Distal Radius Fracture Subsidence after Nonoperative Treatment
Conclusion Most DRF subsidence occurs within the first 6 weeks of nonoperative treatment. Closed reduction, comminution, and AO fracture type are predictors of subsidence development. Moreover, DRF subsidence progresses at different rates depending on the radiographic parameter assessed. [...] 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 - March 1, 2024 Category: Orthopaedics Authors: Alzouhayli, Kenan Samade, Richard Sitton, Beau Bates, Nathaniel Goyal, Kanu S. Tags: Scientific Article Source Type: research
Accuracy of Wrist MRI in Detecting Synovitis and Correlation with Arthroscopy
Conclusion The results demonstrate that conventional MRI without contrast has poor diagnostic accuracy in detecting wrist synovitis. Patients with ligament or chondral pathology or no clearly identifiable pathology on MRI whose clinical symptoms persist despite conservative treatment may have underlying dorsal and ulnar wrist synovitis that is not detected on MRI. Wrist arthroscopy facilitates the identification and treatment of synovitis in patients with concomitant wrist pathology and pain refractory to nonoperative treatment. This study suggests that MRI may have a low sensitivity for identifying wrist synovitis when ...
Source: Journal of Wrist Surgery - February 20, 2024 Category: Orthopaedics Authors: Mahmood, Bilal Diamond, Keith Ayalon, Omri Paksima, Nader Glickel, Steven Tags: Scientific Article Source Type: research
Evaluation of the Effect of Ununion Percentage of Scaphoid on Stress and Displacement of Fragment Part of Scaphoid in Various Degrees of Wrist Extension with and without External Force
Conclusion The stress developed in scaphoid depends on the nonunion percentage of scaphoid and the amount of motion of wrist joint. It is better to use external fixation screw especially for conditions 3 and 6 (75% of union in middle and distal parts) to decrease the displacement of fragment parts and to decrease the stress applied on scaphoid in wrist extension.
Type of Study and Level of Evidence Case study, 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 text (Sour...
Source: Journal of Wrist Surgery - February 12, 2024 Category: Orthopaedics Authors: Niknam, Saeed Namazi, Hamid Karimi, Mohammad Taghi Tags: Scientific Article Source Type: research
Investigation of the In Vivo Performance of Metal-on-Metal Motec Total Wrist Arthroplasty – An Explant Analysis
Conclusion In the short term, the MoM Motec TWA does not seem to be affected by the wear issues seen in failing MoM total hip replacements with all of the explanted Motec components remaining within manufacturing tolerances [...] 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 - February 12, 2024 Category: Orthopaedics Authors: Kandemir, G öksu Julian, Harriet S. Joyce, Thomas J. Brown, Daniel J. Tags: Scientific Article Source Type: research
Surgical Treatment of Scaphoid Fractures: Recommendations for Management
Conclusion: This summary of the recent literature can guide hand surgeons in addressing scaphoidßractures. Future research in scaphoid fracture treatment, particularly for nonunions, would be most beneficial n the form of systematic review, meta-analysis, or multicenter prospective randomized clinical trials.
Level of Evidence: IV [...] 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 - February 9, 2024 Category: Orthopaedics Authors: Samade, Richard Awan, Hisham M. Tags: Special Review Article Source Type: research
Synovial Chondromatosis of Distal Radioulnar Joint with Osteoarthropathic Changes
We present a case treated by osteophyte resection for restriction of the forearm rotation caused by SC and the resulting OA changes in the distal radioulnar joint (DRUJ).
Case Description A 50-year-old woman had progressive OA changes due to SC in the DRUJ, and restriction of forearm rotation. Thorough excision of SC and osteophytes through the dorsal and palmar approaches of the wrist improved the range of rotation of the forearm with no recurrence.
Literature Review Although there have been scattered reports of SC occurring in the DRUJ, there have been no reports of management for restriction of forea...
Source: Journal of Wrist Surgery - February 6, 2024 Category: Orthopaedics Authors: Nakajima, Daisuke Ikeda, Masayoshi Kobayashi, Yuka Saito, Ikuo Tags: Case Report Source Type: research
Developing 3D-Printed Wrist Splints for Distal Radius and Scaphoid Fractures
Conclusion The final wrist PSAB model, adapted for fracture treatment, is lightweight, comfortable, and provides anatomical contention. It is currently being tested for the treatment of stable distal radius and scaphoid fractures in comparison to conventional plaster cast. [...] 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 - February 2, 2024 Category: Orthopaedics Authors: Tobler-Ammann, Bernadette Schuind, Fr édéric Voillat, Lo ïc Gentilhomme, Th éophile V ögelin, Esther Murith, No é Masserey, Bernard Tags: Special Review Article Source Type: research
Aptis Distal Radioulnar Joint Implant: Management of Remarkable Complications
Conclusion This study describes remarkable complications related to the Aptis implants in wrists with more rare conditions. The implant is more likely to fail in wrists with poor bone stock, remodeling of the radius, deformation, and malformation of the radius. The range of indications for the usage of the implant to maintain wrist function may be strict.
Level of Evidence IV. [...] 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 - February 2, 2024 Category: Orthopaedics Authors: Stougie, Shirley D. Kemme, Frederique M. Coert, J. Henk Oonk, Joris G. M. Plugge, Lara Doesburg, Margriet H. M. van Tags: Scientific Article Source Type: research
Percutaneous Neutralization Screw with Arthroscopic Bone Grafting for Scaphoid Nonunion
Conclusion This technique of arthroscopic management of scaphoid nonunion using a neutralization screw and cancellous bone graft is simple, easily reproducible, and confers numerous advantages when compared with other treatment modalities. [...] 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 - February 2, 2024 Category: Orthopaedics Authors: Sivakumar, Brahman Shankar Ang, Soon Ghee Smith, Nicholas Tags: Procedure Source Type: research
Increasing Use of Total Wrist Arthroplasty —An Australian National Joint Registry Report
Conclusion There has been an increase in both the volume of TWA performed and the number of surgeons undertaking this procedure in Australia over the past 16 years. The Motec system has become the prosthesis of choice. Medium-term revision rates are inferior when compared with Australian data for hip, knee, and shoulder 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 - January 31, 2024 Category: Orthopaedics Authors: Taylor, Fraser Gilpin, Bradley David Sivakumar, Brahman Shankar Holder, Carl Page, Richard Graham, David James Tags: Scientific Article Source Type: research
A Small Ratio of Proximal to Distal Bone Fragments Is a Risk Factor for Scaphoid Nonunion: A Volumetric Analysis of Preoperative CT
Conclusion Treatment of scaphoid nonunion with a small proximal fragment ratio should be based on a thorough understanding of the anatomy, blood flow, and carpal kinematics of the scaphoid bone itself.
Level of Evidence Level IV, prognostic 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 - January 31, 2024 Category: Orthopaedics Authors: Sugiura, Hirotaka Tatebe, Masahiro Yoneda, Hidemasa Nishizuka, Takanobu Morita, Akimasa Yamamoto, Michiro Tags: Scientific Article Source Type: research
Comparative Analysis of Two Hemiarthroplasty Techniques for Symptomatic Distal Radial Ulnar Joint Arthritis
This study compares midterm outcomes of metallic and pyrocarbon hemiarthroplasties for the treatment of symptomatic DRUJ arthritis. Questions of interest included outcomes and complications.
Patients and Methods In total, 32 hemiarthroplasties, 10 metallic and 22 pyrocarbon, were performed between 2010 and 2020 by three surgeons at one tertiary medical center. Patients' retrospective outcomes were extracted from the electronic medical record.
Results Postoperatively, the metallic implant group (mean follow-up: 38 months) demonstrated decreased pain but no changes in range of motion. Comparatively, the p...
Source: Journal of Wrist Surgery - January 31, 2024 Category: Orthopaedics Authors: Hebel, Nathan Wu, Kitty Y. Helsper, Elizabeth El Hassan, Bassem Kakar, Sanjeev Rizzo, Marco Moran, Steven L. Tags: Scientific Article Source Type: research
The Role of Proximal Locking Fixation in Volar Distal Radius Fracture Fixation
Conclusions The use of locking screws in the proximal fragment did not significantly affect the initial stability of volar distal radius plating. However, failure modes differed between the nonlocking and locking configurations, consistent with known mechanical properties of locking fixation. Further mechanical studies in cadaveric models and clinical trials are warranted to determine the optimal screw configuration in volar distal radius plating.
Level of Evidence To be determined. Biomechanical study on synthetic models. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001,...
Source: Journal of Wrist Surgery - January 31, 2024 Category: Orthopaedics Authors: Gossett, Leland Vu, Giap H. Reizner, Wayne Gira, Emma Qiu, Bowen Awad, Hani A. Ketonis, Constantinos Tags: Scientific Article Source Type: research
Examining One-Star Reviews in Orthopaedic Hand Surgeons in Large U.S. Cities
Discussion Most one-star reviews regarding orthopaedic-trained hand surgeons referenced nonclinical components—bedside manner was the most common complaint. It was determined that surgical patients were less likely to leave a one-star review; however, if they did, the most common complaint was in reference to a disagreement with the physician's decision or uncontrolled pain postoperatively.
Type of Study Outcomes 2c. [...] 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 - January 31, 2024 Category: Orthopaedics Authors: Hitchman, Kyle J. Anastasio, Albert T. Baumann, Anthony N. Welch, Sarah E. Walley, Kempland C. Klifto, Christopher S. Tags: Perspective Source Type: research
The Complication and Safety Profile of Utilizing Kirschner Wires in Four Corner Fusions
Conclusion 4CF utilizing K-wire fixation is a reproducible and cost-effective technique that results in good patient outcomes including bony union and functional wrist ROM. Smoking and diabetes did not significantly increase the risk of nonunion, and K-wire fixation can successfully be used in these patient populations.
Level of Evidence Level IV (retrospective 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 - January 25, 2024 Category: Orthopaedics Authors: Smith, Shelby R. Dua, Karan Wysocki, Robert W. Fernandez, John J. Cohen, Mark S. Simcock, Xavier C. Tags: Scientific Article Source Type: research
