Melorheostosis on the second finger of the hand

Kural, Cemal; Tanrıverdi, Bülent; Erçin, Ersin; Baca, Emre; Kural, Alev

doi:10.52312/jdrscr.2022.65

Cited by 1 publication

(2 citation statements)

References 8 publications

(21 reference statements)

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“…6 19 24 Patients have demonstrated between 13 and 30% decrease in functional grip strength after surgical treatment. 10 22 While 88% of patients in this series were able to return to work, only 76% were able to return to the same job or the same functional duties due to residual limitations from their injury. After definitive treatment, most patients were unable to work for months with an average return to work of more than 6 months in this study.…”

Section: Discussionmentioning

confidence: 83%

“…Even with successful treatment, patients may have noticeable functional deficits and persistent pain as a result of the PLI. 10 21 22 23 Prognostic factors for worse outcomes include delays in management or missed diagnosis, persistent carpal malalignment, open injuries, and osteochondral fractures of the carpus. 10 Significant arthritic degenerative radiographic changes have been reported in 70% of wrists at 15-year postinjury; however, radiographic degeneration has not correlated with worsened clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Medium-Term Patient-Reported Outcomes after Surgical Management of Perilunate Injury: A Multiinstitutional Experience

Gabig,

Payne,

Whitsett

et al. 2024

J Wrist Surg

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Background There is a lack of consensus on the optimal treatment of perilunate injuries (PLIs). Open reduction with internal fixation with scapholunate (SL) ligament repair is recommended; however, procedures such as lunotriquetral (LT) ligament repair, carpal tunnel release (CTR), proximal row carpectomy, denervation, and arthrodesis may also be used. Purpose The purpose of this study was to assess patient-reported outcomes (PROs) after surgical management of PLIs. Methods A retrospective review of surgically treated PLIs at two institutions in a major metropolitan city from 2014 to 2020 was conducted. Demographics, radiographic data, and details of surgical management were reviewed. PROs were prospectively collected and analyzed. Results Eighty-seven patients with surgically managed PLIs were identified. The average time to surgery was 4 ± 7days. Twenty-six percent of patients presented with acute median neuropathy. Thirty-seven patients provided PROs for analysis. Patient-Rated Wrist Evaluation scores were 22 ± 12.9, 14.4 ± 11.3, and 37 ± 22 for pain, function, and total scores, respectively. Satisfaction was 7 ± 3 Sixteen percent of patients were unable to maintain employment due to their injury. The interval to return to work was 6.3 ± 7.7 months. Conclusion PLIs cause significant morbidity and affect patients' ability to return to work. While open reduction with SL repair is routinely performed to treat PLIs, additional procedures may be considered. Undergoing concurrent CTR in the absence of neurological symptoms showed no differences in outcomes. Level of Evidence Level III, retrospective cohort study.

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