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Metacarpal fracture

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https://www.readbyqxmd.com/read/29744853/fibrous-dysplasia-clinicopathologic-presentation-of-36-cases
#1
Mine Özşen, Ülviye Yalçinkaya, Muhammed Sadık Bilgen, Zeynep Yazici
OBJECTIVE: Fibrous dysplasia is a slowly progressing bone lesion resulting from displacement of the normal medullary bone with abnormal fibroosseous tissue. The aim of this study was to assess the similarities and differences of our cases in relation to published reports. MATERIAL AND METHOD: In this study, the archives of the Uludag University Medical Faculty Department of Pathology were screened for fibrous dysplasia cases between 2004 and 2016. RESULTS: Within the mentioned period, there were 36 cases diagnosed as fibrous dysplasia...
May 10, 2018: Türk Patoloji Dergisi
https://www.readbyqxmd.com/read/29734915/metacarpal-locked-intramedullary-nail-surgical-technique-and-preliminary-outcome-report
#2
Sunyarn Niempoog, Thanapong Waitayawinyu, Chinnakart Boonyasirikool
In surgically indicated metacarpal fractures, the ideal fixation should provide an ample stability for early rehabilitation. Damage to surrounding tissue should be minimized as well, to prevent stiffness which determine the outcomes. We have created the metacarpal locked intramedullary nail (MCLN) that allows immediate motion even in unstable fractures. This preliminary report is objected to demonstrate the surgical technique and outcomes of novel metacarpal fixation. Three surgical indicated metacarpal fractures were treated by MCLN...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29707462/three-dimensional-printed-surgical-simulator-for-kirschner-wire-placement-in-hand-fractures
#3
Michal Brichacek, Julian Diaz-Abele, Sarah Shiga, Christian Petropolis
Closed reduction and percutaneous pinning (CRPP) of hand fractures can be a deceptively challenging procedure that requires significant hands-on time to teach and learn. We created a realistic three-dimensional simulator that can be used for teaching junior residents the CRPP. Computer-aided design and computer-aided manufacturing (CAD/CAM) software was used to create a three-dimensional hand model incorporating several common hand fractures: Bennett's fracture, transverse fifth metacarpal neck, and transverse second proximal phalanx...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29706731/percutaneous-intramedullary-headless-screw-fixation-and-wide-awake-anesthesia-to-treat-metacarpal-fractures-early-results-in-25-patients
#4
Andrea Poggetti, Anna Maria Nucci, Thomas Giesen, Maurizio Calcagni, Stefano Marchetti, Michele Lisanti
Metacarpal fractures constitute 7.8% of the upper extremity fractures. The common treatments remain nonsurgical procedure, but high-demanding patients or unstable fractures require fixation with Kirschner wire (K-wires), plate, and screws. However, these approaches may cause scarring and adhesion with poor functional results. From 2014 to 2015, the authors used an intramedullary headless screw to treat 25 patients (24 men, 1 woman) with metacarpal bones fractures (20 V, 3 IV, 1 III, and 1 II). The fractures patterns were 23 fractures of distal third of metacarpal bone (16 oblique, 5 comminute configurations, and 2 transverse), 1 fracture of the base of the II metacarpal bone...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29671348/four-strand-versus-2-strand-suture-button-constructs-in-first-carpometacarpal-arthroplasty-a-biomechanical-study
#5
Beatrice L Grasu, Andrew J Trontis, Brent G Parks, Raymond A Wittstadt
BACKGROUND: Suture-button fixation is an alternative to no fixation, first metacarpal distraction techniques, or Kirschner wire fixation after trapeziectomy in treatment of first carpometacarpal (CMC) arthritis. A 4-strand suture-button construct requires a 2.7-mm tunnel, whereas a 2-strand construct requires a 1.1-mm tunnel, potentially decreasing the risk of metacarpal fracture. We compared stability and failure criteria of 4-strand versus 2-strand construct in a biomechanical model of first CMC joint arthroplasty...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29660153/subchondral-bone-microdamage-accumulation-in-distal-metacarpus-of-thoroughbred-racehorses
#6
R C Whitton, B A Ayodele, P L Hitchens, E J Mackie
BACKGROUND: Microdamage accumulation leads to subchondral bone injury and/or fracture in racehorses. An understanding of this process is essential for developing strategies for injury prevention. OBJECTIVES: To quantify subchondral bone microdamage in the third metacarpal bone of Thoroughbred racehorses at different stages of the training cycle. STUDY DESIGN: Cross-sectional. METHODS: Bone blocks from the palmar aspect of the medial condyles of third metacarpal bones from 46 racing Thoroughbred horses undergoing post mortem were examined with micro computed tomography (microCT) to detect calcified microcracks, and light microscopy to quantify bulk stained microcracks...
April 16, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29625798/avascular-necrosis-of-the-metacarpal-head-a-review-of-4-cases
#7
Salah Aldekhayel, Erfan Ghanad, Chaitanya S Mudgal
PURPOSE: To report on 4 cases of avascular necrosis of the metacarpal head. METHODS: We retrospectively reviewed 4 patients who received a diagnosis of avascular necrosis of the metacarpal head and were treated from 2000 to 2016. RESULTS: All patients were males with involvement of the dominant hand. Three patients had a history of trauma and/or fractures in another finger and one had a history of fracture in the same finger. The diagnosis was confirmed on regular x-rays and magnetic resonance imaging...
April 3, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29602658/effects-of-the-affordable-care-act-on-payer-mix-and-physician-reimbursement-in-hand-surgery
#8
Ibrahim Khansa, Lara Khansa, Gregory D Pearson, Sonu A Jain
PURPOSE: To evaluate the effect of the Affordable Care Act (ACA) on the payer distribution and reimbursement rate for hand surgery at our institution. METHODS: We reviewed records of 4,257 patients who underwent hand surgery at our institution between January 2008 and June 2016; 2,601 patients underwent surgery before the implementation of the ACA, and 1,656 patients after. Type of procedure, insurance status, amount of money billed, and amount collected were recorded...
March 27, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29602487/should-we-bury-k-wires-after-metacarpal-and-phalangeal-fracture-osteosynthesis
#9
Mads Terndrup, Thomas Jensen, Søren Kring, Martin Lindberg-Larsen
BACKGROUND: Burying Kirschner wires (K-wires) under the skin after metacarpal and phalangeal fracture osteosynthesis may reduce risk of infection, but it might also complicate later removal. PURPOSE/AIM OF STUDY: To examine infection and reoperation rates after metacarpal and phalangeal fracture osteosynthesis with buried versus exposed K-wires. MATERIALS AND METHODS: Metacarpal and phalangeal fractures treated with K-wire osteosynthesis at our institution from 1st of January, 2009 to 1st of February, 2015 were identified retrospectively...
March 22, 2018: Injury
https://www.readbyqxmd.com/read/29600677/-manual-reduction-and-traction-fixation-for-the-treatment-of-metacarpal-neck-fractures-under-ultrasound-guided
#10
Xiao-Hui Wang, Cai-Li Zhang, Su-Hong Shen, Shao-Yong Guo, De Li
OBJECTIVE: To study clinical efficacy of manual reduction and traction fixation for the treatment of metacarpal neck fracture under ultrasound-guided. METHODS: From April 2013 to August 2016, 30 patients with metacarpal neck fractures were treated with manual reduction and traction fixation under ultrasound-guided, including 26 males and 4 females aged from 14 to 56 years old with an average of (25.6±1.6) years old, the courses of diseases ranged from 7 h to 5 d with an average of (2...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29587603/fractures-at-the-junction-of-diaphysis-and-metaphysis-of-the-proximal-phalanges-in-adults
#11
David J Shewring, Ryan W Trickett, Adam Smith
We describe the treatment of 101 patients with 113 fractures of the proximal phalanx at the junction of the diaphysis with the proximal metaphysis. Fractures were stabilized using a single extra-articular percutaneous Kirschner wire passed lateral to the metacarpal head into the base of the phalanx base and across the fracture to engage the lateral cortex. Patients were treated semi-electively on a day surgery unit. The metacarpophalangeal joint was splinted in flexion with mobilization of the proximal inter-phalangeal joints, until the wire was removed at 24 days and the hand then freely mobilized...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29576918/nonspanning-total-wrist-arthrodesis-with-a-low-profile-locking-plate
#12
Schneider K Rancy, Eugene T Ek, Sophia Paul, Robert N Hotchkiss, Scott W Wolfe
Purpose  This study aims to compare the outcomes and complications of our technique for nonspanning total wrist arthrodesis using a locking plate with the standard carpometacarpal spanning technique. Methods  A retrospective review of charts was performed to identify patients who underwent total wrist arthrodesis by the senior author (S.W.W.). We compared the outcomes of 15 cases of nonspanning wrist fusion with a 2.4/2.7 mm locking T plate to 11 cases of spanning wrist fusion with a 2.7/3.5 mm locking compression plate...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29536684/-relationship-between-radiographic-parameters-and-clinical-outcomes-of-elderly-patients-with-distal-radius-fractures
#13
Shan-Qing Yin, Yao-Peng Huang, Miao-Zhong Li, Jia-Dong Pan, Wen-Quan Ding, Xin Wang
OBJECTIVE: To analyze the relationship between radiographic parameters and clinical outcomes of patients with distal radius fractures in elderly patients following conservative treatment, and find the important radiographic parameters with distal radius fractures in elderly patients. METHODS: From May 2012 to May 2015, a retrospective analysis was performed of 45 elderly patients with distal radius fractures treated by conservative treatment, which including 17 males and 28 females with an average age of 64...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29532036/intramedullary-screws-versus-kirschner-wires-for-metacarpal-fixation-functional-and-patient-related-outcomes
#14
Jose Couceiro, Higinio Ayala, Manuel Sanchez, Maria de Los Angeles De la Red, Olga Velez, Fernando Del Canto
Purpose  The purpose of our study is to compare the intramedullary fixation of metacarpal fractures with cannulated headless screws and antegrade Kirschner wires in terms of final total active motion, grip strength, patient-related outcomes, need for casting, and return to work times. Methods  The authors performed a retrospective review of the hospital records. Thirty fractures were included in the study, 19 in the screw fixation group, and 11 in the Kirschner wire group. Grip strength, and total active motion, was measured at the latest follow-up for both the injured and contralateral hand...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29503183/retrograde-fixation-of-metacarpal-fractures-with-intramedullary-cannulated-headless-compression-screws
#15
D Jann, M Calcagni, P Giovanoli, T Giesen
We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation...
April 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29493526/hand-therapist-led-follow-up-for-paediatric-hand-trauma-a-retrospective-study-of-139-closed-hand-injuries
#16
Agata Marta Plonczak, Gordon J McArthur, Nicola Goldsmith, Maxim Horwitz
BACKGROUND: Most hand injuries in children can be managed non-operatively and are associated with excellent outcomes. Whilst the majority of our patients are discharged to the care of hand therapists, there is no literature to support this protocol. Our aim was to ensure this is safe and effective practice. MATERIAL AND METHODS: We conducted a retrospective analysis of all patients referred to our paediatric hand trauma clinic for closed injuries over a four month period between December 2014 and March 2015...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29487957/treatment-of-proximal-phalanx-fractures-transarticular-pinning-the-metacarpophalangeal-joint-or-cross-pinning-from-the-base-of-the-proximal-phalanx-a-prospective-study
#17
A R Saied, M Sabet Jahromi
INTRODUCTION: For extraarticular proximal phalanx fractures, two methods are employed, transarticular fixation in which the metacarpophalangeal joint is crossed and the extraarticular method in which the pins are introduced through the base of the proximal Phalanx. MATERIALS AND METHODS: This study was a prospective one on patients with proximal phalanx transverse or short oblique fractures. In one of the groups we used parallel pins from metacarpal head through MCP joint to proximal phalanx...
February 27, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29479686/internal-fixation-of-proximal-fractures-of-the-2nd-and-4th-metacarpal-and-metatarsal-bones-using-bioabsorbable-screws
#18
M Mageed, T Steinberg, N Drumm, N Stubbs, J Wegert, M Koene
OBJECTIVE: Fractures involving the proximal one-third of the splint bone are relatively rare and are challenging to treat. A variety of management techniques have been reported in the literature. The aim of this retrospective case series was to describe the clinical presentation and evaluate the efficacy of bioabsorbable polylactic acid screws in internal fixation of proximal fractures of the 2nd and 4th metacarpal and metatarsal bones in horses. METHODS: The medical records, diagnostic images and outcome of all horses diagnosed with a proximal fracture of the splint bones and treated with partial resection and internal fixation of the proximal stump using bioabsorbable polylactic acid screws between 2014 and 2015 were reviewed...
March 2018: Australian Veterinary Journal
https://www.readbyqxmd.com/read/29466278/interlocking-k-wires-followed-by-immediate-mobilization-for-fractures-of-the-hand
#19
Efrain Farias, Mayron Lichterman, Mark Yuhas, Sunil M Thirkannad
We describe a technique of interlocking Kirschner wires to improve stability after fixation of fractures of the hand. This enables immediate mobilization of the injured fingers thus reducing the need for prolonged postoperative physical therapy and consequently diminishing chances of posttraumatic stiffness. This study analyzes outcomes in 83 fractures in 70 patients including 26 metacarpal and 57 phalangeal fractures. The technique has proven to be simple, versatile, and cost-effective. Patient compliance and satisfaction has been high and results have been gratifying...
March 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29411672/management-of-fracture-dislocations-of-the-little-finger-carpometacarpal-joint-a-systematic-review
#20
Will A Cobb, Lewis Dingle, Raina Zarb Adami, Jeremy Rodrigues
Fracture-dislocations of the carpometacarpal joint (CMCJ) of the little ray involve dorsal subluxation of the metacarpal base and they may be associated with injury of neighbouring CMCJs. Different treatment options are described, with no clear consensus on their management. This study presents a systematic review of comparative studies describing the management of these injuries. A bespoke search strategy was applied across multiple databases. Results were screened against specified stepwise inclusion criteria and data were extracted independently by two authors with discrepancy resolution by a third...
January 1, 2018: Journal of Hand Surgery, European Volume
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