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https://www.readbyqxmd.com/read/29908932/comparison-of-open-and-closed-hand-fractures-and-the-effect-of-urgent-operative-intervention
#1
Shobhit V Minhas, Louis W Catalano
PURPOSE: To establish and compare the incidence of 30-day postoperative infection in surgically managed open and closed metacarpal and phalangeal fractures, and to determine whether open fractures treated urgently had a lower incidence of postoperative infection. METHODS: We conducted a retrospective analysis of patient demographics, comorbidities, and 30-day infection rates of patients undergoing operative fixation of metacarpal, proximal, or middle phalanx fractures from 2008 to 2015 using the American College of Surgeons' National Surgical Quality Improvement Program database...
June 13, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29782446/minimally-invasive-proximal-interphalangeal-joint-arthrodesis-using-headless-screw-surgical-technique
#2
Elizabeth A Newman, Maria C Orbay, Fiesky A Nunez, Fiesky Nunez
Proximal interphalangeal (PIP) joint arthritis causes debilitating hand pain and instability leading to significant functional impairment. Arthrodesis remains the gold standard for treatment of PIP arthritis. We present a minimally invasive PIP arthrodesis that provides rigid fixation with a headless compression screw. Seven patients who presented to the senior author with PIP joint arthritis underwent PIP arthrodesis by minimally invasive technique. A 1 cm transverse incision is made over the PIP joint, incising skin, central band, and articular capsule...
June 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29737368/-minimally-invasive-correction-of-lesser-toe-deformities-and-treatment-of-metatarsalgia
#3
REVIEW
M Thomas, M Jordan
OBJECTIVE: Atraumatic and joint-sparing procedure for the correction of lesser toe deformities by using a linear or perpendicular osteotomy of the proximal and/or middle phalanx of the lesser toes with additional capsulotomies or tendon dissection for soft tissue realignment. Metatarsalgia is addressed via an extracapsular distal metaphyseal crescentic-like metatarsal osteotomy. INDICATIONS: Symptomatic lesser toe deformities, painful pseudoexostosis, metatarsalgia, symptomatic metatarsal malalignment, metatarsus adductus...
May 8, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29721438/correlations-between-the-equine-metacarpophalangeal-joint-angulation-and-toe-conformation-in-statics
#4
Jenny Hagen, Kaid Kojah, Michael Geiger
The angulation of the equine fetlock determines the load of associated tendons and probably their predisposition for injuries. However, it is questionable how the individual toe conformation and tendon properties interact with the dorsal metacarpophalangeal joint angle (DMPJ). Data are needed for a tangible evaluation of the equine limb conformation for more specific orthopaedic treatment. The aim was to evaluate the correlation between the DMPJ, toe conformation and cross-sectional area (CSA) of both flexor tendons; the superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT)...
2018: Open Veterinary Journal
https://www.readbyqxmd.com/read/29706729/use-of-a-multivector-mandibular-distractor-for-treatment-of-pediatric-proximal-interphalangeal-joint-pilon-fractures-a-case-based-review
#5
Rachel Pedreira, Brian H Cho, Angela Geer, Ramon A DeJesus
Background: The difficulties in surgical treatment of pilon fractures of the finger include fragment reconstitution and posthealing stiffness. In adults, external fixation with traction and early active range of motion (AROM)/passive range of motion (PROM) during healing is considered necessary for avoiding joint stiffness and attaining realignment. The authors present a unique approach to pediatric pilon fractures that uses open reduction and multivector external fixation with delayed AROM/PROM...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29703018/multiple-unexpected-lesions-of-metachondromatosis-detected-by-technetium-99m-methylene-diphosphonate-spect-ct-a-case-report
#6
Zi Wang, Yuting Zou, Yu Chen, Yue Chen
RATIONALE: Metachondromatosis (MC) is a very rare genetic disease, which is infrequently reported worldwide, which leads to osteochondroma and enchondromatosis. The disease has been shown to be associated with loss of function of the tumor suppressor gene "protein tyrosine phosphatase, non-receptor type 11" (PTPN11). PATIENT CONCERNS: A 12-year-old female was admitted to the hospital with pain due to an enlarged mass in her left fifth finger. DIAGNOSIS: Examination of the left hand by computed tomography (CT) revealed an expanding type of round and low-density lesion in the fifth proximal phalanx...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29667031/the-prevalence-and-ossification-pattern-of-the-biphalangeal-and-triphalangeal-lateral-toes
#7
Marcin Ceynowa, Marek Rocławski, Rafał Pankowski, Tomasz Mazurek
PURPOSE: Biphalangealism of the toes is an exclusively human phenomenon. The aim of this study was to evaluate the development of the lateral toes in childhood by following the ossification pattern of the phalanges. METHODS: Foot radiographs of 913 adults have been evaluated for biphalangealism of 3rd to 5th toe. The pediatric group, aged 6-15 years of age, was assessed for the number of ossification centers in the foot. RESULTS: In adults, the mean prevalence of biphalangealism in the 5th toe was 41...
April 17, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29625635/management-of-proximal-interphalangeal-joint-fracture-dislocations
#8
REVIEW
Nicholas M Caggiano, Carl M Harper, Tamara D Rozental
Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Unfortunately, these injuries are commonly written off and left untreated. A late-presenting PIP joint fracture dislocation has a poor chance of regaining normal range of motion...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29590700/-results-of-the-reconstruction-of-the-middle-phalangeal-base-of-the-finger-through-an-osteochondral-autograft-from-the-hamate-bone
#9
Thomas Pillukat, Karlheinz Kalb, Joachim Windolf, Jörg van Schoonhoven
OBJECTIVE: The fractured base of the middle phalanx was reconstructed in 13 patients using an osteochondral transplant from the carpometacarpal joint surface of the hamate bone. The goal was to restore joint stability with preservation of mobility. Indications were acute and missed isolated destruction of the palmar middle phalanx base ≥ 30 %. Contraindications were destruction of the head of the proximal phalanx, advanced chondropathy of the head of the proximal phalanx, and extensive soft tissue injury with loss of skin coverage for the proximal interphalangeal joint...
February 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29590699/-midterm-results-after-sole-percutaneous-treatment-for-central-impression-fractures-of-the-base-of-the-middle-phalanx
#10
Hendrik Schöll, Wolfgang Hintringer, Martin Mentzel
PURPOSE: This study investigated the midterm results after sole percutaneous treatment for central depression fractures of the base of the middle phalanx. PATIENTS AND METHODS: 19 men and 2 women with an average age of 31.9 (18 - 57) years with a central depression fracture of the middle phalanx treated solely by intramedullary reposition with a bended K-wire and percutaneous K-wire fixation were followed on average of 13.2 (3 - 40) months. RESULTS: At the time of the last follow-up, all patients were able to pursue their previous occupational activity as well as their usual leisure activities and were painfree (VAS 0)...
February 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29579022/new-developments-are-improving-flexor-tendon-repair
#11
Jin Bo Tang
New developments in primary tendon repair in recent decades include stronger core tendon repair techniques, judicious and adequate venting of critical pulleys, followed by a combination of passive and active digital flexion and extension. During repair, core sutures over the tendon should have sufficient suture purchase (no shorter than 0.7 to 1 cm) in each tendon end and must be sufficiently tensioned to resist loosening and gap formation between tendon ends. Slight or even modest bulkiness in the tendon substance at the repair site is not harmful, although marked bulkiness should always be avoided...
June 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29547935/effects-of-riot-control-training-on-systemic-microvascular-reactivity-and-capillary-density
#12
Flavio Pereira, Roger de Moraes, Diogo Van Bavel, Andrea De Lorenzo, Eduardo Tibirica
Introduction: The main aim of the present study is to evaluate the effects of strenuous exercise, related to special military training for riot control, on systemic microvascular endothelial function and skin capillary density. Materials and Methods: Endothelium-dependent microvascular reactivity was evaluated in the forearm skin of healthy military trainees (age 23.4 ± 2.3 yr; n = 15) using laser speckle contrast imaging coupled with cutaneous acetylcholine (ACh) iontophoresis and post-occlusive reactive hyperemia (PORH)...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29505436/intramedullary-percutaneous-fixation-of-extra-articular-proximal-and-middle-phalanx-fractures
#13
Nebojsa Jovanovic, Ehab Aldlyami, Basem Saraj, Mohamed Fm Seidam, Hamed Badawi, Ahmed Shaat, Khalid Alawadi, Chaitanya Dodakundi
Multiple methods have been described for treating unstable proximal and middle phalangeal fractures. Irrespective of using an open or closed technique of fixation, stiffness and extensor lag at the proximal/distal interphalangeal joint almost always occur. This issue can be avoided by allowing the patients to mobilize the fingers out of plaster or splint as early as possible from the day of surgery. We describe a technique of intramedullary percutaneous fixation of extra-articular proximal and middle phalanx fractures allowing immediate mobilization of fingers, concurrent stabilization with progressive healing and thus preventing such complications...
March 2, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29462647/novel-pathogenic-recql4-variants-in-chinese-patients-with-rothmund-thomson-syndrome
#14
Baoheng Gui, Yanning Song, Xuyun Hu, Hongdou Li, Zailong Qin, Jiasun Su, Chuan Li, Xin Fan, Mengting Li, Jingsi Luo, Ying Feng, Liping Song, Shaoke Chen, Chunxiu Gong, Yiping Shen
BACKGROUND: Rothmund-Thomson syndrome (RTS) is a rare autosomal recessive disorder mainly characterized by cutaneous poikiloderma, sparse hair, short stature and skeletal defects. Deleterious mutations in the RecQ-like DNA helicase type 4 (RECQL4) gene have been detected in approximately two-thirds of RTS cases. METHODS: Three Chinese patients from two unrelated families were enrolled for clinical evaluation. Targeted next-generation sequencing (NGS) using a custom panel consisting of 705 short-stature-related genes was performed for the probands...
May 15, 2018: Gene
https://www.readbyqxmd.com/read/29409411/irreducible-volar-rotatory-subluxation-of-the-proximal-interphalangeal-joint-of-the-finger
#15
Masahiko Tohyama, Sadahiko Konishi
We describe 4 cases of irreducible volar rotatory subluxation of the proximal interphalangeal (PIP) joint of the finger that required open reduction. All of the patients had radiographically proven (in lateral-view radiographs) volar rotatory subluxation of the PIP joint, without fracture. The causes of irreducibility were interposition of the lateral band about the condyle of the middle phalanx in 2 cases, interposition of the collateral ligament in 1 case, and scarring of the injured central slip in 1 case...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29395585/mechanics-of-metacarpophalangeal-joint-extension
#16
Timothy G Marshall, Brahman Sivakumar, Belinda J Smith, Mark S Hile
PURPOSE: It is a common belief that extension of the metacarpophalangeal (MCP) joint of the finger is achieved via the sagittal bands acting as a sling or lasso to attach the extensor tendon to the base of the proximal phalanx. The aim of this study was to test the hypotheses that (1) division of the sagittal bands reduces extension force or torque of the MCP joint, and (2) division of the extensor tendon distal to the sagittal band will not affect the extension force or torque of the MCP joint...
January 25, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29279564/a-case-of-a-giant-cell-tumor-of-the-tendon-sheath-of-the-middle-phalanx-of-the-fourth-toe
#17
Kyochika Okabe, Toshihiko Hoashi, Mariko Asahara, Eiko Esaki, Michiko Ito, Rui Otsuka, Yoko Funasaka, Hidehisa Saeki
Giant cell tumors of the tendon sheath (GCT-TS) are one of the most common tumors of the hand, along with ganglions. However, occurrence in the toes is far less common. Here we present a rare case of GCT-TS at the middle phalanx level of the flexor digitorum longus tendon sheath. Magnetic resonance imaging showed low intensity both on T1 and T2 weighted images. To the best of our knowledge, our case is the first report of a GCT-TS arising at the middle phalanx level of the flexor digitorum longus tendon sheath of the fourth toe...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/29244597/relationship-between-repository-radiographic-findings-and-subsequent-performance-of-quarter-horses-competing-in-cutting-events
#18
Myra F Barrett, C Wayne McIlwraith, Erin K Contino, Richard D Park, Christopher E Kawcak, David D Frisbie, James R zumBrunnen
OBJECTIVE To investigate potential associations between repository radiographic findings and subsequent performance of Quarter Horses competing in cutting events. DESIGN Retrospective cohort study. SAMPLE Repository radiographs (ie, radiographs obtained at the time of sale) for 343 client-owned horses. PROCEDURES Repository radiographic findings were compared with objective measures of performance, including the likelihood of competing; the likelihood of earning money as a 3-year-old, as a 4-year-old, and as a 3- and 4-year-old combined; and the amount of money earned as a 3-year-old, as a 4-year-old, and as a 3- and 4-year-old combined...
January 1, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29210097/radiography-of-the-distal-extremity-of-the-manus-in-the-donkey-foal-normal-images-and-quantitative-characterization-from-birth-to-2-years-of-age-a-pilot-study
#19
B Van Thielen, I Willekens, A Van der Schicht, P Pestieau, F Verhelle, P Goossens, R Decoster, O Jacqmot, P Delperdange, V Busoni, G De Mol, N Buls, S Provyn, M Kichouh, J de Mey, R Murray
This study describes a radiographic survey of the anatomical development of the distal extremity of the manus in the donkey from 0 to 2 years of age. The right distal limb of 10 donkey foals, born in the spring of 2012, underwent radiographs every month for the first 6 months of age and every 3 months during the following 18 months. Latero-medial radiographs with and without barium marker at the coronary band and dorso-palmar radiographs with both front feet in weight bearing were obtained. The distal physis of the third metacarpal bone and the proximal physis of the proximal phalanx (phalanx proximalis) were closed at the mean age of 18...
February 2018: Anatomia, Histologia, Embryologia
https://www.readbyqxmd.com/read/29207822/estimation-of-correlation-between-chronological-age-skeletal-age-and-dental-age-in-children-a-cross-sectional-study
#20
Madhulika Macha, Bharti Lamba, Jogendra Sai Sankar Avula, Sridhar Muthineni, Pratap Gowd Jai Shankar Margana, Prasad Chitoori
Introduction: In the modern era, identification and determination of age is imperative for diversity of reasons that include disputed birth records, premature delivery, legal issues and for validation of birth certificate for school admissions, adoption, marriage, job and immigration. Several growth assessment parameters like bone age, dental age and the combination of both have been applied for different population with variable outcomes. It has been well documented that the chronological age does not necessarily correlate with the maturational status of a child...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
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