keyword
https://read.qxmd.com/read/38264132/radially-displaced-perilunate-injuries-a-report-of-two-cases
#21
JOURNAL ARTICLE
Sathya Vamsi Krishna, Diego L Fernandez
We present two unusual cases of radially displaced perilunate dislocations, one of which involved acute ulnar nerve compression requiring Guyon's canal release. The first case underwent closed reduction and cast immobilization but developed scapholunate instability, necessitating secondary ligament reconstruction. The second case, treated with open reduction and fixation, resulted in persistent volar intercalated segment instability of the proximal row and ulnar nerve paresthesia 1 year after surgery.
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38225156/influence-of-coronoid-fixation-on-the-functional-outcome-and-rate-of-complications-in-surgically-treated-acute-complex-elbow-instability
#22
JOURNAL ARTICLE
Samuel A Antuña, Riccardo Raganato, Lucia Ros Dopico, Raúl Barco
INTRODUCTION: Fractures of the coronoid commonly present in elbow fracture-dislocations. Despite the evidence that the coronoid plays an important role in elbow stability, there is still controversy on which fractures should be surgically fixed. The aim of this study is to compare the clinical outcomes and rate of complications of patients with elbow fracture-dislocations in which the coronoid was fixed or left untreated. MATERIALS AND METHODS: Thirty-nine patients with an elbow fracture-dislocation involving a coronoid fracture were prospectively followed for an average of 90 months (range 24-190)...
December 2023: Injury
https://read.qxmd.com/read/38219517/non-surgical-treatment-of-oblique-diaphyseal-fractures-of-the-fourth-and-fifth-metacarpals-in-a-professional-athlete-a-case-report
#23
Paolo Boccolari, Filippo Pantaleoni, Danilo Donati, Roberto Tedeschi
INTRODUCTION: Metacarpal fractures are common sports-related injuries, often requiring tailored treatment strategies, especially in athletes. The management of oblique diaphyseal fractures poses unique challenges due to their inherent instability. This case report discusses a non-surgical approach in treating such fractures in a professional athlete. CASE PRESENTATION: A 26-year-old professional soccer player sustained oblique diaphyseal fractures of the fourth and fifth metacarpals during training...
January 12, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38219087/anconeus-muscle-transfer-to-correct-or-prevent-wrist-radial-deviation-in-radial-and-posterior-interosseous-nerve-injuries
#24
JOURNAL ARTICLE
Jayme A Bertelli, Harsh R Shah, Christopher S Crowe
PURPOSE: Wrist radial deviation is a possible complication of tendon transfer for restoration of wrist extension in cases of radial nerve paralysis. In posterior interosseous nerve (PIN) injury, this is because of the imbalance caused by the intact extensor carpi radialis longus and paralysis of the extensor carpi ulnaris (ECU). This deformity may also occur following transfer of the pronator teres (PT) to the extensor carpi radialis brevis (ECRB) for radial nerve palsy. To address wrist radial deviation, we propose transferring the anconeus muscle, extended by the intermuscular septum between the ECU and the flexor carpi ulnaris (FCU), to the ECU tendon...
January 12, 2024: Journal of Hand Surgery
https://read.qxmd.com/read/38218805/diagnostic-value-of-mri-in-traumatic-triangular-fibrocartilage-complex-injuries-a-retrospective-study
#25
JOURNAL ARTICLE
Xuanyu Zhao, Aiping Yu, Huali Zhao, Yanqun Qiu
BACKGROUND: Triangular fibrocartilage complex (TFCC) injuries commonly manifest as ulnar-sided wrist pain and can be associated with distal radioulnar joint (DRUJ) instability and subsequent wrist functional decline. This study aimed to assess the diagnostic value of MRI compared to wrist arthroscopy in identifying traumatic TFCC injuries and to determine the distribution of different TFCC injury subtypes in a normal clinical setting. METHODS: The data of 193 patients who underwent both preoperative wrist MRI and wrist arthroscopy were retrospectively reviewed...
January 13, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38196414/the-distal-oblique-bundle-in-the-distal-forearm-from-anatomical-features-to-clinical-implementation
#26
JOURNAL ARTICLE
Stavros Angelis, Emmanouil Apergis, Panagiotis Kanellos, Alexandros Apostolopoulos, Konstantinos Vlasis, Maria Piagkou, Dimitrios Filippou
Background and objective The distal oblique bundle (DOB) is nowadays recognized as the thickest component of the distal interosseous membrane (DIOM). It is neither thought to be a clear-cut ligament, and nor does it follow the typical configuration of the rest of the DIOM. It is not always present and some studies have raised disputes about its prevalence and a few anatomical features. In this study, we aimed to provide data on the prevalence and anatomical features of the DOB, which are of great importance at this early stage of research into the topic...
December 2023: Curēus
https://read.qxmd.com/read/38182022/anconeus-sparing-minimally-invasive-approach-for-lateral-ulnar-collateral-ligament-reconstruction-using-a-triceps-tendon-autograft-is-an-effective-and-safe-treatment-for-chronic-posterolateral-instability-of-the-elbow
#27
JOURNAL ARTICLE
Anna Soler, Andreas Voss, Sophia Schramm, Stefan Greiner
BACKGROUND: Surgical treatment helps to restore stability of the elbow in patients with posterolateral rotatory instability (PLRI). The anconeus muscle is one of the most important active stabilizers against PLRI. A minimally invasive anconeus sparing approach for lateral ulnar collateral ligament (LUCL) reconstruction using a triceps tendon autograft has been previously described. The purpose of this study was to evaluate the outcome of this intervention and identify risk factors that influenced the clinical and patient reported outcomes...
January 3, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38127679/hemodynamic-instability-after-axillary-artery-rupture-following-inferior-glenohumeral-joint-dislocation-a-case-report
#28
JOURNAL ARTICLE
Alexander Bech Rasmussen, Rikke Thorninger, Daniel Wæver
BACKGROUND Inferior shoulder dislocation is a rare type of glenohumeral joint dislocation. A serious complication to shoulder dislocation is axillary artery injury, which should be taken into consideration early to avoid potentially permanent damage. Literature on artery injury following inferior shoulder dislocation is sparse. CASE REPORT We report the case of a 71-year-old man with a traumatic inferior shoulder dislocation due to a fall. The patient had a medical history of stroke, and thus had a daily intake of 10 mg Warfarin...
December 21, 2023: American Journal of Case Reports
https://read.qxmd.com/read/38109044/problems-with-medium-sized-joints-wrist-conditions
#29
JOURNAL ARTICLE
Elizabeth T Nguyen, Laura Marsh, Stephen Line, Calli Fry
Common wrist conditions include fractures and other injuries, osteoarthritis, radial epiphysitis, joint instability, de Quervain tenosynovitis, carpal tunnel syndrome, ganglion cyst, and ulnar neuropathy. The initial history and physical examination, with particular focus on the anatomic structures of the wrist, can narrow the differential diagnosis. Magnetic resonance imaging study can be used to identify soft tissue masses and occult osseous processes, particularly with scaphoid fractures. Computed tomography scan is useful in cases of bony abnormalities, high clinical suspicion of occult fracture, and surgical planning...
December 2023: FP Essentials
https://read.qxmd.com/read/38059054/chronic-proximal-ulnar-collateral-ligament-injuries-thumb-a-case-report
#30
J Terrence Jose Jerome, Palani Kumar C
A 55-year-old woman presented with multiple episodes of falls that injured her right thumb and restricted her daily activities because of pain and instability. Ultrasound found the rare proximal metacarpal UCL avulsion. The repair was done using suture anchors under wide-awake anaesthesia with no tourniquet (WALANT). The patient regained her thumb movements, got a stable MCP joint, and remained symptom-free at one year of follow-up. Proximal avulsion of the UCL is rare. Ultrasound confirms the avulsion, and surgical reconstruction under wide-awake anaesthesia allows the surgeon and the patient to assess and appreciate the MCP joint stability, thereby efficiently rehabilitating the patient...
November 2023: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38044214/lateral-ulnar-collateral-ligament-reconstruction-enhancing-secondary-stabilizers-in-chronic-plri-of-the-elbow-provides-good-to-excellent-clinical-results-with-no-recurrent-instability
#31
JOURNAL ARTICLE
Nikolay Dimitrov, Tsvetan Tsenkov
PURPOSE: The adopted treatment for chronic elbow PLRI is lateral ulnar collateral ligament reconstruction. However, the most frequently reported complication after primary reconstruction is recurrent instability - up to 25 %. It was thus hypothesized that enhancing the secondary stabilizers will provide successful results with a lower rate of recurrent instability in comparison to techniques with primary reconstruction only. This study aimed to demonstrate a novel surgical technique involving secondary stabilizers...
December 2, 2023: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://read.qxmd.com/read/38036253/postoperative-mobilization-after-terrible-triad-injury-systematic-review-and-single-arm-meta-analysis
#32
REVIEW
Sherif Ahmed Kamel, Jenna Shepherd, Awf Al-Shahwani, Eslam Abourisha, Divine Maduka, Harvinder Singh
BACKGROUND: Terrible triad is a complex injury of the elbow, involving elbow dislocation with associated fracture of the radial head, avulsion or tear of the lateral ulnar collateral ligament and fracture of the coronoid. These injuries are commonly managed surgically with fixation or replacement of the radial head, repair of collateral ligaments, with or without fixation of the coronoid. Postoperative mobilization is a significant factor that may affect patient outcomes; however the optimal postoperative mobilization protocol is unclear...
November 28, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38021946/evaluation-of-surgical-approaches-to-management-of-traumatic-posteromedial-elbow-instability-syndrome-a-systematic-literature-review-protocol
#33
REVIEW
Carlos Moreno-Castillo, José Tomás Echeverría, Felipe T Martinez, Felipe Reinares
Posteromedial Instability Syndrome of the Elbow (PMIE) is a condition that arises from injuries to the stabilizing structures of the elbow joint, such as the coronoid process or ulnar lateral collateral ligament. Surgical treatment is commonly performed, but there is uncertainty regarding its results. This systematic review will synthesise the available evidence regarding the efficacy of surgical approaches to PMIE. Published and unpublished primary studies that regard outcomes of patients treated for PMIE, irrespective of approach, will be considered for inclusion...
October 2023: Curēus
https://read.qxmd.com/read/38021308/physical-examination-versus-ultrasonography-for-detection-of-ulnar-nerve-subluxation-in-professional-baseball-pitchers
#34
JOURNAL ARTICLE
Austin M Looney, Hannah K Day, Manoj P Reddy, Ryan W Paul, Levon N Nazarian, Steven B Cohen
BACKGROUND: Despite the importance of accurately detecting ulnar nerve subluxation in vulnerable athletes, few studies have compared the performance of physical examination and ultrasound in this population. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the diagnostic validity of physical examination versus ultrasound in detecting ulnar nerve subluxation at the cubital tunnel of the elbow in professional baseball pitchers. It was hypothesized that ultrasound would more sensitively detect ulnar nerve subluxation...
November 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38010306/fingerprint-patterns-in-relation-to-an-altered-neurodevelopment-in-patients-with-autism-spectrum-disorder
#35
JOURNAL ARTICLE
Klaudia Kyselicová, Dóra Dukonyová, Ivan Belica, Dominika Sónak Ballová, Viktória Jankovičová, Daniela Ostatníková
Dermatoglyphic patterns are permanently established and matured before the 24th week of gestation. Their frequencies and localization might be a good indicator of developmental instability in individuals with an altered neurodevelopment and show potential as biomarkers of autism spectrum disorder (ASD). In this study, fingerprint pattern counts and fluctuating asymmetry in the distribution of patterns are compared between 67 boys diagnosed with ASD (aged 5.11 ± 2.51 years) and 83 control boys (aged 8...
December 2023: Developmental Psychobiology
https://read.qxmd.com/read/37979994/management-of-ulnar-styloid-nonunions
#36
REVIEW
Maximilian A Meyer, Fraser J Leversedge
Ulnar styloid fractures commonly occur in the setting of distal radius fractures and often progress to asymptomatic nonunion. Displaced basilar ulnar styloid fractures involving the deep radioulnar ligament attachments may cause distal radioulnar joint (DRUJ) instability. A careful clinical history, physical examination, review of imaging studies, and selected diagnostic interventions are important for confirming the relationship of the ulnar styloid nonunion with ulnar-sided wrist symptoms and/or DRUJ instability...
February 2024: Hand Clinics
https://read.qxmd.com/read/37964486/reverse-or-ulnar-sided-greater-arc-perilunate-injury-case-report-and-systematic-review-of-literature
#37
JOURNAL ARTICLE
Frantzeska Zampeli, Theodorakys Marín Fermín, Elisabet Hagert, Javier Arnaiz, Jonny K Andersson
BACKGROUND: Perilunate injuries of carpal bones are uncommon, high-energy injuries that necessitate early diagnosis and appropriate management to prevent progressive carpal instability and posttraumatic osteoarthritis. A much more uncommon mechanism that starts from the lunotriquetral ligament and proceeds radially in an opposite direction than the classic mechanism may cause a reverse or ulnar-sided perilunate dislocation (PLD). The purposes were: (1) to present an uncommon case of greater arc reverse (ulnar-sided) perilunate fracture-dislocation (REPLFD); and (2) to conduct a systematic review (SR) to evaluate the current evidence on reverse perilunate injuries (REPLIs)...
November 14, 2023: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/37943969/bracing-with-tape-and-extensor-refixation-of-elbow-with-posterolateral-instability-due-to-cubitus-varus-a-case-report
#38
JOURNAL ARTICLE
Nikolaos Platon Sachinis, Knut Beitzel, Daniel Moya, Diego Gomez, Christos Koukos
CASE: A 54-year-old patient had lateral ligament insufficiency due to cubitus varus from a childhood supracondylar fracture. Arthrolysis/synovectomy and at a later stage double-row extensor origin refixation and lateral ulnar collateral ligament bracing with nonabsorbent tape and anchors were performed. Follow-up at 3, 6, 12, and 24 months showed excellent Mayo Elbow Performance and Disabilities of Arm, Shoulder, and Hand Scores (24-month follow-up = 100 and 2.5, respectively). CONCLUSION: Suture tape augmentation and double-row extensor refixation in cases of lateral collateral ligament complex insufficiency due to cubitus varus may provide improved short-term functional outcomes, from the third postoperative month...
October 1, 2023: JBJS Case Connector
https://read.qxmd.com/read/37941687/a-pediatric-case-of-cubitus-varus-deformity-due-to-olecranon-fracture
#39
Kazuya Yamada, Yuta Tsukagoshi, Toru Hoshi, Masazumi Suzuki, Yasuaki Hosono, Hayato Shimada, Shinsen Nomura, Yoshiyasu Ikezawa
We encountered a pediatric case of cubitus varus deformity with a sheared olecranon fracture in an 8-year-old boy who underwent corrective osteotomy without relevant medical history. The patient fell, resulting in a sheared olecranon fracture. He underwent a closed reduction and casting. As the displacement slightly increased within a week, we followed him without secondary reduction to expect remodeling. No remodeling occurred; corrective osteotomy was performed one-year post-injury for a marked cubitus varus deformity...
October 16, 2023: JMA journal
https://read.qxmd.com/read/37901003/dorsal-approach-for-isolated-volar-fracture-dislocation-of-the-base-of-the-second-metacarpal-a-case-report
#40
Taketo Kurozumi, Masato Saito, Kazuhiko Odachi, Fumiaki Masui
BACKGROUND: We report a case with the displacement of an articular fracture fragment of the base of the second metacarpal from the ulnar to the volar side, treated via the dorsal approach. The dorsal approach can be a good option not only because it allows direct observation of ligament damage and fixation of bone fragments but also because the thin subcutaneous tissue makes the approach easier. CASE SUMMARY: A 45-year-old man with a right hand injury visited the hospital...
October 6, 2023: World Journal of Clinical Cases
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