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Journal of Wrist Surgery

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https://www.readbyqxmd.com/read/28144499/journal-of-wrist-surgery-in-2017
#1
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119801/the-parc-lesion-a-proximal-avulsion-of-the-radiocarpal-capsule
#2
Francis Bonte, Christophe L Mathoulin
Purpose A proximal avulsion of the radiocarpal capsule (PARC) is a cause of persisting posttraumatic wrist pain. This lesion is often overlooked and left untreated during wrist arthroscopy. Materials and Methods A record review was performed on 13 patients with this lesion who underwent diagnostic wrist arthroscopy after failed conservative treatment. We retrospectively reviewed the results of an arthroscopic repair method in 13 patients. Results In 11 of the 13 consecutive cases the lesion was sutured using an arthroscopic dorsal capsule-ligamentous repair technique...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119800/ulna-rotation-osteotomy-in-complete-dislocation-of-the-distal-radioulnar-joint
#3
Markus Gabl, Rohit Arora, Eva Maria Gassner, Gernot Schmidle
Background Complete dislocation of the distal radioulnar joint (DRUJ) is a rare injury. Dislocation can present as uni- or multidirectional, acute or chronic, reducible or irreducible. It can occur due to isolated loss of ligamentous restraints or more frequent in Galeazzi - or Essex-Lopresti-type fractures. Case Description A 28-year-old man sustained a distal radius fracture and presented after conservative treatment with blocked supination. Examination revealed a malunion of the distal radius in combination with an irreducible dorsal dislocation of the DRUJ...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119799/isolated-tuberculosis-of-capitate-and-triquetrum
#4
Mustafa Karakaplan, Muhammed Köroğlu, Emre Ergen, Okan Aslantürk, Zeynep Maraş Özdemir, Kadir Ertem
Musculoskeletal system is involved in about 20% of the patients diagnosed with tuberculosis. Although musculoskeletal tuberculosis generally affects spine and large joints (hip and knee), hand involvement of the tuberculosis is seen in 10% of the patients with musculoskeletal involvement and also isolated tuberculosis of hand or wrist is much rarer. In the following report, we discuss the case of a 23-year-old male patient who was diagnosed with isolated tuberculosis of the capitate and triquetrum bone. The patient presented with a nonhealing sinus on the left wrist joint...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119798/meniscal-allograft-interposition-combined-with-proximal-row-carpectomy
#5
Murphy M Steiner, Matthew R Willsey, Frederick W Werner, Brian J Harley, Shay Klein, Kevin J Setter
Background Proximal row carpectomy (PRC) is contraindicated in wrists with preexisting arthritis of the proximal capitate or radiolunate fossa. Patients with these conditions frequently pursue wrist arthrodesis with its associated functional limitations. Questions/Purposes The purpose of this study was to evaluate the results of using lateral meniscal allograft interposition (LMAI), in combination with PRC, in patients with symptomatic wrist arthritis. The primary question is whether this allograft will allow wrist function comparable to that in patients having only a PRC...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119797/microfracture-for-ulnar-impaction-syndrome-surgical-technique-and-outcomes-with-minimum-2-year-follow-up
#6
David Kaufman, Jennifer Etcheson, Jeffrey Yao
Purpose The purpose of this study is to assess functional and patient-reported outcomes after lunate microfracture for management of lunate chondral lesions in the setting of ulnar impaction syndrome. Methods This was a retrospective review of all patients undergoing wrist arthroscopy for triangular fibrocartilage complex pathology by one surgeon from 2007 until 2010. Disabilities of the arm, shoulder, and hand (DASH) scores were assessed preoperatively and at minimum 2-year follow-up. Patient-rated wrist evaluation and bilateral wrist range of motion, grip strength, and key pinch strength were assessed at final follow-up...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119796/distal-radius-fractures-do-not-displace-following-splint-or-cast-removal-in-the-acute-postreduction-period-a-prospective-observational-study
#7
Brock D Foster, Lakshmanan Sivasundaram, Nathanael Heckmann, William C Pannell, Ram K Alluri, Alidad Ghiassi
Background Displacement of distal radius fractures has been previously described in the literature; however, little is known about fracture displacement following splint or cast removal at the initial clinic visit following reduction and immobilization. Purpose The purpose of this study was to evaluate risk factors for fracture displacement following splint or cast removal and physical examination in the acute postinjury period. Methods All patients with a closed distal radius fracture who presented to our orthopedic hand clinic within 3 weeks of injury were prospectively enrolled in our study...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119795/ao-distal-radius-fracture-classification-global-perspective-on-observer-agreement
#8
Prakash Jayakumar, Teun Teunis, Beatriz Bravo Giménez, Frederik Verstreken, Livio Di Mascio, Jesse B Jupiter
Background The primary objective of this study was to test interobserver reliability when classifying fractures by consensus by AO types and groups among a large international group of surgeons. Secondarily, we assessed the difference in inter- and intraobserver agreement of the AO classification in relation to geographical location, level of training, and subspecialty. Methods A randomized set of radiographic and computed tomographic images from a consecutive series of 96 distal radius fractures (DRFs), treated between October 2010 and April 2013, was classified using an electronic web-based portal by an invited group of participants on two occasions...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119794/the-oblique-metaphyseal-shortening-osteotomy-of-the-distal-ulna-surgical-technique-and-results-of-ten-patients
#9
Szabolcs Benis, Jean F Goubau, Koen Mermuys, Petrus Van Hoonacker, Bart Berghs, Diederick Kerckhove, Bert Vanmierlo
Background Ulnocarpal abutment is a common condition following distal radius fractures. There are different surgical methods of treatment for this pathology: open and arthroscopic wafer procedure or an ulnar shortening osteotomy. We describe an oblique metaphyseal shortening osteotomy of the distal ulna using two cannulated headless compression screws. We report the results of 10 patients treated with this method. Materials and Methods Out of 17 patients, 10 could be reviewed retrospectively for this study...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119793/preventable-repeat-wrist-arthroscopies-analysis-of-the-indications-for-133-cases
#10
Steffen Löw, Christian K Spies, Frank Unglaub, Jörg van Schoonhoven, Karl-Josef Prommersberger, Marion Mühldorfer-Fodor
Background Frequently, patients undergo repeated wrist arthroscopies for single wrist problems. Purpose The purposes of this study were to assess the indications for repeat wrist arthroscopies and to identify potentially preventable procedures. Methods For this retrospective, two-center study, the electronic patient records were examined for patients, who underwent repeat wrist arthroscopy in a 5-year period. The cases were sorted by the underlying pathologies and the causes that necessitated repeat arthroscopies...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119792/characterization-and-epidemiology-of-the-carpal-boss-utilizing-computed-tomography
#11
Christopher Goiney, Jack Porrino, Michael L Richardson, Hyojeong Mulcahy, Felix S Chew
Background The carpal boss is an osseous protuberance occurring variably along the dorsum of the second or third metacarpal base, lacking a standardized definition. Aim We sought to characterize the dorsal second and third carpometacarpal joints in the general population on computed tomography (CT) to better define this variant anatomy. Patients and Methods A total of 129 wrist CT studies were reviewed. Note was made of the dorsal second/third carpometacarpal osseous anatomy, the presence of regional bursitis or tenosynovitis, and relationship of the extensor carpi radialis brevis attachment to the base of the third metacarpal...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119791/combined-tenodesis-capsulodesis-for-scapholunate-instability-minimum-2-year-follow-up
#12
Pablo De Carli, Agustin G Donndorff, Miguel Tovar Torres, Jorge G Boretto, Gerardo L Gallucci
Background The aim of this study is to evaluate the clinical and radiological midterm results of a combined dorsal tenodesis-capsulodesis for static and reducible scapholunate dissociation (SLD). Patients and Methods We evaluated 20 of 22 consecutive patients with static SLD minimum with follow-up of 2 years operated between 2003 and 2012. The mean age was 40 years (range: 23-65 years). Seventeen were men. Final evaluation included comparative wrist range of motion (ROM) and grip strength, pre- and postoperative pain and function by visual analog scale, and QuickDASH and Wrightington scores...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119790/kienb%C3%A3-ck-disease-a-new-algorithm-for-the-21st-century
#13
David M Lichtman, William F Pientka, Gregory Ian Bain
Background It has been over 100 years since the initial description of avascular necrosis of the lunate. Over the last two decades, there has been the introduction of advanced information regarding the etiology, natural history, classification, and treatment options for lunate osteonecrosis. There have been new classifications developed based on advanced imaging, perfusion studies of lunate viability, and arthroscopic assessment of the articular cartilage. Purpose This article brings together a new treatment algorithm, incorporating the traditional osseous classification system (Lichtman) with the perfusion/viability classification (Schmitt) and the articular cartilage classification (Bain)...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27800288/greetings-from-new-editor-in-chief
#14
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27779256/erratum-the-etiology-and-pathogenesis-of-kienb%C3%A3-ck-disease
#15
Gregory Ian Bain, Simon Bruce Murdoch MacLean, Chong Jin Yeo, Egon Perilli, David M Lichtman
[This corrects the article DOI: 10.1055/s-0036-1583755.].
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777826/lunate-fragments-in-unstable-scaphoid-nonunion-wrists-affect-or-effect
#16
Paul W L Ten Berg, Mario Maas, Simon D Strackee
No abstract text is available yet for this article.
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777825/complications-of-wrist-arthroscopy-a-multicenter-study-based-on-10-107-arthroscopies
#17
Caroline Leclercq, Christophe Mathoulin
Background Wrist arthroscopy is now a routine procedure, regarded as safe. Complications are reported in the literature as being rare and mostly minor. Purpose The two goals of this study were to evaluate the incidence and nature of complications based on a very large multicenter retrospective study, and to investigate about a potential learning curve. Methods The authors sent a detailed questionnaire to all members of the European Wrist Arthroscopy Society (EWAS), inquiring about the number and types of complications encountered during their practice of wrist arthroscopy, and about their experience with the technique...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777824/the-course-of-the-terminal-posterior-interosseous-nerve-and-its-relationship-with-wrist-arthroscopy-portals
#18
Yongwei Pan, Leung-Kim Hung
Purpose The terminal branches of the posterior interosseous nerve (PIN) are the main articular branch on the dorsal aspect of the wrist. Its relationship to dorsal wrist arthroscopic portals has not yet been elucidated. The purpose of this study was to quantitatively describe the anatomical relationships between the dorsal wrist arthroscopic portals and the PIN. Methods Dorsal wrist arthroscopic portals were established in 28 cadaver extremities, after which the limbs were dissected. Measurements were taken from the portals to the PIN...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777823/ulnar-sided-wrist-pain-due-to-long-ulnar-styloid-a-case-report
#19
Zahab S Ahsan, Michael Rivlin, Jesse B Jupiter
Ulnar styloid impaction syndrome involves repetitive friction between an excessively long ulnar styloid and the carpus, resulting in chondromalacia, synovitis, and pain. The arthroscopic diagnosis, evaluation, and management of this syndrome are not well characterized. We present a patient with chronic wrist pain of unknown origin, culminating with arthroscopic findings demonstrating substantial loss of articular cartilage on both the lunate and triquetrum. The patient successfully underwent operative ulnar styloid excision, ultimately resolving chronic wrist pain symptomology...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777822/the-role-of-dynamic-4d-ct-in-the-detection-of-scapholunate-ligament-injury
#20
Sanjeev Kakar, Ryan E Breighner, Shuai Leng, Cynthia H McCollough, Steven L Moran, Richard A Berger, Kristin D Zhao
Background Scapholunate (SL) interosseus ligament injuries detected at an early stage could allow the surgeon to prevent progression through the spectrum of injury that leads to instability, and eventually osteoarthritis. We contend that early instability following injury can be detected by visualizing the relative motions and distances between the involved carpal bones (scaphoid and lunate) during wrist movement in vivo. The purpose of this study is to demonstrate the utility of dynamic CT (i.e., 4DCT) in diagnosing SL interosseus ligament injuries in two patients with clinical suspicion of SL interosseus ligament injury during flexion-extension (FE), radial-ulnar (RU) deviation, and dart thrower's (DT) motions...
November 2016: Journal of Wrist Surgery
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