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https://www.readbyqxmd.com/read/29669448/pullout-suture-using-polyamide-monofilaments-for-volar-plate-avulsion-fractures-of-the-proximal-interphalangeal-joint
#1
Chul-Hyung Lee, Cheol-U Kim, Kihun Cha
No abstract text is available yet for this article.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29669393/by-one-s-own-hand
#2
John B Miller, Alan N Baer
A 23-year-old man presented with digital ischemia in both hands after injecting buprenorphine into his wrists. The injected material was prepared by dissolving a tablet of buprenorphine in water and pulling the milky solution through cotton into a syringe. In the absence of accessible superficial veins in his forearms or hands, the patient routinely relied on veins in his volar wrists for vascular access. This article is protected by copyright. All rights reserved.
April 18, 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29665123/pilot-study-on-the-correlation-between-dermoscopic-patterns-and-fluorescence-in-situ-hybridization-findings-using-whole-slide-digital-imaging-for-acral-volar-melanocytic-lesions
#3
Dai Ogata, Eiichi Arai, Yoshiya Goto, Tetsuya Tsuchida
Dermoscopic evaluation of acral volar skin is helpful in differentiating malignant melanomas (MM) from benign melanocytic nevi. However, histological diagnosis remains difficult because sufficient evidence of histopathological changes to establish a diagnosis of MM are not easily obtained. The aim of the present study was to evaluate the effective use of fluorescence in situ hybridization (FISH) in the diagnosis of acral volar melanocytic lesions, and to determine whether acral volar melanocytic lesions show characteristic molecular biological features of malignant melanoma via FISH...
April 17, 2018: Journal of Dermatology
https://www.readbyqxmd.com/read/29663104/treatment-goals-for-distal-radius-fractures-in-2018-recommendations-and-practical-advice
#4
REVIEW
F Loisel, M Bourgeois, T Rondot, J Nallet, M Boeckstins, S Rochet, G Leclerc, L Obert, D Lepage
The goals of distal radius fracture treatment in patients above 65 years of age would not change over time if the fracture were the only factor to consider. However, people change, and fixation methods also change. Since this fracture heals in nearly every case and volar plates have eliminated the worry of malunion, we are left with two main goals. In active patients with weakened bones, the aim is to help them regain their quality of life as quickly as possible while avoiding iatrogenic conditions. This compromise is possible because of new tools-but at what price?...
April 16, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29657475/incidence-of-tendon-rupture-following-volar-plate-fixation-of-distal-radius-fractures-a-survey-of-2787-cases
#5
Kotaro Sato, Kenya Murakami, Yoshikuni Mimata, Minoru Doita
This study assessed the comprehensive incidence of tendon rupture following volar locking plate (VLP) surgery for a large number of patients with distal radius fractures (DRFs) at multiple facilities in one prefecture, Japan. During the 4-year period, 2787 patients with DRFs underwent fixation using VLP. The overall incidence rates of rupture of the FPL, the extensor pollicis longus, the flexor digitorum profundus of the index finger, and the extensor digitorum communis were 0.35% (10 patients), 0.29% (8 patients), 0...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29655367/biologic-plating-of-unstable-distal-radial-fractures
#6
Jae-Man Kwak, Gu-Hee Jung
BACKGROUND: Volar locking plating through the flexor carpi radialis is a well-established technique for treating unstable distal radial fractures, with few reported complications. In certain circumstances, including metaphyseal comminuted fractures, bridge plating through a pronator quadratus (PQ)-sparing approach may be required to preserve the soft tissue envelope. This study describes our prospective experience with bridge plating through indirect reduction. METHODS: Thirty-three wrists (four 23A2, six 23A3, 15 23C1, and eight 23C2) underwent bridge plating through a PQ-sparing approach with indirect reduction from June 2006 to December 2010...
April 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29644301/pseudoaneurysm-of-brachial-artery-a-rare-cause-of-median-nerve-compression
#7
João Lobo, Mariana Cunha Ferreira, Pedro Negrão Ramos
Background: The authors present an unusual clinical case of high median nerve compression caused by an iatrogenic pseudoaneurysm of the brachial artery after an angiography with a follow up of 9 months. Methods: A 73-year-old male was seen with progressive numbness, loss of opponency and diminution of strength of finger flexion in the left hand after an angiography with direct puncture of the left humeral artery. Physical examination revealed a hard consistency internal distal arm swelling with the size of a walnut, non-pulsatile and with a Tinel sign on percussion...
April 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29643907/fixation-of-unstable-distal-radius-fractures-by-using-expandable-intramedullary-nailing-system-in-adult-patients
#8
Murat Calbiyik
Objective: To present our experience on intramedullary nailing device Sonoma Wrx (Sonoma Orthopedic Products Inc., Santa Rosa, CA, USA) used for internal fixation of extra-articular or simple intra-articular distal radius fractures in adult population. Methods: This study was conducted from February 2011 to October 2016. A total of 48 patients (mean age 47.3±5.6 years, 35.4% females) with distal radius fracture, who underwent intramedullary distal radius fixation by using Sonoma Wrx were included in this retrospective study...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29642947/absence-of-flexor-carpi-radialis-identified-during-volar-approach-for-fixation-of-distal-radius-fracture-a-case-report
#9
Tomoyo Irie, Makoto Motomiya, Norimasa Iwasaki
BACKGROUND: Volar locking plate fixation of distal radius fractures is commonly performed because of its good clinical outcomes. The flexor carpi radialis (FCR) approach is one of the most popular approaches to dissecting the volar side of the distal radius because of its simplicity and safety. We describe an extremely rare case of an absent FCR identified during a volar approach for fixation of a distal radius fracture. CASE PRESENTATION: A 59-year-old woman with distal radius fracture underwent surgery using the usual FCR approach and volar locking plate...
April 11, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29627114/partial-medial-second-toe-pulp-free-flap-and-dermal-substitute-with-skin-graft-for-salvage-reconstruction-of-a-complete-skin-envelope-degloving-of-the-small-finger
#10
V Calafat, C Strugarek, D Montoya-Faivre, F Dap, G Dautel
Skin envelope degloving of fingers are rare injuries that require rapid care and surgical treatment. Mostly caused by ring finger injuries, these traumas include bone, tendon and neurovascular pedicle damage. The authors present an unusual case of finger degloving limited exclusively to the skin envelope, without skeletal, tendinous or vascular lesion. This rare case of skin envelope degloving rendered microsurgical revascularization impossible. The authors report the results at 12 months following salvage reconstruction combining a partial second toe pulp free flap for the volar side and a dermal substitute with a thin skin graft for the dorsum...
April 4, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29626236/prospective-study-of-comminuted-articular-distal-radius-fractures-stabilized-by-volar-plating-in-the-elderly
#11
Daniel Martinez-Mendez, Alejandro Lizaur-Utrilla, Joaquin de Juan-Herrero
PURPOSE: The objective was to assess the ability of the volar locking plate to maintain the radiographic parameters over the time in elderly patients with complex intra-articular distal radius fractures. METHODS: Prospective cohort of 66 consecutive patients with mean age of 68 (range 60-81) years and AO type C fractures treated with volar locking plate. Radiographic measurements were performed pre and post-operatively at each follow-up. Clinical assessment was made by Patient-Rated Wrist Evaluation scores, Disabilities of the Arm, Shoulder and Hand score, range of motion, and grip strength...
April 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29625642/treatment-of-proximal-interphalangeal-joint-contracture
#12
REVIEW
Sami H Tuffaha, W P Andrew Lee
Proximal interphalangeal joint (PIPJ) flexion contracture is a challenging and often frustrating problem. Treatment of PIPJ contracture begins with conservative measures. With good compliance and prolonged use, favorable results can be achieved using these modalities. For contractures that fail to respond to conservative treatment, surgical intervention can be considered. The affected structures that can be released during surgery include the accessory collateral ligaments, volar plate, checkrein ligaments, retinacular ligaments, and the flexor and extensor tendons...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625639/implant-arthroplasty-selection-of-exposure-and-implant
#13
REVIEW
Michiro Yamamoto, Kevin C Chung
This review analyzes various surgical exposures and implant designs for proximal interphalangeal (PIP) joint pathology. Our literature review found that silicone implants using a volar approach had the best arc of motion, least extension lag, and lowest complication rates compared with all the other implant designs and approaches. Surface replacement arthroplasties had more frequent surgical revisions compared with silicone implants. Continued efforts toward the development of improved PIP joint implants are necessary...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625635/management-of-proximal-interphalangeal-joint-fracture-dislocations
#14
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/29625633/surgical-exposure-of-the-proximal-interphalangeal-joint
#15
REVIEW
Casey M DeDeugd, Marco Rizzo
There are 3 main surgical approaches to the proximal interphalangeal (PIP) joint; dorsal, volar, and lateral and several described modifications to these main approaches. Historically, the dorsal approach has been the standard for the most common procedures of the PIP joint. The volar approach is advantageous for surgical interventions requiring access to the volar plate. It spares the central slip insertion from possible disruption, as does the lateral approach. This article describes the surgical approaches to the PIP joint, explains the rationale for choosing each approach, and discusses some of the most common complications...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625632/anatomy-and-biomechanics-of-the-finger-proximal-interphalangeal-joint
#16
REVIEW
Eric Quan Pang, Jeffrey Yao
A complete understanding of the normal anatomy and biomechanics of the proximal interphalangeal joint is critical when treating pathology of the joint as well as in the design of new reconstructive treatments. The osseous anatomy dictates the principles of motion at the proximal interphalangeal joint. Subsequently, the joint is stabilized throughout its motion by the surrounding proximal collateral ligament, accessory collateral ligament, and volar plate. The goal of this article is to review the normal anatomy and biomechanics of the proximal interphalangeal joint and its associated structures, most importantly the proper collateral ligament, accessory collateral ligament, and volar plate...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29623206/non-primary-nail-plate-syphilis-in-an-hiv-infected-patient
#17
Chiara Gabrielli, Salvatore Cardaci, Lisa Malincarne, Maria Bruna Pasticci
A 37-year-old Caucasian male, HIV-infected (CDC A2) in 2012 and on antiretroviral therapy, presented for a follow-up visit. On physical examination, a barely discernible light-colored macular rash was observed on the trunk, not involving the palms and soles. However, clear maculo-papular lesions were present over the proximal volar aspect of both forearms. Furthermore, well-demarked purplish, opaque, rough, vertically ridged plaque-like lesions were observed over the proximal portions of fingernails. The patient reported that cutaneous and nail lesions had appeared about 2 months prior and that he had engaged in unprotected sex 5 months before...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29621979/nordic-innovative-trial-to-evaluate-osteoporotic-fractures-nitep-group-non-operative-treatment-versus-surgery-with-volar-locking-plate-in-the-treatment-of-distal-radius-fracture-in-patients-aged-65-and-over-a-study-protocol-for-a-prospective-randomized-controlled
#18
Teemu P Hevonkorpi, Antti P Launonen, Lauri Raittio, Toni Luokkala, Juha Kukkonen, Aleksi Reito, Bakir O Sumrein, Minna K Laitinen, Ville M Mattila
BACKGROUND: In the literature, there are numerous studies that compare different surgical procedures in the treatment of distal radius fractures (DRF). It is, however, unknown whether operative treatment and better restoration of anatomy with volar locking plate yields a better functional outcome in the elderly population when compared with non-operative treatment. METHODS AND DESIGN: This study is a prospective, randomized, controlled, multi-center trial. The purpose will be to compare the non-operative and operative treatment of initially or early malaligned distal radius fractures in patients aged 65 and older...
April 5, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29619121/intra-articular-fracture-of-the-distal-part-of-the-triquetrum-within-the-pisotriquetral-joint-case-report-and-review-of-literature
#19
V Athanasiou, A Panagopoulos, I D Iliopoulos, I Vrahnis, G Diamantakis, P Kraniotis, M Tyllianakis
Background: Intra-articular fractures of the distal part of the triquetrum within the pisotriquetral joint are uncommon, and can be associated with tears of the dorsal carpal ligaments, pisiform subluxation and/or FCU dislocation. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination including oblique wrist x-rays, computed tomography and MRI scan. These fractures can be delayed diagnosed due to late presentation thus leading to painful nonunion, persistent instability and late pisotriquetral arthritis...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29618418/the-retinaculum-flap-for-dorsal-fixation-of-distal-radius-fractures
#20
REVIEW
Noémie Devaux, Julia Henning, Mathias Haefeli, Philipp Honigmann
In spite of the more popular volar approach for plating of distal radius fractures (DRFs), there are still indications for dorsal plating and even combined dorsovolar plating in complex DRFs. Dorsal plating carries a concern for complications such as tenosynovitis, extensor tendon adhesions, and delayed extensor tendon ruptures. These risks can be minimized by use of modern low-profile plates and the use of an extensor retinaculum flap to cover the distal plate and screws. We describe the technique of the dorsal retinaculum flap for dorsal plating of DRFs...
April 2018: Journal of Hand Surgery
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