The Journal of hand surgery
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Review Case Reports
Minimally invasive thumb carpometacarpal joint arthrodesis with headless screws and arthroscopic assistance.
We describe a minimally invasive arthrodesis technique using an arthroscope and fixation with headless screws. From February 2007 to March 2010, we treated 11 thumbs in 11 patients with posttraumatic carpometacarpal joint osteoarthritis. All patients reported pain at the thumb carpometacarpal joint. ⋯ Based on the Kapandji opposition score (full scored = 10), the mean thumb opposition score was 7. All patients had pain relief. There were 6 excellent, 3 good, and 2 fair results.
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Randomized Controlled Trial Comparative Study
A randomized comparison of volar plate and external fixation for intra-articular distal radius fractures.
To compare surgical outcomes of volar locking plates (VP) and external fixation (EF) (with or without intra-focal fixation) for AO-type C2 and C3 fractures of the distal radius. ⋯ These results for functional recovery after distal radius surgery offer insight into treatment decisions and interpretations of treatment outcomes for patients with comminuted intra-articular distal radius fractures.
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To assess carpal kinematics in various ranges of motion in 3 dimensions with respect to lunate morphology. ⋯ Differences in carpal kinematics may explain the effect of lunate morphology on pathological changes within the carpus. Differences in carpal kinematics due to lunate morphology may have implications for the management of certain wrist conditions.
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Comparative Study
Hematoma block versus sedation for the reduction of distal radius fractures in children.
To determine which mode of anesthesia, hematoma block (HB) or procedural sedation (PS), was preferable for distal radius fracture (DRF) reduction in children. ⋯ Use of HB for the reduction of pediatric DRFs provided radiographic alignment, patient satisfaction, and pain control comparable with that of PS, while significantly decreasing ED time and resources.
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Observational Study
Long-term effectiveness of corticosteroid injections for trigger finger and thumb.
To analyze the long-term response to corticosteroid injection in the management of trigger digit. ⋯ Steroid injections were an effective first-line intervention for the treatment of trigger finger. At long-term follow-up, the success incidence may be as high as 69%. In this study, the efficacy of this treatment increases when treating the thumb compared with other digits.