External fixation for distal radius fractures: effect of distraction on outcome.

Few studies have examined the potential adverse effects of excess distraction and prolonged duration of external fixation for the treatment of distal radius fractures. In this study, 19 patients with distal radius fractures treated with external fixation and supplemental Kirschner wire fixation between August 1991 and November 1997 were studied retrospectively. Patients were evaluated by questionnaire, chart review, radiographs, and clinical examination an average of 161 weeks after injury.

A modified surgical procedure for cubital tunnel syndrome: partial medial epicondylectomy.

Cubital tunnel release with partial medial epicondylectomy was performed in 32 patients with cubital tunnel syndrome unresponsive to conservative management. Twenty-seven patients were available for examination an average follow-up of 13 months. Ninety-three percent were subjectively improved, with results being excellent in 8, good in 10, fair in 8, and poor in 1.

Central perforation of the articular disc of the triangular fibrocartilage complex in a 17-year-old girl: could it be congenital?

A case of a central perforation of the horizontal portion of the triangular fibrocartilage complex in a 17-year-old girl is reported. The age of the patient, along with normal articular surfaces of the ulnar head and ulnar carpus and the lack of an ulnar-positive wrist, made the existence of a degenerative tear unlikely. The possibility that the central perforation in this patient could be congenital suggests that this defect should be considered in the differential diagnosis of ulnar-sided wrist pain in the young patient.

Ultrasound diagnosis of triceps tendon rupture. A report of 2 cases.

Rupture of the triceps tendon is a rare injury, and clues to diagnosis on physical examination can be masked by pain and swelling. Two cases of triceps tendon rupture are reported in which ultrasonography was used to assist in the diagnosis.