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Journal of Wrist Surgery

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https://www.readbyqxmd.com/read/29578547/response-to-an-aberrant-abductor-digiti-minimi-muscle-crossing-the-guyon-s-canal-with-intermittent-compression-of-nerve-crucial-diagnostic-role-of-nerve-and-muscle-ultrasound
#1
COMMENT
YongSeok Nam, SeungHwan Hwang, SuRak Eo
No abstract text is available yet for this article.
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576926/an-aberrant-abductor-digiti-minimi-muscle-crossing-guyon-s-canal-with-intermittent-compression-of-nerve-crucial-diagnostic-role-of-nerve-and-muscle-ultrasound
#2
Riccardo Luchetti, Luca Padua, Daniele Coraci, Ilaria Paolasso, Valter Santilli
No abstract text is available yet for this article.
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576925/effects-of-ulnar-styloid-fractures-on-unstable-distal-radius-fracture-outcomes-a-systematic-review-of-comparative-studies
#3
Sami Almedghio, Mohammed Shoaib Arshad, Fayez Almari, Indranil Chakrabarti
Purpose  In this literature review, functional outcomes such as Disability of Arm, Shoulder and Hand (DASH) score and the visual analog scale (VAS) of pain along with clinical outcomes such as range of movement and grip strength of treated distal radius fractures (DRF) accompanied with ulnar styloid fractures (USF) will be compared with those with isolated DRF. Materials and Methods  We analyzed articles from MEDLINE, Embase, and CINAHL that met our predetermined inclusion and exclusion criteria as per the Preferred Reporting Items for Systematic Reviews and Meta-analysis statements...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576924/arthroscopic-synovectomy-combined-with-autologous-fat-grafting-in-early-stages-of-cmc-osteoarthritis-of-the-thumb
#4
Robert Kemper, Johanna Wirth, Eva-Maria Baur
Background  Minimal invasive treatments such as arthroscopic techniques may be adequate to restore the anatomy and functional integrity of the thumb CMC (carpometacarpal) joint. In this paper, we reported the interposition of autologous fat tissue in combination with arthroscopic synovectomy/debridement for early stage of the thumb CMC joint osteoarthritis. Patients and Methods  Twelve patients with a mean age of 46 years with early radiological stages of thumb CMC joint osteoarthritis were included. Evaluation of outcome was measured prior and 3, 12, and 24 months after surgery including, Visual Analog Scale (VAS), QuickDASH, grip and pinch strength, range of motion (ROM), and patient satisfaction...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576923/ulnar-lengthening-reconstruction-of-interosseous-membrane-in-treatment-of-osteochondroma
#5
Marcio Aurelio Aita, Fabio Lucas Rodrigues, Rodrigo Montemor Bernardo, Daniel Rebolledo, Danilo Barronovo, Gustavo Mantovanni Ruggiero
Background:  We aim to measure the quality of life and clinical and functional outcomes of a patient who had undergone ligament reconstruction of the forearm interosseous membrane, using brachioradialis tendon more ulna distraction osteogenesis in treatment with multiple cartilaginous exostosis. Case Description:  We present a 11-year-old boy with congenital deformity in his right, dominant forearm,Type IIb by Masada classification. Distraction of the ulna, resection of exostosis, and reconstruction of the distal part of the interosseous membrane was performed...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576922/botox-and-thumb-mcp-radial-collateral-ligament-reconstruction
#6
Robert A Cates, Jeffrey S Brault, Sanjeev Kakar
Background  We report the use of botulinum toxin to aid in the treatment of chronic radial collateral ligament insufficiency of the thumb. Case Description  Treatment included autograft tendon reconstruction and cast immobilization. Six weeks postoperatively, prior to hand therapy, the patient underwent an ultrasound-guided botulinum neurotoxin A injection into the adductor pollicis muscle to negate its deforming forces on the reconstruction. The patient made an excellent recovery and 1 year postoperatively was pain free and had a stable radial collateral ligament (RCL) upon examination...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576921/morphological-associations-between-the-distal-radioulnar-joint-and-the-lunate
#7
Flavien Mauler, Jean-Yves Beaulieu
Background  Variations in morphology of the carpal bones have been described. Their implication in wrist disease and specific kinematic features has been recognized, and a better knowledge of these variations is essential. Questions/Purpose  To radiographically determine any association between the morphological variations of the distal radioulnar joint (DRUJ) and the lunate bone. Materials and Methods  Radiographs of 100 wrists of patients presenting to the emergency department with wrist pain and referred to our outpatient clinic were retrospectively reviewed for DRUJ inclination, ulnar variance, and radiocarpal and midcarpal morphology of the lunate...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576920/cadaveric-testing-of-a-novel-scapholunate-ligament-reconstruction
#8
Lana Kang, Christopher J Dy, Mike T Wei, Krystle A Hearns, Michelle G Carlson
Background  Existing scapholunate interosseous ligament (SLIL) reconstruction techniques include fixation spanning the radiocarpal joint, which do not reduce the volar aspect of the scapholunate interval and may limit wrist motion. Questions/Purpose  This study tested the ability of an SLIL reconstruction technique that approximates both the volar and dorsal scapholunate intervals, without spanning the radiocarpal joint, to restore static scapholunate relationships. Materials and Methods  Scapholunate interval, scapholunate angle, and radiolunate angle were measured in nine human cadaveric specimens with the SLIL intact, sectioned, and reconstructed...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576919/treatment-of-ulnar-impaction-syndrome-with-and-without-central-tfc-lesion
#9
Steffen Löw, Alexandra Herold, Frank Unglaub, Kai Megerle, Holger Erne
Background  Arthroscopic debridement of the triangular fibrocartilage (TFC) is well accepted in patients with ulnar impaction syndrome with central TFC lesions. Treatment remains controversial, however, when there is no such lesion from radiocarpal view. Purpose  This study assessed the clinical outcome of arthroscopic central TFC resection and debridement and secondary ulnar shortening in patients with ulnar impaction with central TFC lesion compared with patients without TFC lesion. Patients and Methods  Thirty-two consecutive patients with ulnar impaction syndrome were arthroscopically treated, 16 of whom had a central lesion of the TFC that was debrided...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576918/nonspanning-total-wrist-arthrodesis-with-a-low-profile-locking-plate
#10
Schneider K Rancy, Eugene T Ek, Sophia Paul, Robert N Hotchkiss, Scott W Wolfe
Purpose  This study aims to compare the outcomes and complications of our technique for nonspanning total wrist arthrodesis using a locking plate with the standard carpometacarpal spanning technique. Methods  A retrospective review of charts was performed to identify patients who underwent total wrist arthrodesis by the senior author (S.W.W.). We compared the outcomes of 15 cases of nonspanning wrist fusion with a 2.4/2.7 mm locking T plate to 11 cases of spanning wrist fusion with a 2.7/3.5 mm locking compression plate...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576917/results-of-the-universal-2-prosthesis-in-noninflammatory-osteoarthritic-wrists
#11
M E Brinkhorst, R W Selles, J J Dias, H P Singh, R Feitz, T M Moojen, S E R Hovius
Background/Purpose  Many treatment options are available for wrist osteoarthritis, with the objective of decreasing pain and preserving function. In later stages when midcarpal and radiocarpal osteoarthritis occur, two choices remain: total wrist arthrodesis or total wrist arthroplasty. The purpose of this study is to present the short-term functional changes following total wrist arthroplasty with the Universal 2 total wrist system (Integra Life Sciences) in patients with noninflammatory wrist osteoarthritis...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576916/deferring-routine-wrist-radiography-does-not-affect-management-of-de-quervain-tendinopathy-patients
#12
Nikolas H Kazmers, Tiffany C Liu, Chia H Wu, David R Steinberg, David J Bozentka, L Scott Levin, Benjamin L Gray
Background  Obtaining wrist radiographs prior to surgeon evaluation may be wasteful for patients ultimately diagnosed with de Quervain tendinopathy (DQT). Questions/Purpose  Our primary question was whether radiographs directly influence treatment of patients presenting with DQT. A secondary question was whether radiographs influence the frequency of injection and surgical release between cohorts with and without radiographs evaluated within the same practice. Patients and Methods  Patients diagnosed with DQT by fellowship-trained hand surgeons at an urban academic medical center were identified retrospectively...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576915/a-new-wrist-clinical-evaluation-score
#13
Guillaume Herzberg, Marion Burnier, Toshiyasu Nakamura
Background  The number of available wrist scoring systems is limited; some of them do not include forearm rotation criteria. Purpose  To describe a new electronic wrist clinical score and to present a new patient's generated wrist evaluation criterion, the subjective wrist value (SWV). Materials and Methods  A new electronic wrist clinical score, the Lyon wrist score (LWS) including wrist VAS pain and function, active range of motion and strength was built into an excel file. VAS flexion-extension pain and function were evaluated independently from pronation-supination pain and function...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576914/biomechanics-of-an-articulated-screw-in-acute-scapholunate-ligament-disruption
#14
Matthew E Hiro, Corey J Schiffman, Muturi G Muriuki, Robert M Havey, Leonard I Voronov, Randy R Bindra
Background  An injury to the scapholunate interosseous ligament (SLIL) leads to instability in the scapholunate joint. Temporary fixation is used to protect the ligament during reconstruction or healing of the repair. Rigid screw fixation-by blocking relative physiological motion between the scaphoid and lunate-can lead to screw loosening, pullout, and fracture. Purpose  This study aims to evaluate changes in scaphoid and lunate kinematics following SLIL injury and the effectiveness of an articulating screw at restoring preinjury motion...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576913/current-management-of-scaphoid-nonunion-based-on-the-biomechanical-study
#15
Kunihiro Oka, Hisao Moritomo
Scaphoid nonunion causes abnormal wrist kinematics and typically leads to carpal collapse and subsequent degenerative arthritis of the wrist. However, the natural history, including carpal collapse and degenerative arthritis of scaphoid nonunion, may vary at different fracture locations. This article reviews recent biomechanical studies related to the natural history of scaphoid nonunion. In the distal-type fractures (type B2 in Herbert classification), where the fracture located distal to the scaphoid apex, the proximal scaphoid fragment and lunate, which are connected through the dorsal scapholunate interosseous ligament (DSLIL) and dorsal intercarpal ligament (DIC), extend together, and the distal fragment of the scaphoid flexes individually...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576912/current-concept-in-the-treatment-of-scaphoid-nonunion
#16
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383283/arthroscopic-scaphoid-3d-test-for-scapholunate-instability
#17
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
#18
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
#19
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
#20
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
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