Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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Introduction Wrist arthritis, either primary or secondary, is a debilitating condition that often leads to significant limitations in the use of the hand due to chronic wrist pain. When conservative treatment fails, surgical intervention is
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), followed by carpal collapse, finally ending up in disabling arthritis (scapholunate advanced collapse (SLAC)) wrist. 1 It often takes three to 12 months after trauma before dynamic instability develops and SL dissociation is noted radiologically (SL
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intercarpal arthrodeses, to clarify the indications for each fusion, to describe the most suitable surgical technique for each fusion, and to provide an overview of outcomes and current concepts. The most common form of degenerative wrist osteoarthritis is
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Surgical Department - Hand Surgery Unit EOC, Locarno's Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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used ‘(radius OR radial OR wrist fract* OR Colles fract*) AND (plate OR ORIF OR fixation) AND (conservative OR nonsurgical OR non-surgical OR nonoperative OR non-operative OR cast OR splint OR plaster OR immobilisation).’ Inclusion criteria included
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
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treat acute scaphoid fractures have been long internationally established ( 1 , 2 ). After a fall on an extended hand, with radial wrist pain and pain on palpation at fossa tabatière and/or axial compression of the thumb, an X-ray examination should be
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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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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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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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fracture, which may be a risk factor for osteoarthritis of the radiocarpal joint. 13 , 14 The clinical examination of soft tissues in the wrist and hand is also important. Soft tissue injuries have been shown to be present in approximately 31% of cases