Journal of Wrist Surgery最新文献_第2页

Double Trouble: Malunited Distal Radius Fracture and Scapholunate Ligament Injury. 双重困扰：桡骨远端畸形骨折及舟月骨韧带损伤。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-07-18 eCollection Date: 2025-04-01 DOI: 10.1055/s-0044-1787157

Igor O Golubev, Bella M Gazimieva, Dmitry A Bessonov, Maksim E Sautin, Andrey V Korolev

{"title":"Double Trouble: Malunited Distal Radius Fracture and Scapholunate Ligament Injury.","authors":"Igor O Golubev, Bella M Gazimieva, Dmitry A Bessonov, Maksim E Sautin, Andrey V Korolev","doi":"10.1055/s-0044-1787157","DOIUrl":"10.1055/s-0044-1787157","url":null,"abstract":"Background Combinations of distal radius fractures with scapholunate ligament (SL) injuries are hard to diagnose, and amalunited fractures with ligament damage are rarely discussed. Materials and Methods Here is presented a case of a 40-year-old man with history of a malunited distal radius fracture and a scapholunate rupture with a time difference of over a decade between assumed traumatic incidents. We present the results of a simultaneous treatment of both conditions with corrective osteotomy and osteosynthesis of the distal radius combined with SL tenodesis. Results At 2 years after the surgery, there was a significant improvement in the results of the patient's questionnaire on subjective scales, a slight improvement in the range of motion in the wrist joint. Conclusion Despite the lack of publications on the topic in the literature, isolated problems of malunion of the distal radius fractures and the consequences of scapholunate injuries are still open for discussion. Our results suggest that when these two problems are combined, one-stage treatment can have excellent results.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"14 2","pages":"158-164"},"PeriodicalIF":0.7,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Decision-Making in Kienböck Disease. 基恩伯克病的决策制定。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-07-17 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1788302

Toshiyasu Nakamura

引用次数: 0

Midcarpal Arthrodesis with or without Excision of Triquetrum: A Systematic Review. 腕中关节融合术伴或不伴三骨肌切除：系统综述。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-06-26 eCollection Date: 2025-06-01 DOI: 10.1055/s-0044-1786027

Richard Tee, J R Onggo, Nicola F Fine, Stephen K Tham, Eugene T Ek

{"title":"Midcarpal Arthrodesis with or without Excision of Triquetrum: A Systematic Review.","authors":"Richard Tee, J R Onggo, Nicola F Fine, Stephen K Tham, Eugene T Ek","doi":"10.1055/s-0044-1786027","DOIUrl":"10.1055/s-0044-1786027","url":null,"abstract":"Purpose The purpose of this systematic review is to compare the clinical outcomes of midcarpal arthrodesis with triquetrum excision against midcarpal fusion without the excision of triquetrum performed using modern osteosynthesis technology. Materials and Methods A systematic review of publications in PubMed, Medline, EMBASE, and Cochrane Database of Systematic Review was conducted. The studies that utilized osteosynthesis techniques other than Kirshner wire, with at least 10 patients, and had a minimum one-year follow-up period in English language were included. The quality of studies were evaluated using validated tools for assessing observational studies. Union rate, functional outcomes and revision/complication rates were collected and analyzed. Results A meta-analysis was not possible. Based on pooled data the flexion-extension arc improved by 6 degrees for midcarpal arthrodesis group with triquetrum excision, but decreased by 11 degrees in the group without. The radial-ulnar arc improved by 5 degrees in the triquetrum excision group, but decreased by 3 degrees in the triquetrum preserving group. Improvement in grip strength appears to be better in the triquetrum preserving group (10 kg as opposed to 1 kg), while there were no observable difference in pain score. Conclusion The literature lacked good comparison studies to examine the role of triquetrum excision in midcarpal fusion. While midcarpal fusion with triquetrum excision appeared to yield better ROM in the pooled data, studies with direct comparison of the two techniques are required to fill in the gap. Type of Study/Level of Evidence Therapeutic IV.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"14 3","pages":"283-294"},"PeriodicalIF":0.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guidelines for the Diagnosis and Treatment of Ulnar Impaction Syndrome (2024). 尺嵌塞综合征诊断与治疗指南（2024）。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-05-27 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1787156

Wendong Xu, Pak Cheong Ho, Toshiyasu Nakamura, Jeffrey Oscar Ecker, Keiji Fujio, Joo Yup Lee, Shanlin Chen, Siu Cheong Jeffrey Justin Koo, Ping Tak Chan, Andrew Yuan Hui Chin, Young Kuen Lee, Jui Tien Shih, Wing Lim Tse, Abhijeet L Wahegaonkar, Yaolong Chen

{"title":"Guidelines for the Diagnosis and Treatment of Ulnar Impaction Syndrome (2024).","authors":"Wendong Xu, Pak Cheong Ho, Toshiyasu Nakamura, Jeffrey Oscar Ecker, Keiji Fujio, Joo Yup Lee, Shanlin Chen, Siu Cheong Jeffrey Justin Koo, Ping Tak Chan, Andrew Yuan Hui Chin, Young Kuen Lee, Jui Tien Shih, Wing Lim Tse, Abhijeet L Wahegaonkar, Yaolong Chen","doi":"10.1055/s-0044-1787156","DOIUrl":"10.1055/s-0044-1787156","url":null,"abstract":"Background Ulnar impaction syndrome (UIS), also known as ulnar impaction or ulnar abutment, is a degenerative condition causing pain on the ulnar side of the wrist. It can lead to wrist bone necrosis, resulting in wrist joint stability disruption and a significant wrist function impairment. The global understanding of this condition varies, contributing to substantial differences in clinical outcomes. Purposes This paper underscores the necessity of developing evidence-based clinical guidelines for UIS to guide clinicians in their diagnostic and therapeutic approaches. Materials and Methods In collaboration with the Asian Pacific Wrist Association, a team of experts from various fields within the Hand Surgery Department at Huashan Hospital has collectively formulated the \"Clinical Practice Guidelines for Ulnar Impaction Syndrome (2024)\" (hereinafter referred to as the \"Guidelines\"). The development process adhered to the guidelines outlined in the World Health Organization's handbook for guideline development. Results Ten key questions and 21 recommendations are formed. The Guidelines provide recommendations for UIS diagnosis, criteria for selecting conservative or surgical interventions, options for surgical procedures, and address various related issues. Conclusions The collaborative effort aims to standardize clinical practices, enhance diagnostic accuracy, and improve treatment outcomes for individuals affected by UIS, with these recommendations intended to serve as a valuable reference for healthcare professionals.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"14 1","pages":"2-13"},"PeriodicalIF":0.7,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proximal Scaphoid Reconstruction Techniques Comparison of Three Techniques for Proximal Scaphoid Recontruction. 近端肩胛骨重建技术近端肩胛骨再造三种技术的比较

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-05-27 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1786525

Joseph A Gil, Marion Burnier, Alexander Hooke, Bassem Elhassan, Sanjeev Kakar

{"title":"Proximal Scaphoid Reconstruction Techniques Comparison of Three Techniques for Proximal Scaphoid Recontruction.","authors":"Joseph A Gil, Marion Burnier, Alexander Hooke, Bassem Elhassan, Sanjeev Kakar","doi":"10.1055/s-0044-1786525","DOIUrl":"10.1055/s-0044-1786525","url":null,"abstract":"Introduction The costo-osteochondral autograft, vascularized medial femoral trochlear osteochondral autograft, and proximal hamate autograft have been used for the reconstruction of unsalvageable proximal pole scaphoid nonunions. Our hypothesis is that there is no difference in carpal kinematics after the proximal pole of the scaphoid is reconstructed with these three graft options. Methods Wireless sensors were mounted to the carpus that was loaded through cyclical motion. Each specimen was tested under a series of the three reconstructed conditions and their kinematics compared. Results No significant differences were found in scapholunate and lunocapitate joint motion during wrist flexion-extension and wrist radioulnar deviation between the three reconstructed conditions ( p > 0.05). Discussion and Conclusion There are minimal differences in carpal kinematics when comparing reconstruction of the proximal pole of the scaphoid with the costoosteochondral, medial femoral trochlear, and proximal hamate grafts.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"13 5","pages":"421-426"},"PeriodicalIF":0.7,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scaphoid Fracture/Nonunion. 肩胛骨骨折/不愈合。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-05-27 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1786870

Toshiyasu Nakamura

引用次数: 0

Arthroscopic Portals. 关节镜门户

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-03-18 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1782231

Toshiyasu Nakamura

引用次数: 0

Arthroscopic Thermal Shrinkage of Lunotriquetral Ligament Incomplete Tear without Triangular Fibrocartilage Complex Perforation. 关节镜下无三角纤维软骨复合体穿孔的腰三叉韧带不完全性撕裂的热收缩。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-03-14 eCollection Date: 2025-02-01 DOI: 10.1055/s-0043-1776000

Byung Sung Kim, Jin Yeong Hwang, Sung Hwan Kim, Eunseok Park, Junyong Kim

{"title":"Arthroscopic Thermal Shrinkage of Lunotriquetral Ligament Incomplete Tear without Triangular Fibrocartilage Complex Perforation.","authors":"Byung Sung Kim, Jin Yeong Hwang, Sung Hwan Kim, Eunseok Park, Junyong Kim","doi":"10.1055/s-0043-1776000","DOIUrl":"10.1055/s-0043-1776000","url":null,"abstract":"Background Few studies have reported the clinical results of arthroscopic debridement and thermal shrinkage for partial lunotriquetral (LT) ligament injury. Purpose We estimated the outcomes of arthroscopic thermal shrinkage of a traumatic LT ligament incomplete tear without triangular fibrocartilage complex (TFCC) perforation. Methods We evaluated the results of 24 patients. The mean follow-up was 16 months. Radiographs were examined for ulnar variance (UV) and radioulnar distance on a true lateral radiograph, and wrist function was assessed based on grip strength, Mayo wrist score, and Disabilities of the Arm, Shoulder, and Hand (DASH) score, both pre- and postoperatively. Results On preoperative magnetic resonance imaging (MRI), no obvious LT ligament tear was observed in any of the patients. The preoperative LT shear test was positive in 19 cases, while the LT ballottement test was positive in 18 cases and the ulnar stress test in 16 cases. Preoperatively, the average radiographic UV was 2.1 mm and the average radioulnar distance was 0.9 mm. The LT tear type was a flap tear in 22 cases and bucket handle tear in 2 cases arthroscopically. The visual analog pain scale score improved postoperatively (from 7.5 to 0.4). The average grip strength improved from 72.7% preoperatively to 89.8% postoperatively. The Mayo wrist score was excellent/good in 6/15 cases and fair in 3 cases, with the scores ranging from 68 to 87. The average DASH score improved from 36.8 to 7. Conclusion We should be careful to differentiate LT ligament tears from TFCC lesions in the cases with ulnar wrist pain, because LT ligament tears may not be detected by MRI. Arthroscopic thermal shrinkage for traumatic LT ligament tear can be an effective treatment. Level of Evidence Level IV.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"14 1","pages":"69-74"},"PeriodicalIF":0.7,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Three-Dimensional Analysis of Polyaxial Volar Locking Plate Position for Distal Radius Fracture. 桡骨远端骨折多轴掌侧锁定钢板定位的三维分析。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-03-08 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1782238

Yusuke Eda, Sho Kohyama, Akira Ikumi, Tomoo Ishii, Masashi Yamazaki, Yuichi Yoshii

{"title":"Three-Dimensional Analysis of Polyaxial Volar Locking Plate Position for Distal Radius Fracture.","authors":"Yusuke Eda, Sho Kohyama, Akira Ikumi, Tomoo Ishii, Masashi Yamazaki, Yuichi Yoshii","doi":"10.1055/s-0044-1782238","DOIUrl":"10.1055/s-0044-1782238","url":null,"abstract":"Background To avoid screw penetration into the joint when using the polyaxial volar locking plate (VLP) for osteosynthesis of distal radius fractures, it is important to note that the optimal screw insertion angles depending on the plate positions. Purpose The purpose of this study was 2-fold: first, to evaluate the differences of the most distal plate position where the screw does not penetrate into the joint in the three-dimensional (3D) radius models; second, to evaluate the relationship between the plate position and the transverse diameter of the distal radius. Patients and Methods Thirty plain X-rays and computed tomography (CT) scans of healthy wrists were evaluated. The transverse diameter was measured on plain X-rays. 3D radius models were reconstructed from CT data. A 3D image of polyaxial VLP was used to investigate the most distal plate position at three different screw insertion angles. The linear distance between the volar articular edge and the plate edge was measured and compared among different screw insertion angles. The correlations between the plate positions and the transverse diameter were also evaluated. In addition, the relationship between the most distal screw place and articular surface was confirmed with one case of distal radius fracture. Results The optimal positions relative to the neutral were 2.7 mm proximal in the distal swing and 1.9 mm distal in the proximal swing. The linear distance was significantly correlated with the transverse diameter in each group. It was confirmed that the relationship between the most distal screw place and articular surface was applicable in the actual case. Conclusion The results showed that the most distal position of the polyaxial VLP differed depending on the screw insertion angle and became more proximal as the transverse diameter increased. These results may be useful as a reference for preoperative planning. Levels of Evidence III.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"13 6","pages":"484-491"},"PeriodicalIF":0.7,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Classifications of Triangular Fibrocartilage Complex Lesions. 三角纤维软骨复合体病变的分类。

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-01-22 eCollection Date: 2024-02-01 DOI: 10.1055/s-0043-1778082

Toshiyasu Nakamura

引用次数: 0