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Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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-term efficacy ( 3 , 4 , 5 , 6 ). Collagenase injection is a pharmacological treatment in which a mixture of two strands of collagenase is used to enzymatically divide type 1 and type 3 collagen in the Dupuytren cord. The finger is then manipulated into
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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performed, including special projections of the scaphoid. If the clinical status is typical and a fracture can be seen on radiographs, the patient has to be treated for his scaphoid fracture according to the recommendations, usually with an appropriate cast
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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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economic, on the opposite, ORIF is thought to offer good fracture alignment, faster clinical improvement, and early return to routine activities but at the price of surgical risks such as infection, cut-out, and higher costs ( 12 , 13 , 14 , 15 ). Up to
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. Clinical examination A clinical examination of wrist ligament injuries consists mainly of palpation and laxity and provocation tests. A positive Watson’s test (scaphoid shift manoeuvre) ( Fig. 5 ) indicates a total SL injury. However, positive tests
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a flexion contracture of the hand that he attributed to trauma to the flexor tendon. 2 , 3 In France, Dupuytren described the anatomy of the disease as well as clinical history and presentation. He believed that trauma was the main causative
