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-union, development of early glenohumeral (GH) osteoarthritis and chronic shoulder instability. It is therefore of utmost importance to properly diagnose, analyse and treat these fractures. Over the past few decades there has been controversy about the management of
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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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instability. Although these procedures usually yield good and predictable outcomes, many complications have been reported and described in detail in the medical literature. The purpose of this article is to review the most commonly used combination of
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radiological, mainly DRUJ instability and sigmoid notch erosion (see below). It was impossible to extrapolate an overall percentage of the cases that required soft tissue stabilisation and/or interposition or any further procedure. Only in one study was the
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to grasp larger objects. When considering the correct PIP joint procedure, the degree of instability and deformity must be taken in account. Experience shows that pre-existing deformity and instability in the PIP joint is difficult to correct with
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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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considered to be unstable, warranting operative treatment in most cases. However, with Colles’ fracture, there is no classification to help in predicting instability. 23 Fig. 1 Lateral and antero-posterior view of the distal radius in a 74-year
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results available Longer recovery time Shortening May develop midcarpal instability Remaining symptoms Rationale for total joint replacement Advantages Faster recovery Following TJA, the thumb is not or only shortly immobilized
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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Introduction Osteoarthritis of the proximal interphalangeal (PIP) joint, either primary or secondary, limits the range of motion and causes pain with or without instability, leading to significant global hand function impairment ( 1 ). Typical
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dissection and graft harvesting • Prevents vessel kinking • The location of this graft provides easy access to both lunate and the proximal pole of the scaphoid Volar • Humpback deformity • Dorsal intercalated segment instability • Waist nonunions of
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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fracture S63.3 Ligament injury wrist, hand M24.2D Ligament instability wrist, hand S52.5 Distal radius fracture S52.6 Distal radius and ulna fracture M19.1D / M19.2D Post traumatic degenerative arthritis S63
