The Wrist: Common Injuries and Management

Parmelee-Peters, Katrina; Eathorne, Scott W.

doi:10.1016/j.pop.2004.11.015

Cited by 42 publications

(20 citation statements)

References 66 publications

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“…The treatment depends on the lesion severity; if the fracture is stable and without dislocation of fragments, a cast or a splint made of thermoplastic material is used for external immobilisation of the lesion area. An unstable and dislocated fracture requires a surgical intervention of reduction and stabilisation and the following immobilisation with a cast or a splint [ 8 , 9 ]. In any case, after the immobilisation period, an early rehabilitation treatment consisting of exercise physiotherapy must start as early as possible to have a positive recovery of the forearm motion.…”

Section: Introductionmentioning

confidence: 99%

“…For neurologic patients (with injuries at the level of the CNS), the primary goal is to achieve a cortical reorganisation which could lead to the restoration of motor functionalities [ 28 , 29 ]. Instead, for orthopaedic patients (with musculoskeletal lesions but without cognitive impairments), the primary goal of any system should be the restoration of functional ranges of motion, muscular strength recovery, and pain reduction [ 5 , 6 , 8 , 9 , 30 ]. Robotic neurorehabilitation focuses on the mobilisation of the limbs through complex multijoint movements (reaching, grasp, and bimanual coordination, among others) and neuroplasticity stimulation with cognitive task assignment [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Orthopaedic Robotic-Assisted Rehabilitation Method of the Forearm in Virtual Reality Physiotherapy

Castañeda

Sotgiu

Barsotti

et al. 2018

Journal of Healthcare Engineering

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The use of robotic rehabilitation in orthopaedics has been briefly explored. Despite its possible advantages, the use of computer-assisted physiotherapy of patients with musculoskeletal injuries has received little attention. In this paper, we detailed the development and evaluation of a robotic-assisted rehabilitation system as a new methodology of assisted physiotherapy in orthopaedics. The proposal consists of an enhanced end-effector haptic interface mounted in a passive mechanism for allowing patients to perform upper-limb exercising and integrates virtual reality games conceived explicitly for assisting the treatment of the forearm after injuries at the wrist or elbow joints. The present methodology represents a new approach to assisted physiotherapy for strength and motion recovery of wrist pronation/supination and elbow flexion-extension movements. We design specific game scenarios enriched by proprioceptive and haptic force feedback in three training modes: passive, active, and assisted exercising. The system allows the therapist to tailor the difficulty level on the observed motion capacity of the patients and the kinesiology measurements provided by the system itself. We evaluated the system through the analysis of the muscular activity of two healthy subjects, showing that the system can assign significant working loads during typical physiotherapy treatment profiles. Subsequently, a group of ten patients undergoing manual orthopaedic rehabilitation of the forearm tested the system, under similar conditions at variable intensities. Patients tolerated changes in difficulty through the tests, and they expressed a favourable opinion of the system through the administered questionnaires, which indicates that the system was well accepted and that the proposed methodology was feasible for the case study for subsequently controlled trials. Finally, a predictive model of the performance score in the form of a linear combination of kinesiology observations was implemented in function of difficult training parameters, as a way of systematically individualising the training during the therapy, for subsequent studies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Orthopaedic Robotic-Assisted Rehabilitation Method of the Forearm in Virtual Reality Physiotherapy

Castañeda

Sotgiu

Barsotti

et al. 2018

Journal of Healthcare Engineering

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“…Wrist anatomy is probably the most complex of the whole body; therefore, making a diagnosis after a wrist injury can be challenging 5. Only a few cases of isolated non-union have been reported and are typically diagnosed within months of the initial injury 2 6.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic non-union of capitate 14 years postfracture

et al. 2013

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SUMMARYWe report the unusual complication of non-union 14 years following a capitate fracture in a right-hand dominant man. Our patient fell and sustained an injury to his left wrist 14 years ago. At that time he had a swollen painful left wrist. His symptoms subsequently settled and he went back to his normal activities. He lost some power for bench-pressing and had slightly restricted range of motion but remained essentially pain-free. He presented 14 years later with another wrist injury when the original non-union was revealed. BACKGROUND

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“…Pediatric forearm fractures have been described in several studies, but the proportion of fractures in these studies is controversial (Carson et al 2006, Parmelee-Peters andEathorne 2005). For example, Parmelee-Peters et al (2005) indicated that scaphoid fractures are the most common in the age 15 to 30 years and are rare under the age of 10, whereas Carson et al (2006) pointed out that as in adults, the scaphoid fracture is the most common fracture in children. Further biomechanical analysis to investigate the pediatric forearm responses is warranted.…”

Section: Introductionmentioning

confidence: 99%

Numerical study of 10-year-old child forearm injury

Mao¹,

Cai²,

Yang³

2014

Advances in biomechanics and applications

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Forearm fractures in children are very common among all pediatric fractures. However, biomechanical investigations on the pediatric forearm are rather scarce, partially due to the complex anatomy, closely situated, interrelated structures, highly dynamic movement patterns, and lack of appropriate tools. The purpose of this study is to develop a computational tool for child forearm investigation and characterize the mechanical responses of a backward fall using the computational model. A threedimensional 10-year-old child forearm finite element (FE) model, which includes the ulna, radius, carpal bones, metacarpals, phalanges, cartilages and ligaments, was developed. The high-quality hexahedral FE meshes were created using a multi-block approach to ensure computational accuracy. The material properties of the FE model were obtained by scaling reported adult experimental data. The design of computational experiments was performed to investigate material sensitivity and the effects of relevant parameters in backward fall. Numerical results provided a spectrum of child forearm responses with various effective masses and forearm angles. In addition, a conceptual L-shape wrist guard design was simulated and found to be able to reduce child distal radius fracture.

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The Wrist: Common Injuries and Management

Cited by 42 publications

References 66 publications

An Orthopaedic Robotic-Assisted Rehabilitation Method of the Forearm in Virtual Reality Physiotherapy

An Orthopaedic Robotic-Assisted Rehabilitation Method of the Forearm in Virtual Reality Physiotherapy

Asymptomatic non-union of capitate 14 years postfracture

Numerical study of 10-year-old child forearm injury

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