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Wrist injuries

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https://www.readbyqxmd.com/read/29789707/the-natural-course-of-passive-tenodesis-grip-in-individuals-with-spinal-cord-injury-with-preserved-wrist-extension-power-but-paralyzed-fingers-and-thumbs
#1
Hae Yoon Jung, Jieun Lee, Hyung Ik Shin
STUDY DESIGN: Cross-sectional. OBJECTIVES: To investigate the natural course of passive tenodesis grip in individuals with spinal cord injury (SCI) with no experience of tenodesis splint application and the related factors for success of the grip. SETTING: Community-dwelling persons with chronic SCI in South Korea. METHODS: Individuals with cervical SCI with preserved wrist extensor power, but completely paralyzed fingers and thumbs, were recruited...
May 22, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29781908/musculoskeletal-injury-in-paddle-sport-athletes
#2
Andrew R Griffin, Diana M Perriman, Teresa M Neeman, Paul N Smith
INTRODUCTION: Kayak racing has been an Olympic sport since 1936. The sport is evolving with the introduction of ocean skis and stand-up-paddle boards (SUP). Musculoskeletal injury incidence surveys have been conducted for ultra-marathon events, but no data have been published for other racing formats. OBJECTIVE: To identify and compare the rates and types of injuries sustained by paddling athletes as a function of discipline and training parameters in Sprint, Marathon, Ultra-Marathon, and Ocean events...
May 16, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29776470/clinical-outcomes-of-anconeus-interposition-arthroplasty-after-radial-head-resection-in-native-and-prosthetic-radial-heads
#3
Hithem Rahmi, Julie A Neumann, Christopher Klein, Carola F van Eck, Brian K Lee, John Itamura
BACKGROUND: Radiocapitellar pathology after traumatic injury to the elbow can be challenging to treat. The anconeus interposition arthroplasty has been proposed to treat radiocapitellar or proximal radioulnar joint dysfunction and pain, or both. This study evaluated whether radial head excision (native or prosthetic), followed by an anconeus interposition arthroplasty, relieves pain and improves subjective and objective elbow function in patients with post-traumatic radiocapitellar pathology...
June 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29771398/a-cadaveric-study-of-the-mean-distance-of-the-radial-artery-during-the-approach-to-the-first-carpometacarpal-joint
#4
Baris Yildirim, Daniel E Hess, Jesse B Seamon, Matthew L Lyons, A Rashard Dacus
Multiple surgical procedures have been described to treat first carpometacarpal (CMC) arthritis. Although the superiority of one procedure over the others continues to be a controversial topic, they all approach the trapezium and require careful attention to the surrounding structures. One potential complication is injury to the radial artery, which lies in close proximity to the trapezium and is often encountered during surgical approach. Using cadaveric specimens, the authors dissected to identify and isolate the radial artery as it travels in the forearm, wrist, and hand while being careful not to disturb its native course...
May 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29768371/complex-regional-pain-syndrome-type-ii-after-cervical-transforaminal-epidural-injection-a-case-report
#5
Gi-Young Park, Dong Rak Kwon, Dae Gil Kwon
RATIONALE: We report a case of a 61-year-old patient who developed complex regional pain syndrome (CRPS) type II after a cervical transforaminal epidural steroid injection (CTESI). PATIENT CONCERNS: The patient developed sudden-onset severe pain and swelling of his upper right limb after a cervical transforaminal epidural injection. DIAGNOSES: On physical examination, the patient's symptoms and signs corresponded to the Budapest criteria for CRPS...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29742949/surgical-transposition-for-chronic-instability-of-the-extensor-carpi-ulnaris-tendon
#6
Brianna Fram, Lindley B Wall, Richard H Gelberman, Charles A Goldfarb
Painful extensor carpi ulnaris tendon instability has various treatments with limited available outcome data. We treated 12 wrists of 11 patients (including eight collegiate or professional athletes) with dorsal transposition of the extensor carpi ulnaris tendon to lie over the 5th compartment, stabilized with a retinacular sling from 2010-2015. All patients had symptom resolution and returned to sport at the pre-injury level by 3 months after surgery. Mean post-surgical Patient Reported Outcomes Measurement Information System (PROMIS) upper extremity score was 56, and PROMIS pain interference score was 42...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29722771/effects-of-early-diagnosis-of-the-wrist-over-use-syndrome-on-the-treatment
#7
Adnana Talić Tanović, Edina Tanović, Mevludin Mekić, Ivanka Mađar Šimić, Adnan Papović, Hadžan Konjo
Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pain intensity and quick recovery to daily work and sport activities. Methods This clinical retrospective study included 60 patients of both sexes aged from 22 to 44 years, with pain in the wrist and clinical signs of creeping tenosynovitis. Patients were divided into two groups: the first group - persons doing sports activity, and the second group - patients who did not deal with sports activities. Results Females in 31 (51...
August 1, 2018: Medicinski Glasnik
https://www.readbyqxmd.com/read/29716839/surgical-treatment-and-functional-outcomes-of-multicomponent-soft-tissue-injuries-of-the-wrist
#8
C Demirdover, F A Ozturk, H S Yazgan, N Yogurtcu, M Sevindik, H Vayvada
The aim of this study was to emphasize the importance of early surgical treatment of multicomponent soft tissue injuries of the wrist. A retrospective review was performed on 156 patients with multicomponent soft tissue injuries of the wrist who were treated between July 2007 and July 2015. All the patients included in the study were operated within the first 36hours of the injury and were hospitalized after the surgery based on the extent of their injury. The patients were evaluated in terms of age, gender, etiology, injured structures, total number of damaged structures, mean follow-up time, complications and reoperation...
April 28, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29716413/minimally-invasive-modified-camitz-opponensplasty-for-severe-carpal-tunnel-syndrome
#9
Mitsuhiko Nanno, Norie Kodera, Yuji Tomori, Shinro Takai
PURPOSE: We aimed to compare the clinical results and the complications between the minimally invasive modified Camitz opponensplasty and the conventional Camitz opponensplasty for severe carpal tunnel syndrome (CTS), and to evaluate the efficacy of the modified technique for CTS. METHODS: Twenty-eight hands in 24 patients with severe CTS who had disorder of the thumb opposition with thenar muscle atrophy (group 1) were treated by minimally invasive modified Camitz opponensplasty, passing the transferred palmaris longus (PL) tendon under the abductor pollicis brevis (APB) fascia using only palm and thumb incision, and no incision to either wrist crease or forearm...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29712566/powiff-prospective-study-of-wrist-internal-fixation-of-fracture-a-protocol-for-a-single-centre-superiority-randomised-controlled-trial-to-study-the-efficacy-of-the-vrp-2-0-distal-radius-plate-austofix-versus-the-va-lcp-depuy-synthes-for-distal-radius-fractures
#10
V D Varghese, Peter Smitham, Stuart Howell, Suzanne Edwards, Mark Rickman
BACKGROUND: Distal radial fractures are one of the most common orthopaedic cases that present to the A&E department. Surgical intervention is warranted in displaced intraarticular fractures and fractures with more than the recommended angulation or shortening, and is most commonly treated with volarly placed fixed angle locking plates. The aim of this study is to determine and compare the efficacy of two different plates for surgical treatment of distal radius fractures. The VRP 2...
April 30, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29706735/traumatic-dislocation-of-the-pisiform-bone
#11
Ilias G Petrou, Claire Savioz-Leissing, Anne Gray
Pisiform dislocation is a rare wrist injury. The limited literature available describes this pathology in the form of case reports. An immediate closed reduction and immobilization is indicated for acute injury while there is a debate in the management of cases with delayed diagnosis or failed closed reduction. In this case, a 32-year-old, right-handed man visited the emergency department with pain at the ulnar side of his left wrist after a fall. The initial management involved immobilization, and the patient was referred to the authors' specialized clinic 10 days later because of persistence of important ulnar wrist pain...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29706734/thoracoumbilical-flap-anatomy-technique-and-clinical-applications-in-upper-limb-reconstruction-in-the-era-of-microvascular-surgery
#12
Ravikiran Naalla, Moumita De, Rakesh Dawar, Shashank Chauhan, Maneesh Singhal
Purpose: Microvascular reconstruction is the standard of care for salvage of soft tissue defects in complex upper extremity due to their distinct advantages over the pedicled flaps. However, in the era of microsurgery, pedicled flaps have an acceptable significant role for reconstruction of complex soft tissue defects. The authors aim to demonstrate the versatility of pedicled thoracoumbilical flap (TUF) in selected clinical scenarios. Patients and Methods: Retrospective analysis of patients who underwent TUF for upper limb posttraumatic reconstruction was performed between January 2016 and October 2017...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29702048/nerve-transfer-surgery-for-penetrating-upper-extremity-injuries
#13
Efstathios Karamanos, Ilya Rakitin, Sophie Dream, Aamir Siddiqui
CONTEXT: Nerve transfer surgery is an option for repair of penetrating injuries of the upper extremity. In the right setting, it has advantages over tendon transfers and nerve grafting. OBJECTIVE: To review our experience since 2006 of nerve transfer surgery in the upper extremities. DESIGN: We included cases performed to repair penetrating trauma within three months of injury with at least three years' follow-up. MAIN OUTCOME MEASURES: Preoperative and postoperative muscle strength of the affected extremity...
April 9, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29700613/mr-arthrography-is-slightly-more-accurate-than-conventional-mri-in-detecting-tfcc-lesions-of-the-wrist
#14
B C Boer, M Vestering, S M van Raak, E O van Kooten, R Huis In 't Veld, A J H Vochteloo
INTRODUCTION: In case of clinical suspicion of triangular fibrocartilage complex (TFCC) injury, different imaging techniques are used. The aim of this study was to determine whether MRA is superior to MRI and whether 3.0 T is better than 1.5 T (expresses in sensitivity, specificity and accuracy) in detecting TFCC injury, using arthroscopy as the gold standard. MATERIALS AND METHODS: The arthroscopic and MR findings of 150 patients who underwent arthroscopy for ulnar-sided wrist pain between January 2009 and November 2016 were retrospectively reviewed...
April 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29690828/evidence-for-increased-mri-signal-intensity-and-morphological-changes-in-the-brachial-plexus-and-median-nerves-of-patients-with-chronic-arm-and-neck-pain-following-whiplash-injury
#15
Jane Greening, Kamakshi Anantharaman, Rupert Young, Andrew Dilley
Study Design Cross-sectional study. Background Whiplash following a motor vehicle accident can result in chronic neck and arm pain. Patients frequently present with cutaneous hypersensitivities and hypoesthesia but without obvious clinical sign of nerve injury. T2-weighted magnetic resonance imaging (MRI) has previously been used to identify nerve pathology. Objectives To determine whether there are signs of peripheral nerve pathology on MRI in patients with chronic arm and neck pain following whiplash injury...
April 24, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29686900/are-unnecessary-serial-radiographs-being-ordered-in-children-with-distal-radius-buckle-fractures
#16
Shi-Neng James Ling, Aidan J Cleary
Background. Torus or buckle distal radius fractures are common injuries in the pediatric population. By definition, they are stable and can be treated conservatively with a wrist splint or soft crepe bandage. Objective. The objective of this study was to evaluate the utility of serial radiographs in the clinical outcome of children with stable distal radius buckle fractures. Materials and Methods. A one-month retrospective analysis was undertaken at two major hospitals in Queensland-Logan and Redlands Hospital...
2018: Radiology Research and Practice
https://www.readbyqxmd.com/read/29648951/design-of-a-lightweight-soft-robotic-arm-using-pneumatic-artificial-muscles-and-inflatable-sleeves
#17
Preston Ohta, Luis Valle, Jonathan King, Kevin Low, Jaehyun Yi, Christopher G Atkeson, Yong-Lae Park
As robots begin to interact with humans and operate in human environments, safety becomes a major concern. Conventional robots, although reliable and consistent, can cause injury to anyone within its range of motion. Soft robotics, wherein systems are made to be soft and mechanically compliant, are thus a promising alternative due to their lightweight nature and ability to cushion impacts, but current designs often sacrifice accuracy and usefulness for safety. We, therefore, have developed a bioinspired robotic arm combining elements of rigid and soft robotics such that it exhibits the positive qualities of both, namely compliance and accuracy, while maintaining a low weight...
April 2018: Soft Robotics
https://www.readbyqxmd.com/read/29644275/delayed-identification-of-an-isolated-paediatric-capitate-fracture
#18
A Khoriati, C Jones, A Abdulkareem, N Ellahee
Fractures of the capitate bone are the second most common injury to a child's wrist but are rarely encountered in isolation. This is reflected in the paucity of described cases in the literature. Their true incidence is unknown as they often do not appear on plain radiographs and may heal without immobilisation. The easiest way to detect these fractures is with an MRI scan. The authors present a rare case of isolated capitate fracture that was initially missed on plain films. This case is important as it highlights the need for a high index of suspicion in paediatric patients with unresolving wrist pain...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29623932/evaluation-of-nerve-transfer-options-for-treating-total-brachial-plexus-avulsion-injury-a-retrospective-study-of-73-participants
#19
Kai-Ming Gao, Jing-Jing Hu, Jie Lao, Xin Zhao
Despite recent great progress in diagnosis and microsurgical repair, the prognosis in total brachial plexus-avulsion injury remains unfavorable. Insufficient number of donors and unreasonable use of donor nerves might be key factors. To identify an optimal treatment strategy for this condition, we conducted a retrospective review. Seventy-three patients with total brachial plexus avulsion injury were followed up for an average of 7.3 years. Our analysis demonstrated no significant difference in elbow-flexion recovery between phrenic nerve-transfer (25 cases), phrenic nerve-graft (19 cases), intercostal nerve (17 cases), or contralateral C7 -transfer (12 cases) groups...
March 2018: Neural Regeneration Research
https://www.readbyqxmd.com/read/29619521/us-guided-percutaneous-release-of-the-first-extensor-tendon-compartment-using-a-21-gauge-needle-in-de-quervain-s-disease-a-prospective-study-of-35-cases
#20
Franck Lapègue, Aymeric André, Etienne Pasquier Bernachot, Ezin Jocelyn Akakpo, Pierre Laumonerie, Hélène Chiavassa-Gandois, Omar Lasfar, Christophe Borel, Marine Brunet, Olivia Constans, Hubert Basselerie, Nicolas Sans, Marie Faruch-Bilfeld
PURPOSE: To evaluate the efficacy of ultrasonography-guided percutaneous treatment of de Quervain tenosynovitis with the combination of a corticosteroid injection and release of the retinaculum of the first extensor compartment tendons with a 21-gauge needle. MATERIALS AND METHODS: The first part of our study consisted of ten procedures on cadaver wrists followed by dissection to analyse the effectiveness of the retinaculum release and detect any collateral damage...
April 4, 2018: European Radiology
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