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The distal radioulnar joint (DRUJ) is stabilized by the bony anatomy of the contact surfaces. The authors analyzed the morphologic characteristics and radiologic parameters at the sigmoid notch of patients with a peripheral triangular fibrocartilage complex (TFCC) tear compared with asymptomatic patients. Preoperative axial computed tomography scans were reviewed for 76 wrists with peripheral TFCC injuries, including foveal avulsion, and 76 wrists of age- and sex-matched control subjects. The authors used axial computed tomography scans of the DRUJ to classify the patients into 4 groups according to the type of sigmoid notch, namely, flat face, ski-slope, C-type, and S-type. They also measured the tilting angle, depth, width of the sigmoid notch, and radioulnar ratio (RUR). Statistical analyses were performed with the chi-square test or paired test (<.05). The mean proportions of flat face, ski-slope, C-type, and S-type sigmoid notches among patients with peripheral TFCC injuries were 42%, 22%, 29%, and 7%, respectively, whereas those for the control group were 33%, 1%, 65%, and 1%, respectively (<.05). The tilting angle was lower (TFCC injury, 84.5°; control, 86.2°; <.05) and the RUR was significantly higher (TFCC injury, 0.67; control, 0.56) in the TFCC group, particularly for men (<.05). Depth (TFCC injury, 1.0 mm; control, 1.3 mm; >.05) and width (TFCC injury, 14.8 mm; control, 14.5 mm; >.05) were similar between the groups. Patients with ski-slope or dorsally tilted sigmoid notches may be at greater risk for peripheral TFCC injuries. [. 2021;44(6):e729-e734.].
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http://dx.doi.org/10.3928/01477447-20211001-13 | DOI Listing |
BMC Musculoskelet Disord
December 2024
The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P.R. China.
Background: Limitations in forearm rotation resulting from distal radius fracture are often neglected in clinical practice. We aimed to explore possible influencing factors of forearm rotation limitation following conservative treatment of these fractures.
Methods: A series of patients with distal radius fractures who underwent conservative treatment in the Third Hospital of Hebei Medical University were retrospectively enrolled.
Arthroscopy
December 2024
Osteopedia 24, Germany.
An unstable distal radioulnar joint (DRUJ) can cause ulnar sided wrist pain. Stability of the DRUJ, which varies among individuals, is dependent on the bony structure of the sigmoid notch and the surrounding soft tissues, such as the interosseous membrane, the ECU tendon, the pronator quadratus, and the deep radioulnar ligaments (RUL). In particular, avulsions of the RUL lead to instability and disturbed wrist proprioception.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
December 2024
Department of Dental & Maxillofacial Surgery, Federal Medical Centre, Birnin Kebbi, Nigeria.
Study Design: This was a retrospective study at Noma Children Hospital, Sokoto, Nigeria, from January 2018 to December 2021.
Objective: The main objective of this appraisal was to present Braimah-Taiwo et al's new classification system for mandibulo-maxillary synostosis secondary to noma and also to provide a guide to their treatment.
Methods: Noma with mandibulo-maxillary synostosis was the main inclusion criteria.
J Wrist Surg
December 2024
Department of Trauma and Orthopaedics, Liverpool University Hospitals NHS Foundation Trusts, Liverpool, United Kingdom.
Dislocations of the distal radioulnar joint associated with a fracture of the distal ulna articular surface without an associated radial fracture are extremely rare. We present a case of a fracture of the distal ulna with an associated dislocation of the distal radioulnar joint, where the articular head fragment was displaced anterior to the sigmoid notch. We also present the results of a formal systematic review of these injuries which confirmed this is the first such injury described, although there is a very similar fracture pattern described in the literature with dorsal dislocation.
View Article and Find Full Text PDFZhonghua Kou Qiang Yi Xue Za Zhi
December 2024
Department of Stomatology, General Hospital of Chinese PLA, Beijing100853, China.
To quantitatively measure the spatial relationship between the temporomandibular joint (TMJ) and surface landmarks such as the tragus and lateral canthus using cone-beam CT (CBCT), as to provide guidance for accurate positioning of CBCT scanning of the TMJ. DICOM format data from 112 patients (35 males and 77 females with 224 TMJs) were included in this study. The patients were between 12 and 66 years old, with a mean age of (25.
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