Collateral Ligament Avulsion Fractures from the Heads of the Metacarpals of the Fingers

2006 ◽  
Vol 31 (5) ◽  
pp. 537-541 ◽  
Author(s):  
D. J. SHEWRING ◽  
R. H. THOMAS
Keyword(s):  
Conservative Treatment ◽  
Internal Fixation ◽  
Full Range ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Dorsal Approach ◽  
Avulsion Fractures ◽  
Non Union ◽  
Full Flexion

Nineteen patients with collateral ligament avulsion fractures from the metacarpal heads of the fingers were treated during a 6 year period. Seven undisplaced fractures were initially treated conservatively. Four united with full movement. Three required internal fixation for symptomatic non-union and healed without problems. Eleven patients with displaced fractures were treated by primary internal fixation using a single lag screw through a dorsal approach. Seven of these achieved a full range of movement of the injured digit by 3 months. Four patients failed to regain full flexion of the metacarpophalangeal joint. One patient with a displaced and comminuted fracture was treated with internal fixation at 8 weeks when the fragment had consolidated. As with similar fractures from the proximal phalangeal bases, these fractures are prone to non-union when treated conservatively, even when undisplaced. If fixation becomes necessary, the delay of a trial of conservative treatment does not appear to affect the outcome. Internal fixation of displaced fractures allows gentle mobilisation and facilitates union.

Avulsion Fractures from the Base of the Proximal Phalanges of the Fingers

2003 ◽  
Vol 28 (1) ◽  
pp. 10-14 ◽  
Author(s):  
D. J. SHEWRING ◽  
R. H. THOMAS
Keyword(s):  
Internal Fixation ◽  
Full Range ◽  
Range Of Movement ◽  
Avulsion Fractures ◽  
Lag Screw ◽  
Palmar Approach

Thirty-three patients with avulsion fractures from the base of the proximal phalanges were treated during a 6-year period. All eight fractures treated conservatively failed to unite and subsequently required surgery. The remaining 25 patients were treated with primary internal fixation using a single lag screw through a palmar approach. Surgery gave excellent results in all cases and all patients achieved a full range of movement within 3 weeks.

Emergency Reconstruction of a Collateral Ligament of a Metacarpophalangeal Joint Using Dacron Material

1999 ◽  
Vol 24 (3) ◽  
pp. 376-378 ◽  
Author(s):  
M. LANZETTA ◽  
A. CHOLLET
Keyword(s):  
Full Range ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Pedicled Flap ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Long Term Follow Up ◽  
Interosseous Artery

We present a case in which an open wound involving the ulnar collateral ligament of the metacarpophalangeal joint of the little finger was treated by ligament reconstruction using a strip of Dacron material, nerve grafting and coverage by a posterior interosseous artery pedicled flap. At a long term follow-up of 4 years, the joint was stable and had a full range of movement.

Condylar fractures of the proximal and middle phalanges

2013 ◽  
Vol 40 (1) ◽  
pp. 51-58 ◽  
Author(s):  
D. J. Shewring ◽  
A. C. Miller ◽  
A. Ghandour
Keyword(s):  
Internal Fixation ◽  
Full Range ◽  
Day Surgery ◽  
Nonoperative Treatment ◽  
Lateral Approach ◽  
Close Monitoring ◽  
Range Of Movement ◽  
Distal Interphalangeal ◽  
Condylar Fractures ◽  
Extensor Lag

We describe the treatment of 74 patients with phalangeal condylar fractures. Twelve patients presenting with undisplaced fractures were initially treated nonoperatively; of these, five displaced, requiring fixation. The remaining seven patients, all children, united uneventfully. Sixty-two patients presenting with displaced fractures were treated with internal fixation using a single lag screw through a lateral approach. The patients were treated semi-electively on a day surgery unit. Twenty-seven patients with unicondylar fractures, all operated on within 2 weeks of injury, regained full range of movement. Thirty-eight patients had loss of extension (range 10–35°) with fixed flexion contractures at the proximal interphalangeal and thumb interphalangeal joints and extensor lag at the distal interphalangeal joints (overall mean extension loss 10°). Although fixation was technically easier during the first week, a delay of 2 weeks before fixation made little difference to the outcome. In our experience, fractures can be taken down and fixed internally even 8 weeks after injury. If nonoperative treatment is initially embarked upon, close monitoring is required with weekly radiographs up to 3 weeks, as these fractures will frequently displace.

A SIMPLE METHOD OF OSTEOSYNTHESIS FOR AVULSION FRACTURES OF THE THUMB METACARPOPHALANGEAL JOINT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 209-211
Author(s):  
Kentaro Watanabe
Keyword(s):  
Internal Fixation ◽  
Avulsion Fracture ◽  
Kirschner Wire ◽  
Metacarpophalangeal Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Simple Method ◽  
Avulsion Fractures ◽  
Pull Out ◽  
Thumb Metacarpophalangeal Joint

Five cases with an avulsion fracture of the thumb metacarpophalangeal joint treated by a simple method of internal fixation are described. This method is designed as a form of modified tension band wiring using the combination of a single Kirschner wire and a pull-out wire, and is technically easy.

A 22-year-old chronic scaphoid non-union treated with arthroscopic percutaneous scaphoid fixation – A case report and review of literature

2020 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Syed Shumon ◽  
Moin Durrani ◽  
Karthikeyan P. Iyengar ◽  
William Y. C. Loh
Keyword(s):  
Conservative Treatment ◽  
Internal Fixation ◽  
Bone Grafting ◽  
Scaphoid Fracture ◽  
Carpal Bone ◽  
Non Union ◽  
Scaphoid Fractures ◽  
First Case ◽  
Vascularized Bone ◽  
Little Finger

Scaphoid fractures are the most common fractures of the carpal bone. Most heal with adequate conservative treatment, but reports of non-union after conservative treatment have been up to 50%. Symptomatic non-union of a scaphoid fracture remains a common disabling problem. It is known that the scaphoid non-union will inevitably progress to the scaphoid non-union advance collapse over time. Surgical management of chronic non-union of scaphoid fracture includes vascularized bone grafting or non-vascularized bone grafting with or without internal fixation. A 36-year-old male presented with a hyperextension injury to the left little finger. An X-ray showed left little finger distal interphalangeal joint dislocation and an incidental 22-year-old chronic non-union scaphoid fracture. To date, incidental discovery of non-union is at the rate of 0.14%. The patient underwent arthroscopic non-vascularized bone grafting with internal fixation after the natural course of the condition was explained to him. He made a good recovery with a complete union of his scaphoid and resolution of his wrist pain. Our case describes the first case of arthroscopic repair of a chronic non-union scaphoid fracture of 22-year duration and demonstrates union of scaphoid fracture and resolution of symptoms can be achieved with good surgical fixation even extremely prolonged chronic non-union.

Rupture of the Ulnar Collateral Ligament of the Metacarpophalangeal Joint of the Index Finger

2000 ◽  
Vol 25 (1) ◽  
pp. 108-109 ◽  
Author(s):  
M. BOSCH AGUILÁ ◽  
J. SOLANA CARNÉ ◽  
A. HENRIQUEZ LLUCH
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Index Finger ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Chronic Instability ◽  
Left Hand ◽  
Persistent Instability

We report a case of chronic instability due to rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the index finger of the left hand. Because of persistent instability after the initial conservative treatment, surgical treatment was required.

scholarly journals Design of a Reconfigurable Robotic System for Flexoextension Fitted to Hand Fingers Size

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
J. Felipe Aguilar-Pereyra ◽  
Eduardo Castillo-Castaneda
Keyword(s):  
Adult Population ◽  
Full Range ◽  
Tracking Error ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Robotic System ◽  
Interphalangeal Joint ◽  
Range Of Movement ◽  
Population Maximum ◽  
Displacement Speed

Due to the growing demand for assistance in rehabilitation therapies for hand movements, a robotic system is proposed to mobilize the hand fingers in flexion and extension exercises. The robotic system is composed by four, type slider-crank, mechanisms that have the ability to fit the user fingers length from the index to the little finger, through the adjustment of only one link for each mechanism. The trajectory developed by each mechanism corresponds to the natural flexoextension path of each finger. The amplitude of the rotations for metacarpophalangeal joint (MCP) and proximal interphalangeal joint (PIP) varies from 0 to 90° and the distal interphalangeal joint (DIP) varies from 0 to 60°; the joint rotations are coordinated naturally. The four R-RRT mechanisms orientation allows a 15° abduction movement for index, ring, and little fingers. The kinematic analysis of this mechanism was developed in order to assure that the displacement speed and smooth acceleration into the desired range of motion and the simulation results are presented. The reconfiguration of mechanisms covers about 95% of hand sizes of a group of Mexican adult population. Maximum trajectory tracking error is less than 3% in full range of movement and it can be compensated by the additional rotation of finger joints without injury to the user.

Avulsion Fracture of the Metacarpophalangeal Joint of the Finger

1997 ◽  
Vol 22 (5) ◽  
pp. 667-671 ◽  
Author(s):  
M. SAKUMA ◽  
R. NAKAMURA ◽  
G. INOUE ◽  
E. HORII
Keyword(s):  
Avulsion Fracture ◽  
Functional Result ◽  
Articular Surface ◽  
Metacarpophalangeal Joint ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Avulsion Fractures ◽  
Operative Findings ◽  
Type Of Fracture ◽  
Treatment Surgery

Six patients with avulsion fractures of the metacarpophalangeal joints of the fingers are reported. Operation was performed in all cases. Judging from the operative findings, the radiological assessment of fragment shape is helpful in treatment. Surgery is recommended when the fragment is triangular or rectangular in shape because the fracture involves the articular surface. Conservative treatment is effective if the fragment is round because the articular surface of the joint is not involved in this type of fracture. The avulsed fragment often overlaps the metacarpal head and a collateral ligament injury is likely to be misdiagnosed. It is important to suspect this injury and assess the shape of the whole fragment for a good functional result.

scholarly journals Results of internal fixation and anterior muscle pedicle bone grafting in old femoral neck fracture

2012 ◽  
Vol 43 (1-2) ◽  
pp. 10-11 ◽  
Author(s):  
MI Khalil ◽  
A Rahman
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Rectus Femoris ◽  
Fracture Site ◽  
Easy Access ◽  
Bone Block ◽  
Range Of Movement ◽  
College Hospital ◽  
Non Union ◽  
Fracture Neck Femur

Sixteen cases of old fracture neck femur were treated by internal fixation and anterior muscle pedicle bone grafting of rectus femoris, sartorius bone block from anterior superior iliac spine. The treatment period were from January 2000 to December 2009 at Khulna Medical College Hospital and some private hospital. Different methods of fixation and bone grafting procedure were reported. We did this procedure by open reduction and internal fixation by cannulated hip screws and muscle pedicle bone grafting. Additional cancellous bone grafting were done in every cases. Follow up period was 2 to 7 years (average 5 years). Evaluation parameter were union, non union. collapse of neck, avascular necrosis of femoral head (AVN) coxavara, shortening, pain, range of movement and functional activities and over all satisfaction of patient. The results of fracture healing rate was good (9), fair (4) and poor (3). The technique is simple, rewarding and easy access of fixation and muscle pedicle bone grafting. Bone graft was placed by making a gutter at fracture site and maintained by a screw or prolin suture. DOI: http://dx.doi.org/10.3329/bmjk.v43i1-2.13016 Bang Med J (Khulna) 2010; 43: 10-11

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