The Journal of hand surgery
-
To review the results of periarticular pinning of extra-articular fractures of the proximal phalanx base and shaft. ⋯ Therapeutic IV.
-
To evaluate the factors influencing delayed functional recovery in patients with a distal radius fracture treated by volar plate fixation. ⋯ Prognostic II.
-
Case Reports
Nonunion without avascular necrosis of finger phalangeal neck fractures in children: report of 4 cases.
Nonunion without avascular necrosis of finger phalangeal neck fractures in children is rare. A cohort of all pediatric phalangeal neck fractures of the fingers over a 4-year period (2010-2013) revealed 89 cases. Of these, 4 children were diagnosed with nonunion without avascular necrosis. ⋯ The outcome was considered good in 1 case and fair in 3 cases. Surgical management of nonunited pediatric phalangeal neck fractures of the fingers was effective in correcting the preoperative instability and deformity and in improving motion of the injured finger. However, there was residual stiffness of the injured finger.
-
Distal radius fractures comprise the majority of hand- and wrist-related malpractice claims. We hypothesized that a majority of lawsuits would be for malunions resulting from nonsurgical treatment. Additional goals of this study were to quantify costs associated with claims, determine independent risk factors for making an indemnity payment, and illustrate trends over time. ⋯ Economic and decision analyses II.
-
To evaluate the intra- and interobserver reliability of a scoring system for distal radius fracture union based on specific radiographic parameters obtainable from x-rays. ⋯ Economic/decision analysis IV.