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Journal of Wrist Surgery

Shahram Nazerani, Tina Nazerani, Alireza Molayem, Mohammad Reza Keramati
Background  Arthroscopic total wrist arthrodesis is a procedure with minimal violation of extensor compartments and less scar formation, compared with open wrist arthrodesis. In this paper, we would like to present our experience with a modified surgical technique for arthroscopic total wrist arthrodesis. Description of Technique  After an arthroscopic cartilage removal through radiocarpal and midcarpal portals, the operation is continued under fluoroscopic control. In this technique, four wires are inserted separately in four various directions (as described in the paper), followed by insertion of self-tapping cannulated screw, under fluoroscopic control...
February 2019: Journal of Wrist Surgery
Tonya An, John Garlich, David Kulber
Background  Myositis ossificans traumatica (MOT) involves the heterotopic development of lamellar bone after a traumatic injury. Despite being termed "myositis," MOT is not limited to muscle but rather can involve tendons, fat, and fascia. "Traumatica" reflects that lesions are usually associated with a history of significant trauma, that is, fractures or surgery; however, many reports suggest they can also be linked to repetitive low-energy insults. In both cases, the inflammatory response secondary to tissue injury generates a proliferative osteoblastic cascade...
February 2019: Journal of Wrist Surgery
Rajeev Shukla, Nikhil Jain
Introduction  Aneurysmal bone cyst (ABC) is a cystic benign expansile lytic bone lesion, resembling multiple intraosseous blood-filled spaces. It is most commonly seen in the first two decades of life. Most frequent sites of involvement are metaphysis of proximal and distal femur, proximal tibia, and posterior elements of spine. It is seen more frequently in females. ABC of distal ulna is rarely reported in the literature. Case Presentation  We are reporting a case of ABC of a rare location-distal ulna-in a young male, which was successfully treated with extended curettage, and the cavity was filled with bone graft, with K-wire stabilization...
February 2019: Journal of Wrist Surgery
Julia Blackburn, Rukhtam Saqib, Jemma Rooker, Andreas Baumann, Rouin Amirfeyz
Background  Ulnocarpal impaction occurs when there is excessive loading between the ulnar carpus and the distal ulna. Ulnar shortening osteotomies (USOs) decompress the ulnocarpal joint. Many studies have evaluated USO but none have considered the effect of early active mobilization on union rate. Questions  Does early active mobilization affect rate of union following USO? Does early active mobilization affect rate of complications following USO? Patients and Methods  We performed a retrospective review of 15 consecutive patients that underwent 16 USOs between 2011 and 2015...
February 2019: Journal of Wrist Surgery
Nikolas H Kazmers, Andrew R Stephens, Angela P Presson, Yizhe Xu, Ross J Feller, Andrew R Tyser
Background  Proximal row carpectomy (PRC) and four-corner arthrodesis (FCA) are common treatments for stage II scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrists, with similar functional and patient-reported outcomes reported in the peer-reviewed literature. Questions  Study questions included (1) whether surgical encounter total direct costs (SETDCs) differ between PRC and FCA, and (2) whether SETDC differs by method of fixation for FCA. Patients and Methods  Consecutive adult patients (≥ 18 years) undergoing PRC and FCA between July 2011 and May 2017 at a single tertiary care academic institution were identified...
February 2019: Journal of Wrist Surgery
Sheena K Sikora, Stephen K Tham, Jason N Harvey, Marc Garcia-Elias, Tony Goldring, Andrew H Rotstein, Eugene T Ek
Background  Scapholunate instability (SLI) is the most common form of carpal instability. Early detection of SLI is imperative as early reconstructive procedures can potentially prevent the natural history of progressive degenerative arthritis. After wrist arthroscopy, magnetic resonance imaging (MRI) remains the next best noninvasive diagnostic option; however, access still remains costly and is often limited in many health care systems worldwide. In this article, we describe a novel device that allows for dynamic X-rays to be taken, accentuating the scapholunate (SL) widening...
February 2019: Journal of Wrist Surgery
Jonathan Lans, Shih-Heng Chen, Jesse B Jupiter, Luis R Scheker
Background  Radiocarpal or midcarpal arthritis can occur simultaneously with arthritis of the distal radioulnar joint (DRUJ), leading to functional impairment of the wrist. Treatment often involves wrist arthroplasty or arthrodesis, either with simultaneous or secondary procedures, addressing the DRUJ. Successful treatment of solitary DRUJ arthritis with DRUJ replacement has been reported. However, outcomes in patients with multiple prior wrist surgeries are lacking. Surgery in these wrists is challenging because surgical scarring and advanced bone deformities make implant positioning more difficult...
February 2019: Journal of Wrist Surgery
Rajeev Shukla, Vishal Singh Champawat, Ravi Kant Jain
Background  Fractures of the distal end radius are a common upper extremity fracture. Intra-articular distal end radius fractures are recognized as very complex injuries with a variable prognosis. The aim of the study was to assess the long-term functional outcome of patients treated with Joshi's external stabilizing system (JESS) for displaced intra-articular distal end radius fractures. Materials and Methods  A total of 170 patients with intra-articular distal end radius fracture were treated with JESS from 2014 to 2017...
February 2019: Journal of Wrist Surgery
A Bentohami, E A K van Delft, J Vermeulen, N L Sosef, N de Korte, T S Bijlsma, J C Goslings, N W L Schep
Background  Patients with non- or minimally displaced distal radial fractures, that do not need repositioning, are mostly treated by a short-arm cast for a period of 4 to 6 weeks. A shorter period of immobilization may lead to a better functional outcome. Purpose  We conducted a randomized controlled trial to evaluate whether the duration of cast immobilization for patients with non- or minimally displaced distal radial fractures can be safely shortened toward 3 weeks. Materials and Methods  The primary outcomes were patient-reported outcomes measured by the Patient-Related Wrist Evaluation (PRWE) and Quick Disability of Arm, Shoulder and Hand (QuickDASH) score after 1-year follow-up...
February 2019: Journal of Wrist Surgery
William R Aibinder, Ali Izadpanah, Bassem T Elhassan
Background  Management of scapholunate (SL) ligament disruption is a challenging problem. The reduction and association of the scaphoid and lunate (RASL) procedure has been described with varying results. This study assessed the outcomes of the RASL procedure. Purpose  The objective of this study was to assess the outcomes of patients undergoing the RASL procedure at our institution in regard to pain relief, range of motion, radiographic and functional outcomes, complications, and reoperations. Materials and Methods  Twelve patients with symptomatic chronic SL instability underwent the RASL procedure...
February 2019: Journal of Wrist Surgery
Jung-In Shim, Jin-Hyung Im, Joo-Yup Lee, Han-Vit Kang, Sung-Hyun Cho
Purpose  The relationship between triangular fibrocartilage complex (TFCC) tear and ulnar impaction syndrome has not been fully understood. We hypothesized that a TFCC tear could change the ulnar variance, which may be the cause of ulnar impaction syndrome. Patients and Methods  A total of 72 patients who underwent TFCC foveal repair between January 2011 and June 2016 were included in this retrospective study. Among them, 44 patients diagnosed with TFCC foveal tear with distal radioulnar joint instability and no ulnar impaction syndrome underwent TFCC foveal repair only (group A) and 28 patients diagnosed with TFCC foveal tear with ulnar impaction syndrome underwent TFCC foveal repair and ulnar shortening osteotomy simultaneously (group B)...
February 2019: Journal of Wrist Surgery
Sophie Honecker, Yuka Igeta, Ali Al Hefzi, Chiara Pizza, Sybille Facca, Philippe A Liverneaux
Background  According to current literature, the estimated average survival rate for Remotion, the total wrist implants, is above 90% on an 8-year follow-up. We examined our series of Remotion to calculate its survival rate on a 10-year follow-up. Case Description  A total of 23 cases of total wrist implants were reviewed. The case series included 22 patients, 18 females and 4 males, of an average age of 55 years. The case series included 19 inflammatory rheumatic diseases, 3 Kienböck disease, and 1 posttraumatic arthrosis...
February 2019: Journal of Wrist Surgery
Chloé Galmiche, Gustavo Gómez Rodríguez, Fred Xavier, Yuka Igeta, Juan José Hidalgo Diaz, Philippe Liverneaux
Background  This work aimed to compare two mini-invasive palmar approaches (longitudinal and transverse) to osteosynthesize fractures of the distal radius. The main hypothesis was that the longitudinal technique gave smaller incisions. The secondary hypothesis was that the longitudinal technique would be better for the recovery of pain, functional scores, strength, and mobility. Materials and Methods  The series included 30 extra-articular distal radius fractures in 30 patients (average age: 74 years) fixed with volar locking plate using a mini-invasive technique...
February 2019: Journal of Wrist Surgery
Braden Gammon, Emily Lalone, Masao Nishiwaki, Ryan Willing, James Johnson, Graham J W King
Background  The effects of dorsal angulation deformity on in vitro distal radioulnar joint (DRUJ) contact patterns are not well understood. Purpose  The purpose of this study was to utilize intercartilage distance to examine the effects of forearm rotation angle, distal radius deformity, and triangular fibrocartilage complex (TFCC) sectioning on DRUJ contact area and centroid position. Methods  An adjustable implant permitted the creation of simulated intact state and dorsal angulation deformities of 10, 20, and 30 degrees...
February 2019: Journal of Wrist Surgery
Ronit Wollstein, Hani Harel, Idit Lavi, Raviv Allon, Dafna Michael
Background  Sensorimotor and specifically proprioception sense has been used in rehabilitation to treat neurological and joint injuries. These feedback loops are not well understood or implemented in wrist treatment. We observed a temporary sensorimotor loss, following distal radius fractures (DRF) that should be addressed postsurgery. Purpose  The purpose of this prospective therapeutic study was to compare the outcomes of patients following surgery for DRF treated using a sensorimotor treatment protocol with those patients treated according to the postoperative standard of care...
February 2019: Journal of Wrist Surgery
Toshiyasu Nakamura
No abstract text is available yet for this article.
February 2019: Journal of Wrist Surgery
Alexander Zolotov
The article presents handmade traction wrist tower, made from improvised means, which can be an alternative for expensive branded traction devices. The proposed device can be used successfully for wrist joint arthroscopy, as well as for performing various surgical procedures on the wrist and forearm, when traction is needed. This a Level IV study.
November 2018: Journal of Wrist Surgery
Onur Berber, Lorenzo Garagnani, Sam Gidwani
Background  End-stage wrist arthritis has traditionally been treated with a total wrist fusion. There is a recent trend toward motion preserving surgery in the form of total wrist replacement. Questions  Is there a functional benefit to performing a total wrist replacement instead of a total wrist fusion in patients with end-stage wrist arthritis? Is there any difference in secondary outcome measures including pain, grip strength, and range of motion? Does the risk of adverse events and treatment failure differ between the two techniques? Methods  A systematic literature search was performed to identify studies reporting either total wrist arthrodesis or arthroplasty for end-stage wrist arthritis...
November 2018: Journal of Wrist Surgery
Rishabh G Jethanandani, Schneider K Rancy, Keith T Corpus, Jeffrey Yao, Scott W Wolfe
Background  Isolated capitate nonunion is rare. No consensus on the appropriate treatment for this condition exists. Case Description  We reported two cases of capitate fracture nonunion presenting several months after untreated high-impact wrist trauma. Treatment was delayed as both patients' nonunions were missed on conventional radiographs. Both were ultimately diagnosed with advanced imaging and successfully treated with internal fixation and autogenous bone grafting. The relevant literature pertaining to capitate nonunion was reviewed...
November 2018: Journal of Wrist Surgery
Nathan T Rietberg, Matthew S Brown, Steven C Haase
Background  Pisiform excision and pisotriquetral arthrodesis are two surgical options for the treatment of pisotriquetral joint pain when conservative methods fail. However, it is unclear which option is best for patients who experience substantial, repetitive loading on their wrists and wish to preserve wrist flexibility and function. Case Description  We present a case of bilateral ulnar-sided wrist pain related to the pisotriquetral joint in a 19-year-old collegiate diver. The pain was exacerbated by activities specific to this sport that requires wrist hyperextension, namely full weight-bearing on the hands (handstands), and has an impact on the hands and wrists upon water entry during dives due to direct palmar pressure...
November 2018: Journal of Wrist Surgery
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