Kirschner Wires and Bone Allograft Salvage Finger Motion in Pathologic Fracture of Middle Phalanx Enchondroma: A Case Report.

Introduction: Pathologic phalangeal fracture is a common initial presentation of solitary enchondroma of the finger. Enchondromas of the middle phalanx are most frequently associated with post-operative range of motion deficits. This report describes a case in which the use of Kirschner wires (K-wires) and allograft bone were used to salvage finger motion following surgical fixation of pathologic fracture of a middle phalanx enchondroma with extensor tendon injury.

Mallet Finger Autofusion in Adolescent Post-Pin Fixation Surgery - A Case Report.

Introduction: Mallet finger is a common hand injury in sports in which the terminal extensor tendon is disrupted. This case report describes the rare occurrence of joint autofusion following surgical fixation of an unstable mallet finger injury.

Case Report: We present a case of a 13-year-old right-hand dominant boy who sustained a right long finger bony mallet injury while playing football.

Dorsal Capsule Interpositional Arthroplasty of the Metacarpophalangeal Joint.

Current recommendations for osteoarthritis of the metacarpophalangeal joint (MCPJ) are confined to implant arthroplasty to preserve joint motion and provide pain relief. This study documents the median 2-year results of a novel soft tissue arthroplasty technique that interposes the dorsal capsule. A retrospective review of 10 MCPJ dorsal capsule interposition arthroplasties in 8 patients was conducted.

Diamond Stress View Radiograph for Thumb Metacarpophalangeal Hyperextension.

Background: Successful surgical management of thumb carpometacarpal (CMC) arthritis requires treatment of coexisting metacarpophalangeal (MCP) hyperextension deformity when present. The surgeon's decision to offer thumb CMC arthritis patients the option of no additional treatment, MCP capsulodesis, or MCP arthrodesis relies on the severity of the MCP deformity measured in clinic. The authors present a novel patient-performed radiographic stress view to measure MCP hyperextension.

Management of upper limb amputations.

Acquired upper extremity amputations beyond the finger can have substantial physical, psychological, social, and economic consequences for the patient. The hand surgeon is one of a team of specialists in the care of these patients, but the surgeon plays a critical role in the surgical management of these wounds. The execution of a successful amputation at each level of the limb allows maximum use of the residual extremity, with or without a prosthesis, and minimizes the known complications of these injuries.

Update on advances in upper extremity prosthetics.

Upper extremity amputations are common. Fortunately, most of these involve loss of only a finger or portion thereof. Hand and upper limb surgeons are best suited to lead the team and help these patients following these injuries.

Posteromedial elbow approach for treatment of olecranon and coronoid fractures.

This article illustrates the posteromedial elbow approach to address both coronoid and olecranon ulnar fractures. Olecranon and coronoid fractures were simulated in 6 cadaveric elbows. The osteotomies were made with a percutaneously placed osteotome through the olecranon fossa and the elbow joint.