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https://www.readbyqxmd.com/read/29453642/repeated-closed-reduction-attempts-of-distal-radius-fractures-in-the-emergency-department
#1
Haggai Schermann, Assaf Kadar, Oleg Dolkart, Franck Atlan, Yishai Rosenblatt, Tamir Pritsch
INTRODUCTION: Repeated attempts of closed reduction of distal radius fractures (DRF) are performed in the emergency department setting to optimize fracture alignment and avoid surgery. The additional manipulation of the fracture may, however, increase dorsal comminution and lead to loss of reduction in the cast. This retrospective cohort study has investigated the effect of second reduction attempt on fracture alignment and comminution. MATERIALS AND METHODS: Six-hundred-eighteen patients with DRF were treated in the medical center in 2007-2010...
February 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29452881/tenosynovial-chondromatosis-of-the-wrist-presenting-with-acute-carpal-tunnel-syndrome-a-case-report
#2
L K Head, R Bradley, M Momtazi
We report a case of synovial chondromatosis of the wrist that manifested as acute carpal tunnel syndrome. The patient successfully underwent carpal tunnel release, tenosynovectomy and resection of dorsal and volar ossified bodies embedded in the tenosynovium overlying the wrist. Final histopathology confirmed the diagnosis of synovial chondromatosis. The patient's symptoms of pain, numbness, and paresthesia in a median nerve distribution resolved completely and the patient resumed full-time work in the service industry 4-weeks postoperatively with no functional limitations...
February 13, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29431298/radiographic-measurements-following-surgery-for-distal-radius-fractures-in-an-israeli-population
#3
Alan Katz, Amanda Almakias, Ronit Wollstein
BACKGROUND: Fractures of the distal radius are the most common fractures in the upper extremity, and their incidence is increasing with the aging of the population. Despite anatomical reduction of the bones, many patients complain of residual pain. A reason for this may be ligament injury not addressed during surgery or conservative treatment. Radiographic measurements may allow assessment of ligament integrity but they may be population specific and differ among races. OBJECTIVES: To assess radiographic wrist measurements in an Israeli population and to compare them to existing values...
February 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29428553/radiocarpal-dislocations-and-fracture-dislocations-injury-types-and-long-term-outcomes
#4
C Spiry, G Bacle, E Marteau, B Charruau, J Laulan
INTRODUCTION: . Radiocarpal dislocation (RCD) and fracture-dislocations (RCFD) are severe but rare injuries for which the treatment and outcomes are not well defined. The aim of this retrospective study was to describe the prevalence of the various injury types and their long-term outcomes. PATIENTS AND METHODS: Between 1992 and 2014, 41 patients with RCFD were seen at our institution. According to the Dumontier classification, there were 4 cases of type 1 and 37 cases of type 2...
February 8, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29426604/damage-in-a-distal-radius-fracture-model-treated-with-locked-volar-plating-after-simulated-postoperative-loading
#5
Christina Salas, Justin A Brantley, James Clark, Mahmoud Reda Taha, Deana M Mercer, Orrin B Myers
PURPOSE: "Damage" is an engineering term defining a period between a state of material perfection and the onset of crack initiation. Clinically, it is a loss of fixation due to microstructural breakdown, indirectly measured as a reduction of stiffness of the bone-implant construct, normalized by the cross-sectional area and length of the bone. The purpose of this study was to characterize damage in a cadaver model of extra-articular distal radius fracture with dorsal comminution treated using 2-column volar distal radius plates...
February 6, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29424173/-meta-analysis-of-clinical-effects-between-intramedullary-nail-and-volar-plate-internal-fixation-for-distal-radius-fractures
#6
Bin-Bin Niu, Yang Zhang, Dong Wang, Zheng-Chao Gao, Wen-Long Yang, Ping-Lin Yang, Xi-Jing He
OBJECTIVE: To evaluate curative effects of intramedullary nail and volar plate internal fixation for distal radius fractures. METHODS: The studies concerning about randomized controlled trial of intramedullary nail and volar plate internal fixation for distal radius fractures from create database to May, 2016 were searched from PubMed, Cochrane Library, Web of Science, CNKI, Wan Fang data and VIP. Information was screen and taken out according to inclusion and exclusion criteria, quality of literature was evaluated according to Cochrane Handbook evaluating system...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29423866/conservative-treatment-of-distal-fractures-after-the-age-of-65-a-review-of-literature
#7
Alexandra Bruyere, Paul Vernet, Santiago Salazar Botero, Yuka Igeta, Juan José Hidalgo Diaz, Philippe Liverneaux
The goal of this study was to evaluate the role of conservative treatment of distal radius fractures in the elderly since 2000. Our series included 22 articles, of which 3 reviews, 2 meta-analyses, 6 descriptive series of conservative treatment, 10 series comparing surgical and conservative treatments and 1 series comparing different types of conservative treatments. The reduction was performed by closed reduction in 7 cases and by traction in 3 cases. A short-arm cast was used in 8 cases and a long-arm cast in 4 cases for an average length of 6 weeks...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29421070/chimeric-free-vascularized-metatarsophalangeal-joint-with-toe-fillet-flap-a-technique-for-reconstruction-of-the-posttraumatic-metacarpophalangeal-joint-with-concomitant-soft-tissue-defect
#8
REVIEW
Marco Pappalardo, Vincent G Laurence, Yu-Te Lin
For painful, dysfunctional, posttraumatic metacarpophalangeal (MCP) joints, the free vascularized toe joint transfer may represent a good solution. Successful reconstruction is potentially limited, however, by 2 features of the traditional vascularized metatarsophalangeal (MTP) transfer: inadequate arc of flexion and insufficient soft tissue coverage. The solution to both of these dilemmas lies in the manner of utilizing the donor site. Because of its innate hyperextensibility, rotating the MTP 180° volar to dorsal provides the greatest arc of flexion in the reconstructed MCP...
February 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29421069/technique-of-dynamic-flexor-digitorum-superficialis-transfer-to-lateral-bands-for-proximal-interphalangeal-joint-deformity-correction-in-severe-dupuytren-disease
#9
REVIEW
Michael J Schreck, Hayden S Holbrook, L Andrew Koman
Pseudo-boutonniere deformity is an uncommon complication from long-standing proximal interphalangeal (PIP) joint contracture in Dupuytren disease. Prolonged flexion contracture of the PIP joint can lead to central slip attenuation and resultant imbalances in the extensor mechanism. We present a technique of flexor digitorum superficialis (FDS) tendon transfer to the lateral bands to correct pseudo-boutonniere deformity at the time of palmar fasciectomy for the treatment of Dupuytren disease. The FDS tendon is transferred from volar to dorsal through the lumbrical canal and sutured into the dorsally mobilized lateral bands...
February 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29409422/results-of-the-volar-approach-in-proximal-interphalangeal-joint-arthroplasty
#10
Scott F M Duncan, Anthony A Smith, Kevin J Renfree, Ross M Dunbar, Marianne V Merritt
BACKGROUND: Most hand surgeons use a dorsal approach for proximal interphalangeal (PIP) joint implant arthroplasty. However, a volar approach offers the advantage of no disturbance to the extensor mechanism, thus allowing early initiation of active range of motion. We examined our results in patients who underwent PIP joint arthroplasty via a volar approach. METHODS: Using a retrospective chart review, we evaluated the outcomes of patients undergoing PIP joint arthroplasty through a volar approach between 2001 and 2005 by 3 fellowship-trained hand surgeons at our institution...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29409411/irreducible-volar-rotatory-subluxation-of-the-proximal-interphalangeal-joint-of-the-finger
#11
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/29409409/use-of-computed-tomography-in-determining-the-occurrence-of-dorsal-and-intra-articular-screw-penetration-in-volar-locking-plate-osteosynthesis-of-distal-radius-fracture
#12
Teik Wei Diong, Nor Hazla Mohamed Haflah, Abdul Yazid Mohd Kassim, Sharifah Majedah Idrus Al Habshi, Mohd Hassan Shukur
BACKGROUND: The use of volar locking plate in distal radius fracture can lead to extensor tendon rupture due to dorsal screw penetration. The aim of our study was to investigate the occurrence of dorsal and intra-articular screw penetration using CT scan after volar distal radius osteosynthesis for distal radius fractures. METHODS: Thirty patients who underwent distal volar locking plate for distal radius fracture were included in a retrospective study. In all 30 patients no dorsal and intra-articular screw penetration were detected on standard AP and lateral views of a plain radiograph...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29409407/complications-of-intramedullary-fixation-for-distal-radius-fractures-in-elderly-patients-a-retrospective-analysis-using-mckay-s-complication-checklist
#13
Takuma Wakasugi, Ritsuro Shirasaka, Toshiyuki Kawauchi, Koji Fujita, Atsushi Okawa
BACKGROUND: Intramedullary fixation for distal radius fractures is reported to be free of hardware irritation and less invasive than other fixation methods. Some specific complications associated with intramedullary fixation, such as radial nerve sensory neuritis, have been reported, but no study has focused on the complication rates of intramedullary fixation for distal radius fractures in the elderly population. Furthermore, no studies have analyzed common complications, such as carpal tunnel syndrome and flexor tenosynovitis including trigger finger, among patients with distal radius fractures treated by intramedullary fixation based on a comprehensive complication checklist...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29406574/uvb-and-ngf-induced-cutaneous-sensitization-in-humans-selectively-augment-cowhage-and-histamine-induced-pain-and-mechanical-hyperknesis
#14
Hjalte H Andersen, Silvia Lo Vecchio, Jesper Elberling, Gil Yosipovitch, Lars Arendt-Nielsen
Exaggerated itch responses to pruritic chemical provocations and mechanical stimuli are evident in patients with chronic itch, e.g., in atopic dermatitis. Currently used human models of itch do not account for such itch sensitization features and the mechanisms underlying clinical itch sensitization are unknown. This study utilized two established human models of cutaneous nociceptive sensitization to explore how pre-established inflammatory hyperalgesia (ultraviolet-B-irradiation; 'UVB') and non-inflammatory neurotrophic pain sensitization (nerve growth factor; 'NGF') alter sensitivity to chemical and mechanically-evoked itch...
February 6, 2018: Experimental Dermatology
https://www.readbyqxmd.com/read/29405450/use-of-skinfibrometer%C3%A2-to-measure-skin-elasticity-and-its-correlation-with-cutometer%C3%A2-and-dub%C3%A2-skinscanner
#15
M A Kim, E J Kim, H K Lee
BACKGROUND: Skin elasticity is an important indicator of skin aging. The aim of this study was to demonstrate that the SkinFibrometer® is appropriate for measuring skin biomechanical properties, and to correlate it with elasticity parameters measured using the Cutometer® and with dermis structural properties measured using DUB® Skinscanner. MATERIALS AND METHODS: Twenty-one individuals participated in this study. The skin of the cheek, around the eye, and the volar forearm were evaluated...
February 6, 2018: Skin Research and Technology
https://www.readbyqxmd.com/read/29398332/cannulated-self-drilling-self-tapping-pins-for-displaced-extraarticular-distal-radius-fractures
#16
REVIEW
Lattisha Bilbrew, Robert Matthias, Thomas Wright
Displaced unstable extra-articular radius fractures are common and frequently treated with open reduction and internal fixation with a fixed-angle volar plate. Although this treatment yields good results, it might be more invasive than necessary for management of this often relatively simple fracture. In this article, we present the technique of using a cannulated self-drilling, self-tapping (CSDT) construct that can be employed in a minimally invasive fashion. The CSDT offers a minimally invasive alternative to volar fixed-angle plating for unstable extra-articular distal radius fractures...
February 2, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29395586/a-prospective-observational-assessment-of-unicortical-distal-screw-placement-during-volar-plate-fixation-of-distal-radius-fractures
#17
Agnes Z Dardas, Charles A Goldfarb, Martin I Boyer, Daniel A Osei, Christopher J Dy, Ryan P Calfee
PURPOSE: Although volar plating of the distal radius is performed frequently, the necessity of distal bicortical fixation in the metaphyseal and epiphyseal areas of the distal radius has not been proven. This study aimed primarily to quantify the ability of unicortical distal screws to maintain operative reduction of adult distal radius fractures and secondarily to determine if unicortical screw lengths could be predicted based on anatomical measurements. METHODS: This prospective trial enrolled 75 adult patients undergoing volar locking plate fixation of a unilateral distal radius fracture at a tertiary center...
January 25, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29384844/modified-trapeziectomy-with-ligament-reconstruction-tendon-interposition-for-the-treatment-of-advanced-thumb-carpometacarpal-arthritis-a-case-report
#18
Ji Peng You, Lu Lu, Cong Jie Li, Bao Ren, Tao Wang
RATIONALE: Thumb carpometacarpal (CMC) arthritis is a common disease. Various procedures have been described for the treatment of advanced thumb CMC arthritis. This essay shows a CMC arthritis case treated by modified trapeziectomy with ligament reconstruction tendon interposition (LRTI). PATIENT CONCERNS: A 53-year-old Chinese female complained of pain and swelling at the base of the left thumb for 10 years. Visual analog scale (VAS) for thumb was 7 points, Disabilities of Arm, Shoulder and Hand (DASH) score was 51 points, and Kapandji score was 6 points before surgery...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29383283/arthroscopic-scaphoid-3d-test-for-scapholunate-instability
#19
Fernando Corella, Montserrat Ocampos, Miguel Del Cerro
Background  Patients with scapholunate instability usually have pain in the dorsal wrist. This pain may occur due to the impingement between the scaphoid and the dorsal rim of the radius when the scaphoid is detached from the lunate. This pain appears as the scaphoid is displaced over the dorsal rim of the radius. The arthroscopic scaphoid 3D (dorsal, dynamic, displacement) test is described here to check this pathologic dorsal displacement of the scaphoid. Surgical Technique  The test should be performed both in the radiocarpal and midcarpal joints...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383278/variable-bone-density-of-scaphoid-importance-of-subchondral-screw-placement
#20
Morgan M Swanstrom, Kyle W Morse, Joseph D Lipman, Krystle A Hearns, Michelle G Carlson
Background  Ideal internal fixation of the scaphoid relies on adequate bone stock for screw purchase; so, knowledge of regional bone density of the scaphoid is crucial. Questions/Purpose  The purpose of this study was to evaluate regional variations in scaphoid bone density. Materials and Methods  Three-dimensional CT models of fractured scaphoids were created and sectioned into proximal/distal segments and then into quadrants (volar/dorsal/radial/ulnar). Concentric shells in the proximal and distal pole were constructed in 2-mm increments moving from exterior to interior...
February 2018: Journal of Wrist Surgery
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