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Metacarpal fracture

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https://www.readbyqxmd.com/read/27906469/corrective-osteotomy-of-a-metacarpal-deviation-caused-by-fracture-in-a-9-month-old-german-fleckvieh-heifer
#1
Theresa S Tschoner, Roberto G Köstlin, Melanie Feist
OBJECTIVE: To describe the surgical treatment of a metacarpal deviation caused by an untreated Salter-Harris type I fracture in a heifer. STUDY DESIGN: Case report. ANIMAL: 9-month-old German Fleckvieh heifer. METHODS: A closing wedge osteotomy was performed to correct deviation of fused metacarpal III and IV. A triangular bone wedge was removed and the proximal and distal fragments of the bone were brought into apposition and stabilized with an 11-hole T-plate...
December 1, 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27886832/thumb-injuries-in-athletes
#2
REVIEW
Tiffany R Kadow, John R Fowler
Thumb injuries are common in athletes and present a challenging opportunity for upper extremity physicians. Common injuries include metacarpal base fractures (Bennett and Rolando types), ulnar and radial collateral ligament injuries, dislocation of the carpometacarpal and metacarpophalangeal joints, and phalanx fractures. This review, although not exhaustive, highlights some of the most common thumb injuries in athletes. The treating physician must balance pressure from athletes, parents, coaches, and executives to expedite return to play with the long-term well-being of the athlete...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27806538/epidemiology-of-the-upper-extremity-trauma-in-a-traumatic-center-in-iran
#3
Maryam Ameri, Kamran Aghakhani, Ebrahim Ameri, Shahrokh Mehrpisheh, Azadeh Memarian
INTRODUCTION: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population...
August 10, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27804078/assessment-of-the-2d-4d-ratio-in-aggression-related-injuries-in-children-attending-a-paediatric-emergency-department
#4
D E O'Briain, P H Dawson, J C Kelly, P Connolly
BACKGROUND: The 2D:4D ratio is a sexually dimorphic trait. A lower ratio is correlated with sporting prowess, successful financial trading, risk taking behaviour, aggression, and aggression-related injuries, such as the fifth metacarpal fractures. AIMS: We aimed to assess if the ratio correlates to skeletally immature patient aggression. METHODS: Radiology reports were searched for the terms "5th metacarpal" or "boxer". Of 537 X-rays, 142 had fractures...
November 1, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27800460/metacarpal-neck-fractures-a-review-of-surgical-indications-and-techniques
#5
REVIEW
Eric M Padegimas, William J Warrender, Christopher M Jones, Asif M Ilyas
CONTEXT: Hand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each. EVIDENCE ACQUISITION: Literature review of the different treatment modalities for metacarpal neck fractures...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27800079/-osteosynthesis-of-fractures-of-the-metacarpals-and-phalanges-of-the-hand-with-mini-plate-about-12-cases
#6
Erraji Moncef, Derfoufi Abdelhafid, Kharraji Abdessamad, Agoumi Omar, Abdeljaouad Najib, Daoudi Abdelkrim, Yacoubi Hicham
Treatment of unstable fractures of metacarpals and phalanges remains subject of controversy. Few series have been reported in the literature, making their analysis difficult. We provide a retrospective study involving 12 patients, operated on by this technique for displaced fractures of the metacarpals and phalanges, over a two year period. The final overall results were good in 75% of the cases, average in 16,5% of the cases and bad in 8,5% of the cases. Stability of mini plates in unstable fractures of the metacarpals and phalanges allowed early mobilization of hand joints, thus avoiding stiffness...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27781984/an-articular-spacer-for-metacarpophalangeal-fracture-the-story-of-a-crocodile-bite
#7
G Pomares, N Pauchard, F Dap, G Dautel
Choosing the best option for reconstructing comminuted joint fractures in hand surgery raises technical challenges due to the small size of the anatomical structures and the required early mobilization. Single-stage reconstructions are clearly preferable, but when the infection risk is high, two-stage alternatives are needed. We report a case of fracture of the head of the 2nd metacarpal resulting from a crocodile bite treated by implanting an articular spacer.
October 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27777281/hand-pain-in-a-golfer-a-case-report-of-a-metacarpal-stress-injury-and-a-review-of-the-literature-regarding-return-to-play-in-grip-athletes
#8
Cortie J Rolison, Milton Kyle Smoot
A 19-year-old golfer presented to the sports clinic with a 2-week history of dominant-hand pain after several months of daily golf. He had a metacarpal stress fracture. This case discusses the athlete's return-to-play timeline as well as reviews the current limited literature guiding return to play in grip athletes.
October 24, 2016: Sports Health
https://www.readbyqxmd.com/read/27764034/triple-fracture-of-the-intra-articular-second-metacarpal-head-intra-articular-fourth-metacarpal-base-and-ulnar-styloid-of-an-ice-hockey-player-a-case-report
#9
Hiroyoshi Hagiwara, Takashi Ajiki, Suguru Hagiwara, Naoya Sugimoto, Katsushi Takeshita
We present a case of simultaneous ipsilateral fractures at the intra-articular second metacarpal head, intra-articular fourth metacarpal base, and ulnar styloid. These fractures were caused by the peculiar condition of a blow to the fist during an ice hockey game; the hand was struck while it was gripping a stick. The specific combination of these fractures has not been previously reported in the literature. In this incident, axial compression force was transmitted from the second and fourth metacarpal heads while skipping the third metacarpal head to the ulnar side of the wrist via the carpometacarpal joints and carpal bones...
July 27, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27698638/results-of-operative-intervention-for-finger-stiffness-after-fractures-of-the-hand
#10
Kevin F Lutsky, Jonas L Matzon, Joseph Dwyer, Nayoung Kim, Pedro K Beredjiklian
Background: Posttraumatic finger stiffness can occur as a result of hand fractures. The purpose was to assess and quantify the improvement in range of motion (ROM) after surgical management of the stiff finger in patients who developed loss of motion following treatment for a metacarpal or phalangeal fracture. In addition, an aim was to identify possible risk factors for suboptimal improvement in ROM postoperatively. Methods: A retrospective review was performed on 18 patients who underwent surgery to improve finger stiffness following metacarpal or phalangeal fracture...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27692801/risk-of-prolonged-opioid-use-among-opioid-na%C3%A3-ve-patients-following-common-hand-surgery-procedures
#11
Shepard P Johnson, Kevin C Chung, Lin Zhong, Melissa J Shauver, Michael J Engelsbe, Chad Brummett, Jennifer F Waljee
PURPOSE: To evaluate prolonged opioid use in opioid-naïve patients after common hand surgery procedures in the United States. METHODS: We studied insurance claims from the Truven MarketScan databases to identify opioid-naïve adult patients (no opioid exposure 11 months before the perioperative period) who underwent an elective (carpal tunnel release, carpometacarpal arthroplasty/arthrodesis, cubital tunnel release, or trigger finger release) or trauma-related (closed distal radius fracture fixation, flexor tendon repair, metacarpal fracture fixation, or phalangeal fracture fixation) hand surgery procedure between 2010 and 2012 (N = 77,573 patients)...
September 7, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27659443/metacarpal-lengthening-in-children-comparison-of-three-different-techniques-in-15-consecutive-cases
#12
C Dana, J-C Aurégan, A Salon, S Guéro, C Glorion, S Pannier
: Metacarpal lengthening is a useful procedure to address hand deficiencies in children. In this study, we aimed to compare the results of three different techniques from one consecutive clinical series of hand deficiencies. A total of 15 metacarpal lengthenings have been performed in 12 children aged from 9 to 14 years. The callotasis technique was used in seven cases, the two-stage distraction-graft technique in four cases and the single-stage lengthening in four cases. All the metacarpals healed with bone...
September 22, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27638548/-fractures-of-the-thumb-ray
#13
I M Mehling, K Schillo, A Arsalan-Werner, J Seegmüller, A C Langheinrich, M Sauerbier
Fractures of the first thumb ray are common and need accurate differential treatment to restore gripping hand functions. Displaced fractures of the distal and proximal phalanx of the thumb are often treated with screws or Kirschner wires. Stable fractures can also be treated non-operatively. Fractures of the base of the first metacarpal should be differentiated into extra-articular Winterstein fractures and intra-articular Bennett or Rolando fractures. Traction forces by the abductor pollicis longus tendon regularly lead to displacement of the shaft of the first metacarpal; therefore, these fractures usually require reduction and fixation...
September 14, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27627714/comparison-of-ao-titanium-locking-plate-and-screw-fixation-versus-anterograde-intramedullary-fixation-for-isolated-unstable-metacarpal-and-phalangeal-fractures
#14
Bing Zhang, Pan Hu, Kun-Lun Yu, Jiang-Bo Bai, De-Hu Tian, Gui-Sheng Zhang, Xin-Zhong Shao, Ying-Ze Zhang
OBJECTIVE: This study aimed to compare the clinical and radiologic outcomes of AO titanium locking plate and screw (ATLPS) and anterograde intramedullary (AIM) fixation for treating unstable metacarpal and phalangeal fractures. METHODS: Adult patients with isolated fresh unstable metacarpal and phalangeal fractures who met the inclusion criteria were enrolled into this prospective study from July 2013. Patients were divided into ATLPS or AIM groups when they were admitted to our department after considering their work requirement, fracture complexity, and surgeon's experience and were then treated accordingly...
August 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27620542/bennett-fractures-a-review-of-management
#15
Michael S Guss, David Kaye, Michael Rettig
A Bennett fracture is a common injury that involves an intra-articular fracture at the base of the first metacarpal. This fracture typically results in a dorsally and radially displaced metacarpal shaft relative to the well-anchored volar ulnar fragment. Most Bennett fractures are treated with operative fixation, including closed reduction and percutaneous fixation, open reduction and internal fixation, or arthroscopically assisted fixation. However, the optimal surgical approach is controversial. There is a paucity of literature comparing the outcomes of the various treatments, leaving the surgeon without a clear treatment algorithm...
September 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27606586/pediatric-hand-injuries
#16
Matthew A Sullivan, Charles J Cogan, Joshua M Adkinson
Pediatric hand injuries are extremely common. Although many hand injuries are adequately managed in the emergency department, some may need evaluation and treatment by a pediatric hand surgeon to ensure a good functional outcome. This article discusses the diagnosis and management of the most common pediatric hand maladies: fingertip injuries/amputation, tendon injuries, and phalangeal and metacarpal fractures. The plastic surgery nurse should be familiar with hand injuries that require intervention to facilitate efficient management and optimal postoperative care...
July 2016: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/27604097/erratum-to-fifth-metacarpal-neck-fractures-treated-with-soft-wrap-buddy-taping-compared-to-reduction-and-casting-results-of-a-prospective-multicenter-randomized-trial
#17
Jan van Aaken, Cesare Fusetti, Stefano Lucchina, Stefania Brunetti, Jean-Yves Beaulieu, Angèle Gayet-Ageron, Kathryn Hanna, Alexander Y Shin, Eric Hofmeister
No abstract text is available yet for this article.
September 7, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27603196/multiple-enchondromas-of-the-hand-in-children-long-term-follow-up-of-mean-15-4-years
#18
Assaf Kadar, Geffen Kleinstern, Mohamed Morsy, Endre Soreide, Steven L Moran
BACKGROUND: Multiple enchodromatosis of bone, termed Ollier's disease, or Maffucci syndrome when associated with hemangiomas, is a rare disease that can affect the pediatric hand. This condition often causes a finger mass, deformity, pain and possible pathologic fractures, and has been associated with malignant transformation to chondrosarcoma. The aim of our study is to describe the long-term sequela of multiple enchondromatosis of the hand in the pediatric population, specifically the rates of malignant transformation, tumor recurrence, rates of pathologic fracture, and phalangeal growth arrest...
September 3, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27597737/a-retrospective-cohort-study-of-quickdash-scores-for-common-acute-trauma-conditions-presenting-for-hand-therapy
#19
Mikayla Southam, Susan Driessens, Christopher Burton, Rodney Pope, Penelope Thurnwald
STUDY DESIGN: Retrospective cohort study. INTRODUCTION: The QuickDASH outcome measure is a valid and reliable measurement tool for assessing disabilities of the arm, shoulder and hand. PURPOSE OF STUDY: There is limited literature providing typical QuickDASH scores for upper limb conditions. Therefore, the aim of this study was to determine the QuickDASH scores typically observed in specific upper limb pathologies. METHODS: This study examined QuickDASH scores for acute trauma conditions presenting for hand therapy...
September 2, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27580445/-isolated-palmarly-dislocated-intraarticular-fracture-of-the-base-of-the-index-metacarpal-a-case-report
#20
M Koch, A Jenzer
No abstract text is available yet for this article.
August 2016: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
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