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https://www.readbyqxmd.com/read/28917548/volar-capsular-release-after-distal-radius%C3%A2-fractures
#1
Robin N Kamal, David S Ruch
PURPOSE: Loss of full wrist range of motion is common after treatment of distal radius fractures. Loss of wrist extension limiting functional activities, although uncommon, can occur after volar plating of distal radius fractures. Unlike other joints in which capsular release is a common form of treatment for stiffness, this has been approached with caution in the wrist owing to concerns for carpal instability. We tested the null hypothesis that hardware removal and open volar capsular release would not lead to improved upper extremity-specific patient-reported outcome (Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaire)...
September 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28917388/improvised-hand-injury-treatment-using-traditional-veterinary-medicine-in-ethiopia
#2
Raf Aerts, Eva J J November, Maissa Rayyan
In remote wilderness environments, local people with traditional knowledge of medicinal plants are potentially important first-line health care providers. We present a case of a 31-year-old man who fell off a horse while trekking through a remote mountain landscape in Ethiopia and sustained blunt force trauma to the hand. A local mountain hut keeper examined the patient's hand and used heated leaves of the succulent plant Kalanchoe petitiana to treat a suspected metacarpal fracture. As first responder in a low-resource setting, the hut keeper relied on his traditional knowledge of ethnoveterinary medicine to improvise a treatment for a human injury in a remote mountain environment...
September 13, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28913569/antegrade-intramedullary-kirschner-wire-fixation-of-displaced-metacarpal-shaft-fractures
#3
E M van Bussel, R M Houwert, T J M Kootstra, M van Heijl, D Van der Velde, Ph Wittich, J Keizer
PURPOSE: The objective of this study was to analyze complications and patient-related functional outcome after antegrade intramedullary Kirschner-wire fixation of metacarpal shaft fractures. METHODS: All consecutive patients treated from January 2010 until December 2015 were retrospectively analyzed using patient logs and radiographic images. Indications for operative fixation were angulation > 40°, shortening > 2 mm, or rotational deficit. Complications were registered from the patient logs...
September 14, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28913398/total-femur-arthroplasty-for-revision-hip-failure-in-osteogenesis-imperfecta-limits-of-biology
#4
Pablo Sanz-Ruiz, Manuel Villanueva-Martinez, Jose Antonio Calvo-Haro, Esther Carbó-Laso, Javier Vaquero-Martín
Osteogenesis imperfecta (OI) is a rare congenital disease characterized by alterations in bone quality, with susceptibility to fractures, instability, deformities, and osteoarthrosis. Prosthetic surgery in these patients is associated with an abnormally high rate of implant failures. On the other hand, abnormal bone fragility adds to the complexity of revision surgery in such individuals-thus representing a genuine challenge for the orthopaedic surgeon. We present a case of femoral reconstruction in a patient with OI and prosthetic loosening after reconstruction secondary to femoral septic pseudoarthrosis...
September 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/28911888/postoperative-imaging-of-orthopaedic-hardware-in-the-hand-and-wrist-is-there-an-added-value-for-tomosynthesis
#5
A De Silvestro, K Martini, A S Becker, T D L Kim-Nguyen, R Guggenberger, M Calcagni, T Frauenfelder
AIM: To prospectively investigate digital tomosynthesis (DTS) as an alternative to digital radiography (DR) for postoperative imaging of orthopaedic hardware after trauma or arthrodesis in the hand and wrist. MATERIALS AND METHODS: Thirty-six consecutive patients (12 female, median age 36 years, range 19-86 years) were included in this institutional review board approved clinical trial. Imaging was performed with DTS in dorso-palmar projection and DR was performed in dorso-palmar, lateral, and oblique views...
September 11, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28910468/estimation-of-dog-bite-risk-and-related-morbidity-among-personnel-working-with-military-dogs
#6
H Schermann, N Eiges, A Sabag, E Kazum, A Albagli, M Salai, A Shlaifer
BACKGROUND: Soldiers serving in the Israel Defense Force Military Working Dogs (MWD) Unit spend many hours taming dogs' special skills, taking them on combat missions, and performing various dogkeeping activities. During this intensive work with the aggressive military dogs, bites are common, and some of them result in permanent disability. However, this phenomenon has not been quantified or reported as an occupational hazard. METHODS: This was a retrospective cohort study based on self-administered questionnaires...
2017: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/28902760/common-ice-hockey-injuries-and-treatment-a-current-concepts-review
#7
William Mosenthal, Michael Kim, Robert Holzshu, Bryan Hanypsiak, Aravind Athiviraham
Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28902755/treatment-of-acute-carpal-bone-fractures
#8
Chad Hulsopple, Jesse Deluca, Christopher Jonas
Carpal bone fractures are common hand fractures that can be complicated by concomitant damage to surrounding structures, chronic comorbidities, or delays in diagnosis. This article provides an overview of wrist anatomy, an expedited review of the athlete's presenting condition, and a systematic approach to the evaluation of the wrist. Recommended treatment plans are based on a review of the literature and an evidence-based approach to imaging studies. It is imperative that sports medicine providers be aware of current literature for carpal bone fractures and collaborate with other medical subspecialties and the athlete to provide recommendations for a safe return to play...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28901795/clinical-and-radiographic-outcomes-of-unipolar-and-bipolar-radial-head-prosthesis-in-patients-with-radial-head-fracture-a-systemic-review-and-meta-analysis
#9
Hongwei Chen, Ziyang Wang, Yongjun Shang
PURPOSE: To compare clinical outcomes of unipolar and bipolar radial head prosthesis in the treatment of patients with radial head fracture. MATERIALS AND METHODS: Medline, Cochrane, EMBASE, Google Scholar databases were searched until April 18, 2016 using the following search terms: radial head fracture, elbow fracture, radial head arthroplasty, implants, prosthesis, unipolar, bipolar, cemented, and press-fit. Randomized controlled trials, retrospective, and cohort studies were included...
September 13, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28900294/timing-for-surgical-stabilization-with-k-wires-after-open-fractures-of-proximal-and-middle-phalangeal-shaft
#10
Yanchun Gao, Qiyang Wang, Hongyi Zhu, Zhengyu Xu
The optimal timing for surgical stabilization after open fractures of proximal and middle phalangeal shaft remained unclear. Total 147 patients with single open fracture in proximal or middle phalangeal shaft (arrived within 8 hours) who received K-wire fixation from June 2012 to June 2015 were included for analysis. The timing for surgical stabilization of fractures (immediate or delayed) was decided according to the surgeons' preferences. The Michigan hand outcomes questionnaire (MHQ) scores, grip strength and total active motion (TAM) one year after the initial surgery were similar between the two groups...
September 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28894612/combined-dorsal-and-ulnarward-carpometacarpal-dislocation-associated-with-open-fracture-of-the-base-of-first-metacarpal-and-severe-degloving-injury
#11
Ali J Electricwala, Jaffer T Electricwala
We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. A high index of suspicion is required to successfully diagnose and treat this condition...
2017: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/28893586/effects-of-diisononyl-phthalate-on-osteopenia-in-intact-mice
#12
Yun-Ho Hwang, Young-Jin Son, Man-Jeong Paik, Sung-Tae Yee
Osteopenia is characterized by bone loss and deterioration of trabecular bone, which leads to osteoporotic fractures. This disease is highly prevalent in industrialized areas and is associated with exposure to endocrine disrupting chemicals (EDCs). Diisononyl phthalate (DINP) is one of these EDCs and is mainly used as a plasticizer in flexible polyvinyl chloride (PVC) products. Although it is well known that exposure to DINP is harmful to humans, no studies have been reported concerning its contribution to osteopenia...
September 8, 2017: Toxicology and Applied Pharmacology
https://www.readbyqxmd.com/read/28893146/diagnosis-and-management-of-hook-of-hamate-fractures
#13
Assaf Kadar, Allen T Bishop, Marissa A Suchyta, Steven L Moran
The purpose of this study was to evaluate the time to diagnosis and management of hook of hamate fractures in an era of advanced imaging. We performed a retrospective study of 51 patients treated for hook of hamate fractures. Patients were sent a quickDASH questionnaire regarding the outcomes of their treatment. Hook of hamate fractures were diagnosed with advanced imaging at a median of 27 days. Clinical findings of hook of hamate tenderness had better sensitivity than carpal tunnel-view radiographs. Nonunion occurred in 24% of patients with non-operative treatment and did not occur in the operative group...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28891961/visible-light-cured-glycol-chitosan-hydrogel-containing-a-beta-cyclodextrin-curcumin-inclusion-complex-improves-wound-healing-in-vivo
#14
Sun-Jung Yoon, Hoon Hyun, Deok-Won Lee, Dae Hyeok Yang
Scarless wound healing is ideal for patients suffering from soft tissue defects. In this study, we prepared a novel wet dressing (β-CD-ic-CUR/GC) based on the visible light-cured glycol chitosan (GC) hydrogel and inclusion complex between beta-cyclodextrin (β-CD) and curcumin (CUR). We also evaluated its efficacy in the acceleration of wound healing as compared to that of CUR-loaded GC (CUR/GC). The conjugation of glycidyl methacrylate (GM) to GC for photo-curing was confirmed by ¹H-NMR measurement, and the photo-cured GC hydrogel was characterized by the analyses of rheology, swelling ratio, SEM and degradation rate...
September 10, 2017: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/28888569/a-biomechanical-analysis-of-2-constructs-for-metacarpal-spiral-fracture-fixation-in-a-cadaver-model-2-large-screws-versus-3-small-screws
#15
Andre Eu-Jin Cheah, Anthony W Behn, Garet Comer, Jeffrey Yao
PURPOSE: Surgeons confronted with a long spiral metacarpal fracture may choose to fix it solely with lagged screws. A biomechanical analysis of a metacarpal spiral fracture model was performed to determine whether 3 1.5-mm screws or 2 2.0-mm screws provided more stability during bending and torsional loading. METHODS: Second and third metacarpals were harvested from 12 matched pairs of fresh-frozen cadaveric hands and spiral fractures were created. One specimen from each matched pair was fixed with 2 2...
September 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888412/a-risk-based-decision-making-tree-for-managing-fractured-abutment-and-prosthetic-screws-a-systematic-review
#16
Ryan M Mizumoto, Faris Z Jamjoom, Burak Yilmaz
STATEMENT OF PROBLEM: In implant dentistry, a variety of techniques are used to manage fractured abutment and prosthetic screws. All of them pose various degrees of difficulty to both the clinician and patient and risk involving damage to the implants and prostheses. PURPOSE: The purpose of this systematic review was to classify and organize the various reported techniques for managing fractured abutment and or prosthetic screws into a risk-based, decision making tree that could be used to guide the clinician through this difficult and time-consuming clinical procedure...
September 6, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28887523/the-role-of-high-frequency-ultrasonography-in-diagnosis-of-acute-closed-mallet-finger-injury
#17
Tiezheng Wang, Hengtao Qi, Jianbo Teng, Zengtao Wang, Bin Zhao
To evaluate the role of high frequency ultrasonography in diagnosis of acute closed mallet finger injury. 36 patients diagnosed with mallet finger were included in this study. All patients underwent ultrasonography, magnetic resonance imaging(MRI) and X-ray examinations. A new kind of classification of acute mallet finger injury based on ultrasonography findings was described. The difference in terms of extensor tendon injury and bony fragment identification ability among the three types of examinations were described respectively...
September 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28884097/perilunate-carpal-dislocation-clinical-evaluation-of-patients-operated-with-reduction-and-percutaneous-fixation-without-capsular-ligament-repair
#18
Adriano Bastos Pinho, Roberto Luiz Sobania
OBJECTIVE: To qualitatively assess surgeries performed in patients with perilunate dislocations without associated fractures, who were operated using the closed reduction and percutaneous fixation method. The follow-up time ranged from one to seven years. METHODS: 628 patient records with traumatic wrist injuries, operated by the same group of Hand Surgeons between 2008 and 2014 due to acute trauma were collected, with a mean follow-up of 3.2 years. Of these, 51 were cases of perilunate fracture-dislocations, and 38 were pure perilunate dislocations without associated fractures; of these, only 32 underwent percutaneous fixation without ligamentous repair, thus meeting the inclusion criteria...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28878539/unusual-association-of-elbow-dislocation-with-humeral-biepicondylar-fracture-in-a-child-a-case-report-and-review-of-literature
#19
Prabhat Agrawal, Saubhik Das, Vikas Gupta, Sumit Arora
Humeral biepicondylar fracture with elbow dislocation is an unusual pattern of injury encountered in paediatric population. We reported a case of humeral biepicondylar fracture-dislocation of elbow in a 11-year-old boy, who presented with tender, swollen, and deformed left elbow following fall on his outstretched hand. Roentgenographic and CT evaluation confirmed the diagnosis, and also showed incarcerated medial epicondylar fragment. Closed reduction was unsuccessful; open reduction and internal fixation was performed with headless screws...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28878447/anterior-interosseous-nerve-palsy-mimicking-rupture-of-the-index-flexor-digitorum-profundus-after-volar-locking-plate-fixation-of-a-distal-radius-fracture
#20
Takaaki Shinohara, Sayako Takahashi, Hitoshi Hirata
We describe the case of a patient with distal radius fracture who became unable to flex the distal interphalangeal joint of the index finger after internal fixation using a volar locking plate. There was palpable crepitus with active thumb motion, and wrist radiographs showed prominence of the volar plate at the watershed line. Therefore, our initial diagnosis was plate-induced closed rupture of the flexor digitorum profundus tendon of the index finger. However, upon surgical removal of the plate, no tendon rupture was found...
August 2017: Nagoya Journal of Medical Science
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