495 results match your criteria: "Metacarpal Fracture and Dislocation"
Streamlining the Management of Children With Simple Hand Injuries.
Plast Surg (Oakv)
April 2024
Division of Plastic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Hand injuries are common in children. Most simple pediatric hand fractures do not require surgery and can be treated with protective immobilization, yielding good outcomes. A recent institutional audit revealed significant practice variation in managing these children with many being overtreated with unnecessary follow-up visits.
View Article and Find Full Text PDFFloating Wrist: A Rare Case Report and Review of Anatomical, Diagnostic, and Therapeutic Aspects.
J Orthop Case Rep
October 2024
Department A of Traumatology and Orthopedic Surgery, Hassan 2 University Hospital Center, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Article Synopsis
- The case report discusses a rare injury known as "floating wrist," which involves fractures and dislocations of all five wrist rays, often linked with forearm bone fractures.
- A 27-year-old male suffered this injury from a severe car accident, prompting complex surgical repair and leading to positive recovery results despite initial complications.
- The report stresses the importance of early diagnosis, proper surgical treatment, and timely rehabilitation to improve outcomes for patients with such uncommon injuries, highlighting the need for further research in the area.
Surgical Management of a Delayed Presentation of Floating First Metacarpal with Multiple Fracture Dislocations: A Case Report.
JBJS Case Connect
July 2024
Olympia Hospital & Research Centre, Trichy, Tamil Nadu, India.
Article Synopsis
- * Treatment included surgical procedures like open reduction, ligament repair, and a modified Eaton-Littler procedure to stabilize the CMC joint.
- * After 6 weeks, the patient's thumb had healed with good motion, and a one-year follow-up showed no signs of arthritis or dislocation.
Recurrent Pediatric Thumb Carpometacarpal Joint Dislocation Due to Generalized Joint Laxity Successfully Treated With Ligament Reconstruction: A Case Report.
Cureus
July 2024
Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JPN.
Article Synopsis
- Acute traumatic dislocation of the thumb carpometacarpal (CMC) joint without fractures is very rare in pediatric patients.
- The case study outlines an 11-year-old boy with recurrent thumb dislocation linked to generalized hyperjoint laxity, despite initial surgical attempts to repair it.
- The recommended treatment for such cases is Eaton-Littler's ligament reconstruction, which effectively stabilizes the thumb CMC joint by reconstructing key ligaments using a tendon from the forearm.
Comparison of mini-plate versus Kirschner wire internal fixation for fifth metacarpal basal fractures with carpometacarpal joint dislocation.
Am J Transl Res
July 2024
Department of Hand and Foot Surgery, Hangzhou Fuyang Hospital of TCM Orthopedics and Traumatology Hangzhou, Zhejiang, China.
Article Synopsis
- - The study compared two surgical methods, mini-plate fixation and K-wire fixation, for treating fifth metacarpal basal fractures with joint dislocation in 46 patients.
- - Results showed that mini-plate fixation led to better recovery outcomes, such as faster healing, improved joint movement, and fewer complications compared to K-wire fixation.
- - The research concluded that mini-plate internal fixation is a more effective treatment option for this type of fracture, as it significantly enhances patient quality of life while minimizing stress and complications.
Metacarpal Stress Fractures in Athletes: A Systematic Review.
Hand (N Y)
July 2024
Rutgers New Jersey Medical School, Newark, USA.
Article Synopsis
- The text presents the first systematic review focused on metacarpal stress fractures specifically in athletes, highlighting the lack of existing literature on this injury.
- The review included 11 studies with 29 cases, noting that the average patient age was 17, and tennis and badminton were the most common sports involved.
- Nonoperative treatment proved effective, allowing all patients to return to play within an average of 9 weeks, emphasizing the importance of proper technique and training to prevent these injuries.
Thumb Metacarpal Periosteal Sleeve Avulsion: A Case Report.
Hand (N Y)
June 2024
Brooke Army Medical Center, San Antonio, TX, USA.
Article Synopsis
- Periosteal sleeve fractures are common in young kids but can be easily overlooked, requiring careful evaluation for proper diagnosis and treatment.
- Though often seen in areas like the patella, shoulder, and clavicle, this type of injury has not been documented in the hand until now.
- The first known case involves a 3-year-old boy with a periosteal sleeve avulsion fracture in his thumb metacarpal, which was successfully treated with surgery.
Dorsal spanning plating for complex carpometacarpal fracture-dislocations: a retrospective case series.
J Hand Surg Eur Vol
June 2024
Department of Orthopedics, E-Da Hospital, I-Shou University/School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Article Synopsis
- * The study suggests that this method is a viable option for managing these types of injuries.
- * It is important for patients to understand that they will need to have the plate removed after healing is complete.
Functional and Radiological Outcomes of Miniature Plate Osteosynthesis in Metacarpal and Phalangeal Fractures of Hand: A Prospective Study.
Cureus
April 2024
Anesthesiology, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Article Synopsis
- The study evaluated the effectiveness of miniature plate osteosynthesis in treating 58 fractures of the metacarpals and phalanges in 50 adults over a follow-up period of 6 to 19 months.
- Clinical assessments were performed using various scoring systems to measure hand function and recovery, confirming all fractures achieved perfect clinical and radiological union within an average of six weeks.
- The results indicated that miniature plate fixation provided sufficient stability for immediate movement, leading to excellent functional outcomes and a quick return to normal activities without major complications.
Sonographic diagnosis of radiographically undetectable bennet fracture.
J Ultrasound
May 2024
CIM SA, Cabinet Imagerie Médicale, Géneva, Switzerland.
Article Synopsis
- - Bennet fractures, which are intra-articular fractures at the base of the first metacarpal, often lead to dislocation and need surgical intervention to avoid long-term joint problems.
- - A case involving a 62-year-old man showed that an ultrasound (US) suspected a Bennet fracture after a fall, while standard X-rays appeared normal.
- - This situation highlights the importance of including thorough bone assessments in routine musculoskeletal ultrasound exams, especially for patients who have suffered trauma, since US can identify fractures that X-rays may miss.
Clinical analysis of 1301 children with hand and foot fractures and growth plate injuries.
BMC Musculoskelet Disord
April 2024
Shenzhen Children's Hospital, Shenzhen, People's Republic of China.
Article Synopsis
- This study investigates the types and frequency of hand and foot fractures among children, aiming to fill the gap in existing epidemiological data.
- A total of 1301 children were analyzed using data from Shenzhen Children's Hospital, revealing that preschoolers had the highest incidence of fractures, particularly in the distal phalanx of the third finger.
- The research also identified trends in fracture locations and causes across different age groups, emphasizing variations in injury patterns, with hands being more affected than feet.
Complex dorsal metacarpophalangeal joint dislocation associated with proximal metacarpal fracture: case report and review of the literature.
Int J Surg Case Rep
May 2024
Orthopedic Trauma Service I, Military Training Hospital Mohamed V, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohamed V University of Rabat, Morocco.
Article Synopsis
- Complex dorsal metacarpophalangeal joint (MCPJ) dislocations are rare injuries often caused by falls and primarily affect the index finger, occasionally accompanied by metacarpal fractures.
- A case study discusses a 23-year-old man's complex MCPJ dislocation of the index finger along with a distal metacarpal fracture, treated successfully with surgery.
- Early diagnosis through detailed imaging is crucial for effective treatment and improved long-term function, as these injuries can lead to complications like stiffness and osteoarthritis if not managed properly.
Delayed Diagnosis of Dislocation of All Four Ulnar Carpometacarpal Joints. Surgical Treatment Strategy and Challenges.
J Wrist Surg
April 2024
Hand Surgery-Upper Extremity & Microsurgery Unit, KAT General Hospital of Athens, Athens, Greece.
Article Synopsis
- * A case study of a 32-year-old male after a motorcycle accident revealed dislocations in four ulnar metacarpals and a fracture in the fifth, requiring open surgical intervention for successful realignment and stabilization.
- * Effective diagnosis and treatment of these injuries necessitate a high index of suspicion from medical professionals, with CT scans playing a key role, especially for late diagnoses, which usually require surgical reduction to restore anatomical structure.
Article Synopsis
- Metacarpal fractures are common injuries, and this study aimed to compare the effectiveness of three fixation methods: intramedullary screw fixation (IMF), Kirschner wires (K-wires), and plating.
- A systematic review identified 34 studies which were analyzed for various outcomes, including DASH scores (disability), grip strength, healing time, and infection/reoperation rates.
- Results showed that IMF had better disability scores, stronger grip strength, and lower reoperation rates than K-wires and plating, indicating it's an effective option for treating metacarpal fractures.
Photodynamic bone stabilization for traumatic and pathologic fractures: a systematic review of utilization, complications, and patient-reported outcomes.
Eur J Orthop Surg Traumatol
April 2024
Department of Orthopedic Surgery, Center for Hip Preservation, Orthopaedic and Rheumatologic Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, 44195, USA.
Introduction: The photodynamic bone stabilization system (PBSS) was was developed in 2010, and in 2018 gained FDA approval in the United States. Given its relative novelty, our analysis sought to analyze the available literature exploring the indications, outcomes, and complications of the PBSS.
Methods: We performed a systematic review (PROSPERO registration of study protocol: CRD42022363065, October 8th, 2022).
Open Dislocation of the Scaphoid With an Associated Hamate Fracture and Fourth Metacarpal Fracture.
J Hand Surg Glob Online
January 2024
Department of Orthopaedic Surgery, Samaritan Health Services Good Samaritan Regional Medical Center, Corvallis, OR.
Article Synopsis
- Scaphoid dislocation is a rare wrist injury often caused by high-energy trauma, resulting in wrist hyperextension and ulnar deviation.
- The injury severity is linked to damage of the periscaphoid ligaments and can involve other injuries like axial carpal dissociation.
- A specific case involved an open scaphoid dislocation with additional fractures treated through open reduction and ligament repair.
Palmar Dislocation Fracture of the Hamate: A Case Report and Review of Literature.
J Wrist Surg
February 2024
Groupe OrthoSud, Clinique Saint Jean Sud-de-France, Saint Jean de Védas, France.
Article Synopsis
- Hamate dislocations are uncommon injuries that can be challenging to diagnose and treat, often leading to missed cases and non-standard management.
- A case of a 34-year-old involved in a high-impact traffic accident is presented, revealing a hamate fracture that was successfully treated with open surgery, resulting in pain-free wrist motion after one year.
- The literature on hamate injuries is limited, with symptoms often being mild; however, thorough radiographic analysis and potential CT scans are recommended for accurate diagnosis, especially in high-energy injuries.
The 'Shish-Kebab technique' in intra-articular fractures of the hamate body and concomitant 4th metacarpal base fracture.
Eur J Trauma Emerg Surg
June 2024
Department of Orthopedics and Traumatology, Kartal Dr. Lütfi Kırdar City Hospital University of Health Sciences, Istanbul, Turkey.
Article Synopsis
- The study focuses on a rare wrist injury called hamate fractures and introduces the 'Shish-Kebab' surgical method for treating these fractures along with fourth metacarpal injuries.
- Conducted at a single center, the research involved patients aged 16-65 with specific fracture types, comparing outcomes between those treated conservatively and those needing surgical intervention.
- Results showed no significant difference in pain and disability scores between the two groups at follow-ups, but both groups improved over time, indicating the effectiveness of the 'Shish-Kebab' method when closed reduction fails.
Novel Mini-Invasive Surgical Technique for Treating Fifth Metacarpal Neck Fractures: A Case Report.
Am J Case Rep
January 2024
Upper Limb Research Center, SYMCRO TEAM Hand Surgery, Florence, Italy.
Article Synopsis
- * A case study details a 25-year-old pianist who suffered a displaced fifth metacarpal neck fracture from punching a wall and was treated using the Jahss maneuver, followed by K-wire fixation to ensure stability and promote healing.
- * The min-invasive technique used in this case avoided complications such as extensor tendon damage and resulted in successful rehabilitation, with the patient achieving full motion and strength four months post-surgery.
Outcomes and Complications of Intramedullary Metacarpal Fixation.
Hand (N Y)
January 2024
JPS Health Network, Fort Worth, TX, USA.
Article Synopsis
- Metacarpal fractures are a common issue in orthopedics, and this study examines the use of the ExsoMed INnate nail for intramedullary fixation as a treatment option that may promote quicker recovery and fewer complications.
- A review of 37 patients with 44 metacarpals showed an average recovery timeframe of about 5.5 weeks for healing and 6.3 weeks to return to full activity, with most patients maintaining good range of motion post-surgery.
- While the technique demonstrated low major complication rates, 22% of patients experienced issues, including bent screws linked to postoperative punching activities, highlighting the need for caution in post-surgical behavior.
Hamatometacarpal fracture-dislocation: A case report.
Trauma Case Rep
December 2023
Department of Orthopaedic Surgery & Traumatology, Ibn Sina Hospital, University Mohamed V, Rabat, Morocco.
Article Synopsis
- The treatment consisted of open reduction and internal fixation for the hamate using a 2.0-mm cortical screw, along with stabilization of the fifth metacarpal using a Kirschner wire.
- Six months after surgery, the patient had full movement in his hand, reported no pain, and successfully went back to work.
Triggering, clicking, locking and crepitus of the finger: A comprehensive overview.
World J Orthop
October 2023
Department of Ophthalmology, University Hospital of Udine, Udine 33100, Italy.
Article Synopsis
- * It lists differential diagnoses to consider, such as trigger finger, arthritis of the MCP joint, fractures, and Dupuytren's disease, among others.
- * A thorough clinical examination and special investigations are essential for correct diagnosis and effective management, leading to symptomatic improvement for patients.
Total removal of the fourth metacarpal bone in an Icelandic horse.
Tierarztl Prax Ausg G Grosstiere Nutztiere
October 2023
Tierklinik Maischeiderland, Großmaischeid.
Article Synopsis
- Splint bone fractures are common in horses, with various treatment methods available, including both conservative and surgical options.* -
- A 17-year-old Icelandic mare experienced a severe open multifragment fracture of the fourth metacarpal bone (MCIV) due to external trauma, requiring surgical intervention.* -
- After two surgeries and a 5-month recovery, the horse returned to her previous level of performance and has remained free of lameness for 6 years.*
Management of Bennett's fracture: A systematic review and meta-analysis.
JPRAS Open
December 2023
Saint Joseph University, Faculty of medicine, Beirut, Lebanon.
Article Synopsis
- - Bennett's fracture is an intra-articular fracture of the first metacarpal linked with a dislocated carpometacarpal joint, first described in 1882, and typically managed by open reduction internal fixation, though recent studies suggest closed reduction may yield good outcomes
- - A meta-analysis reviewed six studies, comparing clinical outcomes like grip strength, thumb motion, and adduction deformity between patients treated with closed reduction and those treated with open reduction internal fixation
- - Results indicated that open reduction internal fixation led to better grip/pinch strengths and thumb motion, but also came with higher complication rates; further research is needed to solidify these findings