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JBJS Case Connect 2021 06 11;11(2). Epub 2021 Jun 11.

Department of Orthopaedic Surgery, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.

Case: We report a case of irreducible chronic volar dislocation of the distal radioulnar joint (DRUJ) after surgery for distal radius fracture. The patient underwent volar locking plate fixation for distal radius fracture. Despite the satisfactory alignment of the distal radius, irreducible volar dislocation of the DRUJ was discovered at 5 weeks after the initial surgery. Read More

J Wrist Surg 2021 Jun 27;10(3):245-248. Epub 2020 Aug 27.

Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.

 The second and third metacarpals are firmly attached, immobile structures which for the stable pillar of the hand. The trapezoid has been described as the keystone of the wrist, allowing a wide range of functional motion as well as inherent anatomic and biomechanical stability to the carpus.  We describe a novel boxing injury with a 180-degree in situ dislocation of the right trapezoid with concomitant second and third carpometacarpal (CMC) joint dislocations. Read More

Orthop Traumatol Surg Res 2021 Jun 1:102975. Epub 2021 Jun 1.

Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: To avoid the DRUJ surgical procedures disadvantages, a new intraosseous distal radioulnar prosthesis designed on Sauvé-Kapandji procedure has been introduced. Stability of the prosthesis and biomechanics are to be evaluated in this article.

Materials And Methods: On a cadaveric study, during placement of the prosthesis, biometry of the bones, prosthesis stability (in axial and lateral tractions, wrist pronation and supination, and squeeze test), wrist range of motion before and after implantation, and radiographic evaluation were done on 16 cadavers. Read More

Hand (N Y) 2021 May 31:15589447211017217. Epub 2021 May 31.

Harvard Medical School, Boston, MA, USA.

Background: Treatment of distal radius fractures (DRFs) in patients aged >65 years is controversial. The purpose of this study was to identify what patient and fracture characteristics may influence the decision to pursue surgical versus nonsurgical treatment in patients aged >65 years sustaining a DRF.

Methods: We queried our institutional DRF database for patients aged >65 years who presented to a single academic, tertiary center hand clinic over a 5-year period. Read More

Orthop Traumatol Surg Res 2021 May 27:102973. Epub 2021 May 27.

CHU Lille, Service d'Orthopédie-Traumatologie 1, 59000 Lille, France. Electronic address:

Introduction: Perilunate lesions in the carpus are severe injuries whose functional consequences can limit patients' ability to regain their pre-injury activity levels. The aim of this study was to evaluate the outcomes of a series of patients who suffered a perilunate fracture-dislocation and to assess their ability to resume their social and professional activities.

Hypothesis: After surgical management of this injury, the medium-term functional outcomes will allow patients to return to their pre-injury social and professional activities. Read More

Acta Chir Plast 2021 ;63(1):23-29

Perilunate fracture-dislocation is rare. We report a case of a 17-year-old patient with an atypical dorsal perilunate dislocation with no scapholunate ligament injury and an associated contralateral radiocarpal fracture-dislocation. When the initial diagnostic is uncertain, in order not to delay the treatment, computed tomography scan is strongly recommended. Read More

Hand Surg Rehabil 2021 May 12. Epub 2021 May 12.

Hand Surgery and Upper Extremity Center, "Carlos E. Ottolenghi" Institute, Hospital Italiano de Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, CABA, C1199ABB Buenos Aires, Argentina. Electronic address:

The aim of the present study was to evaluate long-term functional and radiographic outcome in the distal radioulnar joint (DRUJ) for Galeazzi fracture-dislocation after anatomic reduction and rigid fixation of the radius. Fourteen patients, with an average age of 38 years, presenting with Galeazzi fracture-dislocation treated by open reduction and internal fixation (ORIF) of the radius and closed reduction of the DRUJ were retrospectively evaluated, with a minimum follow-up of 6 years. At final evaluation (mean: 8 years), the DRUJ was objectively and subjectively evaluated for range of motion (RoM), grip strength, ballottement test, pain on axial loading, function on visual analog scale (VAS) and DASH score. Read More

Cureus 2021 Apr 3;13(4):e14276. Epub 2021 Apr 3.

Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.

The Galeazzi fracture is an unstable fracture-dislocation of the forearm. There have been reports of non-union of the radius despite rigid internal fixation with a plate. We present the case of a 25-year-old male who fell from his bicycle, sustaining a closed Galeazzi fracture-dislocation. Read More

J Clin Med 2021 Apr 22;10(9). Epub 2021 Apr 22.

Department of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, Denmark.

Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. Read More

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

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

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

BMC Musculoskelet Disord 2021 Apr 26;22(1):387. Epub 2021 Apr 26.

Department of Orthopaedics and Traumatology, Gaziosmanpasa University, Tokat, Turkey.

Background: Extensor carpi ulnaris tendinopathy (ECU) can be one cause of ulnar side wrist pain and it is more prominent in pronation-supination movements against resistance. In supination, flexion, and ulnar deviation within the ulnar groove, the tendon is tense and becomes predisposed to subluxation or dislocation. Snapping occurs during this dislocation and relocation. Read More

Hand (N Y) 2021 Apr 15:15589447211006836. Epub 2021 Apr 15.

Boston Medical Center, MA, USA.

Background: The purpose of this study was to evaluate rates of distal radioulnar joint (DRUJ) fixation based on location of the radial shaft fracture and risk factors associated with postoperative complications following radial shaft open reduction internal fixation (ORIF).

Methods: Adult patients who underwent isolated radial shaft ORIF from 2014 to 2018 were identified from American College of Surgeons National Surgical Quality Improvement Program database and stratified by fracture location and by the presence or absence of DRUJ fixation. Preoperative patient characteristics and postoperative complications were compared to determine risk factors associated with DRUJ fixation. Read More

Hand (N Y) 2021 Apr 15:15589447211006858. Epub 2021 Apr 15.

Duke University School of Medicine, Durham, NC, USA.

Background: The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis.

Methods: We report the outcomes for patients with stages II and III Kienböck disease treated with fourth extensor compartment artery vascularized bone grafting and temporary radiocarpal spanning internal fixation. Nine patients with a mean age of 28. Read More

J Wrist Surg 2021 Apr 4;10(2):169-175. Epub 2020 Nov 4.

Department of Orthopedic Surgery, Regions Hospital, St Paul, Minnesota.

 Radiocarpal fracture dislocations cause significant intraarticular disruption and instability difficult to treat with traditional plating methods.  Suture anchor fixation of the volar radiocarpal ligaments through an extended carpal tunnel approach, supplemented with radial styloid fixation, restores stability to the radiocarpal joint.  We performed a retrospective review of 14 consecutive radiocarpal fracture-dislocations (RCFDs) treated at two-level one trauma center from 2011 to 2015. Read More

J Wrist Surg 2021 Apr 27;10(2):164-168. Epub 2020 Aug 27.

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

 Fracture-dislocations of all four ulnar (second to fifth) carpometacarpal (CMC) joints are rare hand injuries and frequently overlooked or missed. These injuries can be treated conservatively when closed reduction is successfully achieved, though they are sometimes irreducible and unstable.  We report the case of a 17-year-old boy involved in a vehicular accident. Read More

J Wrist Surg 2021 Apr 29;10(2):116-122. Epub 2020 Oct 29.

Department of Orthopaedic Surgery, Nicholas Institute of Sports Medicine and Athletic Trauma (NISMAT), Lenox Hill Hospital, New York, New York.

 The purpose of this study was to evaluate the short-term outcomes of patients undergoing proximal row carpectomy (PRC) with interposition arthroplasty using a decellularized dermal allograft.  Patients with a minimum of 1-year follow-up after undergoing a PRC using decellularized dermal allograft were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire as well as the modified Likert scale for patient satisfaction. Nine of ten (90%) consecutive patients who were treated using this surgical technique were available for follow-up. Read More

Ned Tijdschr Geneeskd 2021 03 18;165. Epub 2021 Mar 18.

Tergooi, afd. Orthopedie, Hilversum.

This case concerns a male with a painful and swollen wrist after a fall from a bicycle. Physical examination of the wrist showed medial nerve compression. Radiographic analyses showed a lunate dislocation. Read More

Hand (N Y) 2021 Mar 31:1558944721990805. Epub 2021 Mar 31.

William Beaumont Army Medical Center, El Paso, TX, USA.

Purpose: This review discusses success, time to healing, and complications of bone morphogenic proteins (BMPs) 7 and 2 in treating upper extremity nonunions.

Methods: Systematic review identified 26 of 479 studies that met inclusion criteria. Publications described application of BMPs to acute and chronic upper extremity delayed unions/nonunions. Read More

Diving Hyperb Med 2021 Mar;51(1):107-110

Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC; JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

A broad spectrum of conditions including neuropathic pain, complex regional pain syndrome (CRPS) and fibromyalgia, have been implicated as causes of chronic pain. There is a need for new and effective treatments that patients can tolerate without significant adverse effects. One potential intervention is hyperbaric oxygen treatment (HBOT). Read More

J Hand Surg Am 2021 Mar 20. Epub 2021 Mar 20.

Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC.

Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the long-ring metacarpal relationship. Both of these patients underwent reduction and fixation using a wrist spanning plate, which was removed approximately 2 months after injury. Read More

J Orthop Case Rep 2020 Nov;10(8):76-79

Department of Orthopaedic Surgery, University of California Davis Medical Center, Suite 3800, Sacramento, CA 95817, USA.

Introduction: A rare case of traumatic, isolated dislocation of the hamate with hook fracture in the setting of concomitant acute hand compartment syndrome is presented. This is the first described case of isolated hamate dislocation presenting with symptoms and examination consistent with acute compartment syndrome of the hand.

Case Report: A 28-year-old man presented with a left hand crush injury. Read More

Hand Surg Rehabil 2021 Mar 6. Epub 2021 Mar 6.

SOS Main Grenoble, Unité de Chirurgie Réparatrice, de la Main et des Brûlés, Hôpital A - Michallon, CHU de Grenoble, Avenue du Marquis de Grésivaudan, BP 217, 38043 Grenoble cedex 09, France. Electronic address:

Amandys® pyrocarbon interposition arthroplasty is intended for widespread arthritis of the wrist. The aim of this study was to assess the clinical, functional, and radiological results of this arthroplasty with a minimum follow-up of 12 months. This retrospective single-center study brought together all osteoarthritis indications that can benefit from an Amandys® arthroplasty. Read More

Hand (N Y) 2021 Mar 6:1558944721994257. Epub 2021 Mar 6.

Rotherham General Hospital, UK.

Background: Diagnostic reference levels are radiation dose levels in medical radiodiagnostic practices for typical examinations for groups of standard-sized individuals for broadly defined types of equipment. This study aimed to contribute to national diagnostic reference levels for common hand and wrist procedures using mini C-arm fluoroscopy. Small joint and digital fracture procedure diagnostic reference levels have not been reported in significant numbers previously with procedure-level stratification. Read More

Acta Orthop Traumatol Turc 2021 Jan;55(1):57-61

Clinic of Orthopaedics and Traumatology, VM Medical Park Pendik Hospital, İstanbul, Turkey.

Objective: This study aimed to present the mid-term clinical and radiographic outcomes of patients with perilunate injuries treated with open reduction and internal fixation (ORIF).

Methods: Patients who underwent ORIF due to perilunate injuries from 2004 to 2015 were retrospectively reviewed. Surgery was mostly performed using a standard dorsal approach. Read More

Trauma Case Rep 2021 Apr 9;32:100403. Epub 2021 Feb 9.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Trapezoid dislocation is infrequent, and palmar trapezoid dislocation is even more rare. This uncommon injury is associated with high-energy trauma and is often combined with other distracting injuries that may lead to misdiagnosis or delayed diagnosis. We present a case of isolated palmar dislocation of the trapezoid in a 49-year-old man with major trauma following a motor vehicle accident. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Feb;35(2):149-153

Department of Upper Extremity Orthopaedics, Zhengzhou Orthopaedic Hospital, Zhengzhou Henan, 450052, P.R.China.

Objective: To explore the effectiveness of open reduction and internal fixation for bipolar fracture-dislocation of the forearm.

Methods: Between June 2014 and March 2019, 14 patients with bipolar fracture-dislocation of the forearm were treated. There were 9 males and 5 females, aged from 19 to 52 years (mean, 34. Read More

Orthop J Sports Med 2021 Jan 25;9(1):2325967120973996. Epub 2021 Jan 25.

Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany.

Background: Hand and wrist injuries are a common but underestimated issue in taekwondo. Detailed data on injury risk, patterns, and mechanism are missing.

Purpose: To evaluate (1) the fight time exposure-adjusted injury incidence rate (IIR) and clinical incidence and (2) injury site, type, sport-specific mechanism, and time loss in taekwondo. Read More

J Wrist Surg 2021 Feb 6;10(1):53-57. Epub 2020 Jul 6.

UOSD Centro Chirurgia Ricostruttiva e della Mano, IRCCS Istituto G. Gaslini-Genova, Italy.

 Galeazzi's fracture-dislocation (GFD) is a rare and complex injury consisting of a radial fracture associated with distal radioulnar joint (DRUJ) dislocation.  We are presenting a case of a boy, who at the onset showed an open GFD and his assessment after a 1-year follow-up. As a treatment, closed reduction and long-arm cast were performed. Read More

BMJ 2021 02 5;372:n101. Epub 2021 Feb 5.

Doncaster Royal Infirmary, UK.

JBJS Case Connect 2020 11 20;10(4):e20.00061. Epub 2020 Nov 20.

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.

Case: A 10-year-old boy presented with a Salter-Harris II distal radius fracture that was irreducible by closed methods. An open reduction was performed in the operating room where a sleeve of periosteum was found interposed between the fracture fragments. Successful reduction was performed without difficulty after the periosteum was removed from the fracture. Read More