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-validated and relevant outcome measurement tools such as the Disabilities of Arm, Shoulder and Hand (DASH) score, the Patient-Rated Wrist Evaluation (PRWE) or the Mayo Wrist Score (MWS). Series with clinical data collected before surgery and similarly at follow
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approximately 80% of the load through the wrist, while the radiocapitellar joint approximately 60% (51% to 70) of the load. 5 , 16 , 17 , 19 Nevertheless, many factors affect the precise amount of load distribution; these include the ulnar variance, degree
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penetrating trauma ( Fig. 6 ) or direct inoculation from an existing infection in the neighbouring bones or soft tissues. 4 , 59 – 62 Septic arthritis of the wrist is uncommon, with reported rates ranging from 1.5% to 5%, 63 , 64 Staphylococcus
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+ + + + + + − Dynamic surgery − − − +− + + + DB, digit block; WB, wrist block. WALANT local anesthesia is based on two main principles. The first principle is the tumescent injection of a large volume low-concentration lidocaine
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joint is the most affected in the upper limb (87%), followed by the glenohumeral and wrist joints. Hand joints are uncommonly affected and rarely produce arthropathy. 10 Treatment of this condition consists of preventing joint bleeding episodes and
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, slings Avoid driving while splinted or in a sling Operatively managed wrist fractures 2.14-7 weeks Cast immobilised wrist fractures Avoid driving while casted Shoulder arthroplasty 6 weeks or longer Foot and
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Case 1 A 24-year-old motorcyclist sustained a fracture at the waist of the scaphoid, which was treated with cast immobilization for 12 weeks. He suffered from activity-related pain and continuous swelling of the wrist. Examination showed limited
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. 2 It was described as a chronic symptomatic degeneration of the wrist extensor tendons involving their attachment to the lateral epicondyle of the humerus. It is a common condition, affecting between 1% and 3% of the population, 3 generally
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rotation of the shoulder, flexion of the elbow, pronation of the forearm, flexion and ulnar deviation of the wrist, thumb-in-palm deformity, clenched fist deformity or hyperextension of the fingers because of intrinsic tightness. In order to reduce the
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developed and validated self-assessment questionnaires for the shoulder, 24 elbow, 25 wrist 26 and knee. 27 The single questions focus on physical symptoms, activities of daily life, sports and recreational activities, physical function
