PURPOSE To present a new technique for wrist arthrodesis and review its treatment outcomes in 33 patients with brachial plexus palsy. METHODS 26 men and 7 women (mean age, 26 years) with global brachial plexus palsy underwent wrist arthrodesis using an external fixator and a cannulated screw. All surgeries were performed under local anaesthesia by a single senior surgeon. An external fixator ...

Comparisons of joint surface curvature at the base of the thumb have long been made to discern differences among living and fossil primates in functional capabilities of the hand. However, the complex shape of this joint makes it difficult to quantify differences among taxa. The purpose of this study is to determine whether significant differences in curvature exist among selected catarrhine ge...

By far the commonest cause of " locking " in the finger is stenosing tendovaginitis of the sheaths offiexor tendons as they enter their fibro-osseous canals. The result is the common condition of " trigger " finger. Four other ways in which the finger may get locked have been described: I. The extensor tendon may slip off the head of the metacarpal bone and come to lie in the interdigital cleft...

BACKGROUND Advanced thumb carpometacarpal arthritis is widely treated with trapeziectomy and tendon interposition despite donor-site morbidities. Trapeziectomy alone leaves a postresection space, leading to proximal metacarpal migration and scaphoid/trapezoid impingement. Prosthetic implants have been unsuccessful due to particulate debris, silicone synovitis, osteolysis, and migration. Recent ...

INTRODUCTION Simultaneous contraction of the extensor carpi radialis longus (ECRL) with forced hyperflexion of the wrist can result in avulsion of the tendon and its bony attachment at its insertion at the dorsum of the base of the second metacarpal. This is a rare and often unreported fracture pattern. CASE PRESENTATION We present a 31- year- old male who sustained a hyperflexion injury. He ...

!"#$%&'#()*+,#-*%.#/%0-1*$23(#4*5./$%6.#(*35*%,#*-#$7*35*%,#* little finger metacarpal (boxer fractures) with percutaneous transverse K-wire fixation and other procedures, there may be iatrogenic injury to the dorsal digital branch to the little finger (DDBLF) of the dorsal branch of the ulnar nerve (DBUN). In this study we aimed to describe the relationship of the DDBLF of the DBUN and the ins...

Fractures of the thumb metacarpal occur most frequently at the base. These fractures can be subdivided into intra-articular and extra-articular types. Intra-articular fractures present treatment challenges because they have a tendency to displace due to deforming forces acting at the base of the thumb. An understanding of the anatomy, biomechanics, and fracture pattern will aid in deciding on t...

Objective - The aim of this study was to measure the ratio of bone cortex (C) to bone diameter (D), (C/D) in radius/tibia, metacarpus /metatarsus and proximal phalanges in fore and hindlimbs to be used as a diagnostic guide in metabolic and nutritional diseases in Minature Donkey. Design- Experimental study Animals- Eight adult Minature donkeys. Procedures- Lateromedial, dorsopalmar and dors...

A vascularised bone-graft procedure from the base of the second metacarpal was performed in 14 patients with nonunion of the scaphoid. There were 11 men and three women with a mean age of 22 years. In eight patients, who had dorsiflexed intercalated segment instability (DISI), an open wedge was formed at the site of nonunion, and the vascular pedicle was grafted from the volar side. In the six ...