Wrist Fractures and Dislocations

Mapping Intimacies ◽

10.2310/ps.10023 ◽

2018 ◽

Author(s):

Angelo B Lipira ◽

Rahul K Kasukurthi ◽

Jerry I Huang

Keyword(s):

Physical Examination ◽

Key Words ◽

Distal Radius ◽

Surgical Approaches ◽

Wrist Injuries ◽

Wrist Fractures ◽

Injury Type ◽

Key Concepts ◽

Associated Conditions ◽

Reconstructive Techniques

Wrist injuries are common and encompass a wide variety of pathologies. This review discusses key concepts related to the evaluation and management of wrist injuries, including bony and ligamentous injuries of the carpus, fractures of the distal radius and ulna, and associated conditions. Pertinent anatomy and biomechanical principles are briefly reviewed, followed by more detailed discussions of evaluation and management of specific injury types based on best available evidence. A diagnostic approach including the history, physical examination, and imaging is reviewed for each injury type. Common surgical approaches, fixation methods, and reconstructive techniques are then described within each section. Numerous illustrations, radiographs, and cadaveric photographs are included. This review contains 32 figures, 2 tables and 76 references Key words: carpal, carpus, distal radius, fracture, ligament, lunotriquetral, scaphoid, scapholunate, wrist

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Gyermekkori csuklótáji törések diagnosztikája ultrahanggal

Orvosi Hetilap ◽

10.1556/650.2017.30763 ◽

2017 ◽

Vol 158 (24) ◽

pp. 944-948 ◽

Cited By ~ 1

Author(s):

Marcell Varga ◽

Nikolett Gáti ◽

Erika Kalóz ◽

Zsuzsanna Bíró ◽

Csenge Szeverényi ◽

...

Keyword(s):

Physical Examination ◽

Daily Routine ◽

X Rays ◽

Wrist Injuries ◽

Wrist Fractures ◽

Sonographic Diagnosis ◽

Sonographic Evaluation ◽

Open Growth Plates ◽

Clinical Consequences ◽

Open Growth

Abstract: Introduction and aim: The aim of our prospective study was to evaluate the effectivity of sonographic diagnosis of pediatric wrist fractures and analyzing the results of two pediatric musculoskeletal centers. Method: Between 2011 January and 2015 December 467 children aged 0–15 with closed wrist injuries and open growth plates were sonographically and radiologically evaluated by an orthopaedic surgeon or a resident in trainee. Sonography was performed immediately after physical examination with linear probes of 7–14 Mhz frequency. Results were compared to conventional two plane wrist x-rays. Results: We found 97 sensitivity and 96 specificity of the sonographic evaluation. Fractures with dislocations and more serious clinical consequences were never missed. Conclusion: Musculoskeletal ultrasound is a very effective tool in daily routine for diagnosing or excluding pediatric wrist fractures. Orv Hetil. 2017; 158(24): 944–948.

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REFLECTION OF THE CONCEPT “KNOWLEDGE” USED IN PHRASEOLOGICAL UNITS IN ENGLISH AND KYRGYZ WORLD VIEW

Vestnik Bishkek Humanities University ◽

10.35254/bhu.2019.49.28 ◽

2019 ◽

pp. 9-11

Author(s):

Zhusupbek kyzy Aida

Keyword(s):

Comparative Analysis ◽

Knowledge Translation ◽

Cultural Diversity ◽

Key Words ◽

World View ◽

Concept Knowledge ◽

Key Concepts

Abstract. Thе article aims at researching the concept “knowledge” used in phraseological units which is one of the key concepts in Кyrgyz and English world view. The comparative analysis of the concept “knowledge” in Kyrgyz and English linguistic world view reveals differences and similarities in its content. In addition, the research also shows that Kyrgyz phraseological units differ a lot from the English due to several particular features like cultural diversity, language peculiarities and linguistic world view. Various examples related to the concept “knowledge” are used demonstrating the difficulties in translation and the differences in meaning of the concept “knowledge” in phraseological units in Kyrgyz and English world view. Key words: concept, linguistic world view, phraseological units, idioms, phrase, proverbs and sayings, phraseology, equivalents, knowledge, translation.

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Understanding the Patterns of Deformity of Wrist Fractures Using Computer Analysis

Current Rheumatology Reviews ◽

10.2174/1573397115666190429144944 ◽

2020 ◽

Vol 16 (3) ◽

pp. 194-200

Author(s):

Shai Luria

Keyword(s):

Computer Modeling ◽

Computer Analysis ◽

Computer Models ◽

Fracture Morphology ◽

Patient Specific ◽

Surgical Approaches ◽

Surgical Indications ◽

Wrist Fractures ◽

Novel Methods ◽

Made In

Computer modeling of the wrist has followed other fields in the search for descriptive methods to understand the biomechanics of injury. Using patient-specific 3D computer models, we may better understand the biomechanics of wrist fractures in order to plan better care. We may better estimate fracture morphology and stability and evaluate surgical indications, design more adequate or effective surgical approaches and develop novel methods of therapy. The purpose of this review is to question the actual advances made in the understanding of wrist fractures using computer models.

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Primary endoprosthetics of the orbit during enucleation for retinoblastoma

Russian ophthalmology of children ◽

10.25276/2307-6658-2021-1-44-49 ◽

2021 ◽

pp. 44-49

Author(s):

A.V. Kotelnikova ◽

◽

E.S. Kotova ◽

D.P. Volodin ◽

T.L. Ushakova ◽

...

Keyword(s):

Key Words ◽

Surgical Approaches ◽

External Beam ◽

Pediatric Rehabilitation ◽

Key Words Retinoblastoma ◽

Cosmetic Outcomes

This review presents a cosmetic rehabilitation method in children with enucleated eye due to retinoblastoma – primary orbital endoprosthetics. General surgical approaches, implant types, cosmetic outcomes and complications are described within review. Primary orbital endoprosthetics in children with enucleated eye due to retinoblastoma is considered as safe and necessary method of pediatric rehabilitation. Key words: retinoblastoma, primary endoprosthesis replacement of the orbit, implants, chemotherapy, external beam therapy, pediatric rehabilitation.

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Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.

10.21203/rs.2.14566/v1 ◽

2019 ◽

Author(s):

Patrick Krastman ◽

Nina M. Mathijssen ◽

Sita M.A. Bierma-Zeinstra ◽

Gerald Kraan ◽

Jos Runhaar

Keyword(s):

Physical Examination ◽

Diagnostic Accuracy ◽

Predictive Value ◽

Scaphoid Fracture ◽

Radiological Examination ◽

Supporting Evidence ◽

History Taking ◽

Wrist Fractures ◽

Scaphoid Fractures ◽

Work Up

Abstract Background The standard diagnostic work-up for hand and wrist fractures consists of history taking, physical examination and imaging if needed, but the supporting evidence for this work-up is limited. The purpose of this study was to systematically examine the diagnostic accuracy of tests for hand and wrist fractures. Methods A systematic search for relevant studies was performed. Methodological quality was assessed and sensitivity (Se), specificity (Sp), accuracy, positive predictive value (PPV) and negative predictive value (NPV) were extracted from the eligible studies. Results Of the 35 eligible studies, one described the diagnostic accuracy of history taking for hand and wrist fractures. Physical examination with or without radiological examination for diagnosing scaphoid fractures (five studies) showed Se, Sp, accuracy, PPV and NPV ranging from 15-100%, 13-98%, 55-73%, 14-73% and 75-100%, respectively. Physical examination with radiological examination for diagnosing other carpal bone fractures (one study) showed a Se of 100%, with the exception of the triquetrum (75%). Physical examination for diagnosing phalangeal and metacarpal fractures (one study) showed Se, Sp, accuracy, PPV and NPV ranging from 26-55%, 13-89%, 45-76%, 41-77% and 63-75%, respectively. Imaging modalities of scaphoid fractures showed predominantly low values for PPV and the highest values for Sp and NPV (24 studies). Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Ultrasonography (US) and Bone Scintigraphy (BS) were comparable in diagnostic accuracy for diagnosing a scaphoid fracture, with an accuracy ranging from 85-100%, 79-100%, 49-100% and 86-97%, respectively. Imaging for metacarpal and finger fractures showed Se, Sp, accuracy, PPV and NPV ranging from 73-100%, 78-100%, 70-100%, 79-100% and 70-100%, respectively. Conclusions Only one study was found on the diagnostic accuracy of history taking for hand and wrist fractures in the current review. Physical examination was of moderate use for diagnosing a scaphoid fracture and of limited use for diagnosing phalangeal, metacarpal and remaining carpal fractures. MRI, CT and BS were found to be moderately accurate for the definitive diagnosis of clinically suspected carpal fractures.

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Distal Radioulnar Joint Osteoarthritis: An Update on Treatment Options

Journal of Hand and Microsurgery ◽

10.1055/s-0041-1725222 ◽

2021 ◽

Author(s):

Brian M. Katt ◽

Amr Tawfik ◽

Nicholas Zingas ◽

Francis Sirch ◽

Pedro K. Beredjiklian ◽

...

Keyword(s):

Septic Arthritis ◽

Distal Radius ◽

Joint Instability ◽

Conservative Therapy ◽

Treatment Options ◽

Distal Radioulnar Joint ◽

Surgical Approaches ◽

Distal Ulna ◽

Load Bearing ◽

Radioulnar Joint

AbstractThe distal radioulnar joint (DRUJ), the articulation between the sigmoid notch of the radius and the distal ulna, plays a pivotal role in stability and load bearing and allows for pronation and supination of the forearm. Osteoarthritis (OA) of the DRUJ commonly occurs due to distal radius trauma but may also be the result of conditions such as joint instability, septic arthritis, or primary OA. It is initially managed with conservative therapy, but surgery is often considered when nonoperative methods fail. The surgical approaches available to treat this pathology have grown over the years. The procedures have generally favorable outcomes, each with their own unique complications and considerations. This paper comprises a review of the outcomes and complications for the different procedures commonly used to surgically treat DRUJ OA.

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Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2988-z ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Patrick Krastman ◽

Nina M. Mathijssen ◽

Sita M. A. Bierma-Zeinstra ◽

Gerald Kraan ◽

Jos Runhaar

Keyword(s):

Physical Examination ◽

Diagnostic Accuracy ◽

Predictive Value ◽

Scaphoid Fracture ◽

Radiological Examination ◽

Supporting Evidence ◽

History Taking ◽

Wrist Fractures ◽

Scaphoid Fractures ◽

Work Up

Abstract Background The standard diagnostic work-up for hand and wrist fractures consists of history taking, physical examination and imaging if needed, but the supporting evidence for this work-up is limited. The purpose of this study was to systematically examine the diagnostic accuracy of tests for hand and wrist fractures. Methods A systematic search for relevant studies was performed. Methodological quality was assessed and sensitivity (Se), specificity (Sp), accuracy, positive predictive value (PPV) and negative predictive value (NPV) were extracted from the eligible studies. Results Of the 35 eligible studies, two described the diagnostic accuracy of history taking for hand and wrist fractures. Physical examination with or without radiological examination for diagnosing scaphoid fractures (five studies) showed Se, Sp, accuracy, PPV and NPV ranging from 15 to 100%, 13–98%, 55–73%, 14–73% and 75–100%, respectively. Physical examination with radiological examination for diagnosing other carpal bone fractures (one study) showed a Se of 100%, with the exception of the triquetrum (75%). Physical examination for diagnosing phalangeal and metacarpal fractures (one study) showed Se, Sp, accuracy, PPV and NPV ranging from 26 to 55%, 13–89%, 45–76%, 41–77% and 63–75%, respectively. Imaging modalities of scaphoid fractures showed predominantly low values for PPV and the highest values for Sp and NPV (24 studies). Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Ultrasonography (US) and Bone Scintigraphy (BS) were comparable in diagnostic accuracy for diagnosing a scaphoid fracture, with an accuracy ranging from 85 to 100%, 79–100%, 49–100% and 86–97%, respectively. Imaging for metacarpal and finger fractures showed Se, Sp, accuracy, PPV and NPV ranging from 73 to 100%, 78–100%, 70–100%, 79–100% and 70–100%, respectively. Conclusions Only two studies were found on the diagnostic accuracy of history taking for hand and wrist fractures in the current review. Physical examination was of moderate use for diagnosing a scaphoid fracture and of limited use for diagnosing phalangeal, metacarpal and remaining carpal fractures. MRI, CT and BS were found to be moderately accurate for the definitive diagnosis of clinically suspected carpal fractures.

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Management of Distal Ulnar Fracture Combined with Distal Radius Fracture

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835516400075 ◽

2016 ◽

Vol 21 (02) ◽

pp. 155-160 ◽

Cited By ~ 5

Author(s):

Jae Kwang Kim ◽

Jong-Oh Kim ◽

Yong-Do Koh

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Distal Radius Fractures ◽

Radius Fracture ◽

Surgical Approaches ◽

Radius Fractures ◽

Ulnar Styloid ◽

Cast Immobilization ◽

Distal Ulna ◽

Ulnar Styloid Fracture

The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid fracture, and considerable cases of ulnar styloid fractures result in nonunion. However, ulnar styloid nonunion usually does not cause any problems on the wrist. Recent studies of distal radius fractures treated using a volar locking plate have reported that neither the initial displacement nor the size of a concomitant ulnar styloid fracture affects clinical outcome, which suggests surgical approaches may usually not be indicated for ulnar styloid fractures.

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