Aims. The aims of this study were to describe the epidemiology of
Aims. To determine whether an early return to sport in professional
Australian Rules Football players after fixation of a non-thumb
metacarpal fracture was safe and effective. Patients and Methods. A total of 16 patients with a mean age of 25 years (19 to 30)
identified as having a non-thumb
Our aim was to explore factors associated with early post operative infection for surgically managed base of 4th/5th
There is no agreement as to the superiority or specific indications for cast treatment, percutaneous pinning or open fracture fixation for Bennett's fractures of the thumb
Our aim was to ascertain if K-wire configuration had any influence on the infection and complication rate for base of 4th and 5th
Aims. The aim of this study was to investigate whether clinical and radiological outcomes after intramedullary nailing of displaced fractures of the fifth
Abstract. Objectives. 1. To describe the epidemiology of
Objectives. The exact aetiology and pathogenesis of microdamage-induced long bone fractures remain unknown. These fractures are likely to be the result of inadequate bone remodelling in response to damage. This study aims to identify an association of osteocyte apoptosis, the presence of osteocytic osteolysis, and any alterations in sclerostin expression with a fracture of the third
Two case reports illustrate a relatively simple procedure to preserve thumb function in trauma and locally invasive tumours. The first case report is of a man who presented with a slowly growing chondrosarcoma involving his left thumb
The use of plates and screws for the treatment of certain
Introduction:
Introduction. Antegrade K wiring of the fifth
Introduction: Intramedullary fixation is a recognised method of fracture fixation in fifth
Two case reports illustrate a relatively simple procedure to preserve thumb function in trauma and locally invasive tumours. The first case report is of a man who presented with a slowly growing chondrosarcoma involving his left thumb
Locking of the MCP joint of the finger, except with stenosing tenosynovitis, is relatively rare. The middle finger is most frequently involved. We treated 7 patients who had locking of the MCP joint of the middle finger because of osteophyte of the
In nine patients of median age 34 years who had sustained an amputation of the thumb at a median 24 (5 to 131) months previously, we lengthened the first
AIM: The purpose of this prospective study was to asses the outcome of antegrade intramedullary wiring of displaced distal end of fifth
Introduction and Aim: The
We reviewed our results and complications of using a pre-bent 1.6mm Kirschner wire (K-wire) for extra-articular
We report a long-term follow-up of abduction-extension osteotomy of the first
From 1987 to 1993 we treated 33 patients with 29 phalangeal and seven
1. Rotational deformity of a finger caused by malunion of a phalangeal fracture has been corrected by
The previous bioabsorbable plates have had several issues with regard to clinical usage for fractures. The aims of this study were to demonstrate the clinical results of novel bioabsorbable plates made of hydroxyapatite/poly-L-lactide and titanium plates for
Introduction: Although a variety of fixation techniques have been reported for fixation of oblique or spiral
Background. Boxer's fractures are the most common type of
1. A case of actinomycosis of the
1. Three patients with enchondromata of the
Aim of the study: The aim of this study was to explore whether adverse reactions would occur during the material’s degradation period even at a later time point after fracture healing had been completed, in
The aim of the study was to assess the outcome of fractures of the fifth
The aim of this study was to explore whether adverse reactions would occur during the material’s degradation period even at a later time point after surgery and whether these phenomena were clinically significant and would influence the final outcome. 12 unstable, displaced
Background. Isolated fractures of the distal fourth or fifth
Purpose of the study: Fractures of the
Introduction. Rolando type base of thumb
A bilateral congenital abnormality of the trapezium and first
1. A large proportion of fractures were poorly reduced in this series either because the method used was inadequate or because it was inexpertly applied. At first it was thought that immobilisation in plaster gave adequate fixation but it was impossible to be certain that the reduction was not sometimes lost in the interval between manipulation and the check radiograph taken immediately after plaster had been applied. This suggested that in some cases fixation might be lost early although late redisplacement was not seen. 2. The late subjective results in patients with unreduced fractures were good, but there was some loss of thumb mobility partly due to varus deformity of the
External fixation of the first
We completed a retrospective case study of 66 consecutive isolated closed 5. th.
A vascularised bone-graft procedure from the base of the second
Introduction. Surgical treatment is justified in patients with fifth
1. Shin splints in five horses is described as a stress fracture of the second
Purpose of the study: Lengthening can be proposed for children with congenital or acquired short fingers in order to overcome the length defect and improve function, the aesthetic aspect, or enable installation of a hand prosthesis. Three techniques have been proposed. The purpose of this study was to compare the three techniques in terms of lengthening, achieved, cure index, and complication rate. Material and method: The was a series of 13 lengthening procedures for
1. The treatment of Bennett's fracture is reviewed and the relative merits of conservative and operative treatment is considered. 2. A closed method of treatment is described and a series of thirty-one patients so treated is analysed. There were twenty-nine successful results. 3. It is urged that conservative treatment is the method of choice, and that operative measures should be reserved for the occasion when closed methods have failed.
The April 2023 Wrist & Hand Roundup. 360. looks at: MRI-based classification for acute scaphoid injuries: the OxSMART; Deep learning for detection of scaphoid fractures?; Ulnar shortening osteotomy in adolescents; Cost-utility analysis of thumb carpometacarpal resection arthroplasty; Arthritis of the wrist following scaphoid fracture nonunion; Extensor hood injuries in elite boxers; Risk factors for reoperation after flexor tendon repair; Nonoperative versus operative treatment for displaced finger
Aims. Although chondrosarcomas (CSs) display true malignant features, including local recurrence (LR) and metastases, their behaviour in the hands and feet is thought to differ from that in other parts of the axial and appendicular skeleton by having a lower metastatic potential. The purpose of this study was to investigate the disease-specific and surgical factors that affect the local and systemic prognosis of CS of the hands and feet. Methods. A multicentre retrospective study was carried out at two tertiary sarcoma centres. A database search identified all patients with a CS treated between January 1995 and January 2018. There were 810 CSs of which 76 (9.4%) were located in the fingers, toes,
Aims. To analyze the short-term outcome of two types of total wrist arthroplasty (TWA) in terms of wrist function, migration, and periprosthetic bone behaviour. Methods. A total of 40 patients suffering from non-rheumatoid wrist arthritis were enrolled in a randomized controlled trial comparing the ReMotion and Motec TWAs. Patient-rated and functional outcomes, radiological changes, blood metal ion levels, migration measured by model-based radiostereometric analysis (RSA), bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA), complications, loosening, and revision rates at two years were compared. Results. Patient-Rated Wrist and Hand Evaluation (PRWHE) scores, abbreviated version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH) scores, and pain improved similarly and significantly in both groups. Wrist motion improved significantly in the Motec group only, and forearm rotation in the ReMotion group only. Cobalt (Co) and chromium (Cr) blood ion levels were significantly higher in the metal-on-metal (MoM) Motec group than in the metal-on-polyethylene (MoP) ReMotion group. Mean total translation was 0.65 mm (95% confidence interval (CI) 0.26 to 1.12) and 0.27 mm (95% CI 0.14 to 0.47) for the ReMotion carpal and radial components, and 0.32 mm (95% CI 0.22 to 0.45) and 0.26 mm (95% CI 0.20 to 0.34) for the Motec
Abstract. Aim. This study aims to Inter and intra observer reliability compare, use of a standard goniometer (SG) to measure intermetacarpal angle (degrees) vs use of a new technique of using a digital vernier calliper (DVC) (mm) to measure the distance between the first and second
Thumb carpometacarpal joint (CMCJ) arthritis is a common and debilitating condition. The mainstay of surgical management is Trapeziectomy. Concerns about possible functional implications of collapse of the