The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Jun 2013
Palmar reconstruction of the triangular fibrocartilage complex for instability of the distal radioulnar joint: a biomechanical study.
We developed a new triangular fibrocartilage complex reconstruction technique for distal radioulnar joint instability in which the palmar portion of the triangular fibrocartilage complex was predominantly reconstructed, and evaluated whether such reconstruction can restore stability of the distal radioulnar joint in seven fresh cadaver upper extremities. Distal radioulnar joint instability was induced by cutting all soft-tissue stabilizers around the distal ulna. Using a palmar approach, a palmaris longus tendon graft was sutured to the remnant of the palmar radioulnar and ulnocarpal ligaments. ⋯ Loads were applied to the radius, and dorsopalmar displacements of the radius relative to the ulna were measured using an electromagnetic tracking device in neutral rotation, 60° supination and 60° pronation. We compared the dorsopalmar displacements before sectioning, before reconstruction and after reconstruction. Dorsopalmar instability produced by sectioning significantly improved in all forearm positions after reconstruction.
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J Hand Surg Eur Vol · Jun 2013
Letter Case ReportsDistal scaphoid fracture and scapholunate ligament injury in a child.
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J Hand Surg Eur Vol · May 2013
ReviewCochrane corner: bone morphogenetic protein (BMP) for fracture healing in adults.
Delay in fracture healing is a complex clinical and economic issue for patients and health services. ⋯ All clinical and economic data were extracted by one author and checked by another.