The stepped hybrid plate for carpal panarthrodesis

2009 ◽  
Vol 22 (05) ◽  
pp. 389-397 ◽  
Author(s):  
M. C. Díaz-Bertrana ◽  
F. Darnaculleta ◽  
J. Franch ◽  
J. L. Puchol ◽  
I. Durall
Keyword(s):  
Bone Tumour ◽  
Degenerative Joint Disease ◽  
Metacarpal Bone ◽  
Joint Disease ◽  
Incomplete Fusion ◽  
Carpal Bone ◽  
Low Grade ◽  
Screw Insertion ◽  
The Third ◽  
Metacarpal Bones

SummaryFifty-two carpal panarthrodeses (CP) were carried out in 44 dogs (eight bilateral), in a multicentre study using a single (n = 47) or double (n = 5) stepped hybrid CP plate. Of these 44 cases, 39 were between 20–55 kg in bodyweight , 26 were males , and the carpometacarpal was the most common joint involved. Falling and other impact trauma were the most common aetiology. Pain of unknown origin, carpal luxation, chronic accessory carpal bone fracture, distal comminuted intra-articular radial fracture, bone tumour, degenerative joint disease, canine erosive idiopathic polyarthritis, avascular necrosis of the radial carpal bone and fractures of several metacarpal bones were some of the pathologies reported. Fracture of the third metacarpal bone during screw insertion was the only intrasurgical complication. Malpositioning of the plate or screws and over-tightened screws were technical errors observed in seven of the procedures. The radial carpal bone was not fixed with a screw in two cases due to bone deformity. Concurrent plate breakage and bending in the same patient operated on bilaterally was observed during the follow-up period, which represented a major complication rate of 3.8% for all procedures. Minor complications were: low grade infection, lick granuloma, digit hyperextension, screw loosening or failure, incomplete fusion of some joints and a fracture of the third metacarpal bone at the distal screw hole of the plate; which represented a rate of 44.2% on all procedures. Complete carpal healing was observed radiographically in 94.2% of all procedures. Limb function was excellent to good, and all of the owners, except for one, were satisfied with the procedure.

Correction of a severe torsional malunion of the metacarpus in a calf by transverse osteotomy, transfixation pinning and casting

2010 ◽  
Vol 23 (01) ◽  
pp. 62-65 ◽  
Author(s):  
P-Y. Mulon
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
External Rotation ◽  
Proximal Part ◽  
Metacarpal Bone ◽  
Spiral Fracture ◽  
The Third ◽  
Satisfactory Outcome ◽  
Metacarpal Bones ◽  
Transverse Osteotomy

SummaryA four-month-old Holstein heifer was presented for evaluation of an angular limb deviation. Upon initial presentation, the heifer was not clinically lame. An external rotation of 90° of the fetlock was observed in the left forelimb. Radiographs identified a healing closed spiral fracture of the third and fourth metacarpal bones, with a 90° external torsion. A mid-metacarpal bone transverse osteotomy was performed after insertion of transcortical pins in the distal and proximal part of the third and fourth metacarpal bones and in the distal radius. The reduction was performed in order to align both fetlock and carpal joints and a fiberglass cast was applied to complete the external fixation. A satisfactory outcome was associated with the treatment.

scholarly journals Osteosarcoma of III metacarpal bone in a 13-year-old girl (case report)

2020 ◽  
Vol 10 (4) ◽  
pp. 445-451
Author(s):  
Kazbek F. Savlaev ◽  
Anna V. Petrichenko ◽  
Dilmurod K. Nishonov ◽  
Nadejda M. Ivanova ◽  
Timur A. Sharoev
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Malignant Neoplasm ◽  
Metacarpal Bone ◽  
Rare Tumor ◽  
Telangiectatic Osteosarcoma ◽  
The Third ◽  
Artificial Grafts ◽  
Metacarpal Bones ◽  
The Right

Osteosarcoma is the most common primary malignant neoplasm of bones in children; this tumor accounts for 50 to 80% of all skeletal sarcomas. Less often, osteosarcoma affects flat bones (scapula, ribs, bones of the skull and pelvis), bones of the foot, hand and spine. Description of the observation. A 13-year-old girl, 8 months before admission to the clinic, began to complain of pain in her right hand, six months later, a swelling appeared in this area. After radiography, which revealed a bone tumor of the III metacarpal bone, a trepanobiopsy with histological examination was performed. Conclusion: subperiosteal telangiectatic osteosarcoma G II. The child was admitted to the oncology department in November 2018. Before the operation, the girl underwent 4 courses of chemotherapy, as a result of which the tumor reduced in size, which made it possible to perform organ-preserving surgical treatment extirpation of the third metacarpal bone affected by the tumor, followed by autoplasty from the wing of the right iliac bone with fixation of the graft Kirschner needles. The postoperative period passed without complications. As a result of the operation, it was not only possible to radically remove the tumor, but also to preserve 3 fingers of the right (working) hand with good functionality. After surgery, the child received 5 courses of polychemotherapy and is currently in remission. Conclusion. The above observation demonstrates the possibility of performing organ-preserving surgeries using bone autoplasty for rare tumor lesions of the metacarpal bones. This method is more physiological in comparison with the use of allo- or artificial grafts.

scholarly journals Cross-Talk between Diet-Associated Dysbiosis and Hand Osteoarthritis

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3469
Author(s):  
Marta P. Silvestre ◽  
Ana M. Rodrigues ◽  
Helena Canhão ◽  
Cláudia Marques ◽  
Diana Teixeira ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
System Development ◽  
Joint Damage ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Low Grade ◽  
Hand Osteoarthritis ◽  
Metabolic Role ◽  
Immune System Development ◽  
Health And Disease

Hand osteoarthritis (OA) is a degenerative joint disease which leads to pain and disability. Recent studies focus on the role of obesity and metabolic syndrome in inducing or worsening joint damage in hand OA patients, suggesting that chronic low-grade systemic inflammation may represent a possible linking factor. The gut microbiome has a crucial metabolic role which is fundamental for immune system development, among other important functions. Intestinal microbiota dysbiosis may favour metabolic syndrome and low-grade inflammation—two important components of hand OA onset and evolution. The aim of this narrative is to review the recent literature concerning the possible contribution of dysbiosis to hand OA onset and progression, and to discuss the importance of gut dysbiosis on general health and disease.

The dorsal metacarpal arteries: anatomical study. Feasibility of pedicled metacarpal bone flaps

2011 ◽  
Vol 36 (9) ◽  
pp. 787-794 ◽  
Author(s):  
N. Dauphin ◽  
V. Casoli
Keyword(s):  
Donor Site ◽  
Vascular Anatomy ◽  
Anatomical Study ◽  
Metacarpal Bone ◽  
Flow Mode ◽  
The Third ◽  
Metacarpal Bones ◽  
Dorsal Metacarpal Artery ◽  
Distally Based ◽  
Vascularized Bone

The vascular anatomy of the dorsal aspect of the hand is variable. Nevertheless the presence of the first and the second dorsal metacarpal artery (DMA) is constant. DMA3 and 4 are more variable. The anatomical study presented demonstrates the segmental vascularization of the metacarpal bones and the possibility of harvesting metacarpal bone flaps. The reliability of such a flap decreases from the second to the fifth metacarpal bone regarding the frequency of presence of the DMAs. The authors describe six new vascularized bone flaps from the third and the fourth metacarpal bones pedicled on the second or the third dorsal metacarpal artery in an anterograde or retrograde flow mode. This study suggests that the radial and the ulnar side of the third metacarpal bone could be harvested respectively on the DMA2 and DMA3. The radial side of the fourth metacarpal bone could also be a reliable vascularized bone donor site. Flaps can be used proximally or distally based to repair bone defects either on metacarpal and carpal bones or on proximal phalanges.

A case of dorso-medial luxation of the radial carpal bone in a dog

2008 ◽  
Vol 21 (02) ◽  
pp. 171-176 ◽  
Author(s):  
C. Delbeke ◽  
E. Asimus ◽  
P. Meynaud-Collard ◽  
D. Mathon ◽  
A. Zahra ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Closed Reduction ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Carpal Bone ◽  
Collateral Ligament ◽  
Limb Function ◽  
Radial Collateral Ligament ◽  
Clinical Cases

SummaryLuxation of the radial carpal bone is an uncommon injury in the dog and cat. Previous clinical cases have reported palmaro-medial luxation with injury to the short radial collateral ligament. In this study a case of dorsomedial luxation of the radial carpal bone in a 10-yearold female Gordon Setter is described. A closed reduction of the luxation was performed and a conservative treatment was carried out. Thirteen months after the reduction, the dog had a satisfactory limb function, despite the presence of degenerative joint disease of the carpus. A pathogenic hypothesis for this dorso-medial luxation of the radial carpal bone is proposed reproducing the luxation on canine cadavers.

scholarly journals Comparative characteristics of metacarpal bones (Ossa metacarpi) and finger articles (Ossa digitorum pedis seu phalanges digitorum) of roe deer (Capreolus capreolus) and sheep (Ovis aries) in order to determine animal species

2016 ◽  
Vol 70 (5-6) ◽  
pp. 215-224
Author(s):  
Milos Blagojevic ◽  
Zora Nikolic ◽  
Zoran Zoric ◽  
Bogomir Prokic ◽  
Dejana Cupic-Miladinovic
Keyword(s):  
Animal Species ◽  
Soft Tissues ◽  
Roe Deer ◽  
Metacarpal Bone ◽  
Ovis Aries ◽  
Animal Origin ◽  
Characteristic Appearance ◽  
The Third ◽  
Food Of Animal Origin ◽  
Metacarpal Bones

The method of determining which animal species the bones, on the basis of mor?phological characteristics, belong to, is one of the most commonly used in forensic cases (poaching, fraud, theft, counterfeiting of food of animal origin).For identification of metacarpal bones (Ossa metacarpi) as well as finger articles (Ossa digitorum pedis seu phalanges digitorum) there were used distal parts of front limb bones, taken from 6 roe deers and 7 sheep. Afer the separation from the soft tissues, the bones were boiled in an autoclave, and for bleaching and degreasing they were kept in 3% solution of hydrogen peroxide (H2O2). The bones were air dried, and then photographed. In roe deer, there are four developed metacarpal bones: the second, the third, the fourth and the fifth. The third and the fourth mrtacarpal bones form one bone, named the main metacarpal bone. The second and the fifth metacarpal bones are connected by con?nective tissue to distal parts of the third and the fourth metacarpal bones. In sheep, there are three developed metacarpal bones: the third, the fourth and the fifth. The thord and the fourth metacarpal bones are, as in roe deer, grown together along the entire length, forming in that way one single bone - the main metacarpal bone. On the distal part of front limb in roe deer there are four fingers, and in sheep two. In roe deer the second, the third, the fourth and the fifth finger are developed, and in sheep, the third and the fourth. Each finger of front limbs, both in roe deer and in sheep, consists of three articles: Phalanx proximalis, Phalanx media i Phalanx distalis. In the case of certain bone missing, a roe deer can be distinguished from a sheep on the basis of the tird article of the third and fourth finger, which is of characteristic appearance. Plantar edge in roe deer is peaked, and in sheep it is blunt. The method of determining which animal species the bones, on the basis of mor?phological characteristics of roe deer and sheep, belong to, is one of the most reliable and most commonly used in forensic cases.

scholarly journals Preexisting lesions associated with complete diaphyseal fractures of the third metacarpal bone in 12 Thoroughbred racehorses

2017 ◽  
Vol 29 (4) ◽  
pp. 437-441 ◽  
Author(s):  
Sarah N. Gray ◽  
Mathieu Spriet ◽  
Tanya C. Garcia ◽  
Francisco A. Uzal ◽  
Susan M. Stover
Keyword(s):  
Callus Formation ◽  
Metacarpal Bone ◽  
Diaphyseal Fracture ◽  
The Third ◽  
Bone Injury ◽  
Thoroughbred Racehorses ◽  
Metacarpal Bones ◽  
Periosteal Surface ◽  
Diaphyseal Fractures ◽  
Bone Callus

We characterized features of complete diaphyseal fractures of third metacarpal bones in Thoroughbred racehorses. Given that stress fractures are known to occur in the third metacarpal bone, an additional aim was to determine if complete fractures are associated with signs of a preexisting incomplete stress fracture. Bilateral metacarpi from 12 Thoroughbred racehorses euthanized because of complete unilateral metacarpal diaphyseal fracture were examined visually and radiographically. Open, comminuted, transverse or short oblique fractures occurred in the middle of the diaphysis or supracondylar region. Periosteal surface discoloration and bone callus formation contiguous with the fracture line were present in fractured bones. All contralateral intact metacarpi had gross anatomic lesions, and 10 had radiographic abnormalities similar to those observed on fractured metacarpi. Catastrophic metacarpal fractures occurred in racehorses with bilateral evidence of preexisting bone injury.

Partial Carpal Arthrodesis in a Warthog (Phacochoerus aethiopicus)

1994 ◽  
Vol 07 (04) ◽  
pp. 183-186
Author(s):  
Lucy Spelman ◽  
G. Spodnick ◽  
M. Loomis ◽  
S. C. Roe
Keyword(s):  
Cancellous Bone ◽  
Dynamic Compression ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Carpal Bone ◽  
Cancellous Bone Grafting ◽  
Initial Management ◽  
Carpometacarpal Joints ◽  
Radiographic Union ◽  
Fragment Displacement

SummaryA two-year-old male African wart-hog (Phacochoerus aethiopicus) sustained a fracture of the left fourth carpal bone. Initial management consisted of seven weeks of stall rest but moderate lameness continued and fragment displacement was evident on radio-graphs. A partial carpal arthrodesis, involving the intercarpal and carpometacarpal joints, was performed to alleviate discomfort from degenerative joint disease. The joints were stabilized with two bone plates and a cancellous bone graft used to promote arthrodesis. After six weeks of cast support, joint fusion had progressed well. By 24 weeks after surgery, radiographic union was present and the warthog had only mild lameness. Carpal flexion was reduced by approximately 15°. This reduction did not compromise function.A two-year-old African warthog fractured the left fourth carpal bone in a pen injury. Conservative management was unsuccessful. Partial carpal arthrodesis of the intercarpal and carpometacarpal joints was performed using cartilage debridement, cancellous bone grafting, a T-plate and a dynamic compression plate for stabilization. Forelimb function was maintained in an animal that eats and forages while kneeling on its flexed carpus.

scholarly journals Demographic Profile, Clinical and Analysis of Osteoarthritis Patients in Surabaya

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ilham Wildan Ahmad ◽  
Lita Diah Rahmawati ◽  
Teddy Heri Wardhana
Keyword(s):  
Knee Osteoarthritis ◽  
Scoring System ◽  
Developed Countries ◽  
Degenerative Joint Disease ◽  
Assessment System ◽  
Joint Disease ◽  
Medical Attention ◽  
Low Grade ◽  
Class Iii ◽  
Patient Profile

Introduction: Osteoarthritis is a degenerative joint disease which affects joint cartilage. As many as 80% patients movement are limited and 25% of them can not even perform daily activities. Osteoarthritis is one of the ten most disabling diseases in developed countries. Due to its chronic and progressive nature, socio-economic impacts in many developed and developing countries are enormous. The purpose of this study is to determine the profile of patients with osteoarthritis in the Orthopedic Department of RSUD Dr. Soetomo Surabaya (Dr. Soetomo General Hospital)Method: This is descriptive observasional research. Questionnaires data were obtained from all patients in the Department of Trauma and Orthopedic of RSUD Dr. Soetomo Surabaya during September 1, 2016 until October 31, 2016. Thirty five subjects with osteoarthritis were analyzed for the study. The variables observed in the patient profile include sex, age, body mass index, type of osteoarthritis, Kellgren-Lawrence scoring system, and knee osteoarthritis severity index.Result: The result shows that 43% of the samples were aged 60-69 years, 83% of the samples were female, 37% of the samples had an I BMI obesity, 60% of samples had bilateral osteoarthritis, and 77% of samples from primary osteoarthritis. A total of 15 of 53 knee samples had class III, and 15 of 53 knee samples also had class I, and as many as 21 of the 35 samples had a "very severe" clinical gradation. These results may be due to patients who have low grade gradation clinics and have received medical attention at the level I health facility or II.Conclusion: From the results of this study, it can be concluded that age, sex, BMI, Kellgren-Lawrence assessment system, index severity of patients Lequesne osteoarthritis in RSUD Dr. Soetomo Surabaya is in conformity with research that has been done in many places and theories that exist.Keywords: Knee osteoarthritis, age, gender, Kellgren-Lawrnce scoring system, knee osteoarthritis severity index

Apportionment of Impairment from Meniscal Tears and Knee Arthritis

2013 ◽  
Vol 18 (5) ◽  
pp. 1-10 ◽  
Author(s):  
Charles N. Brooks ◽  
James B. Talmage
Keyword(s):  
Medial Meniscus ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Detailed Knowledge ◽  
Meniscal Tears ◽  
Knee Arthritis ◽  
Degenerative Arthritis ◽  
Study Results ◽  
Physical Findings ◽  
Causation Analysis

Abstract Meniscal tears and osteoarthritis (osteoarthrosis, degenerative arthritis, or degenerative joint disease) are two of the most common conditions involving the knee. This article includes definitions of apportionment and causes; presents a case report of initial and recurrent tears of the medial meniscus plus osteoarthritis (OA) in the medial compartment of the knee; and addresses questions regarding apportionment. The authors, experienced impairment raters who are knowledgeable regarding the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), show that, when instructions on impairment rating are incomplete, unclear, or inconsistent, interrater reliability diminishes (different physicians may derive different impairment estimates). Accurate apportionment of impairment is a demanding task that requires detailed knowledge of causation for the conditions in question; the mechanisms of injury or extent of exposures; prior and current symptoms, functional status, physical findings, and clinical study results; and use of the appropriate edition of the AMA Guides. Sometimes the available data are incomplete, requiring the rating physician to make assumptions. However, if those assumptions are reasonable and consistent with the medical literature and facts of the case, if the causation analysis is plausible, and if the examiner follows impairment rating instructions in the AMA Guides (or at least uses a rational and hence defensible method when instructions are suboptimal), the resulting apportionment should be credible.

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