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Journal of Wrist Surgery

Bo J W Notermans, Wiesje Maarse, Arnold H Schuurman
Aim  This study aims to evaluate the long-term complications, results, and patient satisfaction rates of a dorsally approached ulnar shortening osteotomy for ulnar impaction syndrome. Methods  A retrospective chart review of 20 patients was performed. Primary outcomes of interest were subjective, measured using the Patient-Rated Wrist Evaluation (PRWE) score, Disability of the Arm, Shoulder, and Hand (DASH) score, and the third questionnaire about patient satisfaction, composed by the authors. Secondary outcomes included hardware removal due to irritation and other complications...
September 2018: Journal of Wrist Surgery
Toshiyasu Nakamura, Koji Abe, Nobuki Terada
Purpose  Changes in the shape of the triangular fibrocartilage complex (TFCC) during radial-ulnar deviation were studied using "cine-mode" magnetic resonance imaging (MRI) in 10 right wrists of healthy volunteers, 5 wrists of TFCC tear, and 5 wrists of ulnar styloid nonunion. Subjects and Methods  The wrist was fixed in a custom acrylic device, which only allows radial and ulnar deviation. Coronal MR images of nine radial-ulnar deviated positions (every 5 degree from 15 degrees radial deviation to 25 degrees ulnar deviation) were obtained in volunteers and patients...
September 2018: Journal of Wrist Surgery
Zaid Ali, Laura Hamilton, Jonathan Compson
No abstract text is available yet for this article.
September 2018: Journal of Wrist Surgery
Reinier B Beks, Tessa Drijkoningen, Femke Claessen, Thierry G Guitton, David Ring
Purpose  Fractures of the proximal pole of the scaphoid are prone to adverse outcomes such as nonunion and avascular necrosis. Distinction of scaphoid proximal pole fractures from waist fractures is important for management but it is unclear if the distinction is reliable. Methods  A consecutive series of 29 scaphoid fractures from one tertiary hospital was collected consisting of 5 scaphoid proximal pole and 24 scaphoid waist fractures. Fifty-seven members of the Science of Variation Group (SOVG) were randomized to diagnose fracture location and displacement by using radiographs alone or radiographs and a computed tomography (CT) scan...
September 2018: Journal of Wrist Surgery
Ahmed Elgammal, Bernhard Rozée
Background  The purpose of this study is to evaluate the results of patients with ulnar impaction syndrome treated with diaphyseal osteotomy using freehand technique and fixation with ulnar osteotomy compression plate placed on the ulnar surface of the ulna. Materials and Methods  A retrospective chart review of patients with ulnar impaction syndrome between 2010 and 2014 identified 38 patients. The following clinical data were observed: patient age, sex, range of motion, grip strength, visual analog scale (VAS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiological assessment, and complications...
September 2018: Journal of Wrist Surgery
Thomas Apard, Benoit Mariotte, Gilles Candelier
Symptomatic lunotriquetral coalition is very rare and need open surgery after failure of conservative treatment. We report a case of a symptomatic congenital lunotriquetral coalition type 1 according to the Minaar classification, at the left wrist of a 14-year-old boy. We performed an arthroscopic treatment with two compression screws and without cancellous bone grafting. Healing was obtained at 2 months postoperatively.
September 2018: Journal of Wrist Surgery
Sanjeev Kakar, Ryan M Greene
Background  Scapholunate (SL) joint instability is one of the most common injuries of the wrist and may result from a fall or high-energy mechanism on the outstretched hand. The purpose of this case report is to describe the outcome of a 360-degree tenodesis to the SL joint with an internal brace (SLITT) for the treatment of SL instability. Case Description  A 42-year-old male patient underwent SL ligament reconstruction with the SLITT procedure 12 months after injury. Given the intrinsic stability of the reconstruction, Kirschner (K) wires were not used and an early range of motion protocol was initiated...
September 2018: Journal of Wrist Surgery
Thomas J M Kootstra, Margriet H van Doesburg, Arnold H Schuurman
Background  Injury to the distal radioulnar joint (DRUJ) causes swelling and ulnar-sided wrist pain. The Adams procedure stabilizes the DRUJ and shows promising short-term results. Purpose  We studied the long-term functional outcome in patients who underwent the Adams procedure. We also tested the null hypothesis that there would be no difference in range of motion (ROM) and grip strength between the operated wrist compared to the unaffected side. Patients and Methods  We identified 74 consecutive patients that were operated from March 2005 to February 2014...
September 2018: Journal of Wrist Surgery
Benjamin Degeorge, Rémy Coulomb, Pascal Kouyoumdjian, Olivier Mares
Purpose  We retrospectively evaluated the results of all arthroscopic dorsal scapholunate (SL) capsuloplasty without pinning in patients presenting predynamic instability and dorsal capsuloscapholunate septum lesions on arthro-computed tomography scan after failed medical treatment. Materials and Methods  Fifteen patients, mean age 34.3 years, underwent all arthroscopically assisted dorsal capsuloplasty. Patients were assessed preoperatively and postoperatively by a clinical (pain, Watson's test, range of motion, and strength), functional (quick disabilities of the arm, shoulder, and hand), patient-rated wrist evaluation, and Mayo wrist score scores), and radiological (SL gap and dorsal intercalated segmental instability [DISI]) examination...
September 2018: Journal of Wrist Surgery
Joseph J Schreiber, Lana Kang, Krystle A Hearns, Tracy Pickar, Michelle G Carlson
Background  Achieving adequate fixation and healing of small proximal pole acute scaphoid fractures can be surgically challenging due to both fragment size and tenuous vascularity. Purpose  The purpose of this study was to demonstrate that this injury can be managed successfully with osteosynthesis using a "micro" small diameter compression screw with distal radius bone graft with leading and trailing screw threads less than 2.8 mm. Patients and Methods  Patients with proximal pole scaphoid fragments comprising less than 20% of the entire scaphoid were included...
September 2018: Journal of Wrist Surgery
Sezai Özkan, Julian J Korteweg, Frank W Bloemers, Nicholas C DiGiovanni, Chaitanya S Mudgal
Background  Radiographic diagnosis of scapholunate ligament injury (SLI) in the setting of distal radius fractures (DRFs) is challenging. It remains unclear to what extent radiographic diagnosis of SLI by a radiologist influences surgical decision-making regarding treatment of SLI. Purpose  We aimed to (1) identify the number of times that concerns for the possibility of concurrent SLI in the setting of a DRF had been raised by the radiologists, (2) identify how often the radiologist's diagnosis was confirmed by the treating surgeon, and (3) how many of the patients with a radiographic concern for SLI by the radiologist received operative treatment for the SLI...
September 2018: Journal of Wrist Surgery
Timothy P Fowler, Elizabeth Fitzpatrick
Background  Ipsilateral fractures of the distal radius and scaphoid are rare, with few reports describing mechanisms of injury, fracture patterns, and treatment approaches. Purpose  This article describes the clinical and radiographic features of ipsilateral distal radius and scaphoid fractures occurring simultaneously. Materials and Methods  Electronic databases from 2007 to 2017 at a single Level 1 trauma center were reviewed for patients with concurrent fractures of the distal radius and scaphoid. Patient demographics, injury mechanism, scaphoid and distal radius fracture pattern, treatment approach, and radiographic healing were studied...
September 2018: Journal of Wrist Surgery
Frederick W Werner, Walter H Short
Background  Little is known about changes in scaphoid and lunate supination and pronation following scapholunate interosseous ligament (SLIL) injury. Information on these changes may help explain why some SLIL reconstructions have failed and help in the development of new techniques. Purpose  To determine if following simulated SLIL injury there was an increase in scaphoid pronation and lunate supination and to determine if concurrently there was an increase in the extensor carpi ulnaris (ECU) force. Materials and Methods  Scaphoid and lunate motion were measured before and after sectioning of the SLIL and two volar ligaments in 22 cadaver wrists, and before and after sectioning of the SLIL and two dorsal ligaments in 15 additional wrists...
September 2018: Journal of Wrist Surgery
Yukio Abe, Kenzo Fujii, Takeyoshi Fujisawa
Purpose  Various surgical procedures for foveal tears of the triangular fibrocartilage complex (TFCC) have been reported, and the procedures can be grossly divided into open and arthroscopic repair. The surgical results of both procedures were compared. Materials and Methods  Twenty-nine patients underwent repair of a TFCC foveal tear. The 13 men and 16 women were in the age range of 14 to 72 years (average age, 30 years). Five patients had a history of distal radius fractures that healed uneventfully with nonoperative treatment...
September 2018: Journal of Wrist Surgery
Seth D Dodds, Amy K Fenoglio, Daniel D Bohl, Raj J Gala
Purpose  Certain factors have been associated with the development of scaphoid nonunion, including delayed diagnosis, smoking, inadequate initial management, proximal location, and carpal instability. We hypothesized that insurance status would also be a risk factor for the development of scaphoid nonunion. Methods  A case-control study was performed on patients who presented to a single surgeon at a tertiary referral center during 2006 to 2015. Cases were patients presenting with nonunions, controls, and patients with acute fractures...
September 2018: Journal of Wrist Surgery
Toshiyasu Nakamura
No abstract text is available yet for this article.
September 2018: Journal of Wrist Surgery
Matthew D Treiser, Kayva Crawford, Matthew L Iorio
Background  Imaging of the triangular fibrocartilaginous complex (TFCC) remains difficult, as no single imaging modality demonstrates perfect sensitivity and specificity. Purpose  This study performs a meta-analysis of multiple previous publications to guide noninvasive imaging selection for the diagnosis of TFCC injuries. Methods  A literature search was performed and conducted. Studies were included that compared the diagnostic accuracy of magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and computed tomography (CT)/computed tomographic arthrography (CTA) for the evaluation of TFCC injuries...
July 2018: Journal of Wrist Surgery
Ahmed Elgammal, Claus J Deglmann, Vanja Celigoj, Bernhard Lukas
Purpose  The purpose of this prospective study was to evaluate the results of four-corner fusion using dorsal circular plate. Methods  We operated on 20 patients between 2009 and 2011. Results  At a mean follow-up period of 30 months (range: 14-62, SD: 16), the mean VAS improved from 8 (range: 4-10, SD: 2) preoperatively to 4 (range: 0-8, SD: 2). Function measured with the DASH score improved from 37 (range: 10-75, SD: 18) to 26 (range: 2.5-64, SD: 19). Eighteen patients in our series showed full consolidation and two patients showed persistent nonunion...
July 2018: Journal of Wrist Surgery
Venus Vakhshori, Ram K Alluri, Anuj Mahajan, Alidad Ghiassi
Background  Arteriovenous malformations (AVMs) are commonly treated using endovascular techniques. Previous nerve palsies after embolization have been reported as isolated case reports, none of which affected the forearm. Case Description  A case of acute, transient neuropathy of the radial nerve following embolization of a forearm AVM is described. The patient, an otherwise healthy 27-year-old man, began having symptoms of superficial radial nerve (SRN) and posterior interosseous nerve (PIN) palsies immediately following endovascular embolization...
July 2018: Journal of Wrist Surgery
R E López-Cervantes, M García-Elias, I Bermúdez Soto
Background  Axial carpal dislocations and fracture dislocations are 1.4 to 2.08% of all the fractures and dislocations of the wrist. These injuries are caused by high-energy blast or compression mechanisms. Only 11 cases of axial-radial-ulnar (ARU) fracture dislocations have been described in the literature. Case Description  We describe a case with a traumatic transtrapezoid, peritrapezium, transhamate, peripisiform ARU in a patient with acute compartment syndrome, traumatic transverse flexor retinaculum (TFR) rupture, and radial nerve palsy...
July 2018: Journal of Wrist Surgery
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