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https://www.readbyqxmd.com/read/27843670/kirschner-wire-breakage-during-removal-requiring-retrieval
#1
Kai Yuen Wong, Rosalind Mole, Patrick Gillespie
Kirschner wires (K-wires) are widely used for fixation of fractures and dislocations in the hand as they are readily available, reliable, and cost-effective. Complication rates of up to 18% have been reported. However, K-wire breakage during removal is rare. We present one such case illustrating a simple technique for retrieval. A 35-year-old male presented with a distal phalanx fracture of his right middle finger. This open fracture was treated with K-wire fixation. Postoperatively, he developed a pin site infection with associated finger swelling...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27783110/-arthrodesis-of-the-proximal-interphalangeal-joint-of-fingers-with-tension-band-wire
#2
B Hohendorff, J Franke, C K Spies, L P Müller, C Ries
OBJECTIVE: Arthrodesis of the proximal interphalangeal joint of fingers in a functional and pain-free position. INDICATIONS: Primary and secondary osteoarthritis, traumatic joint destruction, posttraumatic malposition, instability, joint destruction due to infection, irreparable extensor and/or flexor tendon lesion, recurrent flexion deformity in Dupuytren's disease, arthritis (e. g., rheumatoid arthritis, psoriatic arthritis), failed resection arthroplasty, failed prosthesis, congenital disorder (e...
October 25, 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27781989/proximodistal-interphalangeal-arthrodesis-of-the-little-finger-a-series-of-7-cases
#3
S Honecker, J J Hidalgo Diaz, K Naito, E Pire, G Prunières, S Facca, P Liverneaux
As an alternative to amputation of the little finger, we report here seven cases of shortening arthrodesis carried out by resecting the middle phalanx and proximodistal interphalangeal (PDIP) arthrodesis. Our cohort consisted of 6 males and 1 female (58years average age), with a stiff little finger secondary to Dupuytren's disease or trauma. All fingers were approached dorsally; after resection of the middle phalanx and decortication of the subchondral bone, fusion of the remaining phalanges was performed using an intramedullary self-breaking screw-pin...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27781977/treatment-of-unstable-distal-phalanx-fractures-by-extra-articular-dip-pinning-a-series-of-12-cases
#4
G Prunières, S Gouzou, S Facca, A-S Matheron, N Maire, J-J Hidalgo Díaz, P Liverneaux
: Unstable distal phalanx fractures are typically treated by pinning of the distal phalanx or the distal interphalangeal joint (DIP). Complications include unstable fixation, K-wire migration, septic arthritis and osteoarthritis. To limit these complications, we wanted to explore the benefits of using locked extra-articular DIP pinning. The cohort consisted of 12 patients (mean age 36.3 years) who had an extra-articular (6 cases) or intra-articular distal phalanx fracture (6 cases). All patients were treated surgically with a construct consisting of two connected K-wires: one was placed inside the shaft of the distal phalanx and the other was placed perpendicular to the middle phalanx...
October 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27765865/treatment-of-unstable-proximal-interphalangeal-joint-fractures-with-hemi-hamate-osteochondral-autografts
#5
M Burnier, T Awada, F Marin Braun, P Rostoucher, M Ninou, L Erhard
: The primary aim of this study was to assess the clinical and radiological results after hemi-hamate resurfacing arthroplasty in patients with acute or chronic unstable fractures of the base of the middle phalanx and to describe technical features that can facilitate the surgical procedure. Hemi-hamate arthroplasties were done in 19 patients (mean age 39 years) with an isolated fracture at the base of the middle phalanx that involved more than 40% of the articular surface. We assessed ten chronic cases (treated >6 weeks after fracture) and nine acute ones (<6 weeks) at a mean of 24 months...
October 19, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27679687/diagnostic-reliability-of-the-third-finger-middle-phalanx-maturation-mpm-method-in-the-identification-of-the-mandibular-growth-peak
#6
Giuseppe Perinetti, Valentina Sbardella, Luca Contardo
BACKGROUND/OBJECTIVES: The use of the sole third finger middle phalanx for a maturational method has been proposed but not fully investigated. Herein, the diagnostic reliability of an improved five-stage third finger middle phalanx maturation (MPM) method in the identification of mandibular growth peak has been investigated. SUBJECTS/METHODS: From the files of the Burlington Growth Study, 35 subjects (20 males, 15 females) with at least 7 annual lateral cephalograms taken from 9 to 16 years were included...
September 27, 2016: European Journal of Orthodontics
https://www.readbyqxmd.com/read/27667297/-an-unusual-cause-of-the-hand-cyst-finger-dirofilariasis
#7
Klára Molnár, Gergő Józsa, Zsolt Oberritter, Eszter Cholnoky, Péter Pankovics, Gábor Reuter, Erika Tornóczky
Dirofilariasis is a zoonosis affecting dogs and cats. It can be transmitted to human by mosquito bites. Because of the local inflammation caused by the parasite, a lump may develop. The authors present a case of a 13-year-old boy, who was diagnosed with dirofilariasis in association with a cyst located on the middle finger of the right hand. During physical examination, a lump on the extensor surface of the middle phalanx of the right middle finger was found. Soft tissue ultrasound was performed, which indicated the presence of a worm in the cyst...
September 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27595966/simultaneous-volar-dislocation-of-distal-interphalangeal-joint-and-volar-fracture-subluxation-of-proximal-interphalangeal-joint-of-little-finger-a-new-mechanism-of-injury
#8
Kamran Mozaffarian, Abdollah Bayatpour, Amir Reza Vosoughi
Simultaneous volar dislocation of distal interphalangeal (DIP) joint and volar fracture-subluxation of proximal interphalangeal (PIP) joint of the same finger has not been reported yet. A 19-year-old man was referred due to pain on the deformed left little finger after a ball injury. Radiographs showed volar dislocation of the DIP joint and dorsal lip fracture of the middle phalanx with volar subluxation of PIP joint of the little finger. This case was unique in terms of the mechanism of injury which was hyperflexion type in two adjacent joints of the same finger...
October 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27595958/post-reduction-stability-of-the-proximal-interphalangeal-joint-after-dorsal-fracture-dislocation-a-cadaveric-study
#9
Andre Eu-Jin Cheah, Tun-Lin Foo, Janice Chin-Yi Liao, Min He, Alphonsus Khin-Sze Chong
BACKGROUND: Proximal interphalangeal joint (PIPJ) dorsal fracture dislocations (DFD) are challenging injuries. Treatment aims to achieve stability of the PIPJ after reduction so that early motion can be initiated. We studied how increasing articular destruction would affect post reduction stability and investigate the amount of traction and PIPJ flexion needed to maintain the reduction. METHODS: Increasing amounts (20%, 40% and 60%) of damage to the volar lip of the middle phalanx in cadaveric specimens were created to represent PIPJ DFD that were stable, of tenuous stability and frankly unstable...
October 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27595952/post-operative-contracture-of-the-proximal-interphalangeal-joint-after-surface-replacement-arthroplasty-using-a-volar-approach
#10
Ken Shirakawa, Masahiko Shirota
BACKGROUND: Postoperative contracture as a major complication of surface replacement arthroplasty (SRA) remains an unresolved problem. Contracture after SRA can occur early in the postoperative period due to mechanical dysfunction, and tardy contracture where ROM declines with time postoperatively is also reported. METHODS: 13 fingers with degenerative osteoarthritis and two fingers with post-traumatic arthritis where SRA was performed using volar approach were involved...
October 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27544986/-climbing-higher-common-injuries-in-rock-climbers
#11
Dafna Sobel, Naama Constantin, Omer Or
Rock climbing is becoming an increasingly popular sport in Israel with more and more climbing walls being built in the cities and new routes being traced on cliffs around the country. Our account describes the case of a 15 years old climber with chronic pain (without trauma) in the 3rd finger of the right hand. A stress fracture, involving the proximal interphalangeal joint (SH3) of the middle phalanx, was diagnosed. The fracture healed following two months of rest with gradual return to activity. As this sport becomes more common, there is an increasing need for knowledge about the characteristic injuries, their diagnosis and treatment...
June 2016: Harefuah
https://www.readbyqxmd.com/read/27313523/multilevel-cortical-processing-of-somatosensory-novelty-a-magnetoencephalography-study
#12
Gilles Naeije, Thibaut Vaulet, Vincent Wens, Brice Marty, Serge Goldman, Xavier De Tiège
Using magnetoencephalography (MEG), this study investigates the spatio-temporal dynamics of the multilevel cortical processing of somatosensory change detection. Neuromagnetic signals of 16 healthy adult subjects (7 females and 9 males, mean age 29 ± 3 years) were recorded using whole-scalp-covering MEG while they underwent an oddball paradigm based on simple standard (right index fingertip tactile stimulation) and deviant (simultaneous right index fingertip and middle phalanx tactile stimulation) stimuli gathered into sequences to create and then deviate from stimulus patterns at multiple (local vs...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27294281/acrometastasis-as-the-first-sign-of-an-occult-non-small-cell-carcinoma-of-lung
#13
Caroline Asirvatham Gjorup, Svend S Ottesen, Christian Gjerloff
This case study reports a rare case of acrometastasis to the right middle finger middle phalanx as the first sign of an occult non-small cell carcinoma of the lung.
June 13, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27265750/a-combined-variation-of-palmaris-longus-and-flexor-digitorum-superficialis-case-report-and-review-of-literature
#14
A Bernardes, C Melo, S Pinheiro
The muscles of the anterior compartment of the forearm often exhibit anatomic variations. During dissection of the upper right limb of a preserved cadaver, morphological variations in the Palmaris longus and Flexor digitorum superficialis muscles were found. The Palmaris longus muscular fibers converged to a tendon that passed beneath the Flexor retinaculum, and inserted at the base of the middle phalanx of the fourth digit, replacing the tendon of Flexor digitorum superficialis. The Flexor digitorum superficialis was divided into two muscular heads: a digastric medial head giving tendons to the second and fifth digits, and a lateral head giving one tendon to the third digit...
June 2, 2016: Morphologie: Bulletin de L'Association des Anatomistes
https://www.readbyqxmd.com/read/27169151/complete-ostectomy-of-middle-phalanx-and-partial-ostectomy-of-proximal-phalanx-in-a-brown-swiss-calf-for-treatment-of-purulent-arthritis-of-the-proximal-interphalangeal-joint-and-adjacent-severe-osteomyelitis
#15
Johann Burgstaller, Johann Kofler
A five month old Brown Swiss heifer calf (212 kg body mass) with severe left hind limb lameness, caused by a wound of the lateral digit was referred to the veterinary teaching hospital. The calf showed a score 4 of 5 lameness on the left hind limb. A scarified skin lesion with a fistula formation and purulent exudate was observed at the level of the proximal interphalangeal joint (PIJ) of the lateral digit of the left hind. The PIJ region and the lateral digit were severely swollen and painful. Ultrasonography showed a moderate anechoic effusion of the lateral digital flexor tendon sheet (DFTS) and a severe heterogeneous hypoechoic effusion with some small hyperechoic areas of the plantar and dorsal pouch of the PIJ...
March 2016: Berliner und Münchener Tierärztliche Wochenschrift
https://www.readbyqxmd.com/read/27091393/the-role-of-the-trigemino-cervical-complex-in-chronic-whiplash-associated-headache-a-cross-sectional-study
#16
Dean H Watson, Peter D Drummond
OBJECTIVE: To investigate signs of central sensitization in a cohort of patients with chronic whiplash associated headache (CWAH). BACKGROUND: Central sensitization is one of the mechanisms leading to chronicity of primary headache, and thus might contribute to CWAH. However, the pathophysiological mechanism of CWAH is poorly understood and whether it is simply an expression of the primary headache or has a distinct pathogenesis remains unclear. Thus, the factors involved in the genesis of CWAH require further investigation...
June 2016: Headache
https://www.readbyqxmd.com/read/27037918/double-plate-fixation-for-the-management-of-proximal-interphalangeal-joint-instability-in-30-horses-1987-2015
#17
J D McCormick, J P Watkins
REASONS FOR PERFORMING STUDY: Double plate fixation has been reported in a small number of horses with comminuted fractures of the middle phalanx. There are no published reports using this technique in the management of other injuries that destabilise the proximal interphalangeal joint (PIJ), including biaxial palmar/plantar eminence fractures and disruption of the palmar/plantar soft tissue support structures of the PIJ. Furthermore, there is a paucity of information on the long-term prognosis for horses undergoing double plate fixation to manage destabilising injuries of the PIJ OBJECTIVES: To further document the clinical use of double plate fixation for management of injuries to the PIJ resulting in palmar/plantar instability and compare these results with other methods of management...
April 2, 2016: Equine Veterinary Journal
https://www.readbyqxmd.com/read/27033841/cross-finger-flap-for-reconstruction-of-fingertip-amputations-long-term-results
#18
F Rabarin, Y Saint Cast, J Jeudy, P A Fouque, B Cesari, N Bigorre, A Petit, G Raimbeau
UNLABELLED: Fingertip amputations are severe hand injuries. Their treatment must restore the sensation and metabolic activity needed for pain-free finger function. The cross-finger flap (CFF) can be used for this purpose. The goal of this study was to assess the long-term clinical outcome following use of this flap. METHODS: This was a retrospective analysis of 28 patients operated because of fingertip amputation: 16 type 3, 8 type 2 and 4 type 4. The CFF was harvested from an adjacent finger on the dorsal side of the middle phalanx down to the epitenon...
June 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27031825/non-metric-variation-of-the-middle-phalanges-of-the-human-toes-ii-v-long-short-types-and-their-evolutionary-significance
#19
Jean-Marie Le Minor, Jean-François Mousson, Pierre de Mathelin, Guillaume Bierry
The human lateral toes are characterised by extreme reduction compared with other primates, and in particular other hominoids. Some phalangeal non-metric variants have been well identified in humans, in particular: triphalangeal/biphalangeal patterns, and the presence/absence of phalangeal secondary centres of ossification. The purpose of the present study was to describe and analyse an original non-metric variation of the middle phalanges of the lateral toes. The material consisted of 2541 foot radiographs that came from 2541 different European adult individuals...
June 2016: Journal of Anatomy
https://www.readbyqxmd.com/read/26993857/bilateral-fracture-of-the-base-of-the-middle-phalanx-in-a-climber-literature-review-and-a-case-report
#20
A-S Desaldeleer, D Le Nen
During climbing, tears of the annular pulley are the most common injuries, while fractures of the dorsal base of the middle phalanx are rare and atypical. Only a few cases have been reported in international literature. The authors present a case of a Salter-Harris type III fracture of the base of the middle phalanx of the middle finger in a young climber and a review of the literature. The patient was a 17-year-old boy who regularly and intensively practiced climbing. He consulted for a non-traumatic history of proximal pain of the interphalangeal joints of the middle fingers...
May 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
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