4,162 results match your criteria: "Scaphoid Injury"

The dorsal intercarpal ligament (DICL) is crucial for carpal stability and is frequently associated with injuries to other carpal ligaments, notably the scapholunate and lunotriquetral interosseous ligaments. Although isolated DICL injuries are uncommon, they can manifest as ligament avulsions, bony avulsions, or attenuations from chronic injury. Surgical repair of isolated DICL tears may be necessary when conservative management fails.

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Article Synopsis
  • Scaphoid nonunion frequently occurs after scaphoid fractures, and the study examines the effectiveness of headless compression screws (HCS) versus scaphoid plates for treatment, highlighting the challenges faced by surgeons in choosing optimal methods.
  • Ninety-seven patients were treated from 2008 to 2023, with results showing that the plate fixation led to better bone union rates compared to screw fixation, particularly in specific anatomical locations of the scaphoid.
  • The study concludes that scaphoid plate fixation is generally more effective than screw fixation, with significant improvements in bone healing and clinical outcomes, especially in waist and proximal nonunions.
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Article Synopsis
  • The study investigates the effectiveness of the Ni-Ti shape memory alloy four-corner arthrodesis concentrator (NT-FCAC) for treating scaphoid nonunion advanced collapse (SNAC) with a decade-long follow-up.
  • Twenty-six patients underwent surgery involving scaphoidectomy and arthrodesis, showing significant improvements in grip strength, wrist mobility, and reduced pain levels postoperatively.
  • Over a 10-15 year follow-up, all patients achieved wrist bone fusion with no severe complications, although no significant changes in pain and functionality were observed after 60 months.
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Long-term outcomes after capitate fractures: a median 16-year follow-up.

Arch Orthop Trauma Surg

August 2024

Department of Hand Surgery, Institute of Translational Medicine, Skåne University Hospital Malmö and Lund University, Jan Waldenströms gata 5, Malmö, 205 02, Sweden.

Article Synopsis
  • - The study aimed to evaluate the long-term clinical and radiological outcomes of capitate fractures, with a cohort of 23 patients identified from a larger group suffering wrist pain, and a follow-up conducted after an average of 16 years.
  • - Out of the 16 eligible patients, the majority had healed capitate fractures with one case showing signs of osteoarthritis, although it did not cause any symptoms; none showed signs of avascular necrosis.
  • - Functional assessments revealed minimal impairments, with patients reporting good hand function, normal wrist movement, and strength, indicating a low risk of developing posttraumatic arthritis in the surrounding joints.
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Article Synopsis
  • Carpal tunnel syndrome (CTS) is the most common condition causing nerve entrapment in the upper limbs, and this study focused on its relationship with various wrist and hand measurements in female patients.
  • Researchers analyzed data from 40 women with CTS and compared it to a control group, identifying significant associations between CTS and morphometric indices like carpal height and palm length.
  • The findings indicated that lower values in these measurements corresponded with reduced carpal tunnel volume, potentially increasing pressure on the median nerve, suggesting that the structure of the wrist affects CTS severity.
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Lunate-capitate arthrodesis for scaphoid nonunion: a comparative study.

BMC Musculoskelet Disord

August 2024

Orthopedic Surgery Department, Mansoura University, Algomhoria Street, Mansoura, 33516, Dakahlia, Egypt.

Article Synopsis
  • The study investigates the effectiveness of two surgical procedures (lunate-capitate fusion and four-corner fusion) for treating advanced wrist injuries known as SNAC II and III, focusing on functional and radiological outcomes and complications.
  • It includes a retrospective analysis of 65 patients who underwent surgery between 2015 and 2024, with a follow-up of at least two years, and compares the outcomes of the two fusion techniques.
  • Results showed that both groups experienced functional improvements post-surgery and had similar average healing times, indicating that both procedures could be effective in addressing SNAC injuries.
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Objectives: To assess patients' opioid prescription usage and pain management satisfaction after fracture surgery.

Design: An IRB-approved prospective prognostic cohort study for postoperative patients with fracture was conducted. Patients were evaluated by an independent observer at 2 weeks, 6 weeks, 3 months, and 6 months postoperatively where they were given Detroit Interventional Pain Assessment questionnaires regarding their postoperative pain and opioid usage.

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Graft choice for managing scaphoid non-union: umbrella review.

Hand Surg Rehabil

September 2024

Department of Plastic and Hand Surgery, CHU de Rouen, Rouen University,37 Boulevard Gambetta, 76000 Rouen, France. Electronic address:

Article Synopsis
  • The study reviews different techniques for treating scaphoid non-union, focusing on whether union rates differ between vascularized and non-vascularized bone grafts.
  • It assesses systematic reviews and meta-analyses to compare the success rates of these grafting techniques using data from various reputable medical databases.
  • Findings show that while the overall union rates are similar for both types of grafts, vascularized grafts are more effective for specific cases like avascular necrosis, while non-vascularized grafts perform better in certain complications like humpback deformity.
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Ultrasound-based Measurement of the Intra-scaphoid angle.

Hand Surg Rehabil

October 2024

Department of Hand and Plastic Surgery, CHUV Centre Hospitalier Universitaire Vaudois, University Hospital, Lausanne, Switzerland. Electronic address:

Introduction: Ultrasound is gaining popularity for diagnosing scaphoid fractures. However, it hasn't been used to assess fracture displacement, such as humpback deformity. We propose a sonographic method to measure the intra-scaphoid angle, potentially serving as an alternative to CT scans for detecting fragment malposition after a scaphoid fracture.

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Article Synopsis
  • - This study assessed the effectiveness of different surgical procedures (single-stage, two-stage, and salvage) for treating chronic perilunate dislocations in 15 patients from 2013 to 2019, comparing their outcomes with prior literature.
  • - Out of the patients, 13 underwent open reduction and internal fixation (ORIF), while 2 required salvage procedures; the approach transitioned from single-stage to more complex two-stage procedures using external fixators for better results.
  • - Post-operative evaluations showed mixed outcomes, with some complications like nonunion and avascular necrosis occurring, and the mean scapholunate angle reflecting varying degrees of wrist extension and flexion.
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Catch the shift: Ultrasound diagnosis of scapholunate lesion during Watson test.

Hand Surg Rehabil

October 2024

Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland; Institute for Biomechanics, ETH Zurich, Zurich, Switzerland. Electronic address:

Scapholunate ligament lesion is the most common ligament lesion in the wrist. We assessed the reliability of sonography in detecting it during Watson test. Twenty patients with scapholunate ligament lesion confirmed on MRI and intraoperatively were assessed preoperatively between July 2020 and April 2023.

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Mapping wrist motion: 3D CT analysis after scapholunate ligament transection.

J Anat

August 2024

Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, Friedrich-Alexander-Universität Erlangen-Nuernberg FAU, Universitätsklinikum Erlangen, Erlangen, Germany.

Article Synopsis
  • - The scapholunate (SL) ligament injury is a common cause of wrist pain and dysfunction, with existing theories exploring its impact on wrist movement lacking sufficient understanding.
  • - A study conducted on 21 fresh-frozen anatomical specimens utilized CT imaging to analyze wrist kinematics after SL ligament transection, focusing on individual carpal bone motion in relation to the radius.
  • - Results indicated a significant increase in palmar rotation of the scaphoid after SL ligament injury during palmar flexion, while other carpal bones were less affected, highlighting the SL ligament's crucial role in wrist biomechanics.
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Arthroscopic assisted versus open non-vascularized bone grafting in delayed union and nonunion of the scaphoid: a systematic review and meta-analysis.

BMC Musculoskelet Disord

August 2024

Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, Affiliated with University of Toronto, East Wing, 2nd Floor, Rm. 400, Toronto, Canada.

Article Synopsis
  • - This study aimed to compare the healing time and clinical outcomes between arthroscopic-assisted and open non-vascularized bone grafting for scaphoid delayed union and nonunion.
  • - It analyzed data from 26 studies with 822 patients, finding that arthroscopic methods may lead to quicker healing, reducing average recovery time by about 7.8 weeks, but there was no significant difference in union rates or pain relief between the two techniques.
  • - Conclusions suggest that while quicker healing might be expected with arthroscopic procedures, further research is needed to firmly establish their benefits regarding overall pain relief and functional improvements.
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Pediatric Wrist.

Semin Musculoskelet Radiol

August 2024

Medscanlagos, Cabo Frio, Rio de Janeiro, Brazil.

Pediatric wrist injuries pose unique diagnostic challenges due to distinct bone characteristics in children and their diverse injury patterns. The dynamic development of the wrist, marked by changes in bone age and emerging ossification centers, is crucial to evaluate growth and identify potential pathologies. The skeletal composition, rich in cartilage, renders bones relatively weaker yet more elastic, impacting their susceptibility to fracture.

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Three-corner arthrodesis for scapholunate and scaphoid nonunion advanced collapsed wrists: outcomes at long term follow-ups.

Injury

June 2024

Service d'Orthopédie 1 et Traumatologie, Hôpital Roger Salengro, F-59000, Lille, France. Electronic address:

Article Synopsis
  • The study evaluated the outcomes of three-corner arthrodesis in 13 patients with wrist issues, focusing on clinical, functional, and radiological results over a mean follow-up of 6.7 years.
  • Results showed significant improvements in pain and functionality, with a high union rate of 92.9% for the wrists treated.
  • The findings suggest that three-corner arthrodesis is a viable long-term surgical option for patients with advanced wrist conditions, despite some experiencing mild signs of radio-lunate arthritis.
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Article Synopsis
  • Perilunate dislocation is a rare wrist injury often caused by excessive loading on a hyperextended and ulnar-deviated wrist, leading to potential ligament damage and displacement of the lunate bone.
  • A unique case of a 38-year-old construction worker with a trans-styloid, trans-scaphoid perilunate fracture dislocation and accompanying carpal tunnel syndrome was documented, marking an unusual presentation not previously reported.
  • Treatment involved open reduction and ligament repair to preserve hand function, along with carpal tunnel release due to the symptomatic nerve compression.
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Peri-Trapezium Peri-Trapezoid Trans-scaphoid Open Fracture Dislocation of the Carpus: A Case Report.

Cureus

June 2024

Orthopedics, Hand, Elbow, and Shoulder Surgery, Johns Hopkins Aramco Healthcare, Dhahran, SAU.

Article Synopsis
  • * A rare case of an open trans-scaphoid axial fracture dislocation is presented, showcasing a unique injury mechanism, with the patient receiving prompt and appropriate treatment.
  • * Despite optimal treatment, these types of injuries usually have poor outcomes, highlighting the importance of open communication and setting realistic expectations with patients.
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Article Synopsis
  • Radiocarpal dislocation is a rare and critical injury that requires immediate diagnosis and treatment, as illustrated by a case involving a 32-year-old man with various complications following a serious motor vehicle accident.
  • The patient had several pre-existing wrist conditions and underwent multiple interventions, including closed reduction, external fixation, and complex surgical procedures to address various deformities and dislocation.
  • This case serves as a significant example of the biomechanical challenges faced in managing severe wrist injuries and stresses the importance of a coordinated treatment approach for better outcomes.
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Purpose: The aim of the study is to perform a systematic review and meta-analysis comparing the diagnostic performance of artificial intelligence (AI) and human readers in the detection of wrist fractures.

Method: This study conducted a systematic review following PRISMA guidelines. Medline and Embase databases were searched for relevant articles published up to August 14, 2023.

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A carpal injury called a lunate fracture can cause severe carpal instability if treatment is not received. After the scaphoid, triquetrum, and trapezium, the lunate is the fourth most frequently fractured carpal bone. Due to lunate fracture, the functional prognosis is uncertain, and conservative treatment frequently results in surgery.

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Idiopathic avascular necrosis of the scaphoid (Preiser's disease): a case report and review of the literature.

Case Reports Plast Surg Hand Surg

July 2024

Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

Idiopathic avascular necrosis of the scaphoid bone, Preiser's disease, was originally described as a deteriorative pathology whereby the osseous structure necroses due to loss of blood supply. It may present with multifactorial etiology, which is still largely not well understood. We describe a case of Preiser's disease in a 70-year-old female, with worsening pain and loss of range of motion in her right wrist over a two-year period.

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Purpose Of The Study: To investigate the effects of anatomical variations on the mechanism of scaphoid fracture by comparing the radiologic parameters of the wrist of patients with and without scaphoid fracture after a fall on an outstretched hand.

Material And Methods: Cross-sectional comparative retrospective analysis of radiographs of patients with (Group 1, n=169) and without scaphoid fracture (Group 2, n=188). Morphometric data were measured including radial inclination (RI), radial height (RH), ulnar variance (UV), carpal height (CH) ratio, revised carpal height (RCH) ratio and palmar tilt of the distal radius (PT).

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Update: This article was updated on September 4, 2024 because of a previous error, which was discovered after the preliminary version of the article was posted online. In the Note listing the members of the Wrist and Elbow Research Group of Canada, the text that had read "Thomas T. Goetz, MD, FRCSC" now reads "Thomas J.

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