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https://www.readbyqxmd.com/read/29045229/case-247-jersey-finger-of-the-fifth-finger
#1
Viviane Marie Créteur, Pierre François Durieux, Nicolas Cuylits
History A 34-year-old man without underlying medical conditions came to the emergency department for evaluation of persistent pain over the volar portion of his right fifth finger after a fall during a football match 3 days before. At physical examination, the injured finger was swollen and purple. Passive and active flexion of the proximal and distal interphalangeal joints were compromised, without interphalangeal instability. Radiography was performed in the emergency department, and the patient was released with a diagnosis of a fifth digit sprain...
November 2017: Radiology
https://www.readbyqxmd.com/read/29042134/the-use-of-dynamic-radiographs-in-trapeziometacarpal-joint-arthrodesis-for-accurate-range-of-motion-evaluation
#2
Brian Dormitorio, Yasunori Hattori, Kiminori Yukata, Sotetsu Sakamoto, Kazuteru Doi
BACKGROUND: Increased motion at the scaphotrapeziotrapezoidal (STT) joint and compensatory hypermobility of metacarpophalangeal (MP) joint contribute to the total abduction and adduction motion of the thumb after trapeziometacarpal (TM) joint arthrodesis. However, there were no detailed studies to evaluate the contribution of motion of each joint towards total thumb mobility. METHODS: We conducted a comparative study on thumb joint motion in 56 hands who underwent TM joint arthrodesis against that of 56 hands in normal subjects...
October 14, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29031822/a-systematic-review-of-volar-locking-plate-removal-after-distal-radius-fracture
#3
REVIEW
Michiro Yamamoto, Yuki Fujihara, Nasa Fujihara, Hitoshi Hirata
BACKGROUND: Indication of volar locking plate (VLP) removal after bony healing of distal radius fracture (DRF) is controversial. Studies with various range of removal rate were reported. The purpose of this systematic review was to investigate the frequency and the reasons of hardware removal over the world. We hypothesized that more frequent VLP removal contribute to better clinical outcomes. METHODS: The authors searched all available literature in the PubMed and EMBASE databases for articles reporting on outcomes of treatment using VLP for DRF...
October 9, 2017: Injury
https://www.readbyqxmd.com/read/29026819/the-role-of-dynamic-ultrasound-in-the-immediate-conservative-treatment-of-volar-plate-injuries-of-the-pip-joint-a-series-of-78-patients
#4
Franck Marie Leclère, Lukas Mathys, Bettina Juon, Esther Vögelin
INTRODUCTION: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization. MATERIAL AND METHODS: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29025605/comparison-between-carbon-peek-volar-locking-plates-and-titanium-volar-locking-plates-in-the-treatment-of-distal-radius-fractures
#5
Dario Perugia, Matteo Guzzini, Daniele Mazza, Carlo Iorio, Carolina Civitenga, Andrea Ferretti
INTRODUCTION: Unstable intra articular fractures of distal radius are frequently being managed with open reduction and internal fixation. Volar locking plate based on polyetheretherketon (PEEK) polymer has developed lately as an alternative to conventional metallic devices. The advantage of this kind of plates include the lack of metal allergies, radiolucency, low artefacts on MRI or imaging scans and the high resistance associated to loading forces. The aim of this study was to evaluate the clinical and radiological results using a new Carbon-PEEK volar locking plate compared with titanium volar locking plates for the treatment of distal radius fractures...
October 2017: Injury
https://www.readbyqxmd.com/read/29024745/correlation-between-extension-block-k-wire-insertion-angle-and-postoperative-extension-loss-in-mallet-finger-fracture
#6
S K Lee, Y H Kim, K H Moon, W S Choy
INTRODUCTION: Extension-block pinning represents a simple and reliable surgical technique. Although this procedure is commonly performed successfully, some patients develop postoperative extension loss. To date, the relationship between extension-block Kirschner wire (K-wire) insertion angle and postoperative extension loss in mallet finger fracture remains unclear. HYPOTHESIS: We aimed to clarify this relationship and further evaluate how various operative and non-operative factors affect postoperative extension loss after extension-block pinning for mallet finger fracture...
October 9, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28993425/wrist-mass-in-a-93-year-old-woman
#7
Annette Marie Maznyczka, Domenico Valenti, Jonathan Byrne
A 93-year-old woman presented electively for transaortic valve implantation (TAVI), for severe aortic stenosis. She had a history of hypertension and hypothyroidism, and she was taking clopidogrel, antihypertensives and levothyroxine. In preparation for her TAVI procedure she underwent coronary angiography 4 months previously. Her coronary angiogram revealed severe three vessel disease, however, the consensus from the multidisciplinary team meeting, at that time, was to manage the coronary disease medically...
October 9, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28991587/arthroscopic-management-of-dorsal-and-volar-wrist-ganglion
#8
REVIEW
Christophe Mathoulin, Mathilde Gras
Dorsal and volar wrist ganglions are benign tumors; most of them are asymptomatic. They can disappear spontaneously. Arthroscopic resection can be performed for pain or cosmetic concern. Dorsal ganglion is more common (70%). The hypothesis of the origin is the result of mucoid dysplasia in association with intracapsular and extrasynovial ganglia that occur at the level of the dorsal scapholunate complex. Volar wrist ganglia are less common (20%) and occur mainly in the radiocarpal joint. They are due to capsular destruction at the volar insertion of the SL ligament and arise from the interval between radio scaphocapitate and long radiolunate ligament...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991581/arthroscopic-scapholunate-ligament-reconstruction-volar-and-dorsal-reconstruction
#9
REVIEW
Fernando Corella, Miguel Del Cerro, Montserrat Ocampos, Clara Simon de Blas, Ricardo Larrainzar-Garijo
Arthroscopic scapholunate volar and dorsal ligament reconstruction achieves an anatomic reconstruction, avoids an open approach and capsular detachment, and provides a strong construct for early mobilization. Clinical results are discussed. Detailed "surgical tips" and technical modifications are provided.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991577/arthroscopic-evaluation-of-associated-soft-tissue-injuries-in-distal-radius-fractures
#10
REVIEW
Tommy Lindau
The best outcome in distal radius fractures is achieved if anatomy is restored, in particular the intra-articular congruity. This is achieved partly with improved fixation, such as using volar locking plates, and partly by using an arthroscopy-assisted reduction and fixation technique. In addition to improving the intra-articular congruity, associated ligament and chondral injuries can be detected and treated. This article outlines various associated injuries with suggested management in a stepwise fashion...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991575/arthroscopic-assisted-triangular-fibrocartilage-complex-reconstruction
#11
REVIEW
Michael Chu-Kay Mak, Pak-Cheong Ho
Injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. Volar and dorsal radioulnar ligaments and their foveal insertion are the most important stabilizing components of the TFCC. In irreparable tears, anatomic reconstruction of the TFCC aims to restore normal biomechanics and stability of the distal radioulnar joint. We proposed a novel arthroscopic-assisted technique using a palmaris longus tendon graft. Arthroscopic-assisted TFCC reconstruction is a safe and effective approach with outcomes comparable to conventional open reconstruction and may result in a better range of motion from minimizing soft tissue dissection and subsequent scarring...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28983836/in-vivo-human-skin-penetration-study-of-sunscreens-by-confocal-raman-spectroscopy
#12
Vamshi Krishna Tippavajhala, Thiago de Oliveira Mendes, Airton Abrahão Martin
This research work mainly deals with the application of confocal Raman spectroscopic technique to study in vivo human skin penetration of sunscreen products, as there are a lot of controversies associated with their skin penetration. Healthy human volunteers were tested for penetration of two commercial sunscreen products into their volar forearm skin for a period of 2 h. Measurements were taken before and after application of these sunscreen products. All the confocal Raman spectra were pre-processed and then subjected to multivariate two-dimensional principal component analysis and classical least squares analysis to determine the skin penetration of these sunscreens in comparison to the "sunscreen product spectrum" which was considered as the control...
October 5, 2017: AAPS PharmSciTech
https://www.readbyqxmd.com/read/28979859/hernia-mesh-prevent-dislocation-after-wide-excision-and-reconstruction-of-giant-cell-tumor-distal-radius
#13
I Gede E Wiratnaya, I Gusti Bagus Arie M Budiartha, I Gusti Ngurah Y Setiawan, Dwijo A Sindhughosa, I Ketut S Kawiyana, Putu Astawa
Giant cell tumor (GCT) remains as major health problem. GCT which located at the lower end of the radius tends to be more aggressive. Wide excision and reconstruction of the wrist in stage 3 of distal radius GCT lesion is an optimal modality to prevent tumor recurrence. However, dislocation often occurs as its complication. We are reporting patient with GCT of distal radius treated with wide excision and reconstruction using nonvascularized fibular graft and the addition of hernia mesh. Circumferential non-absorbable polypropylene hernia mesh was applied, covered radioulnar joint and volar aspect of radius, and served as additional support to prevent dislocation...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28979606/volar-dislocation-of-second-third-and-fourth-carpometacarpal-joints-in-association-with-a-bennet-s-fracture-of-the-thumb-carpo-metacarpal-dislocation-a-case-report
#14
Pierluigi Di Felice Ardente, Joan Camí Biayna, Jordi Saus Sarrias, Antoni Nuñez Muñoz, Guillem Figueras Coll, Patricio Vergara
Injuries of the carpometacarpal joints of the long fingers are infrequent and go often unnoticed if a thorough clinical exploration and complete radiological assessment is not carried out. The overall frequency of carpometacarpal joints injuries is of 1-2% among trauma of the wrist and the carpus. These are normally secondary to high energy trauma (such as a car or a motorbike accidents). Among these kinds of injuries, the volar dislocation of the metacarpals is much less frequent than the dorsal dislocation, being even rarer the cases in which the three middle metacarpals are involved...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28972952/impact-of-a-ph-5-oil-in-water-emulsion-on-skin-surface-ph
#15
Theresa Fürtjes, Katharina T Weiss, Alexander Filbry, Frank Rippke, Stephan Schreml
BACKGROUND: Human skin surface has a physiologically acidic pH (pHss). In cases of increased pHss, the acidity of the skin can be restored by topical formulations. We tested a pH 5 oil-in-water (O/W) emulsion for pHss regeneration and stabilization. METHODS: We performed 2 experiments with 10 female study subjects in each. In both experiments, 2D imaging with luminescent sensor foils was used to determine pHss. Alkalization was reached by washing the volar forearm with a soap bar and warm running tap water for 20 min...
October 4, 2017: Skin Pharmacology and Physiology
https://www.readbyqxmd.com/read/28971058/ultrasonography-detected-missed-lunate-volar-dislocation-associated-with-median-neuropathy-a-case-report
#16
Kyeongwon Kim, Min-Wook Kim
Lunate and perilunate dislocations are uncommon, but they have clinical importance because complications, such as median neuropathy and avascular necrosis of the lunate, can occur. Although early diagnosis enabling early surgical treatment is crucial for preventing long-term sequelae, these dislocations are frequently missed in the initial assessment. Imaging tools, such as plain radiography, magnetic resonance imaging, ultrasonography, and electrodiagnostic studies, have been used for diagnosis. The proper choice of initial evaluation tools is important for making an accurate early diagnosis...
August 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28970518/three-screw-versus-two-screw-fixation-of-distal-fragment-in-fifth-metacarpal-neck-fractures-stabilized-with-locking-plate
#17
Hongyi Zhu, Bingbo Bao, Xianyou Zheng
Fifth metacarpal neck fracture commonly requires open reduction and internal fixation. Locking plate was widely adopted in the treatment of fifth metacarpal neck fracture as first-line choice for fixation. Patients with fifth metacarpal neck fracture receiving locking plate fixation were included for analysis. Features of internal fixation including number of distal and proximal locking screws, diameter of the screws and usage of lag screws were recorded. Clinical and radiographic outcomes included final volar angulation, grip strength, Michigan Hand Outcomes Questionnaire (MHQ) and range of motion (ROM) of fifth metacarpophalangeal joint...
October 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28969851/lower-amputation-rate-after-fasciotomy-by-straight-midline-incision-technique-for-a-22-900-v-electrical-injury-to-the-upper-extremities
#18
Young-Soo Jang, Byung Hoon Lee, Hyun-Soo Park
PURPOSE: The purpose of this study is to compare the major amputation rate following two different fasciotomy techniques, conventional versus straight midline, in patients with high-voltage arc burn injury by electric currents of 22,900V to the upper extremities. METHODS: A retrospective analysis of 230 patients (270 burned upper limbs) who underwent fasciotomy after high-voltage electrical injuries between 1996 and 2007 was performed. The patients were divided into two groups according to the fasciotomy method used...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28951793/volar-distal-radioulnar-joint-dislocation-associated-with-acute-median-nerve-neuropathy-and-a-distal-radius-fracture
#19
Naser Alnusif, Sultan Aldebeyan, Rudolf Reindl
Volar distal radioulnar (DRUJ) dislocations are uncommon and can easily be missed. We present a rare case of an irreducible volar DRUJ dislocation associated with a distal radius fracture and acute median nerve neuropathy at the wrist. An attempt to reduce the DRUJ dislocation in the emergency department had failed. The patient was then taken to the operating room requiring a carpal tunnel release, as well as an open reduction and internal fixation of the distal radius fracture and repair of the volar distal radioulnar ligament...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28951101/arthrokinematics-of-the-distal-radioulnar-joint-measured-using-intercartilage-distance-in-an-in%C3%A2-vitro-model
#20
Braden Gammon, Emily Lalone, Masao Nishiwaki, Ryan Willing, James Johnson, Graham J W King
PURPOSE: Current techniques used to measure joint contact rely on invasive procedures and are limited to statically loaded positions. We sought to examine native distal radioulnar joint (DRUJ) contact mechanics using nondestructive imaging methods during simulated active and passive forearm rotation. METHODS: Testing was performed using 8 fresh-frozen cadaveric specimens that were surgically prepared by isolating muscles involved in forearm rotation. A wrist simulator allowed for the evaluation of differences between active and passive forearm rotation...
September 23, 2017: Journal of Hand Surgery
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