Cases: Two competitive athletes with isolated comminuted trapezium fractures, sustained during American football and rugby, presented with pain and swelling of the first metacarpal base. Computed tomography confirmed isolated comminuted trapezium fractures. Arthroscopic reduction of displacement with screw fixation below the articular surface was performed through a small incision. Both patients returned to their preinjury sports levels within 2 months postoperatively.
Conclusion: Arthroscopic treatment of isolated comminuted trapezium fractures achieved accurate reduction of articular surface displacement and preserved trapeziometacarpal joint stability with minimal soft-tissue invasion. This facilitated an early return to contact sports for the affected athletes.
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http://dx.doi.org/10.2106/JBJS.CC.24.00029 | DOI Listing |
BMJ Case Rep
January 2025
Infection Services, University Hospitals Birmingham NHS Foundation Trust, Birmingham, Birmingham, UK.
is a ubiquitous environmental fungus, and several osteomyelitis cases have been reported in recent years. We present the case of a woman in her 70s who sustained a comminuted open ankle fracture, with garden soil contamination of the wound, which was treated according to orthoplastic principles. The patient developed osteomyelitis 6 months postsurgery.
View Article and Find Full Text PDFAnn Plast Surg
December 2024
Department of Biomedical Engineering, Taipei Veterans General Hospital, Taipei, Taiwan.
Background: Surgical treatment of comminuted and multiple facial fractures is challenging, as identifying the bone anatomy and restoring the alignment are complicated. To overcome the difficulties, 3D-printed "jigsaw puzzle" has been innovated to improve the surgical outcome. This study aimed to demonstrate the feasibility of 3D-printed model in facial fracture restoration procedures.
View Article and Find Full Text PDFJ Orthop Trauma
November 2024
Department of Orthopaedic Surgery, Parkland Memorial Hospital, The University of Texas Southwestern Medical Center, Dallas, TX, USA .
Objectives: The midline lateral parapatellar (LP) approach has been shown in a cadaveric study to provide superior articular exposure compared to the anterolateral approach (AL). The purpose of this study was to report on outcomes and complications with the LP approach.
Methods: Design: Retrospective comparative cohort study and prospective cohort.
Particle aggregates blown along the surface of playas have been linked to the disruption of interparticle bonds, comminution, and dust production. This mechanism was investigated in a set of wind tunnel experiments with the purpose of examining the rate of comminution during transport, role of bed roughness, influence of humidity, system dynamics, and proportionate amount of dust production. The playa sediment selected for testing was obtained from Owens Lake in California, USA.
View Article and Find Full Text PDFJ Craniofac Surg
October 2024
State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University.
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