Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 85 articles


Radiographic Features Associated With Differing Impinging Hip Morphologies With Special Attention to Coxa Profunda

Gregory Boone BS, Michael R. Pagnotto MD, Justin A. Walker MD, Robert T. Trousdale MD, Rafael J. Sierra MD

Combined with clinical examination and MRI, radiographs have been mainstays in the management femoroacetabular impingement (FAI). Because hip morphology often portends intraoperative damage, radiographic features should inform surgical management.

Surface Treatment of Flexor Tendon Autograft and Allograft Decreases Adhesion Without an Effect of Graft Cellularity: A Pilot Study

Furkan E. Karabekmez MD, Chunfeng Zhao MD

Flexor tendon grafting is often required to reconstruct a failed tendon repair. Previous reports have demonstrated flexor grafts coated with lubricants such as carbodiimide derivatized hyaluronic acid (cd-HA) decrease adhesion formation and improve digit function. However, whether this surface modification would affect graft adhesion and cellularity is unknown.

Correspondence of Patient Word Choice with Psychologic Factors in Patients With Upper Extremity Illness

Arjan G. J. Bot MD, Ana-Maria Vranceanu PhD, James H. Herndon MD, MBA, David C. Ring MD, PhD

Studies of patients with back pain, cancer, and in a general medical practice note that the use of certain phrases by a patient when communicating with their health provider can indicate greater disability and distress than expected for patients with a given disorder. However, it is unclear whether such phrases apply to patients with hand and arm disorders.

Clinical and Radiographic Factors Associated With Distal Radioulnar Joint Instability in Distal Radius Fractures

Bong Cheol Kwon MD, PhD, Bo Kyung Seo MD, Hyoung-June Im MD, Goo Hyun Baek MD, PhD

Distal radioulnar joint (DRUJ) instability is an important cause of ulnar-sided wrist pain in distal radius fractures. However, instability is frequently undiagnosed and the clinical and radiographic factors associated with instability are not well understood.

Peripheral Triangular Fibrocartilage Complex Tears Cause Ulnocarpal Instability: A Biomechanical Pilot Study

Christopher J. Dy MD, MSPH, E. Anne Ouellette MD, MBA, Anna-Lena H. Makowski HTL, Edward Milne BSc, Loren L. Latta PE, PhD

Instability at the ulnocarpal joint has many causes, but the common thread among these causes is the presence of abnormalities in the triangular fibrocartilage complex (TFCC). However, the biomechanical consequences at the ulnocarpal joint after detachment of the TFCC from the ulnar styloid are not clearly defined. Better delineation of whether peripheral TFCC detachments cause ulnocarpal instability will help to design surgical treatments.

Quantitative 3D-CT Anatomy of Hamate Osteoarticular Autograft for Reconstruction of the Middle Phalanx Base

Paul Berg MSc, David Ring MD, PhD

Hamate osteoarticular autografts are difficult to obtain and it is unclear to what degree the graft matches the joint surface to be replaced and whether a direct ulnar approach might provide a more reliable graft than the standard proximal to distal approach.

Ultrasound-guided Injections for de Quervain’s Tenosynovitis

James D. McDermott MD, Asif M. Ilyas MD, Levon N. Nazarian MD, Charles F. Leinberry MD

Nonsurgical management of de Quervain’s tenosynovitis often includes corticosteroid injections. If the injection does not enter the compartment, or all subcompartments, response to the injection is variable. To ensure proper location of injections we evaluated the role of ultrasound.

A Promising Thumb Basal Joint Hemiarthroplasty for Treatment of Trapeziometacarpal Osteoarthritis

James W. Pritchett MD, Louis S. Habryl DO

Trapeziometacarpal joint osteoarthritis is a painful, disabling condition that primarily affects women who are postmenopausal. Arthroplasty has been performed to treat this condition; however, subluxation has been a problem with all previous implants. We report the results of hemiarthroplasty using a prosthesis designed to address the problems associated with previous implants.

In Vivo Three-dimensional Motion Analysis of Chronic Radial Head Dislocations

Junichi Miyake MD, Hisao Moritomo MD, PhD, Toshiyuki Kataoka MD, Tsuyoshi Murase MD, PhD, Kazuomi Sugamoto MD, PhD

Forearm kinematics and interosseous membrane function in chronic radial head dislocations sustained in childhood are unknown. Several procedures have been performed to reduce the radial head on the basis of static preoperative assessment in only one forearm position, but clinical results are not always favorable.

Effectiveness of Four-Corner Arthrodesis with Use of a Locked Dorsal Circular Plate

Matthias Luegmair MD, Patrick Houvet MD

Compared with traditional methods of fixation in four-corner arthrodesis, reviews of results using a dorsal circular plate (DCP) have identified higher complication rates. As the use of circular plate fixation for limited wrist arthrodesis was found to be a valuable concept per se and continued innovation and technical advancement are crucial to improve future treatment, changes in plate design were encouraged.