Introducing a Clinical Practice Guideline Using Early CT in the Diagnosis of Scaphoid and Other Fractures
Western J Emerg Med. 2009;10(4):227232 Steven Pincus Abstract Objective: We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work. Methods: This observational study evaluated […]
The Advantage of Throwing the First Stone: How Understanding the Evolutionary Demands of Homo sapiens Is Helping Us Understand Carpal Motion
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Rachel S. Rohde, MD, Joseph J. Crisco, PhD and Scott W. Wolfe, MD Unlike any other diarthrodial joint in the human body, the «wrist joint» is composed of numerous articulations between eight carpal bones, the distal radius, the distal ulna, and five metacarpal bones. […]
Pedicled Vascularized Bone Grafts for Scaphoid and Lunate Reconstruction
Alexander Payatakes, MD and Dean G. Sotereanos, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Conventional bone grafts have some osteogenic potential, whereas vascularized bone grafts retain live, functional osteocytes and osteoblasts. High rates of scaphoid union have been achieved with conventional bone grafting in the absence of osteonecrosis or prior […]
Complications of Volar Plate Fixation for Managing Distal Radius Fractures
Lisa M. Berglund, MD and Terry M. Messer, MD J Am Acad Orthop Surg, Vol 17, No 6, June 2009, Volar locking plate fixation via open reduction and internal fixation is an increasingly accepted method for managing displaced distal radius fractures. Volar plating offers biomechanically stable fixation, allows early rehabilitation, and enables fixation of comminuted […]
Treatment of Carpal Tunnel Syndrome
Michael Warren Keith, MD, Victoria Masear, MD, Peter C. Amadio, MD, Michael Andary, MD, MS, Richard W. Barth, MD, Brent Graham, MD, Kevin Chung, MD, MS, Kent Maupin, MD, William C. Watters, III, MD, Robert H. Haralson, III, MD, MBA, Charles M. Turkelson, PhD, Janet L. Wies, MPH and Richard McGowan, MLS J Am Acad […]
Diagnosis of Carpal Tunnel Syndrome
Michael Warren Keith, MD, Victoria Masear, MD, Kevin Chung, MD, MS, Kent Maupin, MD, Michael Andary, MD, MS, Peter C. Amadio, MD, Richard W. Barth, MD, William C. Watters, III, MD, Michael J. Goldberg, MD, Robert H. Haralson, III, MD, MBA, Charles M. Turkelson, PhD and Janet L. Wies, MPH J Am Acad Orthop Surg, […]
Metacarpophalangeal Joint Dislocation
Paul Dinh, MD, Adam Franklin, MD, Brian Hutchinson, MD, Stephen B. Schnall, MD and Isabella Fassola, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Traumatic dislocation of the metacarpophalangeal joint is a relatively uncommon injury. The dislocation may be easily reducible (ie, simple) or require surgical intervention (ie, complex). The flexor […]
Pediatric Scaphoid Fractures
Adam W. Anz, Brandon D. Bushnell, Donald K. Bynum, George D. Chloros, and Ethan R. Wiesler J Am Acad Orthop Surg 2009 17: 77-87 Fractures of the immature carpal scaphoid can be challenging to manage. The diagnosis may be missed or delayed because of absent or minimal symptoms. Once diagnosed, most pediatric scaphoid fractures can […]
Cold Exposure Injuries to the Extremities
J Am Acad Orthop Surg, Vol 16, No 12, December 2008 Alexander Golant, MD, Russell M. Nord, MD, Nader Paksima, DO, MPH and Martin A. Posner, MD Cold exposure injuries comprise nonfreezing injuries that include chilblain (aka pernio) and trench, or immersion, foot, as well as freezing injuries that affect core body tissues resulting in […]
Radiocarpal Fracture-dislocations
J Am Acad Orthop Surg, Vol 16, No 11, November 2008 Asif M. Ilyas, MD and Chaitanya S. Mudgal, MD Radiocarpal fracture-dislocations most often are caused by high-energy trauma. These difficult, uncommon injuries involve significant soft-tissue and osseous trauma, requiring meticulous reduction and fixation. The mechanism of injury is generally a severe shear or rotational […]
