Neglected Scaphocapitate Syndrome
We report a case of a missed and neglected scaphocapitate syndrome with more than 30 years follow-up. While the patient experienced midcarpal arthritis, the injury had not resulted in capitate proximal pole avascular necrosis as per T1 magnetic resonance imaging studies.
Literature Review Missed and chronic cases of scaphocapitate syndrome were reported previously. Successful outcomes were achieved with anatomical reduction in cases without midcarpal arthritis. Salvage procedures or arthroplasty procedures are recommended with the presence of midcarpal arthritis. However, there are no reports of a neglected case wit...
Source: Journal of Wrist Surgery - December 23, 2021 Category: Orthopaedics Authors: Kadar, Assaf Iordache, Sorin D. Tags: Case Report Source Type: research
Classification and Management of Failed Fixation of the Volar Marginal Fragment in Distal Radius Fractures
J Wrist Surg DOI: 10.1055/s-0041-1735885Greater understanding of specific fracture patterns following distal radius fractures has arisen with the advent of volar plating. The volar marginal fragment (VMF) is a small peripheral piece of bone which is critical to carpal stability. Failure to achieve good fixation of the VMF can result in volar subluxation of the carpus and distal radioulnar joint instability. Due to its small, distal nature, this fragment can be easily missed and difficult to fix. Loss of reduction of the VMF following operative fixation presents specific challenges and surgical considerations dictated by pa...
Source: Journal of Wrist Surgery - December 13, 2021 Category: Orthopaedics Authors: Orbay, M. Carolina Orbay, Jorge L. Tags: Special Review Article Source Type: research
Arthroscopically Assisted Treatment of Volar Rim Fractures
Conclusion It is almost impossible to access and properly fix a VRF using traction and arthroscopic control through the FCR or FCR extended FCR approach because of the stretched flexor tendon mass. The use of the dual-window approach during AARIF of AO “B3” or “C” DRF has not previously been reported. Displaced VRF are rare whether they were part of “B3” or “C” fractures. If AARIF is chosen, we strongly recommend the use of the dual-window volar approach for AO “B3” and “C” fractures with VRF. A single anteromedial approach can also be used for isolated “B3” anteromedial DRF. [...] Thieme Medi...
Source: Journal of Wrist Surgery - December 13, 2021 Category: Orthopaedics Authors: Herzberg, Guillaume Burnier, Marion Ly, Lyliane Tags: Special Review Article Source Type: research
Midterm Functional Outcome of the Linked Semiconstrained Distal Radioulnar Joint Prosthesis
Conclusion The linked semiconstrained DRUJ prosthesis has its value in the surgical treatment of DRUJ failure. Currently, most implants are used in secondary surgery and multioperated wrists. More research is required to assess the value of the DRUJ prosthesis as a primary procedure.
Level of evidence This is a level IV, therapeutic study. [...] 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 - December 13, 2021 Category: Orthopaedics Authors: Warlop, Jaak Nuffel, Maarten Van Smet, Luc De Degreef, Ilse Tags: Scientific Article Source Type: research
Bilateral STT Arthrodesis in a Young Patient with Occult Proximal Row Coalition
We report a case of a 35-year-old male with progressive degenerative change of incomplete coalitions of the scaphotrapeziotrapezoid joint (STT) in the presence of bilateral complete osseous lunate–triquetral coalitions (Minnaar type 4). He was successfully treated with staged bilateral arthrodesis with excellent symptom resolution and preservation of function.
Literature Review In patients with isolated STT coalition six reports of surgery exist, two of which were for arthrodesis. This is the first described case of STT arthrodesis in a patient with coexistent lunate–triquetral coalition.
Clinical Relevance...
Source: Journal of Wrist Surgery - December 13, 2021 Category: Orthopaedics Authors: Wharton, Rupert M.H. Ahearne, David Tags: Case Report Source Type: research
Both Bone Forearm Fracture with Complex DRUJ Dislocation: What Are the Odds?
We describe the clinical presentation, intraop findings, management, and follow-up of two such cases of both bone forearm fracture with complex DRUJ dislocation. In both the cases, the ulnar head was found to be buttonholed through extensor retinaculum between the extensor tendons. Open reduction had to be done via dorsal approach. Timely intervention allowed good results in both the patients.
Literature Review Several authors have reported simple DRUJ dislocations in both bone forearm fractures; however, we could come across only three cases of complex DRUJ dislocation in a both bone forearm fracture. A summary of ...
Source: Journal of Wrist Surgery - December 13, 2021 Category: Orthopaedics Authors: Dabas, Vineet Bhatia, Nishant Agrawal, Gaurang Tags: Case Report Source Type: research
Excessive Derotational K-Wire Angulation Decreases Compression by Headless Compression Screw
Conclusions Compression at the fracture site could be impeded by placing an excessively angulated off-axis derotation wire prior to insertion of the HCS.
Clinical Relevance Our study adds a new detail to the optimal technique of HCS placement in scaphoid fractures to improve compression and fracture union. [...] 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 - December 2, 2021 Category: Orthopaedics Authors: Gil, Joseph A. Montague, Michael D. Lama, Christopher J. Brodeur, Peter Katarincic, Julia A. Got, Christopher J. Tags: Scientific Article Source Type: research
The Scapholunate Dilemma
J Wrist Surg 2021; 10: 465-466 DOI: 10.1055/s-0041-1739184 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 1, 2021 Category: Orthopaedics Authors: Tham, Stephen K. Ek, Eugene T. Tags: Editorial Source Type: research
Factors Associated with Timely Surgery for Semi-elective Distal Radius Fracture Fixation
Conclusions Acute semielective DRF fixation is generally performed within targets for extra-articular fractures but there is scope for improvement for intra-articular fractures. Day of presentation and increasing number of comorbidities increase wait for surgery. Hospital trusts should focus on improving pathways for patients with multiple comorbidities and strategies to improve accessibility of these services at weekends. [...] 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 18, 2021 Category: Orthopaedics Authors: Johnson, Nick A. Dias, Joseph J. Tags: Scientific Article Source Type: research
Reverse Perilunate Injuries —The “Extended Scaphoid” Sign
This study confirms our hypothesis. By contrast to the dorsal classic radial-sided pure ligamentous PLI pattern of scaphoid displacement (scaphoid flexed and foreshortened with scapholunate gap), the dorsal REPLI pattern displays an extended position of the scaphoid with scapholunate step-off and overlap rather than a gap. The combination of a lunotriquetral dissociation with a dorsal dislocation of the capitate from the lunate yet an extended position of the scaphoid with almost normal radioscaphoid relationships should raise a high suspicion for REPLI. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor,...
Source: Journal of Wrist Surgery - November 15, 2021 Category: Orthopaedics Authors: Herzberg, Guillaume Burnier, Marion Druel, Thibault Tags: Scientific Article Source Type: research
The Impact of COVID-19 Restrictions and Changes in Guidelines on Adult Wrist Fracture Management
Conclusion Overall, there was a decrease in the number of wrist fracture referrals and surgical procedures compared with before the pandemic. There was also an increased wait-time to surgery and an increased rate of cancellations. Statistical analyses fail to find significance in changes other than mechanisms of injury, which resulted from lockdown restrictions. Therefore, service provision, delivery, and efficiency not affected significantly by changes in guidelines and lockdown restrictions. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table o...
Source: Journal of Wrist Surgery - October 31, 2021 Category: Orthopaedics Authors: Tse, Cheuk Yin Lee, Lawrence Hin Hai Akbari, Amir Reza Niazi, Noman Shakeel Pillai, Anand Tags: Scientific Article Source Type: research
Wound Complications with Multiple Wrist Incisions in Distal Radius Reconstruction
Conclusions There is no increased risk of wound healing complications with the use of multiple skin incisions (≥2) in the surgical management of distal radius fractures, afforded by the abundant and robust angiosomes around the wrist. Surgeons should have the confidence to utilize the necessary number of skin incisions to effectively reconstruct distal radius fractures. [...] 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 - October 31, 2021 Category: Orthopaedics Authors: Meaike, Joshua J. Athens, Christian Sgromolo, Nicole Shin, Alexander Y. Rhee, Peter C. Tags: Scientific Article Source Type: research
Prolonged Operative Time Associated with Increased Healthcare Utilization after Open Reduction and Internal Fixation of Intra-Articular and Extra-Articular Distal Radial Fractures: An Analysis of 17,482 Cases
Conclusion Our findings demonstrate that prolonged operative time is correlated with increased odds of health care utilization and wound complications after DRF ORIF. Operative times greater than 60 minutes seem to carry higher odds of postoperative complications. [...] 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 - October 26, 2021 Category: Orthopaedics Authors: Scollan, Joseph P. Ohliger, Erin Emara, Ahmed K. Grits, Daniel McConaghy, Kara Ng, Mitchell Styron, Joseph Tags: Scientific Article Source Type: research
Scaphoid Dislocation Reconstruction with Scapholunotriquetral Ligament Tenodesis
We present a successful reconstructive case after a complex intercarpal instability injury using scapholunotriquetral tenodesis without the need for Kirschner wire fixation and early controlled range of motion therapy. At 3 months, the patient had a pain-free wrist with a 100-degree arc of motion and returned to work with full functionality. A literature review was performed to describe the previously published surgical treatments of this injury pattern and compare functional outcomes. [...] 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 - October 21, 2021 Category: Orthopaedics Authors: Mailey, Brian Brown, Amanda L. Winters, James Tags: Case Report Source Type: research
Fourth-Generation Total Wrist Arthroplasty: A Systematic Review of Clinical Outcomes
Conclusion This systematic review suggests a substantial improvement of quality in fourth-generation total wrist arthroplasty. [...] 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 - October 5, 2021 Category: Orthopaedics Authors: Zijlker, Hero Jan Aeilho Ritt, Mathias Joseph Petrus Franciscus Beumer, Annechien Tags: Survey or Meta-Analysis Source Type: research
