Journal of Wrist Surgery最新文献

{"title":"Risk Factors for the Incidence of the Volar Lunate Facet Fragments in Distal Radius Fractures.","authors":"Sadaki Mitsuzawa,&nbsp;Hisataka Takeuchi,&nbsp;Yoshihiro Tsukamoto,&nbsp;Shinnosuke Yamashita,&nbsp;Satoshi Ota,&nbsp;Eijiro Onishi,&nbsp;Tadashi Yasuda","doi":"10.1055/s-0042-1760125","DOIUrl":"https://doi.org/10.1055/s-0042-1760125","url":null,"abstract":"<p><p><b>Background</b>  The volar lip of the distal radius is the key structure for wrist joint stability. Rigid fixation of the volar lunate facet (VLF) fragment is difficult because of its unique anatomy, and a high rate of postoperative displacement was demonstrated. <b>Purposes</b>  The aim of the study is to identify risk factors for VLF in distal radius fractures (DRFs) and to reconsider the important point for primary fixation. <b>Patients and Methods</b>  One hundred fifty-five patients who underwent open reduction and internal fixation for an DRF were included and classified into one of the following two groups: VLF(+)or VLF(-). Demographic data, including age, sex, body mass index (BMI), laterality, trauma mechanism, and AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification were recorded. Several parameters were investigated using wrist radiographs of the uninjured side and computed tomography scans of the injured side. Univariate and multivariate logistic regression analyses were performed to evaluate the risk factors for VLF. <b>Results</b>  There were 25 patients in the VLF(+) group and 130 patients in the VLF(-) group. The incidence of VLF was 16.1%. The VLF(+) group tended to have a higher BMI and higher energy trauma mechanism. The odds ratio for the sigmoid notch angle (SNA), volar tilt (VT), and lunate facet curvature radius (LFCR) were 0.84, 1.32, and 0.70, respectively, with multivariate analysis, which was significant. A smaller SNA, larger VT, and smaller LFCR are potential risk factors for VLF. <b>Conclusion</b>  Over-reduction of the VT at primary fixation should be avoided because it could place an excess burden on the VLF and cause subsequent postoperative fixation failure and volar carpal subluxation. <b>Level of Evidence</b>  IV.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"353-358"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/e1/10-1055-s-0042-1760125.PMC10411066.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976186","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}

{"title":"Arthroscopic Needling Technique for the Treatment of Wrist Ganglia.","authors":"Ricardo Kaempf O,&nbsp;Gustavo Gómez,&nbsp;João P F Brunelli,&nbsp;Marcio A Aita,&nbsp;Vicente Carratalà,&nbsp;Pedro J Delgado S","doi":"10.1055/s-0042-1751015","DOIUrl":"https://doi.org/10.1055/s-0042-1751015","url":null,"abstract":"<p><p><b>Background</b>  Synovial cysts (SCs) are the most frequent wrist tumors; the arthroscopic treatment presents good results when surgery is indicated for symptomatic or patients with cosmetic concerns. The tumoral lesion should be arthroscopically decompressed or drained toward the inside of the joint through pedicle opening and resection of a small portion of the capsule. Hence, the cyst pedicle must be found for the success of this technique. <b>Description of Technique</b>  Some tricks have already been described to facilitate SC location during arthroscopy. We describe an indirect technique that employs an 18-G needle to enhance SC pedicle location and drainage. The technique involves a puncture on the interval of the carpal extrinsic ligaments where the pedicle is suspected to be remain. When found, cyst is drained with a single-puncture motion of the need which promotes cyst content extravasation due to pressure toward the joint. <b>Patients and Methods</b>  This method has been employed in 16 patients, including 9 with dorsal cysts, and seven with volar cysts. <b>Results</b>  All patients presented complete recovery and symptom improvement in up to 30 days, with total disappearance of the cyst. There were no relapses or severe complications within the 12-month follow-up. <b>Conclusion</b>  This is a safe, useful technique that facilitates location of intra-articular cyst pedicle, thus avoiding unnecessary damage in healthy tissues with no increased costs.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"377-382"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411058/pdf/10-1055-s-0042-1751015.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969666","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}

{"title":"Press-Fit Hemihamate Arthroplasty for the Proximal Interphalangeal Joint.","authors":"Hiroaki Takeya,&nbsp;Takuji Iwamoto,&nbsp;Hiroo Kimura,&nbsp;Taku Suzuki,&nbsp;Noboru Matsumura,&nbsp;Tetsuji Hosozawa,&nbsp;Shohei Iwabu","doi":"10.1055/s-0042-1749658","DOIUrl":"https://doi.org/10.1055/s-0042-1749658","url":null,"abstract":"<p><p><b>Background</b>  Chronic proximal interphalangeal joint fracture-dislocations with articular malunion are complex injuries. Hemihamate arthroplasty is an established technique for the management of both acute and chronic cases but is associated with several complications. We present the clinical experience of modified press-fit hemihamate arthroplasty. <b>Description of Technique</b>  The base of the middle phalanx was exposed from the volar side, and the cartilage defect of the proximal interphalangeal joint (PIPJ) was evaluated in the hyperextended position. A bone hole was created slightly toward the volar side to recreate the curvature of the PIPJ. The hemihamate osteochondral graft was harvested and fixed into the bone hole in a press-fit manner without using a screw. The volar plate and flexor tendon sheath were then reattached. <b>Patients and Methods</b>  The study included three patients with chronic dorsal fracture-dislocations of the PIPJ. All patients were treated for >6 weeks after the injury (average 11 weeks). <b>Results</b>  The average total arc of motion of the affected joint improved from 38 degrees before surgery to 80 degrees after surgery. Radiographically, bone union and congruity of the joint surface were achieved in all the patients. None of the treated patients complained of resting pain and reported minimal pain during activity (average visual analog scale 0.5; range 0-1.4). <b>Conclusions</b>  Press-fit hemihamate arthroplasty is a safe and effective procedure for treating chronic PIPJ fracture-dislocations without the risk of screw protrusion.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"371-376"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411244/pdf/10-1055-s-0042-1749658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969672","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}

{"title":"Conservative Management of Kienbock's Disease in a 7-year Old: A Case Report.","authors":"James Lendrum,&nbsp;Alex Lencioni,&nbsp;Ryan Calkins,&nbsp;Frank Scott","doi":"10.1055/s-0042-1744492","DOIUrl":"https://doi.org/10.1055/s-0042-1744492","url":null,"abstract":"<p><p><b>Background</b>  Kienbock's disease is primarily seen in young adult males but has been recognized in skeletally immature populations as well. Traditional treatment strategies recommend operative treatment but high remodeling potential in children may allow conservative management. <b>Case Description</b>  We present the case of a 7-year-old female with 2 months of atraumatic right wrist pain who was found to have edematous signal change within the lunate on wrist magnetic resonance imaging (MRI) consistent with Kienbock's disease. She was treated with rigid immobilization for 12 weeks and transitioned to custom orthotic splint for another 3 months during activities. At her 6 month follow-up, she reported minimal wrist pain with repeat MRI demonstrating the resolution of lunate edema. <b>Literature Review</b>  Available literature shows a significant portion of patients treated conservatively subsequently require surgical intervention due to unresolved symptoms or progressive disease. Only three cases are reported in the literature where skeletally immature patients were successfully treated with conservative management alone <b>Clinical Relevance</b>  We report the youngest case of Lichtman stage I Kienbock's disease successfully treated with conservative management resulting in clinical and imaging resolution. Younger patients may be able to successfully remodel and recover from Kienbock disease with extended time in conservative management.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"364-367"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411054/pdf/10-1055-s-0042-1744492.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969669","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}

{"title":"Trapeziometacarpal External Fixation under Local Anesthesia for the Treatment of Comminuted Intra-Articular Thumb Metacarpal Fractures: Evaluation of Clinical Results and Long-Term Patient Satisfaction.","authors":"Byron E Chalidis,&nbsp;Dimitrios Kitridis,&nbsp;Ioannis Gigis,&nbsp;Panagiotis K Givissis","doi":"10.1055/s-0042-1749146","DOIUrl":"https://doi.org/10.1055/s-0042-1749146","url":null,"abstract":"<p><p><b>Background</b>  A variety of internal and external fixation techniques have been described for the treatment of Rolando fractures, but the optimal fixation method has not been clearly defined. <b>Purpose</b>  The aim of the study was to describe the results and the long-term functional outcome of the application, under local anesthesia, of an external fixation system for the treatment of Rolando fractures. <b>Patients and Methods</b>  In total, 22 consecutive patients (16 men) underwent surgical treatment for Rolando fractures by using two pairs of pins external fixator. All procedures were performed under local anesthesia (Xylocaine 2%) and an image intensifier. Patients were evaluated at regular intervals postoperatively and contacted by phone for long-term follow-up. Functional outcome was assessed using the validated Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) tool. <b>Results</b>  The mean age was 39.8 ± 14.2 years. The mean time from injury to surgery was 4.1 ± 2 days. The mean operative time was 16.3 ± 2.6 minutes. All fractures were healed and no loss of fracture reduction was observed postoperatively. One patient developed wound erythema at the proximal pins, without requiring early removal of the implant, and another one experienced temporary numbness at the distribution of the superficial radial nerve. In total, 20 out of the 22 patients who were available for long-term follow-up did not report any complaints and could perform the daily activities without restriction. The average follow-up was 6.5 ± 1.2 years, and the mean Quick DASH score was 1.8 ± 3. <b>Conclusion</b>  The two pairs of pins external fixator is a valuable option for the treatment of Rolando fractures and can be easily, quickly, and effectively applied under local anesthesia.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"301-305"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411102/pdf/10-1055-s-0042-1749146.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976190","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}

{"title":"The Journal of Wrist Surgery Now Has Its First Impact Factor.","authors":"Toshiyasu Nakamura","doi":"10.1055/s-0043-1771204","DOIUrl":"10.1055/s-0043-1771204","url":null,"abstract":"","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 4","pages":"287"},"PeriodicalIF":0.7,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10327503","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}

{"title":"Volar Locking Plating of Extra-articular Distal Radius Fracture: A Retrospective Clinical Study Comparing Locking Screws versus Smooth Locking Pegs.","authors":"Daniel Tordjman, Mohammad Younis, Shai Factor, Gilad Eisenberg, Franck Atlan, Jessica McBeth, Tamir Pritsch, Yishai Rosenblatt","doi":"10.1055/s-0043-1771338","DOIUrl":"10.1055/s-0043-1771338","url":null,"abstract":"<p><p><b>Background</b>  Open reduction and internal fixation of distal radius fractures is one of the most common procedures performed in wrist surgery. The use of volar locking plate has gained increasing interest in the past decade. Epiphyseal fixation can be done either with locking screws or smooth locking pegs, with no evidence supporting the use of one rather than the other. <b>Purpose</b>  The aim of this study is to compare the stability of distal radius fixation by volar locking plate using locking screws or smooth locking pegs. <b>Methods</b>  Adult patients with A2-A3 AO fractures treated with a volar plate with locking screws only or smooth locking pegs only were retrospectively included. Radiographic assessment was performed to evaluate extra-articular parameters in the intraoperative postreduction and fixation period and after bony healing. Forty-seven distal radius fractures were included. <b>Results</b>  Twenty-four fractures had fixation with locking screws and 23 had fixation with smooth locking pegs. For both groups, all radiographic parameters measured showed a statistically significant difference between the intraoperative postreduction and fixation period and the remote postoperative period after union of the fracture ( <i>p</i>  < 0.05) attesting a slight loss of reduction. Nevertheless, there were no significant differences between the groups in radiographic extra-articular parameters. <b>Conclusion</b>  This clinical study shows that there is no difference in stability fixation between locking screws or smooth locking pegs in A2-A3 distal radius fractures. <b>Clinical Relevance</b>  The use of smooth locking pegs only for epiphyseal fixation appears to be safe in volar plating of A2-A3 distal radius fractures in adult patients and could be an alternative to locking screws. More clinical data are needed to confirm these results. <b>Level of Evidence</b>  Level III; retrospective comparative study.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"1 1","pages":"151-157"},"PeriodicalIF":0.7,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10948244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41711060","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}

{"title":"The Hook Test Is Not Pathognomonic for Foveal Detachment of the Triangular Fibrocartilage.","authors":"Jeff Ecker, Karolina Pavleski, Courtney Andrijich","doi":"10.1055/s-0043-1770077","DOIUrl":"10.1055/s-0043-1770077","url":null,"abstract":"<p><p><b>Background</b>  The integrity of the foveal insertion of the triangular fibrocartilage complex (TFCC) is currently assessed by inference using the hook test. Using dry arthroscopic techniques, the primary author observed that many patients with painful distal radioulnar joint (DRUJ) instability and a positive hook test had an intact foveal insertion. This study was performed to determine whether a positive hook test is a reliable index of a tear of the foveal insertion. <b>Technique</b>  The hook test is performed using a probe to elevate the TFCC off the ulna head toward the articular surface of the lunate. In this study, the hook test was considered positive if the TFCC could be elevated to bridge more than 80% of the space between the TFCC and the articular surface of the lunate. <b>Patients and Methods</b>  A retrospective study was performed using the medical records and arthroscopic videos of 113 patients who had clinical signs of DRUJ instability and underwent arthroscopic surgery performed by the primary author in 2020. It was documented whether the hook test was positive or negative, whether the foveal insertion was intact, abnormal or absent, and whether there were peripheral (dorsal or volar) tears of the TFCC. Sensitivity and specificity were calculated using arthroscopic findings as the reference standard. <b>Results</b>  The sensitivity of the hook test was found to be 100%, and the specificity was 7.0%. The positive predictive value for foveal pathology was found to be 12.3% and the negative predictive value 100%. The diagnostic accuracy of the hook test in determining the presence of foveal tears was found to be 17.7%. The diagnostic accuracy of the hook test in determining the presence of a TFCC abnormality was 99.1%. <b>Conclusions</b>  A positive hook test is indicative of a tear of the TFCC, but it is not anatomically specific for a tear of the foveal insertion. To reliably assess the foveal insertion, it must be visualized and probed using dry arthroscopic techniques.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"1 1","pages":"44-48"},"PeriodicalIF":0.7,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10803151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57981349","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}

{"title":"Rehabilitation after Distal Radius Fractures: Opportunities for Improvement.","authors":"Henriëtte A W Meijer, Miryam C Obdeijn, Justin van Loon, Stein B M van den Heuvel, Lianne C van den Brink, Marlies P Schijven, J Carel Goslings, Tim Schepers","doi":"10.1055/s-0043-1769925","DOIUrl":"10.1055/s-0043-1769925","url":null,"abstract":"<p><p><b>Background</b>  Exercises are frequently prescribed to regain function; yet there is no consensus on a standardized protocol, and adherence is low. Smart technology innovations, such as mobile applications, may be useful to provide home-based patient support in rehabilitation after distal radius fractures. <b>Purposes</b>  Our purpose was to establish the potential of digital innovations for support and monitoring of patients and treatment adherence in rehabilitation programs, and additionally, to compare the current practice among physiotherapists to the various wrist exercise regimens and their effectiveness as described in the literature. <b>Methods</b>  Standard practice, including the use of support tools for treatment adherence, was evaluated using a nationwide survey. Then, scientific databases were searched using \"distal radius fracture\" and \"physiotherapy\" or \"exercise therapy,\" and related search terms, up until 23 March 2023. Results of the survey and literature review were compared. <b>Results</b>  The survey was completed by 92 therapists. Nonstandardized support tools were used by 81.6% of respondents; 53.2% used some form of technology, including taking photos on the patients' smartphone for home reference. In the literature review, 23 studies were included, of which five described an exercise protocol. Treatment adherence was not reported in any of the included studies. Two studies described the use of smart technology or support tools. <b>Conclusions</b>  There is no consensus on a standardized exercise protocol for rehabilitation after distal radius fractures, neither from a systematic literature search nor from a nationwide survey. Smart technology may facilitate monitoring of patients and exercise adherence, hereby supporting self-efficacy and improving adherence and outcomes.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":"12 5","pages":"460-473"},"PeriodicalIF":0.7,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239764","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}

{"title":"Distribution and Characteristics of Carpal Bone Tumors: A Systematic Review.","authors":"Morad Chughtai, Adrienne M Orriols, Supreeya A Saengchote, Jongmin Kim, Thomas W Wright, Paul C Dell, Robert C Matthias","doi":"10.1055/s-0043-1770792","DOIUrl":"10.1055/s-0043-1770792","url":null,"abstract":"<p><p><b>Background</b>  Carpal bone tumors are rare in the literature, making it difficult to identify their clinical presentation. <b>Purpose</b>  This systematic review analyzes the characteristics of published carpal bone tumor cases to identify the most frequent patterns in diagnoses. Attention is paid to the carpal bone involved and type, and patient demographics was performed to summarize published findings. <b>Methods</b>  A systematic review was searched on PubMed, Ovid, and Cochrane databases gathering literature on carpal bone tumors. After applying specific criteria, final analysis of the literature yielded 151 patients with 156 carpal bone neoplasms. <b>Results</b>  The most common carpal bones involved were the scaphoid (48, 31%), capitate (31, 20%), and hamate (24, 15%). Benign tumors represented the largest majority (133, 85%), followed by metastatic (17, 11%) and primary malignant (7, 5%). The most frequent tumor types were osteoid osteoma (37, 24%), osteoblastoma or giant cell tumor (24, 15%), intraosseous ganglia (21, 13%), and chondroblastoma (14, 9%). Within the metastatic category, most tumors derived from lung carcinoma (10, 59%), followed by renal cell carcinoma (2, 12%). There were three types within the malignant category: chondrosarcoma (3, 43%), hemangioendothelial sarcoma (3, 43%), and osteosarcoma (1, 14%). <b>Conclusion</b>  The most frequent carpal bones observed were the scaphoid, capitate, and hamate. Most tumors were benign. The most common tumor types were osteoid osteoma, osteoblastoma, and giant cell tumor. Metastatic carpal tumors were most commonly from lung carcinoma. Chondrosarcoma and hemangioendothelial sarcoma were the most common primary malignancies.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":" ","pages":"534-549"},"PeriodicalIF":0.7,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43587738","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}