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phalanx fractures

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https://www.readbyqxmd.com/read/29672909/non-catastrophic-and-catastrophic-fractures-in-racing-thoroughbreds-at-the-hong-kong-jockey-club
#1
T C Sun, C M Riggs, N Cogger, J Wright, J I Al-Alawneh
BACKGROUND: Reports of fractures in racehorses have predominantly focused on catastrophic injuries, and there is limited data identifying the location and incidence of fractures that did not result in a fatal outcome. OBJECTIVE: To describe the nature and the incidence of non-catastrophic and catastrophic fractures in Thoroughbreds racing at the Hong Kong Jockey Club (HKJC) over seven racing seasons. STUDY DESIGN: Retrospective cohort study...
April 19, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29625635/management-of-proximal-interphalangeal-joint-fracture-dislocations
#2
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
#3
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
#4
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/29587603/fractures-at-the-junction-of-diaphysis-and-metaphysis-of-the-proximal-phalanges-in-adults
#5
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/29551341/nonsurgical-treatment-as-alternative-to-surgical-treatment-in-enchondromas-of-the-distal-phalanx-analysis-of-a-series-of-11-cases
#6
Luis R Ramos-Pascua, Víctor Bárcena-Tricio, Sergio Sánchez Herráez, Paula Casas-Ramos, Francisco M Izquierdo-García
PURPOSE: To describe the results of nonsurgical and surgical treatment of enchondromas of the distal phalanx of the hand. METHODS: Eleven enchondromas of the distal phalanx were retrospectively reviewed. Five patients underwent surgery (curettage and autogenous cancellous bone graft from the iliac crest) and 6 patients were treated nonsurgically. Clinical records and radiographs were reviewed for each patient. We recorded complications and cosmetic and functional results...
March 15, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29505436/intramedullary-percutaneous-fixation-of-extra-articular-proximal-and-middle-phalanx-fractures
#7
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/29487957/treatment-of-proximal-phalanx-fractures-transarticular-pinning-the-metacarpophalangeal-joint-or-cross-pinning-from-the-base-of-the-proximal-phalanx-a-prospective-study
#8
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/29409411/irreducible-volar-rotatory-subluxation-of-the-proximal-interphalangeal-joint-of-the-finger
#9
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/29399000/outcomes-following-operative-treatment-of-adolescent-mallet-fractures
#10
Andrew T Chen, Keegan T Conry, Allison Gilmore, Jochen P Son-Hing, Raymond W Liu
Background: Many surgeons advocate for surgical intervention of adult mallet fractures that involve either subluxation of the distal interphalangeal (DIP) joint or those that involve more than one-third of the articular surface. However, the efficacy of operative treatment and complication rates are unclear regarding the adolescent population. Questions/Purposes: The goal of this study is to evaluate the clinical outcomes following operative fixation of bony mallet fractures in the adolescent population...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29392111/stress-fracture-of-the-second-proximal-phalanx-of-the-foot-in-teenage-athletes-unrecognized-location-of-stress-fracture
#11
Satoshi Yamaguchi, Shuji Taketomi, Yusei Funakoshi, Kan Tsuchiya, Ryuichiro Akagi, Seiji Kimura, Aya Sadamasu, Seiji Ohtori
Background: Adolescent athletes are a high-risk population for stress fractures. We report four cases of stress fractures of the second proximal phalanx, which had not been previously diagnosed as the location of the stress fracture of the foot, in teenage athletes. Case report: All fractures were on the plantar side of the proximal phalangeal base, and the oblique images of the plain radiograph clearly depicted the fractures. Notably, three out of the four patients had histories of stress fracture of other locations...
October 2017: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
https://www.readbyqxmd.com/read/29319352/dual-antegrade-intramedullary-headless-screw-fixation-for-treatment-of-unstable-proximal-phalanx-fractures
#12
Michael P Gaspar, Shiv D Gandhi, Randall W Culp, Patrick M Kane
BACKGROUND: Although intramedullary headless screw (IMHS) fixation is a promising minimally invasive surgical treatment option for unstable proximal phalanx fractures, a single IMHS may provide inadequate fixation for certain fracture patterns. The purpose of this study was to evaluate the short-term clinical outcomes in a pilot series of patients with proximal phalanx fractures treated with dual antegrade IMHS fixation. METHODS: We performed a retrospective chart review of proximal phalanx fractures treated with dual antegrade IMHS fixation with a minimum 1 year of follow-up...
January 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29244687/pilon-fractures-of-the-base-of-the-proximal-phalanx-direct-intraosseous-joint-reduction-with-bone-grafting-and-mini-screws-a-case-report
#13
Iva Neshkova, Rainer H Meffert
CASE: A 31-year-old woman sustained a closed pilon fracture of the base of the second proximal phalanx. Computed tomography showed comminution, central depression, and splaying of the articular surface. We used a method of direct intraosseous joint reduction in combination with bone-grafting and mini-screws to treat the fracture. For reduction, a golf-club-shaped instrument was inserted into the medullary cavity through a drill-hole in the phalanx. CONCLUSION: The advantage of this technique is that it leaves the joint capsular complex and the extensor hood intact...
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29200490/management-of-nail-bed-injuries-associated-with-fingertip-injuries
#14
Alexander George, Reena Alexander, C Manju
Background: Management of nail injuries can often be a challenging experience, especially in presence of complex fingertips' injuries that include soft tissue loss and distal phalanx injury. Most studies found in the literature focus on individual injuries and describe methods to tackle those injuries, notwithstanding the fact that the nail, nailbed, distal phalanx, soft tissue and skin of the finger tip form a complex and often more than one element of this complex is injured. This retrospective study therefore focuses on the management of nail bed injuries as a part of the complex finger tip injury and outlines the surgical principles and techniques that were used in their management...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29193820/osteology-and-radiological-anatomy-of-the-thoracic-limbs-of-temminck-s-ground-pangolin-smutsia-temminckii
#15
Christine Steyn, John T Soley, Martina R Crole
Temminck's ground pangolin is the only pangolin present in South Africa. It is a myrmecophagous mammal with a bipedal gait. The thoracic limbs are used to break open ant nests, dig for food, and expand previously occupied burrows. This study describes the osteology and radiological anatomy of the thoracic limbs of this threatened species. Thoracic limbs from four Temminck's ground pangolins, which succumbed from electrocution or natural causes, were digitally radiographed in situ. The individual bones were then cleaned, described and digitally radiographed...
November 28, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29181346/phalangeal-fracture-during-attempted-dupuytrens-release-following-clostridial-collagenase-injection-case-report
#16
Laura W Lewallen, Marco Rizzo
Introduction: Dupuytren's disease can be a challenging condition for both patients and surgeons. Injectable collagen clostridium histolyticum was approved for clinical use by the Food and Drug Administration in 2010. A number of side effects have been described. In this case report, we present a complication of a proximal phalanx fracture which occurred during attempted release post injection. To the best of our knowledge, this is the first reported case of this particular complication...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29146511/surgical-management-of-proximal-interphalangeal-joint-repetitive-stress-epiphyseal-fracture-nonunion-in-elite-sport-climbers
#17
Yasser El-Sheikh, Chris Lutter, Isabelle Schoeffl, Volker Schoeffl, Sascha Flohe
Repetitive stress fracture of the middle phalanx epiphysis is an injury specific to elite adolescent sport climbers. As sport climbing becomes increasingly popular in younger age groups, an increased number of these injuries have been reported in recent years. To date, treatment of these fractures has been nonsurgical, with strict rest and physiotherapy prescribed until fracture union. However, when these patients present in a delayed fashion with an established nonunion, nonsurgical treatment may fail, leading to disabling chronic pain and/or digital deformity in some cases...
November 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29117838/the-te-technique-for-restoring-fingertip-stability-post-traumatic-acro-osteolysis-a-report-and-review-of-management-options
#18
Yu-Te Lin, Charles Yuen Yung Loh
BACKGROUND: Fractures of the distal phalanx can result in bony non-union, resulting in acro-osteolysis and subsequent fingertip instability due to soft tissue dissociation from bone. Conventional methods of treating this involve osseous fixation, but do not address the laxity and lack of soft tissue stability with bone. Current techniques also do not address the management of such conditions if bony fragments are too small to reduce. We present a novel method that addresses both soft tissue and bony deformity in this condition...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29117821/assessment-of-usefulness-of-anthropometric-data-for-predicting-the-scaphoid-and-the-screw-length-a-new-technique
#19
Darshan Kumar A Jain, Naresh Shetty, L Naveen Kumar, D C Sundaresh
BACKGROUND: Headless screw is frequently used for scaphoid fracture fixation. Aim of the study was to assess the correlation between the axial length of the scaphoid and the axial length of the middle phalanx of index, middle, ring and little finger so as to provide an indirect method to assess the length of the scaphoid and thereby the length of the screw. METHODS: Thirty five fresh frozen cadavers with seventy wrists and hands were dissected. The age, sex and side were recorded...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29078727/proximal-phalanx-fracture-management
#20
Tim T Lögters, Hannah H Lee, Sebastian Gehrmann, Joachim Windolf, Robert A Kaufmann
BACKGROUND: The goal of proximal phalangeal fracture management is to allow for fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. METHODS: We reviewed the most current literature on various treatment methods of proximal phalanx fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. RESULTS: Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
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