journal
https://read.qxmd.com/read/38505212/the-medial-triquetrohamate-portal-a-new-portal-in-wrist-arthroscopy-anatomical-study
#1
JOURNAL ARTICLE
Francisco J Lucas, Vicente Carratalá, Ignacio Miranda, Sergio Pombo Alonso
Introduction  Continuing advances in wrist arthroscopy and better understanding of carpal conditions have created the need to design new wrist access portals that facilitate the implementation of new surgical techniques. The aim of this study was to define and verify the safety of the medial triquetrohamate (MTH) portal. Description of the technique  The MTH portal is located about 5-10 mm ulnar and 2-3 mm distal to the midcarpal ulnar portal, ulnar to the extensor digitorum communis (EDC) tendon of the fourth and fifth fingers, and radial to the extensor digiti quinti (minimi) (EDQ) tendon...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505211/trapeziectomy-versus-ma%C3%A3-a-prosthesis-in-trapeziometacarpal-osteoarthritis
#2
JOURNAL ARTICLE
Christian M Windhofer, Johann Neureiter, Josef Schauer, Georg Zimmermann, Christoph Hirnsperger
Background  Osteoarthritis at the base of the thumb is the most frequent osteoarthritis of the hand. Trapeziectomy in a broad variety of surgical methods have been proposed to achieve pain reduction and improvement of thumb function. A well-known disadvantage is the long recovery time. Arthroplasty of the thumb carpometacarpal joint is a competing new method for this indication with different revision and complication rates reported. Purposes  The aim of this study is to assess whether there are significant differences in outcome during the first 12 months and time return to work after either, implant of a Maïa joint prosthesis, or trapeziectomy with tendon interposition after Weilby...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505210/the-bubble-test-in-the-arthroscopic-diagnosis-of-triangular-fibrocartilage-central-lesion-description-and-relevance-to-treatment
#3
JOURNAL ARTICLE
Ricardo Kaempf de Oliveira, João Pedro Farina Brunelli, Márcio Aita, Ezequiel Zaidenberg, Pedro J Delgado
Background  Ulnarly sided wrist pain is a common and challenging symptom. Arthroscopy has become a safe and effective tool for the correct diagnosis and treatment, proving to be better than all other clinical and imaging diagnostic methods. Some tests have been described for the diagnosis of triangular fibrocartilage (TFC) lesions, such as the trampoline test for peripheral lesions and the hook, ghost, and suction tests for foveal detachments. In tears at the disc level, when they affect all layers of the TFC (complete lesion) at the same point, testing with the probe will usually suffice for the diagnosis...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505209/effective-risk-assessment-for-distal-radius-fractures-a-rigorous-multivariable-regression-analysis-using-a-novel-8-item-modified-frailty-index
#4
JOURNAL ARTICLE
David Momtaz, Abdullah Ghali, Farhan Ahmad, Rishi Gonuguntla, Travis Kotzur, Rebecca J Wang, Umar Ghilzai, Adam Abbas, Chia Wu
Introduction  Distal radius fractures (DRFs) are among the most common orthopaedic injuries. The prevalence of DRFs is increasing across all age groups but remains the second most common fracture in the elderly. The modified frailty index (MFI) often predicts morbidity and mortality in orthopaedic injuries. This study aims to determine the predictive value of MFI on complication rates following DRF and the patient length of stay and discharge outcomes. Methods  We utilized our MFI to perform a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505208/arthroscopic-portals
#5
EDITORIAL
Toshiyasu Nakamura
No abstract text is available yet for this article.
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505207/treatment-and-outcomes-of-missed-perilunate-dislocations-a-case-series
#6
Eliza Pelrine, Eric Larson, Aaron Freilich, A Rashard Dacus, Nicole Deal
Background  Perilunate dislocations are devastating injuries that occur relatively rarely, accounting for only 7% of injuries to the carpus. Unfortunately, approximately 25% of these injuries are missed on initial evaluation. Acutely diagnosed perilunate dislocations may be successfully treated with ligament and osseous repair, depending on the injury pattern. Chronic dislocations, however, are primarily treated with salvage procedures. This case series was performed to investigate the outcomes of patients who sustained a perilunate dislocation that was diagnosed in a delayed fashion and look for any treatment patterns that could be more widely applied to future patients...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505206/a-novel-technique-using-the-dorsal-capsule-of-the-distal-radioulnar-joint-for-extensor-carpi-ulnaris-tendon-subsheath-reconstruction
#7
JOURNAL ARTICLE
Christina Png, Muntasir Mannan Choudhury, Andrew Yuan Hui Chin
Background  Ulnar-sided wrist pain is a common problem encountered by hand surgeons. Symptomatic recurrent subluxation of the extensor carpi ulnaris (ECU) tendon has become increasingly recognized as one of the pathological conditions leading to ulnar-sided wrist pain. Surgical reconstruction of the subsheath is usually needed. ECU tendon subsheath reconstruction with the periosteal flap was first described by Schlesinger in 1907. Since then, various other techniques have been widely used. We describe a technique of ECU subsheath reconstruction using the dorsal capsule of the distal radioulnar joint (DRUJ)...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505205/arthroscopic-volar-capsuloligamentous-reattachment-and-reinforcement-to-bone
#8
JOURNAL ARTICLE
Fernando Corella, Montserrat Ocampos, Rafeal Laredo, José Tabuenca, Ricardo Larrainzar-Garijo
Background:  Injuries of the volar ligaments of the wrist are not uncommon, but their arthroscopic treatment presents a significant challenge. The objective of this paper is to introduce a technique for reattaching (in acute injuries) or reinforcing (in chronic injuries) various volar wrist ligaments to the bone, using standard wrist arthroscopic dorsal and volar portals. Methods:  There are three common steps for all the arthroscopic volar capsuloligamentous reattachments or reinforcements Step 1 - Volar Portal Establishment: volar radial, volar ulnar and volar central portals are used depending on which structure needs to be reattached or reinforced...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505204/injury-to-the-scapholunate-complex-shouldn-t-we-look-at-the-problem-the-other-way-round
#9
JOURNAL ARTICLE
Jean-Baptiste de Villeneuve Bargemon
No abstract text is available yet for this article.
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505203/clinical-results-of-nonvascularized-metatarsal-articular-bone-grafting-for-osteochondral-defects-of-the-radiocarpal-and-distal-radioulnar-joint
#10
JOURNAL ARTICLE
Shirley D Stougie, Peter Hoogvliet, Lara Plugge, J Henk Coert
Background  Treatment of post-traumatic osteochondral defects in the radiocarpal and distal radioulnar joint with nonvascularized metatarsal articular bone grafting is an option to restore the joint (cartilage) surface and wrist function. Purpose  To evaluate the clinical midterm results of 10 consecutive patients who were treated with a nonvascularized metatarsal bone graft for cartilage bone defects of the lunate facet, scaphoid facet, sigmoid notch, or the radial part of the ulnar head. Patients and Methods  Patients with isolated osteochondral defects of the lunate facet, scaphoid facet, sigmoid notch, or radial part of the ulnar head, respectively, as a result of wrist trauma were retrospectively identified in a prospectively collected database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505202/volar-locking-plating-of-extra-articular-distal-radius-fracture-a-retrospective-clinical-study-comparing-locking-screws-versus-smooth-locking-pegs
#11
JOURNAL ARTICLE
Daniel Tordjman, Mohammad Younis, Shai Factor, Gilad Eisenberg, Franck Atlan, Jessica McBeth, Tamir Pritsch, Yishai Rosenblatt
Background  Open reduction and internal fixation of distal radius fractures is one of the most common procedures performed in wrist surgery. The use of volar locking plate has gained increasing interest in the past decade. Epiphyseal fixation can be done either with locking screws or smooth locking pegs, with no evidence supporting the use of one rather than the other. Purpose  The aim of this study is to compare the stability of distal radius fixation by volar locking plate using locking screws or smooth locking pegs...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505201/delayed-diagnosis-of-dislocation-of-all-four-ulnar-carpometacarpal-joints-surgical-treatment-strategy-and-challenges
#12
Eftychios Papagrigorakis, Christos Vlachos, Athanasios Galanis, Panagiotis Kanellos
Background  Carpometacarpal dislocations are rare injuries whose diagnosis is often missed initially. These injuries can be treated conservatively, as long as an anatomical closed reduction is achieved. However, in most cases, open reduction followed by internal or external fixation is necessary to reach a stable anatomical reduction. Case Description  A 32-year-old male was referred to our institution due to excess swelling of his right hand, 2 months after a motorcycle crash he sustained. During our imaging workup, a dorsal carpometacarpal dislocation of all four ulnar metacarpals was found accompanied by a fracture of the base of the fifth metacarpal...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505200/outcomes-of-thumb-carpometacarpal-joint-osteoarthritis-treated-with-arthroscopic-fusion
#13
JOURNAL ARTICLE
Esther Ching San Chow
Background  The thumb carpometacarpal joint (CMCJ) osteoarthritis is one of the most common pathologies in the hand with controversial treatment options. Description of Technique  Describe the use of arthroscopic technique for thumb CMCJ arthrodesis and the clinical outcome. Patients and Methods  Cases with Eaton III thumb CMCJ osteoarthritis treated with arthroscopic arthrodesis were reviewed. Patient evaluations include: grip strength, pinch strength, range of motion, Kapandji score, Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and the visual analog scores for pain...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264140/comment-theca-primary-cost-drivers-of-outpatient-distal-radius-fracture-fixation-a-cost-minimalization-analysis-of-15-379-cases
#14
JOURNAL ARTICLE
Philippe Liverneaux
No abstract text is available yet for this article.
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264139/a-new-arthroscopic-classification-of-triangular-fibrocartilage-complex-disorders
#15
JOURNAL ARTICLE
Guillaume Herzberg, Marion Burnier, Lyliane Ly, Toshiyatsu Nakamura, Francisco Del Piñal, Andrea Atzei
Introduction  The use of wrist arthroscopy has become a prerequisite for diagnosis and treatment of triangular fibrocartilage complex (TFCC) disorders. Since Palmer's landmark paper, many new arthroscopic descriptions of TFCC tears have been published but there is no currently available updated comprehensive arthroscopic classification of TFCC lesions. Purpose  We recently described the arthroscopic anatomy of the TFCC as viewed from a 3-4 portal. Our purpose was to propose a new TFCC disorders classification based on this new arthroscopic TFCC description...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264138/a-modified-arthroscopic-ulnar-tunnel-technique-for-combined-foveal-and-capsular-all-inside-fixation-of-triangular-fibrocartilage-complex-injury
#16
JOURNAL ARTICLE
Sabine Simonsen, Robert Gvozdenovic
Background  Traumatic disruption of the triangular fibrocartilage complex (TFCC) is commonly present in various wrist traumas. A variation of surgical techniques is previously developed for different injury patterns. To our knowledge, only a few studies have investigated the fixation of combined foveal and capsular TFCC injuries using the ulnar tunnel technique. Purpose  This prospective cohort study of 21 patients aimed to evaluate the clinical and patient-reported outcome at 2 years of follow-up after arthroscopic TFCC of combined, foveal, and capsular reattachment by modified ulnar tunnel technique...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264137/biomechanical-comparison-of-distal-radioulnar-joint-reconstruction-graft-preparation-techniques
#17
JOURNAL ARTICLE
Yibo Li, Eric Beaudry, Nader Besada, Robert Chan, Lindsey Westover
Background  Graft preparation techniques for the Adams-Berger distal radioulnar joint (DRUJ) reconstruction vary among surgeons with insufficient evidence to support any specific technique. Questions/Purposes  We compared survival with cyclic loading, absolute elongation, elongation rate, and modes of failure of four graft preparation techniques. Methods  Fifteen porcine extensor tendons were divided into three equal groups: tendon only; tendon augmented along its full length with nonlocking 2-0 FiberLoop suture spaced at 6 mm intervals; and tendon with suture at 12 mm intervals...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264136/palmar-dislocation-fracture-of-the-hamate-a-case-report-and-review-of-literature
#18
Salomé Ravoyard, Lisa Andre, Michel Chammas, Benjamin Degeorge
Objective  Hamate dislocations are rare lesions of the carpus, which make their diagnosis difficult or even missed, and their management non-standardized. Case Description  We report the case of a 34-year-old victim of a high kinetic traffic accident. The initial evaluation revealed multiple fractures of both upper limbs, including a palmar fracture dislocation fracture of the hamate, without any vascular or nerve complications. Open surgical treatment via a dorsal approach allowed reduction and fixation of the hamate by temporary multiple pinning...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264135/radial-midcarpal-instability-treated-with-radioscaphocapitate-ligament-recession-a-case-report
#19
Janice Chin-Yi Liao, David Meng Kiat Tan
Background  Midcarpal instability is an uncommon entity characterized by pain and clunking as the wrist moves from radial deviation to ulnar deviation. Management is primarily nonoperative. In patients with persistent symptoms, operative treatments are divided into soft tissue reconstruction and limited midcarpal arthrodesis. Case Description  We present a rare case of radial midcarpal instability associated with radioscaphocapitate (RSC) ligament injury. A 20-year-old man presented with radial-sided wrist pain and clunking with radial deviation after a fall...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38264134/all-arthroscopic-foveal-triangular-fibrocartilage-complex-tendon-reconstruction
#20
JOURNAL ARTICLE
Camelia Q Y Tang, Jackson K H Jiang, Andrew Y H Chin, Muntasir M Choudhury
Background In symptomatic chronic injury of ulnar-sided tear of the triangular fibrocartilage complex, reconstruction techniques involving foveal reconstruction with palmaris longus tendon graft using the method described by Bain have been described with good outcomes. Description of Technique With increasing popularity of wrist arthroscopy to address various wrist pathologies, we present our technique of arthroscopic foveal reconstruction. We also include a step-by-step description of the procedure with illustrations, with aims to aid surgeons in executing it Conclusion Unlike other arthroscopic techniques described, this involves single osseous ulnar tunnel and performed completely arthroscopically, allowing an end result similar to Bain's open technique...
February 2024: Journal of Wrist Surgery
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