Orthopedic screw removal has proven itself to be a challenge. Access to a Screw Removal Set (TM Synthes) is essential. But what options are available when it cannot remove a broken screw in a lesser toe on a background of osteomyelitis of a lesser toe? A young healthy patient had undergone a 2nd and 3rd toe proximal interphalangeal joint (PIPJ) and distal interphalangeal joint (DIPJ) fusion usi...

Aim to study the effectiveness of combined treatment contractures proximal interphalangeal joint.
 Material and methods. The included 30 patients with a diagnosis post-traumatic mixed contracture joint. were divided into 3 groups. In first group, administered treatment, including arthrolysis joint, imposition dynamic distraction apparatus, injection hyaluronic acid preparations platelet-ri...

Background. Hand function is essential to a person's self-efficacy and greatly affects quality of life. Adapted utensils with handles of increased diameters have historically been used to assist individuals with arthritis or other hand disabilities for feeding, and other related activities of daily living. To date, minimal research has examined the biomechanical effects of modified handles, or ...

BACKGROUND Musculoskeletal ultrasound has been found to be more sensitive than radiographs in detecting osteophytes. Our objective was to measure the prevalence of features of osteoarthritis (OA), in the dominant hand, knees and hips using ultrasound, within the Newcastle Thousand Families birth cohort. METHODS Participants were aged 61-63 (mean 63) years. Knee images were scored for presence...

[abstract] We present a retrospectively review of outcomes of the first fifteen patients who underwent proximal interphalangeal (PIP) joint arthroplasty and were treated using the same early active motion rehabilitation regime introduced by the therapy department at Mount Vernon Hospital. The regime utilises early motion of the PIP joint while protecting the arthroplasty with a small static spl...

CASE REPORT: A 78-year-old, right-handed male who is a retired laborer was diagnosed with Dupuytren’s contracture involving the right long finger. The metacarpophalangeal joint and the proximal interphalangeal joint of the long finger were contracted in approximately 85 and 60 degrees of flexion, respectively. A standard open fasciectomy involving the palm and the long finger was performed unde...

Proximal interphalangeal joint (PIP) injuries are among the most common in the hand and their severity is often underestimated. These injuries often lead to prolonged disability, pain, and stiffness. Appropriate treatment includes a thorough assessment, physical examination, and directed imaging. Such an approach should lead to a rational treatment plan that focuses on the rehabilitation of all...

INTRODUCTION To determine the validity and reliability of patients' self-performed joint counts compared to joint counts by professional assessors in rheumatoid arthritis (RA) patients in different disease activity states. METHODS In patients with established RA we determined the inter-rater reliability of joint counts performed by an independent evaluator and the patient using intraclass cor...

Recurrent dislocation is not common in small joints. This report presents a recurrent dislocation of the proximal interphalangeal joint of the ring finger in a 23-years-old man. Recurrent dislocation was addressed successfully by repairing the avulsed volar plate to the base of the middle phalanx, followed by 6 weeks of splint immobilization.