Wrist Motion Assessment in Tennis Players using Three-Dimensional Motion Capture and Dynamic Electromyography
J Wrist Surg DOI: 10.1055/s-0043-1777024
Background Tennis players often present with ulnar-sided wrist pain, which may reflect repetitive stress and/or faulty mechanics. There is a role for investigating the biomechanics of tennis strokes and how they may relate to wrist pathology. The purpose of this study was to investigate whether three-dimensional motion capture technology and dynamic electromyography (EMG), when used to study groundstrokes in elite junior tennis players, reveals patterns of upper extremity motion that may correlate with the development of clinically relevant pathology.
Case Description ...
Source: Journal of Wrist Surgery - November 30, 2023 Category: Orthopaedics Authors: Israel, Jacqueline S. Loushin, Stacy R. Tetzloff, Sabine U. Ellenbecker, Todd Kaufman, Kenton R. Kakar, Sanjeev Tags: Emerging Technologies and New Technological Concepts Source Type: research
Quality and Reliability Analysis of YouTube as a Source of Patient Information on de Quervain's Tenosynovitis
Conclusion Videos on YouTube regarding de Quervain's tenosynovitis were frequently viewed; however, the information present was of low quality and reliability. Physician-uploaded videos had the highest mean JAMA scores, GQS, and DQT-SS, but had the second-lowest mean number of views of video sources. Patients should receive proper in-office education and be directed toward reputable resources for their orthopaedic conditions. [...] 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 29, 2023 Category: Orthopaedics Authors: Kim, Jason H. Hoy, John F. Shuman, Samuel L. Ahmad, Farhan Simcock, Xavier C. Tags: Scientific Article Source Type: research
Volar Plate-Suture Fixation in the Treatment of Volar Rim Fractures of the Distal Radius
Conclusion Suture fixation of volar rim fractures of the distal radius may be a useful technique in augmenting volar plate fracture fixation. Some loss of early postoperative fracture alignment should be expected.
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 29, 2023 Category: Orthopaedics Authors: Carney, John Bigach, Stephen Goedderz, Cody Gerlach, Erik Marx, Jeremy Kalainov, David Tags: Scientific Article Source Type: research
Arthroscopic Examination of the Triangular Fibrocartilage Complex in Galeazzi Injuries: Revisiting a Complex Injury
J Wrist Surg DOI: 10.1055/s-0043-1776002Galeazzi fracture-dislocations result from severe trauma and can lead to loss of function of the wrist and forearm if not treated appropriately. To avoid such disasters, meticulous surgical management of the injury is necessary. The current literature talks about symptomatic distal radioulnar joint injuries in Galeazzi fracture-dislocations and the various approaches to managing instability. However, unfortunately, there is a dearth of data on the true incidence of injury to the triangular fibrocartilage in the backdrop of the severity of the mechanism of Galeazzi fractures and the d...
Source: Journal of Wrist Surgery - November 22, 2023 Category: Orthopaedics Authors: Choudhury, Muntasir Mannan Saggi, Sandip Singh Chung, Sze Ryn Yap, Robert Tze Jin Chia, Dawn Sinn Yii Jiang, Jackson Kian Hong Chin, Andrew Yuan Hui Tags: Scientific Article Source Type: research
Ulnar Head Fracture with Volar Dislocation of the Distal Radioulnar Joint: A Case Series and Systematic Review
We describe the mechanism of injury and hypothesize about the etiology of the fracture pattern and suggest that it represents the end of a spectrum that also includes the isolated dislocations and those associated with an ulna styloid fracture. [...] 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 22, 2023 Category: Orthopaedics Authors: Samy, David Ananth Julian, Harriet S. Pe, Eindere Zaw Brown, Daniel Tags: Case Report Source Type: research
Radial Midcarpal Instability Treated with Radioscaphocapitate Ligament Recession: A Case Report
We present a rare case of radial midcarpal instability associated with radioscaphocapitate (RSC) ligament injury. A 20-year-old man presented with radial-sided wrist pain and clunking with radial deviation after a fall. Wrist arthroscopy confirmed the pathology of an RSC ligament injury resulting in an extended posture of the scaphoid and a catch-up clunk from sudden flexion of the scaphoid in radial deviation. His RSC ligament was recessed and he had excellent outcome at 1 year follow-up.
Literature Review Midcarpal instability was reported by Lichtman et al as a painful wrist click in ulnar deviation and classifie...
Source: Journal of Wrist Surgery - November 22, 2023 Category: Orthopaedics Authors: Chin-Yi Liao, Janice Meng Kiat Tan, David Tags: Case Report Source Type: research
Ulnar Impaction Syndrome and TFCC Injury: Their Relationship and Management
J Wrist Surg DOI: 10.1055/s-0043-1776759Ulnar-sided wrist pain can be caused by a number of problems, including ulnar impaction syndrome (UIS) and triangular fibrocartilage complex (TFCC) injury. Multiple studies have described the diagnostic criteria for UIS and TFCC injuries, and excellent surgical outcomes have been reported for each condition. Few studies have examined the extent to which the two independent conditions cooccur, and little is known about their relationship. Based on theories in the literature and clinical experience, we propose the possibility of TFCC injury as the cause and result of UIS in this review...
Source: Journal of Wrist Surgery - November 15, 2023 Category: Orthopaedics Authors: Im, Jin-Hyung Lee, Jin-Woo Lee, Joo-Yup Tags: Special Review Article Source Type: research
Reverse Wafer Procedure
Conclusions The reverse wafer procedure presents an alternative treatment option for ulnar impaction syndrome in cases where the TFCC is intact. The mid-term results of this described technique are promising. However, further comparative studies with longer follow-ups are necessary to support these findings.
Level of Evidence IV Therapeutic. [...] 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, 2023 Category: Orthopaedics Authors: Ozcelik, Ismail Bulent Cavit, Ali Yuceturk, Aydin Tags: Scientific Article Source Type: research
Volar Locking Plate versus Closed Reduction and Immobilization for Distal Radius Fracture in the Elderly: Systematic Review and Meta-Analysis of Randomized Controlled Trials
Conclusion This study suggests that for elderly patients aged ≥60 years with acute displaced distal radius fractures, surgical treatment using ORIF with VLP does not provide clinically relevant benefits compared with conservative treatment with closed reduction and immobilization at the 12-month follow-up, despite demonstrating better radiological results. [...] 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 7, 2023 Category: Orthopaedics Authors: Latypov, Niyaz Golubev, Igor Borisova, Alyona Tags: Survey or Meta-Analysis Source Type: research
Combined Arthroscopic Wafer Procedure and Triangular Fibrocartilage Complex Debridement versus Ulnar Shortening Diaphyseal Osteotomy in Management of Ulnar Impaction Syndrome: A Randomized Clinical Trial
Conclusions AWP with TFCC debridement is a reliable and safe method for the management of UIS with a positive variance of less than 4 mm with better clinical and functional results than diaphyseal USO.
Type of study/level of evidence Therapeutic type II. [...] 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 7, 2023 Category: Orthopaedics Authors: El-Tayar, Ahmed El-Ghandour, Samir Ghazal, Adel Rakha, Ibrahim Sallam, Asser Tags: Scientific Article Source Type: research
A Case Series of Distal Radius and Ulna Nonunion Treated with Minimal Surgical Intervention
Conclusions The treatment guidelines for rare nonunion after failed surgical treatment of both the distal radius/ulna were suggested according to the “concept of stability” based on the principles of fracture treatment. This hypothesis could be used to guide prospective studies of revision surgery for nonunion of both the radius and ulna.
Level of Evidence Level IV, retrospective 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 7, 2023 Category: Orthopaedics Authors: Cha, Soo Min Ga, In Ho Kim, Yong Hwan Kim, Seung Won Tags: Scientific Article Source Type: research
Arthroscopic-assisted Distal Radius Fracture Fixation for Dorsoulnar Corner Fragments Using a Locked, Hooked Kirschner-Wire Technique
Conclusions: Arthroscopic-assisted fixation with locked, hooked K-wires offers a reliable solution for accurately reducing challenging DUC fragments in distal radius fractures. This approach complements standard distal radius fixation systems, providing a low-profile dorsal capturing mechanism and addressing the issue of hardware prominence, ultimately improving clinical outcomes. [...] 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 7, 2023 Category: Orthopaedics Authors: Ross, Mark White, Matthew J. Smith, Nicholas Tags: Procedure Source Type: research
Arthroscopic Wafer Procedure for Ulnar Impaction Syndrome in an Intact Triangular Fibrocartilage Complex
J Wrist Surg DOI: 10.1055/s-0043-1775799Ulnocarpal impaction or ulnar abutment symptom occurs secondary to abnormal load bearing on the ulnar side of the wrist leading to pain symptoms and degeneration of the structures of the ulnocarpal joint.The two classical surgical methods used to address this problem are ulnar shortening osteotomy and the wafer procedure, which can either be open or arthroscopic. With the advent of arthroscopy, with surgeon harboring arthroscopy skills, arthroscopic wafer resection has been intensely popularized which requires a central perforation of the triangular fibrocartilage to approach the uln...
Source: Journal of Wrist Surgery - November 7, 2023 Category: Orthopaedics Authors: Choudhury, Muntasir Mannan Sajeev, Suraj Sheng, Brandon Yew Bao Wijetunga, Dashishka Thanuranga Chin, Andrew Yuan Hui Tags: Procedure Source Type: research
Avulsion Fracture of the Extensor Carpi Ulnaris: A Report of Two Cases
We report two cases of ECU avulsion fracture, both of which were successfully treated surgically by open reduction and fixation (ORIF).
Literature Review Only two cases of ECU avulsion fracture have previously been reported in the literature. Forced motion of the wrist into a position of hyperflexion and/or radial deviation appears to be a common mechanism.
Clinical Relevance Clinicians should be aware that ECU avulsion fractures can occur in isolation or in association with other fractures of the hand or wrist. ORIF is warranted due to the prospect of impaired wrist range of motion as well as persistent pain...
Source: Journal of Wrist Surgery - November 7, 2023 Category: Orthopaedics Authors: Fang, Evan Choi, Matthew Cooper, Michael J. Tags: Case Report Source Type: research
A Dual Center Experience with a Locking Intramedullary Nail for Wrist Fusion
Conclusion The current series demonstrated satisfactory function with low rates of revision surgery following IM nail TWF without inclusion of the third CMCJ into the fusion mass. Cases with distal screw loosening had variable clinical presentation and our current practice is to offer outpatient screw removal for cases which reach the threshold for intervention.
Level of Evidence IV retrospective series. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | open access Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - October 16, 2023 Category: Orthopaedics Authors: Heifner, John J. Rowland, Robert J. Gomez, Osmanny Rubio, Francisco Kardashian, George S. Tags: Scientific Article Source Type: research
