OBJECTIVES To study the influence of forefoot plantar pressure of the first tarsometatarsal joint fracture-dislocation by three different implants to provide experimental reference in selecting implants. METHODS Eight fresh foot specimens were made into the models of the first tarsometatarsal joint fracture-dislocation, which were fixed with 3.5 mm cortical screw, 1/4 tubular plate and compre...

INTRODUCTION Tuberculous involvement of metacarpals and phalanges is a rare presentation of extrapulmonary tuberculosis in adult. Tuberculous infection of the metacarpals, metatarsal and phalanges of hands and feet is known as tubercular dactylitis. CASE REPORT A 65 years old female with history of pain and swelling at 1st metacarpal of left hand, since 3 months which gradual in onset and pro...

Plantar dislocation of the first metatarsophalangeal joint is an extremely rare primary hyperflexion injury of forefoot. A 32-year-old female was admitted to our emergency with a deformity and pain on his right foot. Dislocation was caused by motor vehicle. On physical examination mild swelling of the first MTPJ and plantar dislocation of the great toe were evident. Diagnosis was made on antero...

recurrent dislocation is not common in small joints. this report presents a new case of chronic recurrent dislocation of proximal interphalangeal joint of the finger in which soft tissue injuries have a role in the dislocation. the patient was a 23 years old man who had referred to our center because of recurrent dislocation of proximal interphalangeal joint of his right ring finger during spor...

OBJECTIVE To investigate whether bilateral deep tissue pressure hyperalgesia exists in individuals with unilateral thumb carpometacarpal osteoarthritis (CMC OA). METHODS A total of 32 patients with CMC OA (29 females and 3 males, aged 69-90 years old) and 32 healthy matched controls (29 females and 3 males, aged 70-90 years) were recruited. Pressure pain thresholds (PPTs) were bilaterally ass...

Traumatic dislocations of the second (index) to the fifth (little finger) carpometacarpal (CMC) joints are uncommon injuries accounting for less than 1% of all hand injuries [1]. These injuries often elude the unsuspecting attending clinician with as many as 70% of dislocations being missed completely or misdiagnosed at initial presentation [2]. Inexperienced practitioners right through to expe...

CONCLUSION: Thumb injuries from fireworks result from high-energy avulsion, hyperextension, and hyperabduction, frequently injuring the thumb, destabilizing the CMC joint, and seriously damaging the first webspace. The first webspace requires particular consideration as deep injury may result in adduction contracture and require secondary reconstruction with tissue outside the zone of injury if...

OBJECTIVES The aim of this study was to investigate: (i) the frequency and patterns of radiographic OA (ROA) in the thumb joints; and (ii) associations between thumb ROA and the clinical characteristics of thumb OA in older adults with hand pain or problems. METHODS Participants were 592 community-dwelling older adults with hand pain or hand problems who attended a research clinic. Hand X-ray...

  Simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with recons...

We present the case of a 71-year-old, left-handed woman with left thumb carpometacarpal (CMC) joint arthritis. The patient had no pain and could use the hand actively in daily life with a new option of surgical treatment, a vascularized pedicled third CMC joint transfer to the thumb CMC joint.