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Journal of Wrist Surgery

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https://www.readbyqxmd.com/read/29383283/arthroscopic-scaphoid-3d-test-for-scapholunate-instability
#1
Fernando Corella, Montserrat Ocampos, Miguel Del Cerro
Background  Patients with scapholunate instability usually have pain in the dorsal wrist. This pain may occur due to the impingement between the scaphoid and the dorsal rim of the radius when the scaphoid is detached from the lunate. This pain appears as the scaphoid is displaced over the dorsal rim of the radius. The arthroscopic scaphoid 3D (dorsal, dynamic, displacement) test is described here to check this pathologic dorsal displacement of the scaphoid. Surgical Technique  The test should be performed both in the radiocarpal and midcarpal joints...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383282/a-posttraumatic-distal-radius-allograft-10-years-follow-up
#2
Giulio Lauri, Marco Biondi, Giuliana Roselli, Prospero Bigazzi
Background  Wrist osteoarthritis is a common disease often resulting from malunited fractures of the distal radius. The primary treatment purpose is to provide pain relief, while maintaining strength and mobility whenever possible. In a patient presenting a posttraumatic degeneration of the wrist, deciding which surgical technique, which joints to sacrifice and which to preserve is crucial to optimizing the outcome. Case Description  We describe a 10-year follow-up of an osteoarticular allograft of the distal radius proposed to treat an isolated distal radius posttraumatic degeneration...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383281/spontaneous-healing-of-a-pediatric-scaphoid-proximal-pole-fracture-nonunion
#3
Neal Rupani, Nicholas Riley, Ian McNab
Background  Scaphoid fractures in the pediatric population are rare. The majority of nondisplaced fractures tend to unite; however, there is an increased risk of nonunion in proximal pole fractures. Limited evidence exists in their outcomes, owing to the scarcity of the fracture pattern. Case Description  A 13-year-old boy who presented late after developing a traumatic proximal pole scaphoid fracture developed nonunion. He was treated conservatively owing to it being asymptomatic and developed union at 18 months...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383280/a-biomechanical-comparison-of-screw-and-plate-fixations-for-scaphoid-fractures
#4
Jill Goodwin, Paulo Castañeda, Patricia Drace, Scott Edwards
Background  Headless screw fixation is the current gold standard of surgical repair for scaphoid fractures. However, maintaining reduction of certain types of scaphoid fractures is challenging with a compression screw. Plate fixation may offer superior fixation in some scaphoid fractures, particularly those with comminution, nonunion, segmental bony defects, and osteopenic or osteoporotic bone. Purpose  This study questions whether method of fixation is a determinant in load to failure in segmental scaphoid fractures, and whether any fixation provides a greater mechanical advantage in simulated normal versus osteoporotic bone...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383279/ulnar-neck-fractures-associated-with-distal-radius-fractures
#5
Sezai Özkan, Stefan F Fischerauer, Thomas J M Kootstra, Femke M A P Claessen, David Ring
Background  There is little published data to guide management of ulnar neck fractures associated with fractures of the distal radius. Purpose  As unplanned surgery usually reflects adverse events and this injury combination is relatively uncommon, we used a large database to study the incidence of unplanned surgeries after surgical and nonsurgical treatment of distal metaphyseal ulna fractures associated with a distal radius fracture and identify factors associated with these unplanned surgeries. Patients and Methods  We identified 277 patients with an ulnar neck fracture associated with a distal radius fracture...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383278/variable-bone-density-of-scaphoid-importance-of-subchondral-screw-placement
#6
Morgan M Swanstrom, Kyle W Morse, Joseph D Lipman, Krystle A Hearns, Michelle G Carlson
Background  Ideal internal fixation of the scaphoid relies on adequate bone stock for screw purchase; so, knowledge of regional bone density of the scaphoid is crucial. Questions/Purpose  The purpose of this study was to evaluate regional variations in scaphoid bone density. Materials and Methods  Three-dimensional CT models of fractured scaphoids were created and sectioned into proximal/distal segments and then into quadrants (volar/dorsal/radial/ulnar). Concentric shells in the proximal and distal pole were constructed in 2-mm increments moving from exterior to interior...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383277/perilunate-dislocations-and-perilunate-fracture-dislocations-in-the-u-s-military
#7
John C Dunn, Logan R Koehler, Nicholas A Kusnezov, Elizabeth Polfer, Justin D Orr, Miguel A Pirela-Cruz, Justin S Mitchell
Background Perilunate dislocations and perilunate fracture dislocations (PLDs/PLFDs) are rare and often associated with poor outcomes. Heretofore, these outcomes have not been evaluated in a high-demand military population. Questions/Purpose The purpose of this study was to evaluate the outcomes in a young, active population after sustaining PLD/PLFD injuries. Patients and Methods We retrospectively reviewed the U.S. military service members who underwent surgical treatment for a PLD/PLFD (Current Procedural Terminology codes 25695 and 25685) between June 1, 2010, and June 1, 2014 through the Military Health System Management Analysis and Reporting Tool (M2) database, capturing patients with a minimum 2-year follow-up...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383276/long-term-outcome-and-secondary-operations-after-proximal-row-carpectomy-or-four-corner-arthrodesis
#8
John Barton Williams, Hadley Weiner, Andrew R Tyser
Background  Proximal row carpectomy (PRC) and four-corner arthrodesis (FCA) are common surgical procedures used to treat degenerative wrist conditions; however, complications and failures can occur. Purpose  This study aimed to investigate and compare the long-term rate of secondary surgeries including conversion to total wrist arthrodesis in patients who underwent PRC or FCA. Materials and Methods  A retrospective chart review of all patients who underwent PRC or FCA in the past 20 years at a tertiary referral institution and associated Veterans Affairs (VA) hospital was performed...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383275/outcomes-after-arthroscopic-debridement-of-the-triangular-fibrocartilage-complex-in-adolescents
#9
Sebastian Farr, Marion Schüller, Rudolf Ganger, Werner Girsch
Background  To the best of our knowledge, we are not aware of any reports focusing on results of arthroscopic debridement of triangular fibrocartilage complex (TFCC) tears in immature patients. Purpose  The purpose of this study was to evaluate our results after arthroscopic debridement of TFCC tears in adolescents. Materials and Methods  We retrospectively identified all patients of 18 years or less, who received an arthroscopic TFCC debridement due to a traumatic or degenerative tear according to Palmer...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383274/importance-of-computed-tomography-in-determining-displacement-in-scaphoid-fractures
#10
Emily Gilley, Sameer K Puri, Krystle A Hearns, Andrew J Weiland, Michelle G Carlson
Background  Displaced scaphoid fractures have a relatively high rate of nonunion. Detection of displacement is vital in limiting the risk of nonunion when treating scaphoid fractures. Questions/Purpose  We evaluated the ability to diagnose displacement on radiographs and computed tomography (CT), hypothesizing that displacement is underestimated in assessing scaphoid fracture by radiograph compared with CT. Materials and Methods  Thirty-five preoperative radiographs and CT scans of acute scaphoid fractures were evaluated by two blinded observers...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383273/pulley-reconstruction-for-symptomatic-instability-of-the-tendons-of-the-first-extensor-compartment-following-de-quervain-s-release
#11
Daan Renson, Koen Mermuys, Bert Vanmierlo, Francis Bonte, Petrus Van Hoonacker, Diederick Kerckhove, Bart Berghs, Jean F Goubau
Background  Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of the thumb) is very effective in diagnosing this instability. Patients and Methods  In this retrospective monocentric study, we analyzed a case series of 10 patients all of whom underwent a reconstruction of the first extensor compartment using a retinacular graft because of symptomatic instability after decompression surgery...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383272/angular-stable-miniplate-fixation-of-chronic-unstable-scaphoid-nonunion
#12
Philip M J Schormans, Peter R G Brink, Martijn Poeze, Pascal F W Hannemann
Background  Around 5 to 15% of all scaphoid fractures result in nonunion. Treatment of long-lasting scaphoid nonunion remains a challenge for the treating surgeon. Healing of scaphoid nonunion is essential for prevention of scaphoid nonunion advanced collapse and the subsequent predictable pattern of radiocarpal osteoarthritis. Purpose  The purpose of this study was to investigate the feasibility of fixation of the scaphoid nonunion with a volar angular stable miniplate and cancellous bone grafting. We hypothesized that this technique could be successful, even in patients with previous surgery for nonunion and in patients with a long duration of nonunion...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383271/survivorship-of-revision-wrist-replacement
#13
E M Pinder, K G Chee, M Hayton, S R Murali, S C Talwalkar, I A Trail
Purpose  This study aims to report the 5-year survivorship of revision wrist arthroplasties and to report midterm clinical and radiological results. Materials and Methods  All patients receiving a revision wrist arthroplasty in our unit between January 1, 1997 and October 31, 2010 were identified, and clinical notes retrospectively analyzed for Quick Disabilities of the Arm, Shoulder and Hand (quickDASH), Patient Evaluation Method (PEM), Patient-Rated Wrist Evaluation (PRWE), the range of movement, and visual analog score (VAS)...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383270/combined-fractures-of-the-scaphoid-and-distal-radius-evaluation-of-early-surgical-fixation-21-patients-with-22-wrists
#14
Yusuf Gürbüz, Tahir Sadık Sügün, Murat Kayalar
Introduction  The purpose of this retrospective study, is to evaluate the clinical and functional results of early surgical fixation of the ipsilateral distal radius and scaphoid fractures in 22 of 21 patients. Patients and Methods  Overall, 22 combined ipsilateral scaphoid, and distal radius fracture treatments between 2002 and 2015 were evaluated. The mean age was 34.9 (range: 19-82) years. One patient had bilateral injuries. In 17 patients the injury was due to a fall from a height, and in 4 patients due to a motorcycle accident...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383269/treatment-of-pisotriquetral-arthritis-by-pyrocarbon-interposition-arthroplasty
#15
Philippe Bellemère, Marion Aribert, Hussein Choughri, Marc Leroy, Etienne Gaisne
Purpose  Pisiformectomy is the baseline treatment for pisotriquetral arthritis when medical treatment fails to address the problem. This operation may lead to loss of mobility and strength in the wrist. This study reports the short-term outcomes of a new technique for treating pisotriquetral arthritis using a pisotriquetral interposition arthroplasty with a pyrocarbon implant. Patients and Methods  We performed a clinical and radiographic study on a series of eight patients who received this treatment at a mean follow-up of 2...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383268/mysterious-pisotriquetral-joint
#16
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29119975/erratum-microstructure-of-the-distal-radius-and-its-relevance-to-distal-radius-fractures
#17
Gregory Ian Bain, Simon Bruce Murdoch MacLean, Tom McNaughton, Ruth Williams
[This corrects the article DOI: 10.1055/s-0037-1602849.].
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29104819/significance-of-scapholunate-gap-width-as-measured-by-probe-from-midcarpal
#18
Steffen Löw, Holger Erne, Ute Strobl, Frank Unglaub, Christian K Spies
Background  Geissler's classification is widely accepted in arthroscopic diagnostics of scapholunate (SL) ligament injury. Thereby, probe insertion into the SL gap from the midcarpal would indicate treatment necessity in patients with SL tear as seen from radiocarpal view. Purpose  In this review, the SL gap width, examined by the probe from midcarpal, was arthroscopically assessed in patients with intact SL ligaments, who were treated for ulnar impaction syndrome. The review examined how often lax SL joints can be found in patients with no complaints with respect to the SL ligaments and in which the SL ligaments were proven to be intact from radiocarpal view...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085738/detections-of-screw-penetration-during-volar-plating-for-distal-radius-fractures
#19
Soo Min Cha, Hyun Dae Shin
Background  We evaluated the detection for screw penetration on the dorsal cortex of the radius in serial oblique, dorsal tangential, and radial groove radiographic views in volar plating fixation. Materials and Methods  Eight screw positions were set in each of the four cadaveric radii. Screw 1 was placed in the styloid subregion, whereas screws 2 and 3 were placed just proximal to the styloid and were defined for the radial region of the radius. Screws 4 (distal to the extensor pollicis longus [EPL] groove), 5 (the distal half of the groove), and 6 (the proximal half of the groove) were placed in the central region of the radius...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085737/echography-guided-pinning-for-prevention-of-iatrogenic-injuries-to-the-radial-nerve-during-fixation-of-extra-articular-distal-radius-fracture-an-anatomical-study
#20
Jérémie Bouillis, Stéphanie Lallouet, Mickaël Ropars
This study assesses the usefulness and feasibility of an osteosynthesis of the lower end of the radius under ultrasound imaging to avoid the superficial branch of the radial nerve (SBRN). A single operator performed an initial echography of the wrist of 12 cadaveric upper limbs to identify the three main branches of the SBRN and the tendons. Then, three pins were placed according to Kapandji's procedure, avoiding the structures spotted under ultrasound imaging. After dissection, the safety distances for the branches of the SBRN, dorsal extensor tendons, and veins were measured, and injuries to these structures were noted...
November 2017: Journal of Wrist Surgery
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