Treatment of Stages IIIA and IIIB in Kienbock's Disease: A Systematic Review
Conclusion In this systematic review of Kienbock's disease stages IIIA and IIIB, all treatment modalities provided positive outcomes. In stage IIIB, there is evidence to support nonsalvage procedures, as they produced similar clinical outcomes to salvage procedures that have the advantage of not precluding future treatment options if needed and preserving greater range of motion. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - September 14, 2020 Category: Orthopaedics Authors: Wang, Patrick Q. Matache, Bogdan A. Grewal, Ruby Suh, Nina Tags: Survey or Meta-analysis Source Type: research

Arthroscopic Assisted Reconstruction of LT-Ligament: A Description of a New Technique
Conclusion The novel arthroscopic assisted technique for LT lig reconstruction is a technically demanding procedure; however, this obtains good clinical results with more than 30 months follow-up due to less exposure of the carpus. Level of Evidence This is a Level IV, case series study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - September 14, 2020 Category: Orthopaedics Authors: Haugstvedt, Jan Ragnar Rig ó, István Zoltán Tags: Special Review Article Source Type: research

A Retrospective Review of Differences in Complication Rates between Dorsal Percutaneous and Mini-Open Surgical Fixation of Scaphoid Fractures
Conclusions This study suggests that a dorsal percutaneous surgical technique for scaphoid fracture repair does not affect the complication rate despite prior literature to the contrary. Both techniques analyzed produce excellent rates of union with very low complication rates. Surgeon-specific technique rather than operative approach or exposure may be responsible for previously reported complication rates in the fixation of scaphoid fractures. Level of Evidence This is a level III, therapeutic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Tabl...
Source: Journal of Wrist Surgery - September 14, 2020 Category: Orthopaedics Authors: Dodds, Seth D. Zalikha, Abdul K. Rush, Augustus J. Fullerton, Natalia Tags: Scientific Article Source Type: research

Patient-Related Outcomes of Arthroscopic Resection of Ganglion Cysts of the Wrist
Conclusion Arthroscopic resection results in good patient-related outcome and low complication and recurrence rates when performed by an experienced surgeon. Recurrence and complication rates are similar to arthroscopic resections described in literature and superior to open resection and needle aspiration. Well-designed randomized clinical trials will be necessary to confirm these findings. Level of Evidence This is a level IV, retrospective study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract &n...
Source: Journal of Wrist Surgery - September 14, 2020 Category: Orthopaedics Authors: d'Ailly, Philip N. Koopman, Jaimy E. Selles, Caroline A. Rahimtoola, Zulfiquar O. Schep, Niels W.L. Tags: Scientific Article Source Type: research

Percutaneous Scaphoid Fixation: Experience Value among Different Approaches
J Wrist Surg DOI: 10.1055/s-0040-1716352 Background Percutaneous scaphoid osteosynthesis is an attractive and increasingly popular option, as a treatment for acute scaphoid fractures in selected cases, and as an alternative to conservative treatment. The purpose of this study is to assess the radiographic positioning of the screw in percutaneous scaphoid fixation, taking into consideration the surgeons' experience, and the difference between volar and dorsal approaches. Methods We retrospectively assessed patients undergoing percutaneous scaphoid fixation from 2013 to 2019. Inclusion criteria are as follows...
Source: Journal of Wrist Surgery - September 10, 2020 Category: Orthopaedics Authors: Ramos-Marques, Nuno Ferr ão, Ana Morais, Bruno Barreira, Mariana Teixeira, Frederico Tags: Scientific Article Source Type: research

Vascularized Bone Grafting for Scaphoid Nonunion with Humpback Deformity: The Surgical Technique
Conclusion This technique effectively corrected DISI in patients with scaphoid nonunion accompanied by humpback deformity and AVN. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - September 3, 2020 Category: Orthopaedics Authors: Kawasaki, Keikichi Nemoto, Tetsuya Kubo, Kazutoshi Tomita, Kazunari Inagaki, Katsunori Tags: Procedure Source Type: research

Initial Outcomes of a Novel High-Visibility Endoscopic Carpal Tunnel Release Technique
Conclusion The high-visibility endoscopic carpal tunnel release technique is safe and effective, and offers a viable cost-reducing alternative to the existing endoscopic methods for carpal tunnel syndrome. Future comparative trials are required to validate these findings in a larger series. Level of Evidence This is a Level IV study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - September 2, 2020 Category: Orthopaedics Authors: Liu, Bo Wu, Feiran Tags: Procedure Source Type: research

Mycobacterium Immunogenum Flexor Tenosynovitis: A Case Report
We present a novel case of NTM flexor tenosynovitis in which Mycobacter iumimmunogenum was found to be the causative agent. Case Description The patient presented with pain and insidiously progressive swelling and required multiple operative interventions and a complex antimicrobial regimen based on susceptibility profiles. Specifically, our patient was managed with three debridements and empiric antimicrobial agents based on inherent macrolide sensitivity, with later conversion to a complex antimicrobial regimen tailored to sensitivity. Literature Review The diagnosis and management of NTM tenosynovitis ar...
Source: Journal of Wrist Surgery - August 31, 2020 Category: Orthopaedics Authors: Aryee, Jomar N. A. Akinleye, Sheriff D. Freilich, Aaron M. Deal, D Nicole Tags: Case Report Source Type: research

Demystifying Palmar Midcarpal Instability
J Wrist Surg DOI: 10.1055/s-0040-1714688Palmar midcarpal instability is an uncommon condition diagnosed clinically with a painful pathognomonic clunk on terminal ulnar deviation of the wrist. Various causes have been described, but congenital laxity of the carpal ligaments is thought to be a key contributor. Treatment commences with conservative measures. This includes proprioceptive training based on more recent concepts on the sensorimotor function of the wrist. When these measures plateau, surgery is considered. The lack of high-level evidence and consensus on its cause continue to hamper our understanding and knowledge...
Source: Journal of Wrist Surgery - August 27, 2020 Category: Orthopaedics Authors: Jing, Shan Shan Smith, Gemma Deshmukh, Subodh Tags: Special Review Article Source Type: research

Open Reduction for Dorsal Dislocation of Second to Fifth Carpometacarpal Joints: A Case Report
We report the case of a 17-year-old boy involved in a vehicular accident. Clinical images showed dorsal dislocation of all four ulnar CMC joints of the left hand associated with a fracture of the base of the fourth metacarpal. Although closed reduction was attempted immediately, the affected joints remained unstable and easily redislocated. Therefore, we performed open reduction and percutaneous fixation of all ulnar CMCs. He showed excellent recovery after 1 year postoperatively, reported no pain, and demonstrated complete grip strength and range of motion of the affected wrist and fingers. Literature Review Accur...
Source: Journal of Wrist Surgery - August 27, 2020 Category: Orthopaedics Authors: Kimura, Hiroo Toga, Akira Suzuki, Taku Iwamoto, Takuji Tags: Case Report Source Type: research

Dorsal Dislocation of the Trapezoid with Metacarpal Instability: A Boxing Injury
We describe a novel boxing injury with a 180-degree in situ dislocation of the right trapezoid with concomitant second and third carpometacarpal (CMC) joint dislocations. Open anatomic reduction of the trapezoid was obtained, and subsequent percutaneous pinning of the metacarpals allowed for a full functional recovery and return to sports at 6 months. Literature Review Combined trapezoid and CMC dislocations are extremely rare and have only been previously described in high-energy mechanism injuries, involving a direct dorsal force such as from the steering wheel in a motor vehicle collision. There are no previous ...
Source: Journal of Wrist Surgery - August 27, 2020 Category: Orthopaedics Authors: Feder, Oren I. Letzelter, Joseph P. Hacquebord, Jacques H. Tags: Case Report Source Type: research

Pyrocardan Trapeziometacarpal Joint Arthroplasty —Medium-Term Outcomes
Conclusions Pyrocardan interposition arthroplasty appears to be a safe, effective treatment for trapeziometacarpal arthritis. Patient-reported clinical outcomes were at least equivalent to LRTI and are comparable to Bellemère's original series. Grip and pinch strength appear to be better than LRTI. Level of Evidence This is a Level III, prospective observational cohort study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - August 21, 2020 Category: Orthopaedics Authors: Logan, James Peters, Susan E. Strauss, Ruby Manzanero, Silvia Couzens, Gregory B. Ross, Mark Tags: Scientific Article Source Type: research

Complications and Factors Associated with Reoperation following Total Wrist Fusion
Conclusion Roughly one-third (33%) of the patients undergoing total wrist fusion experience a postoperative complication and 19% of the patients underwent a reoperation. Total wrist fusion of the dominant hand results in higher reoperation rates. The risk of a soft tissue complication after total wrist fusion is increased in smokers. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - August 21, 2020 Category: Orthopaedics Authors: Hazewinkel, Merel Hazewinkel I. Lans, Jonathan Lunn, Kiera N. Garg, Rohit Eberlin, Kyle R. Chen, Neal C. Tags: Scientific Article Source Type: research

Radial Shortening Osteotomy for Symptomatic Kienb öck's Disease: Complications and Long-Term Patient-Reported Outcome
Conclusion Radial shortening osteotomy for symptomatic Kienböck's disease yields reasonable long-term function. We observed that approximately one in eight patients underwent salvage surgery after radial shortening, and this should be taken into account when making the initial decision to treat Kienböck's disease surgically. There appeared to be no benefit of direct revascularization in addition to radial shortening in terms of patient-reported outcome in the long term. Level of Evidence This is a Level IV, therapeutic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA...
Source: Journal of Wrist Surgery - August 20, 2020 Category: Orthopaedics Authors: van Leeuwen, Wouter F. Pong, Taylor M. Gottlieb, Rachel W. Deml, Christian Chen, Neal van der Heijden, Brigitte E.P.A. Tags: Scientific Article Source Type: research

Kienb öck Disease
J Wrist Surg 2020; 09: 275-275 DOI: 10.1055/s-0040-1714204 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - August 1, 2020 Category: Orthopaedics Authors: Nakamura, Toshiyasu Tags: Editorial Source Type: research

Arthroscopic Trapeziectomy and Suture Button Suspensionplasty: A Review of the Literature and Description of the “Three-Step Arthroscopic Trapeziectomy Technique”
J Wrist Surg DOI: 10.1055/s-0040-1710560In the last two decades, surgeons have rapidly developed arthroscopic techniques to treat basal joint osteoarthritis. Such techniques spare the joint capsule and ligaments, allow more accurate staging of cartilage degeneration to determine the most appropriate treatment, and decrease the risk of injury to the radial artery and superficial branch of the radial nerve. Arthroscopic resection arthroplasty of the trapezium can be performed as either partial or complete trapeziectomy. Many papers have described partial trapeziectomy but few have discussed complete trapeziectomy.Suture butt...
Source: Journal of Wrist Surgery - July 30, 2020 Category: Orthopaedics Authors: Corella, Fernando Ocampos, Montserrat Laredo, Rafael Tabuenca, Jos é Carnicer, Maribel Larrainzar-Garijo, Ricardo Tags: Special Review Article Source Type: research

Clinical Outcomes of Double-Screw Fixation with Autologous Bone Grafting for Unstable Scaphoid Delayed or Nonunions with Cavitary Bone Loss
Conclusion Double-screw fixation with bone grafting and early active range of motion is a safe and effective technique for management of delayed and nonunited unstable scaphoid fractures with cavitary bone loss. This potentially allows for earlier return to function, without compromise to union rates. Level of Evidence This is a Level IV, retrospective case series study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - July 30, 2020 Category: Orthopaedics Authors: Ek, Eugene T. Johnson, Paul R. Bohan, Carmel M. Padmasekara, Gayan Tags: Scientific Article Source Type: research

The Palmaris Longus and Its Association with Carpal Tunnel Syndrome
Conclusion The palmaris tendon was more prevalent in a population of patients undergoing carpal tunnel release. These findings can be used to provide further insight into the pathophysiology of CTS. While Schaeffer's test was accurate in detecting the palmaris longus tendon, a negative test was frequently incorrect. Further imaging is recommended in patients with a negative Schaeffer's test when the palmaris longus is desired for surgical utilization. Level of Evidence This is a Level III, prognostic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:...
Source: Journal of Wrist Surgery - July 30, 2020 Category: Orthopaedics Authors: Boltuch, Andrew D. Marcotte, Michael A. Treat, Christopher M. Marcotte, Anthony L. Tags: Scientific Article Source Type: research

Isolated Scaphoid Dislocation: A Case Report and Review of the Literature
We describe a patient with a solitary scaphoid dislocation treated with initial closed reduction and urgent open reduction with K-wire stabilization and ligamentous repair. The patient was immobilized for 6 weeks and on 24-month follow-up, the patient was doing well with no limitations in his daily living, no pain, and acceptable range of motion. Literature Review A literature review was performed on the 55 cases described in the English language. The majority of the patients were males, aged between 18 and 79 years, and presented with motor vehicle accidents as the most common mechanism. Historically, isolated sca...
Source: Journal of Wrist Surgery - July 30, 2020 Category: Orthopaedics Authors: Amundsen, Asgeir Bishop, Sarah N. Moran, Steven L. Tags: Case Report Source Type: research

Postoperative Pain Is Correlated with Scaphoid Dorsal Translation following Scapholunate Interosseous Ligament Reconstruction
Conclusions Our study demonstrates that the presence of DST in postoperative radiographs has a strong correlation with patient reported pain following SLIL reconstruction. We conclude that correction of dorsal translation of the scaphoid is a more sensitive predictor of postoperative pain relief than SL gap, RL angle, or SL angle. Level of evidence This is a Level IV study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - July 29, 2020 Category: Orthopaedics Authors: Vutescu, Emil S. Wolfe, Scott W. Sung, Kevin Jethanandani, Rishabh Lee, Steve K. Tags: Scientific Article Source Type: research

Structural Changes in the Posterior Interosseous Nerve from Patients with Wrist Osteoarthritis and Asymptomatic Controls
Conclusions Our findings of morphological changes in both patients with osteoarthritis and asymptomatic controls suggest that pathological changes of unknown significance might exist in the general population in the PIN at wrist level. We believe that the observed structural nerve changes in the PIN are unlikely to contribute to the symptoms of pain. Further studies of the normal histological appearance of the terminal PIN are needed. Level of Evidence This is Level II study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |&...
Source: Journal of Wrist Surgery - July 29, 2020 Category: Orthopaedics Authors: Sw ärd, Elin Nennesmo, Inger Wilcke, Maria Tags: Scientific Article Source Type: research

Scaphoid Fractures below the Age of 10: Case Series and Review of the Literature
Conclusion Scaphoid fractures are rare in the pediatric population up to the age of 10. MRI is most often needed to confirm diagnosis. Nonoperative management of most scaphoid fractures in this age group is safe and feasible with no significant long-term morbidity. Surgical management of scaphoid fractures might be required in very selected cases. Level of Evidence This is a Level IV study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - July 15, 2020 Category: Orthopaedics Authors: Tataria, Rachana Ting, Jeannette Jester, Andrea Lindau, Tommy R. Oestreich, Kerstin Tags: Special Review Article Source Type: research

Giant Cell Tumor of Triquetrum: A Case Report with Literature Review
J Wrist Surg DOI: 10.1055/s-0040-1713903 Background Giant cell tumor (GCT) of bone is a benign, aggressive tumor of bone and occurs commonly around the knee and distal radius. GCT of bone rarely occurs in hand. In hand, metacarpals are the most common site and there have been only a few case reports of GCT of the carpal bone. In hand, these tumors are very aggressive and these have a high tendency to recur after intralesional curettage. No long-term study is available for choosing an appropriate method of treatment for these tumors in hand. Case Description Herein, we report a case of GCT of the bone involv...
Source: Journal of Wrist Surgery - July 13, 2020 Category: Orthopaedics Authors: Ansari, Mohammed T. Digge, Vijay K. Mahmood, Asjad Tags: Case Report Source Type: research

Salvage of the Failed Total Wrist Arthroplasty: A Systematic Review
Conclusion This review has confirmed the high level of surgical complexity and the likelihood of a complicated postoperative outcome when salvaging a failed wrist replacement. Level of Evidence This is a Level 3, systematic review study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - July 6, 2020 Category: Orthopaedics Authors: Berber, Onur Gidwani, Sam Garagnani, Lorenzo Spiteri, Michelle Riley, Nicholas McNab, Ian Little, Christopher Tags: Survey or Meta-analysis Source Type: research

Morphology at the Distal Radioulnar Joint: Identifying the Prevalence of Reverse Obliquity
Conclusion This series of 1,000 radiographs demonstrates a 6% overall prevalence of reverse obliquity. This large dataset allows for better quantification of the prevalence of DRUJ morphologies and determination of correlations that have clinical implications for patients with ulnar-sided wrist pathology. Level of Evidence This is a Level IV study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - July 6, 2020 Category: Orthopaedics Authors: O'Shaughnessy, Maureen Shapiro, Lauren M. Schultz, Blake Retzky, Julia Finlay, Andrea K. Yao, Jeffrey Tags: Scientific Article Source Type: research

Bridge Plate Design Effects on Yield and Fatigue in Distal Radius Fracture Model
This study sought to determine the impact of plate design on bridge plates intended to allow for immediate weight-bearing. Methods Axial static (n = 3) and dynamic testing (n = 3) was performed on three distraction plates designs: bridge plate 1 (BP1) with central holes, bridge plate 2 (BP2) without central holes, and locking compression plate (BP3). Plates were loaded in axial compression with a simulated 10-mm fracture gap. Results Significant static load differences were noted between all groups. Static load to failure for BP1, BP3, and BP2 were 240 ± 5&th...
Source: Journal of Wrist Surgery - July 6, 2020 Category: Orthopaedics Authors: Ilyas, Asif M. Hayward, Gerald M. Harris, Jonathan A. Wang, Wenhai Bucklen, Brandon S. Tags: Scientific Article Source Type: research

Open Galeazzi's Fracture-Dislocation in a 13-Year-Old Boy: A Case Report
J Wrist Surg DOI: 10.1055/s-0040-1712515 Background Galeazzi's fracture-dislocation (GFD) is a rare and complex injury consisting of a radial fracture associated with distal radioulnar joint (DRUJ) dislocation. Case Description We are presenting a case of a boy, who at the onset showed an open GFD and his assessment after a 1-year follow-up. As a treatment, closed reduction and long-arm cast were performed. At the last follow-up, the patient presented a complete recovery of range of motion and function of the affected wrist. Literature Review To the best of our knowledge, in the current literature, ...
Source: Journal of Wrist Surgery - July 6, 2020 Category: Orthopaedics Authors: Coppa, Valentino Senes, Filippo M. Tags: Case Report Source Type: research

Dynamic Wrist Radiographs in Patients with and without a Ganglion Cyst
Conclusions It could be concluded that in this study we did not see a difference between scapholunate gap and radiocarpal angles with the presence or absence of a ganglion cyst. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 25, 2020 Category: Orthopaedics Authors: Beuckelaers, Ellen Hollevoet, Nadine Tags: Scientific Article Source Type: research

Safety and Efficacy of Blood Flow Restriction Therapy after Operative Management of Distal Radius Fractures: A Randomized Controlled Study
Conclusion BFR therapy is safe and well tolerated after operatively treated distal radius fractures. The addition of BFR therapy can result in quicker reduction in pain with activity and improvement in patient disability when used early following operative management of a distal radius fracture. Level of Evidence This is a Level 1, prognostic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 22, 2020 Category: Orthopaedics Authors: Sgromolo, Nicole M. Cancio, Jill M. Rhee, Peter C. Tags: Scientific Article Source Type: research

Long-Term Results of Pisiformectomy in a Cohort of 57 Patients
Conclusions Pisiformectomy is a surgery used sparingly in cases with refractory pain associated with arthrosis of the pisotriquetral joint or enthesopathy of the flexor carpi ulnaris/pisiform interface. When utilized in this fashion, patients report limited disability on patient-rated outcome measures, low pain scores, and high satisfaction at mid- to late follow-up. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 17, 2020 Category: Orthopaedics Authors: Verhiel, Svenna H. W. L. Blackburn, Julia Ritt, Marco J. P. F. Chen, Neal C. Tags: Scientific Article Source Type: research

Combined Plating of Intra-Articular Distal Radius Fractures, a Consecutive Series of 74 Cases
Conclusion: The radiographic outcome did not correspond to the functional outcome 1 year postoperatively. Older patients report less pain and better functional outcome compared with younger patients. There were no tendon ruptures and the frequency of hardware removal was acceptable. Complex intra-articular DRFs AO type C can be managed with volar and dorsal frame-plate fixation to restore distal radius anatomy and achieve a good functional outcome. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  | &nb...
Source: Journal of Wrist Surgery - June 17, 2020 Category: Orthopaedics Authors: Sagerfors, Marcus Lundqvist, Eva Bjorling, Patrik Tags: Scientific Article Source Type: research

Three Cases of Translunate Perilunate Injury Treated with Wrist Arthroscopy
Conclusion Translunate perilunate injury is rare and a high index of suspicion is necessary for diagnosis. There was no consensus on the surgical approach to this kind of injury. Wrist arthroscopy had proven to be successful in treating the greater and lesser arc perilunate injury. For translunate perilunate injury, wrist arthroscopy is also a feasible option with the advantages of lower risk of arthrofibrosis and avascular necrosis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full te...
Source: Journal of Wrist Surgery - June 17, 2020 Category: Orthopaedics Authors: Chow, Esther C. S. Ho, Pak C. Tags: Case Report Source Type: research

The Use of Doppler Ultrasound to Assess the Blood Flow of Pedicled Vascularized Bone Grafting for Scaphoid Nonunions
Conclusions 3D high frequency power Doppler ultrasonography is a simple, noninvasive, nonradiation, reproducible, and well-reliable diagnostic modality in assessing the blood flow and vascularity of the bone grafts used for scaphoid nonunions. Level of Evidence This is a Level IV study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 12, 2020 Category: Orthopaedics Authors: Jerome, J. Terrence Jose Venkatachalam, Ilayaraja Tags: Scientific Article Source Type: research

Ulnar Head or Total Distal Radioulnar Joint Replacement, Isolated and Combined with Total Wrist Arthroplasty: Midterm Results
Conclusion Ulnar head arthroplasty (uHead) showed significant improvement in pain, grip strength, and the function of the patients with a painful disability of the DRUJ, without impairment on mobility on the midterm follow-up. The overall implant survival over the time and the complication rate was acceptable. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 12, 2020 Category: Orthopaedics Authors: Gvozdenovic, Robert Boeckstyns, Michel Merser, S øren Tags: Scientific Article Source Type: research

Limited Carpal Fusion in Kienb öck's Disease: Early Results following Scaphocapitate Arthrodesis
This study presents the midterm clinical and radiological results of SCA in Kienböck's disease. Materials and Methods The data were reviewed from January 2016 to December 2017. Lichtman's classification used to stage the disease. Clinical variables were noted for wrist range of motion, grip strength, visual analog scale (VAS) score, quick disabilities of the arm, shoulder, and hand (quickDASH), and patient-rated wrist evaluation (PRWE) scores. Radiographs were evaluated for union, ulnar variance, carpal height ratio, radioscaphoid angle, and scapholunate angle. Results A total of 11 patients of Stage I...
Source: Journal of Wrist Surgery - June 12, 2020 Category: Orthopaedics Authors: Goyal, Nikhil Singh, Vivek Barik, Sitanshu Behera, Santosh Tags: Scientific Article Source Type: research

Isolated Arthroscopic Radial Styloidectomy: The Three-Portal Approach
Conclusions The authors recommend this technical trick to perform an easy and comprehensive isolated palliative or curative arthroscopic radial styloidectomy. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 12, 2020 Category: Orthopaedics Authors: Herzberg, Guillaume Burnier, Marion Tags: Procedure Source Type: research

Scapholunate Diastasis in Distal Radius Fractures: Fracture Pattern Analysis on CT Scans
Conclusion Static SL dissociation in the setting of distal radius fractures may be an indication of a complex injury of the distal radius, which may not be directly apparent on plain radiography. If these radiographs do not demonstrate impaction of the lunate or scaphoid facet, a CT scan may be warranted to have a more detailed view of the articular surface. Level of Evidence This is a Level III, diagnostic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: ...
Source: Journal of Wrist Surgery - June 9, 2020 Category: Orthopaedics Authors: Özkan, Sezai Mudgal, Chaitanya S. Jupiter, Jesse B. Bloemers, Frank W. Chen, Neal C. Tags: Scientific Article Source Type: research

Arthroscopic Bone Grafting and Arthrodesis of Partial Lunotriquetral Coalition
This report details the procedure to allow arthroscopic lunotriquetral arthrodesis with bone grafting, conveying osteogenic properties, and encouraging incorporation at the fusion site while maintaining the dorsal ligaments. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 9, 2020 Category: Orthopaedics Authors: Sivakumar, Brahman S. Smith, Nicholas C. Tags: Case Report Source Type: research

Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia
In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 9, 2020 Category: Orthopaedics Authors: Chai, Ho Lam P érez, Cabello Álvaro Yu, Wai Ping Fiona Ho, Pak Cheong Tags: Case Report Source Type: research

Surgeons' Level of Expertise
J Wrist Surg 2020; 09: 185-185 DOI: 10.1055/s-0040-1710354 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - June 1, 2020 Category: Orthopaedics Authors: Nakamura, Toshiyasu Tags: Editorial Source Type: research

Functional Dart-Throwing Motion: A Clinical Comparison of Four-Corner Fusion to Radioscapholunate Fusion Using Inertial Motion Capture
Conclusion RSL fusion is not significantly better at maintaining functional DTM when compared with 4CF. Both surgeries result in decreased functional DTM arc when compared with control patients. This is a cohort study and reflects a level of evidence IV. Level of evidence This is a Leve IV, cohort study [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - May 28, 2020 Category: Orthopaedics Authors: Babazadeh, Sina Ling, Ferraby Nguyen, Nhan B. Pham, Trieu H. Pathirana, Pubudu N. Eng, Kevin Page, Richard Tags: Scientific Article Source Type: research

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes —"An Unusual Perilunate Injury Variant”
Conclusion Combined SRL disruption and perilunate dislocation or fracture dislocation represent a high-energy variant from the classic description of a perilunate injury. A heightened awareness for this combined injury pattern should be maintained when treating patients with perilunate injuries. Level of Evidence This is a Level III, prognostic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - May 20, 2020 Category: Orthopaedics Authors: Sgromolo, Nicole M. Mullikin, Ian A. Rhee, Peter C. Tags: Scientific Article Source Type: research

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results
Conclusion The arthroscopic reinsertion and dorsal capsular reinforcement of the SLL, allow a reliable and stable primary repair of the dorsal aspect of the ligament in acute or subacute SL injuries where there is tissue that can potentially be repaired, thus achieving an anatomical repair similar to that obtained with open surgery, but without the complications and stiffness secondary to aggressive interventions on the soft tissues that are inherent to the open dorsal approach. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  | ...
Source: Journal of Wrist Surgery - May 20, 2020 Category: Orthopaedics Authors: Carratal á, Vicente Lucas, Francisco Javier Miranda, Ignacio Prada, Alfonso Guisasola, Eva Miranda, Francisco J. Tags: Scientific Article Source Type: research

Postoperative Outcomes of Volar Plate Fixation in Cases of Scaphoid Deformity or Nonunion: A Case Series
We present a case series of 16 patients, with the disabilities of the arm, shoulder, and hand (DASH) score evaluation in primary fixation of scaphoid fractures with humpback deformity (n = 11) and revision open reduction internal fixation (ORIF) for nonunion (n = 5), using the Medartis TriLock 1.5 scaphoid plate and bone grafting. Patients and Methods DASH scores were obtained preoperatively and postoperatively at 3, 6, and 12 (if required) months. Patient demographics, smoking status, employment type, and grip strengths were recorded. Results Thirteen patients attended follow-up...
Source: Journal of Wrist Surgery - May 20, 2020 Category: Orthopaedics Authors: Ansari, Saif A. Kennedy, James A. Younis, Fizan Tags: Scientific Article Source Type: research

Giant Cell Tumor of the Capitate and Hamate: Case Report and of Literature Review
We report a case of a 29-year-old female with simultaneous involvement of two carpal bones: capitate and hamate. After confirming the diagnosis by histopathological examination, the affected carpals were resected, and the defect was filled with autologous bone graft. Follow-up at 18 months demonstrated no evidence of local recurrence or metastatic disease, and the patient is now having a reasonable hand function. Literature Review We analyzed nine case reports on GCTs in carpal bones in the past 25 years. Seven out of nine cases that we could analyze showed single carpal bone involvement (three capitate, two scapho...
Source: Journal of Wrist Surgery - May 20, 2020 Category: Orthopaedics Authors: Abdusamad, V. Singh, Vivek Jain, Rohit Singh, Divya Tags: Case Report Source Type: research

Locked Wrist: A Case Report and Literature Review on Pisotriquetral Loose Bodies
J Wrist Surg DOI: 10.1055/s-0040-1710394 Background Pisotriquetral (PT) loose bodies have been described in the literature only a few times as case reports. While PT pathology remains the differential for ulnar-sided wrist pain, it can often be difficult to diagnose, as symptoms can be variable and radiographic imaging may be negative for any findings. Case Description A 24-year-old major league baseball player presented with pain and locking of his wrist during follow through of his bat swing. Plain radiographic imaging, as well as computed tomography (CT) imaging, was negative for any pathology. Dynamic m...
Source: Journal of Wrist Surgery - May 15, 2020 Category: Orthopaedics Authors: Thompson, R. Gil Poulis, George C. Lourie, Gary M. Tags: Case Report Source Type: research

Single-Cut Single-Screw Capitate-Shortening Osteotomy for Kienbock's Disease
Conclusion The simplified technique of capitate shortening is easy to perform, less traumatic to the capitate vascularity, and leads to good short-term functional results. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - May 1, 2020 Category: Orthopaedics Authors: Bain, Gregory I. Krishna, Sathya Vamsi MacLean, Simon Bruce Murdoch Agrawal, Parth Tags: Special Review Article Source Type: research

Bilateral FCR Tendon Injury Associated with Osteoarthritis of the STT Joint
J Wrist Surg DOI: 10.1055/s-0040-1708860Subcutaneous flexor carpi radialis (FCR) tendon ruptures secondary to osteoarthritis of the scapho-trapezio-trapezoidal (STT) joint are very rare. A 53-year-old female suffered a subcutaneous FCR tendon rupture after noticing pain in her right wrist. Because of continuing pain and decreasing strength in her right hand, surgery of the STT joint arthrodesis and an FCR tendon reconstruction with free tendon graft was performed. Her left wrist gradually showed the same symptoms 9 years later. The STT fusion for her left wrist was then performed. The FCR tendon was partially worn out on t...
Source: Journal of Wrist Surgery - May 1, 2020 Category: Orthopaedics Authors: Takami, Hiroaki Aso, Kuniichi Tags: Case Report Source Type: research

Cost Implications of Varying the Surgical Setting and Anesthesia Type for De Quervain Release Surgery
Conclusion Performing DQR in the PR setting under local only anesthesia yields greater value than the OR, as patient-reported outcomes are similar despite significantly lower surgical costs. Level of Evidence This is a Level III, cost analysis study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - April 17, 2020 Category: Orthopaedics Authors: Stephens, Andrew R. Yu, Ziji Presson, Angela P. Tyser, Andrew R. Kazmers, Nikolas H. Tags: Scientific Article Source Type: research

Predictive Factors for Return to Driving following Volar Plate Fixation of Distal Radius Fracture
Jnl Wrist Surg DOI: 10.1055/s-0040-1709189 Background A common query by patients undergoing distal radius fracture (DRF) repair is when (s)he can resume driving postoperatively. A prospective cohort analysis was performed to assess fracture and patient factors on a patient's self-reported ability to return to driving to better inform patients and surgeons. Methods Consecutive patients undergoing DRF repair with locking volar plate were enrolled. Preoperative demographic and radiographic characteristics, and postoperative time to return to driving were collected. Data collected included age, sex, hand domina...
Source: Journal of Wrist Surgery - April 17, 2020 Category: Orthopaedics Authors: Poiset, Spencer Abboudi, Jack Gallant, Gregory Jones, Christopher Kirkpatrick, William Kwok, Moody Liss, Frederic Rivlin, Michael Takei, T. Robert Wang, Mark Ilyas, Asif M. Tags: Scientific Article Source Type: research