{"title":"Unravelling ulna-sided wrist pain","authors":"Alastair Faulkner, Daniel Brown","doi":"10.1016/j.mporth.2025.06.002","DOIUrl":"10.1016/j.mporth.2025.06.002","url":null,"abstract":"<div><div>Ulna-sided wrist pain is a common presenting condition, however the unique and complex anatomy of that area presents wide-ranging diagnostic challenges. Ulnar-sided wrist pain can be due to: bony, cartilaginous or ligamentous injury; joint instability in the carpus or distal radioulnar joint; bony impingement; nerve compression; tendon dysfunction or arthritis. The aim of this review article is to detail the important relevant anatomy and the associated pathoanatomy in order to understand the conditions; and to highlight relevant history, examination findings, and investigations that can help decipher the problem and make a correct diagnosis.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 202-213"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wrist arthroscopy: indications, portal anatomy and therapeutic advances","authors":"Philip Mathew, Fabio Andres Tandioy-Delgado","doi":"10.1016/j.mporth.2025.06.004","DOIUrl":"10.1016/j.mporth.2025.06.004","url":null,"abstract":"<div><div>Wrist arthroscopy has revolutionized the management of wrist pathology in recent years. This article aims to provide the reader with an overview of the procedure, its indications, set-up, and its applications, both diagnostic and therapeutic. A good knowledge of anatomy is a pre-requisite to performing safe arthroscopic surgery and thus decrease iatrogenic complications. Advances in technology and techniques have allowed the safe utilization of wrist arthroscopy with good outcomes for a wider range of indications.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 229-247"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomy and approaches of the wrist","authors":"Joseph Alsousou, Vijay Bhalaik","doi":"10.1016/j.mporth.2025.06.005","DOIUrl":"10.1016/j.mporth.2025.06.005","url":null,"abstract":"<div><div>A thorough knowledge of the anatomy of the wrist is key to performing successful approaches to the complex tendon, ligament, neural and articular structures of the wrist. Several approaches have been described in the literature employing a range of anatomical planes. These approaches can be categorized into dorsal, volar and specialized approaches. Eight surgical approaches within the three categories are described in this article. The relevant anatomy for each approach is described, including details of vascular, neural, osseous, articular and ligamentous relations. This is followed by description of the surgical approaches to the distal radius, distal radio-ulnar joint, carpal tunnel, Guyon’s canal, volar distal radius, volar scaphoid, dorsal scaphoid and de Quervain’s release.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 248-255"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radiology of the wrist","authors":"Priam Heire, David Temperley, Raj Murali","doi":"10.1016/j.mporth.2025.06.009","DOIUrl":"10.1016/j.mporth.2025.06.009","url":null,"abstract":"<div><div>The anatomy and biomechanics of the wrist are complex and the joint can be affected by a wide range of pathology. Here, we explain the radiological anatomy of the wrist joint with respect to various imaging modalities. Trauma is a major cause of wrist pain and disability and can involve fractures, ligamentous and other soft tissue injuries. Fractures of the scaphoid can lead to avascular necrosis, non-union and accelerated osteoarthritis. Injuries of the intrinsic ligaments can disrupt the normal biomechanical relationship of the scaphoid and trapezium and cause instability and scapholunate advanced collapse. Carpal dislocations are severe injuries and include lunate dislocation, where the lunate dislocates in a volar direction, or perilunate dislocation, where there is dislocation of the carpus relative to the lunate. Tears of the triangular fibrocartilage can be traumatic or degenerate and are best imaged with MR arthrography. Diagnosis of distal radioulnar joint instability can be problematic but there are various methods which can be employed, including the Mino, epicentre and congruency techniques. The wrist joint can be involved in all types of arthropathy, most commonly osteoarthritis which is commonly seen at the base of the thumb. Rheumatoid arthritis is an inflammatory condition and ultrasound is a very sensitive examination for assessment of active synovitis, tenosynovitis or tendon rupture.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 219-228"},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Answers to the CME questions on Orthopaedic Oncology","authors":"","doi":"10.1016/j.mporth.2025.06.007","DOIUrl":"10.1016/j.mporth.2025.06.007","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Page 267"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CME questions on The Wrist","authors":"","doi":"10.1016/j.mporth.2025.06.008","DOIUrl":"10.1016/j.mporth.2025.06.008","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 265-266"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical examination of the wrist","authors":"Hassaan Sheikh, Dan Morell","doi":"10.1016/j.mporth.2025.06.006","DOIUrl":"10.1016/j.mporth.2025.06.006","url":null,"abstract":"<div><div>A well-rehearsed and slick clinical examination of the wrist is key to a successful outcome in the FRCS exam as well as ascertaining accurate diagnosis of a patient’s symptoms. Precise localization of the pathology from a focused history and thorough examination is crucial prior to requesting appropriate investigations. Although localization of offending pathology can be difficult due to multiple anatomical structures in close proximity, a systematic examination will avoid missed pathology. It is useful to compartmentalize wrist symptoms as being radial sided, central or ulnar sided whilst taking the history as this will direct the examiner to focus their examination accordingly. This article will detail a routine of wrist examination with subsequent focus on specific tests and findings present in common subacute and elective conditions. As with any musculoskeletal examination, the key to accurate diagnosis is working knowledge of underlying anatomy and its relevance to functions of the wrist and hand. Whilst the scope of this article limits discussion of anatomy, it is highly recommended to be well versed with this.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 4","pages":"Pages 256-264"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bone and soft tissue tumours: non-surgical management","authors":"Lesley Speed","doi":"10.1016/j.mporth.2025.03.004","DOIUrl":"10.1016/j.mporth.2025.03.004","url":null,"abstract":"<div><div>The majority of patients with a malignant bone lesion will have bone metastases from a distant primary tumour. This could be present at the time of diagnosis of malignancy or develop later in the course of the disease. Some primary tumour types are more likely than others to develop bone secondaries. This common clinical problem requires a multidisciplinary approach in order to reduce skeletal events and symptoms for patients, and maintain their quality of life. Almost all patients with metastatic bone disease will have incurable cancer and this needs to be acknowledged when considering treatment options. Conversely primary malignant bone tumours are relatively rare conditions that need to be managed by specialist centres, often requiring intensive multimodality, multi-professional treatment. Patients with localized disease can be cured but there remains a high risk of both local recurrence and metastases. Soft tissue sarcomas will often require radiotherapy and surgical treatment as primary management. Chemotherapy plays more of a role when treating metastatic disease.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 157-164"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farhan Eitezaz, Kathryn H Steele, Nicholas Eastley
{"title":"Soft tissue sarcomas for trauma and orthopaedic exam candidates","authors":"Farhan Eitezaz, Kathryn H Steele, Nicholas Eastley","doi":"10.1016/j.mporth.2025.03.002","DOIUrl":"10.1016/j.mporth.2025.03.002","url":null,"abstract":"<div><div>Soft tissue sarcomas (STS) represent a diverse group of malignant tumours for which surgery is the cornerstone of curative treatment. All STS patients should be managed by a specialized sarcoma multidisciplinary team (MDT). For non-metastatic STS, the surgical aim of treatment is the wide excision of the tumour. Amputations are infrequently employed as a first-line treatment, although may be required in complex or recurrent cases. Wound complications following STS surgery are not uncommon, and reconstructive surgery is key to promote healing. Radiotherapy may be utilized for large, high-grade STS, or those close to essential anatomical structures that necessitate a marginal resection. This radiotherapy may be delivered pre- (neoadjuvant) or post- (adjuvant) operatively, with the aim of reducing local recurrence rates. Systemic treatments such as chemotherapy are generally not utilized for localized STS, other than for a few, specific subtypes. In metastatic patients, systemic treatment may be employed with palliative intent. The management of localized STS recurrence follows the same principles as those of primary disease, with emphasis placed on re-staging all patients to rule out metastatic disease. Long-term patient follow-up is crucial to detect disease recurrence (local or systemic) and any significant treatment-related complications.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 144-150"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas DA Cosker, Christopher Anthony, Raja Bhaskara Rajasekaran, Christopher LMH Gibbons
{"title":"Surgical management of primary bone sarcomas","authors":"Thomas DA Cosker, Christopher Anthony, Raja Bhaskara Rajasekaran, Christopher LMH Gibbons","doi":"10.1016/j.mporth.2025.03.003","DOIUrl":"10.1016/j.mporth.2025.03.003","url":null,"abstract":"<div><div>This article aims to address the principles of surgical treatment of primary bone sarcomas including chondrosarcoma, osteosarcoma and Ewing's sarcoma of bone. This piece aims to serve as a guide to experienced orthopaedic surgeons who have limited knowledge of managing musculoskeletal tumours especially primary bone sarcomas. Important principles surrounding surgery involving bone sarcomas, principles of biopsy of such lesions and reconstruction techniques have been discussed. Limb salvage is the expectation in today's era and though endoprosthesis replacement is an important tool in a surgeon's armoury, biological methods of reconstruction have also shown to be effective in many settings. Chemotherapy and radiotherapy are vital adjuvant therapies associated with these sarcomas, and they have been discussed in this article.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 151-156"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
求助内容：
应助结果提醒方式：