The results of extension block Kirschner wire fixation for the treatment of mallet fractures of the distal phalanx were retrospectively assessed in 65 consecutive patients. The indications for this technique were the presence of a large bone fragment, and palmar subluxation or the loss of joint congruity of the distal interphalangeal joint. Using the Wehbé and Scheider classification there were...

Triphalangeal thumb is characterized by the interposition of an extra-phalanx between two normal ones. In this article the authors present the case of a 24-year-old man with bilateral triphalangeal thumb of opposable type, without any other associated anomaly or genetic syndrome. The patient had triangular delta extra-phalanxes that caused ulnar deviation of both thumbs. Surgical procedure for ...

DiAgnosis: Digital mucous cyst. Digital mucous cysts are usually found on the dorsum of the fingers, most commonly on the distal phalanx. Rarely, lesions can present on the toes. The cysts appear bluish and when punctured drain a clear gelatinous material. Two different entities have been described. One involves the base of the nail. These lesions can be increasingly destructive due to pressure...

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 ...

Surgical arthrodesis of the distal interphalangeal (DIP) joint by transfixation casting was used to salvage a three-year-old filly and a yearling filly that were chronically lame because of infection of the DIP joint for breeding. Unlike previously described techniques for arthrodesis of the DIP joint, the technique used did not require insertion of implants across the joint, which may have con...

Thp American/ournal o/Occupa/iollal Tberapy j oint stiffness and soft tissue contractu res of the fingers are common problems treated by the occupational therapist specializing in hand therapy. It is Widely accepted that dynamic splinting in combination with range-of-motion exercises is the most effective way of managing these problems. The rationale, prinCiples, and objectives of dynamic splin...

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...