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[PMID]:28040073
[Au] Autor:Gradl G; Falk S; Mittlmeier T; Wendt M; Mielsch N; Gradl G
[Ad] Endereço:Department of Trauma and Reconstructive Surgery, Aachen University Medical Center, Pauwelstrasse 30, 52074 Aachen, Germany.
[Ti] Título:Fixation of intra-articular fractures of the distal radius using intramedullary nailing: a randomized trial versus palmar locking plates.
[So] Source:Injury;47 Suppl 7:S25-S30, 2016 Dec.
[Is] ISSN:1879-0267
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Proposed benefits of intramedullary techniques include limited soft tissue dissection while affording sufficient stability to allow early wrist motion. The primary null hypothesis of this randomized trial was that there is no significant difference with respect to functional outcome, pain and disability between patients treated with either 2.4-mm volar locking plate fixation or intramedullary nail fixation of intra-articular fractures of the distal radius. METHODS: We conducted a single-centre, prospective randomized matched-pairs trial. Patients with intraarticular distal radius fractures with metaphyseal comminution and a sagittal fracture line (AO 23 C2.1) were randomized to receive volar locking plate fixation (n = 14) or intramedullary nailing (n = 14). The outcome was measured on the basis of the Gartland and Werley and Castaing score; the pain level; the range of wrist motion; the rate of complications; and radiographic measurements including volar tilt and ulnar variance. Clinical and radiographic assessment was performed at 8 weeks and 2 years after the operation. RESULTS: There were no significant differences between groups in terms of range of motion, grip strength or the level of pain at eight weeks. At the final follow up, patients in the nail group had regained more extension than in the plate group (98% of the unaffected side vs. 94%, this however, did not reach significance). Reduction was maintained in both groups; however volar tilt and ulnar variance were significantly better in the plate group. There was no significant difference in the complication rate between groups. CONCLUSION: The present study suggests that intramedullary nail fixation is a reasonable alternative to volar plate fixation for the treatment of intra-articular distal radius fractures and both techniques can yield reliably good results.
[Mh] Termos MeSH primário: Fluoroscopia
Fixação Intramedular de Fraturas
Fraturas Intra-Articulares/cirurgia
Placa Palmar
Fraturas do Rádio/cirurgia
Articulação do Punho/fisiopatologia
[Mh] Termos MeSH secundário: Feminino
Fixação Intramedular de Fraturas/métodos
Alemanha
Força da Mão
Seres Humanos
Fraturas Intra-Articulares/diagnóstico por imagem
Fraturas Intra-Articulares/fisiopatologia
Masculino
Meia-Idade
Estudos Prospectivos
Fraturas do Rádio/diagnóstico por imagem
Fraturas do Rádio/fisiopatologia
Amplitude de Movimento Articular
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170102
[St] Status:MEDLINE


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[PMID]:27849675
[Au] Autor:Jew NB; Karl JW; Trupia E; Strauch RJ; Calandruccio JH
[Ad] Endereço:*Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN †Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY.
[Ti] Título:Brachioradialis Tendon Coverage in Volar Distal Radius Plating.
[So] Source:Tech Hand Up Extrem Surg;20(4):151-154, 2016 Dec.
[Is] ISSN:1531-6572
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Volar plate fixation of unstable distal radius fractures has become the preferred technique by most surgeons for the operative treatment of displaced distal radius fractures. Flexor tendon rupture is a rare but serious complication associated with this operation that is thought to be due to irritation of the flexor tendons over the prominent distal edge of the plate. We describe a novel technique of using the brachioradialis tendon to cover the distal edge of the plate to help prevent tendon irritation and rupture.
[Mh] Termos MeSH primário: Placas Ósseas
Fixação Interna de Fraturas/métodos
Placa Palmar/cirurgia
Fraturas do Rádio/cirurgia
Traumatismos dos Tendões/prevenção & controle
Tendões/cirurgia
[Mh] Termos MeSH secundário: Fixação Interna de Fraturas/efeitos adversos
Seres Humanos
Seleção de Pacientes
Ruptura
Traumatismos dos Tendões/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161117
[St] Status:MEDLINE


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[PMID]:27801774
[Au] Autor:Orbay JL; Gray R; Vernon LL; Sandilands SM; Martin AR; Vignolo SM
[Ad] Endereço:*The Miami Hand & Upper Extremity Institute ‡Larkin Community Hospital, Orthopedic Surgery Residency Program, South Miami ∥Department of Biomedical Engineering, The University of Miami, Miami, FL †Northshore Orthopaedic Institute, Chicago, IL §Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
[Ti] Título:The EFCR Approach and the Radial Septum-Understanding the Anatomy and Improving Volar Exposure for Distal Radius Fractures: Imagine What You Could Do With an Extra Inch.
[So] Source:Tech Hand Up Extrem Surg;20(4):155-160, 2016 Dec.
[Is] ISSN:1531-6572
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Locked volar plating is the most common surgical procedure to address distal radius fractures. The extended flexor carpi radialis approach continues to be an excellent method for visualizing distal radius fractures and applying a volar plate. A new understanding of the anatomy allows for better visualization and reduction of the many different distal radius fracture patterns surgeons commonly see. Within the extended flexor carpi radialis approach, we describe the radial septum in further detail including the anatomy which comprises the radial septum triangle. Knowledge of this area allows for better visualization, more anatomic reductions, and fewer complications.
[Mh] Termos MeSH primário: Placas Ósseas
Dissecação/métodos
Fixação Interna de Fraturas/métodos
Placa Palmar
Fraturas do Rádio/cirurgia
Tendões/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Seleção de Pacientes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27593172
[Au] Autor:Zhang X; Hu C; Yu K; Bai J; Tian D; Xu Y; Zhang B
[Ad] Endereço:Department of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, PR China. Electronic address: drxiongzhang2014@126.com.
[Ti] Título:Volar locking plate (VLP) versus non-locking plate (NLP) in the treatment of die-punch fractures of the distal radius, an observational study.
[So] Source:Int J Surg;34:142-147, 2016 Oct.
[Is] ISSN:1743-9159
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This study aims to evaluate whether volar locking plate was superior over non-locking plate in the treatment of die-punch fractures of the distal radius. METHODS: A total of 57 patients with closed die-punch fractures of the distal radius were included and analyzed. Of them, 32 were treated by non-locking plate (NLP) and the remaining 25 were treated by volar locking plate (VLP). Preoperative radiographs, computer tomographs and three-dimensional reconstruction, radiographs taken at immediate postoperation and at last follow-up were extracted and evaluated. Patients' electronic medical records were inquired and related demographic and medical data were documented. The documented contents were volar tilt, radial inclination, ulnar variance, grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) and visual analog scale (VAS) scores and complications. RESULTS: VLP group demonstrated a significantly reduced radial subsidence of 1.5 mm (0.7 versus 2.2 mm), during the interval of bony union (P < 0.001), compared to NLP group. Larger proportion of patients (88% versus 62.5%) in VLP group gained acceptable joint congruity (step-off <2 mm) at the final follow-up (P = 0.037). No significant differences were observed between the groups in the measurements of volar tilt, radial inclination, DASH, VAS and grip strength recovery at the last follow-up. There was a trend of fewer overall complications (5/25 versus 10/32) and major complications that required surgery interventions (1/25 versus 4/32) in VLP than NLP groups, although the difference did not approach to significance (P = 0.339, 0.372). CONCLUSIONS: VLP leaded to significantly better results of reduction maintainance and the final joint congruity than NLP, while reducing overall and major complications. However, the results should be treated in the context of limitations and the clinical significance of the difference required further studies to investigate.
[Mh] Termos MeSH primário: Placas Ósseas
Fixação Interna de Fraturas/instrumentação
Fraturas Fechadas/cirurgia
Complicações Pós-Operatórias/etiologia
Fraturas do Rádio/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Fixação Interna de Fraturas/métodos
Força da Mão
Seres Humanos
Masculino
Meia-Idade
Placa Palmar/fisiopatologia
Placa Palmar/cirurgia
Amplitude de Movimento Articular
Recuperação de Função Fisiológica
Resultado do Tratamento
Articulação do Punho/diagnóstico por imagem
Articulação do Punho/fisiopatologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


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[PMID]:27500482
[Au] Autor:Rakitin VA; Fomina EE
[Ad] Endereço:Federal state budgetary institution 'Russian Centre of Forensic Medical Expertise', Russian Ministry of Health, Moscow, Russia, 125284.
[Ti] Título:[On the orientation of palmar whorl patterns].
[Ti] Título:Ob orientatsii zavitkovykh uzorov ladoni..
[So] Source:Sud Med Ekspert;59(4):45-47, 2016 Jul-Aug.
[Is] ISSN:0039-4521
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The objective of the present work was to study the palmar whorl patterns for the inclusion them in the scope of dermatoglyphic signs along with the arc and loop patterns having a well apparent structural organization. For the first time in the history of domestic dermatoglyphic studies, we described the structure of palmar whorl patterns (based on the palmar prints obtained from 555 subjects) with respect to the surrounding tri-radii. Moreover, the role of their radiants in the formation of node orientation was considered. The analysis of the variants of palmar whorl patterns encountered in the study sample provided a basis for the elaboration of the rule for determining their orientation. Specifically, the orientation of the palmar whorl patterns can be found from the direction of the embracing radiants as in the loop or complex patterns.
[Mh] Termos MeSH primário: Dermatoglifia
Medicina Legal
Placa Palmar/anatomia & histologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160809
[St] Status:MEDLINE
[do] DOI:10.17116/sudmed201659445-47


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[PMID]:27015408
[Au] Autor:Naito K; Zemirline A; Sugiyama Y; Obata H; Liverneaux P; Kaneko K
[Ad] Endereço:*Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan †Hand Center, Saint-Grégoire Private Hospital Center, Saint-Grégoire ‡Hand Surgery Department, University Hospital of Strasbourg, Illkirch, France.
[Ti] Título:Possibility of Fixation of a Distal Radius Fracture With a Volar Locking Plate Through a 10 mm Approach.
[So] Source:Tech Hand Up Extrem Surg;20(2):71-6, 2016 Jun.
[Is] ISSN:1531-6572
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The management of distal radius fractures has dramatically improved due to the development of a locking plate system. In addition, mini-invasive surgery has been performed in a lot of surgical fields in recent years. The aim of the present study is to investigate the possibility of fixation of a distal radius fracture with a volar locking plate through a 10 mm approach. Eighteen patients with distal radius fracture (mean age: 66 y; range, 28 to 88 y; 8 males and 10 females) were operated on using a volar locking plate. The incision for plating was always 10 mm long. The clinical, cosmetic, and radiologic outcomes were investigated. At 3 months' follow-up, the range of motion of the wrist joint was 67.5 degrees in flexion, 65.6 degrees in extension, 88.3 degrees in pronation, and 88.3 degrees in supination. The % grip strength compared to the healthy side ranged from 35% to 100%. The VAS, Q-DASH, and modified Mayo scores were 0.7, 8.5, and 93.3, respectively (excellent in all 18 patients). Bone union was achieved on plain x-ray radiography and cosmetic problems were satisfied in all patients. Our results suggest that it is possible to achieve fixation of a distal radius fracture with a volar locking plate through a 10 mm approach. However, its applicability to surgery must be carefully examined. If any difficulties in plate installation or approach occur during this intervention, it will be necessary to consider switching to a conventional approach. We believe that surgeons must not adhere to a mini-invasive approach.
[Mh] Termos MeSH primário: Placas Ósseas
Fixação Interna de Fraturas/métodos
Placa Palmar/cirurgia
Fraturas do Rádio/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Amplitude de Movimento Articular
Recuperação de Função Fisiológica
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160326
[St] Status:MEDLINE
[do] DOI:10.1097/BTH.0000000000000118


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[PMID]:26969948
[Au] Autor:Sügün TS; Gürbüz Y; Özaksar K; Toros T; Bal E; Kayalar M
[Ad] Endereço:Hand Microsurgery Orthopaedics and Traumatology (EMOT) Hospital, Izmir, Turkey. tssugun@hotmail.com.
[Ti] Título:A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex.
[So] Source:Acta Orthop Traumatol Turc;50(2):147-52, 2016.
[Is] ISSN:1017-995X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to document a new complication in volar locking plating of the distal radius. METHODS: Between January 2007 and January 2014, 223 patients were identified from the department's surgical database with retrospective chart and radiographic review. Sixty-eight patients were over 60 years of age. All fractures were operated with Acu-Loc® (Acumed, Hillsboro, OR, USA) wrist volar locking plating systems. Longitudinal fracture lines (LFL) beneath volar plate-extending proximal shafts were documented. Correlations between age groups and LFLs were investigated. Radiographs with LFLs were assessed at final follow-up for the following parameters: volar tilt, radial inclination and radial length. RESULTS: Twenty-eight of 68 patients over age of 60 years had LFLs. Correlation was significant for age groups (p<0.05). The effect of these fracture lines on radiographic parameters was not significant (p>0.05). CONCLUSION: Surgeons should be aware of the complications that may occur with volar locking plates. Understanding of potential complications and their results are important. As a result of aging, thinning, and weakening, the near cortex may become more brittle. When the plate is reduced on the bone with a nonlocking screw, the conical head of diaphyseal locking screws can extend over plate thickness and penetrate the near cortex, acting as a screwing wedge. Additional divergent configuration may promote this effect and crack the cortex.
[Mh] Termos MeSH primário: Placas Ósseas/efeitos adversos
Fixação Interna de Fraturas/efeitos adversos
Placa Palmar/cirurgia
Complicações Pós-Operatórias
Fraturas do Rádio/cirurgia
Articulação do Punho/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Radiografia
Amplitude de Movimento Articular
Estudos Retrospectivos
Turquia
Articulação do Punho/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE
[do] DOI:10.3944/AOTT.2015.15.0233


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[PMID]:26945219
[Au] Autor:Zanette G; Tamburin S
[Ad] Endereço:From the Neurology Section, Pederzoli Hospital, Peschiera del Garda, Italy (GZ); and Department of Neurological and Movement Sciences, University of Verona, Verona, Italy (ST).
[Ti] Título:The Diagnostic Value of Nerve Ultrasound in an Atypical Palmar Cutaneous Nerve Lesion.
[So] Source:Am J Phys Med Rehabil;95(7):e103-7, 2016 Jul.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Detailed knowledge of the fascicular anatomy of peripheral nerves is important for microsurgical repair and functional electrostimulation.We report a patient with a lesion on the left palmar cutaneous branch of the median nerve (PCBMN) and sensory signs expanding outside the PCBMN cutaneous innervation territory. Nerve conduction study showed the absence of left PCBMN sensory nerve action potential, but apparently, no median nerve (MN) involvement. Nerve ultrasound documented a neuroma of the left PCBMN and a coexistent lateral neuroma of the left MN in the carpal tunnel after the PCBMN left the main nerve trunk.Nerve ultrasound may offer important information in patients with peripheral nerve lesions and atypical clinical and/or nerve conduction study findings. The present case may shed some light on the somatotopy of MN fascicles at the wrist.
[Mh] Termos MeSH primário: Hipestesia/diagnóstico por imagem
Nervo Mediano/diagnóstico por imagem
Neuroma/diagnóstico por imagem
Placa Palmar/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Hipestesia/etiologia
Masculino
Meia-Idade
Condução Nervosa/fisiologia
Neuroma/etiologia
Placa Palmar/inervação
Traumatismos do Punho/complicações
Traumatismos do Punho/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160306
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000468


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[PMID]:26876106
[Au] Autor:Miyagi K; Riaz M
[Ad] Endereço:Department of Plastic and Reconstructive Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, Great Ormond Street, London, WC1N 3JH, UK. Electronic address: kana.miyagi@doctors.org.uk.
[Ti] Título:A transverse pull-through suture technique to repair volar plate avulsion for a chronic swan neck deformity.
[So] Source:J Plast Reconstr Aesthet Surg;69(5):729-31, 2016 May.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos dos Dedos/cirurgia
Placa Palmar/lesões
Técnicas de Sutura
[Mh] Termos MeSH secundário: Seres Humanos
Ilustração Médica
Placa Palmar/cirurgia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170111
[Lr] Data última revisão:
170111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160216
[St] Status:MEDLINE


  10 / 231 MEDLINE  
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[PMID]:26815328
[Au] Autor:Mahmoud M; Hegazy M; Khaled SA; Abdelatif NM; Osman W; Elfar JC
[Ad] Endereço:Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt.
[Ti] Título:Radiographic Parameters to Predict Union After Volar Percutaneous Fixation of Herbert Type B1 and B2 Scaphoid Fractures.
[So] Source:J Hand Surg Am;41(2):203-7, 2016 Feb.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To study the angle of screw placement in relation to the scaphoid fracture plane and its effect on union after percutaneous fixation of scaphoid waist fractures. METHODS: Twenty-four consecutive scaphoid waist fractures were retrospectively evaluated for the orientation of screws in relation to the fracture plane using a method in which the sum-of-smaller angles (SSA) in 3 different radiographs were used to correlate with time to fracture union. RESULTS: All but one patient achieved union after percutaneous fixation of the scaphoid. Another patient required revision surgery within the study period for inadequate fixation. A shortened time to union was significantly correlated to larger SSA. CONCLUSIONS: SSA may be a reasonable predictor of union after percutaneous fixation of scaphoid waist fracture. It can be reliably calculated using plain radiographs. An SSA of 190° or more correlated with union by 8 weeks postoperatively.
[Mh] Termos MeSH primário: Parafusos Ósseos
Fixação Interna de Fraturas
Consolidação da Fratura
Fraturas Ósseas/diagnóstico por imagem
Fraturas Ósseas/cirurgia
Osso Escafoide/lesões
[Mh] Termos MeSH secundário: Seres Humanos
Placa Palmar
Valor Preditivo dos Testes
Radiografia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160128
[St] Status:MEDLINE



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