The aim of this study was to evaluate the anatomy of the wrist joint capsule on the distal radius. As such the extent of the joint capsule and the limits of attachment in relation to the articular surface were determined. Furthermore, the study also determined whether there was any reflection of the capsule onto the distal radius. Fifty cadaveric specimens, preserved according to Thiel's method, were assessed. After careful dissection the distance between the chondral line of the carpal articular surface and three defined points on each of the palmar and dorsal aspects of the radius were measured. In none of the specimens was there any variation in the course and extent of the joint capsule. Using external fixators for managing fractures of the distal radius, pins and wires can be placed subchondrally close to the articular capsule. The risk of intraarticular infection, due to pin tract infection in intraarticularly positioned pins, is very low.
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http://dx.doi.org/10.1007/s00276-001-0313-6 | DOI Listing |
Hand Surg Rehabil
March 2025
MEDIPOLE, 1-3 rue Jules Meline, 51430, Bezannes, France.
Periprosthetic complications after trapeziometacarpal arthroplasty mostly require revision surgery to restore function. An unstable cup in the trapezium is typically surgically managed by trapeziectomy. This report highlights a possible alternative to maintain the implant by reconstruction of the trapezium with corticocancellous autograft.
View Article and Find Full Text PDFJ Am Acad Orthop Surg
March 2025
From the Department of Orthopaedic Surgery, University of California San Francisco, CA, USA.
Introduction: Insurance type can result in disparities in access to specialist orthopaedic care. Here, we sought to quantify how insurance type affects time to surgery in patients with a distal radius fracture that needs surgical treatment.
Methods: A retrospective cohort study of patients ≥18 years with surgically managed, closed distal radius fractures was conducted.
J Hand Surg Am
March 2025
Department of Orthopaedic Surgery, Østfold Hospital Trust, Grålum, Norway.
Purpose: Current knowledge of complication rates after volar plating of distal radius fractures mainly relies on studies of low to moderate numbers and various implants. This study sought to find the incidence of complications leading to reoperation in a sample of distal radius fractures treated with one specific volar locking plate (VLP).
Methods: We retrospectively evaluated 1,597 distal radius fractures in 1,564 patients operated with a VLP from January 2011 to December 2017 for complications leading to a reoperation.
J Clin Orthop Trauma
April 2025
Division of Plastic and Reconstructive Surgery, Fox Chase Cancer Center, Philadelphia, PA, USA.
Background: Hand ailments are frequent reasons for emergency department (ED) visits in the United States. This study analyzed the incidence, causes, outcomes, predictors of hospitalization, and healthcare utilization patterns nationwide.
Methods: This retrospective cohort study utilized data from the Nationwide Emergency Department Sample and National Readmission Database from 2016 to 2021.
J Orthop Surg Res
March 2025
Department of Orthopedics, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, 550014, China.
Background And Purpose: Distal ulna fractures often occur in conjunction with distal radius fractures and other associated injuries. Currently, there are no satisfactory internal fixation systems available for addressing unstable distal ulna fractures, and a definitive consensus on the most effective treatment approach is still lacking. The objective of this research was to evaluate the clinical outcomes of using elastic stable intramedullary nails (ESIN) compared to locking compression plates (LCP) for treating unstable distal ulnar fractures in adults.
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