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Int J Surg Case Rep 2019 Feb 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

Unfallchirurg 2019 Feb 14. Epub 2019 Feb 14.

Abteilung für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Tübingen, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Deutschland.

Objective: The aim of this study was the elaboration of clinical symptoms and image findings in injuries of the wrist and ulnar-sided pain with accompanying damage to the articular disc and the triangular fibrocartilage complex (TFCC).

Material And Methods: This article reports about a 26-year-old male patient who presented to the department of surgery of this hospital after repeated falls onto the right wrist. Following the latest fall there was persistent wrist pain and limited movement, especially in supination. Read More

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):29-31

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohamed V (HMIMV), BP 10100 Rabat, Morocco.

Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast.

Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. Read More

Orthop Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

Skeletal Radiol 2019 Feb 2. Epub 2019 Feb 2.

Department of Radiology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

Ulnar hemimelia is a very rare skeletal abnormality characterized by the total or partial absence of the ulna. It is reported to occur in approximately 1 per 150,000 live births. Some shortening of the forearm, radial bowing, and tendency of the hand to drift to the ulnar side of the wrist usually accompany ulnar hemimelia. Read More

Hand Surg Rehabil 2019 Feb 2;38(1):34-43. Epub 2019 Jan 2.

Institut de la main nantes-atlantique, Clinique Jeanne-d'Arc, 21, rue des martyrs, 44100 Nantes, France. Electronic address:

Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. Read More

Orthop Traumatol Surg Res 2019 Feb 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

J Orthop Case Rep 2018 May-Jun;8(3):77-80

Department of Orthopaedics, Spine and Trauma Unit, General Hospital of Patras, Greece.

Introduction: Monteggia lesion is a well-known injury that constitutes 0.7% of forearm fractures-dislocations. The combined presentation of Monteggia injury with ipsilateral distal radius fracture is an extremely rare lesion, especially in adults. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13574

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Rationale: Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. Read More

Case Rep Orthop 2018 8;2018:7430297. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, USA.

"Floating elbow" injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. Read More

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

JBJS Case Connect 2018 Oct-Dec;8(4):e92-5

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

Disabil Rehabil 2018 Nov 19:1-8. Epub 2018 Nov 19.

b Department of Rehabilitation Medicine , University of Groningen, University Medical Center Groningen , Groningen , the Netherlands.

Purpose: Perilunate (fracture) dislocations are rare injuries and diminished functional outcomes are reported. However, Patient Reported Outcomes (PROs) following these injuries are rarely described. The aim of this study was to investigate the long-term impact of perilunate (fracture) dislocations using a range of measures, including pain, function, and quality of life. Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):589-592

1 Department of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand. Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):539-546

1 Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Background: The purpose of this study was to assess the functional outcomes of simultaneous distal radius fractures (DRFs) and ipsilateral elbow injuries (IEI) and to evaluate whether the DRFs and IEI affect each other's outcomes.

Methods: From February 2008 to March 2015, 29 of 846 patients treated for DRFs were found to be associated with IEI and 26 patients with follow-up over 12 months were enrolled. There were 12 men and 14 women with a mean age of 55 years (range, 17-86 years). Read More

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

Ann Med Surg (Lond) 2018 Nov 10;35:185-188. Epub 2018 Oct 10.

Department of Orthopaedics, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Introduction: We report the case of volar dislocation of the ulnar head occurred after osteosynthesis for the treatment of distal radius fracture.

Presentation Of Case: The patient, 68-year-old female, had the dorsal displaced left distal radius fracture and volar dislocation of the ulnar head. Osteosynthesis was performed using a volar locking plate without postoperative immobilization. Read More

Musculoskelet Surg 2018 Oct 22. Epub 2018 Oct 22.

Department of Hand Surgery, Singapore General Hospital, The Academia, 20 College Road, Singapore, 169856, Singapore.

Aim: This study reviews the surgical outcomes of using dorsal buttress plate for open reduction and internal fixation of ulnar (5th, or 4th and 5th) CMCJ fracture subluxation or dislocations.

Methods: A retrospective review of 11 patients at our center who underwent operative fixation with dorsal buttress plating technique was performed. The surgery was performed between February 2012 and March 2017. Read More

Zhongguo Gu Shang 2018 Sep;31(9):799-802

Guangzhou Orthopedic Hospital, Guangzhou 510031, Guangdong, China.

Objective: To explore the experience and effect of surgical treatment in old Monteggia fracture in children.

Methods: From January 2013 to December 2017, 32 cases of old Monteggia's fracture were treated including 18 males and 14 females with an average age of(5.3±1. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(2):120-124

Ortopedické oddělení, Nemocnice Pardubice.

PURPOSE OF THE STUDY This study aims to evaluate the results of patients treated by proximal row carpectomy at a follow-up of at least 5 years after the surgery. MATERIAL AND METHODS A total of 25 patients were treated by proximal row carpectomy for degenerative changes of the wrist as a consequence of the previous trauma or avascular necrosis of the lunate bone, of whom 21 patients underwent a follow-up examination at least 5 years postoperatively. Proximal row carpectomy was indicated in 15 patients for SLAC wrist, in 4 patients for avascular necrosis of the lunate bone, in 1 patient for SNAC wrist, and in 1 patient for inveterate dislocation of the wrist. Read More

J Nippon Med Sch 2018 ;85(4):231-235

Department of Orthopedic Surgery, Nippon Medical School Hospital.

We report a case of trans-scaphoid perilunate fracture-dislocation with concomitant lunotriquetral ligament disruption of the right wrist in a 44-year-old man, sustained from a 10-m fall landing on his outstretched right hand. Open reduction was performed 1 day after injury; at first the palmar dislocation of the lunate was reduced with the palmar approach. Under direct view with the dorsal approach, the scaphoid was comminuted and then treated with open reduction and internal fixation with a double threshold screw using a dorsal approach and a bone graft from the distal radius. Read More

Rev Bras Ortop 2018 Sep-Oct;53(5):582-588. Epub 2018 Aug 2.

Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal.

Objective: This study is aimed at evaluating the long-term results of proximal scaphoid hemiarthroplasty for post-traumatic avascular necrosis at this institution.

Methods: Twelve patients who underwent this procedure were identified, and the mean follow-up time was 6.5 years (range: 5-8 years). Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Aug;32(8):993-996

The 4th Department of Orthopeadics, Guangdong Provincial Traditional Chinese Medical Hospital Affiliated to Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 520105, P.R.China.

Objective: To investigate the effectiveness of ulnar shortening osteotomy combined with elastic suspension fixation for ulnar impaction syndrome caused by relatively long ulna.

Methods: Between October 2015 and August 2016, 3 cases of ulnar impaction syndrome were treated. One patient was male and 2 patients were females. Read More

Obere Extrem 2018 11;13(3):204-210. Epub 2018 Jun 11.

1BG Trauma Center Ludwigshafen, Clinic for Trauma and Orthopaedic Surgery, University of Heidelberg, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen on the Rhine, Germany.

Background: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury.

Patients And Methods: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1275-1280

Department of Orthopaedic Trauma, Lanzhou General Hospital of Lanzhou Military District, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness on the distal radius deformity and bone defect after trauma by using Ilizarov external fixator.

Methods: The clinical data of 9 patients of post-traumatic distal radius deformity with bone defect treated by Ilizarov technique between January 2012 and December 2016 were retrospectively analyzed. There were 7 males and 2 females with an average age of 25. Read More

Case Rep Orthop 2018 2;2018:4289406. Epub 2018 Aug 2.

Department of Surgery, Section of Orthopedics, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada.

There is scarce literature describing treatment of volar dislocation of the distal radio-ulnar joint (DRUJ). Irreducible dislocation is usually treated surgically. We present the case of a 37-year-old male with acute right wrist pain and loss of pronation. Read More

Skeletal Radiol 2019 Mar 1;48(3):331-348. Epub 2018 Sep 1.

Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Distal radioulnar joint (DRUJ) dysfunction is a common cause of ulnar sided wrist pain. Physical examination yields only subtle clues towards the underlying etiology. Thus, imaging is commonly obtained towards an improved characterization of DRUJ pathology, especially multimodality imaging, which is frequently resorted to arrive at an accurate diagnosis. Read More

Hand Surg Rehabil 2018 Oct 28;37(5):320-323. Epub 2018 Aug 28.

Weston General Hospital, Grange Road, Weston-Super-Mare, BS23 4TQ, United Kingdom.

A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Read More

Phys Sportsmed 2018 11 8;46(4):503-508. Epub 2018 Sep 8.

a Department of Orthopaedics , Alpert Medical School of Brown University , Providence , RI , USA.

Objective: The incidence of boxing-related upper-extremity (UE) injuries in the United States has not been well characterized. Recent rule changes have been made to make participation safer for athletes, although the consequences of such rule changes on injury rates is unclear. Therefore, we sought to determine the incidence, characteristics, and trends of boxing-related UE injuries. Read More

J Hand Microsurg 2018 Aug 25;10(2):93-100. Epub 2018 Apr 25.

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, United States.

To describe the various patterns of complex carpal and metacarpal fracture dislocations observed in a consecutive series of firework injuries and the operative management performed. We performed a retrospective study of seven consecutive patients (six males; mean age = 22 ± 13, range, 8-39 years) who presented to a level I trauma center with firework injuries to the hand between July 2014 and January 2016. All injuries were sustained while a lighted firework was held in the hand. Read More

Ortop Traumatol Rehabil 2018 Feb;20(1):15-23

Klinika Traumatologii i Ortopedii, Wojskowy Instytut Medyczny CSK MON, Warszawa, Polska / Department of Traumatology and Orthopedics, Military Institute of Medicine at Central Teaching Hospital of Ministry of National Defence, Warsaw, Poland.

Background: The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs. extension fracture).

Material And Methods: A group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. Read More

Injury 2018 Oct 22;49(10):1805-1809. Epub 2018 Aug 22.

Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC 29425, United States; Ralph H. Johnson Veterans Administration Medical Center, Charleston, SC 29425, United States. Electronic address:

Background: All terrain vehicle accidents are a common cause of trauma admission and often associated with extremity injuries. However specifics of injury patterns to the upper extremity has not previously been described. A multicenter, retrospective study was conducted to determine the frequency and distribution of upper extremity injuries sustained from ATV accidents. Read More

J Bone Joint Surg Am 2018 Jul;100(14):1177-1183

Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Background: Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. Read More

Clin Imaging 2018 Sep - Oct;51:323-326. Epub 2018 Jun 23.

Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria. Electronic address:

Objective: The purpose of this study was to retrospectively correlate the kinematic dynamic rotation MRI (DR-MRI) of the wrist for assessment of extensor carpi ulnaris (ECU) tendon subluxation and dislocation.

Material And Methods: The presence of an ECU tendon subluxation or dislocation on the DR-MRI report was correlated to findings of the surgical report.

Results: DR-MRI findings showed an ECU subluxation in 12 cases and an ECU dislocation in 13 cases. Read More

Cureus 2018 Apr 16;10(4):e2489. Epub 2018 Apr 16.

Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, USA.

Pathologies of the extensor carpi ulnaris (ECU) tendon are often due to de Quervain's tenosynovitis of the first dorsal compartment among the wrist tendon pathologies. A common cause for tendinitis and tenosynovitis of the ECU tendon is its dislocation. ECU dislocation is unique among all wrist tendon injuries due to its typical location within a fibro-osseous tunnel bordered by a fibrous sheath, which is termed as the subsheath. Read More

J Wrist Surg 2018 Jul 22;7(3):253-257. Epub 2017 Sep 22.

Division of Orthopedics and Trauma Surgery, Department of Upper Limb Surgery UMAE "Dr. Victorio de la Fuente Narváez" IMSS, Trauma Hospital, México City, México.

 Axial carpal dislocations and fracture dislocations are 1.4 to 2.08% of all the fractures and dislocations of the wrist. Read More

Int J Surg Case Rep 2018 29;48:87-91. Epub 2018 May 29.

Department of Orthopedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan.

Introduction: Closed flexor tendon rupture after a malunited distal radius fracture is rare and usually becomes apparent early after the fracture. Most cases are accompanied by a severe distal radio-ulnar joint capsule injury, wherein bone protrusion (as a spur) directly stresses the tendons. We experienced a nonspecific flexor tendon rupture associated with an old fracture and the presence of collagen disease. Read More

Tech Hand Up Extrem Surg 2018 Sep;22(3):81-88

Leni & Peter W. May Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY.

Essex-Lopresti Lesions are rare injuries that are often missed in the acute setting. Delayed intervention may lead to chronic wrist and elbow pain and overall poor outcomes. The literature currently supports treatments that involve shortening of the ulna to reduce the relative degree of ulnar impaction, followed by attempted reduction of the distal radioulnar joint. Read More

Orthop Traumatol Surg Res 2018 Oct 23;104(6):893-896. Epub 2018 Aug 23.

Unité de chirurgie de la main, hôpital Trousseau, CRHU de Tours, route de Loches, 37044 Tours, France.

Introduction: Surgery is indicated in De Quervain's tenosynovitis only after failure of medical treatment, often due to individual anatomical variants. We use Le Viet's technique, to avoid tendon instability. The aim of the present study was to evaluate long-term results, with the hypothesis that this surgical technique is reliable, providing lasting results. Read More

Oper Orthop Traumatol 2018 Oct 15;30(5):359-368. Epub 2018 Jun 15.

Clinic for Orthopedics and Trauma Surgery, University of Bonn, Bonn, Germany.

Objective: Presenting the implantation of the PediatrOS™ FlexTack™ (Merete, Berlin, Germany) for growth guidance and a modified explantation procedure to facilitate explantation and prevent bone and soft tissue damage.

Indications: Implantation: Genua vara and valga, coxa vara, varus and valgus deviation of the ankle joint, the elbow joint and the wrist Modified Explantation: Removal of the implant after successful limb correction or dislocation of the implant.

Contraindications: Implantation: Closed growth plates, insufficient remaining growth potential, acute or chronic infection, insufficient osseous structures, severe muscular, nervous or vessel diseases endangering the respective limb Explantation: General inoperability of the patient. Read More

JAAPA 2018 Jul;31(7):16-21

Michelle Kavin practices at the Rothman Institute's Limerick, Pa., location. Frederic E. Liss is an orthopedic surgeon at the Rothman Institute's Limerick, Pa., location. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Proper identification and management of traumatic hand and wrist injuries is critical to preventing loss of function, nerve damage, joint instability, persistent pain, and delay in indicated surgery. This article uses case studies to help clinicians make accurate diagnoses and treatment plans. Physical examination findings, radiograph results, and treatment plans are reviewed for four traumatic hand and wrist fractures or dislocations. Read More

J Hand Surg Am 2019 Feb 8;44(2):154.e1-154.e5. Epub 2018 Jun 8.

Department of Orthopedic Surgery, Stanford Hospital and Clinics, Redwood City, CA.

Purpose: This study examined a palmar beak fracture model to determine which thumb carpometacarpal (CMC) joint ligament is the primary ligament relevant to the pattern of injury.

Methods: Six fresh-frozen cadaveric wrists were used. The radius, ulna, and first metacarpal were secured and tested with a materials testing system, holding the wrist in 20° extension, 20° ulnar deviation, and 30° palmar abduction of the first metacarpal. Read More

Zhongguo Gu Shang 2018 May;31(5):477-479

Huangshi TCM Hospital, Huangshi 435000, Hubei, China.

Objective: To investigate the curative effect of fascia reconstruction of annular ligament combined with internal fixation for the treatment of Monteggia fracture.

Methods: From December 2014 to October 2016, 30 cases with Monteggia fracture were treated by fascia reconstruction of annular ligament combined with internal fixation including 18 males and 12 females with an average age of 34.6 years old ranging from 6 to 50 years old. Read More

Zhongguo Gu Shang 2018 May;31(5):441-445

Department of Orthopaedics, Changhai Hospital, Shanghai, China.

Objective: To investigate the efficacy and complications of manual reduction and external fixation for the treatment of scaphoid fractures and perilunate dislocations.

Methods: From January 2009 to January 2013, 43 patients suffered from scaphoid fractures and perilunate dislocations were retrospective analyzed. Among them, 17 cases were treated with manipulative reduction and plaster external fixation as conservation group including 10 males and 7 females, the other 26 cases were treated with application of surgical as operation group including 15 males and 11 females. Read More

J Med Case Rep 2018 Jun 7;12(1):157. Epub 2018 Jun 7.

Orthopedic Surgery Department of Ibn Sina Hospital, University Mohamed V, Rabat, Morocco.

Background: Divergent carpometacarpal joint dislocations of the fingers are very rare. Due to severe swelling and overlapping of bones on a radiograph of the wrist and hand, dislocations are missed. The purpose of this clinical case report is to highlight this unusual injury to avoid missing diagnosis. Read More

Medicine (Baltimore) 2018 Jun;97(22):e10752

People's First Hospital of Zhangjiagang, Jiangsu, China.

Rationale: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function. Read More