17,109 results match your criteria Wrist Joint


Locking of the Distal Radioulnar Joint Caused by Dorsal Tear of the Triangular Fibrocartilage Complex: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0143

1Department of Orthopedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan 2Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Case: We encountered a case of locking of the distal radioulnar joint after a traumatic injury that restricted the supination and pronation of the wrist. The locking was released surgically with a good 2-year outcome. We found a tear between the dorsal aspect of the joint capsule and the triangular fibrocartilage complex (TFCC). Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00143DOI Listing

Morphology of sesamoid bones in keyboard musicians.

Folia Morphol (Warsz) 2020 Jul 8. Epub 2020 Jul 8.

Medical University of Warsaw, Warszawa, Poland.

Background: The sesamoid bones are small, usually oval bone structures often found in joints and under the tendons. Although their precise function is not fully understood, it is agreed upon that they protect the joints and make movements faster and less energy consuming. Sesamoid bones are found in hands, especially around first, second and fifth metacarpophalangeal joint and the interphalangeal joint of the thumb. Read More

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http://dx.doi.org/10.5603/FM.a2020.0066DOI Listing

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

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

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

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

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

Characterizing forearm muscle activity in young adults during dynamic wrist flexion-extension movement using a wrist robot.

J Biomech 2020 Jul 21;108:109908. Epub 2020 Jun 21.

Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada. Electronic address:

Current research suggests that the wrist extensor muscles function as the primary stabilizers of the wrist-joint complex. However, most investigations have utilized isometric study designs, with little consideration for wrist dynamics or changes in posture. The purpose of the present study was to assess forearm muscle activity during the execution of dynamic wrist flexion/extension in multiple forearm orientations (pronation/supination). Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109908DOI Listing

Characterizing forearm muscle activity in university-aged males during dynamic radial-ulnar deviation of the wrist using a wrist robot.

J Biomech 2020 Jul 13;108:109897. Epub 2020 Jun 13.

Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada. Electronic address:

Functioning as wrist stabilizers, the wrist extensor muscles exhibit higher levels of muscle activity than the flexors in most distal upper-limb tasks. However, this finding has been derived mostly from isometric or wrist flexion-extension protocols, with little consideration for wrist dynamics or radial-ulnar wrist deviations. The purpose of this study was to assess forearm muscle activity during the execution of dynamic wrist radial-ulnar deviation in various forearm orientations (pronation/supination). Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109897DOI Listing

Editorial Commentary: Triangular Fibrocartilage Complex "Fovea"-An Attractive and Complicated Structure-Is "The Anchor" Not Only for Distal Radioulnar Joint but Also for Wrist Surgeons.

Authors:
Yukio Abe

Arthroscopy 2020 Jul;36(7):1853-1855

Shimonoseki, Japan.

A triangular fibrocartilage complex foveal lesion is one of the key structures for stabilizing the distal radioulnar joint. Its anatomy is unique and healing potential is still controversial. If surgical repair is necessary, ulnar abutment is contraindicated, evaluation of the ligament condition using distal radioulnar joint arthroscopy is crucial to achieve satisfactory results. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.035DOI Listing

Rotational Anatomy of the Radius and Ulna: Surgical Implications.

J Hand Surg Am 2020 Jun 29. Epub 2020 Jun 29.

Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario.

Purpose: The rotational anatomy of the forearm bones is not well defined. This study aims to further the understanding of the torsion of the radius and ulna to better guide treatment.

Methods: Computed tomography images of 98 cadaveric forearms were obtained and 3-dimensional models of the radius and ulna were generated and analyzed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.018DOI Listing

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

Microdome-induced strain localization for biaxial strain decoupling towards stretchable and wearable human motion detection.

Langmuir 2020 Jul 2. Epub 2020 Jul 2.

Soft strain sensors have attracted significant attention in wearable human motion monitoring applications. However, there is still a huge challenge for decoupled measurement of multi-directional strains. In this study, we have developed a biaxial and stretchable strain sensor based on a carbon nanotube (CNT) film and a microdome array-patterned elastomeric substrate. Read More

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http://dx.doi.org/10.1021/acs.langmuir.0c01450DOI Listing

Imaging Acute and Chronic Wrist Conditions.

Authors:
Jennifer Franco

Radiol Technol 2020 Jul;91(6):543-557

Imaging of the wrist is common across many medical imaging modalities. It is important that radiologic technologists understand wrist anatomy and common indications for wrist imaging. The radiocarpal joint commonly is fractured, dislocated, or both, especially among children and older adults, and radiographs typically are ordered first to evaluate wrist pain after a fall. Read More

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Elastic-band resistance exercise or vibration treatment in combination with hydroxymethylbutyrate (HMB) supplement for management of sarcopenia in older people: a study protocol for a single-blinded randomised controlled trial in Hong Kong.

BMJ Open 2020 Jun 30;10(6):e034921. Epub 2020 Jun 30.

Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Hong Kong, Hong Kong.

Introduction: Sarcopenia is a geriatric syndrome characterised by progressive loss of skeletal muscle mass and function with risks of adverse outcomes and becomes more prevalent due to ageing population. Elastic-band exercise, vibration treatment and hydroxymethylbutyrate (HMB) supplementation were previously proven to have positive effects on the control of sarcopenia. The purpose of this study is to evaluate the effectiveness of elastic-band exercise or vibration treatment with HMB supplementation in managing sarcopenia. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-034921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328808PMC

Solitary osteochondroma in the pisiform bone with pisotriquetal osteoarthritis. A case study.

Rev Esp Cir Ortop Traumatol 2020 Jun 27. Epub 2020 Jun 27.

Servicio de Cirugía Ortopédica y Traumatología, Hospital Consorci Sanitari de Terrassa, España.

Osteochondroma is the most common bone tumour, which appears most commonly in the long bones. However, cases have been described in the scaphoid, capitate, lunate, trapezium, and trapezoid bones, which can be a cause of pain in the hand and wrist. Osteochondromas can occur concomitantly with other traumatic or degenerative processes or generate complications in adjacent structures. Read More

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http://dx.doi.org/10.1016/j.recot.2020.05.006DOI Listing

Diagnosis of dorsal screw penetration after volar plating of a distal radial fracture.

Bone Joint J 2020 Jul;102-B(7):874-880

Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Adelaide, Australia.

Aims: The aim of this study was to investigate whether intraoperative 3D fluoroscopic imaging outperforms dorsal tangential views in the detection of dorsal cortex screw penetration after volar plating of an intra-articular distal radial fracture, as identified on postoperative CT imaging.

Methods: A total of 165 prospectively enrolled patients who underwent volar plating for an intra-articular distal radial fracture were retrospectively evaluated to study three intraoperative imaging protocols: 1) standard 2D fluoroscopic imaging with anteroposterior (AP) and elevated lateral images (n = 55); 2) 2D fluoroscopic imaging with AP, lateral, and dorsal tangential views images (n = 50); and 3) 3D fluoroscopy (n = 60). Multiplanar reconstructions of postoperative CT scans served as the reference standard. Read More

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http://dx.doi.org/10.1302/0301-620X.102B7.BJJ-2019-1489.R1DOI Listing

[Clinical effect of free anterolateral thigh flap combined with arterial vascular reconstruction on repairing high-voltage electrical burn wound on the wrist].

Zhonghua Shao Shang Za Zhi 2020 Jun;36(6):419-425

Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China.

To explore the clinical effect of free anterolateral thigh flap combined with arterial vascular reconstruction on repairing high-voltage electrical burn wound of type Ⅱ and Ⅲ on the wrist. From May 2016 to February 2019, 25 patients with deep high-voltage electrical burn wounds on the wrist were admitted to Zhengzhou First People's Hospital, including 23 males and 2 females, aged 11-63 years. Among them, 4 cases had bilateral electrical burns on the wrist, and 21 cases had unilateral electrical burns on the wrist. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20200219-00067DOI Listing

Septic Joints: Finger and Wrist.

Authors:
Brian Chenoweth

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

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

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

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

Consensus survey on pre-procedural safety practices in radiological examinations: a multicenter study in seven Asian regions.

Br J Radiol 2020 Jul 2:20200082. Epub 2020 Jul 2.

Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.

Objective: To understand the status of pre-procedural safety practices in radiological examinations at radiology residency training institutions in various Asian regions.

Methods: A questionnaire based on the Joint Commission International Accreditation Standards was electronically sent to 3 institutions each in 10 geographical regions across 9 Asian countries. Questions addressing 45 practices were divided into 3 categories. Read More

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http://dx.doi.org/10.1259/bjr.20200082DOI Listing

Multiphasic scaffold for scapholunate interosseous ligament reconstruction: A study in the rabbit knee.

J Orthop Res 2020 Jun 24. Epub 2020 Jun 24.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Scapholunate interosseous ligament tears are a common wrist injury in young and active patients that can lead to suboptimal outcomes after repair. This research aims to assess a multiphasic scaffold using 3D-printing for reconstruction of the dorsal scapholunate interosseous ligament. The scaffold was surgically implanted in vivo in the position of the native rabbit medial collateral ligament. Read More

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http://dx.doi.org/10.1002/jor.24785DOI Listing

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

New Functional Evaluation Scheme - Modality of the Results of Forearm Tendon Transfers Evaluation in Cases of Irreparable Radial Nerve Injury.

Authors:
Reuf Karabeg

Med Arch 2020 Apr;74(2):119-125

Private Surgical Clinic "Karabeg" Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: There are several evaluation schemes for the results of tendon transfers in case of radial nerve paralysis, and the most logical and commonly used are evaluation schemes that use the range of active joint movements to evaluate the results.

Aim: Present an original evaluation scheme for tendon transfer results based on functional wrist and fingers joint movements. The aim of the article is to present the advantages of our own Functional scheme in comparison with other schemes, its simplicity and applicability in the evaluation of all clinical cases of different postoperative outcome of the variables being evaluated, and to present the ease of comparison of the achieved results with other authors who would possibly use our scheme because it minimizes the subjective error of the examiner. Read More

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http://dx.doi.org/10.5455/medarh.2020.74.119-125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296399PMC

[Zheng's massage combined with electroacupuncture in the treatment of reflex sympathetic dystrophy syndrome of the wrist].

Zhongguo Gu Shang 2020 Jun;33(6):540-5

Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China.

Objective: To observe the clinical effects of zheng's massage combined with electroacupuncture in the treatment ofreflex sensory dystrophy syndrome of the wrist.

Methods: From October 2016 to September 2018, 48 cases of reflex sensory dystrophy syndrome of the wrist were divided into the observation group and the control group. In the observation group, there were 24 cases, including 10 males and 14 females, ranging in age from 54 to 76 years old, with an average age of (61. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.010DOI Listing

Ultrasonography Reliability in the Detection of Inflammatory and Structural Abnormalities: An Exercise in Multiple Joints.

J Clin Rheumatol 2020 Jun 19. Epub 2020 Jun 19.

Rheumatology Department, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental. E.P.E., Lisboa.

Background: Ultrasonography is an image technique that allows rheumatologists to visualize structural and inflammatory changes within a joint. The objective of this study was to assess the interobserver and intraobserver reliability of musculoskeletal ultrasound (US) in the detection of inflammatory and destructive joint changes in patients with polyarthritis.

Methods: A Delphi exercise was undertaken to standardize and adapt the EULAR-OMERACT elementary US definitions of inflammatory lesions (effusion, synovial hypertrophy, power Doppler, bone erosions, and synovitis) for each joint. Read More

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http://dx.doi.org/10.1097/RHU.0000000000001440DOI Listing

An investigation into the reliability and methodology of the Linburg-Comstock anomaly clinical test.

J Hand Ther 2020 Jun 18. Epub 2020 Jun 18.

University of St. Augustine for Health Sciences, San Marcos, CA, USA. Electronic address:

Study Design: This is a cross-sectional study.

Introduction: An intertendinous connection between the flexor pollicis longus (FPL) and index flexor digitorum profundus (IFDP) tendons causes involuntary index flexion during active thumb flexion and has been named the Linburg-Comstock anomaly (LCA). It may become symptomatic or cause functional limitations. Read More

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http://dx.doi.org/10.1016/j.jht.2020.03.015DOI Listing

An in-depth study of the associations between osteoarthritis- and osteoporosis-related phenotypes at different skeletal locations.

Osteoporos Int 2020 Jun 16. Epub 2020 Jun 16.

Human Population Biology Research Unit, Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Ramat-Aviv, Tel Aviv, Israel.

The relationship between OA and osteoporosis characteristics remains controversial. This study revealed that age-adjusted hand OA is associated with lower hand/arm BMD levels. Wrist fracture occurrence is associated with increased OA hand scores and low arm BMD. Read More

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http://dx.doi.org/10.1007/s00198-020-05504-yDOI Listing

The biomechanics of knuckle-walking: 3-D kinematics of the chimpanzee and macaque wrist, hand, and fingers.

J Exp Biol 2020 Jun 17. Epub 2020 Jun 17.

Department of Anatomy, NYIT College of Osteopathic Medicine, Old Westbury, NY 11568 USA

The origin and evolution of knuckle-walking has long been a key focus in understanding African ape, including human, origins. Yet, despite numerous studies documenting morphological characteristics potentially associated with knuckle-walking, little quantitative three-dimensional (3-D) data exist of forelimb motion during knuckle-walking. Nor does any comparative 3-D data exist for hand postures used during quadrupedalism in monkeys. Read More

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http://dx.doi.org/10.1242/jeb.224360DOI Listing

Neutrophil activation identifies patients with active polyarticular gout.

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

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

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

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

Modeled Wide-Awake, Local-Anesthetic, No-Tourniquet Surgical Procedures Do Not Impair Driving Fitness: An Experimental On-Road Noninferiority Study.

J Bone Joint Surg Am 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Carilion Clinic, Roanoke, Virginia.

Background: The use of wide-awake, local-anesthetic, no-tourniquet (WALANT) surgical techniques is increasingly common, and patients commonly ask whether they may drive home following these procedures. The impact of a numb hand and bulky dressing on driving fitness is unknown, and there is no literature to guide surgeons when counseling these patients. Thus, the primary objective of the present study was to determine driving fitness following a modeled-WALANT procedure. Read More

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http://dx.doi.org/10.2106/JBJS.19.01281DOI Listing

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

[Nitinol memory alloy two foot fixator with autologous cancellous bone grafting for old scaphoid fracture and nonunion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):676-682

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

Objective: To summarize the effectiveness of nitinol memory alloy two foot fixator with autologous cancellous bone grafting in treating old scaphoid fracture and nonunion.

Methods: Between January 2013 and January 2017, 11 patients of old scaphoid fracture and nonunion were treated with nitinol memory alloy two foot fixator and autologous cancellous bone grafting. All patients were male with an average age of 26. Read More

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http://dx.doi.org/10.7507/1002-1892.201910078DOI Listing

[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

Estimating Human Wrist Stiffness during a Tooling Task.

Sensors (Basel) 2020 Jun 8;20(11). Epub 2020 Jun 8.

Robotics Research Center, School of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore 639798, Singapore.

In this work, we propose a practical approach to estimate human joint stiffness during tooling tasks for the purpose of programming a robot by demonstration. More specifically, we estimate the stiffness along the wrist radial-ulnar deviation while a human operator performs flexion-extension movements during a polishing task. The joint stiffness information allows to transfer skills from expert human operators to industrial robots. Read More

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http://dx.doi.org/10.3390/s20113260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308925PMC

Surgical Reconstruction Methods following Radical Excision of Distal Ulna Osteosarcoma in Both Skeletally Mature and Immature Patients.

Case Rep Oncol 2020 May-Aug;13(2):558-568. Epub 2020 May 19.

Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan.

The distal ulna has always been considered to be expendable and its removal has been advocated for a variety of post-traumatic degenerative and oncological conditions but recent studies showed that the distal radioulnar joint allows supination and protonation of the forearm and is important to one's grip strength and lifting ability. Several prosthesis models have already been made to replace the mechanical functionality of the distal radioulnar joint. We present two cases of females aged 22 and 12 years, respectively, who presented with wrist pain and swelling without any history of trauma and with terminal degree limitation in wrist movements due to tenderness and swelling. Read More

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http://dx.doi.org/10.1159/000507284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265732PMC

Arthroscopic thermal stabilization for distal radioulnar joint instability: 3 to 19 years follow-up.

J Hand Surg Eur Vol 2020 Jun 9:1753193420927882. Epub 2020 Jun 9.

Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS, USA.

This retrospective study investigated the clinical outcomes of patients treated for chronic distal radioulnar joint instability with arthroscopic thermal annealing of the superficial radioulnar ligaments, ulnar palmar wrist ligaments, and dorsoulnar wrist capsule using a radiofrequency probe. Sixty patients (62 wrists) were treated over an 18-year period. At mean follow-up of 10 years (range 3 to 19), 30 of 33 patients were satisfied with their surgical outcomes. Read More

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http://dx.doi.org/10.1177/1753193420927882DOI Listing

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

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

Misericordia di Pistoia, Pistoia, Italy.

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

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

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

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

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

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

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

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

Arthroscopic Foveal Reattachment of the Triangular Fibro Cartilaginous Complex.

J Wrist Surg 2020 Jun 25;9(3):256-262. Epub 2020 Mar 25.

Centre médico-chirurgical Paris V, Paris, France.

 Foveal attachment of the triangular fibrocartilaginous complex (TFCC) is essential for distal radioulnar joint stability. Controversy still exists as to which is the best treatment in case of foveal lesions. Actual arthroscopic techniques either require mini open steps or are complex and expensive. Read More

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http://dx.doi.org/10.1055/s-0040-1702929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263857PMC

Total Distal Radioulnar Joint Arthroplasty for Paget's Disease of Bone.

J Wrist Surg 2020 Jun 26;9(3):244-248. Epub 2019 Nov 26.

Department of Upper Extremity Surgery, Reno Orthopaedic Clinic, Reno, Nevada.

 Distal radioulnar joint (DRUJ) and ulnocarpal pathology, such as ulnocarpal impaction, are relatively common causes of ulnar-sided wrist pain. We herein report a rare case of ulnocarpal impaction and DRUJ arthropathy due to Paget's disease of bone (PDB) in the ulna.  A 65-year-old, right-hand-dominant male was diagnosed with right-sided ulnocarpal impaction secondary to PDB. Read More

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http://dx.doi.org/10.1055/s-0039-3400509DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263853PMC

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

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

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

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

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

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

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

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

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

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

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

Adolescent Kienböck's Disease: A Comparison between Lunate Offloading and Revascularization Procedures.

J Wrist Surg 2020 Jun 19;9(3):197-202. Epub 2020 Feb 19.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

 To evaluate the outcomes and complication rate of surgical management in adolescent patients with Kienböck's disease and compare lunate offloading and revascularization procedures.  We performed a retrospective chart review to evaluate adolescent patients with Kienböck's disease between 1990 and 2016 who were surgically managed. Charts were reviewed for demographic information, presence of trauma, range of motion, grip strength, and radiographic parameters pre- and postoperative. Read More

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http://dx.doi.org/10.1055/s-0040-1701511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263861PMC

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

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

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

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

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

Safety and Efficacy of Prophylactic Closed Incision Negative Pressure Therapy after Acute Fracture Surgery.

Injury 2020 May 23. Epub 2020 May 23.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung City, 813, Taiwan, ROC; Department of Orthopaedics, National Defense Medical Center, 161, Section 6, Minquan E Rd, Neihu District, Taipei City, Taiwan 114 Taipei city, Taiwan Republic of China. Electronic address:

Introduction: Soft tissue swelling after acute fracture surgery is a challenge which may increase wound dehiscence, delay early range of motion, and increase infection rate postoperatively. This study investigates closed incision negative pressure therapy (ciNPT) using wide-range cover over the incision site and the peripheral swelling trauma zone to promote early active motion and to mitigate joint stiffness, bulla formation, and tendon adhesion.

Methods: Twenty-nine patients were enrolled between January 2018 and December 2018. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.032DOI Listing

Arthroscopic management of intra- and juxta-articular osteoid osteoma of the upper extremity: a systematic review of the literature.

Eur J Orthop Surg Traumatol 2020 Jun 5. Epub 2020 Jun 5.

Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Ave A5-169, Montreal, QC, H3G 1A4, Canada.

Background: Intra- and juxta-articular osteoid osteoma (OO) is rare and can result in irreversible joint damage. Recently, arthroscopic surgery is being used more and more to avoid complications associated with other treatment modalities.

Methods: On October 13, 2019, we conducted a systematic review of the literature available in PubMed and EMBASE regarding the arthroscopic management of OO involving the joints of the upper extremity. Read More

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http://dx.doi.org/10.1007/s00590-020-02710-6DOI Listing

Wrist Joint Skeletal Changes in Children With Transfusion-dependent Thalassemia.

J Pediatr Orthop 2020 Jul;40(6):e473-e478

Department of Orthopedics.

Background: Arthropathies and bone deformities are well known to occur in patients with thalassemia major and have been attributed to the disease or to its therapy. Before the advent of chelation therapy, these children developed widened diploic space and "hair-on-end" pattern in skull, "cobweb" pattern in the pelvis, and the lack of the normal concave outline in the long bones because of extensive marrow proliferation. After the introduction of iron-chelation therapy, these patients were noted to develop metaphyseal abnormalities and vertebral changes resembling spondylo-metaphyseal dysplasia. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001523DOI Listing
July 2020
1.426 Impact Factor

Sodium MRI of human articular cartilage of the wrist: a feasibility study on a clinical 3T MRI scanner.

MAGMA 2020 Jun 4. Epub 2020 Jun 4.

Department of Diagnostic and Interventional Radiology, Medical Faculty, University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Objective: To measure sodium relaxation times and concentrations in human wrists on a clinical magnetic resonance imaging (MRI) scanner with a density-adapted radial sequence.

Materials And Methods: Sodium MRI of human wrists was conducted on a 3T MR system using a dual-tuned H/Na surface coil. We performed two studies with 10 volunteers each investigating either sodium T (study 1) or sodium T* (study 2) relaxation times in the radiocarpal joint (RCJ) and midcarpal joint (MCJ). Read More

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http://dx.doi.org/10.1007/s10334-020-00856-2DOI Listing

Isolated Tuberculosis of the Wrist: Subtle but Destructive.

Cureus 2020 May 3;12(5):e7939. Epub 2020 May 3.

Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

Tuberculosis is an infection that can occur in every organ of the body, but it rarely affects the wrist joint. We report a rare case of a male patient with wrist tuberculosis with a subtle presentation. Our patient's left wrist had been swollen for four months and progressively worsened, becoming ulcerated one week prior to presentation to our center. Read More

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http://dx.doi.org/10.7759/cureus.7939DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266487PMC

Multibody Analysis and Control of a Full-Wrist Exoskeleton for Tremor Alleviation.

J Biomech Eng 2020 Jun 4. Epub 2020 Jun 4.

Department of Mechanical Engineering, Virginia Tech, Blacksburg, Virginia 24061, USA.

Uncontrollable shaking in the human wrist, caused by pathological tremor, can significantly undermine the power and accuracy in object manipulation. In this paper, the design of a Tremor Alleviating Wrist Exoskeleton (TAWE) is introduced. Unlike the works in the literature that only consider the flexion/extension motion, in this paper, we model the wrist joint as a constrained 3D rotational joint accounting for the coupled flexion/extension (FE) and radial/ulnar deviation (RUD) motions. Read More

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http://dx.doi.org/10.1115/1.4047424DOI Listing

Frequency of wrist pain and its associated risk factors in students using mobile phones.

Pak J Med Sci 2020 May-Jun;36(4):746-749

Anam Irshad, DPT. Benazir Bhutto Hospital, Rawalpindi, Pakistan.

Objective: To assess the frequency of wrist pain in students due to mobile phone usage, and impact of usage hours and screen size of mobile phones on pain and disability at wrist joint.

Methods: A cross-sectional survey was conducted among students studying in different universities of Islamabad and Rawalpindi belonging to both public and private sectors. The study was conducted between May 2018 and March 2019. Read More

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http://dx.doi.org/10.12669/pjms.36.4.1797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260896PMC