Articularly Placed Interfragmentary Screw Fixation of Difficult Condylar Fractures of the Hand

Tan, Jiajie; Foo, Anthony; Chew, Winston C.Y.; Teoh, Lam-Chuan

doi:10.1016/j.jhsa.2010.12.004

Cited by 27 publications

(23 citation statements)

References 25 publications

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“…It is possible to achieve good range of movement with these fractures, one study showed 80-90 degree range of motion at 16 months follow-up at the PIPJ after treatment of proximal phalangeal head fracture using articular interfragmentary screws [90]. …”

Section: Intra-articular Phalangeal Fracturesmentioning

confidence: 99%

Principles of Hand Fracture Management

Haughton¹,

Jordan²,

Malahias³

et al. 2012

TOORTHJ

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The hand is essential in humans for physical manipulation of their surrounding environment. Allowing the ability to grasp, and differentiated from other animals by an opposing thumb, the main functions include both fine and gross motor skills as well as being a key tool for sensing and understanding the immediate surroundings of their owner. Hand fractures are the most common fractures presenting at both accident and emergency and within orthopaedic clinics. Appropriate evaluation at first presentation, as well as during their management, can significantly prevent both morbidity and disability to a patient. These decisions are dependant on a wide range of factors including age, hand dominance, occupation and co-morbidities.A fracture is best described as a soft tissue injury with an associated bony injury. Despite this being the case, this paper intends to deal mainly with the bone injury and aims to discuss both the timing, as well as the methods available, of hand fracture management.

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Section: Intra-articular Phalangeal Fracturesmentioning

confidence: 99%

Principles of Hand Fracture Management

Haughton¹,

Jordan²,

Malahias³

et al. 2012

TOORTHJ

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“…Articular congruity is important for optimal metacarpophalangeal joint function, including grip and manipulation, as well as to minimize risk of later arthritis. Avulsion fractures may involve the collateral ligaments, leading to joint instability [6].…”

Section: Fracture Locations Metacarpal Head Fracturesmentioning

confidence: 99%

“…For the uncommon metacarpal head fractures, headless screws countersunk flush with the subchondral bone may be used [6].…”

Section: Important Surgical Considerationsmentioning

confidence: 99%

Metacarpal fractures in the athlete

Soong

Chase

Kasparyan

2017

Curr Rev Musculoskelet Med

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Purpose of review To describe current evaluation and treatment of metacarpal fractures in athletes Recent findings Biomechanical and clinical studies involving lower-profile, locking, shorter length, and double-row or separate-dual plate configurations, as well as intramedullary screw fixation, have demonstrated the potential benefits of internal fixation with promising results. Summary Treatment should be customized to the specific athlete and injury, and is often successful without surgery, or with percutaneous pin fixation. Internal fixation of metacarpal fractures has improved with new hardware and new techniques, and may expedite return to play, although further clinical studies are needed.

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“…Dorsal and coronal articular shear fractures are particularly difficult to treat given the small fragment size and the limited surface area of bone available for implant insertion. Buried, trans-articular screw fixation has been reported as a successful technique to treat these difficult cases [21].…”

Section: Condylar Fractures Of the Proximal And Middle Phalangesmentioning

confidence: 99%