Distal Radioulnar Joint Instability and Galeazzi Fractures

Azimi, Hassan J.; Wysocki, Robert

doi:10.1016/b978-0-323-76180-2.00065-9

Cited by 3 publications

(3 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Kinect SDK uses a medial axis of symmetry to mirror the intact limb and Mr. MAPP uses the generated data to obtain a 3D point cloud, which allows for environmental interaction with the virtual limb. Mr. MAPP also utilizes a variety of post-processing adjustments to maintain an accurate lower limb illusion [ 29 , 30 ]. A detailed summary of Mr. MAPP’s design and features has been previously published [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

Clinical feasibility and preliminary outcomes of a novel mixed reality system to manage phantom pain: a pilot study

Annaswamy

Bahirat²,

Raval

et al. 2022

Pilot Feasibility Stud

View full text Add to dashboard Cite

Background To assess the clinical feasibility of a virtual mirror therapy system in a pilot sample of patients with phantom pain. Methods Our Mixed reality system for Managing Phantom Pain (Mr. MAPP) mirrors the preserved limb to visualize the amputated limb virtually and perform exercises. Seven patients with limb loss and phantom pain agreed to participate and received the system for 1-month home use. Outcome measures were collected at baseline and 1 month. Results Four (of seven recruited) participants completed the study, which was temporarily suspended due to COVID-19 restrictions. At 1 month, in-game data showed a positive trend, but pain scores showed no clear trends. Functioning scores improved for 1 participant. Conclusions Mr. MAPP is feasible and has the potential to improve pain and function in patients with phantom pain. Trial registration Clinical Trials Registration, NCT04529083

show abstract

Section: Methodsmentioning

confidence: 99%

Clinical feasibility and preliminary outcomes of a novel mixed reality system to manage phantom pain: a pilot study

Annaswamy

Bahirat²,

Raval

et al. 2022

Pilot Feasibility Stud

View full text Add to dashboard Cite

show abstract

“…In adults, however, they advise transfixation in neutral or only slight supination. A similar suggestion is made by Azimi and Wysocki in their review, stating that the exact position of the forearm is not as important as adequate reduction of the ulnar head within the sigmoid notch [ 23 ].…”

Section: Discussionmentioning

confidence: 62%

“…In most cases, the DRUJ is examined clinically for a remaining instability after the DRF has been cared for by volar plating in supination [ 13 ]. If subluxation of the ulna can be provoked, the DRUJ will be manually reduced and radioulnar transfixation with K-wires can be considered to hold the reduction and allow proper healing under immobilization [ 23 , 24 ]. Yet controversy remains as to whether it should be done in supination or neutral position.…”

Section: Introductionmentioning

confidence: 99%

Analyzing the reduction quality of the distal radioulnar joint after closed K-wire transfixation in a cadaver model: is supination or neutral position superior?

El Barbari,

Kohlhas,

Franke

et al. 2024

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Introduction Distal radioulnar joint (DRUJ) instabilities are challenging and their optimal treatment is controversial. In special cases or when reconstruction of the stabilizing triangular fibrocartilage complex (TFCC) fails, K-wire transfixation can be performed. However, no consensus has been reached regarding the rotational position of the forearm in which this should be done. Therefore, it was investigated whether anatomical reduction would best be achieved by transfixation in neutral position or supination of the forearm. Materials and methods Twelve cadaveric upper limbs were examined before dissection of the DRUJ stabilizing ligaments and after closed transfixation in both positions by C-arm cone-beam CT. Whether this was first done in neutral position or in supination was randomized. The change in the radioulnar ratio (RR) in percentage points (%points) was analyzed using Student's t-test. RR was used since it is a common and sensitive method to evaluate DRUJ reduction, expressing the ulnar head's position in the sigmoid notch as a length ratio. Results The analysis showed an increased change in RR in neutral position with 5.4 ± 9.7%points compared to fixation in supination with 0.2 ± 16.1%points, yet this was not statistically significant (p = 0.404). Conclusions Neither position leads to a superior reduction in general. However, the result was slightly closer to the anatomical position in supination. Thus, transfixation of the DRUJ should be performed in the position in which reduction could best be achieved and based on these data, that tends to be in supination. Further studies are necessary to validate these findings and to identify influential factors.

show abstract

Evaluation of Distal Radioulnar Joint Fixation Using a Fixation Button in Galeazzi Fracture Dislocations: Radiological and Functional Outcomes

Shukla,

Mishra,

Pande

et al. 2024

Journal of Orthopaedic Reports

View full text Add to dashboard Cite

Distal Radioulnar Joint Instability and Galeazzi Fractures

Cited by 3 publications

References 51 publications

Clinical feasibility and preliminary outcomes of a novel mixed reality system to manage phantom pain: a pilot study

Clinical feasibility and preliminary outcomes of a novel mixed reality system to manage phantom pain: a pilot study

Analyzing the reduction quality of the distal radioulnar joint after closed K-wire transfixation in a cadaver model: is supination or neutral position superior?

Evaluation of Distal Radioulnar Joint Fixation Using a Fixation Button in Galeazzi Fracture Dislocations: Radiological and Functional Outcomes

Contact Info

Product

Resources

About