Avascular necrosis of the lunate bone (Kienböck disease) is caused by loss of blood supply of the bone. This study aimed to evaluate the efficacy and safety of a novel nickel-titanium (Ni-Ti) memory alloy arthrodesis concentrator in the treatment of this disease.A consecutive 24 patients with stage IIIb aseptic lunate necrosis were treated with scapho-trapezio-trapezoeid (STT) arthrodesis using...

The aim of this meta-analysis was to compare the functional outcomes of patients with a distal radius fracture with and without a concomitant fracture of the ulnar styloid process. A systematic literature search was performed to identify all studies comparing patients with a distal radius fracture with and without an ulnar styloid process fracture. The initial search revealed 511 articles, of w...

BACKGROUND Hamate hook fracture is a common fracture in golfers and others who play sports that involve rackets or sticks such as tennis or hockey. This patient had a previous hamate fracture in the opposing wrist along with potential features of hamate bipartite. CASE PRESENTATION A 19 year old male presented with a complaint of right wrist pain on the ulnar side of the wrist with no apparen...

BACKGROUND AND PURPOSE The third generation of total wrist arthroplasty (TWA) was designed to solve the early loosening problem, but there have been few long-term follow-ups. We present the outcome of the biaxial total wrist prosthesis (no longer available) after 5-8 years of follow-up. PATIENTS AND METHODS 40 biaxial wrist prostheses were implanted uncemented in 36 patients with rheumatoid a...

OBJECTIVES This study aims to retrospectively evaluate results of arthroscopic dorsal ligamento capsulodesis in Geissler grade 2 and 3 scapholunate ligament injuries. PATIENTS AND METHODS Thirty-two patients (20 males, 12 females; mean age 30.1 years; range 21 to 42 years) who were performed arthroscopic dorsal ligamento capsulodesis due to Geissler grade 2 and 3 scapholunate ligament injurie...

BACKGROUND Multi-source feedback (MSF) has an established role in the workplace based assessment of doctors in training. Different models of MSF are currently used in different training programmes and settings. One important way in which these models differ is the rating scale on which assessors score the trainee. The aim of this study was to explore the effect of rating scale on MSF scores. ...

Objective: To assess hand function after open reduction of acute and delayed perilunate dislocations. Methods: Seven patients (5 men) with perilunate dislocations were treated with open reduction and internal fixation. The injuries included 2 dorsal trans-radial perilunate dislocations, 4 trans-radial styloid perilunate dislocations, and one combined dorsal and styloid trans-radial dislocations...

BACKGROUND The Patient-rated Wrist Evaluation (PRWE) is a commonly used instrument in upper extremity surgery and in research. However, to recognize a treatment effect expressed as a change in PRWE, it is important to be aware of the minimum clinically important difference (MCID) and the minimum detectable change (MDC). The MCID of an outcome tool like the PRWE is defined as the smallest change...

Joint damage in rheumatoid arthritis is assessed radiologically. Previous studies have not examined in detail its long term progression. We evaluated the overall changes of peripheral joint damage radiologically in 50 rheumatoid patients followed up at one rheumatology centre for 10 years. All peripheral joints were scored in 12 groups with Larsen's standard films at 0 and 10 years. In 48 cases...

A follow-up evaluation of 50 patients with rheumatozd arthritis who were fitted wzth full bzlateral wrist and hand resting splints revealed that 62 percent wore them most or all of the prescribed time. Patients deviated from the prescribed splint program when their symptoms remitted or dzminished, and adhered more closely to the program when they experienced persistent inflammation. Patients sp...