Dorsal Scapholunate Ligament Reconstruction by Using Palmaris Longus Tendon Graft in Chronic Static Scapholunate Dissociations: Does It Yield Favorable Radiographic and Functional Results?
Conclusion Dorsal SL ligament reconstruction by using free PL tendon graft was detected to provide successful restoration of the normal carpal alignment together with SL joint stability. This procedure, by significantly reducing pain and improving grip strength was detected to yield significantly improved clinical and functional outcomes, together with high patient satisfaction indicated by improved health-related quality of life (HRQOL) scores.
Level of Evidence IV. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  A...
Source: Journal of Wrist Surgery - December 8, 2022 Category: Orthopaedics Authors: Erdag, Yigit Pehlivanoglu, Tuna Tags: Scientific Article Source Type: research
Outcome of Preoperative Asymptomatic or Minimally Symptomatic DRUJ Arthritis after Total Wrist Arthrodesis: A Single-Institution Case Series
Conclusion In patients with symptomatic RC and asymptomatic or minimally symptomatic DRUJ arthritides undergoing TWA alone, 10% in this series required subsequent surgical management for progressive DRUJ arthritis.
Clinical Relevance Surgical management of concomitant symptomatic RC and asymptomatic/minimally symptomatic DRUJ arthritides with TWA alone is a reasonable initial approach. Patients should be counseled preoperatively that subsequent surgical management of progressive DRUJ arthritis may be necessary in ∼10% of patients. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY...
Source: Journal of Wrist Surgery - December 8, 2022 Category: Orthopaedics Authors: Dittman, Lauren E. Shin, Alexander Y. Rhee, Peter C. Tags: Scientific Article Source Type: research
Scoring Systems in the Wrist, Forearm, and Elbow Field
J Wrist Surg 2022; 11: 473-473 DOI: 10.1055/s-0042-1758762 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - December 8, 2022 Category: Orthopaedics Authors: Nakamura, Toshiyasu Tags: Editorial Source Type: research
Pyrocardan Implant Arthroplasty for Carpometacarpal Osteoarthritis of the Thumb: A Comparative Study with a Historical Control Group
Conclusions In conclusion, the Pyrocardan implant is a viable option in the treatment of CMC-1 osteoarthritis but with a significant revision rate. When comparing the Pyrocardan implant to a historical control group, we failed to find any differences in patient-reported outcomes.
Level of Evidence IV – case series. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - November 28, 2022 Category: Orthopaedics Authors: J ørgensen, Rasmus Wejnold Anderson, Kiran Annette Odgaard, Anders Jensen, Claus Hjorth Tags: Scientific Article Source Type: research
Metacarpal Shortening with Intramedullary Screw Fixation: A Cadaveric Study
Conclusion The fully threaded nail demonstrates less shortening and possibly minimizes overshortening of fractures compared with partially threaded and fully threaded screw designs. Overshortening cannot be corrected by unscrewing the screw unless completely removed from the distal fragment.
Clinical Relevance Orthopaedic surgeons may select intermedullary screws based on the design that is suited for the particular metacarpal fracture pattern. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full te...
Source: Journal of Wrist Surgery - November 28, 2022 Category: Orthopaedics Authors: Kwan, Stephanie A. Wang, William L. Tulipan, Jacob E. Kachooei, Amir Beredjiklian, Pedro K. Rivlin, Michael Tags: Scientific article Source Type: research
All-Arthroscopic Triangular Fibrocartilage Complex Ligamentoplasty. Technique and Results
Conclusion The all-arthroscopic technique for the reconstruction of irreparable peripheral TFCC tears is a reliable technique, intended not only to minimize the surgical trauma to reduce postoperative pain and to facilitate rehabilitation, but also to improve both the quality of the reconstruction and the functional outcome. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - November 23, 2022 Category: Orthopaedics Authors: Carratal á, Vicente Lucas, Francisco Javier Miranda, Ignacio Mart Ãnez, Cristóbal Guisasola, Eva Tags: Scientific Article Source Type: research
The Lateral-W Construct: An Anatomical Variant of the Dorsal Wrist Ligaments
J Wrist Surg DOI: 10.1055/s-0042-1758706
Background The dorsal intercarpal ligament (DIC) is an elegant dorsal stabilizer of the proximal carpal row, including the scaphoid's proximal pole and scapholunate joint. Along with the dorsal radiocarpal (DRC) ligament, it acts as a dorsal radioscaphoid stabilizer, with dynamism due to its ability to modify its length up to threefold by changing the angles between its V-shaped bundle morphology. The DIC ligament consistently originates from the dorsal tubercle of the triquetrum on the ulnar side. It spans transversely, attaching to the dorsal groove of the scaphoid (97–10...
Source: Journal of Wrist Surgery - November 18, 2022 Category: Orthopaedics Authors: Ferm Ãn, Theodorakys MarÃn Zampeli, Frantzeska Hagert, Elisabet Tags: Wrist and Carpal Anatomy Article Source Type: research
Comparison of Outcomes of Scapholunate Ligament Reconstruction Techniques
Conclusion Existing data demonstrate some benefit of bone-tissue-bone reconstruction over capsulodesis and tenodesis in pain reduction and functional improvement of the injured wrist. No statistically significant differences among radiographic outcomes could be ascertained, possibly attributable to the heterogeneity of procedures. This review provides an updated reference and highlights the need for multicenter trials with longer term follow-up and more standardized outcome measures. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents...
Source: Journal of Wrist Surgery - November 18, 2022 Category: Orthopaedics Authors: Wu, Meagan Ilyas, Asif Tags: Survey or Meta-analysis Source Type: research
Reliability of the Sigmoid Notch Classification of the Distal Radioulnar Joint
Conclusions Classification using the Tolat scheme is fair to moderate at best. Classification of the sigmoid notch using an axial view of the distal radius may not accurately reflect the anatomy throughout the notch.
Clinical Relevance The Tolat classification supplies a limited analysis of the sigmoid notch, and does not represent a comprehensive evaluation of the entire joint. Future classification systems should characterize the entire sigmoid notch. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  | ...
Source: Journal of Wrist Surgery - November 18, 2022 Category: Orthopaedics Authors: D'Sa, H Willing, R Murray, T Rowan, K Grewal, R King, G Daneshvar, P Tags: Basic Science Research Article Source Type: research
Long-term Outcomes following Operative Management of Pediatric Scapholunate Ligament Injuries
Conclusion In this study, worse results were seen in children with a protracted course prior to treatment of an SL injury. A high index of suspicion is necessary to detect an SL injury in the younger age group and should be in the differential for those with persistent dorsal wrist pain, tenderness over the dorsal SL joint, and/or positive Watson's test. MRI may assist in diagnosis but is not definitive to rule out injury. Arthroscopy is valuable to determine the extent of injury. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents Â...
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: van Kampen, Robert J. Fox, Paige M. Baltzer, Heather L. Moran, Steven L. Tags: Scientific Article Source Type: research
Clinical Results of Arthroscopic Resection of Dorsal Wrist Ganglion with a Minimum of 3 Years Follow-up
Conclusion Arthroscopic excision of dorsal wrist ganglion in the way described in this study is a safe and effective method that improves pain and range of motion of the wrist without major complications. The rate of recurrence was less than those reported for open surgery in long-term follow-up. The surgery scar has a promising score in Vancouver scar scale. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: Saremi, Hossein bolbanabad, Mohammad Mohammadi Abdollahian, Amir Reza Mohammadi, Younes Tags: Scientific Article Source Type: research
Carpal Tunnel Release Performed during Distal Radius Fracture Surgery
Conclusion The rate of CTR at time of DRF ORIF was 4.2%. Intra-articular fractures with multiple fragments were strongly associated with CTR at time of DRF ORIF, while being underweight, elderly, and male were associated with lower rates of CTR. These findings should be considered when developing clinical guidelines to assess the need for CTR in patients undergoing DRF ORIF. This is a retrospective case control study and reflects level of evidence III. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full t...
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: Rothman, Alyssa Samineni, Aneesh V. Sing, David C. Zhang, Joanne Y. Stein, Andrew B. Tags: Scientific Article Source Type: research
Does Surgeon Level of Expertise Correlate with Patient Outcomes?
Discussion The current Tang classification is both underreported and incomplete in its present state. To account for expertise bias, we recommend all authors report Tang level when describing surgical techniques. Studies with multiple authors should explicitly state the level of each author, as well as a weighted average accounting for the total contribution of each individual. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: Geller, Joseph S. Cohen, Lara L. Massel, Dustin H. Donato, Zachary J. Chen, David Dodds, Seth D. Tags: Scientific Article Source Type: research
Symptomatic Radial-Sided Tears of the Triangular Fibrocartilage Complex: An All-Arthroscopic Repair Using Bone Anchors
J Wrist Surg DOI: 10.1055/s-0042-1756499Radial-sided tears of the triangular fibrocartilage, though uncommon, can still be a reason for ulnar-sided wrist pain, and, at times, instability of the distal radioulnar joint. Historically, it has been believed that because of the paucity of vascularity along the radial edge of the triangular fibrocartilage complex (TFCC), any form of repair will not lead to healing, thus stating it to be an exercise in futility. Current literature deftly argues against this previously prevailing concept and supports the need of repair in case of symptomatic radial-sided TFCC tears. In our study, ...
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: Choudhury, Muntasir M. Yap, Robert T. J. Chia, Dawn S. Y. Sajeev, Suraj Alizada, Ghulam S. Jiang, Jackson K. H. Tags: Procedure Source Type: research
Dorsal Subluxation of The Proximal Carpal Row with the Use of a Bridge Plate
We report a complication of proximal carpal row dorsal subluxation secondary to dorsal spanning plate fixation in a patient with Stage IIIb Kienböck's disease. The patient had undergone wrist arthroscopy, lunate forage, radius core decompression, and spanning plate fixation. At 6 weeks after surgery, radiographic imaging demonstrated dorsal subluxation of the proximal carpal row that was corrected upon bridge plate removal. Serial radiographs during follow-up showed no further carpal subluxation without Kienböck's disease progression at 12 months postremoval of hardware. Patient remains pain free and has returned to elit...
Source: Journal of Wrist Surgery - November 9, 2022 Category: Orthopaedics Authors: Lui, Hayman Kakar, Sanjeev Tags: Case Report Source Type: research
