1/31. Isolated fracture of the capitate with proximal pole dorsal dislocation. A case report.Isolated fractures of the capitate are uncommon. We report a rare case of isolated fracture of the capitate with dorsal dislocation of the proximal pole. After open reduction and K-wire fixation the fracture united, and a full range of wrist motion was achieved. No signs of avascular necrosis were observed after 3 years.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/31. Stress fracture of the ulnar styloid process in kendo player--a case report.We present a case report of a 15-year-old kendo (Japanese fencing) player who suffered a stress fracture of the ulnar styloid process. exercise of the kendo requires the athlete to flex his non-dominant wrist repeatedly in an ulnar direction, and causes the disorder. Excision of the osteochondral fragment relieved the symptoms. This lesion is likely to occur with other sports or activities which demand similar motion of the wrists.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
3/31. Avulsion fracture of the flexor digitorum profundus tendon ('Jersey finger') type III.Avulsion fracture of the flexor digitorum profundus tendon (Jersey finger) is an uncommon injury. This injury involves mainly young and active patients, especially during sports activities. It is classified into three types according to the extent of the tendon retraction. Type III Jersey finger is very rare, and only a few cases have been described so far.In this article, we report a case of a type III Jersey finger. Rapid diagnosis accompanied by surgery which included open reduction and internal fixation with 2 mini screws, followed by physiotherapy, led to restoration of a full range of motion of the involved digit.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/31. Traumatic axial dislocation of the carpus: a case report of transscaphoid pericapitate transhamate axial dislocation.Traumatic axial dislocation of the carpus in a 20-year-old man is described. This injury was accompanied by a crushing injury to the hand. The disruption pattern was different from those of previously reported cases. Despite the restoration of painless wrist motion postoperatively, grip strength remained below normal. Early accurate reduction, fixation, and range of motion (ROM) exercise are the treatment of choice in such complex injuries.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
5/31. conversion disorder after implant of a spinal cord stimulator in a patient with a complex regional pain syndrome.IMPLICATIONS: This case history describes the treatment of a patient suffering with persistent pain. He was treated surgically with implantation of a spinal cord stimulator. After surgery, a partial paralysis that could not be explained medically and that was probably related to emotional factors occurred, and cognitive behavioral treatment was begun. This paper discusses the importance of considering social and psychological factors when medical treatment options are considered.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
6/31. Dorsal dislocation of the triquetrum: a case report.A case of dorsal dislocation of the triquetrum associated with a dorsal dislocation of the distal radioulnar joint is reported. Open reduction and transfixation with Kirschner wires was performed. Eighteen months afterwards, the patient had marked volar intercalary segment instability deformity of the wrist joint assessed radiographically, with approximately half loss of range of motion of the wrist and grip strength.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/31. Early corrective osteotomy for a malunited colles' fracture using volar approach and calcium phosphate bone cement: a case report.We report a case of malunion of the distal radius after a colles' fracture treated with osteotomy using a volar approach combined with calcium phosphate bone cement grafting of the dorsal defect via a drill hole from the volar cortex 6 weeks after the injury. One year and 4 months after surgery range of motion and grip strength were improved and x-rays of the wrist showed complete union of the distal radius with progressive absorption of the calcium phosphate bone cement.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
8/31. Palmar dislocation of the radio-carpal joint: a case report.radio-carpal joint dislocation, with or without fracture of the radius, is an uncommon injury; only 21 cases have previously been reported. Successful treatments of closed reduction and surgery have also been reported. A 35-year-old right-handed man was injured in a traffic accident and taken to an emergency room of a hospital, where radiographic examination showed a right palmar radio-carpal joint dislocation. Three days after injury, the patient was transferred to our department at tokyo Medical University, tokyo. We performed percutaneous pin fixation to maintain the position of his reduced radio-carpal joint. Two years postoperatively, radiographic examination showed a complete union of the avulsion fracture of the radius and a reduction of the joint. He had no marked disturbance in his daily activities apart from a slight pain while working. He had no limitation on the range of motion of the wrist joint and his grip strength was 41.6 kg. He returned to work 3 months after injury.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
9/31. Traumatic dislocation of the hamate and pisiform: a case report and review of the literature.Isolated dislocation of the hamate bone and pisiform bone is rare. We describe the simultaneous complete dislocation of both the hamate and pisiform bones in a 27-year-old man who crushed his right hand in a rolling press. An open reduction and internal fixation with Kirschner wires was performed. Four weeks later, the Kirschner wires were removed and rehabilitation was started. At 6 months follow-up, the patient had minimal pain and full range of motion in the affected wrist joint and fingers. However, grip strength was 50% compared to his unaffected left hand, and sensation of the ulnar nerve area was reduced to almost 30% of that of his left hand. It appears that the ulnar nerve injury was the largest contributing factor to the poor outcome of our patient. Evaluation of soft-tissue injuries, especially nerve injury, is important in the treatment of complex carpal dislocations.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
10/31. radio-scapho-lunate partial wrist arthrodesis following comminuted fractures of the distal radius.Painful radiocarpal arthritis following comminuted fractures of the distal radius may be treated either by total wrist fusion or by procedures which preserve movement. The authors have reviewed 15 patients with such fractures who have undergone radio-scapho-lunate partial arthrodesis. They report the results with an average follow-up of 23.8 months. pain was abolished in 7 patients and resolved virtually completely in 4 cases. Restored grip strength averaged 49% of the contralateral side. There was considerable limitation of postoperative range of motion which was restricted to an oblique plane extending dorso-radial to palmar-ulnar. Most patients did not report this as a problem. Two cases of non-union were reported as well as a 35.7% incidence of secondary degenerative change in the midcarpal joint. This feature casts doubt on the predictability of outcome of this procedure.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
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