Dynamic Traction Splint as an Alternative Surgical Treatment for Comminuted Intraarticular Fracture of Metacarpophalangeal Joint

2021 ◽  
Vol 86 (2S) ◽  
pp. S35-S40
Author(s):  
Kuo-Shu Hung ◽  
Hsiu-Yun Hsu ◽  
Li-Chieh Kuo ◽  
Jer-Hao Chang ◽  
Yao-Chou Lee ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Metacarpophalangeal Joint ◽  
Intraarticular Fracture

scholarly journals Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I

2019 ◽  
Vol 7 (1) ◽  
pp. 87-96
Author(s):  
Mikhail E. Burtsev ◽  
Aleksandr V. Frolov ◽  
Aleksei N. Logvinov ◽  
Dmitry O. Ilyin ◽  
Andrey V. Korolev
Keyword(s):  
Surgical Treatment ◽  
Osteogenesis Imperfecta ◽  
Distal Femur ◽  
Bone Fragility ◽  
Type I ◽  
Osteogenesis Imperfecta Type ◽  
Intraarticular Fracture ◽  
Femur Fractures ◽  
Intraarticular Fractures ◽  
Femur Diaphysis

Aim. Osteogenesis imperfecta (OI) is characterized by bone fragility and long bones deformities. Most studies are dedicated to surgical treatment of diaphyseal fractures. To our knowledge, there are no reports giving recommendations about surgical treatment of distal femur intraarticular fractures. Clinical case. We describe the surgical treatment of a 14-year-old girl with OI who had intraarticular fracture of the left distal femur and fracture of a right femur diaphysis. Surgical treatment was complicated by migration of a titanium elastic nail and impaired consolidation, which had to be fixed with a plate and led to peri-implant fracture. Results were assessed before trauma and at 1 and 2 years after trauma with Gillette Functional Assessment Questionnaire (GFAQ) and Bleck score. Discussion. During surgical treatment of comminuted intraarticular distal femur fractures in patients with OI, we had to use big cancellous screw that made implantation in an intramedullary fixator more difficult. Internal fixation with a plate in patients with OI is associated with high risks of peri-implant fracture. Conclusion. For treatment of comminuted intraarticular fracture of the distal femur, it is necessary to have large variety of internal fixators, follow the principles of absolute and relative stability, and be familiar with minimally-invasive techniques.

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.

Supernumerary extensor pollicis longus tendon masking an extensor pollicis longus rupture following non-surgical treatment of a distal radius fracture

2021 ◽  
Vol 14 (7) ◽  
pp. e242509
Author(s):  
Bradley D Wiekrykas ◽  
Mark K Solarz ◽  
Hesham M Abdelfattah ◽  
Joseph J Thoder
Keyword(s):  
Surgical Treatment ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Metacarpophalangeal Joint ◽  
Radius Fracture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Tendon Entrapment ◽  
Non Surgical Treatment ◽  
Extensor Pollicis Longus Tendon

Extensor pollicis longus tendon pathology is a recognised complication following non-surgical treatment of non-displaced distal radius fractures. Tendon entrapment typically presents with pain, but preservation of thumb retropulsion during complete rupture results in loss of active thumb retropulsion and tenodesis effect. We present the case of a 52-year-old woman who developed extensor pollicis longus tendon entrapment with full active thumb extension following a non-displaced distal radius fracture. During her elective third dorsal compartment release, the extensor pollicis longus tendon was found to be completely ruptured and a rare supernumerary extensor pollicis longus tendon was found emerging from the fourth dorsal compartment. Gentle traction of this tendon resulted in thumb interphalangeal joint extension and simultaneous index finger metacarpophalangeal joint extension. An extensor indicis proprius to extensor pollicis longus tendon transfer was performed. At her final 6-month follow-up, she had painless full active thumb motion comparable to her contralateral side.

Surgical Treatment of Congenital Metacarpal Synostosis of the Ring and Little Fingers

1998 ◽  
Vol 23 (5) ◽  
pp. 691-694 ◽  
Author(s):  
E. HORII ◽  
T. MIURA ◽  
R. NAKAMURA ◽  
E. NAKAO ◽  
H. KATO
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Average Length ◽  
Metacarpophalangeal Joint ◽  
Block Method ◽  
Active Flexion ◽  
Distraction Device ◽  
Little Finger

Fifteen hands with congenital metacarpal fusions were treated operatively by osteotomy combined either with the use of a silicone block or a distraction device. The aim of the silicone block was to separate the fused metacarpals, but it was buried in the metacarpals at follow-up, with recurrence of fusion. By the distraction technique, 13 mm of lengthening was obtained. The average length of the little metacarpal was 88% of that of the long finger metacarpal. Both methods were effective in correcting the abduction deformity of the little finger by a mean of 34°, and increasing the range of motion of the metacarpophalangeal joint to 28° of active flexion. Although the distraction method took longer than the silicone block method, the final appearance of the hand was better.

scholarly journals Surgical treatment of thumb adduction contracture in children with infantile cerebral palsy

2015 ◽  
Vol 3 (2) ◽  
pp. 25-31
Author(s):  
Vladimir Alexandrovich Novikov ◽  
Valery Vladimirovich Umnov
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Tendon Transfer ◽  
Positive Outcome ◽  
Metacarpophalangeal Joint ◽  
Infantile Cerebral Palsy ◽  
Main Criterion ◽  
Abductor Pollicis Longus ◽  
Selection Of Patients ◽  
Selection Of

The purpose of the work is to evaluate the effectiveness of different methods of surgical treatment of thumb adduction contracture in children with infantile cerebral palsy.Materials and methods.The present study is based on diagnostic results of children with infantile cerebral palsy with affected upper limb. The main criterion for selection of patients was the presence of thumb adduction contracture, the absence of significant positive outcome in a patient after conservative treatment, the impossibility of active thumb abduction more than 30° and the instability of the first metacarpophalangeal joint. Total we examined and treated 9 patients with spastic types of cerebral palsy.Results and conclusions.We evaluated the results of the following types of surgical treatment: release of adductor pollisis muscle, release of adductor pollisis muscle and tendon shortening of m.abductor pollicis longus, release of adductor pollisis muscle and tendon transfer of m.extensor indicis in the tendon m. abductor pollicis longus, the fixation of the first metacarpophalangeal joint with extramedullary plate. Based on these data, we were able to confirm the effectiveness of surgical treatment of thumb adduction contracture.

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.

Sign in / Sign up

Export Citation Format

Share Document