3,603 results match your criteria: "Wrist Dislocation"

Treatment of long finger metacarpophalangeal arthritis using HAPY® pyrocarbon interposition implants: a study of 34 cases.

Hand Surg Rehabil

December 2024

Institut Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint-Herblain, France. Electronic address:

Introduction: Destruction of the metacarpophalangeal joint can result in disabling pain and stiffness. Several therapeutic options are available, including pyrocarbon interposition implants. The primary endpoint of this study was assessment of clinical and radiographic outcomes in 34 patients treated with HAPY® pyrocarbon interposition implants (Tornier, Grenoble, France) with a minimum follow-up of 3 years.

View Article and Find Full Text PDF

Background: Distal radius fractures (DRFs) are some of the most common injuries suffered by the elderly; however, there are varied opinions on management. As there is limited research on patient factors affecting functional outcomes in conservatively managed patients with DRFs, this study aimed to find predictive factors for functional outcomes in such patients.

Methods: Patients with DRFs satisfying the inclusion criteria were managed with closed reduction and slab followed by cast application.

View Article and Find Full Text PDF

Purpose: Shoulder dislocations in professional football are severe injuries with an increasing incidence and considerable layoff times. Unlike other football injuries, the mechanisms leading to shoulder dislocations are not well understood, which limits the development of targeted preventive measures. Thus, the aims of this study were: (1) to analyse injury mechanisms of shoulder dislocations in professional football, (2) to evaluate situational and (3) to assess kinematic patterns by performing a systematic video analysis.

View Article and Find Full Text PDF

Lateral humeral condyle fractures are common in children, but concomitant elbow dislocation is rare. This case report involves a 10-year-old girl with an ipsilateral distal both-bone forearm fracture and a lateral humeral condyle fracture accompanied by a posterolateral elbow dislocation. Closed reduction of the elbow was performed in the emergency department without delay, and the patient was operated on as soon as possible.

View Article and Find Full Text PDF

Introduction And Importance: Ipsilateral proximal and distal radius fractures without elbow dislocation are extremely rare injuries and a few cases have been reported. Currently, there is no well-established consensus regarding their optimal management.

Case Presentation: We report the case of a 57-year-old woman who had a right bipolar radius fracture after falling from a standing height.

View Article and Find Full Text PDF

Background: The mean age of volleyball athletes has increased over the past decade, raising concerns about musculoskeletal injuries. There is no literature on how different mechanisms of injury (MOI) affect different adult age groups.

Purpose: To evaluate epidemiologic trends, diagnoses, and mechanisms of volleyball-related upper extremity injuries within different adult age groups.

View Article and Find Full Text PDF

Lunate dislocation is a rare injury caused by a fall on an outstretched hand with axial loading on the dorsiflexed wrist. These injuries are often missed and tend to present late. Median nerve compressive neuropathy is a common associated finding in such cases.

View Article and Find Full Text PDF
Article Synopsis
  • A study examined the incidence and risk factors for adverse events in patients undergoing surgery for distal radius fractures (DRFs) using volar locking plates (VLPs) at Helsinki University Hospital from 2009-2019.
  • Out of 2,790 cases, 16% experienced complications, with hardware issues being the most common (8.3%), alongside carpal tunnel syndrome, tendon complications, and infections.
  • Identified risk factors for these adverse events included smoking, high body mass index, alcohol abuse, and specific fracture characteristics like dorsal tilt and intra-articular displacement.
View Article and Find Full Text PDF

Pathophysiology of longitudinal forearm instability (Essex-Lopresti syndrome) and implications for treatment.

Hand Surg Rehabil

December 2024

Service de Chirurgie de la Main et du Membre Supérieur - Chirurgie des Paralysies, CHU LAPEYRONIE, 371, Avenue du Doyen Gaston GIRAUD, 34295 Montpellier cedex, France.

Longitudinal forearm instability, or Essex-Lopresti syndrome, associates radial head fracture and rupture of the structures uniting the 2 bones, mainly the interosseous membrane and triangular fibrocartilage complex adjacent to the distal radioulnar joint. It is often overlooked at first, and should be screened for in case of comminuted radial head fracture without elbow dislocation or instability. Treatment should be prompt, within 4 weeks of trauma, to avoid soft-tissue retraction and hopefully allow healing.

View Article and Find Full Text PDF

Introduction Volar rim fragment fixation is difficult to manage, as it is distal to the watershed line, rendering normal volar plates unable to securely capture it. This fragment must be precisely addressed as volar carpal subluxation is unavoidable when fixation is not efficient. The spring-wire technique maintains a stable fixation of this key fragment, which has been previously described in a small series.

View Article and Find Full Text PDF

Swan-Neck and Boutonniere Deformity in Rheumatoid Hand.

Hand Clin

February 2025

Hand Surgery and Reconstructive Microsurgery Unit, Azienda Ospedaliero Universitaria Careggi, Florence, Italy; AOUC - Padiglione 25 CTO Largo Brambilla 3, Florence 50139, Italy.

Rheumatoid arthritis (RA) is an inflammatory disease for which the exact cause is unknown. It is an autoimmune disorder that primarily affects such joints which allows free movement in different directions, but also has many other severe complications related to mortality. On the other hand, this disease is responsible for digital deformities, arising out of a combination of synovitis, intrinsic muscles, and extrinsic tendons impairment, ligament rupture, joint dislocation, and final ankylosis.

View Article and Find Full Text PDF

Background: The purpose of this study was to evaluate differences in 90-day clinical outcomes between patients treated with generic volar locking plates (VLPs) and conventional VLPs in distal radius fractures. Secondary aims included assessing for differences in surgical characteristics and cost between the groups.

Methods: From November 2022 to April 2023, a prospective block-randomized study was undertaken in which surgeons alternated between using a generic VLP and a conventional VLP each month.

View Article and Find Full Text PDF
Article Synopsis
  • - This study aimed to create a convolutional neural network (CNN) to detect and classify fractures, focusing on specific characteristics like greater tuberosity displacement and neck-shaft angle, using plain X-rays.
  • - The CNN was trained with over 1,700 X-rays from Australia and validated with data from the Netherlands, comparing results with CT scans evaluated by experts.
  • - The CNN demonstrated a high detection accuracy of 94% for fractures, but less effectiveness in identifying specific fracture characteristics, particularly showing lower performance for greater tuberosity displacement and neck-shaft angles.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the efficacy of shortening the cast immobilization period for distal radius fractures (DRF) from 3-5 weeks to 1 week followed by gradual mobilization.
  • Conducted in various trauma centers, it involved randomly assigning hospitals to either the usual care or the shorter immobilization method, with patients aged 18 to 85 included if they had isolated, non- or minimally displaced DRF.
  • Results showed no significant differences in functional outcomes, pain scores, or patient satisfaction between the two groups, suggesting that the shorter immobilization period may be equally effective as the conventional approach.
View Article and Find Full Text PDF
Article Synopsis
  • Bilateral anterior shoulder dislocation (BASD) is a rare condition often caused by trauma, as demonstrated in a case involving a 51-year-old male who sustained injuries from a fall, leading to BASD and a wrist fracture.
  • The patient underwent urgent surgical treatment; both shoulders were reduced using the Hippocratic maneuver, and a wrist fixator was applied after closed reduction of the wrist.
  • Post-surgery, the patient followed a rehabilitation plan that included immobilization, mobility exercises starting at three weeks, and progressive rehabilitation for the wrist and shoulders, while emphasizing the need for thorough clinical assessments to identify potential accompanying injuries.
View Article and Find Full Text PDF

Floating 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.
View Article and Find Full Text PDF
Article Synopsis
  • Scaphoid dislocations are very rare injuries, and this report focuses on a 60-year-old male patient who underwent surgery for this condition.
  • The treatment involved open reduction, fixation with Kirschner wires, and stabilising the scapholunate ligament.
  • The case report aims to provide detailed insights into this uncommon injury, covering treatment methods, long-term outcomes, and a literature review for assisting surgeons dealing with similar cases.
View Article and Find Full Text PDF
Article Synopsis
  • A study investigates the occurrence of asymptomatic triangular fibrocartilage complex (TFCC) changes in patients who underwent wrist MRIs for reasons other than ulnar-sided wrist pain.
  • Of the 132 patients reviewed, 44% showed TFCC abnormalities on MRI, while 80% of those with ulnar-sided pain had similar findings.
  • The results emphasize the need to consider a patient's symptoms alongside MRI findings, as many with non-painful TFCC changes might be identified in routine scans.
View Article and Find Full Text PDF

Descriptive Epidemiology and Management of Perilunate Injuries.

Ann Plast Surg

October 2024

From the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, CA.

Article Synopsis
  • Perilunate injuries, usually caused by high-impact trauma, can compress the median nerve and lead to complications if untreated, making prompt evaluation and treatment essential.
  • A study reviewed 33 cases at a trauma center over nine years, noting that injuries often resulted from falls and vehicle incidents, with most cases showing some nerve issues.
  • Surgical intervention was common, with 95% of patients needing surgery, and more than half requiring a carpal tunnel release, highlighting the need for personalized treatment strategies based on each case.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to examine the relationship between alignment of treatment goals between patients and physicians, patient satisfaction, and overall experience in hand and upper extremity surgery.
  • - Among 169 participants, it was found that 62% experienced goal concordant care; however, this alignment did not significantly impact patient satisfaction or experience.
  • - Notably, patients earning less than $50,000 showed higher chances of receiving goal discordant care, highlighting potential socioeconomic disparities in treatment outcomes that merit further investigation.
View Article and Find Full Text PDF

[Review of 10 patients with pure perilunate carpal dislocation at a minimum of 18years follow-up].

Ann Chir Plast Esthet

September 2024

Service de chirurgie orthopédique et traumatologie, CHU de Guadeloupe, route de Chauvel, 97142 Les Abymes, Guadeloupe.

Article Synopsis
  • The study aimed to assess the long-term functional abilities and occurrence of osteoarthritis in patients treated for a posterior perilunate carpal dislocation without associated bone lesions, with a follow-up of at least 18 years.
  • Ten patients participated, with evaluations based on various clinical and radiographic criteria, showing an average Cooney score of 67.5/100, alongside notable results in pain, grip strength, and wrist mobility.
  • Results indicated a 60% prevalence of osteoarthritis, but this was not significantly linked to the patients' functional performance, highlighting the role of initial lunate displacement and reduction quality in long-term outcomes.
View Article and Find Full Text PDF