scholarly journals Treatment of Locking of the Metacarpophalangeal Joint of the Thumb

2019 ◽  
Vol 12 (01) ◽  
pp. 62-66
Author(s):  
Yoshifumi Harada ◽  
Atsuyuki Inui ◽  
Yutaka Mifune ◽  
Hanako Nishimoto ◽  
Takeshi Kokubu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Successful Treatment ◽  
Open Reduction ◽  
Case Series ◽  
Rare Condition ◽  
Metacarpophalangeal Joint ◽  
The Other ◽  
Chronic Case ◽  
Metacarpal Head ◽  
Thumb Metacarpophalangeal Joint

AbstractLocking of the thumb metacarpophalangeal joint is a relatively rare condition. We report successful treatment in 11 cases of locking of the thumb. Ten patients were diagnosed at an average of 3.2 days (range: 0–21 days) from the injury onset, whereas one patient was diagnosed at 4 months from the injury. Seven of 11 cases underwent successful manual reduction, whereas the other four cases required surgical treatment. Among the surgically treated cases, all cases had a sharp prominent of the radial condyle of the metacarpal head. Therefore, this case series showed 1 chronic case and 4 of 10 cases with a nonround shape of metacarpal heads requiring open reduction.

scholarly journals Radiographic assessment of AO 44-B1 and -B2 ankle fractures

2021 ◽  
Vol 15 (1) ◽  
pp. 31-36
Author(s):  
Pedro Labronici ◽  
Fabricio Fogagnolo ◽  
William Belangero ◽  
Luiz Amorim
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
The Other ◽  
Ankle Fractures ◽  
Radiographic Assessment ◽  
Level Of Evidence ◽  
Radiographic Images ◽  
Other Hand ◽  
Lower Frequencies

Objective: To verify if there is a type of image that guides the surgeon in recommending surgical treatment for ankle fractures and assess whether this decision is associated with the evaluator’s age and experience, considering surgeons of different nationalities. Methods: We analyzed 3 different presentations of radiographic images of ankle fractures in 36 patients: anteroposterior and lateral views, true anteroposterior and lateral views, as well as the 3 grouped images. Images were assessed randomly and independently by 89 professionals of different nationalities, ages, and experience. Results: Among professionals from Ecuador, Argentina, Mexico, and Chile, surgery recommendations were more frequent when images were presented in true anteroposterior and lateral views. For professionals from Peru, Venezuela, Bolivia, Paraguay, Brazil, Colombia, Uruguay, and Guatemala, as well as globally, recommendations for surgery were more frequent when grouped images of the 3 positions were presented. In all countries and globally, we verified lower frequencies of surgery recommendations when presenting only anteroposterior and lateral views. Conclusion: In most countries, surgery recommendations were more frequent when grouped images of all 3 views were presented. On the other hand, the highest frequencies of surgery recommendations were observed when images were presented only in true anteroposterior and lateral views. Surgery recommendations were not associated with the experience (years since graduation) of the evaluating physician. Level of Evidence IV; Prognostic Studies; Case Series.

scholarly journals Kaplan’s Lesion of the Little Finger Treated with Open Reduction by a Volar Approach: A Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 120-124
Author(s):  
Jung Hwan Um ◽  
Soon Heum Kim ◽  
Dong In Jo
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Joint Stability ◽  
Volar Approach ◽  
Metacarpal Head ◽  
Adjacent Structure ◽  
Standardized Treatment ◽  
Little Finger

Kaplan’s lesions are defined as open wounds with the metacarpal head exposed in the palms, accompanied by complex dorsal dislocation of the metacarpophalangeal joint (MCPJ). Kaplan’s lesions are clinically rare because the volar side of the MCPJ is anatomically supported and reinforced by a stronger adjacent structure. Moreover, lesions in the little finger are very rarely reported because most Kaplan’s lesions occur in the index finger. The reduction of lesions and restoration of joint stability is difficult when Kaplan’s lesions occur. Various methods have been currently introduced in the treatment of Kaplan’s lesions; however, no standardized treatment has been established because of the rarity of this disease. This paper reports a case of Kaplan’s lesion of the left little finger without fracture after a fall; the case was successfully treated with open reduction using a volar approach.

Calcaneal Fractures: A Good Prognosis

Foot & Ankle ◽  
1981 ◽  
Vol 2 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Rick Hammesfahr ◽  
Lamar L. Fleming
Keyword(s):  
Surgical Treatment ◽  
Successful Treatment ◽  
Open Reduction ◽  
Postoperative Management ◽  
Good Prognosis ◽  
Memorial Hospital ◽  
Fracture Classification ◽  
Treatment Results ◽  
Calcaneal Fractures

Calcaneal fractures at Grady Memorial Hospital were reviewed for the period of 1973 to 1980. Sixty-two of these fractures were available for follow-up. Treatment was with compression dressings, plaster, pin reduction or open reduction. Grading was by the previously published criteria of Allen and Lindsey. 1 , 21 This paper identifies a positive correlation between facet reduction and successful treatment results. Recommendations are made for fracture classification, surgical treatment and postoperative management.

Posterior epidural migration of herniated lumbar disc fragment

2011 ◽  
Vol 14 (3) ◽  
pp. 313-317 ◽  
Author(s):  
Ahmet Sengoz ◽  
Kadir Kotil ◽  
Erol Tasdemiroglu
Keyword(s):  
Surgical Treatment ◽  
Cauda Equina Syndrome ◽  
Lumbar Disc ◽  
Cauda Equina ◽  
Case Series ◽  
Rare Condition ◽  
Neurological Deficits ◽  
Lumbar Region ◽  
Duration Of Symptoms ◽  
First Choice

Object Posterior epidural migration of a free disc fragment in the lumbar region is a very rare condition that has only been reported in isolated cases to date. Patients with this condition present with radiculopathy or major neurological deficits. Difficulties in diagnosis and the choice and timing of surgical treatment are important in these cases. In this clinical case series, features of cases with posterior epidural migration of free lumbar disc fragments accompanied by cauda equina syndrome are discussed. Methods Eight cases (0.27%) of posterior epidural migration of disc fragments were detected among 2880 patients surgically treated for lumbar disc herniation between 1995 and 2008. Seven of these patients had cauda equina syndrome. The mean duration of symptoms in the 8 cases was 4.2 days (range 1–10 days). The group included 6 men and 2 women, with a mean age of 48 years (range 34–72 years). The sequestered disc fragments were at the L3–4 level in 6 patients (75%) and the L4–5 level in 2 (25%). Magnetic resonance imaging showed tumor-like ring contrast enhancement around sequestered fragments in 5 patients. The patients' motor, sensory, sexual, and urological functions were evaluated postoperatively, and modified Odom criteria and a visual analog scale were used in the assessment of postoperative outcomes. Results A microsurgical approach was used in all cases. Sequestrectomy with minimal hemilaminotomy and removal of the free segments were performed. The patients were followed up for a mean period of 28.5 months. Three patients (37.5%) had excellent results, 3 (37.5%) had good results, 1 patient (12.5%) had fair results, and only 1 patient had poor results according to the Odom criteria. The main factors affecting the long-term outcomes were the presence of cauda equina syndrome and the time period between onset of symptoms and surgery. Conclusions Patients with posterior migration of a disc fragment present with severe neurological deficits such as cauda equina syndrome. Because the radiological images of disc fragments may mimic those of other more common posterior epidural space–occupying lesions, definite diagnosis of posteriorly located disc fragments is difficult. All of these lesions can be completely removed with hemilaminotomy and sequestrectomy, and early surgical treatment is important as a first choice to prevent severe neurological deficits.

Locking of the Metacarpophalangeal Joint of the Thumb Caused by a Fracture Fragment of the Radial Condyle of the Metacarpal Head after Dorsal Dislocation

2006 ◽  
Vol 31 (6) ◽  
pp. 635-636 ◽  
Author(s):  
H. HIRATA ◽  
M. TSUJII ◽  
E. NAKAO
Keyword(s):  
Metacarpophalangeal Joint ◽  
Imaging Modalities ◽  
X Rays ◽  
Fracture Fragment ◽  
Hyperextension Injury ◽  
Metacarpal Head ◽  
Thumb Metacarpophalangeal Joint

We report a case of a locked thumb metacarpophalangeal joint secondary to metacarpal head fracture. As fractures of the radial condyle are not readily seen in routine X-rays, other imaging modalities, including CT, should be considered if the patient complains of limited extension after hyperextension injury of the thumb.

scholarly journals Treatment of a Subacute Locked Thumb Metacarpophalangeal Joint with Sesamoid Entrapment

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
John J. Carroll ◽  
William D. McClain ◽  
Julia A. V. Nuelle
Keyword(s):  
Occupational Therapy ◽  
Conservative Management ◽  
Closed Reduction ◽  
Open Reduction ◽  
Metacarpophalangeal Joint ◽  
Persistent Pain ◽  
Volar Plate ◽  
Case Presentation ◽  
Thumb Metacarpophalangeal Joint

Introduction. Locked thumb metacarpophalangeal (MCP) joints due to entrapped radial sesamoids are rare injuries that commonly require open reduction, especially when the injury is delayed in presentation. Case Presentation. We present a case of a 24-year-old female with a subacute thumb MCP joint subluxation due to an incarcerated radial sesamoid. She underwent successful closed reduction but had persistent pain and difficulty gripping large objects necessitating eventual open volar plate repair despite therapy. She was able to achieve full motion, with little pain and disability, after undergoing delayed volar plate repair. Discussion. Delayed volar plate repair may be considered for those patients who fail to improve with conservative management and occupational therapy after a successful closed reduction for thumb MCP joint subluxation due to an incarcerated radial sesamoid.

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