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Introduction Osteoarthritis of the carpometacarpal joint of the thumb (CMC-1) is a common problem and surgical treatment is indicated when conservative measures fail to provide sufficient relief. Of the many surgical treatment options, no
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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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-operative treatment Non-operative treatment for advanced destruction of finger joints may be considered both for inflammatory disease or ongoing joint degeneration in osteoarthritis (OA), depending on the severity of symptoms and functional impairment. Treating
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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respect to the axis of rotation of the joint. 1 Outcomes were reasonably good, particularly in the metacarpophalangeal (MP) joints of patients affected by rheumatoid arthritis (RA) and degenerative osteoarthritis (OA). The experience in the
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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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be added for selected types of operations, e.g. surgery for flexor tendon injury, joint implants and osteoarthritis of the thumb. Patients aged under 16 years, or with cognitive problems, or undergoing repeated surgery are not required to fill in the
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ligament reconstruction and tenodesis using tendon grafts produce satisfactory results when it comes to correcting reducible chronic SL instability in wrists without pre-operative notable osteoarthritis. This repair technique achieves a relatively pain
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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
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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usually with a cast. The potentially serious consequences of a non-united scaphoid fracture, as well as missed scapholunate ligament (SL) injuries with progressive osteoarthritis ( 7 , 8 ), have resulted in restrictive treatment protocols for acute
