BACKGROUND There are no established guidelines on the age or the severity of deformity for which an ulna shortening osteotomy or ulna epiphysiodesis should be performed in children and adolescents with Madelung deformity. The purpose of this study was to identify radiographic criteria associated with the eventual performance for an ulna shortening procedure in this patient population. METHODS...

QUESTION What is the diagnostic value of provocative wrist tests and magnetic resonance imaging (MRI) for suspected wrist ligament injuries? DESIGN Cross-sectional study. PARTICIPANTS 105 people presenting to hand clinics with wrist pain and suspected wrist ligament injuries were evaluated prospectively. OUTCOME MEASURES The integrity of wrist ligaments was tested with seven provocative t...

In his treatise on joint injuries Astley Cooper (1832) included only one example of carpal dislocation. Speed (1950) estimated that carpal fractures and dislocations comprised oneeighth of injuries about the wrist. Although they are so common carpal dislocations are often unrecognised or mismanaged (Watson-Jones 1946, Cave 1958, McLaughlin 1959, Wade 1960). There is still disagreement about the...

BACKGROUND The purpose of the present study is to report on a cohort of patients with a volar shearing fracture of the distal end of the radius in whom the unique anatomy of the distal cortical rim of the radius led to failure of support of a volar ulnar lunate facet fracture fragment. METHODS Seven patients with a volar shearing fracture of the distal part of the radius who lost fixation of ...

Fusion of the centers of the triquetral and lunate (the 0s lunatotriquetrum) was observed in 1.6% of 7,543 subjects primarily of African origin as compared with 0.1% of 11,663 persons of European origin. The fusion was twice as common in females as in males, multifactorial inheritance was suggested in the lineages studied, and a possible selective disadvantage was postulated after comparison wi...

Rowan CH, Downing ND. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221041 Description Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation. We present the X-rays of a 25-year-old man who fell from a height of approximately 2 metres onto an extended wrist. Plain radiographs (figure 1) show classical signs of a trans-scaphoid ...