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carpal fracture

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https://www.readbyqxmd.com/read/29779839/distal-radius-fracture-fixation-with-a-volar-locking-plate-and-endoscopic-carpal-tunnel-release-using-a-single-15mm-approach-feasibility-study
#1
A Zemirline, C Taleb, K Naito, P Vernet, P Liverneaux, F Lebailly
Distal radius fractures (DRF) may trigger, reveal or decompensate acute carpal tunnel syndrome (CTS) in 0.5-21% of cases. Internal fixation and median nerve release must then be carried out urgently. Less invasive approaches have been described for both the median nerve release using an endoscopic device and for the DRF fixation using a volar locking plate. We assessed the feasibility of DRF fixation and median nerve release through a single, minimally-invasive 15mm approach on a series of 10 cases. We reviewed retrospectively 10 consecutive cases of DRF associated with symptomatic CTS in 8 women and 2 men, aged 57 years on average...
May 17, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29779194/patient-accident-fracture-paf-classification-of-acute-distal-radius-fractures-in-adults
#2
G Herzberg, T Galissard, M Burnier
There is not enough evidence in the literature to support the use of any classification system for distal radius fractures (DRF) in adults. However, there is a need for identification of more homogeneous groups of patients with DRF so that the extent of preoperative workup and sophistication of treatment would best match the needs of the patient. The authors propose an innovative method to analyse and stratify acute DRF in adults. A one-page chart includes criteria related to the patient (P), the energy of the accident (A) and the pathology of the fracture (F)...
May 19, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29735292/delayed-idiopathic-hardware-associated-osteomyelitis-of-the-scaphoid
#3
Jack Burns, Evan Moore, Jacob Maus, Brian Rinker
Osteomyelitis of the carpal bones is rare and usually occurs in the setting of penetrating wounds or immune compromise. A case of hardware-associated scaphoid osteomyelitis is reported in a 33-year-old man who underwent screw fixation of a scaphoid fracture more than 20 years prior to presentation. The patient was treated with operative debridement including a total scaphoidectomy as well as intravenous antibiotics. Methicillin-sensitive Staphylococcus aureus was isolated from intraoperative cultures. A secondary proximal row carpectomy was performed to provide a stable wrist...
May 5, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29661070/scaphoid-cysts-literature-review-of-etiology-treatment-and-prognosis
#4
Tyler Safran, Jessica Hazan, Becher Al-Halabi, Hassan Al-Naeem, Sabrina Cugno
BACKGROUND: Cystic lesions of the carpal bones are rare entities that are infrequently reported in the literature. Scaphoid intraosseous cystic lesions represent a rare subset of carpal bone cysts. This review aims to summarize the available evidence on the evaluation and treatment of scaphoid cystic lesions to help guide clinical management. METHODS: Systematic electronic searches were performed using PubMed, Ovid, and Embase databases. Studies included were graded for their risk of bias...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29644304/trans-triquetral-perilunate-fracture-dislocation
#5
John-Henry Rhind, Abhinav Gulihar, Andrew Smith
Perilunate dislocations and perilunate fracture dislocations are rare and serious injuries. Perilunate dislocations represent less than 10% of all carpal injuries of which 61% represent transcaphoid fractures. Because of their rarity, up to 25% of perilunate dislocations are initially missed on first assessment. We present the case of a 66-year-old-gentleman who sustained an isolated trans-triquetral perilunate fracture dislocation while walking his dog. This was diagnosed in the emergency department and he underwent open reduction internal fixation after failed attempts at closed reduction in the ED and in theatre under general anaesthesia...
April 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29619887/corrigendum
#6
(no author information available yet)
Akinleye SD, Makani A, Dalinka MK, et al. Unusual proximal carpal row dislocation without fracture: a case report. Hand (N Y). 2012;7:454-456. (Original DOI:10.1007/s11552-012-9449-6) In this article printed in the December 2012 issue of Hand, the title incorrectly omitted the words "carpal row." The corrected title is presented in the reference above.
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
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
#7
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/29602658/effects-of-the-affordable-care-act-on-payer-mix-and-physician-reimbursement-in-hand-surgery
#8
Ibrahim Khansa, Lara Khansa, Gregory D Pearson, Sonu A Jain
PURPOSE: To evaluate the effect of the Affordable Care Act (ACA) on the payer distribution and reimbursement rate for hand surgery at our institution. METHODS: We reviewed records of 4,257 patients who underwent hand surgery at our institution between January 2008 and June 2016; 2,601 patients underwent surgery before the implementation of the ACA, and 1,656 patients after. Type of procedure, insurance status, amount of money billed, and amount collected were recorded...
March 27, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29580685/systematic-review-and-pooled-analysis-of-the-rate-of-carpal-tunnel-syndrome-after-prophylactic-carpal-tunnel-release-in-patients-with-a-distal-radius-fracture
#9
Z Al-Amin, S A Senyürek, E M M Van Lieshout, M M E Wijffels
The aim of this study was to determine the rate of carpal tunnel syndrome (CTS) in patients with a volar plated distal radius fracture (DRF), with or without prophylactic carpal tunnel release (CTR). The PubMed database was searched for studies reporting on CTS in patients with a DRF fixed by a volar plate. Selected patients were those who underwent prophylactic CTR versus patients who did not. Pooled rates of CTS were calculated using inverse - variance weighting assuming a random effects model. Tests for heterogeneity were applied...
March 23, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29576913/current-management-of-scaphoid-nonunion-based-on-the-biomechanical-study
#10
Kunihiro Oka, Hisao Moritomo
Scaphoid nonunion causes abnormal wrist kinematics and typically leads to carpal collapse and subsequent degenerative arthritis of the wrist. However, the natural history, including carpal collapse and degenerative arthritis of scaphoid nonunion, may vary at different fracture locations. This article reviews recent biomechanical studies related to the natural history of scaphoid nonunion. In the distal-type fractures (type B2 in Herbert classification), where the fracture located distal to the scaphoid apex, the proximal scaphoid fragment and lunate, which are connected through the dorsal scapholunate interosseous ligament (DSLIL) and dorsal intercarpal ligament (DIC), extend together, and the distal fragment of the scaphoid flexes individually...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29551580/early-scaphoid-fractures-are-better-diagnosed-with-ultrasonography-than-x-rays-a-prospective-study-over-114-patients
#11
Ravikant Jain, Nikhil Jain, Tanveer Sheikh, Charanjeet Yadav
PURPOSE: Wrist has a complex anatomy and undergoes complex injuries. Scaphoid fracture is one of such injuries. It is the most common fracture in carpal bone. Most of the scaphoid fractures are missed on initial X-rays. Magnetic resonance imaging (MRI) is considered as a gold standard for diagnosing scaphoid fractures. Ultrasonography (USG) is emerging as a good alternative to make an early diagnosis of scaphoid fractures. Our aim is to throw light upon the role of USG in detection of scaphoid fractures...
January 31, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29538382/a-systematic-review-of-randomised-controlled-trials-assessing-effectiveness-of-prosthetic-and-orthotic-interventions
#12
Aoife Healy, Sybil Farmer, Anand Pandyan, Nachiappan Chockalingam
BACKGROUND: Assistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world's population need a prosthesis or orthosis. OBJECTIVE: The objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions...
2018: PloS One
https://www.readbyqxmd.com/read/29536137/-mediocarpal-instability-of-the-wrist
#13
REVIEW
A L Sander, K Sommer, K Eichler, I Marzi, J Frank
Typical lesions of the carpal ligaments are mostly found after a fall on the wrist in hyperextension or as complex injuries after severe trauma, e. g. after a fall from a significant height, motorcycle accident or as accompanying lesions in multiple trauma. The typical mechanisms, patterns and diagnostic algorithms are well known for the common ligamentous injuries (e.g. scapholunate, lunotriquetral and perilunate); therefore, consistent diagnostic procedures and adequate therapy are increasingly performed after such lesions, e...
May 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29503035/pisiform-malalignment-associated-with-distal-radius-fractures
#14
Takafumi Tajima, Yukichi Zenke, Yoshiaki Yamanaka, Kunitaka Menuki, Akinori Sakai
BACKGROUND: The association of scaphoid or other carpal bone fractures with distal radius fractures is frequently reported, whereas few studies have described pisiform malalignment associated with distal radius fractures. The purpose of this study was to investigate the frequency and characteristics of pisiform malalignment associated with distal radius fractures. METHODS: We performed a retrospective study by reviewing the data of 152 consecutive patients with a mean age of 63 years who were treated surgically for distal radius fractures during a five-year period...
May 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29494748/trends-in-medicare-reimbursement-for-orthopedic-procedures-2000-to-2016
#15
Adam E M Eltorai, Wesley M Durand, Jack M Haglin, Lee E Rubin, Arnold-Peter C Weiss, Alan H Daniels
Understanding trends in reimbursement is critical to the financial sustainability of orthopedic practices. Little research has examined physician fee trends over time for orthopedic procedures. This study evaluated trends in Medicare reimbursements for orthopedic surgical procedures. The Medicare Physician Fee Schedule was examined for Current Procedural Terminology code values for the most common orthopedic and nonorthopedic procedures between 2000 and 2016. Prices were adjusted for inflation to 2016-dollar values...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29488208/time-dependent-changes-in-bone-healing-capacity-of-scaphoid-fractures-and-non-unions
#16
Gernot Schmidle, Hannes Leonhard Ebner, Günter Klima, Kristian Pfaller, Josef Fritz, Romed Hoermann, Markus Gabl
The scaphoid is the most frequently fractured carpal bone and prone to non-union due to mechanical and biological factors. Whereas the importance of stability is well documented, the evaluation of biological activity is mostly limited to the assessment of vascularity. The purpose of this study was to select histological and immunocytochemical parameters that could be used to assess healing potential after scaphoid fractures and to correlate these findings with time intervals after fracture for the three parts of the scaphoid (distal, gap and proximal)...
February 27, 2018: Journal of Anatomy
https://www.readbyqxmd.com/read/29470155/clinical-utility-of-dual-energy-ct-analysis-of-bone-marrow-edema-in-acute-wrist-fractures
#17
Ismail T Ali, William D Wong, Teresa Liang, Faisal Khosa, Memoona Mian, Sabeena Jalal, Savvas Nicolaou
OBJECTIVE: The purpose of this study is to determine the utility of dual-energy CT (DECT) for assessing carpal fractures and to obtain an attenuation value cutoff (in Hounsfield units) to identify bone marrow edema due to an acute carpal fracture. MATERIALS AND METHODS: In this retrospective study, 24 patients who presented with wrist fractures from September 3, 2014, through March 9, 2015, underwent imaging with DECT (80 and 140 kVp). Using the three-material decomposition algorithm specific for virtual noncalcium to construct images, two radiologists identified carpal fractures and associated bone marrow edema...
April 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29464291/-rupture-of-the-scapholunate-intercarpal-ligament
#18
REVIEW
Berthold Bickert
Complete rupture of the scapholunate (SL) ligament can cause a dissociative carpal instability (CID). These ligamentous lesions are caused by a fall from a limited height of approximately 1 m or a fall, e. g. when playing handball or soccer. For a freshly injured wrist joint, the X‑ray signs of a static instability (after excluding a fracture) are a SL distance ≥3 mm, a SL angle >60°, and a dorsal displacement of the proximal scaphoid pole. Dynamic instabilities are best seen in kinematography of the wrist joint...
May 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29464166/successful-hand-replantation-in-a-case-of-total-avulsion-without-vein-graft
#19
Shatha M Sulaiman, Abdulmalik A Alkhodair, Shahd M Sulaiman, Lama M Sulaiman, Ahmed S Elkafafy
Replantation is the reattachment of a severed body part, with attempts to restore neurovascular and musculoskeletal integrity, function, and aesthetics. On September 7, 1964, the first extremity replantation-a completely amputated hand-by vascular anastomosis technique was successfully performed.1 Soon after, the first replantation of a complete thumb amputation using microvascular anastomosis in a human was successfully conducted by Komatsu et al.2 in 1968. The overall success rate of limb replantation surgery is around 83...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29456778/incidence-and-functional-outcomes-of-scapholunate-diastases-associated-distal-radius-fractures-a-2-year-follow-up-scapholunate-dissociation
#20
Jonathan Lans, Alejandro Lasa, Neal C Chen, Jesse B Jupiter
Background: The Scapholunate Interosseous Ligament (SLIL) is the first intrinsic carpal ligament to be injured in wrist trauma, present in up to 64% of the distal radius fractures. However, it remains unclear what patients develop symptoms, making primary treatment of these injuries accompanying distal radius fractures remains questionable. Objective: The aim of this study was to evaluate the functional outcomes of patients with scapholunate diastasis associated with distal radius fractures...
2018: Open Orthopaedics Journal
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