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Wrist fractures

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https://www.readbyqxmd.com/read/29330342/are-the-patient-rated-wrist-evaluation-prwe-and-the-disabilities-of-the-arm-shoulder-and-hand-dash-questionnaire-used-in-distal-radial-fractures-truly-valid-and-reliable
#1
Y V Kleinlugtenbelt, R G Krol, M Bhandari, J C Goslings, R W Poolman, V A B Scholtes
OBJECTIVES: The patient-rated wrist evaluation (PRWE) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire are patient-reported outcome measures (PROMs) used for clinical and research purposes. Methodological high-quality clinimetric studies that determine the measurement properties of these PROMs when used in patients with a distal radial fracture are lacking. This study aimed to validate the PRWE and DASH in Dutch patients with a displaced distal radial fracture (DRF)...
January 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29327549/-characteristics-and-treatments-of-the-essex-lopresti-injury
#2
Ming-Liang Li, Jian-Shui Mao, Chong-Bin Zhou, Ji-Wei Wang, Zhi-Jun Ye
OBJECTIVE: To summarize experiences of operative treatment for Essex-Lopresti injury, and analyze the effect of the compare repair of interosseous membrane of forearm(IOM)on the forearm function. METHODS: Twenty-four patients of Essex-Lopresti injury were treated from January 2005 to December 2013, 16 patients(group A) with radius and/or ulna fractures were treated with open reduction and internal fixation of radius or ulna and repair of forearm bone membrane at the same time, and then treated with open reduction and internal fixation of head of radius, as well as lower ulnar joint fixation or repair of wrist triangle fiber complex...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29327548/-research-of-tcm-synthetic-rehabilitation-on-the-recovery-of-wrist-joint-after-distal-radius-fractures
#3
Yong Zhao, Qing-Qing Dong, Wei-Kai Qin, An Yan, Kuan Zhang, Guo-Dong Zhao, Gang Wang, Jin-Chao Geng, Zhan-Feng Wang, Ze-Ming Lu
OBJECTIVE: To evaluate efficacy and advantages of the Traditional Chinese Medicine (TCM) synthetic rehabilitation therapy in the treatment of wrist dysfunction after distal radius fractures. METHODS: From May 2014 to October 2015, 72 patients with distal radius fracture meeting standards were treated using central randomization system for clinical research. All the patients were divided into two groups: 36 patients in test group and 36 in control group. Sixty-nine cases were finished treatment and followed up in the end...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29322319/intraoperative-three-dimensional-imaging-in-the-treatment-of-distal-radius-fractures
#4
Marc Schnetzke, Julia Fuchs, Sven Y Vetter, Benedict Swartman, Holger Keil, Paul-Alfred Grützner, Jochen Franke
INTRODUCTION: In operative treatment of distal radius fractures satisfying outcome mainly relies on anatomical fracture reduction and correct implant placement. Examination with two-dimensional fluoroscopy may not provide reliable information about this. The aim of this study was to determine the effectiveness of additional intraoperative three-dimensional imaging in the operative treatment of comminuted distal radius fractures. MATERIALS AND METHODS: From August 2001 to June 2015, patients with a distal radius fracture who were treated operatively and received intraoperative three-dimensional scan were included...
January 10, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29318360/a-novel-percutaneous-achievement-and-maintenance-of-reduction-and-screw-fixation-for-acute-displaced-scaphoid-fractures-minimum-two-year-follow-up
#5
Yadong Yu, Haibin Cui, Xiaoliang Yang, Xiaofei Yu, Yanbin Bai
PURPOSE: The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS: From February 2012 to March 2014, 15 patients with acute displaced scaphoid fractures were treated with our technique. Two Kirschner wires were used to achieve and maintain the reduction of the scaphoid fractures throughout the entire process of the traditional percutaneous screw fixation process...
January 10, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29316593/demographics-of-tennis-related-injuries-that-presented-to-emergency-departments-in-the-united-states
#6
Jonathan D Chevinsky, Neil V Shah, Mikhail Tretiakov, Alexandr Aylyarov, Gregory S Penny, Joanne C Dekis, Jonathan N Chorney, Natasha Ahmed, Nipun Sodhi, Alyeesha B Wilhelm, William P Urban, Carl B Paulino, Jared M Newman
INTRODUCTION: Tennis injuries are not uncommon, and efforts have been made to reduce the risk of these injuries. There are a number of different factors that have been shown to influence injury rates of tennis players, in particular patient-related risks. Therefore, the purpose of this study was to investigate the epidemiology of tennis-related injuries. Specifically, we evaluated: 1) demographics; 2) incidence and trends of injuries; and 3) incidence and trends of body parts that were injured...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315197/prediction-of-distal-radius-fracture-redisplacement-a-validation-study
#7
Monique M J Walenkamp, Marjolein A M Mulders, Jony van Hilst, J Carel Goslings, Niels W L Schep
OBJECTIVE: To externally validate the Edinburgh Wrist Calculator (EWC) in a population of patients with distal radius fractures at risk for loss of threshold alignment. DESIGN: A retrospective cohort study. SETTING: One academic hospital. PATIENTS/PARTICIPANTS: All consecutive adult patients with a displaced distal radius fracture with initial dorsal angulation >10°and/or an ulnar variance of >3 mm who were treated with closed reduction and cast immobilization between 2009 and 2014...
January 8, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29301797/management-of-a-15-year-old-scaphoid-non-union
#8
Kai Yuen Wong, Olivia Sharp, Phillip Johnston
Scaphoid non-union affects wrist joint function and is often associated with a predictable pattern of degenerative change. A 30-year-old man presented with a symptomatic 15-year-old right scaphoid fracture with secondary scaphoid non-union advanced collapse of his right wrist. There was no evidence of avascular necrosis. The initial injury was from a fall onto his outstretched hand. We performed a right scaphoid open reduction, internal fixation and iliac crest bone graft. One year after the operation, the patient had good wrist function and grip strength...
January 4, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29282524/perilunate-fracture-dislocations-clinical-and-radiological-results-of-21-cases
#9
Thomas Meszaros, Esther Vögelin, Lukas Mathys, Franck Marie Leclère
BACKGROUND: Perilunate dislocations and fracture-dislocations are a subcategory of the carpal instability complex. Herein, we report our university hospital experience with this complex injury. The goal of our study was to find predictive factors and quantify the development of arthritis and lunate necrosis. We tried to measure the impact of arthritis on hand function. METHODS: Between January 2000 and December 2014, 21 patients underwent surgery for perilunate dislocations and perilunate fracture-dislocations of the wrist in our tertiary university center...
December 27, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29280078/increased-risk-of-fractures-in-patients-with-polycystic-ovary-syndrome-a-nationwide-population-based-retrospective-cohort-study
#10
Hsin-Yi Yang, Herng-Sheng Lee, Wan-Ting Huang, Ming-Jer Chen, Solomon Chih-Cheng Chen, Yueh-Han Hsu
Polycystic ovary syndrome (PCOS) is a complex disorder; various features of this disorder may influence bone metabolism and skeletal mass. The contribution of PCOS to lower bone mineral density has been recognized. However, the impact of PCOS on the long-term risks for fractures remains inconclusive. The aim of this study was to determine the risk of overall fracture and fractures at different anatomic sites in patients with PCOS. Using a nationwide health insurance claims database, we included 11,106 subjects, aged 15-80 years, with newly diagnosed PCOS (ICD-9-CM: 254...
December 26, 2017: Journal of Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/29242793/open-anterior-peri-lunardislocation-of-the-carp-a-case-report
#11
Hassini Lassaad, Nawar Nader, Youcef Othmen, Mtaoumi Mourad, Mohamed Laziz Ben Ayeche
Introduction: The anterior perilunate dislocations of the carp (PDC)are exceptional and poorly known lesions, which may go unnoticed in an emergency. They derive their importance from the severity of sequelae, which are dominated by chronic wrist instability and long-term osteoarthritis. Case Report: We report the case of an open anterior PDC with no carpal fracture in a young patient. The injury occurred in a road accident and was treated at once with satisfactory results 1year after...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29238111/distal-radius-nonunion-after-volar-locking-plate-fixation-of-a-distal-radius-fracture-a-case-report
#12
Takaaki Shinohara, Hitoshi Hirata
We describe a 59-year-old man who had nonunion of a right distal radius fracture after volar locking plate fixation. He underwent open reduction and internal fixation with a volar locking plate system for a dorsally displaced, unstable distal radius fracture at a previous hospital 5 months ago. Radiographs of the injured wrist showed nonunion of the distal radius with 1.5-mm ulnar minus variance. Radiographs of the unaffected wrist showed 3.5-mm ulnar plus variance. Intraoperative findings of surgical revision showed an unstable nonunion; thus, debridement of the nonunion, autogenous inlay bone grafting, and internal fixation using another type of volar locking plate system were performed...
November 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29238106/measures-and-effects-on-prevention-of-fall-the-role-of-a-fall-working-group-at-a-university-hospital
#13
Kazuyoshi Kobayashi, Kei Ando, Yuko Inagaki, Yusuke Suzuki, Yoshimasa Nagao, Naoki Ishiguro, Shiro Imagama
Fall in hospitalized patients can cause trauma and fractures, which can reduce ADL and QOL, whereas prevention of fall decreases medical expenses. The purpose of this study is to examine prevention of fall due to intervention from a fall working group established in our hospital. The working group focused on three main points. First, colored wrist bands for patients classified as grade 3 risk for fall are used to alert medical staff. Second, information on fall prevention was distributed to patients. Third, standardization of two bed fences and reduced use of slippers for inpatients have been introduced...
November 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29231799/the-minimally-invasive-approach-for-distal-radius-fractures-and-malunions
#14
Philippe A Liverneaux
This article reviews the author's currently used minimal invasive approach for volar plating of distal radius fractures. A single longitudinal incision of 1.5 cm is drawn on the lateral aspect of the flexor carpi radialis tendon in order to insert a plate under the pronator quadratus. With the wrist flexed, the plate is applied on the anterior cortex of the radius to reduce the fracture. This approach offers the advantage of preserving ligamentotaxis, which facilitates the reduction, and the small scar improves the cosmetics...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29229541/results-of-percutaneous-fixation-and-distal-radius-core-decompression-in-scaphoid-waist-non-unions-treated-without-grafting
#15
S S Dedeoğlu, Y İmren, H Çabuk, A C Tekin, Y C Türe, H Gürbüz
Scaphoid non-union management is still a challenge in clinical practice for orthopaedic surgeons. Though several treatment methods have been described, there is an ongoing debate about optimum management. Based on new concepts about avascular conditions, promising results were reported with metaphyseal decompression of the distal radius by increasing the vascularization of the radial column of the carpus. We aimed to evaluate the clinical, radiological, and functional outcomes of distal radius core decompression and fixation with palmar percutaneous cannulated compression screws without grafting in patients with scaphoid waist fracture non-union...
December 8, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29229540/in-vivo-confirmation-of-the-reliability-of-the-dorsal-tangential-view-of-the-wrist
#16
G Kiyak
The purpose of the study was to evaluate the reliability of the dorsal tangential view (DTV) of the wrist using direct visualization of the extensor compartments in vivo. Twelve patients with extensor tendon complications [nine patients with extensor synovitis, two patients with isolated extensor pollicis longus (EPL) rupture, one patient with EPL and extensor indicis proprius rupture] after volar plating of a distal radius fracture were enrolled in the study. We obtained DTVs in the operating room before implant removal and explored the extensor compartments during synovectomy or tendon reconstruction to confirm suspected screw penetration...
December 8, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29198546/lack-of-experience-is-a-significant-factor-in-the-missed-diagnosis-of-perilunate-fracture-dislocation-or-isolated-dislocation
#17
Ilker Çolak, Halil I Bekler, Güven Bulut, Engin Eceviz, Deniz Gülabi, Gültekin S Çeçen
OBJECTIVE: The aim of this study was to analyze the risk factors contributing to the misdiagnosis of perilunate injuries. METHODS: The study included patients who had perilunate dislocation or fracture dislocation correctly or incorrectly diagnosed on initial examination between 2008 and 2014. Data related to the length of time until correct diagnosis of the perilunate injury; cause of injury; presence of associated fractures, polytrauma or concomitant trauma in the ipsilateral upper extremity; time between injury and first presentation; first treatment applied; presence of ligamentous perilunar injuries only or fracture and dislocation; inadequate radiographic assessment; and experience of the physicians were recorded and analyzed...
November 29, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29196227/scaphoid-fractures-treated-with-a-volar-percutaneous-approach-analysis-and-results-in-92-cases
#18
G Luengo Alonso, V Jiménez Díaz, L Garcia Lamas, M A Porras Moreno, D Cecilia López
OBJECTIVE: Herbert type B1 and B2 scaphoid fractures can be treated by orthopaedic treatment or surgery. The aim of this study is to analyse results and complications of scaphoid waist fractures treated using the percutaneous volar approach. MATERIAL AND METHOD: We present a retrospective study of 92 patients, treated in our institution from 2006 to 2016 using a volar percutaneous fixation. Mean Follow-up was 16 months (range 12-48). Injuries were classified using Hebert's classification, including B1 and B2 fracture types; the other fracture types following this classification system were excluded...
November 28, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29182126/a-comparison-of-ketamine-sedation-and-general-anaesthesia-for-manipulation-of-paediatric-forearm-fractures
#19
R W Jordan, A Aquilina, D J Westacott, S Cooke
The purpose of the study was to compare the use of ketamine sedation and general anaesthesia for manipulation of paediatric wrist and forearm fractures. A retrospective analysis was performed of patients under 16 years treated at our centre between October 2014 and October 2015. Exclusion criteria were open fractures and fractures with complete displacement. Outcomes measured were fracture reduction, the quality of the cast, fracture redisplacement, further surgical intervention and use of theatre time. 66 children were manipulated over the study period; 31 received ketamine sedation and 35 general anaesthesia...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29181439/rest-activity-circadian-rhythms-and-bone-mineral-density-in-elderly-men
#20
Tara S Rogers, Stephanie Harrison, Christine Swanson, Jane A Cauley, Elizabeth Barrett-Connor, Eric Orwoll, Katie L Stone, Nancy E Lane
Background: Disrupted rest-activity circadian rhythm (RAR) patterns have been associated with poor health outcomes (i.e. diminished cognitive function, increased risk of dementia and falls). Circadian time cues in bone influence the differentiation of osteoblasts and osteoclasts, and bone turnover markers exhibit circadian variation; relationships between bone outcomes and RAR are emerging areas of research. We evaluated associations between RAR and areal bone mineral density (aBMD) at the total hip and femoral neck in older men from the Osteoporotic Fractures in Men (MrOS) cohort...
December 2017: Bone Reports
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