1,001 results match your criteria wrist fusion


Ulnar nerve compression secondary to migration of pyrocarbon implant following right wrist arthroplasty.

J Surg Case Rep 2021 Jul 22;2021(7):rjab296. Epub 2021 Jul 22.

Department of Plastic Surgery, Queen Victoria Hospital, Holtye Road, East Grinstead, RH193DZ, UK.

A 50-year-old, right-hand dominant woman presented with a seven-month history of stiffness, pain and swelling on the ulnar side of her right wrist. She had undergone right wrist arthroplasty with a Pyrocarbon Amandys implant seven months previously for post-traumatic degenerative arthritis. She had an uneventful initial recovery until developing carpal tunnel syndrome, for which she underwent carpal tunnel release 5 months after her arthroplasty. Read More

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Arthroscopic three-corner or lunocapitate arthrodesis: technical tips and early outcomes.

J Plast Surg Hand Surg 2021 Jul 27:1-7. Epub 2021 Jul 27.

Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Switzerland.

The purpose of the study is to present a technical approach for arthroscopic three-corner or lunocapitate arthrodesis with mini-open scaphoid excision and to report about the early clinical and functional results. The median surgery time was 112 min with shorter times achieved once mastering the technique. Radiological and clinical union was observed in 11 out of 12 patients in a median time of five months. Read More

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Temporal Alignment of Dual Monitor Accelerometry Recordings.

Sensors (Basel) 2021 Jul 13;21(14). Epub 2021 Jul 13.

Centre for Research in Childhood Health/Research Unit for Exercise Epidemiology, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5220 Odense, Denmark.

Combining accelerometry from multiple independent activity monitors worn by the same subject have gained widespread interest with the assessment of physical activity behavior. However, a difference in the real time clock accuracy of the activity monitor introduces a substantial temporal misalignment with long duration recordings which is commonly not considered. In this study, a novel method not requiring human interaction is described for the temporal alignment of triaxial acceleration measured with two independent activity monitors and evaluating the performance with the misalignment manually identified. Read More

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Avascular necrosis of the lunate secondary to perilunate fracture dislocation: Case report and review of the literature.

SAGE Open Med Case Rep 2021 12;9:2050313X211032398. Epub 2021 Jul 12.

Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA.

This is a 39-year-old male, fell from a bike, left wrist with trans-styloid perilunate fracture dislocation that underwent open reduction internal fixation, 20 months after surgery the patient developed avascular necrosis of the lunate, final wrist fusion was performed secondary to the arthritic changes on the wrist. Anatomic dissection was performed and vascularity of the lunate was identified, its origin is from the volar palmar arch, when dislocated palmarly and more than 90 degrees the vessel is still intact. More than 512 patients with perilunate dislocation and perilunate fracture dislocation are included we identified in the literature transient avascular necrosis of the lunate in nine and seventeen of pure avascular necrosis of the lunate. Read More

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Seizure detection using wearable sensors and machine learning: Setting a benchmark.

Epilepsia 2021 Jul 15. Epub 2021 Jul 15.

Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Objective: Tracking seizures is crucial for epilepsy monitoring and treatment evaluation. Current epilepsy care relies on caretaker seizure diaries, but clinical seizure monitoring may miss seizures. Wearable devices may be better tolerated and more suitable for long-term ambulatory monitoring. Read More

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Four-Corner Arthrodesis With Differing Methods of Osteosynthesis: A Systematic Review.

J Hand Surg Am 2021 Jul 10. Epub 2021 Jul 10.

Saskatoon Orthopedic and Sports Medicine Centre, Saskatoon, Canada. Electronic address:

Purpose: The purpose of this study was to compare the union rates and clinical outcomes of 4-corner arthrodesis with different methods of osteosynthesis.

Methods: A systematic review of studies published in Ovid, Medline, Embase, and PubMed was conducted. Primary studies that reported clinical and radiographic results following 4-corner arthrodesis for scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), or other types of wrist arthritis in human subjects were eligible. Read More

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Medium-term clinical and radiological results of surgically treated stage 3A Kienböck's disease.

Hand Surg Rehabil 2021 Jul 8. Epub 2021 Jul 8.

University of Health Sciences Ankara City Hospital, Orthopedics and Traumatology Department, University District 1604, Street No: 9, 06800 Cankaya, Ankara, Turkey.

The purpose of this study was to compare the methods of distal radial shortening osteotomy (RSO), lateral closing distal radial wedge osteotomy (RWO), and scaphotrapeziotrapezoid (STT) fusion in the treatment of stage 3A Kienböck's disease (KD). The research was planned as a single-center and retrospective study for the period 2008-2018. Patients were allocated to three groups according to surgical method: group 1, patients with negative ulnar variance, undergoing RSO; group 2, patients with non-negative (neutral or positive) ulnar variance, undergoing RWO; and group 3, patients with non-negative ulnar variance, undergoing STT fusion. Read More

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Intermetacarpal M4-M5 arthrodesis (Dubert procedure) for fifth carpometacarpal joint osteoarthritis: long-term functional outcomes.

Hand Surg Rehabil 2021 Jul 9. Epub 2021 Jul 9.

SOS Main Grenoble, Unité de Chirurgie Réparatrice, de la Main et des Brûlés, Hôpital Albert Michallon, CHU de Grenoble, avenue du Marquis-de-Grésivaudan, BP 217, 38043 Grenoble cedex 09, France.

The goal of this study was to describe the long-term functional outcomes of the procedure described by Dubert (stabilized arthroplasty with intermetacarpal arthrodesis) for painful carpometacarpal impingement of the little finger. Between 2005 and 2017, 8 patients (1 woman and 7 men) were operated on who had a mean age of 38 years (24-53 years). Seven cases were post-traumatic (malunion) and one was due to septic arthritis. Read More

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Combined Treatment of Trapeziometacarpal Joint Arthritis and Scapholunate Advanced Collapse Wrist.

J Hand Surg Am 2021 Jun 18. Epub 2021 Jun 18.

Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Purpose: The combined treatment of trapeziometacarpal joint arthritis and scapholunate advanced collapse (SLAC) wrist presents unique challenges. The consequences of the loss of radial column support caused by scaphoidectomy and trapeziectomy are not well known. The purpose of this study was to evaluate the outcomes of the simultaneous and staged treatment of trapeziometacarpal joint arthritis and SLAC wrist. Read More

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Scaphoid Excision and Bicolumnar Carpal Fusion with Retrograde Headless Screws.

J Wrist Surg 2021 Jun 20;10(3):201-207. Epub 2021 Jan 20.

The Ottawa Hospital - Civic Campus (J159), Ottawa, Ontario, Canada.

 Scaphoid excision and partial wrist fusion is used for the treatment of scapholunate advanced collapse/scaphoid nonunion advanced collapse wrist arthritis. The purpose of this study was to report midterm functional and radiographic outcomes in a series of patients who underwent bicolumnar fusion of the lunocapitate and triquetrohamate joints using retrograde headless screws.  Twenty-three consecutive patients (25 wrists) underwent surgery with this technique from January 2014 to May 2017 with a minimum follow-up of 1 year. Read More

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Operative technique of distal radius resection and wrist fusion with iliac crest bone graft.

J Clin Orthop Trauma 2021 Aug 8;19:17-20. Epub 2021 May 8.

Department of Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, India.

Malignant lesions of distal radius and appropriately selected cases of benign aggressive lesions (giant cell tumor) of distal radius require resection for limb salvage. Post resection, reconstruction of that defect can be accomplished by either arthrodesis or arthroplasty both having their own pros and cons. In cases undergoing arthrodesis as modality of reconstruction, small defects (≤6 cm) can be reconstructed using autologous iliac crest bone graft which results in good cosmetic appearance and functional outcome. Read More

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Results of interposition arthroplasty with the Amandys® pyrocarbon implant in rheumatoid wrist at a mean 5 years' follow-up.

Hand Surg Rehabil 2021 May 24. Epub 2021 May 24.

Institut de la Main Nantes-Atlantique, Santé Atlantique, Avenue Claude Bernard, 44800 Saint Herblain, France. Electronic address:

Management of severe joint involvement in rheumatoid wrist is controversial. The gold-standard is total wrist fusion, but total wrist replacement offers a motion-conserving alternative. The purpose of this study was to present the results of interposition arthroplasty with the Amandys® pyrocarbon implant in rheumatoid wrist. Read More

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Surgical treatment for persistent second carpometacarpal joint pain.

Orthop Rev (Pavia) 2021 Mar 31;13(1):9085. Epub 2021 Mar 31.

Department of Orthopaedic Surgery, Tohoku University School of Medicine.

The purposes of this study were to demonstrate the clinical characteristics of patients with persistent second carpometacarpal (CMC) joint pain without bony abnormalities known as the carpal boss, and to assess the clinical efficacy of surgical stabilization of the second CMC joint. Eleven patients had persistent wrist pain with characteristic symptoms, including tenderness over the second CMC joint, increased symptoms when the involved hand was placed on the ground or gripped strongly with the involved hand, a positive metacarpal stress test and temporary pain relief with the intra-articular injection of the lidocaine. The patients underwent arthrodesis of the second CMC joint. Read More

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The Biomechanical Effects of Simulated Radioscapholunate Fusion with Distal Scaphoidectomy, 4-Corner Fusion with Complete Scaphoidectomy, and Proximal Row Carpectomy Compared to the Native Wrist.

J Hand Surg Am 2021 Apr 29. Epub 2021 Apr 29.

Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA.

Purpose: To determine the effect of simulated radioscapholunate fusion with distal scaphoid excision (RSLF+DSE), 4-corner fusion with scaphoidectomy (4-CF), and proximal row carpectomy (PRC) on the wrist's range of motion (ROM), contact pressure, and contact force in a cadaveric model.

Methods: Ten freshly frozen cadaveric wrists were tested under 4 sequential conditions: native wrist, RSLF+DSE, 4-CF, and PRC. The simulated fusions were performed using two 1. Read More

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Kienbock's Disease: Treatment Options - A Search for the Apt!

J Hand Surg Asian Pac Vol 2021 Jun;26(2):142-151

Department of Plastic Surgery, Hand & Reconstructive Microsurgery & Burns, Ganga Hospital, Coimbatore, India.

Kienbock's disease remains a condition of uncertain etiology and our understanding about the pathogenesis is still evolving. However, a lack of consensus on the treatment is the most striking as there are wide array of treatment options described ranging from 'doing nothing' to a free vascularized bone graft reconstruction of the lunate. Furthermore, most treatment modalities report equivalent success rate but cumulative evidence is lacking. Read More

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Long-Term Results of the Modular Physiological Wrist Prosthesis (MPW) in Patients with Inflammatory Diseases.

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

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The Spastic Upper Extremity in Children: Multilevel Surgical Decision-making.

J Am Acad Orthop Surg 2021 May;29(9):e416-e426

From the Department of Orthopaedic Surgery (Chaudhry), University of Connecticut, Connecticut Children's Medical Center, Hartford, CT, and the Department of Hand and Microsurgery (Bhardwaj, Venkatramani, and Sabapathy), Ganga Hospital, Coimbatore, India.

Multilevel surgery for upper extremity spasticity is the current surgical standard. While the literature details surgical techniques and outcomes, a comprehensive guide to surgical planning is lacking. Patients commonly present with posturing into shoulder internal rotation, elbow flexion, forearm pronation, wrist flexion with ulnar deviation, finger flexion, and thumb adduction, although variations exist. Read More

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Midterm Patient-Reported Outcomes in Wrist Denervation for Post-Traumatic Arthritis.

J Hand Surg Am 2021 Apr 15. Epub 2021 Apr 15.

Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, AZ. Electronic address:

Purpose: To analyze patient-reported outcomes and range of motion in a cohort of patients who underwent wrist denervation for advanced wrist osteoarthritis. We hypothesized that improvements in pain and function would be seen with preserved range of motion.

Methods: Thirty patients underwent wrist denervation for symptomatic stage 1-4 scapholunate advanced collapse (SLAC) arthritis. Read More

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Three-Corner Arthrodesis (lunate - hamate - capitate) : clinical and kinematical evaluation.

Acta Orthop Belg 2020 Dec;86(4):717-723

In the absence of prosthetic arthroplasty offering good results for the treatment of wrist osteoarthritis, we studied the arthrodesis of three carpal bones (lunate - hamate - capitate) completed by triquetrum and scaphoid excision in the presence of Scapholunate Advanced Collapse (SLAC) or Scaphoid Nonunion Advanced Collapse (SNAC) stage II or III. Clinical data on eight patients between the ages of 32 and 61 years at an average of 29 months after surgery was analyzed. Seven patients reached fusion with a carpal height ratio of 0. Read More

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December 2020

Thumb Metacarpal-Trapezoid Impingement as an Etiology of Pain After Trapeziectomy and Basal Joint Soft Tissue Arthroplasty: A Case Series.

J Hand Surg Am 2021 Apr 9. Epub 2021 Apr 9.

Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ.

Purpose: To report a poorly described etiology for pain after trapeziectomy and soft tissue basal joint arthroplasty, diagnosed with the aid of nuclear imaging.

Methods: Five patients (4 women and 1 man), average age 62 years (range, 59-65 years) presented with pain an average of 7 months (range, 2-11 months) after basal joint arthroplasty. The dominant hand was involved in all cases. Read More

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Congenital Radioulnar Synostosis.

J Am Acad Orthop Surg 2021 07;29(13):563-570

From the Department of Orthopaedics, Mount Carmel Health System, Columbus, OH (Rutkowski), and the Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH (Samora).

Congenital radioulnar synostosis is a rare condition resulting in fusion of the proximal portions of the radius and ulna. Patients commonly present in early childhood with functional deficits because of limited forearm rotation and fixed positioning of the forearm. Compensatory motion and hypermobility are frequently observed at the wrist and shoulder, which may predispose these joints to overuse injury. Read More

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Giant Cell Tumor of Triquetrum: A Case Report with Literature Review.

J Wrist Surg 2021 Apr 13;10(2):158-163. Epub 2020 Jul 13.

Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

 Giant cell tumor (GCT) of bone is a benign, aggressive tumor of bone and occurs commonly around the knee and distal radius. GCT of bone rarely occurs in hand. In hand, metacarpals are the most common site and there have been only a few case reports of GCT of the carpal bone. Read More

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Universal 2™ total wrist arthroplasty: A single-surgeon 6.5-year follow-up study of 22 prostheses.

Hand Surg Rehabil 2021 Apr 1. Epub 2021 Apr 1.

Department of Orthopaedic and Traumatology, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain.

Total wrist arthroplasty remains controversial, with the few studies undertaken being heterogeneous and having low patient numbers. This prospective study involved 22 Universal 2™ total wrist prostheses implanted by the same surgeon between 2003 and 2017. There were 13 women and nine with an average age of 56 (42-69. Read More

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A Feasibility Study of the Use of Smartwatches in Wearable Fall Detection Systems.

Sensors (Basel) 2021 Mar 23;21(6). Epub 2021 Mar 23.

Departamento de Tecnología Electrónica, Universidad de Málaga, ETSI Telecomunicación, 29071 Málaga, Spain.

Over the last few years, the use of smartwatches in automatic Fall Detection Systems (FDSs) has aroused great interest in the research of new wearable telemonitoring systems for the elderly. In contrast with other approaches to the problem of fall detection, smartwatch-based FDSs can benefit from the widespread acceptance, ergonomics, low cost, networking interfaces, and sensors that these devices provide. However, the scientific literature has shown that, due to the freedom of movement of the arms, the wrist is usually not the most appropriate position to unambiguously characterize the dynamics of the human body during falls, as many conventional activities of daily living that involve a vigorous motion of the hands may be easily misinterpreted as falls. Read More

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Smartwatch-Based Eating Detection: Data Selection for Machine Learning from Imbalanced Data with Imperfect Labels.

Sensors (Basel) 2021 Mar 9;21(5). Epub 2021 Mar 9.

Department of Intelligent Systems, Jožef Stefan Institute, 1000 Ljubljana, Slovenia.

Understanding people's eating habits plays a crucial role in interventions promoting a healthy lifestyle. This requires objective measurement of the time at which a meal takes place, the duration of the meal, and what the individual eats. Smartwatches and similar wrist-worn devices are an emerging technology that offers the possibility of practical and real-time eating monitoring in an unobtrusive, accessible, and affordable way. Read More

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Detecting Parkinson's Disease from Wrist-Worn Accelerometry in the U.K. Biobank.

Sensors (Basel) 2021 Mar 14;21(6). Epub 2021 Mar 14.

U.S. Army Research Institute of Environmental Medicine, Natick, MA 01760, USA.

Parkinson's disease (PD) is a chronic movement disorder that produces a variety of characteristic movement abnormalities. The ubiquity of wrist-worn accelerometry suggests a possible sensor modality for early detection of PD symptoms and subsequent tracking of PD symptom severity. As an initial proof of concept for this technological approach, we analyzed the U. Read More

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Retrospective Comparison of Capitolunate Arthrodesis Using Headless Compression Screws Versus Nitinol Memory Staples for SLAC and SNAC Wrist: Radiographic, Functional, and Patient-Reported Outcomes.

Hand (N Y) 2021 Apr 1:1558944721999732. Epub 2021 Apr 1.

OrthoCarolina, Charlotte, USA.

Background: Nitinol memory compression staples have been proposed as an effective alternative to compression screws for capitolunate arthrodesis (CLA) for scaphoid nonunion advanced collapse (SNAC) and scapholunate advanced collapse (SLAC) wrist. The purpose of this study was to compare the clinical outcomes of CLA for SNAC or SLAC wrist treatment using either compression screws or nitinol staples.

Methods: In all, 47 patients with CLA for SLAC or SNAC wrist with screws or nitinol staples were retrospectively identified. Read More

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Progressing arthrosis and a high conversion rate 11 (4-19) years after four corner fusion.

J Plast Surg Hand Surg 2021 Mar 18:1-7. Epub 2021 Mar 18.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Four corner fusion (4CF) is a limited wrist arthrodesis offered to patients with painful wrists due to scaphoid non-union advanced collapse (SNAC) or scapho-lunate advanced collapse (SLAC). A retrospective study of 42 wrists (in 36 patients), operated with 4CF using K-wires and autologous bone graft followed up after 11 (4-19) years was performed, 25 were male and mean age at surgery was 51 (22-71) years. During the follow-up period, 13 wrists were converted to total wrist arthrodesis or wrist arthroplasty, and one is scheduled for conversion (14/42, 33%) due to non-union (3), DISI and progressing arthrosis (7) or progressing arthrosis (4). Read More

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Four-corner fusion: Clinical and radiological outcome after fixation by headless compression screws or dorsal locking plate at minimum 5 years' follow-up.

Orthop Traumatol Surg Res 2021 Mar 9:102886. Epub 2021 Mar 9.

Service d'orthopédie 1, Hôpital Roger-Salengro, rue Émile-Laine, 59000 Lille, France.

Introduction: Among the various procedures for degenerative carpal lesions, four-corner fusion relieves pain while conserving motion and strength. There are various fixation options, not presently standardised.

Hypothesis: Internal fixation by screws or dorsal locking plate provides good 5-year clinical results in four-corner fusion. Read More

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