Midcarpal arthrodesis is a reliable procedure to treat individuals with symptomatic scapholunate advanced collapse (SLAC) who have failed nonoperative care. The principal keys to a successful midcarpal arthrodesis include achieving union, a proper reduction of the capitolunate interval, and avoiding hardware impingement. A variety of devices are used in an attempt to achieve this.
View Article and Find Full Text PDFOutcomes of phalangeal neck fractures among children are not uniformly good. Our purpose was to delineate factors that affect management and outcomes in the treatment of phalangeal neck fractures among children. The management and outcomes of phalangeal neck fractures among children over a consecutive 7-year period at the Denver Children's Hospital are reported.
View Article and Find Full Text PDFAn elite collegiate boxer developed extensor tendon subluxation in the small finger of his dominant right hand. He was thought to have a radial sagittal band disruption and was allowed to complete his season with custom padding. Surgical exploration revealed intact sagittal bands with divergent dislocation of the two extensor tendons to the small finger with underlying capsular rupture.
View Article and Find Full Text PDFAviat Space Environ Med
January 2002
Introduction: Altitude decompression sickness (DCS) has been treated with hyperbaric therapy since 1941. Treatment has essentially followed the diving DCS paradigm. Expanding space operations and higher flying, more remotely placed military aircraft have stimulated a re-examination of this paradigm.
View Article and Find Full Text PDFWe compared changes in lunate cortical strain with an applied physiologic load by altering radial inclination to simulate opening and closing wedge osteotomies of the distal radius. Nineteen fresh-frozen cadaver arms were mounted in neutral position and tested under axial compression at a physiologic load by means of a repeated-measures design. Principal compressive strains were measured with rosette strain gauges mounted on the lunate's palmar and dorsal cortices.
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