In Bicortical Fracture of the Scaphoid Waist, Early Fixation and Initial Cast Immobilization Did Not Differ for Wrist Pain and Disability at 52 Weeks

Intraosseous ganglion cyst of the lunate is an uncommon lesion and cause of wrist pain. Histopathologically it is identical to the common dorsal wrist ganglion and treatment by arthrotomy, curettage of the ganglion and bone graft resulted in clinical improvement in nine patients, six of whom became symptom-free.

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Plaster immobilization versus anterior plating for dorsally displaced distal radial fractures in elderly patients in Pakistan

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193420977780 ◽

2021 ◽

pp. 175319342097778

Author(s):

Muhammad Tahir ◽

Faridullah Khan Zimri ◽

Nadeem Ahmed ◽

Allah Rakhio Jamali ◽

Ghulam Mehboob ◽

...

Keyword(s):

Elderly Patients ◽

Randomized Trial ◽

Closed Reduction ◽

Primary Outcome ◽

Locking Plate ◽

Cast Immobilization ◽

Distal Radial Fractures ◽

Level Of Evidence ◽

Anterior Plating ◽

Plaster Immobilization

This prospective, multi-centred, randomized trial examined outcomes of 3- and 12-month follow-ups of 159 elderly participants aged more than 75 years with isolated distal radial fractures, treated by anterior locking plate or closed reduction and cast immobilization. The primary outcome was the patient-rated wrist evaluation (PRWE) score. The PRWE score at 12 months was not significantly different between the two groups; however, the radiological outcomes and complications rates were worse in the casting group. Level of evidence: III

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Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105460 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5460

Author(s):

Giacomo Farì ◽

Francesco Fischetti ◽

Alessandra Zonno ◽

Francesco Marra ◽

Alessia Maglie ◽

...

Keyword(s):

Shoulder Pain ◽

Musculoskeletal Pain ◽

Online Survey ◽

Left Knee ◽

Wrist Pain ◽

Professional Athletes ◽

Sitting Position ◽

Left Wrist ◽

Sport Practice ◽

Potential Risk Factors

Gymnastics athletes are exposed to a high risk of injury, but also of developing musculoskeletal pain. These data are still little investigated in the available scientific literature. An online survey was distributed to 79 professional athletes who practiced artistic and rhythmic gymnastics. The survey collected demographic and anthropometric data, information about the sport practice, the training sessions, the prevalence of musculoskeletal pain gymnastics-related, and lifestyle habits. Musculoskeletal pain had a high prevalence, involving 65 of 79 athletes (82.3%). A significant correlation was found between musculoskeletal pain and the duration of sports practice, both for general pain (p = 0.041) and for specific districts: right wrist pain (p = 0.031), left wrist pain (p = 0.028), right shoulder (p = 0.039), left hip (p = 0.031), right thigh (p = 0.031), and left knee (p = 0.005). Another statistical association was found between right wrist pain and BMI (p = 0.001), and hip pain and BMI (p = 0.030). Hours spent in a sitting position were also correlated with the incidence of pain (p = 0.045). Wrist pain and right shoulder pain had a statistically significant association with the age of the athletes (right wrist pain: p = 0.038; left wrist pain: p = 0.004; right shoulder pain: p = 0.035). The more the gymnasts practice this sport, the more likely they are to develop musculoskeletal pain. Increased age and a higher BMI, as well as daily prolonged sitting position, seem to be potential risk factors for the onset of musculoskeletal pain. Future studies could plan training strategies aimed at preventing musculoskeletal pain associated with gymnastics, in order to promote its further spread.

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Inflammatory Osteolysis in Diabetic Neuropathic (Charcot) Arthropathies of the Foot

Physical Therapy ◽

10.2522/ptj.20080025 ◽

2008 ◽

Vol 88 (11) ◽

pp. 1399-1407 ◽

Cited By ~ 33

Author(s):

David R Sinacore ◽

Mary K Hastings ◽

Kathryn L Bohnert ◽

Faye A Fielder ◽

Dennis T Villareal ◽

...

Keyword(s):

Skin Temperature ◽

Acute Inflammation ◽

Mineral Density ◽

Rapid Loss ◽

Cast Immobilization ◽

Recent Onset ◽

Control Subjects ◽

Quantitative Ultrasonometry ◽

Design And Methods ◽

Control Study

ObjectiveOsteolysis and low bone mineral density (BMD) are underappreciated consequences of several chronic diseases that may elevate the risk for fracture. The purpose of this study was to assess tarsal BMD associated with acute inflammation (ie, inflammatory osteolysis) in individuals with chronic diabetes mellitus (DM), peripheral neuropathy (PN), and recent-onset neuropathic (Charcot) arthropathy (NCA) of the foot.Research Design and MethodsThis was a case-control study of 32 people (11 men, 21 women) with DM, PN, and NCA of the foot or ankle. The subjects with DM, PN, and NCA were compared with 64 age-, sex-, and race-matched control subjects (24 men, 40 women) without DM, PN or NCA. Within the first 3 weeks of cast immobilization, BMD was estimated in both calcanei using quantitative ultrasonometry. Acute inflammation was confirmed by comparing skin temperature differences between the feet of the subjects with DM, PN, and NCA and the feet of the control subjects.ResultsSkin temperature differences averaged 6.7°F (SD=4.0°F) (involved foot minus noninvolved foot) in the feet of the subjects with DM, PN, and NCA compared with 0.0°F (SD=1.3°F) in the feet of the control subjects. Calcaneal BMD averaged 384 mg/cm2 (SD=110) in the involved feet and 467 mg/cm2 (SD=123) in the noninvolved feet of the subjects with DM, PN, and NCA and 545 mg/cm2 (SD=121) in combined right and left feet of the control subjects.ConclusionsInflammation in individuals with DM, PN, and NCA may contribute to or exacerbate a rapid loss of BMD. Inflammatory osteolysis may be a prominent factor responsible for both the spontaneous onset of neuropathic fracture and the insidious and progressive foot deformity that is the hallmark of the chronic Charcot foot.

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ULNAR-SIDED WRIST PAIN AFTER FOUR-CORNER FUSION IN A PREVIOUSLY-ASYMPTOMATIC ULNAR POSITIVE WRIST: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810409004153 ◽

2009 ◽

Vol 14 (01) ◽

pp. 49-51 ◽

Cited By ~ 1

Author(s):

Hyun Sik Gong ◽

Su Ha Jeon ◽

Goo Hyun Baek

Keyword(s):

Case Report ◽

Wrist Pain ◽

Stage Ii ◽

Treatment Choices ◽

Non Union ◽

Ulnar Shortening Osteotomy ◽

Shortening Osteotomy ◽

Post Traumatic ◽

Snac Wrist

Scaphoid excision and four-corner fusion is one of the treatment choices for patients who have stage II or III SLAC (scapholunate advanced collapse)/SNAC (scaphoid non-union advanced collapse) wrist arthritis. We report a case of ulnar-sided wrist pain which occurred after four-corner fusion for stage II SNAC wrist with a previously-asymptomatic ulnar positive variance, and was successfully treated by ulnar shortening osteotomy. This case highlights a possible coincidental pathology of the ulnocarpal joint in the setting of post-traumatic radiocarpal arthrosis.

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