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Fractured wrist

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https://www.readbyqxmd.com/read/29913928/pain-related-fear-catastrophizing-and-pain-in-the-recovery-from-a-fracture
#1
J Linton Steven, Nina Buer, Lars Samuelsson, Karin Harms-Ringdahl
Background and aims Pain-related fear and catastrophizing are prominently related to acute and persistent back pain, but little is known about their role in pain and function after a fracture. Since fractures have a clear etiology and time point they are of special interest for studying the process of recovery. Moreover, fracture injuries are interesting in their own right since patients frequently do not recover fully from them and relatively little is known about the psychological aspects. We speculated that catastrophizing and fear-avoidance beliefs might be associated with more pain and poorer recovery after an acute, painful fracture injury...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913431/five-decade-delayed-closed-flexor-tendon-rupture-due-to-galeazzi-dislocation-fracture-associated-with-beh%C3%A3-et-syndrome-a-case-report
#2
Masato Ohara, Ryo Oda, Shogo Toyama, Yusei Katsuyama, Hiroyoshi Fujiwara, Toshikazu Kubo
INTRODUCTION: Closed flexor tendon rupture after a malunited distal radius fracture is rare and usually becomes apparent early after the fracture. Most cases are accompanied by a severe distal radio-ulnar joint capsule injury, wherein bone protrusion (as a spur) directly stresses the tendons. We experienced a nonspecific flexor tendon rupture associated with an old fracture and the presence of collagen disease. PRESENTATION OF CASE: A 63-year-old woman presented with delayed complete rupture of the flexor digitorum profundus (FDP) of the fifth digit...
May 29, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29912658/wrist-malpractice-claims-in-northern-norway-2005-2014-lessons-to-be-learned
#3
Jan Norum, Lise Balteskard, Mette Willumstad Thomsen, Hebe Desiree Kvernmo
Rough weather conditions in the subarctic areas of Norway may influence on the risk of wrist fracture. We implemented data from the Norwegian System of Patient Injury Compensation (NPE). All claims due to wrist surgery, performed at the public hospitals in Northern Norway, during 2005-2014 were analyzed. We employed the ICD-10 classification codes S52.5 (fracture of distal end of radius) and S52.6 (fracture of distal end of radius and ulna). Treatment was defined by NCSP codes. 84 patients (0.3%) complained...
December 2018: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29909060/quantification-of-bone-microstructure-in-the-wrist-using-cone-beam-computed-tomography
#4
Karen Mys, Filip Stockmans, Evie Vereecke, G Harry van Lenthe
Due to the rising life expectancy, bone diseases (e.g. osteoporosis, osteoarthritis) and trauma (e.g. fracture) have become an important socio-economic burden. Accurate visualization and quantification of the bone microstructure in vivo is seen as an important step to enhance diagnosis and treatment. Micro-computed tomography (microCT) has become the gold standard in three-dimensional (3D) imaging of trabecular bone structure. Yet, usage is limited to ex vivo analyses, hence, it cannot be used to evaluate bone and bone adaptive responses in a patient...
June 14, 2018: Bone
https://www.readbyqxmd.com/read/29908930/the-effect-of-computed-tomography-scans-oriented-along-the-longitudinal-scaphoid-axis-on-measurements-of-deformity-and-displacement-in-scaphoid-fractures
#5
Adnan N Cheema, Paul J Niziolek, David Steinberg, Bruce Kneeland, Nikolas H Kazmers, David Bozentka
PURPOSE: Reformatting computed tomography (CT) scans along the scaphoid longitudinal axis improves the ability to detect scaphoid fractures compared with reformats along the wrist axis. However, it remains unclear whether scaphoid axis reformats affect measurements of displacement or deformity, which are factors that drive the clinical decision to perform open reduction internal fixation. Our null hypothesis was that reformatting CT scans along the scaphoid axis does not affect measurements of fracture displacement and deformity...
June 13, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29908929/association-between-radiological-and-patient-reported-outcome-in-adults-with-a-displaced-distal-radius-fracture-a-systematic-review-and-meta-analysis
#6
Marjolein A M Mulders, Robin Detering, Daniel A Rikli, Melvin P Rosenwasser, J Carel Goslings, Niels W L Schep
PURPOSE: To evaluate the association between alignment, as determined by plain radiographs, and patient-reported outcome in adults with a displaced distal radius fracture. We also determined which specific radiological parameters are associated with patient-reported outcomes. METHODS: We performed a systematic literature search to identify studies that evaluated the association between radiological and patient-reported outcome in adults with a displaced distal radius fracture and who had an average follow-up of at least 12 months...
June 13, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29903542/outcomes-of-radial-nerve-grafting-in-children-after-distal-humerus-fracture
#7
Jayme Bertelli, Francisco Soldado, Marcos F Ghizoni
PURPOSE: To report the results of radial nerve grafting in 7 children who sustained a radial nerve injury following a distal humeral fracture. METHODS: Seven children, mean age 6 years (range, 4-11 years), underwent nerve grafting for radial nerve injuries following distal humeral fractures. The mean interval between injury and surgery was 6.7 months (range, 6-9 months). In all cases, 3 sural nerve graft cables were used, of mean length 8.6 cm (range, 6-12 cm)...
June 11, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29901651/intraoperative-sonography-may-reduce-the-risk-of-extensor-pollicis-longus-tendon-injury-during-dorsal-entry-elastic-intramedullary-nailing-of-the-radius-in-children
#8
Marcell Varga, Nikoletta Gáti, Tamás Kassai, Szilvia Papp, Sándor Pintér
Extensor pollicis longus tendon (EPL) injury is a potential complication of dorsal entry radial elastic nailing technique in children. The aim of this study was to investigate if intraoperative ultrasonographic guidance can reduce the risk of (EPL) injury.Correlation between sonographic and operative findings were examined first in 6 adult cadavers. Position of Lister's tubercle, EPL, and extraosseal end of the elastic nail were detected by ultrasound imaging during a minimally invasive dorsal entry nailing...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29898933/pulled-elbow-in-children
#9
Syunsuke Yamanaka, Ran D Goldman
Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting? Answer Pulled elbow, also called nursemaid's elbow , is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon...
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29894391/dorsolateral-biplane-closing-radial-osteotomy-and-lunate-fixation-for-stage-iiic-kienb%C3%A3-ck-disease-a-new-surgical-approach
#10
Sergi Barrera-Ochoa, David Campillo-Recio, Tryno Muñoz-Perdomo, Ignacio Esteban-Feliu, Gerardo Mendez-Sanchez, Xavier Mir-Bullo
The treatment of advanced-stage Kienböck disease (KD) remains highly controversial. Particularly important is stage IIIC KD, which includes patients with a lunate coronal fracture. The purpose of this paper was to describe a new approach to KD in patients with Lichtman stage IIIC KD, and our results using it. The procedure combines a dorsolateral biplane closing radial osteotomy and lunate fixation. A total of 11 patients from January 2002 through December 2016 with documented KD who underwent this technique were included...
June 11, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29894330/identifying-and-treating-traumatic-hand-and-wrist-injuries
#11
Michelle Kavin, Frederic E Liss
Proper identification and management of traumatic hand and wrist injuries is critical to preventing loss of function, nerve damage, joint instability, persistent pain, and delay in indicated surgery. This article uses case studies to help clinicians make accurate diagnoses and treatment plans. Physical examination findings, radiograph results, and treatment plans are reviewed for four traumatic hand and wrist fractures or dislocations.
June 11, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29892575/percutaneous-treatment-for-waist-and-proximal-pole-scaphoid-fractures
#12
Antônio Lourenço Severo, Rodrigo Cattani, Filipe Nogueira Schmid, Haiana Lopes Cavalheiro, Deodato Narciso de Castro Neto, Marcelo Barreto de Lemos
Objective: Analyze the percutaneous fixation technique for scaphoid fractures in the waist of the scaphoid and the proximal pole, and demonstrate its result. Methods: A retrospective cross-cohort study conducted from January 2005 to April 2015, aiming at the consolidation time, epidemiological profile, level of function, return to work, and complications. Results: Twenty-eight patients were selected, with a mean of eight weeks of follow-up...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29891269/the-use-of-distal-ulnar-hounsfield-units-to-predict-future-fragility-fracture-risk
#13
Theodora C Dworak, Scott C Wagner, Kyle E Nappo, George C Balazs, Patrick D Grimm, Donald F Colantonio, Scott M Tintle
PURPOSE: Distal ulnar Hounsfield unit (HU) measurements obtained from computed tomography (CT) scans of the wrist can be used to accurately screen for low bone mineral density. It is unknown whether HU measurements can also predict the risk of future fragility fractures. Therefore, the purpose of this study was to determine if the HU values of the distal ulna correlate to fragility fracture risk. METHODS: An electronic database of radiographs at a single institution was searched for all wrist CT scans, obtained for any reason, between January 1, 2002, and December 31, 2008, to allow a minimum of 5-year follow-up...
June 8, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29891266/bennett-fractures-a-biomechanical-model-and-relevant-ligamentous-anatomy
#14
Jason R Kang, Anthony W Behn, Joseph Messana, Amy L Ladd
PURPOSE: This study examined a palmar beak fracture model to determine which thumb carpometacarpal (CMC) joint ligament is the primary ligament relevant to the pattern of injury. METHODS: Six fresh-frozen cadaveric wrists were used. The radius, ulna, and first metacarpal were secured and tested with a materials testing system, holding the wrist in 20° extension, 20° ulnar deviation, and 30° palmar abduction of the first metacarpal. Testing consisted of preconditioning cycles followed by compressive loading at 100 mm/s...
June 8, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29890810/-analysis-of-curative-effect-of-reconstruction-of-annular-ligament-combined-with-internal-fixation-for-the-treatment-of-monteggia-fracture
#15
Li Huang, Xiang Chen, Wei Lin, Zhi-Peng Li, Hao Huang, Chen Huang
OBJECTIVE: To investigate the curative effect of fascia reconstruction of annular ligament combined with internal fixation for the treatment of Monteggia fracture. METHODS: From December 2014 to October 2016, 30 cases with Monteggia fracture were treated by fascia reconstruction of annular ligament combined with internal fixation including 18 males and 12 females with an average age of 34.6 years old ranging from 6 to 50 years old. Elbow joint function were evaluated according to Mackay efficacy evaluation criteria...
May 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29890804/-manipulative-reduction-and-plaster-external-fixation-for-the-treatment-of-the-scaphoid-fracture-and-perilunate-dislocation
#16
Xin Zhang, Qiang Wei, Fang Ji, Da-Ke Tong, Hao Tang, Hao Zhang, Jin-Guo Yu, Ji-Dong Yang, Rui Cui, Ning-Ning Huo
OBJECTIVE: To investigate the efficacy and complications of manual reduction and external fixation for the treatment of scaphoid fractures and perilunate dislocations. METHODS: From January 2009 to January 2013, 43 patients suffered from scaphoid fractures and perilunate dislocations were retrospective analyzed. Among them, 17 cases were treated with manipulative reduction and plaster external fixation as conservation group including 10 males and 7 females, the other 26 cases were treated with application of surgical as operation group including 15 males and 11 females...
May 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29890803/-treatment-of-distal-radius-fracture-with-manual-reduction-and-external-fixation-with-small-splint-steel-support-external-fixation
#17
Shan-Qiang Xu, Yu Zhang, Wen-Ju Zhang, Ping Li
OBJECTIVE: To evaluate the short-term result for the treatment of distal radius fracture with manual resetting and fixing with small splint. METHODS: From January 2015 to December 2016, 60 cases of distal radial fractures were treated by manual resetting and small splint fixation including 39 males and 21 females with an average age of (43.50±10.56) years old ranging from 18 to 65 years old. According to AO classification, 38 cases were type A, 19 cases were type B, 3 cases were type C...
May 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29889155/antegrade-percutaneous-intramedullary-fixation-technique-for-metacarpal-fractures-prospective-study-on-150-cases
#18
Lorenzo Rocchi, Gianfranco Merendi, Luigi Mingarelli, Francesco Fanfani
OBJECTIVES: The aim of our study was to assess the results of antegrade percutaneous intramedullary Kirschner wire (K-wire) fixation, for the treatment of unstable displaced metacarpal fractures in a large number of cases, in order to support the usage of this mini-invasive technique in the largest variety of fractures as possible. MATERIAL AND METHODS: Every patient meeting the inclusion criteria was treated with closed reduction and antegrade intramedullary fixation with 1 or 2 K-wire from January 2013...
June 7, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29885926/fracture-incidence-and-secular-trends-between-1989-and-2013-in-a-population-based-cohort-the-rotterdam-study
#19
Katerina Trajanoska, Josje D Schoufour, Ester A L de Jonge, Brenda C T Kieboom, Marlies Mulder, Bruno H Stricker, Trudy Voortman, Andre G Uitterlinden, Edwin H G Oei, M Arfan Ikram, M Carola Zillikens, Fernando Rivadeneira, Ling Oei
Fracture incidence needs to be evaluated over time to assess the impact of the enlarging population burden of fractures (due to increase in lifespan) and the efficacy of fracture prevention strategies. Therefore, we aimed to evaluate the association of femoral neck bone mineral density (FN-BMD) measured using dual-energy X-ray absorptiometry (DXA) at baseline with fracture risk over a long follow-up time period. Incident non-vertebral fractures were assessed in 14,613 individuals participating in the Rotterdam Study with up to 20 years of follow-up...
June 7, 2018: Bone
https://www.readbyqxmd.com/read/29879465/using-bayesian-evidence-synthesis-to-estimate-fracture-risk-associated-with-hormonal-therapy-in-breast-cancer
#20
Ava A John-Baptiste, Taryn Becker, Kinwah Fung, Lorraine L Lipscombe, Peter C Austin, Geoffrey M Anderson
OBJECTIVE: To conduct a Bayesian evidence synthesis using commonly available statistical procedures in order to estimate fracture risk for postmenopausal women undergoing hormonal therapy for breast cancer. STUDY DESIGN AND SETTING: Using linked administrative data, we conducted a retrospective cohort study of women age 66 or older diagnosed with stage I to III breast cancer in Ontario, Canada, between April 1, 2003 and February 28, 2010. We used data augmentation to perform Bayesian Cox regression of the hazard of a hip, spine or wrist/forearm fracture, adjusting for age, history of fragility fracture, corticosteroid use, osteoporosis, rheumatoid arthritis, dementia or diabetes diagnoses...
June 4, 2018: Journal of Clinical Epidemiology
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