OBJECTIVES To compare the clinical effectiveness of Kirschner wire fixation with locking plate fixation for patients with a dorsally displaced fracture of the distal radius. DESIGN A multicentre two arm parallel group assessor blind randomised controlled trial with 1:1 treatment allocation. SETTING 18 trauma centres in the United Kingdom. PARTICIPANTS 461 adults with a dorsally displaced ...

OBJECTIVE To describe the clinical and radiographic features of a group of juvenile idiopathic arthritis (JIA) patients who developed unilateral destructive wrist synovitis. METHODS All wrist radiographs performed yearly between 1986 and 2002 in JIA patients who had wrist involvement were retrospectively reviewed to identify patients who had unilateral erosive wrist synovitis, defined as a di...

Distraction arthroplasty of the ankle, elbow, and hip has become widely accepted and used within the orthopaedic community with excellent initial results which appear sustained. To date it has not been applied to the wrist in the same manner. A novel technique, drawn upon past success of articulated ankle distraction and static wrist distraction, was devised and evaluated by application of arti...

This report is of a 32 year old man who presented with complains of pain, swelling and deformity of right wrist of four weeks duration. He gave history of road traffic accident four weeks back leading to injury to right wrist; Preoperative radiographs and C.T. scan images were suggestive of trans-scaphoid dislocation of the proximal row of wrist. A volar and dorsal approach were used to reduce ...

Two raters performed hand-held dynamometer testing of six muscle groups of 30 patients to determine the interrater reliability of the procedure. The six muscle groups tested were the shoulder external rotators, elbow flexors, wrist extensors, hip flexors, knee extensors, and ankle dorsiflexors. The patients were of eight different diagnostic groups, with most having hemiparesis secondary to cer...

conclusions more than half of the patients were disabled after 3 months of trauma. elderly patients, patient with severe trauma, and long hospitalization and patients with extremity injuries were high risk for disability. results the mean disability scores at 1 and 3 months post-injury was 30.3 (9.2) and 18.8 (8.3), respectively and there was a statistical significant difference between disabil...

performance evaluation of different organizations, is considered as a very important issue in the present literature. among the organizations, insurance companies, as part of protective services and with compensating roles in the economy of each country, have been studied extensively. it is maintained that successful operation of these industries will motivate other industries as well. in order...

Patients with poststroke complex regional pain syndrome (CRPS) show different symptoms compared to other types of CRPS, as they usually complain of shoulder and wrist pain with the elbow relatively spared. It is thus also known by the term "shoulder-hand syndrome."The aim of this study is to present a possible pathophysiology of poststroke CRPS through ultrasonographic observation of the affect...

We treated a prospective series of 18 patients (nine men and nine women) with a mean age of 35 years (range 15 to 57), with chronic predynamic or dynamic scapholunate instability by a dorsal intercarpal ligament capsulodesis using the modified Mayo technique. All the patients were assessed by the modified Mayo wrist score and DASH questionnaire. Wrist arthroscopy was done in all patients before...

OBJECTIVE To determine the prevalence of hand- and wrist-related symptoms and impairments, with resulting activity limitations and participation restrictions in children being treated for juvenile idiopathic arthritis. DESIGN AND PATIENTS Cohort study of children, diagnosed in our hospitals between 2003 and 2008 with juvenile idiopathic arthritis, who received standard treatment with regular ...