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https://www.readbyqxmd.com/read/28208956/a-comprehensive-study-of-internal-distraction-plating-an-alternative-method-for-distal-radius-fractures
#1
Mohit J Jain, Kinjal J Mavani
INTRODUCTION: The management of highly comminuted distal radius fractures still remains a major treatment challenge. Articular comminution and compromised bone quality are the culprits. One novel approach is the technique of Internal Distraction Plating which involves "bridging" the fracture with the use of a standard 3.5mm plate applied dorsally in distraction from the radius, proximal to the fracture, to the long finger metacarpal distally, bypassing the comminuted segment. The plate is removed once fracture union has been achieved...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28208953/open-reduction-and-volar-plate-fixation-of-dorsally-displaced-distal-radius-fractures-a-prospective-study-of-functional-and-radiological-outcomes
#2
Arjun Ballal, Anand Kumar Sadasivan, Anoop Hegde, Ashwin Shetty
INTRODUCTION: The fractures of the distal radius have always posed a unique challenge to the orthopaedic fraternity. The complex ligamentous and bony anatomy offers a wide variety of fractures to be dealt with around this zone. Over the years these injuries have become common especially in the elderly age group as well as the implants and surgical techniques have improved. AIM: To assess the radiological and functional outcome after fixation of intra-articular dorsally displaced distal radius fractures with open reduction and volar Locking Compression Plate fixation (LCP)...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28205486/isolated-dislocation-of-fourth-carpometacarpal-joint-case-report
#3
K P Venkatesh, B Sunil, N V Ankith, Anupama B R
We present a case of dislocation of the fourth carpometacarpal joint without associated fractures. This is the first case to be reported in the literature. Carpal injuries are uncommon; it is even rare for isolated carpometacarpal dislocation to occur without associated fractures. The injury is difficult to diagnose because of the swelling of the hand and may be missed on several occasions. A lateral radiograph of the wrist has been found to be mandatory to its precise diagnosis if suspected. Early recognition and anatomical reduction are essential in achieving good long-term outcomes...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28205485/asymptomatic-flexor-tendon-damages-after-volar-locking-plate-fixation-of-distal-radius-fractures
#4
Susumu Tokunaga, Yoshihiro Abe
BACKGROUND: To investigate asymptomatic flexor tendon damages after volar locking plate fixation of distal radius fractures in 32 wrists of 32 patients with distal radius fractures fixed using two plate types. Sixteen patients received the Acu-Loc volar distal radius plate, and the remaining 16 patients received the Aptus distal radius correction plate. METHODS: The flexor pollicis longus (FPL) tendon and flexor digitorum profundus were evaluated according to intraoperative findings at plate removal...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28197353/scaphoid-fracture-in-a-patient-with-a-scaphotrapezial-synostosis-a-case-report-and-literature-review
#5
Soliman Noureldin, Mohammed Ali, Farshid Fallahi, Thomas Dehler
Introduction. Scaphotrapezial synostosis has been rarely reported in the literature and only one case underwent surgical treatment for scaphoid fracture. Presentation of Case. A 15-year-old male presented with a painful left wrist following a fall. The initial radiographs showed a displaced scaphoid proximal pole fracture and a Scaphotrapezial synostosis. The fracture was then fixed percutaneously with satisfactory outcome. Discussion. Scaphotrapezial synostoses are very rare and most found in patients with multiple congenital anomalies or as part of a hereditary syndrome...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28196544/diagnostic-error-in-the-emergency-department-follow-up-of-patients-with-minor-trauma-in-the-outpatient-clinic
#6
Pieter-Jan Moonen, Luc Mercelina, Willem Boer, Tom Fret
BACKGROUND: The Emergency Department (ED) is prone to diagnostic error. Most frequent diagnostic errors involved "minor" trauma. Our goal was to determine how frequently a missed diagnosis was detected during follow up and to determine the frequency and causes of primary missed diagnosis and diagnostic error. METHODS: A retrospective single centre study review, during 6 months including all patients presenting to the outpatient clinic after ED admission with a minor trauma...
February 14, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28196444/intra-articular-comminution-worsens-outcomes-of-distal-radial-fractures-treated-by-open-reduction-and-palmar-locking-plate-fixation
#7
J O Yoon, S L You, J K Kim
: We studied 50 patients with AO type C2 distal radial fractures and 35 with AO type C3 distal radial fractures treated by open reduction and palmar locking plate fixation. At 3-month clinical assessments, mean wrist flexion arcs, grip strengths and disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures. At 2-year post-operative clinical assessments, mean disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures than for AO type C3 fractures...
March 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28193139/the-relationship-between-radiological-alignment-of-united-distal-radius-fractures-and-functional-and-patient-perceived-outcomes-in-elderly-patients
#8
Erik Hohmann, Mahendrakumar Meta, Vasudev Navalgund, Kevin Tetsworth
PURPOSE: The purpose of this study was to investigate the relationship between radiological alignment and functional outcomes including strength, range of motion (ROM), and disabilities of the arm, shoulder, and hand (DASH) and patient-rated wrist evaluation (PRWE) scores in elderly patients with united distal radius fractures. METHODS: We reviewed 118 patients (mean age of 76.2 ± 9.5 years, mean follow-up 36.3 ± 17.6 months). Outcome measures included the DASH and PRWE scores, ROM, and grip and pinch strength were measured using a validated mobile hand-held dynamometer...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28191366/radiological-and-functional-outcome-of-displaced-colles-fracture-managed-with-closed-reduction-and-percutaneous-pinning-a-prospective-study
#9
Sagar Panthi, Kishor Khatri, Krishna Kharel, Subin Byanjankar, Jay R Sharma, Rahul Shrestha, Raju Vaishya, Amit Kumar Agarwal, Vipul Vijay
BACKGROUND: Displaced Colles' fractures are treated by manipulation and below elbow cast application. Malunion is a common complication, resulting in pain, mid-carpal instability, and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique that helps prevent displacement of the fracture, thereby minimizing complications. This study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with Kirschner wires (K-wires) and its correlation with the functional outcome of the wrist after union...
January 6, 2017: Curēus
https://www.readbyqxmd.com/read/28184356/how-trustworthy-are-clinical-examinations-and-plain-radiographs-for-diagnosis-of-scaphoid-fractures
#10
Mohammad Reza Ghane, Mohammad Saeid Rezaee-Zavareh, Mohammad Kazem Emami-Meibodi, Vahid Dehghani
BACKGROUND: Sometimes patients with a scaphoid fracture, especially in an acute phase of injury, can have normal radiographs and, therefore, initial diagnosis of the scaphoid fracture may be neglected. In this study, we determined the value in of clinical examination and a radiograph in the diagnosis of scaphoid fracture based on the results of a two-week follow-up magnetic resonance imaging (MRI). OBJECTIVES: In this study, sought to assess the value of using both a clinical examination (tenderness of scaphoid tubercle, tenderness of anatomical snuffbox, and compression test) and radiographic imaging in the diagnosis of scaphoid fractures based on the results after a two-week follow-up MRI...
November 2016: Trauma Monthly
https://www.readbyqxmd.com/read/28183230/arthroscopic-assisted-tendon-reconstruction-for-triangular-fibrocartilage-complex-irreparable-tears
#11
R Luchetti, A Atzei
We report our 11-year experience of performing arthroscopically assisted triangular fibrocartilage complex reconstruction in the treatment of chronic distal radio-ulnar joint instability resulting from irreparable triangular fibrocartilage complex injuries. Eleven patients were treated. Three skin incisions were made in order to create radial and ulna tunnels for passage of the tendon graft, which is used to reconstruct the dorsal and palmar radio-ulnar ligaments, under fluoroscopic and arthroscopic guidance...
February 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28181465/the-effect-of-ulnar-variance-on-scapholunate-and-capitolunate-angles
#12
Ozgur Tosun, Atilla Hikmet Çilengir, Berna Dirim Mete, Muhsin Engin Uluc, Orhan Oyar, Aliye Tosun
Background Ulnar variance (UV), which is measured using anteroposterior (AP) X-rays, is associated with the development of multiple wrist pathologies. The scapholunate angle (SLA) and capitolunate angle (CLA) are measured using lateral X-rays, and these can be used in the diagnosis of intercalated segmental instability. Purpose To determine the effect of UV on SLA and CLA. Material and Methods A total of 140 patients (73 women, 67 men; mean age, 37.8 ± 14.6 years; 95% confidence interval [CI], 35.4-40...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28179058/corrective-osteotomy-is-an-effective-method-of-treating-distal-radius-malunions-with-good-long-term-functional-results
#13
M A M Mulders, P N d'Ailly, B I Cleffken, N W L Schep
INTRODUCTION: Malunion occurs in approximately 23% of non-operatively treated and 11% of operatively treated distal radius fractures. The decision whether to correct a malunion is primarily based on functional impairment and wrist pain. The purpose of this study was to assess the long-term functional outcomes of corrective osteotomies for symptomatic malunited distal radius fractures. METHODS: All consecutive corrective osteotomies of the distal radius performed in one centre between January 2009 and January 2016 were included...
January 31, 2017: Injury
https://www.readbyqxmd.com/read/28174223/fall-related-attendance-and-associated-hospitalisation-of-children-and-adolescents-in-hong-kong-a-12-year-retrospective-study
#14
James Chun-Yin Lee, Keith Tsz-Suen Tung, Tim M H Li, Frederick Ka-Wing Ho, Patrick Ip, Wilfred Hing-Sang Wong, Chun-Bong Chow
OBJECTIVES: The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong. DESIGN: A retrospective approach was adopted. SETTING: AED, involving all local public emergency departments from 2001 to 2012. PARTICIPANTS: 63 557 subjects aged 0-19 years with fall injury record were included in the analysis...
February 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28169860/a-rare-complete-metacarpal-pseudoepiphysis-in-a-teenager-with-a-scaphoid-fracture
#15
Rachel B Geffen, Ricardo E Colberg
A 13-yr-old adolescent boy presented with wrist pain after falling off a scooter onto his outstretched hand. Radiographs revealed a nondisplaced hairline fracture of the scaphoid bone and an irregular radiolucent line in the proximal metaphysis of the second metacarpal bone, consistent with an anomalous growth plate, or complete pseudoepiphysis. Complete pseudoepiphysis is a rare finding, with only a few cases reported. Learning about the common locations of growth plates and the radiographic differences between normal, injured, and anomalous growth plates can help decrease physician error and improve patient outcomes...
February 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28164054/a-very-rare-presentation-of-type-1-monteggia-equivalent-fracture-with-ipsilateral-fracture-of-distal-forearm-approach-with-outcome-case-report
#16
Dhananjay Singh, Bhanu Awasthi, Vikas Padha, Sanjay Thakur
INTRODUCTION: We report a case of Type 1 Monteggia equivalent injury with intact radio-capitellar congruity, associated with epiphyseal fracture of distal radius and distal ulna shaft in an 11-year-old boy. There are only a few cases of Monteggia or Monteggia equivalent injury with ipsilateral forearm fractures in children, and injury pattern being reported by us is not only rare but also the only case reported thus far to the best of our knowledge, Sood et al. described Type 1 equivalent with epiphyseal injuries of both radius and ulna Osada et al...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28160904/the-vascular-anatomy-of-the-capitate-new-discoveries-using-micro-computed-tomography-imaging
#17
Assaf Kadar, Mohamed Morsy, Yoo-Joon Sur, Alexis T Laungani, Osman Akdag, Steven L Moran
PURPOSE: To study the intraosseous 3-dimensional microvasculature of the capitate bone using a novel high-resolution micro-computed tomography (μCT) imaging technology, and to examine the blood supply as it relates to the most common fracture types. METHODS: Ten cadaveric wrists were injected with a lead-based contrast agent. The capitates were harvested and imaged using a μCT scanner. The intraosseous vascularity was incorporated into a 3-dimensional image. We measured the vascular pattern as well as the vessels' cross-sectional area, number, and distribution...
February 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28155059/outcomes-and-financial-implications-of-intra-articular-distal-radius-fractures-a-comparative-study-of-open-reduction-internal-fixation-orif-with-volar-locking-plates-versus-nonoperative-management
#18
Dong Hao Toon, Rex Antony Xavier Premchand, Jane Sim, Rajaratnam Vaikunthan
BACKGROUND: To evaluate the functional and radiographic outcomes, as well as the treatment costs, of closed displaced intra-articular distal radius fractures treated with either open reduction internal fixation (ORIF) with volar locking plates or nonoperative treatment with plaster cast immobilisation. MATERIALS AND METHODS: A total of 60 patients (32 receiving ORIF, 28 receiving nonoperative treatment) with closed intra-articular distal radius fractures were included...
February 2, 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/28142350/giant-cell-tumor-of-distal-radius-treated-with-ulnar-translocation-and-wrist-arthrodesis
#19
Abhijeet Ashok Salunke, Jaymin Shah, Vikas Warikoo, Amit Chakraborty, Harshwardhan Pokharkar, Yongsheng Chen, Manish Pruthi, Jyotindra Pandit
INTRODUCTION: The aim is to analyze the functional outcomes of patients of giant cell tumor (GCT) of distal radius treated with ulnar translocation and wrist arthrodesis. METHODS: Study included 25 patients of aggressive GCT of distal radius, resected and reconstructed using ulnar translocation and wrist arthrodesis. The ulna-carpal radius fixation was performed with plate and screws. The patients were followed to bony union and minimum follow-up was 1 year. RESULT: Twenty-two patients were of Campanacci grade 3 and three patients were of Campanacci grade2...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28139307/the-efficiency-of-bedside-ultrasonography-in-patients-with-wrist-injury-and-comparison-with-other-radiological-imaging-methods-a-prospective-study
#20
Ahmet Burak Oguz, Onur Polat, Muge Gunalp Eneyli, Behnan Gulunay, Merve Eksioglu, Serdar Gurler
STUDY OBJECTIVE: Our aim was to determine the efficiency of ultrasound (US) scanning in patients with wrist trauma admitted to the emergency department and to compare US diagnostic usage with other radiological imaging methods. METHODS: Patients who presented to the emergency department with wrist injury and who met the inclusion criteria and exclusion criteria were eligible. For all patients, US evaluation of the whole wrist was performed by an emergency physician before other radiological imaging methods (radiographies, computed tomography (CT) and magnetic resonance (MR) imaging)...
January 26, 2017: American Journal of Emergency Medicine
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