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Journal of Wrist Surgery

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https://www.readbyqxmd.com/read/29119975/erratum-microstructure-of-the-distal-radius-and-its-relevance-to-distal-radius-fractures
#1
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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/29085736/the-suction-test-a-novel-technique-to-identify-and-verify-successful-repair-of-peripheral-triangular-fibrocartilage-complex-tears
#5
Ryan M Greene, Sanjeev Kakar
Background  The diagnoses of peripheral triangular fibrocartilage complex (TFCC) tears continue to be the subject of numerous investigations. Case Description  We describe a novel arthroscopic technique that may be used as an adjunct with other arthroscopic maneuvers to diagnose and confirm repair of peripheral sided TFCC injuries. Literature Review  The hook and trampoline tests are intraoperative techniques to diagnose TFCC tears. Clinical Relevance  The suction test provides a means to detect peripheral tears and to confirm restoration of its tension post repair...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085735/osteochondral-autograft-transplantation-for-proximal-lunate-articular-defects
#6
Michael P Gaspar, Sidney M Jacoby, Paul A Marchetto, Peter F DeLuca, Randall W Culp
BACKGROUND:  No consensus treatment option for focal osteochondral defects of the proximal lunate exist in the literature. Surgical management has thus far been limited to salvage procedures such as proximal row carpectomy and partial arthrodesis. CASE DESCRIPTION:  We report our experience using the osteochondral autograft transplantation surgery (OATS) procedure in two young, active patients with focal osteochondral defects of the proximal lunate. At mean follow-up of 6 years, sustained improvements in pain, motion, and function were observed...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085734/ligaments-reconstruction-for-posttraumatic-ulnar-translocation-of-the-carpus-a-case-report
#7
Marco Innocenti, Margaret Woon Man Fok, Federico Piacentini
Background  Posttraumatic ulnar translocation of the carpus, a result of radiocarpal ligament tear is a relatively rare condition that may lead to persistent wrist pain and loss of function. Case Description  We report a case of radiocarpal ligament tear of which we reconstruct it with a vascularized interosseous membrane with 13 years of follow-up. Literature Review  Many treatment options have been proposed for the posttraumatic ulnar translocation, ranging from open repair to partial wrist fusion. However, the long term results have been disappointing...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085733/microstructure-of-the-distal-radius-and-its-relevance-to-distal-radius-fractures
#8
Gregory Ian Bain, Simon Bruce Murdoch MacLean, Tom McNaughton, Ruth Williams
Background  There is a paucity of information on the microstructure of the distal radius, and how this relates to its morphology and function. Purpose  This study aims to assess the microanatomical structure of the distal radius, and relate this to its morphology, function, and modes of failure. Methods  Six dry adult skeletal distal radii were examined with microcomputed tomography scan and analyzed with specialist computer software. From 3D and 2D images, the subchondral, cortical, and medullary trabecular were assessed and interpreted based on the overall morphology of the radius...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085732/preexisting-carpal-and-carpometacarpal-osteoarthritis-has-no-impact-on-function-after-distal-radius-fractures
#9
Jonah Hébert Davies, Hugo Centomo, Stéphane Leduc, Pierre Beaumont, G-Yves Laflamme, Dominique M Rouleau
Background  Functional outcomes of distal radius fractures vary widely regardless of treatment methods. Purpose  This study aims to verify whether preexisting carpal and carpometacarpal (CMC) osteoarthritis (OA) will negatively impact wrist functional outcome in patients with distal radius fractures. Patients and Methods  A retrospective case-control study was done using a prospective trauma database. Patients were matched 1:1 in two groups based on the presence of wrist or carpal arthritis (OA). The groups were matched for sex, follow-up, and treatment type...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085731/radial-column-excision-and-four-corner-fusion-for-the-treatment-of-basal-thumb-arthritis-and-scapholunate-advanced-collapse-wrist-or-midcarpal-arthritis
#10
Avanthi Mandaleson, Michael Wagels, Stephen K Tham
Background  The combination of trapeziometacarpal arthritis and intercarpal pattern of degenerative wrist arthritis is uncommon. Purpose  To report on the clinical and radiologic results of patients who have undergone radial column excision (scaphoidectomy and trapeziectomy) (RCE) and four-corner fusion (4CF). We describe the patterns of disease that present with basal thumb and midcarpal arthritis and treatment outcomes of a single-surgeon series. Patients and Methods  A consecutive series of seven patients underwent RCE and 4CF over a 2-year period, for basal thumb osteoarthritis with concurrent degenerative midcarpal wrist arthritis...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085730/influence-of-cortical-comminution-and-intra-articular-involvement-in-distal-radius-fractures-on-clinical-outcome-a-prospective-multicenter-study
#11
Mats Å Wadsten, Gunnar G Buttazzoni, Göran O Sjödén, Bakir Kadum, Arkan S Sayed-Noor
Aim  The purpose of this prospective multicenter study was to test the predictive value of cortical comminution and intra-articular involvement on function and quality of life in distal radius fractures (DRFs) using the Buttazzoni's classification system. Patients and Methods  We studied 406 patients between skeletal maturity and 74 years of age with DRF. Fractures with acceptable radiographic alignment were immobilized with a cast. Fractures with nonacceptable radiographic alignment underwent closed reduction and 4 to 6 weeks cast immobilization...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085729/at-home-photography-based-method-for-measuring-wrist-range-of-motion
#12
Samir K Trehan, Schneider K Rancy, Parker H Johnsen, Howard J Hillstrom, Steve K Lee, Scott W Wolfe
Purpose  To determine the reliability of wrist range of motion (WROM) measurements based on digital photographs taken by patients at home compared with traditional measurements done in the office with a goniometer. Methods  Sixty-nine postoperative patients were enrolled in this study at least 3 months postoperatively. Active and passive wrist flexion/extension and radial/ulnar deviation were recorded by one of the two attending surgeons with a 1-degree resolution goniometer at the last postoperative office visit...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085728/dorsal-wrist-pain-in-the-extended-wrist-loading-position-an-mri-study
#13
Erin M Nance, David J Byun, Yoshimi Endo, Scott W Wolfe, Steve K Lee
Background  The etiology of dorsal wrist pain associated with loading of the wrist in extension has not been clearly identified in the literature. Purpose  Many exercise disciplines incorporate upper extremity weight-bearing exercises in an extended wrist posture, for example push-ups, plank position, and various yoga and Pilates poses. This study evaluates patients with dorsal wrist pain in the extended wrist-loading position and identifies anatomic abnormalities in the wrist using magnetic resonance imaging (MRI)...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085727/palmer-midcarpal-instability-an-algorithm-of-diagnosis-and-surgical-management
#14
Pak-Cheong Ho, Wing-Lim Tse, Clara Wing-Yee Wong
Background  Palmar midcarpal instability (PMCI) is an uncommon form of nondissociative carpal instability. However, it is an important cause of chronic ulnar wrist pain. Diagnosis can be difficult and high index of suspicion is mandatory. Pathomechanics and optimal treatment of PMCI remain uncertain. We propose an algorithm of clinical diagnosis and evaluate the outcome of our management. Materials and Methods  Between 2000 and 2011, 16 patients, including 7 males and 9 females, of a mean age of 33.9 diagnosed with PMCI were reviewed for their clinical, radiologic, and arthroscopic features...
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29085726/journal-of-wrist-surgery-in-2018
#15
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725511/erratum-the-parc-lesion-a-posterior-avulsion-of-the-radiocarpal-capsule
#16
Francis Bonte, Christophe L Mathoulin
[This corrects the article DOI: 10.1055/s-0036-1584162.].
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725510/a-critical-appraisal-of-vascularized-bone-grafting-for-scaphoid-nonunion
#17
Ram K Alluri, Christine Yin, Matthew L Iorio, Hyuma Leland, Wendy J Mack, Ketan Patel
Background  Vascularized bone grafting (VBG) has the potential to yield reliable results in scaphoid nonunion; however, results across studies have been highly variable. This study critically evaluates surgical techniques, fracture location, and patient selection in relation to radiographic, clinical, and patient-centered outcomes after VBG for scaphoid nonunion. Methods  We conducted a systematic review of the literature for the use of VBG in scaphoid nonunion. Physical examination, radiographic, and patient-centered outcomes were assessed...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725509/saving-tendons-on-distal-radius-fractures-a-simple-surgical-pearl-to-prevent-fpl-tendon-conflict-with-volar-locking-plates
#18
Gustavo Mantovani Ruggiero
Injury to the flexor pollicis longus (FPL) tendon is one of the most frequent complications when fixing distal radius fractures with the volar locking plates. The author proposed a simple surgical technique providing a reliable soft tissue protection to prevent friction on the FPL with the volar locking plate, using a flap of the FCR sheath sutured to attachments of the volar capsule on the lunate buttress facet of the distal radius.
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725508/the-anatomy-of-the-dorsal-capsulo-scapholunate-septum-a-cadaveric-study
#19
Marina Tommasini Carrara de Sambuy, Tanya Michelle Burgess, Adeline Cambon-Binder, Christophe L Mathoulin
Background  Tears of the dorsal radiocarpal capsule at the level of the scapholunate interosseous ligament (SLIL) have recently been described in association with predynamic scapholunate instability. Purpose  The aim of this anatomical study of the dorsal capsulo-scapholunate septum (DCSS) was to examine the connection of the dorsal capsule on the SLIL and dorsal intercarpal ligament (DICL). Methods  Fourteen fresh frozen wrists from seven adult cadavers were dissected through a dorsal approach. Any dorsal attachment of the DICL on the dorsal surface of the SLIL, that is, the DCSS, was identified and measured (height and width)...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725507/giant-cell-tumor-of-the-capitate-treated-with-excision-and-midcarpal-fusion
#20
Ayat Allah Oufkir, Cyril Lazerges, Bertrand Coulet, Michel Chammas
Background  Giant cell tumor (GCT) of bone is rare in the carpus, and only 11 cases have been reported in the capitate bone. The problem with this location is the high recurrence rate due to easy extension to the adjacent joint spaces and bones. We describe a case of GCT on the capitate bone and the treatment in comparison with the previously reported cases. Case Description  The case report concerns a 48-year-old woman with a GCT of the capitate diagnosed on curettage. The treatment consisted of large resection with the lunatum and third metacarpal arthrodesis, with a successful union at 2 years follow-up, no recurrence, and an improved function of the wrist...
August 2017: Journal of Wrist Surgery
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