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fracture of shaft of metacarpal bone

Satria Pandu Persada Isma, Istan Irmansyah Irsan, I Gede Made Oka Rahaditya, Thomas Erwin C J Huwae, Agung Riyanto Budi Santoso
Unicameral bone cyst (UBC) or simple bone cyst (SBC) is a benign cystic lesion commonly found in the humerus and femur that is mainly encountered during childhood. The currently available treatments for UBC of the hand commonly involve curettage, bone grafting, partial resection with or without grafting, multiple drilling, fracture immobilization and observation alone, and steroid injection. We herein report a case treated with total resection of the cyst and non-vascularized fibular graft in a 9-year-old right-handed female patient...
March 2019: Molecular and Clinical Oncology
Jin Rok Oh, Doo Sup Kim, Jun Seop Yeom, Sang Kyu Kang, Yun Tae Kim
Background: We sought to estimate the ultimate tensile strength after metacarpal shaft fracture repair in adults using three operative fixation methods: plate fixation, Kirschner wire (K-wire) fixation, and intramedullary headless compression screw fixation. We also compared the advantages and disadvantages of each operative technique. Methods: We acquired 30 metacarpal bones from four Korean adult cadavers without trauma, operative history, or deformities. The 30 metacarpal bones were divided into ten groups consisting of three metacarpal bones each with matching sizes and lengths...
March 2019: Clinics in Orthopedic Surgery
Daniel Dreyfuss, Raviv Allon, Nufar Izacson, Dan Hutt
BACKGROUND: Metacarpal shaft fractures that necessitate surgery are frequently fixated with either intramedullary pins or plates and screws. This study compared outcome measurements of these two techniques. METHODS: Patients operated on for closed shaft fractures of metacarpals 2-5 were examined at least 1 year after injury. All fractures were fixated by pinning between years 2013 and 2015 and by locking plates and screws between 2016 and 2017. Evaluation included range of motion measurements for all fingers compared with the contralateral hand; comparison of grip strength; finger alignment and rotation; Disabilities of the Arm, Shoulder and Hand (DASH) score; and radiographic measurements of fracture reduction and healing...
September 7, 2018: Hand: Official Journal of the American Association for Hand Surgery
Towseef Ahmad Bhat, Amara Gulzar, Aejaz Ahmad Bhat, Tariq Ahmad Bhat, Zameer Ali
PURPOSE: Bear maul injuries are the most common wild animal inflicted injuries in India. More than 300 bear maul injuries report to our hospital per year. METHODS: Twenty-one consecutive patients over a period of 1 year reported to our department for orthopaedic management of bear maul injuries. All the patients were referred either from peripheral hospitals or from other surgical departments of our hospital. RESULTS: All the patients had facial/scalp injuries of variable severity...
February 2018: Chinese Journal of Traumatology
Márcio Luís Duarte, Renan Rocha da Nóbrega, José Luiz Masson de Almeida Prado, Luiz Carlos Donoso Scoppetta
Most stress fractures occur in the lower limbs and are rarely observed in the upper limbs. The second metacarpal is the longest of all the metacarpals and has the largest base, articulating with the trapezium, trapezoid, capitate, and third metacarpal. In athletes, stress fractures in non-weight bearing joints are uncommon. Therefore, the shaft of the second metacarpal bone undergoes a higher load - the maximum tension at the base of the second metacarpal is amplified when the hand grasps a tool such as a tennis racquet...
September 2017: Revista Brasileira de Ortopedia
Eirini Liodaki, Robert Wendlandt, Klaus Waizner, Brigitte E Schopp, Peter Mailänder, Felix Stang
In the published literature there are controversial data to the biomechanical stability of monocortical comparing to the bicortical fixation of metacarpal fractures. The aim of this study was to compare the biomechanical stability of monocortical and bicortical locking osteosynthesis in quasi-static and dynamic 4-point bending tests of composite third metacarpal bone (4th Gen third metacarpal, Sawbones, Malmö, Sweden) fixed with 7-hole locking plate (XXS System, Biotech-Ortho, Wright, Memphis, TN). The tests to determine quasi-static yield and bending strength as well as fatigue strength were conducted in 4 groups of 10 samples after creating standardized mid-shaft transverse osteotomies using a diamont belt grinder (0...
July 2017: Medicine (Baltimore)
Hiroyuki Fujioka, Yohei Takagi, Juichi Tanaka, Shinichi Yoshiya
Malunion at the shaft of the middle phalanx yields less functional problems compared with malunion at the shaft of the proximal phalanx and metacarpal bones. In the present report, the patient sustained a minimally displaced fracture at the distal portion of the distal middle phalanx of the ring finger spraining the finger during playing flag football. Fracture was treated conservatively and fracture union was completed. However, the patient complained of functional problems in activities of daily living due to the malrotational deformity of the finger...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
T P Neagu, S A Popescu, C Cobilinschi, R Tincu, M Tiglis, I Lascar
Hand fractures are one of the most common causes for presenting to the emergency room. Metacarpal fractures count about 18 to 44% of all hand fractures, and are most often standalone closed injuries, without misplacement, not needing operative treatment. We present a case in which osteosynthesis with plates and screws was used to reduce two metacarpal fractures in order to allow an early motion recovery, despite the fact that a small portion of the periosteum needed to be removed. The type of fractures were misclassified according to the radiological findings, therefore the correct diagnosis was established during surgery...
July 2016: Journal of Medicine and Life
Phil Senter, Sara L Juengst
Bone abnormalities are common in theropod dinosaur skeletons, but before now no specimen was known with more than four afflicted bones of the pectoral girdle and/or forelimb. Here we describe the pathology of a specimen of the theropod dinosaur Dilophosaurus wetherilli with eight afflicted bones of the pectoral girdle and forelimb. On its left side the animal has a fractured scapula and radius and large fibriscesses in the ulna and the proximal thumb phalanx. On its right side the animal has abnormal torsion of the humeral shaft, bony tumors on the radius, a truncated distal articular surface of metacarpal III, and angular deformities of the first phalanx of the third finger...
2016: PloS One
Ge Xiong, Zi-Run Xiao, Shi-Gong Guo, Wei Zheng, Lu-Fei Dai
BACKGROUND: To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures. METHODS: Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively. RESULTS: At final follow-up, all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion...
November 5, 2015: Chinese Medical Journal
Chinnakart Boonyasirikool, Sakkarin Tanakeatsakul, Sunyarn Niempoog
BACKGROUND: The optimal fixation of metacarpal fracture should provide sufficient stability to permit early functionfor all types of fracture. However; it must preserve surrounding soft tissue during application and not require secondary removal due to its prominence. The prototype of metacarpal locked intramedullary nail (MCLN) was designed by our institute aiming to achieve those allfeatures. OBJECTIVE: To biomechanically test our newly designed, locked metacarpal nail and compare with common current available fixation methods...
April 2015: Journal of the Medical Association of Thailand
Serkan Aykut, Kahraman Öztürk, Çağrı Özcan, Murat Demiroğlu, Ahmet Utku Gürün, Erdem Özden
BACKGROUND: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented. METHODS: We retrospectively reviewed the clinical and radiologic records of twenty-nine consecutive patients with 37 metacarpal fractures treated by open reduction and internal fixation with low profile mini plate fixation between 2006 and 2013...
July 2015: Turkish Journal of Trauma & Emergency Surgery: TJTES
Aditya Sood, Stella Chung, Paul J Therattil, Edward S Lee
No abstract text is available yet for this article.
2015: Eplasty
Benjamin D Curtis, Olukemi Fajolu, Michael E Ruff, Alan S Litsky
OBJECTIVES: Metacarpal (MC) fractures are very common, accounting for 18% of all fractures distal to the elbow. Many MC fractures can be treated non-operatively; however, some are treated most effectively with surgical stabilization, for which there are multiple methods. It was postulated that plates would have a significantly higher (P < 0.05) load to failure than crossed K(XK)-wires and that intramedullary metacarpal nails (IMNs) and XK-wires would have equivalent load to failure...
August 2015: Orthopaedic Surgery
Stephen V Hiatt, Mark T Begonia, Ganesh Thiagarajan, Richard L Hutchison
PURPOSE: To determine the relative importance of intramedullary wire (IMW) diameter and IMW number in conferring stability to a metacarpal fracture fixation construct. Our research hypothesis was that the stiffness of IMW fixation for metacarpal shaft fractures using a single 1.6-mm-diameter (0.062-in) wire would be greater than three 0.8-mm-diameter (0.031-in) wires. METHODS: Our study compared the biomechanical stiffness between one 1.6-mm K-wire and three 0.8-mm K-wires in a composite, fourth-generation, biomechanical metacarpal construct under cantilever testing to treat transverse metacarpal shaft fractures...
August 2015: Journal of Hand Surgery
Carlo Biz, Claudio Iacobellis
BACKGROUND AND AIM OF THE WORK: the management of the displaced extra-articular metacarpal fractures is still a subject of debate in the literature. The purposes of this study were to report the outcomes of unstable extra-articular metacarpal fractures treated by using intramedullary Kirschner wires or inter-fragmentary screws and to determinate which techniques provide better clinical and radiographic results. METHODS: we retrospectively reviewed a series of 49 consecutive patients operated for 53 closed, unstable metacarpal fractures...
December 17, 2014: Acta Bio-medica: Atenei Parmensis
David E Ruchelsman, Sameer Puri, Natanya Feinberg-Zadek, Matthew I Leibman, Mark R Belsky
PURPOSE: To evaluate clinical and radiographic outcomes in patients treated with limited-open retrograde intramedullary headless compression screw (IMHS) fixation for metacarpal neck and shaft fractures. METHODS: Retrospective review of prospectively collected data on a consecutive series of 39 patients (34 men; 5 women), mean age 28 years (range, 16-66 y) treated with IMHS fixation for acute displaced metacarpal neck/subcapital (N = 26) and shaft (N = 13) fractures at a single academic practice between 2010 and 2014...
December 2014: Journal of Hand Surgery
G E B Giddins
Most hand fractures can be treated non-operatively. Some hand fractures, such as open injuries or markedly displaced intra-articular fractures, are almost always treated operatively. The treatment of many fractures, such as proximal interphalangeal joint fracture subluxations or spiral phalangeal fractures, is unclear. The aim of this review is to establish those injuries where the outcome of non-operative treatment is unlikely to be improved with surgery. This may help to prevent unnecessary surgery, concentrate work on finding the sub-groups that may benefit from surgery and to establish which injuries do so well with non-operative treatment that the only valuable clinical research in future will be large cohort studies of non-operative treatment or randomized controlled trials comparing operative and non-operative treatments...
January 2015: Journal of Hand Surgery, European Volume
Shu Guo Xing, Jin Bo Tang
Most fractures are managed nonoperatively. Those displaced unstable fractures require percutaneous fixation of single (or double) intramedullary Kirschner wires. Only large, oblique fractures must be fixed with screws or a plate. Indications for plating metacarpal fractures are limited in multiple unstable shaft or oblique fractures. After internal fixation, the patient actively moves the digits over a limited range under protection. This article reviews indications and techniques of surgical treatment, hardware removal, and the wide-awake approaches for surgery of these fractures...
July 2014: Clinics in Plastic Surgery
Eleni-Maria Amaniti, Nikolaos Diakakis, Michail Patsikas, Ioannis Savvas
Epiphyseal fracture, also known as epiphysiolysis, is the loosening or separation, either partial or complete, of an epiphysis from the shaft of a long bone. Distal epiphyseal fractures in foals pose a substantial challenge due to their guarded prognosis. This report describes the clinical signs, diagnosis, successful conservative treatment of an 1-month-old, male Skyros pony with an epiphyseal fracture of the right third metacarpal bone (type II Salter-Harris). The owner declined surgical treatment because of financial considerations along with the unfavorable prognosis...
2008: Journal of Equine Science
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