Fractures of the Hand

Corley, Fred G.; Schenck, Robert C.

doi:10.1016/s0094-1298(20)31093-2

Cited by 8 publications

(5 citation statements)

References 40 publications

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“…7,12 Portable 3D scanners have recently evolved as a valid, objective, reliable, noninvasive, and fast volume measurement tools, competing to the current criterion standard. 3,4 . Koban et al 8 tested the validity and reliability of the portable Artec EVA 3D scanner by capturing swelling conditions and volumes of the lower extremity and showed a significant correlation to the water displacement method and concluded the scanner to be a reliable mean for volume measurements.…”

Section: Discussionmentioning

confidence: 99%

“…1 Common reasons for this pathophysiologic imbalance are injuries of these regions, such as distal radius fractures; fractures of the carpus, metacarpus, or fingers; and infections of different origins. [2][3][4] These pathologies often require a surgical treatment. Definitive therapy is almost always recommended after at least significant reduction of swelling as soft tissue complications due to swelling and edema are generally named causal for serious complications within surgical treatment of these injuries.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Volumetry of Hand and Forearm: A 3D Volumetric Approach

Oezel

Latz

Gehrmann

et al. 2022

Hand (New York, N,Y.)

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Background: Swelling and edema of the hand and forearm may occur in various traumatic and degenerative diseases. So far, no precise measurement protocol exists. The objective of this study was to evaluate an examination protocol with relevant regions of interest (ROIs) measured by a 3-dimensional (3D) scanner to achieve precise, reproducible, and objective measurements for an optimized detection of volumes of the hand and forearm. Methods: A 3D scan protocol was developed using an Artec, 3D scanner EVA to measure discrete hand volumes of healthy volunteers. Five areas were defined as ROIs, representing volumes of the finger, metacarpus, wrist, hand, and distal forearm. Contralateral limbs were used for volume comparisons and calculation of volume differences. Results: For this study, 12 individuals (58.3% women, 24 hands and forearms) with a mean age of 27.1 ± 3 years were included. Mean volume values for left and right ROIs correlated with each other, with slightly higher volumes for the right upper extremity. Volume differences showed statistically significant results for the finger region (ROI I; P = .009), the metacarpal region (ROI II; P < .001), hand region (ROI IV; P = .001), and forearm region (ROI V; P = .006), with the exception of the wrist region (ROI III; P = .722). Conclusions: Our results demonstrate that this 3D volumetric approach is a reliable and objective tool for measuring volumes and circumferences in hand and forearm. Based on our determined ROIs, further studies are needed to explore the significance for clinical applications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Volumetry of Hand and Forearm: A 3D Volumetric Approach

Oezel

Latz

Gehrmann

et al. 2022

Hand (New York, N,Y.)

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“…The goal of operative intervention is to provide stable fixation for bony union and allow early range of movements to prevent stiffness. The miniplate has advantage of providing rotational control and compression at the fracture site in transverse fracture while its pitfalls include fibroplasia at the fracture site due to periosteal stripping which occurs during its application [5][6][7] . The radiological union was achieved in all the cases in about 12 weeks.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome in metacarpal fractures treated with Minifragment plating

Garg¹,

Sagy²,

Singh³

et al. 2017

Int. J. Orthop. Sci.

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There is trend on rise to use miniplates over the kirschner's wire for treating the fractures of hand. The improved system of internal fixation by miniplates has many advantages. The aim of the study was to evaluate whether the newer stable fixation method i.e plating has any significant advantage. The study included a total of 20 cases with individuals ageing greater than 18 years. The patients excluded from the study were who had compound injury, severe osteoporosis and severe comorbid conditions in whom risk of anaesthetic complications were high. The average time for radiological union was 8.7 weeks. Stiffness was the most common associated complication in this study. 8 patients (40%) had shown excellent results; 9 patients (45%) had shown good results; 3 patients had shown fair results and none reported poor result. Plating is an excellent method of fixation in metacarpal fractures.

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“…11 The disadvantages of plating are their bulkiness and indulging an additional "surgical injury" to the soft tissue causing devascularisation of bone fragments, thus increasing the risks of subsequent tendon adhesions and stiffness by fibroplasia. 7,12,13 It may also interfere with tendon gliding. The removal of plate and secondary tenolysis for persistent stiffness were frequent.…”

Section: Introductionmentioning

confidence: 99%

Stainless Steel 2.0-mm Locking Compression Plate Osteosynthesis System for the Fixation of Comminuted Hand Fractures in Asian Adults

Wong¹,

Wong²,

Wong³

2011

Journal of Orthopaedics, Trauma and Rehabilitation

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a b s t r a c tObjective: The aim of this retrospective study was to analyse the clinical outcome of the application of stainless steel 2.0-mm locking compression plate (LCP) system for the treatment of comminuted hand fractures in Asian adults. Methods: Six patients who had comminuted hand fractures were treated by open reduction and internal fixation with the application of stainless steel 2.0-mm LCP (AO Compact Hand System; Synthes, Oberdorf, Switzerland) from December 2009 to October 2010. The total arc of motion of fingers, grip power, complications, and additional surgery were recorded. Results: Three out of six patients eventually restored good hand functions in terms of the total arc of finger motion (>220 ) and grip power. The commonest complication was skin impingement in finger region by the implant (4 cases). Another common complication was restricted range of motion (3 cases). One patient had minimal degree of malrotation of his left little finger. Additional surgery was required in all the patients for implant removal (6 cases), tenolysis (3 cases), and capsulotomy (2 cases). Conclusions: The stainless steel 2.0-mm LCP is useful for the fixation of unstable comminuted hand fractures, especially in metacarpal bones, because of its advantage of better stability, which allows more aggressive rehabilitation. However, its design is not very versatile and, therefore, limits its use in the finger region. Its bulkiness frequently causes implant impingement. The patients must be informed about the chance of implant removal later.

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Fractures of the Hand

Cited by 8 publications

References 40 publications

Volumetry of Hand and Forearm: A 3D Volumetric Approach

Volumetry of Hand and Forearm: A 3D Volumetric Approach

Functional outcome in metacarpal fractures treated with Minifragment plating

Stainless Steel 2.0-mm Locking Compression Plate Osteosynthesis System for the Fixation of Comminuted Hand Fractures in Asian Adults

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