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https://www.readbyqxmd.com/read/27793864/unilateral-fusion-of-the-scaphoid-and-the-trapezium
#1
Alexander Robert Poublon, Gerald Kraan, Gert-Jan Kleinrensink
Fusion of the carpal bones is a rare anatomical abnormality, caused by a defect in the separation and cavitation during embryonic development. It has a prevalence of about 0.1% and most of the time, patients do not present with symptoms. Symptoms are usually caused by wear and tear of the ligaments attached to the fused carpal fragments. We present a case in which a woman aged 36 years experiences pain caused by a lunato-triquetral instability which in turn is caused by a unilateral complete fusion of the scaphoid and the trapezium...
October 28, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27583261/an-unusual-variant-of-perilunate-fracture-dislocations
#2
Matthew L Morin, Giles W Becker
Trans-scaphoid, trans-radial styloid, trans-triquetral perilunate fracture dislocations are rare. We describe a 19-year-old male who suffered this injury after crashing his bicycle. He underwent open reduction internal fixation and percutaneous pinning. Scaphoid union was achieved at 8 weeks. Near complete range of painless motion was achieved by 4 months.
2016: Case Reports in Plastic Surgery & Hand Surgery
https://www.readbyqxmd.com/read/27162929/transradial-transscaphoid-transcapitate-perilunate-dislocation-a-case-report-and-approach-to-the-patient
#3
Sarabjeet Kohli, Vikram Khanna, Nilesh D Virani, Hemant Chaturvedi
Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accidentwith head, face and left wrist injury. After immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. Scaphoid fracture was fixed with the help of Herbert's screw via the dorsal approach. The base of the first metacarpal was fixed with the help of JESS fixator and the distal end radius was fixed with the help of K-wires...
January 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27109738/high-resolution-18-f-fdg-pet-ct-for-assessing-disease-activity-in-rheumatoid-and-psoriatic-arthritis-findings-of-a-prospective-pilot-study
#4
Abhijit J Chaudhari, Andrea Ferrero, Felipe Godinez, Kai Yang, David K Shelton, John C Hunter, Stanley M Naguwa, John M Boone, Siba P Raychaudhuri, Ramsey D Badawi
OBJECTIVE: Rheumatoid arthritis (RA) and psoriatic arthritis (PsA) commonly affect the small joints of the wrist and hand. We evaluated the performance of a new, high-resolution extremity positron emission tomography (PET)/CT scanner for characterizing and quantifying pathologies associated with the two arthritides in the wrist and hand joints. METHODS: Patients with RA or PsA underwent fluorine-18 fludeoxyglucose ((18)F-FDG) PET/CT wrist and hand imaging, respectively, on the high-resolution scanner...
July 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26852647/the-distribution-of-hand-fractures-at-the-university-hospital-of-north-norway
#5
Sven Weum, Siri Millerjord, Louis de Weerd
BACKGROUND: The objective of this study was to describe the fracture pattern for hand fractures in the Arctic region of Norway. MATERIALS AND METHODS: Using the hospital's radiological information system and picture archiving and communication system all traumatic hand fractures in the year of 2010 were registered. Fractures in the carpal, metacarpal, and phalangeal bones were included in the study. RESULTS: A total of 593 patients with 691 fractures including 80 carpal, 200 metacarpal, and 411 phalangeal fractures were registered...
June 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/26678244/lunate-triquetral-coalition-in-an-australian-setting
#6
Yoshio Robert Hinde, Dylan Amali, Andrew Kanawati
No abstract text is available yet for this article.
December 17, 2015: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/26511700/coalition-of-trapezoid-capitate-and-metacarpal-a-case-report
#7
Semra Duran, Bedriye Mermercİ Başkan
Carpal coalition is a rare wrist anomaly. A coalition can be an isolated condition, but it can be observed as a component of a congenital syndrome as well. Carpal coalition is usually asymptomatic and detected incidentally. It is most frequently encountered as lunate-triquetral coalition, followed by capito-hamate coalition. Other coalition types are very rare. In this case report, we present a case in which the patient applied with complaints of pain, and in whom a coalition of capitate-trapezoid- second and third metacarpal was detected...
2015: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/26468923/-diagnostically-approach-to-pediatric-carpal-fractures-a-retrospective-analysis
#8
K Eckert, R-B Tröbs, B Schweiger, P Liedgens, E Radeloff, O Ackermann
INTRODUCTION: Carpal fractures in children are rare, but can be missed, as their clinical symptoms are unspecific and discrete. Even X-ray diagnosis is difficult. Timely diagnosis and consistent therapy are especially important for scaphoid fractures, as they can help to avoid complications such as non-union or avascular necrosis. A diagnostic approach to paediatric carpal fractures will be discussed on the basis of the following group of patients. METHODS: Retrospective analysis of children under 14 years treated in our institution between 09/2010 and 02/2012 for clinically suspected carpal fracture...
February 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/26398433/incidence-of-carpal-coalition-in-the-pediatric-population
#9
Blazej Pruszczynski, Jeremy Saller, Kenneth J Rogers, Laurens Holmes, Jennifer M Ty
BACKGROUND: Carpal coalitions (CCs) result from the failure of segmentation of the carpal anlage in early development. In the adult population, CC is usually described as an asymptomatic radiographic finding. Data on CC in the pediatric population are limited. This study examines the prevalence of CC in the pediatric population and characterizes the presentation and associated musculoskeletal conditions. METHODS: We used a cross-sectional design to assess data collected from all patients seen in our institution and associated facilities from August 2004 through February 2013...
September 20, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26392453/simultaneous-bilateral-fracture-of-the-triquetral-bone
#10
Bo Jan Noordman, Klaas Albert Hartholt, Jens Anthony Halm
No abstract text is available yet for this article.
September 21, 2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25820858/triquetral-fracture-with-associated-pisiform-subluxation
#11
L P Gan, M Satkunanantham, S Sreedharan, W Y Chew
We herein present a case of right triquetral fracture with associated pisiform and flexor carpi ulnaris subluxation in a 29-year-old man. Initial radiography showed a right triquetral fracture. Computed tomography and magnetic resonance imaging demonstrated a triquetral fracture with a subluxated pisiform. Open reduction and lag screw fixation of the right triquetrum was performed, with good subsequent recovery of function. Although triquetral fracture with subluxation of the pisotriquetral joint is uncommon, attending clinicians should bear in mind the possibility of such an injury when managing traumatic ulnar-sided wrist pain...
March 2015: Singapore Medical Journal
https://www.readbyqxmd.com/read/25437122/approach-to-the-diagnosis-of-unusual-carpal-ankylosis-from-ancient-egypt
#12
Albert Isidro, Ivan Díez-Santacoloma, Jose Méndez-López
OBJECTIVES: Carpal fusion is not an uncommon finding in archaeological bones. The majority of cases are due to inflammatory or infectious diseases and those are usually associated with other major alterations in the skeleton. METHODS: Two distinct individual cases, both adult females recovered from the Necropolis of Sharuna in the Middle Egypt from the Ptolemaic Period (IV to I BC) are presented in this study. Specimen 4323/1 shows a fusion of the scaphoid, lunate and triquetral bones in the right wrist...
January 2015: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/25414557/volar-dislocation-of-the-triquetrum-case-report-and-review-of-literature
#13
David Braig, Georgios Koulaxouzidis, Ziad Kalash, Jonas Bürk, G Björn Stark
In contrast to triquetral fractures, dislocations of the triquetrum are very uncommon because of the very strong ligamentous support. They occasionally occur in association with complex wrist injuries, isolated dislocations however are extremely rare. We report a case of a male athlete who sustained an isolated volar dislocation of the triquetrum. The injury was treated by open reduction, fixation with Kirschner-wires and direct repair of torn ligaments. Kirschner-wires were removed after 6 weeks and physiotherapy was started...
December 2014: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/25245652/complex-transradial-carpal-dislocation-in-a-professional-pianist-case-report
#14
Alessio Pedrazzini, Marco Paterlini, Massimo Pompili, Silvio Tocco, Francesco Ceccarelli
Carpal fracture-dislocation associated to distal radius fractures is an uncommon injury of the wrist. Clinical assessment, instrumental diagnosis and treatment are all challenges for the surgeon. In addition, the prognosis in high-functioning patients is nearly always poor. The authors describe an early diagnosis of scapholunate dissociation and joint capsule tear associated with radial styloid and triquetral fractures in a 39-year-old professional piano player. A dorsal approach was used to reduce and fixate the fracture with k-wires, and to repair soft-tissue injuries with a Titanium micro-anchor...
2014: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/25120963/radiographical-study-showing-asymmetry-in-the-surface-area-of-carpal-bones-in-malnourished-children
#15
Shelja Sharma, Vivek Mishra, Vasundhra Kulshreshtha
BACKGROUND: Protein energy malnutrition, a major health and nutritional problem in India, leads to retardation in bone maturity and eventually physical growth. Many studies have been done on ossification centers of hand bones for estimation of skeletal maturation and to diagnose malnutrition but very few studies have been done so far to see effect of protein energy malnutrition on surface area of carpal bones. AIMS AND OBJECTIVES: The surface areas of carpal bones on radiographs on both sides were calculated, analysed and compared in protein energy malnutrition (PEM) cases and healthy controls upto five years of age to see the variability among study groups...
June 2014: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/25104893/nonscaphoid-carpal-injuries-incidence-and-associated-injuries
#16
Anantha Krishnan Raghupathi, Prathap Kumar
AIMS: Nonscaphoid fractures comprise approximately 40% of all carpal fractures. But the exact incidence of these rare injuries is still not clear. Missed or late diagnosis can lead to serious ligamentous disruption and permanent wrist dysfunction. METHODS: A retrospective analysis of wrist X-rays and CT scans were carried out for a period of 3 years. Incidence and associated injuries from this study was compared with literature. A total of 33 patients were included in our study...
June 2014: Journal of Orthopaedics
https://www.readbyqxmd.com/read/25060083/diagnosis-of-occult-scaphoid-fractures-a-randomized-controlled-trial-comparing-bone-scans-to-radiographs-for-diagnosis
#17
RANDOMIZED CONTROLLED TRIAL
Christina Hiscox, Jeremy LaMothe, Neil White, Mark Bromley, Elizabeth Oddone Paolucci, Kevin Hildebrand
BACKGROUND: Many patients with suspected scaphoid fractures but negative radiographs are immobilized for ≥ 2 weeks and are eventually found to have no fracture. Bone scans are reportedly 99% sensitive for these injuries if done ≥ 72 hours postinjury. OBJECTIVE: The purpose of this study was to determine if early bone scans would allow for shorter cast immobilization periods in patients with suspected scaphoid fractures. METHODS: Twenty-seven patients with clinically suspected scaphoid fractures and negative radiographs were randomized to early diagnosis (bone scan within 3-5 days; n  =  12) or traditional diagnosis (radiographs 10-14 days postinjury; n  =  15)...
July 2014: CJEM
https://www.readbyqxmd.com/read/24759604/simultaneous-bilateral-triquetral-fractures-acquired-in-two-separate-accidents-within-9-h
#18
Vincent P Sluiters, Ewan D Ritchie, Willem-Maarten Bosman
No abstract text is available yet for this article.
April 23, 2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24612468/positive-magnetic-resonance-imaging-findings-in-the-asymptomatic-wrist
#19
Greg Couzens, Nick Daunt, Ross Crawford, Mark Ross
BACKGROUND: Magnetic resonance imaging (MRI) is being increasingly utilized to define pathology and guide treatment in patients presenting with wrist pain. The clinical relevance of MRI identified or confirmed pathology has not been established, and the prevalence of asymptomatic MRI pathology is not known. METHODS: Twenty volunteers with no previous wrist injury or symptoms underwent bilateral MRI wrist studies in this exploratory diagnostic study. The scans were reported by an experienced musculoskeletal radiologist and an experienced wrist surgeon, with a consensus reached on each report...
July 2014: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/24426912/carpal-coalition-a-review-of-current-knowledge-and-report-of-a-single-institution-s-experience-with-asymptomatic-intercarpal-fusion
#20
Michael V Defazio, Benjamin J Cousins, Roberto Augusto Miversuski, Roy Cardoso
BACKGROUND: Carpal coalition is a relatively common, yet poorly recognized, anomaly that may present independently or in association with syndromic or metabolic disorders. While largely asymptomatic, symptoms may manifest secondary to biomechanical stress at the site of fusion. The purpose of this report is to describe 103 cases of carpal synostosis and provide a review of the etiology, classification, and clinical significance of intercarpal fusion. METHODS: Retrospective review of medical and radiographic records was conducted on all patients with identified carpal coalitions, between 2008 and 2012, at our institution...
June 2013: Hand: Official Journal of the American Association for Hand Surgery
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