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Hand/Wrist News
Periprosthetic fractures after shoulder arthroplasty can be successfully treated nonoperatively
Periprosthetic fractures following total shoulder arthroplasty can be extremely challenging and each one can be somewhat unique, according to Evan L. Flatow, MD, Lasker professor and chair of orthopedics at the Mount Sinai School of Medicine in New York City. Fortunately, many of these fractures will heal without surgery.
Rupture of extensor pollicis longus after distal radius fracture may be preventable via aspiration
BOSTON — Aspiration — just ulnar to Lister’s tubercle — may help protect the extensor pollicis longus from rupturing after distal radius fracture, according to a study presented here.
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Study finds that splints, casts yield similar stability, complication rates for wrist fractures
The results of a randomized controlled trial show that the use of a splint was as effective as a cast for recovering physical function in children with wrist fractures.
Study finds infection and nonunion uncommon in open distal radius fracture treatment
BOSTON — Infection and nonunion are uncommon in the treatment of open distal radius fractures regardless of fixation type or time to debridement, according to a study presented here.
Hand sensation may be largely preserved when lesions affect upper root of brachial plexus
Overlapping of the dermatomal zones in brachial plexus injuries is more widespread than previously reported, according to the results of a prospective study.
Screw placement may eliminate iatrogenic extensor tendon-related complications
BOSTON – Iatrogenic extensor tendon-related complications can be eliminated through the use of screws that do not violate the dorsal cortex during volar plate fixation of distal radius fractures, according to a study presented here.
Nonoperative treatment showed good results for isolated scapular body fractures
BALTIMORE — A retrospective review of 5-year results following nonoperative treatment for isolated scapular body fractures has found that surgery for these injuries may be unwarranted.
Illness behaviors may be the best pain predictors for carpal tunnel syndrome
Illness behavior — specifically depression and misinterpreting the ability to feel pain — predicted pain intensity in patients with carpal tunnel syndrome, according to investigators from Boston.
Deep fiber tears lead to distal radioulnar joint instability
BOSTON — Tears of the triangular fibrocartilage complex superficial fibers that leave the deep fibers intact can be repaired with an outside-in repair of the articular disc back to the ulnar capsule, according to a study presented here.
Long-term results of broken forearm bones include limited impairment, disability
BOSTON — Twenty-one years after fracturing both bones of the forearm, skeletally mature and immature patients both display limited impairment and disability after nonoperative and operative treatment respectively, according to a study presented here.
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