The Journal of hand surgery
-
Volar plating for distal radius fractures has caused extensor tendon ruptures resulting from dorsal screw prominence. This study was designed to determine the biomechanical impact of placing unicortical distal locking screws and pegs in an extra-articular fracture model. ⋯ Using unicortical fixation during volar distal radius plating may protect extensor tendons without compromising fixation.
-
To introduce a new surgical strategy for chronic fracture-dislocations of the proximal interphalangeal (PIP) joint with 2-staged external fixation. We also assessed the results of this method in all of our patients with at least 2 years of follow-up. ⋯ Preoperative traction softens the PIP joint, facilitating both surgery and rehabilitation. Postoperative early exercise with controlled movement, while maintaining concentric reduction with the external fixator, may accelerate osteochondral repair of the injured PIP joint.
-
To evaluate the biomechanical alterations that occur after traditional scaphoid excision and midcarpal arthrodesis with and without excision of the triquetrum. The hypothesis of this study was that removal of the triquetrum increases the radiolunate contact pressure. ⋯ These findings raise concern about routine excision of the triquetrum when performing a midcarpal arthrodesis.
-
Graphs, figures, and tables can save readers time and energy, aid their understanding of an article, and reduce the word count of the main text. However, many graphics submitted to and published in scientific journals fail to meet their potential and include mistakes that jeopardize their clarity. ⋯ When the appropriate format is used to depict data, it conveys the greatest amount of information in the clearest fashion, complements the text, and deepens readers' understanding. The aims of this article are to draw attention to the necessity of well-constructed graphs, tables, and figures in scientific publications, and to show how to create them.
-
To investigate the incidence and characteristics of carpal fractures occurring concurrently with distal radius fractures and to determine the risk factors for this combination. ⋯ The incidence of carpal fractures occurring concurrently with distal radius fractures was not negligible, and almost all carpal fractures had no or minimal displacement. Suspicion of carpal fractures occurring concurrently with distal radius fracture should be high, and computed tomography should be considered, in males, young patients, and those with AO/ASIF type B fractures and high energy trauma.