keyword
https://read.qxmd.com/read/38517400/letter-to-the-editor-routine-mri-among-patients-with-a-suspected-scaphoid-fracture-risks-overdiagnosis
#1
JOURNAL ARTICLE
Joseph Bernstein
No abstract text is available yet for this article.
March 20, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38516202/dorsal-spanning-plate-fixation-in-perilunate-injuries-a-case-report
#2
Neil Jain, Justin Harder, Alexis Rounds, Caleb Gottlich, Bryant Flores, Bryan Bourland
A 63-year-old male presented with a trans-scaphoid lunate dislocation after a ten-foot fall. Internal fixation included placement of a dorsal spanning plate (DSP). One-year follow-up yielded a satisfactory outcome. A rigid DSP is a useful tool in acute perilunate injuries to protect internal fixation constructs and help with injury rehabilitation.
2024: Case Reports in Plastic Surgery & Hand Surgery
https://read.qxmd.com/read/38506444/scaphoid-fractures-in-adults-aged-50-years-or-older-epidemiology-and-association-with-osteopenia-and-nonunion
#3
JOURNAL ARTICLE
Julia C Mastracci, R Randall McKnight, Gabriella E Ode, Brianna Caraet, Susan M Odum, Erika G Gantt
BACKGROUND: Scaphoid fractures are less commonly reported in adults older than 50 years. The association between bone density and outcomes following scaphoid fractures has not been explored in this patient population. The second metacarpal cortical percentage (2MCP) has been shown to predict low bone density. The purpose of this study is to describe the epidemiology and radiographic characteristics associated with scaphoid fractures in adults older than 50 years, determine the prevalence of osteopenia defined by 2MCP, and evaluate the characteristics associated with scaphoid nonunion in this population...
March 20, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38505207/treatment-and-outcomes-of-missed-perilunate-dislocations-a-case-series
#4
Eliza Pelrine, Eric Larson, Aaron Freilich, A Rashard Dacus, Nicole Deal
Background  Perilunate dislocations are devastating injuries that occur relatively rarely, accounting for only 7% of injuries to the carpus. Unfortunately, approximately 25% of these injuries are missed on initial evaluation. Acutely diagnosed perilunate dislocations may be successfully treated with ligament and osseous repair, depending on the injury pattern. Chronic dislocations, however, are primarily treated with salvage procedures. This case series was performed to investigate the outcomes of patients who sustained a perilunate dislocation that was diagnosed in a delayed fashion and look for any treatment patterns that could be more widely applied to future patients...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505203/clinical-results-of-nonvascularized-metatarsal-articular-bone-grafting-for-osteochondral-defects-of-the-radiocarpal-and-distal-radioulnar-joint
#5
JOURNAL ARTICLE
Shirley D Stougie, Peter Hoogvliet, Lara Plugge, J Henk Coert
Background  Treatment of post-traumatic osteochondral defects in the radiocarpal and distal radioulnar joint with nonvascularized metatarsal articular bone grafting is an option to restore the joint (cartilage) surface and wrist function. Purpose  To evaluate the clinical midterm results of 10 consecutive patients who were treated with a nonvascularized metatarsal bone graft for cartilage bone defects of the lunate facet, scaphoid facet, sigmoid notch, or the radial part of the ulnar head. Patients and Methods  Patients with isolated osteochondral defects of the lunate facet, scaphoid facet, sigmoid notch, or radial part of the ulnar head, respectively, as a result of wrist trauma were retrospectively identified in a prospectively collected database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38501863/tendon-ball-arthroplasty-and-proximal-carpal-stabilization-with-tendon-graft-for-advanced-kienbock-s-disease
#6
JOURNAL ARTICLE
Wen Zhang, Peng Hou, Tianyi Wu, Pak-Cheong Ho, Luyuan Sun, Chunyang Wang
This study reports the surgical technique and outcomes of tendon ball arthroplasty combined with proximal carpal stabilization using the extensor carpi radialis longus tendon for treating advanced Kienbock's disease. The collapsed lunate is excised and a tendon ball inserted as a spacer. A distally based extensor carpi radials longus graft is passed through the scaphoid, tendon ball and triquetrum, reconstructing the proximal carpal row. In total, 16 patients were included and the mean follow-up was 25 months...
March 19, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38497549/nonunion-scaphoid-bone-shape-prediction-using-iterative-kernel-principal-polynomial-shape-analysis
#7
JOURNAL ARTICLE
Junjun Zhu, Junhao Zhao, Xianggeng Luo, Zikai Hua
BACKGROUND: The scaphoid is an important mechanical stabilizer for both the proximal and distal carpal columns. The precise estimation of the complete scaphoid bone based on partial bone geometric information is a crucial factor in the effective management of scaphoid nonunion. Statistical shape model (SSM) could be utilized to predict the complete scaphoid shape based on the defective scaphoid. However, traditional principal component analysis (PCA) based SSM is limited by its linearity and the inability to adjust the number of modes used for prediction...
March 18, 2024: Medical Physics
https://read.qxmd.com/read/38494164/clinical-features-and-classification-of-proximal-carpal-fracture-dislocation-through-the-radiocarpal-joint
#8
JOURNAL ARTICLE
Ge Xiong, Wei Zheng, Jin Zhu
Background: The most common types of wrist dislocation are trans-scaphoid lunate dislocation (TLD) and trans-scaphoid perilunate dislocation, in which the lunate and proximal scaphoid are dislocated through the midcarpal joint. There is another rare type of dislocation in which the proximal carpi are dislocated through the radiocarpal joint. The purpose of this study is to examine the clinical features of this type of dislocation. Methods: Six cases of the proximal carpal fracture dislocation via the radiocarpal joint were retrospectively reviewed...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38493295/capitate-proximal-fragment-migration-compressing-the-median-nerve-in-scaphocapitate-fracture-a-case-report
#9
JOURNAL ARTICLE
Vasileios Giannatos, Theodoros Stavropoulos, Charalampos Charalampous-Kefalas, Panagiotis Antzoulas, Andreas Panagopoulos, Zinon Kokkalis
BACKGROUND Scaphocapitate syndrome is a rare clinical entity consisting of a combined scaphoid and capitate fracture along with a 90- or 180-degrees rotation of the proximal capitate fragment. The syndrome is scarcely described in the literature, with proximal migration of the capitate fragment being reported only by Mudgal et al in 1995. Concurrent compression of the median nerve is a highly unfortunate event, suggesting a unique case presented here. CASE REPORT We present a unique case of scaphocapitate fracture-dislocation in a 25-year-old man with volar dislocation of the capitate's fragment deep to the median nerve...
March 17, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38488521/should-we-always-perform-scaphoid-nonunion-surgery-in-patients-with-minor-preoperative-symptoms
#10
JOURNAL ARTICLE
Abigael Cohen, Max Reijman, Ruud W Selles, Steven E R Hovius, Joost W Colaris
The objective of this study was to assess the downsides of surgical treatment of scaphoid fracture nonunion in patients with minor preoperative symptoms. Patients were classified with minor symptoms based on the Patient-Rated Hand/Wrist Evaluation questionnaire. Of the 35 included patients, most patients encountered problems with patient-specific activities; 9% reported worse postoperative functional outcomes, 34% were not satisfied with the treatment and 9% were reoperated. The risk of a worse functional outcome after surgery with the need for further operations and the chance of developing wrist osteoarthritis, along with the possibility of poor patient satisfaction and ongoing daily functional impairment, should be considered during preoperative counselling...
March 15, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38484846/comparison-between-scaphotrapeziotrapezoid-arthrodesis-and-pyrocardan%C3%A2-implant-for-isolated-scaphotrapeziotrapezoid-osteoarthritis
#11
JOURNAL ARTICLE
Martin Cholley-Roulleau, Gilles Dautel, François Dap, Gabriela Hossu, Philippe Bellemère, Lionel Athlani
INTRODUCTION: Scaphotrapeziotrapezoid (STT) arthrodesis and Pyrocardan® implant for painful isolated STT osteoarthritis have shown good results, but no paper has compared their medium-term outcomes. HYPOTHESES: Our main hypothesis would be that the Pyrocardan® implant, by preserving the carpal biomechanics, could lead to better wrist mobility. Our secondary hypotheses would be that no other clinical and radiological differences will be found between these two procedures at a mean 5 years follow-up...
March 12, 2024: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/38473040/deep-convolutional-neural-networks-provide-motion-grading-for-high-resolution-peripheral-quantitative-computed-tomography-of-the-scaphoid
#12
JOURNAL ARTICLE
Stefan Benedikt, Philipp Zelger, Lukas Horling, Kerstin Stock, Johannes Pallua, Michael Schirmer, Gerald Degenhart, Alexander Ruzicka, Rohit Arora
In vivo high-resolution peripheral quantitative computed tomography (HR-pQCT) studies on bone characteristics are limited, partly due to the lack of standardized and objective techniques to describe motion artifacts responsible for lower-quality images. This study investigates the ability of such deep-learning techniques to assess image quality in HR-pQCT datasets of human scaphoids. In total, 1451 stacks of 482 scaphoid images from 53 patients, each with up to six follow-ups within one year, and each with one non-displaced fractured and one contralateral intact scaphoid, were independently graded by three observers using a visual grading scale for motion artifacts...
March 6, 2024: Diagnostics
https://read.qxmd.com/read/38435207/the-medium-term-outcomes-of-patients-with-suspected-scaphoid-fractures-a-single-centre-retrospective-cohort-study
#13
JOURNAL ARTICLE
Chinmay Tijare
Background The medium-term outcomes of patients (six to 14 months post-injury) with non-specific wrist injuries managed as suspected scaphoid fractures are not clear from the current literature. These patients' wrists are immobilized in casts or splints, and some receive physiotherapy. They receive serial imaging and follow-up appointments as needed. Aims This study aims to describe the medium-term outcomes of patients with non-specific wrist injuries managed as suspected scaphoid fractures. Methods This is a single-centre retrospective cohort study...
February 2024: Curēus
https://read.qxmd.com/read/38416092/four-corner-fusion-versus-proximal-row-carpectomy-for-scapholunate-advanced-collapse-and-scaphoid-nonunion-advanced-collapse-wrist-a-systematic-review-and-meta-analysis
#14
JOURNAL ARTICLE
Keegan M Hones, Kevin A Hao, Taylor R Rakauskas, Sebastian Densley, Hailey Hampton, Jongmin Kim, Thomas W Wright, Harvey Chim
PURPOSE: Although proximal row carpectomy (PRC) has increasingly been shown to have superior features to four-corner fusion (4CF), individual surgeons may remain convinced of the superiority of one procedure based on personal experience and individual biases. Hence, we sought to perform an updated meta-analysis with some of the largest studies to date to compare outcomes and complications between these procedures in the treatment of scapholunate advanced collapse and scaphoid nonunion advanced collapse wrists...
February 27, 2024: Journal of Hand Surgery
https://read.qxmd.com/read/38411097/predictors-of-true-scaphoid-fractures-in-children
#15
JOURNAL ARTICLE
Daniel Milad, Aneesh Karir, Kevin Smit, Sasha Carsen, Kevin Cheung
BACKGROUND: The scaphoid is the most commonly fractured carpal bone in children. True scaphoid fractures have proven to be difficult to diagnose, as they may not be apparent on initial imaging. Children with clinical suspicion of a scaphoid fracture may be treated with continued immobilization, even in the absence of radiographic evidence of a fracture. The purpose of this study is to identify predictors of true scaphoid fractures in children to help guide management. METHODS: This study is a retrospective cohort study of children presenting to a tertiary pediatric hospital with hand or wrist injuries...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38377892/a-comparative-study-of-image-quality-and-diagnostic-confidence-in-diagnosis-and-follow-up-of-scaphoid-fractures-using-photon-counting-detector-ct-and-energy-integrating-detector-ct
#16
JOURNAL ARTICLE
Nina Kämmerling, Erik Tesselaar, Ronald Booij, Lotta Fornander, Anders Persson, Simon Farnebo
PURPOSE: Scaphoid fractures in patients and assessment of healing using PCD-CT have, as far as we know, not yet been studied. Therefore, the aim was to compare photon counting Detector CT (PCD-CT) with energy integrating detector CT (EID-CT) in terms of fracture visibility and evaluation of fracture healing. METHOD: Eight patients with scaphoid fracture were examined with EID-CT and PCD-CT within the first week post-trauma, and with additional scans at 4, 6 and 8 weeks...
February 17, 2024: European Journal of Radiology
https://read.qxmd.com/read/38374856/concurrent-palmar-lunate-dislocation-and-posterior-elbow-dislocation-with-a-distal-radius-fracture-a-rare-case-report
#17
Ousama Jelti, Abdelilah Barzouq, Oussama El Alaoui, Najib Abdeljaouad, Hicham Yacoubi
We present an unusual case involving the simultaneous dislocation of the trans-scapho-retro-lunate in the right wrist and a posterolateral dislocation in the right elbow joint with a distal radius fracture in a 23-year-old male with no notable medical history. These injuries occurred when he fell from a height of around 12 meters onto his outstretched right hand. The patient presented to the hospital in a normal upper limb trauma position with no discomfort to critical functions. Predominant symptoms at the emergency department were discomfort in the right wrist, hand, and ipsilateral elbow, as well as the entire upper limb functional impairment...
January 2024: Curēus
https://read.qxmd.com/read/38354948/reasons-for-scaphoid-non-union-analysis-of-behavior-of-health-care-providers-and-patients
#18
JOURNAL ARTICLE
Raffael Labèr, Géraldine Lautenbach, Andreas Schweizer
To assess factors related to health-system and patient behavior in scaphoid fracture non-union, a retrospective analysis of 134 patients treated by scaphoid reconstruction was performed. Mean age at the accident was 26 years (range, 9-75 years), and the mean age at surgery was 28 years (range, 13-75 years). Mean time to first consultation was 233 days (range, 0-12,136 days), and time to surgery 740 days (range, 19-12,362 days). The physician was mainly a general practitioner (52.2%), or an orthopedist/traumatologist (17...
February 12, 2024: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/38341564/3d-printed-guide-assisted-percutaneous-screw-fixation-for-minimally-displaced-scaphoid-waist-fractures-with-delayed-diagnosis-or-presentation
#19
JOURNAL ARTICLE
Cunmin Rong, Qinglin Zhang, Shaobo Zhu, Guanghui Zhang, Junhao Zeng, Qingluan Han, Yang Guo
OBJECTIVES: To Investigate the value of 3D printed guide-assisted percutaneous management of minimally displaced scaphoid waist fractures(Herbert's B2) with delayed diagnosis or presentation. METHODS: From October 2018 to February 2022, 10 patients with established delayed diagnoses and presentation of minimally displaced scaphoid waist fractures were treated with 3D printed guides assisted with percutaneous internal fixation without bone grafting. This technique was based on the patient's preoperative CT and imported into the software...
February 10, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38340306/arthroscopic-surgery-for-scaphoid-nonunion-a-10-year-systematic-literature-review
#20
REVIEW
Alberto Rinaldi, Federico Pilla, Ilaria Chiaramonte, Davide Pederiva, Fabio Vita, Francesco Schilardi, Andrea Gennaro, Cesare Faldini
The purpose of the study was to investigate whether arthroscopic treatment of carpal scaphoid nonunions by osteosynthesis with bone grafting represents a successful surgical technique. This systematic literature review, conducted following the PRISMA guidelines, explores the past 10 years of clinical studies concerning the arthroscopic treatment of scaphoid nonunions. The most relevant keywords were used to search the databases, and the Downs and Black 27-item checklist has been used as quality assessment tool...
February 10, 2024: Musculoskeletal Surgery
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