):235-239. Epub 2019 Jul 5.

Department of Orthopaedic Surgery, Graduate School of Medicine, Mie University, Tsu City, Japan.

 Fracture and dislocations of the carpometacarpal (CMC) joints except the thumb are relatively rare. Herein, we report the case of a delayed fracture-dislocation of fourth and fifth carpometacarpal joints.  The patient is a 41-year-old, right-handed male. Read More

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http://dx.doi.org/10.1055/s-0039-1693051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263869PMC

Evaluation of Flexor Pollicis Longus Tendon Rupture after Treatment of Distal Radius Fracture with the Volar Plate.

J Wrist Surg 2020 Jun 18;9(3):219-224. Epub 2020 Mar 18.

Department of Orthopaedics and Traumatology, University of Health Sciences Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

 The aim of this study is to evaluate the frequency of flexor pollicis longus (FPL) tendon rupture and factors leading to this rupture during the follow-up of patients who underwent volar plate fixation because of distal radius fracture.  A total of 109 distal radius fractures of 102 patients treated with volar plate fixation and periodically followed up for at least 1 year between January 2013 and May 2018 were evaluated. Fractures were categorized according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) Fracture-Dislocation Classification and Soong's grading was used for classifying volar plate position. Read More

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http://dx.doi.org/10.1055/s-0040-1702931DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263862PMC

Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis.

Hand (N Y) 2020 May 28:1558944720918342. Epub 2020 May 28.

Thomas Jefferson University, Philadelphia, PA, USA.

Scapholunate (SL) ligament injuries can occur concomitantly with distal radius fractures (DRFs), and the management of acute SL injury in the setting of DRFs remains controversial. The purpose of the study is to identify the radiographic incidence of SL widening in DRF treated with volar plate fixation and to determine the functional outcomes of DRF with concomitant radiographic SL-widening. One hundred and seventeen patients with DRFs, with and without radiographic SL-widening, and treated with volar locked plating, were prospectively enrolled. Read More

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http://dx.doi.org/10.1177/1558944720918342DOI Listing

Palmar-divergent dislocation of the scaphoid and lunate treated using percutaneous pinning and pin-in-plaster: A case report.

Acta Orthop Traumatol Turc 2020 May;54(3):348-352

Department of Orthopaedic Surgery, Chung-Shan Medical University Hospital, Taichung City, Taiwan;Institute of Medicine, Chung-Shan Medical University, Taichung City, Taiwan.

Acute lunate and perilunate dislocations are not commonly observed injuries. In particular, palmar-divergent dislocation is a very rare injury with only a few cases reported in the literature. In this report, we describe the case of a 37-year-old patient with palmar-divergent dislocation of the scaphoid and lunate and discuss the mechanism of this type of injury. Read More

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http://dx.doi.org/10.5152/j.aott.2020.03.285DOI Listing

Recurrent dislocation of the extensor carpi ulnaris tendon with ulnar-sided triangular fibrocartilage complex injury in an ice hockey player: A case report.

J Nippon Med Sch 2020 Apr 30. Epub 2020 Apr 30.

Department of Orthopedic Surgery, Nippon Medical School Hospital.

Ulnar-sided wrist pain is a common issue among athletes subjecting their wrists to forceful rotational movements. Injury to the numerous complex structures in the ulnar wrist, including the extensor carpi ulnaris (ECU) tendon and the triangular fibrocartilage complex (TFCC), can result in ulnar-sided wrist pain. Although differentiating between ECU tendinitis and TFCC injury is necessary, concurrent ECU tendon disorders and TFCC injury occur occasionally in some patients. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2020_87-410DOI Listing

Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient: a case report and review of literature.

BMC Surg 2020 Apr 15;20(1):71. Epub 2020 Apr 15.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 200233, Shanghai, People's Republic of China.

Background: Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture (Criss-Cross Injury) in an adult patient is rarely reported in previous studies. The pathological changes and injury patterns have not been clearly demonstrated.

Case Presentation: A 26-year-old woman presented with acute pain of the right wrist and elbow after a fall from cycling. Read More

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http://dx.doi.org/10.1186/s12893-020-00717-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160939PMC

Nonoperative Treatment of Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Apr 9;9(2):160-163. Epub 2019 May 9.

Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.

 Ulnar carpometacarpal (CMC) joint dislocations and fracture-dislocations are uncommon injuries that are often overlooked. Most authors advocate surgical stabilization in order to prevent a secondary dislocation assuming that these injuries are inherently unstable.  This is a series of eight ulnar CMC joint dislocations and fracture-dislocations treated by closed reduction and splint immobilization after assessing the joint stability. Read More

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http://dx.doi.org/10.1055/s-0039-1688468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113011PMC

Irreducible Volar DRUJ Dislocation with Distal Radius Fracture Dislocation.

J Wrist Surg 2020 Apr 12;9(2):156-159. Epub 2019 Jul 12.

Department of Orthopaedic Surgery, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.

 Volar dislocations of the distal radioulnar joint (DRUJ) are rare and often missed during initial evaluation. Chronic dislocations and disability can occur when DRUJ dislocations are unrecognized and not reduced. DRUJ dislocations often occur with other wrist injuries, which may complicate reduction. Read More

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http://dx.doi.org/10.1055/s-0039-1692476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112997PMC

Clinical and Functional Outcomes of Ulnar Lengthening in the Treatment of Masada Type I Forearm Deformities in Hereditary Multiple Osteochondromas.

J Hand Surg Am 2020 Apr 3. Epub 2020 Apr 3.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Purpose: Forearm deformity is common in hereditary multiple osteochondromas (HMO). The results of ulnar lengthening and osteochondroma excision are generally favorable, both clinically and radiographically. This study aimed to assess the clinical, radiographic, and functional results of forearm reconstruction in patients with Masada type I deformity (osteochondroma in the distal ulna with radial bowing, without radial head dislocation). Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.02.010DOI Listing

Forearm Deformity and Radial Head Dislocation in Pediatric Patients with Hereditary Multiple Exostoses: A Prospective Study Using Proportional Ulnar Length as a Scale to Lengthen the Shortened Ulna.

J Bone Joint Surg Am 2020 Jun;102(12):1066-1074

Department of Pediatric Orthopaedics, Children's Hospital of Fudan University, Shanghai, China.

Background: Ulnar lengthening is a consensus treatment for hereditary multiple exostoses with radial head dislocation in pediatric patients; however, the optimal amount of ulnar lengthening remains unclear. It is necessary to look for a parameter to decide the amount of ulnar lengthening that will avoid recurrence and complications. The purpose of the present study was to confirm that proportional ulnar length (ulnar length/radial length) can be used as a scale for ulnar lengthening in pediatric patients. Read More

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http://dx.doi.org/10.2106/JBJS.19.01444DOI Listing

Corrective osteotomy after malunited distal radius fractures.

Arch Orthop Trauma Surg 2020 May 19;140(5):675-680. Epub 2020 Mar 19.

Handcenter Ravensburg, Elisabethenstr.19 G, 88212, Ravensburg, Germany.

Posttraumatic malunion or secondary dislocation can cause wrist joint incongruency. Uncorrected malalignment increases the risk of secondary degenerative changes and chronic pain. Therefore, early correction using the available fixed-angle devices, cancellous bone grafting only becomes necessary in larger bony defects. Read More

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http://dx.doi.org/10.1007/s00402-020-03370-1DOI Listing

Clinical and Patient-Reported Outcomes After Hybrid Russe Procedure for Scaphoid Nonunion.

Hand (N Y) 2020 Mar 19:1558944720911214. Epub 2020 Mar 19.

Stanford University, Redwood City, CA, USA.

Hybrid Russe technique for the treatment of scaphoid nonunion with humpback deformity has been described with a reported 100% union rate. We sought to evaluate the reproducibility of this technique. We completed a retrospective chart review of patients with a scaphoid waist nonunion and humpback deformity treated with the hybrid Russe technique from 2015 to 2019 with a minimum of 3-month follow-up. Read More

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http://dx.doi.org/10.1177/1558944720911214DOI Listing

Factors Associated With Reoperation After Silicone Metacarpophalangeal Joint Arthroplasty in Patients With Inflammatory Arthritis.

Hand (N Y) 2019 Mar 12:1558944719831236. Epub 2019 Mar 12.

Massachusetts General Hospital, Boston, USA.

Silicone metacarpophalangeal (MCP) joint arthroplasty has a high revision rate. It has been suggested that the preoperative degree of ulnar drift and radial wrist deviation influences the durability of MCP silicone arthroplasties. The goal of this study was to evaluate what factors are associated with reoperation after silicone MCP arthroplasty. Read More

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http://dx.doi.org/10.1177/1558944719831236DOI Listing

Carpal Instability Nondissociative Following Acute Wrist Fractures.

J Hand Surg Am 2020 Jul 26;45(7):662.e1-662.e10. Epub 2020 Feb 26.

Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland; HFR Fribourg/Inselspital, Bern, Switzerland.

Purpose: Carpal malalignment following intra-articular fractures has been reported in the literature, with no clear description of possible ligamentous injury leading to the radiological appearance. This study presents a series of patients that developed carpal instability nondissociative (CIND) following acute wrist fractures. The mechanism of injury is postulated by using a cadaveric laboratory investigation. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.11.018DOI Listing

Three-Dimensional Printed Targeting Device for Scaphoid Fracture Fixation.

Hand (N Y) 2020 Feb 28:1558944720906502. Epub 2020 Feb 28.

Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Percutaneous guide wire insertion for scaphoid screw fixation can be challenging and often requires multiple attempts with significant radiation exposure to the surgical team. A 3-dimensional (3D) printed targeting device has the potential to reduce procedure time and intraoperative radiation exposure. Our targeting device protocol included a preprocedure computed tomography (CT) scan of a casted cadaver wrist, followed by 3D printing of a customized targeting guide. Read More

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http://dx.doi.org/10.1177/1558944720906502DOI Listing
February 2020

Opening-wedge V-shaped corrective osteotomy for malunited fractures of metacarpal bones.

J Orthop 2020 May-Jun;19:208-211. Epub 2019 Nov 6.

Department of Traumatology, Orthopaedics and Outpatient Surgery, Samara State Medical University, Samara, Russian Federation.

Currently, the most commonly used method of treatment of patients with fractures of the metacarpal bones is closed reposition with immobilization of short-arm cast. This often leads to dislocation of fragments, their malunion, which leads to wrist functionality disorders and reduces the quality of patients' life. The main way to eliminate the deformities ‒ osteotomy of the metacarpal bones, followed by osteosynthesis. Read More

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http://dx.doi.org/10.1016/j.jor.2019.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011004PMC
November 2019

Percutaneous pinning for treating distal radial fractures in adults.

Cochrane Database Syst Rev 2020 02 7;2:CD006080. Epub 2020 Feb 7.

Cairo University, KasrAlAiny School of Medicine, Cairo, Egypt.

Background: Fracture of the distal radius is a common clinical problem. A key method of surgical fixation is percutaneous pinning, involving the insertion of wires through the skin to stabilise the fracture. This is an update of a Cochrane Review published in 2007. Read More

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http://dx.doi.org/10.1002/14651858.CD006080.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007181PMC
February 2020

Comparison of the diagnostic accuracy of X-ray and computed tomography in patients with wrist injury.

Injury 2020 Mar 27;51(3):651-655. Epub 2020 Jan 27.

University of Health Sciences, Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Background: This study aimed to compare CT and XR images of patients admitted to the emergency department due to wrist injuries and to evaluate the accuracy of XR in the diagnosis of fractures.

Methods: Patients; who admitted to ED with injuries due to wrist trauma and who underwent XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018, were included in the study. CT scan image interpretation reports recorded in the hospital automation system were considered eligible to be included in the study. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.034DOI Listing

The functional outcomes and complications of different reconstruction methods for Giant cell tumor of the distal radius: comparison of Osteoarticular allograft and three-dimensional-printed prosthesis.

BMC Musculoskelet Disord 2020 Feb 3;21(1):69. Epub 2020 Feb 3.

Department of Orthopedics, West China Hospital, Sichuan University, No. 37 Guoxuexiang, Chengdu, 610041, Sichuan, People's Republic of China.

Background: En bloc excision has been increasingly used for the management of giant cell tumors (GCTs) in the distal radius. An osteoarticular allograft has been used extensively for decades, and custom-made prosthesis reconstruction has been more recently applied. We aimed to compare the clinical outcomes of the two procedures. Read More

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http://dx.doi.org/10.1186/s12891-020-3084-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998256PMC
February 2020
1.898 Impact Factor

Expanding the clinical and neuroimaging features of NKX6-2-related hereditary spastic ataxia type 8.

Eur J Med Genet 2020 May 28;63(5):103868. Epub 2020 Jan 28.

Myelin Disorders Clinic, Pediatric Neurology Division, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Pathogenic variants in NKX6-2 gene causing autosomal recessive spastic ataxia type 8 with hypomyelinating leukodystrophy have been reported in few families around the world. In this study, we performed Whole Exome Sequencing and identified a novel missense variant, c.501C > G; p. Read More

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http://dx.doi.org/10.1016/j.ejmg.2020.103868DOI Listing

Fivefold Fracture in a Perilunate Fracture Dislocation Involving Scaphoid, Capitate, Hamate, Triquetrum and Lunate: A Case Report.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):119-122

Department for Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen at the Eberhard Karls University Tuebingen, Tübingen, Germany.

This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed. Read More

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http://dx.doi.org/10.1142/S2424835520720030DOI Listing

Use of the Bridge Plate Technique for the Treatment of Hamatometacarpal Fracture-Dislocations.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):67-75

Department of Orthopedic Surgery, Medical Center of Chung-Ang University School of Medicine, Seoul, Korea.

This study aimed to describe a novel surgical technique in which a bridge plate was used for the treatment of hamatometacarpal fracture-dislocations and to assess its radiologic and clinical outcomes. A retrospective review of 16 patients treated with the bridge plate technique for hamatometacarpal fracture-dislocations was performed between 2010 and 2015. Clinical and radiographic evaluations were performed at months 3, 6, and 12 postoperatively. Read More

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http://dx.doi.org/10.1142/S2424835520500095DOI Listing

Autologous Osteoligamentous Reconstruction of Scaphoid Proximal Pole With Metatarsal Head and Collateral Ligament: Cadaver Anatomic Description of Novel Surgical Technique.

Hand (N Y) 2020 Jan 22:1558944719895616. Epub 2020 Jan 22.

Baylor College of Medicine, Houston, TX, USA.

Historically, scaphoid nonunion has been surgically treated with vascularized bone graft taken from multiple different anatomic sites. However, none of these grafts fully recapitulate the unique osteoligamentous anatomy of the proximal pole of the scaphoid and the attachment of the scapholunate ligament (SLIL). We studied the anatomy of the vascularized second metatarsal head with its lateral collateral ligament as a potential novel treatment of proximal pole scaphoid nonunion with collapse. Read More

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http://dx.doi.org/10.1177/1558944719895616DOI Listing
January 2020

A Comparison of Physical Therapy Protocols Between Open Latarjet Coracoid Transfer and Arthroscopic Bankart Repair.

Sports Health 2020 Mar/Apr;12(2):124-131. Epub 2020 Jan 9.

Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois.

Context: Recent studies examining return to sport after traumatic shoulder instability suggest faster return-to-sport time lines after bony stabilization when compared with soft tissue stabilization. The purpose of the current study was to define variability across online Latarjet rehabilitation protocols and to compare Latarjet with Bankart repair rehabilitation time lines.

Evidence Acquisition: Online searches were utilized to identify publicly available rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME)-accredited academic orthopaedic surgery programs. Read More

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http://dx.doi.org/10.1177/1941738119887396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040951PMC

Treatment of Distal Radius Fracture: Does Early Activity Postinjury Lead to a Lower Incidence of Complex Regional Pain Syndrome?

Hand (N Y) 2020 Jan 9:1558944719895782. Epub 2020 Jan 9.

Radboud University Medical Center, Nijmegen, The Netherlands.

The optimal treatment for a distal radius fracture (DRF) remains an ongoing discussion. This study observed whether early activity postinjury can lead to the prevention of type 1 complex regional pain syndrome (CRPS-1). Patients who underwent nonoperative treatment for a DRF were invited to participate in this study. Read More

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http://dx.doi.org/10.1177/1558944719895782DOI Listing
January 2020

Combined Bennett Fracture Dislocation and Trapezium Fracture: A Rare Case Report.

Cureus 2019 Nov 20;11(11):e6211. Epub 2019 Nov 20.

Orthopaedics, Apollo Hospital, Muscat, OMN.

The combination of Bennett fracture dislocation and trapezium fracture is rare and presents a diagnostic and therapeutic challenge. We report a case of a young adult male who presented with such an injury after a motor vehicle accident. He had a Bennett fracture with a vertical trapezium fracture. Read More

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http://dx.doi.org/10.7759/cureus.6211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925376PMC
November 2019

Dorsal Wrist Spanning Plate Fixation for Treatment of Radiocarpal Fracture-Dislocations.

Hand (N Y) 2019 Dec 17:1558944719893068. Epub 2019 Dec 17.

Duke University Medical Center, Durham, NC, USA.

Radiocarpal dislocations are rare injuries that result from high-energy forces across the wrist with the hallmark finding of radiocarpal ligament disruption. Published treatment methods are comprehensive with moderate-to-good outcomes. The purpose of this study was to review the treatment of radiocarpal dislocations with a dorsal wrist spanning plate. Read More

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http://dx.doi.org/10.1177/1558944719893068DOI Listing
December 2019

Reduction and Association of the Lunotriquetral Ligament for Reverse Perilunate Dislocation.

J Wrist Surg 2019 Dec 27;8(6):508-512. Epub 2019 Feb 27.

Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

 Reverse perilunate injuries are rare. Contrary to perilunate injuries, the violent force would start from the lunotriquetral ligament, go reversely toward the radial side, and cause the reverse or ulnar-sided perilunate dislocation.  We describe a 31-year-old man with a reverse perilunate dislocation, who presented to our institution 3 weeks after a motorcycle accident. Read More

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http://dx.doi.org/10.1055/s-0039-1677743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892646PMC
December 2019

Hemi-hamate osteochondral autograft for acute dorsal proximal interphalangeal fracture-dislocations.

Authors:
Birkan Kibar

Eur J Trauma Emerg Surg 2019 Dec 6. Epub 2019 Dec 6.

Orthopaedic and Hand Surgeon, Clinics of Orthopaedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, Tıbbiye Street, Selimiye District, No: 23, 34668, Istanbul, Turkey.

Purpose: Our aim was to investigate the clinical and radiological results of a hemi-hamate autograft arthroplasty method in patients with acute trauma who had a fragmented fracture of the proximal palmar joint surface of the middle phalanx and dorsal PIP subluxation.

Methods: A total of 13 fingers from 13 patients who met the criteria were included in the study (11 men and 2 women) and prospectively reviewed. The mean age of the patients was 39. Read More

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http://dx.doi.org/10.1007/s00068-019-01281-4DOI Listing
December 2019

Surgical treatment of the radial head is critical to the outcome of Monteggia-like lesions.

Bone Joint J 2019 Dec;101-B(12):1512-1519

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Aims: The aim of this study was to evaluate the outcome of Monteggia-like lesions at midterm follow-up and to determine whether the surgical treatment of the radial head influences the clinical and radiological results.

Patients And Methods: A total of 78 patients with a Monteggia-like lesion, including 44 women and 34 men with a mean age of 54.7 years (19 to 80), were available for assessment after a mean 4. Read More

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http://dx.doi.org/10.1302/0301-620X.101B12.BJJ-2019-0547.R1DOI Listing
December 2019

Entrapment of the extensor pollicis longus tendon in a pediatric Smith fracture: A case report.

Medicine (Baltimore) 2019 Nov;98(48):e18186

Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Most pediatric distal radius fractures are effectively treated nonoperatively; however, operative intervention is indicated in patients with open and highly unstable fractures, in those with concomitant neurovascular injuries and in patients whom soft tissue interposition between fracture fragments precludes anatomical reduction. Notably, soft tissue interposition between fracture fragments is diagnostically challenging. Surgeons must be mindful of this rare complication for early detection and prompt treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000018186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890271PMC
November 2019

Locked Traumatic Pisiform Dislocation: A Case Report.

JBJS Case Connect 2019 Dec;9(4):e0278

Department of Orthopedıcs and Traumatology, Marmara University Pendik Education and Research Hospital, İstanbul, Turkey.

Case: A 32-year-old man presented to the emergency department with several carpal bone fractures and a locked distal pisiform dislocation after trauma. Treatment consisted of open surgical and reduction, osteosynthesis with a single Kirschner wire, and ligament repair. The patient's functional outcome was excellent, and his Mayo wrist score was 90 at 36 months after injury. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00278DOI Listing
December 2019

The Emergent Evaluation and Treatment of Hand and Wrist Injuries: An Update.

Emerg Med Clin North Am 2020 Feb;38(1):61-79

Department of Emergency Medicine, University of Maryland School of Medicine, UM Upper Chesapeake Health System, 500 Upper Chesapeake Drive, Bel Air, MD 21014, USA. Electronic address:

Injury patterns of the hand and wrist can be complex and challenging for the emergency physician to diagnose and treat. The ability of the hand to perform delicate maneuvers requires a very intricate interplay of bones, ligaments, and tendons. Unfortunately, due to the omnipresence of the hand, the hand and wrist are commonly injured. Read More

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http://dx.doi.org/10.1016/j.emc.2019.09.004DOI Listing
February 2020

Iatrogenic metacarpal fracture after K-wire fixation: A case report and prevention.

Int J Surg Case Rep 2019 9;65:267-270. Epub 2019 Nov 9.

Department of Plastic Surgery, Dankook University Hospital, Cheonan, Chungnam, South Korea.

Introduction: Iatrogenic fractures after failed K-wire fixation in the management of a carpometacarpal (CMC) joint fracture-dislocation have not yet been reported (Hsu et al., 2011). We present a case of K-wire-related complication in the management of a CMC joint fracture-dislocation and highlight the importance of planning K-wire placement and minimizing the number of K-wire passes. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864321PMC
November 2019

Awareness of carpal tunnel syndrome among adult population of Al Majmaah city, Saudi Arabia, 2018-2019.

J Family Med Prim Care 2019 Oct 31;8(10):3383-3387. Epub 2019 Oct 31.

Medical College, Tief University, Tief, Saudi Arabia.

Background: Due to the lack of data and studies concerning about measurement of population awareness about carpal tunnel syndrome (CTS) in Al Majmaah city, this study aims at determining the level of population awareness among Al Majmaah adult population in Saudi Arabia.

Aims: To study the awareness of CTS among adult population in Al Majmaah city, Saudi Arabia, and to estimate the overall prevalence of CTS. In addition, to look for the relationship between CTS and chronic disease. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_400_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857362PMC
October 2019

Radiocarpal dislocation: A retrospective study of 14 patients.

Orthop Traumatol Surg Res 2019 12 30;105(8):1611-1616. Epub 2019 Oct 30.

Service de traumatologie, CHRU Lille Salengro, avenue du Professeur-Emile-Laine, 59037 Lille, France.

Introduction: Radiocarpal dislocation (RCD) is defined as total loss of contact between the carpal and radial joint surfaces. The condition is rare, with few published series. The aim of the present study was to assess functional results of RCD surgery, notably without ligament reconstruction. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.08.017DOI Listing
December 2019

Wrist Injury in Deployed U.S. Marine-How to Maintain the Mission.

Mil Med 2019 Oct 28. Epub 2019 Oct 28.

Surgeon-13th Marine Expeditionary Unit, Combat Trauma Research Group, Oceanside, CA 92058.

Wrist pain commonly affects military members and while most instances are benign, some require urgent orthopedic attention to prevent permanent loss of function. A 27-year-old male Marine while deployed presented with wrist pain after a seemingly benign fall during recreation. Radiographs were initially read as unremarkable and treated as a sprain. Read More

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http://dx.doi.org/10.1093/milmed/usz365DOI Listing
October 2019

The surgical outcomes of trans-scaphoid perilunate fracture-dislocations

Turk J Med Sci 2020 02 13;50(1):25-30. Epub 2020 Feb 13.

Clinic of Orthopaedics and Traumatology, Haseki Research and Training Hospital, İstanbul, Turkey

1.

Background/aim: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. Read More

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http://dx.doi.org/10.3906/sag-1710-163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080362PMC
February 2020
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Bifocal osteosynthesis to treat radial shortening deformity with dislocation of the inferior radioulnar joint.

BMC Musculoskelet Disord 2019 Oct 10;20(1):440. Epub 2019 Oct 10.

Department of Orthopedics surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Number 600, Yishan Road, Xuhui district, Shanghai, China.

Background: Several methods have been reported to correct deformity and shortening of the distal radius. However, the results are not entirely satisfactory. The results of bifocal osteosynthesis were retrospectively analyzed in this study. Read More

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http://dx.doi.org/10.1186/s12891-019-2816-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787987PMC
October 2019
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A Prospective Evaluation of the Anatomy of the First Dorsal Compartment in Patients Requiring Surgery for De Quervain's Tenosynovitis.

J Wrist Surg 2019 Oct 9;8(5):380-383. Epub 2019 May 9.

Division of Hand Surgery, Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

 We prospectively evaluated the surgical anatomy during first dorsal compartment release for De Quervain's tenosynovitis, with special attention to the superficial branch of the radial nerve (SBRN). Additionally, the incidence of tendon instability during surgery was assessed.  This prospective cohort study consisted of 130 De Quervain's patients undergoing first dorsal compartment release. Read More

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http://dx.doi.org/10.1055/s-0039-1688700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6773592PMC
October 2019
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Wrist-Spanning Fixation of Radiocarpal Dislocation: A Cadaveric Assessment of Ulnar Translation.

Hand (N Y) 2019 Sep 13:1558944719873148. Epub 2019 Sep 13.

Keck Medical Center of University of Southern California, Los Angeles, USA.

Radiocarpal dislocations represent a high-energy wrist injury that can occur with or without concomitant fractures about the wrist. Poor outcomes are often due to radiocarpal instability and secondary ulnar translation. The purpose of this cadaveric study is to determine if there is any difference in the radiographic parameters in a wrist dislocation model given the different location of distal fixation. Read More

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http://dx.doi.org/10.1177/1558944719873148DOI Listing
September 2019
2 Reads