We present a case of simultaneous ipsilateral fractures at the intra-articular second metacarpal head, intra-articular fourth metacarpal base, and ulnar styloid. These fractures were caused by the peculiar condition of a blow to the fist during an ice hockey game; the hand was struck while it was gripping a stick. The specific combination of these fractures has not been previously reported in the literature. In this incident, axial compression force was transmitted from the second and fourth metacarpal heads while skipping the third metacarpal head to the ulnar side of the wrist via the carpometacarpal joints and carpal bones. Because each fracture exhibited only slight displacement, we used conservative treatment with good outcomes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/JSM.0000000000000370 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anatomical basis and clinical application of the dorsal metacarpal cutaneous branch flap of radial digital artery of index finger.
Surg Radiol Anat
December 2024
Department of Hand-Foot Microsurgery, Shenzhen Nanshan People's Hospital, No. 89 Taoyuan Road, Nanshan District, Shenzhen, 518052, China.
Objective: This study explored the surgical technique and clinical application of the dorsal metacarpal cutaneous branch flap of the radial digital artery of the index finger.
Methods: Through the anatomical dissection of 10 hand specimens, we examined the origin and characteristics of the artery and its branches towards the hand dorsum. Furthermore, the soft tissue defects of the index finger in 12 patients admitted to our hospital between 2017 and 2021 were surgically repaired using the dorsal metacarpal cutaneous branch flap of the radial digital artery of the index finger.
Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report.
Malays Orthop J
November 2024
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, India.
Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle.
View Article and Find Full Text PDFA new and large monofenestratan reveals the evolutionary transition to the pterodactyloid pterosaurs.
Curr Biol
December 2024
Lauer Foundation for Paleontology, Science and Education, Wheaton, IL 60189, USA.
Article Synopsis
- There has been a long-standing gap in understanding the evolution of flying reptiles called pterosaurs, particularly between early forms and the more advanced pterodactyloids.
- Recent findings have identified new intermediate pterosaur fossils that show a mix of features from both groups, but more research is needed to connect them conclusively.
- The discovery of a new Jurassic pterosaur, Skiphosoura bavarica, helps fill in these gaps and indicates a clear progression of physical traits that led to modern pterodactyloids, improving our understanding of their evolutionary history.
HarDNet-based deep learning model for osteoporosis screening and bone mineral density inference from hand radiographs.
Bone
January 2025
Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Rheumatology, Allergy and Immunology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Center for Artificial Intelligence in Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:
Purpose: Osteoporosis, affecting over 200 million individuals, often remains unrecognized and untreated, increasing the risk of fractures in older adults. Osteoporosis is typically diagnosed with bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA). This study aims to develop DeepDXA-Hand, a deep learning model using the efficient CNN-based deep learning architecture, for opportunistic osteoporosis screening from hand radiographs.
View Article and Find Full Text PDFNon-operative treatment of metacarpal fractures and patient-reported outcomes: a multicentre snapshot study.
Eur J Trauma Emerg Surg
October 2024
Diakonessenhuis, Utrecht, Netherlands.
Purpose: This study aimed to investigate practice variation in non-operative treatment methods and immobilisation duration for metacarpal fractures, and to evaluate patient-reported outcomes.
Methods: Conducted in 12 Dutch hospitals over three months in 2020, this study included adult patients with non-operatively treated solitary metacarpal fractures. Fractures were classified into intra-articular base, extra-articular base, shaft, neck, and intra-articular head fractures.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!