Scholars@Duke
Marc Joseph Richard

Marc Joseph Richard

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
5601 Arringdon Park Dr., Suite 300, Morrisville, NC 27560

Selected Publications

Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures.

Journal Article Hand (N Y) · November 2024 BACKGROUND: The incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would ... Full text Link to item Cite

The Use of Nitinol Staples as Reduction Aids in Fixation of Forearm Diaphyseal Fractures: Surgical Technique and Case Series.

Journal Article Tech Hand Up Extrem Surg · September 17, 2024 Forearm diaphyseal fractures are common orthopedic injuries that typically require surgical intervention using various implants and approaches. Maintaining reduction while simultaneously achieving compression in radial and/or ulnar shaft fractures during c ... Full text Link to item Cite

How Useful Is TikTok for Patients Searching for Carpal Tunnel Syndrome-Related Treatment Exercises?

Journal Article Healthcare (Basel) · August 26, 2024 Since orthopedic surgery has been slower to acknowledge the rise of social media for distributing medical information, this study aims to evaluate TikTok videos' quality and educational value in relation to carpal tunnel syndrome treatment exercises. TikTo ... Full text Link to item Cite

Variation in Interpretation of Provocative Tests for Carpal Tunnel Syndrome.

Journal Article J Hand Surg Am · August 14, 2024 PURPOSE: We studied variation in interpretation of specific symptoms during clinical tests for carpal tunnel syndrome to estimate the degree to which surgeons consider pain without paresthesia characteristic of median neuropathy. METHODS: We invited all up ... Full text Link to item Cite

Reliability of Wrist Arthroscopy in the Diagnosis and Treatment of Triangular Fibrocartilage Complex Tears.

Journal Article J Hand Surg Am · August 8, 2024 PURPOSE: Wrist arthroscopy is considered the gold standard for diagnosis of intra-articular wrist conditions including triangular fibrocartilage complex (TFCC) tears; however, the ability to reliably diagnose TFCC pathology during wrist arthroscopy is uncl ... Full text Link to item Cite

Complications of Early Versus Delayed Total Elbow Arthroplasty for the Treatment of Distal Humerus Fractures.

Journal Article J Hand Surg Am · July 2024 PURPOSE: The purpose of this study was to compare the rates of wound complications and heterotopic ossification (HO) between patients who underwent acute total elbow arthroplasty (TEA) and those who underwent delayed TEA performed for the treatment of dist ... Full text Link to item Cite

Usability of Nerve Tape: A Novel Sutureless Nerve Coaptation Device.

Journal Article J Hand Surg Am · April 2024 PURPOSE: Microsuture neurorrhaphy is technically challenging and has inherent drawbacks. This study evaluated the potential of a novel, sutureless nerve coaptation device to improve efficiency and precision. METHODS: Twelve surgeons participated in this st ... Full text Link to item Cite

The Role of 3D Custom Implants in Upper Extremity Surgery.

Journal Article J Orthop Trauma · April 1, 2024 As the technology of three-dimensional (3D) printing becomes more refined and accessible, multiple applications of its use are becoming more commonplace in upper extremity surgery. 3D-printed models have been beneficial in preoperative planning of complex ... Full text Link to item Cite

Cost-Effectiveness Analysis of Early versus Late Debridement of Superficial Triangular Fibrocartilage Complex Tears.

Journal Article J Hand Microsurg · March 2024 BACKGROUND: While initial nonoperative management is the conventional approach for superficial triangular fibrocartilage complex (TFCC) tears, a substantial portion of these cases go on to require surgery, and the optimal duration of nonoperative treatment ... Full text Link to item Cite

Comparison Between Intramedullary Nail and Percutaneous Pin Fixation in Proximal Phalanx Fractures.

Journal Article Hand (N Y) · February 27, 2024 BACKGROUND: Percutaneous pinning has been the predominant technique for fixation of proximal phalanx fractures, but stiffness is a reported complication. The introduction of intramedullary (IM) nail fixation of proximal phalanx fractures provides a stronge ... Full text Link to item Cite

Forearm Nonunions-From Masquelet to Free Vascularized Bone Grafting.

Journal Article Hand Clin · February 2024 Forearm fractures present a unique challenge due to the anatomic relationship of the radius relative to the ulna. Associated with the complexity of the treatment for these fractures is the management of nonunion and malunion of the radius and ulna. Evaluat ... Full text Link to item Cite

Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Markov Cost-Effectiveness Decision Analysis.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Platelet-rich plasma (PRP) or corticosteroid injections may be used to conservatively treat mild-to-moderate carpal tunnel syndrome (CTS). We evaluated the cost-effectiveness of PRP injections versus corticosteroid injections for the treatment ... Full text Link to item Cite

Ulnar Resection Length: A Risk Factor for Nonunion in Ulnar Shortening Osteotomy.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Nonunion rates following ulnar shortening osteotomy (USO) are reported up to 18% with few known risk factors. While resection length is variable in practice, little is known about the prognostic implications on healing. The purpose of this stud ... Full text Link to item Cite

VASCULAR EVALUATION OF THE UPPER EXTREMITY

Chapter · January 1, 2024 Vascular disorders of the upper extremity are relatively uncommon compared to other locations in the body. These disorders significantly alter overall patient health and function. The successful evaluation and management of upper extremity vascular disorde ... Full text Cite

Medicaid and Indigent Patients Experience Delayed Fixation of Distal Radius Fractures, Resulting in Worse Consequential Radiographic Outcomes.

Journal Article Orthopedics · 2024 Distal radius fractures are the most common upper extremity injury. Patients referred to safety-net tertiary facilities following a fracture experience significant delays in treatment because of financial and language barriers as well as poor access to car ... Full text Link to item Cite

CIND: Radiocarpal Instability

Chapter · January 1, 2024 Radiocarpal instability presents a rare but challenging problem. Regardless of the treatment option of choice, decreased wrist range of motion and posttraumatic arthritis develop in nearly all patients who sustain a radiocarpal instability event. Instabili ... Full text Cite

Variations in Treatment and Costs for Distal Radius Fractures in Patients Over 55 Years of Age: A Population-Based Study.

Journal Article J Hand Microsurg · December 2023 Objective  To evaluate the rate of surgery for symptomatic malunion after nonoperatively treated distal radius fractures in patients aged 55 and above, and to secondarily report differences in demographics, geographical variation, and utilization costs of ... Full text Link to item Cite

Key drivers of 90-day costs in primary total elbow arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2023 Background: A comprehensive understanding of both surgical care costs and the factors influencing these costs is critical to make progress toward value-based care in orthopedics. Therefore, the purpose of this study was to assess 90-day health system costs ... Full text Cite

Do Patients Want to Be Involved in Their Carpal Tunnel Surgery Decisions? A Multicenter Study.

Journal Article J Hand Surg Am · November 2023 PURPOSE: Carpal tunnel syndrome requires multiple decisions during its management, including regarding preoperative studies, surgical technique, and postoperative wound management. Whether patients have varying preferences for the degree to which they shar ... Full text Link to item Cite

The Use of Patient-Specific Implants for the Treatment of Upper Extremity Fractures.

Journal Article Hand Clin · November 2023 In this article, we discuss the use of three-dimensional (3-D) printed patient-specific implants in the management of upper extremity fractures. Traditional fracture fixation methods involve the use of standard-sized implants, which may not adequately addr ... Full text Link to item Cite

Evaluation of Online Artificial Intelligence-Generated Information on Common Hand Procedures.

Journal Article J Hand Surg Am · November 2023 PURPOSE: The purpose of this study was to analyze the quality and readability of the information generated by an online artificial intelligence (AI) platform regarding 4 common hand surgeries and to compare AI-generated responses to those provided in the i ... Full text Link to item Cite

A Multicenter Prospective Randomized Comparison of Conduits Versus Decellularized Nerve Allograft for Digital Nerve Repairs.

Journal Article J Hand Surg Am · September 2023 PURPOSE: While there are advantages and disadvantages to both processed nerve allografts (PNA) and conduits, a large, well-controlled prospective study is needed to compare the efficacy and to delineate how each of these repair tools can be best applied to ... Full text Link to item Cite

Wound Complications Following Olecranon Fracture Fixation: Implant and Soft Tissue Considerations.

Journal Article Cureus · July 2023 The aim of this multicenter, retrospective, case-control series was to investigate patient- and treatment-specific factors associated with wound breakdown following olecranon fracture fixation.  Methods: We identified patients at our two participating acad ... Full text Link to item Cite

Imposter Syndrome Among Surgeons Is Associated With Intolerance of Uncertainty and Lower Confidence in Problem Solving.

Journal Article Clin Orthop Relat Res · April 1, 2023 BACKGROUND: Feelings of imposter syndrome (inadequacy or incompetence) are common among physicians and are associated with diminished joy in practice. Identification of modifiable factors associated with feelings of imposter syndrome might inform strategie ... Full text Link to item Cite

Lunate Revascularization With Temporary Internal Radiocarpal Spanning Fixation for Kienböck Disease.

Journal Article Hand (N Y) · January 2023 BACKGROUND: The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis. METHODS: We report the outcomes for patients with stages II and III Kienböck disease treated with f ... Full text Link to item Cite

Outcomes of Supplementary Spring Wire Fixation With Volar Plating for Volar Lunate Facet Fragments in Distal Radius Fractures.

Journal Article Hand (N Y) · November 2022 BACKGROUND: Intra-articular distal radius fractures with small volar lunate facet fragments can be challenging to address with volar plate fixation alone. Volar locked plating with supplementary spring wire fixation has been previously described in a small ... Full text Link to item Cite

Barriers and Facilitators of Outcome Collection During Hand Surgery Outreach: A Quality Improvement Study.

Journal Article Hand (N Y) · November 2022 BACKGROUND: Surgical outreach trips to low- and middle-income countries have been increasing. Outcome collection on these trips, however, has been inconsistent and often incomplete. We conducted a qualitative study of surgeons, administrators, and patients ... Full text Link to item Cite

Addressing Surgical Instrument Oversupply: A Focused Literature Review and Case-Study in Orthopedic Hand Surgery.

Journal Article Hand (N Y) · November 2022 BACKGROUND: Instrument oversupply drives cost in the operating room (OR). We review previously reported methodologies for surgical instrument reduction and report a pilot methodology for optimizing instrument supply via ethnographic instrument tracking of ... Full text Link to item Cite

Patient-Derived Framework for Quality in Hand Surgery: A Qualitative Analysis.

Journal Article J Hand Surg Am · November 2022 PURPOSE: Despite the growing attention to evaluating care from the patient perspective, the most common definitions and measurements of quality are currently defined by physicians and health systems. Studies have demonstrated how a lack of patient input ca ... Full text Link to item Cite

Arthroscopic TFCC Ulnar Bone Tunnel Foveal Repair in Adult Patients.

Journal Article Arthrosc Tech · October 2022 Triangular fibrocartilage complex (TFCC) tears may cause persistent ulnar-sided wrist pain, loss of grip strength, and associated loss of function. Although the majority of TFCC tears can be treated nonoperatively, surgical repair is considered when conser ... Full text Link to item Cite

Influence of medical comorbidity and surgical indication on total elbow arthroplasty cost of care.

Journal Article J Shoulder Elbow Surg · September 2022 BACKGROUND: Movement toward providing value-based musculoskeletal care requires understanding the cost associated with surgical care as well as the drivers of these costs. The aim of this study was to investigate the effect of common medical comorbidities ... Full text Link to item Cite

Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.

Journal Article Plast Reconstr Surg · September 1, 2022 SUMMARY: Several surgical procedures have been described to treat thumb carpometacarpal osteoarthritis, including suture button suspensionplasty and ligament reconstruction and tendon interposition. To date, no single procedure has demonstrated clinical su ... Full text Link to item Cite

Outcomes associated with proton pump inhibitors and distal radius fractures: A post-hoc comparative analysis.

Journal Article J Plast Reconstr Aesthet Surg · August 2022 UNLABELLED: Long-term, high-dose, daily proton pump inhibitors (PPI) may impact outcomes associated with distal radius fractures (DRF). The hypothesis was that differences existed in patient demographics, but there existed no differences in injury patterns ... Full text Link to item Cite

Telemedicine Use during the COVID-19 Pandemic: Results of an International Survey.

Journal Article J Wrist Surg · August 2022 Objective  The aim of the study is to survey hand surgeons' perspectives on telemedicine during the coronavirus disease 2019 (COVID-19) pandemic and intended applications after the pandemic. Methods  Online surveys were sent to 285 Canadian and American su ... Full text Link to item Cite

Return to Activities After Simultaneous Bilateral Endoscopic Carpal Tunnel Release.

Journal Article Hand (N Y) · July 2022 BACKGROUND: Approximately 56% of patients diagnosed with carpal tunnel syndrome present with bilateral symptoms; however, few studies have investigated bilateral simultaneous endoscopic carpal tunnel release (ECTR) and postoperative effect on return to act ... Full text Link to item Cite

Association of Lunate Morphology With Progression to Scaphoid Fracture Nonunion.

Journal Article Hand (N Y) · May 2022 Background: The purpose of our study was to review a series of patients with scaphoid fractures to determine whether there was an association between lunate morphology and progression to delayed union or nonunion when treated operatively or nonoperatively. ... Full text Link to item Cite

Platelet-rich plasma vs. corticosteroid injections for the treatment of recalcitrant lateral epicondylitis: a cost-effectiveness Markov decision analysis.

Journal Article J Shoulder Elbow Surg · May 2022 BACKGROUND: Both platelet-rich plasma (PRP) and corticosteroid injections may be used to treat lateral epicondylitis. We evaluated the cost-effectiveness of PRP injections vs. corticosteroid injections for the treatment of recalcitrant lateral epicondyliti ... Full text Link to item Cite

Short Message Service-Based Collection of Patient-Reported Outcome Measures on Hand Surgery Global Outreach Trips: A Pilot Feasibility Study.

Journal Article J Hand Surg Am · April 2022 PURPOSE: As the burden of surgical care and the associated outreach trips to low- and middle-income countries increases, it is important to collect postoperative data to assess and improve the quality, safety, and efficacy of the care provided. In this pil ... Full text Link to item Cite

Measuring intraoperative surgical instrument use with radio-frequency identification.

Journal Article JAMIA Open · April 2022 OBJECTIVE: Surgical instrument oversupply drives cost, confusion, and workload in the operating room. With an estimated 78%-87% of instruments being unused, many health systems have recognized the need for supply refinement. By manually recording instrumen ... Full text Link to item Cite

Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates.

Journal Article J Hand Surg Am · March 2022 Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the l ... Full text Link to item Cite

Overuse Elbow Injuries in Youth Gymnasts.

Journal Article Am J Sports Med · February 2022 BACKGROUND: Gymnastics is a unique sport that places significant loads across the growing elbow, resulting in unique overuse injuries, some of which are poorly described in the current literature. PURPOSE: To provide a comprehensive review of the unique ov ... Full text Link to item Cite

Time until union in absolute vs. relative stability MIPO plating in simple humeral shaft fractures.

Journal Article Eur J Orthop Surg Traumatol · January 2022 PURPOSE: The objective of this study is to evaluate the effect of absolute stability (AS) versus relative stability (RS) performed through a minimally invasive plate osteosynthesis (MIPO) in AO/OTA 12A1 and 12A2 fractures on healing and the time to radiogr ... Full text Link to item Cite

Site of service of irrigation and debridement of open finger and hand fractures: a retrospective review of trends and outcomes.

Journal Article Curr Orthop Pract · 2022 BACKGROUND: Irrigation and debridement (I&D) of open finger and hand fractures can be performed in the emergency department as opposed to the operating room (OR), though reports of postoperative infection rates vary greatly. The authors hypothesized that I ... Full text Link to item Cite

Skeletal Trauma of the Upper Extremity

Book · January 1, 2022 From the sternoclavicular joint to the distal phalanx, Skeletal Trauma of the Upper Extremity is a practical, one-volume resource covering all aspects of upper limb trauma and surgery. Comprehensive in scope, it features a multidisciplinary, step-by-step a ... Full text Cite

Outcomes of free vascularized fibular graft for post-traumatic osteonecrosis of the femoral head.

Journal Article Injury · December 2021 INTRODUCTION: Osteonecrosis of the femoral head (ONFH) can occur after traumatic injuries of the hip. Surgical treatment with total hip arthroplasty (THA) may not produce lifelong viability in younger patients. Free vascularized fibular graft (FVFG) has be ... Full text Link to item Cite

How Should We Use Patient-Reported Outcome Measures at the Point of Care in Hand Surgery?

Journal Article J Hand Surg Am · December 2021 PURPOSE: Despite the importance of collecting patient-reported outcome measures (PROMs), there are few process guidelines for physicians on how to collect and communicate individualized PROMs in patients at the point of care. The purpose of this study was ... Full text Link to item Cite

What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model.

Journal Article Clin Orthop Relat Res · December 1, 2021 BACKGROUND: Distal radius fractures (DRFs) are one of the most common major fractures. Despite their frequency, the tradeoffs in different outcomes after casting or surgery for closed extraarticular DRFs in older adults are unknown. QUESTIONS/PURPOSES: (1) ... Full text Link to item Cite

Patient Perspectives on the Cost of Hand Surgery.

Journal Article J Bone Joint Surg Am · November 17, 2021 BACKGROUND: Health-care expenditures in the U.S. are continually rising, prompting providers, patients, and payers to search for solutions to reduce costs while maintaining quality. The present study seeks to define the out-of-pocket price that patients un ... Full text Link to item Cite

Dorsal Wrist Spanning Plate Fixation for Treatment of Radiocarpal Fracture-Dislocations.

Journal Article Hand (N Y) · November 2021 Background: Radiocarpal dislocations are rare injuries that result from high-energy forces across the wrist with the hallmark finding of radiocarpal ligament disruption. Published treatment methods are comprehensive with moderate-to-good outcomes. The purp ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of distal humerus fractures.

Journal Article JSES Int · November 2021 INTRODUCTION: We hypothesized that the modified Fragility Index (mFI), which predicts surgical complications, would be applicable to surgical complications in patients older than 50 years with distal humerus fractures (DHF). METHODS: We retrospectively rev ... Full text Link to item Cite

An Analysis of the Impact of Timing and Technique on Outcomes after Surgery for Distal Radius Fractures: The Wrist and Radius Injury Surgical Trial Collaborative Study.

Journal Article Plast Reconstr Surg · November 1, 2021 BACKGROUND: Surgical treatment of closed distal radius fractures varies based on treatment, surgeon schedule, and patient preferences. The authors examined how timing and technique impact surgeon-perceived procedural difficulty and quality of reduction, ou ... Full text Link to item Cite

Heterotopic ossification formation after fractures about the elbow.

Journal Article Eur J Orthop Surg Traumatol · August 2021 INTRODUCTION: Heterotopic ossification (HO) is a well-known sequela after an elbow injury and is widely studied given the associated morbidity. The anatomic location of HO development for specific elbow injuries has not been reported. The purpose of this s ... Full text Link to item Cite

Fracture location impacts opioid demand in upper extremity fracture surgery.

Journal Article Injury · August 2021 INTRODUCTION: Opioid sparing protocols should be formulated with appropriate demand. Specific fracture location has been hypothesized as an important predictor of post-operative pain. The purpose of this study is to evaluate the impact of fracture location ... Full text Link to item Cite

Perioperative Laboratory Markers as Risk Factors for Surgical Site Infection After Elective Hand Surgery.

Journal Article J Hand Surg Am · August 2021 PURPOSE: The purpose of this study was to test the null hypothesis that there is no association between perioperative laboratory markers (serum albumin and hemoglobin A1c [HbA1c]) and incidence of surgical site infection (SSI) after soft tissue upper extre ... Full text Link to item Cite

Open and Arthroscopic Triangular Fibrocartilage Complex (TFCC) Repair.

Journal Article J Am Acad Orthop Surg · June 15, 2021 Triangular fibrocartilage complex (TFCC) tears, whether acute or chronic, can result in persistent ulnar-sided wrist pain. Although diagnosis and nonsurgical management of TFCC tears is well described, there remains ongoing discussion about the optimal sur ... Full text Link to item Cite

Opioid Prescription After Carpal Tunnel Release Is Declining Independent of State Laws.

Journal Article J Am Acad Orthop Surg · June 1, 2021 BACKGROUND: The opioid misuse crisis focused attention on opioid overprescribing prompting legislation, limiting prescribing. The purpose of this study was to evaluate of opioid filling surrounding carpal tunnel release (CTR) with the hypothesis that filli ... Full text Link to item Cite

Revision total elbow arthroplasty with the ulnar component implanted into the radius for management of large ulna defects.

Journal Article J Shoulder Elbow Surg · April 2021 BACKGROUND: Total elbow arthroplasty (TEA) has a higher rate of revision and complications than other total joint arthroplasties. Salvage options for failed TEAs are limited, especially when patients have poor ulna bone stock. The purpose of this study is ... Full text Link to item Cite

Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2021 PURPOSE: The purpose of this study was to evaluate a series of intra-articular distal radius fractures (DRFs) to determine whether patients without radiographic evidence of scapholunate (SL) ligament injury have a difference in outcomes in comparison with ... Full text Link to item Cite

Complications of Low-Profile Plate Fixation of Phalanx Fractures.

Journal Article Hand (N Y) · March 2021 Background: Phalanx fractures are common, and plate fixation can be used to treat difficult fractures. Major complications have been reported in up to 64% of phalanx fractures treated with plate fixation, with stiffness being the most common. Low-profile a ... Full text Link to item Cite

The Critical Portions of Carpal Tunnel Surgery: A Comparison Between Opinions of Surgeons and the General Public.

Journal Article J Hand Surg Am · March 2021 PURPOSE: Attending surgeons must participate in critical and key portions of procedures and otherwise be immediately available. However, surgeon-defined standards of the critical and key portions of surgery have been questioned, potentially affecting train ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.

Journal Article JSES Int · March 2021 HYPOTHESIS: We hypothesized that the modified Fragility Index (mFI) would predict complications in patients older than 50 years who underwent operative intervention for a proximal humerus fracture. METHODS: We retrospectively reviewed the American College ... Full text Open Access Link to item Cite

Trends in reimbursement for primary and revision total elbow arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2021 BACKGROUND: Relative value units (RVUs) are an essential component of reimbursement calculations from the Centers for Medicare & Medicaid Services. RVUs are calculated based on physician work, practice expense, and professional liability insurance. Procedu ... Full text Link to item Cite

Complications of Low-Profile Plate Fixation in Metacarpal Fractures.

Journal Article Orthopedics · January 1, 2021 High complication rates have been reported using conventional plating systems to treat metacarpal fractures. This study investigated complication rates in metacarpal fractures treated with low-profile anatomic plates. A retrospective chart review was perfo ... Full text Link to item Cite

Distal Radius Fractures in Baseball

Chapter · January 1, 2021 Distal radius fractures are the most common fracture of the upper extremity, and athletes are no exception. Injury can impact a player’s competitiveness and the longevity of their career. The mechanism, evaluation, treatment, and rehabilitation strategies ... Full text Cite

Arthroscopic Management of Dorsal Wrist Syndrome

Chapter · January 1, 2021 Dorsal wrist capsular impingement (DWCI) is defined as pain at the dorsal radiocarpal joint attributed to impingement of dorsal wrist capsular tissue during wrist extension, or dorsal wrist syndrome (DWS) if etiology is unclear. It is thought that microtra ... Full text Cite

Determination of the Optimal Location for Bone Graft Harvest in the Distal Radius.

Journal Article Hand (N Y) · November 2020 Background: The distal radius is commonly used as a bone graft donor site for surgery in the hand and wrist. The aim of this study was to evaluate the volume and relative density of cancellous bone in the distal radius. Methods: Thirty-four consecutive com ... Full text Link to item Cite

In Vivo Mechanical Function of the Distal Radial Ulnar Ligaments During Rotation of the Wrist.

Journal Article J Hand Surg Am · November 2020 PURPOSE: The purpose of this study was to investigate changes in length of the volar and dorsal radioulnar ligaments (VRULs and DRULs), and the distal radioulnar joint (DRUJ) space during unweighted and weighted rotation of the wrist using magnetic resonan ... Full text Link to item Cite

Forearm Nonunion: Characterization and Management.

Journal Article J Hand Surg Am · November 2020 Adult forearm nonunion should be investigated prior to developing a treatment strategy: "Why did the fracture not heal?" Optimizing the patient's biology and the stability at the nonunion site are critical for a successful outcome. This review concisely di ... Full text Link to item Cite

Youth Baseball Pitch Counts Vastly Underestimate High-effort Throws Throughout a Season.

Journal Article J Pediatr Orthop · August 2020 BACKGROUND: The primary purpose of this study was to compare the number of pitches thrown by youth baseball players under the official league guidelines versus the number of "high-effort" throws recorded by a validated digital sensor worn by the players du ... Full text Link to item Cite

Which Decisions For Management of Carpal Tunnel Syndrome and Distal Radius Fractures Should Be Shared?

Journal Article Journal of Hand Surgery · August 1, 2020 Purpose: To evaluate, from the surgeon's perspective, the importance, feasibility, and appropriateness of sharing decisions during an episode of care of carpal tunnel syndrome (CTS) or distal radius fracture in patients aged greater than 65 years. Methods: ... Full text Cite

Management of distal humerus fractures.

Journal Article Eur J Orthop Surg Traumatol · July 2020 Distal humeral fractures represent approximately 2% of fractures in adults and are often treated operatively to restore stable humeral columns and allow early elbow motion. Diagnosis is made with orthogonal radiographs. The traction view radiograph and com ... Full text Link to item Cite

Quality Measures to Reduce Opioid Use After Common Soft Tissue Hand and Wrist Procedures.

Journal Article J Hand Surg Am · July 2020 PURPOSE: To develop quality measures that are clinically important, feasible, usable, and scientifically acceptable for reducing opioid use after soft tissue procedures of the hand and wrist, and which can be used to evaluate quality in hand surgery. METHO ... Full text Link to item Cite

Hand transplantation in the United States: A review of the Organ Procurement and Transplantation Network/United Network for Organ Sharing Database.

Journal Article Am J Transplant · May 2020 Hand transplantation is the most common application of vascularized composite allotransplantation (VCA). Since July 3, 2014, VCAs were added to the definition of organs covered by federal regulation (the Organ Procurement and Transplantation Network (OPTN) ... Full text Link to item Cite

Integrated Compression Screw Stabilization of the Dorsal Lunate Facet in Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2020 PURPOSE: To evaluate outcomes of intra-articular distal radius fractures with displaced dorsal lunate facet fragments treated with a combination of volar plating and the use of a dorsal screw that integrates into the plate. METHODS: We reviewed a retrospec ... Full text Link to item Cite

Inflammatory cytokines and matrix metalloproteinases in the synovial fluid after intra-articular elbow fracture.

Journal Article J Shoulder Elbow Surg · April 2020 BACKGROUND AND HYPOTHESIS: Post-traumatic elbow contracture remains a common and challenging complication with often unsatisfactory outcomes. Although the etiology is unknown, elevated or abnormal post-fracture synovial fluid cytokine levels may result in ... Full text Link to item Cite

Management of Metacarpal and Phalangeal Fractures in the Athlete.

Journal Article Clin Sports Med · April 2020 Metacarpal and phalangeal fractures are common injuries in athletes and occur frequently in contact and ball-handling sports. They usually result after direct hits from other players or athletic equipment. The fractures often are minimally displaced and re ... Full text Link to item Cite

The clinical impact of arthroscopic vs. open osteocapsular débridement for primary osteoarthritis of the elbow: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2020 BACKGROUND: Primary elbow osteoarthritis (PEOA) is a debilitating disease that can be difficult to treat. Osteocapsular débridement (OD) has been described through various approaches, including arthroscopic and open approaches, with successful outcomes in ... Full text Link to item Cite

Metacarpal Position and Lunate Facet Screw Fixation in Dorsal Wrist-Spanning Bridge Plates for Intra-Articular Distal Radial Fracture: A Biomechanical Analysis.

Journal Article J Bone Joint Surg Am · March 4, 2020 BACKGROUND: A dorsal wrist-spanning plate (DWSP) can be affixed to the second or third metacarpal, depending on the morphology of the distal radial fracture (DRF) and on surgeon preference, but comparative biomechanical analyses between these methods are l ... Full text Link to item Cite

Open Reduction Internal Fixation With Transverse Volar Plating for Unstable Proximal Interphalangeal Fracture-Dislocation: The Seatbelt Procedure.

Journal Article Hand (N Y) · March 2020 Background: Unstable intra-articular proximal interphalangeal (PIP) joint fracture-dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involve ... Full text Link to item Cite

Assessment of Anatomic Restoration of Distal Radius Fractures Among Older Adults: A Secondary Analysis of a Randomized Clinical Trial.

Journal Article JAMA Netw Open · January 3, 2020 IMPORTANCE: The value of precise anatomic restoration for distal radius fractures (DRFs) in older adults has been debated for many decades, with conflicting results in the literature. In light of the growing population of adults aged 60 years and older, bo ... Full text Link to item Cite

Patient satisfaction after treatment of distal radial fractures in older adults.

Journal Article J Hand Surg Eur Vol · January 2020 The Wrist and Radius Injury Surgical Trial (WRIST) collaboration is the largest clinical trial ever conducted in hand surgery. We applied data from this study to examine the relationship between functional outcomes and patient satisfaction after treatment ... Full text Link to item Cite

The Complexity of Conducting a Multicenter Clinical Trial: Taking It to the Next Level Stipulated by the Federal Agencies.

Journal Article Plast Reconstr Surg · December 2019 Randomized controlled trials are becoming increasingly difficult to organize and conduct efficiently. This, in turn, hinders the ability to derive the highest level of evidence. Often, investigators forget or remain unaware of essential practices that will ... Full text Link to item Cite

Elevated Preoperative Hemoglobin A1c Associated with Increased Wound Complications in Diabetic Patients Undergoing Primary, Open Carpal Tunnel Release.

Journal Article Plast Reconstr Surg · October 2019 BACKGROUND: An increased rate of complications has been demonstrated with increasing hemoglobin A1c value for a variety of orthopedic procedures, including arthroplasty and spine surgery. The authors investigated the effects of elevated hemoglobin A1c valu ... Full text Link to item Cite

Predicting Outcomes After Distal Radius Fracture: A 24-Center International Clinical Trial of Older Adults.

Journal Article J Hand Surg Am · September 2019 PURPOSE: Current evidence on predictors of outcomes after distal radius fracture is often based on retrospective analyses or may be confounded by fracture type. Using data from the Wrist and Radius Injury Surgical Trial (WRIST), a 24-site randomized study ... Full text Link to item Cite

Matched Cohort Study of Wound-Healing Complications in Patients With and Without Diabetes Mellitus After Primary Open Carpal Tunnel Release

Journal Article Journal of Hand Surgery Global Online · January 1, 2019 Purpose: Diabetes mellitus (DM)is associated with increased rates of wound complications and reduced improvement in patient-reported outcomes across a wide range of surgical disciplines, although the impact of DM is less known after primary carpal tunnel r ... Full text Cite

Monteggia Fracture Dislocation: Ulna Fixation with Radial Head Replacement

Chapter · January 1, 2019 Monteggia fracture dislocations occur in various patterns. It is important to recognize radial head fractures and be prepared to perform radial head replacement in patterns that are unreconstructable. It is also important to recognize those ulna fractures ... Full text Cite

The Sigmoid Notch View for Distal Radius Fractures.

Journal Article J Hand Surg Am · November 2018 PURPOSE: This study defines the sigmoid notch view of the distal radius. Specifically, we tested the null hypothesis that there is no relationship between the subchondral stripe of bone seen on a sigmoid notch view of the distal radius and the articular su ... Full text Link to item Cite

Biomechanical Strength of Scaphoid Partial Unions.

Journal Article J Wrist Surg · November 2018 Background  It remains unknown how much force a partially united scaphoid can sustain without refracturing. This is critical in determining when to discontinue immobilization in active individuals. Purpose  The purpose of this study was to test the biomech ... Full text Link to item Cite

The radiocapitellar synovial fold: a lateral anatomic landmark for sizing radial head arthroplasty.

Journal Article J Shoulder Elbow Surg · September 2018 BACKGROUND: Successful radial head arthroplasty relies on reproduction of anatomy. We hypothesized that the radiocapitellar synovial fold could serve as a reference point in radial head prosthesis sizing. Our study aimed to define the relationship between ... Full text Link to item Cite

Forearm-Based Turnover Muscle Flaps for Elbow Soft-Tissue Reconstruction: A Comparison of Regional Coverage Based on Distal Flap Perfusion.

Journal Article Plast Reconstr Surg · July 2018 BACKGROUND: Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis and flexor carpi ulnaris muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor ca ... Full text Link to item Cite

Candidate Quality Measures for Hand Surgery.

Journal Article J Hand Surg Am · November 2017 PURPOSE: Quality measures are tools used by physicians, health care systems, and payers to evaluate performance, monitor the outcomes of interventions, and inform quality improvement efforts. A paucity of quality measures exist that address hand surgery ca ... Full text Link to item Cite

Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders.

Journal Article J Hand Surg Eur Vol · October 2017 UNLABELLED: All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995-2013 were reviewed. The durable resolution of ulcers was ... Full text Link to item Cite

The Effect of Price on Surgeons' Choice of Implants: A Randomized Controlled Survey.

Journal Article J Hand Surg Am · August 2017 PURPOSE: Surgical costs are under scrutiny and surgeons are being held increasingly responsible for cost containment. In some instances, implants are the largest component of total procedure cost, yet previous studies reveal that surgeons' knowledge of imp ... Full text Link to item Cite

Percutaneous Treatment of Unstable Scaphoid Waist Fractures.

Journal Article Hand (N Y) · July 2017 BACKGROUND: Percutaneous techniques have been described for the treatment of nondisplaced scaphoid fractures, although less information has been reported about outcomes for unstable, displaced fractures. The aim of this study was to evaluate the union and ... Full text Link to item Cite

Diagnosis and Arthroscopic Management of Dorsal Wrist Capsular Impingement.

Journal Article J Hand Surg Am · March 2017 PURPOSE: Dorsal wrist capsular impingement (DWCI) is characterized by pain attributable to impingement of dorsal capsular tissue during wrist extension. The diagnostic criteria and management algorithm for this condition have not been well established. The ... Full text Link to item Cite

Perioperative Glucocorticoid Administration Improves Elbow Motion in Terrible Triad Injuries.

Journal Article J Hand Surg Am · January 2017 PURPOSE: Among patients who undergo surgical treatment of terrible triad elbow injuries (TTEI), we hypothesized that those who received perioperative glucocorticoid (GC) therapy would have improved postoperative pain and range of motion (ROM) and a similar ... Full text Link to item Cite

Closing the gap: a novel technique for humeral shaft nonunions using cup and cone reamers.

Journal Article Injury · December 2016 INTRODUCTION: Nonunion following closed treatment of humeral shaft fracture is estimated to be 5.5%. Many surgical techniques have been described to address humeral shaft nonunion including: open reduction, internal fixation (ORIF) with compression plating ... Full text Link to item Cite

Biomechanical Comparison of Suture-Button Suspensionplasty and LRTI for Basilar Thumb Arthritis.

Journal Article Hand (N Y) · December 2016 Background: The purpose of this study was to compare the initial biomechanical strength of trapeziectomy and suture-button suspensionplasty (SBS) with ligament reconstruction and tendon interposition (LRTI) for thumb carpometacarpal (CMC) arthritis in a ca ... Full text Link to item Cite

Quality Measures That Address the Upper Limb.

Journal Article J Hand Surg Am · November 2016 PURPOSE: Physicians, health care systems, and payers use quality measures to judge performance and monitor the outcomes of interventions. Practicing upper-limb surgeons desire quality measures that are important to patients and feasible to use, and for whi ... Full text Link to item Cite

Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation.

Journal Article J Hand Surg Am · October 2016 PURPOSE: Stable fixation of distal humerus fracture fragments is necessary for adequate healing and maintenance of reduction. The purpose of this study was to measure the reliability and accuracy of interpretation of postoperative radiographs to predict wh ... Full text Link to item Cite

Major Peripheral Nerve Injuries After Elbow Arthroscopy.

Journal Article Arthroscopy · June 2016 PURPOSE: To survey the American Society for Surgery of the Hand membership to determine the nature and distribution of nerve injuries treated after elbow arthroscopy. METHODS: An online survey was sent to all members of the American Society for Surgery of ... Full text Link to item Cite

Ultrasonography-guided de Quervain Injection: Accuracy and Anatomic Considerations in a Cadaver Model.

Journal Article J Am Acad Orthop Surg · June 2016 INTRODUCTION: Confirmation of pertinent anatomy and accurate needle placement for de Quervain injection may improve outcomes and limit complications. We evaluated the accuracy of the first extensor compartment in regard to the following: (1) anatomic asses ... Full text Link to item Cite

Quality Measurement: A Primer for Hand Surgeons.

Journal Article J Hand Surg Am · May 2016 As the government and payers place increasing emphasis on measuring and reporting quality and meeting-specific benchmarks, physicians and health care systems will continue to adapt to meet regulatory requirements. Hand surgeons' involvement in quality meas ... Full text Link to item Cite

Quality Measures in Upper Limb Surgery.

Journal Article J Bone Joint Surg Am · March 16, 2016 BACKGROUND: Quality measures are now commonplace and are increasingly tied to financial incentives. We reviewed the existing quality measures that address the upper limb and tested the null hypothesis that structure (capacity to deliver care), process (app ... Full text Link to item Cite

Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

Journal Article Archives of Bone and Joint Surgery · January 1, 2016 Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study ... Cite

Assessment of decisional conflict about the treatment of trigger finger, comparing patients and physicians

Journal Article Archives of Bone and Joint Surgery · January 1, 2016 Background: As an early step in the development of a decision aid for idiopathic trigger finger (TF) we were interested in the level of decisional conflict experienced by patients and hand surgeons. This study tested the null hypothesis that there is no di ... Cite

Management of Severely Comminuted Distal Radius Fractures.

Journal Article J Hand Surg Am · September 2015 Distal radius fractures are among the most common fractures of the upper extremity. Indications for operative and nonsurgical management have evolved over time, as have fixation techniques. Volar locking plates are commonly used in the treatment of selecte ... Full text Link to item Cite

Management of Intercarpal Ligament Injuries Associated with Distal Radius Fractures.

Journal Article Hand Clin · August 2015 The prevalence of ligamentous injury associated with fractures of the distal radius is reported to be as high as 69% with injury to the scapholunate interosseous ligament and lunotriquetral interosseous ligament occurring in 16% to 40% and 8.5% to 15%, res ... Full text Link to item Cite

Olecranon fractures with sagittal splits treated with dual fixation.

Journal Article J Hand Surg Am · April 2015 PURPOSE: To assess the results of olecranon fractures with an intra-articular sagittal plane fracture managed by orthogonal fixation constructs. METHODS: A retrospective chart review was performed and 14 proximal ulna fractures with intra-articular comminu ... Full text Link to item Cite

A comparison of débridement with and without anconeus muscle flap for treatment of refractory lateral epicondylitis.

Journal Article J Shoulder Elbow Surg · February 2015 BACKGROUND: Lateral epicondylitis is a common condition encountered by orthopedic surgeons. Whereas the majority of patients improve with conservative management, a small percentage will require surgery. The purpose of this study was to compare the clinica ... Full text Link to item Cite

Metacarpal and phalangeal fractures in athletes.

Journal Article Clin Sports Med · January 2015 Metacarpal and phalangeal fractures are common skeletal injuries, accounting for 10% of all fractures. Approximately one-quarter of these injuries occur during athletic events. Although an acceptable and stable reduction remains a key principle in this pat ... Full text Link to item Cite

Biomechanical studies: science (f)or common sense?

Journal Article Injury · December 2014 INTRODUCTION: It is our impression that many biomechanical studies invest substantial resources studying the obvious: that more and larger metal is stronger. The purpose of this study is to evaluate if a subset of biomechanical studies comparing fixation c ... Full text Link to item Cite

Interobserver variability in the treatment of little finger metacarpal neck fractures.

Journal Article J Hand Surg Am · September 2014 PURPOSE: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. METHODS: Members of the Science of ... Full text Link to item Cite

Anatomic findings and complications after surgical treatment of chronic, partial distal biceps tendon tears: a case cohort comparison study.

Journal Article J Hand Surg Am · August 2014 PURPOSE: To describe pertinent anatomic findings during repair of chronic, partial distal biceps tendon tears and to compare the complications of surgery with a similar cohort of acute, complete tears. METHODS: Group 1 included 14 patients (15 elbows) with ... Full text Link to item Cite

Scaphoid nonunions treated with 2 headless compression screws and bone grafting.

Journal Article J Hand Surg Am · July 2014 PURPOSE: To evaluate union and complication rates associated with the use of 2 headless compression screws and bone grafting for the treatment of scaphoid nonunions. METHODS: A total of 19 patients (18 male and 1 female) at an average age of 21 years were ... Full text Link to item Cite

Radiographic loss of contact between radial head fracture fragments is moderately reliable.

Journal Article Clin Orthop Relat Res · July 2014 BACKGROUND: Loss of contact between radial head fracture fragments is strongly associated with other elbow or forearm injuries. If this finding has adequate interobserver reliability, it could help examiners identify and treat associated ligament injuries ... Full text Link to item Cite

Salvage of distal radius nonunion with a dorsal spanning distraction plate.

Journal Article J Hand Surg Am · May 2014 Treatment of nonunion after previous instrumentation of distal radius fractures represents a reconstructive challenge. Resultant osteopenia provides a poor substrate for fixation, often necessitating wrist fusion for salvage. A spanning dorsal distraction ... Full text Link to item Cite

Factors associated with transfer of hand injuries to a level 1 trauma center: a descriptive analysis of 1147 cases.

Journal Article Plast Reconstr Surg · April 2014 BACKGROUND: The transfer of patients with hand injuries involves a commitment of substantial resources, emphasizing the importance of understanding factors that may influence referral patterns. Anecdotal experience suggests that the likelihood of transfer ... Full text Link to item Cite

Scapula fractures: interobserver reliability of classification and treatment.

Journal Article J Orthop Trauma · March 2014 OBJECTIVES: There is substantial variation in the classification and management of scapula fractures. The first purpose of this study was to analyze the interobserver reliability of the OTA/AO classification and the New International Classification for Sca ... Full text Link to item Cite

The use of the Artelon CMC Spacer for osteoarthritis of the basal joint of the thumb.

Journal Article J Hand Ther · 2014 INTRODUCTION: Favorable clinical outcomes have been reported with the Artelon CMC Spacer, however, several studies have documented complications with the device. PURPOSE OF THE STUDY: The purpose of this study is to review a single surgeon's experience wit ... Full text Link to item Cite

Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability.

Journal Article J Hand Surg Am · September 2013 PURPOSE: To evaluate the reliability and accuracy of diagnosis of scapholunate dissociation (SLD) among AO type C (compression articular) fractures of the distal radius. METHODS: A total of 217 surgeons evaluated 21 sets of radiographs with type C fracture ... Full text Link to item Cite

Annular ligament reconstruction using the distal tendon of the superficial head of the brachialis muscle: an anatomical feasibility study.

Journal Article J Hand Surg Am · July 2013 PURPOSE: To evaluate the potential use of the longer tendinous insertion of the superficial head of the brachialis as a local graft source for elbow annular ligament reconstruction. METHODS: The tendon of the superficial head of the brachialis muscle was h ... Full text Link to item Cite

Isolated ulnar shortening osteotomy for the treatment of extra-articular distal radius malunion.

Journal Article J Hand Surg Am · June 2013 PURPOSE: To report the clinical outcomes and complications for a cohort of patients who had extra-articular distal radius malunions treated with isolated ulnar-shortening osteotomy (USO). A second purpose was to define the dorsal angulation limit that woul ... Full text Link to item Cite

Variation in recommendation for surgical treatment for compressive neuropathy.

Journal Article J Hand Surg Am · May 2013 PURPOSE: It is our impression that there is substantial, unexplained variation in hand surgeon recommendations for treatment of peripheral mononeuropathy. We tested the null hypothesis that specific patient and provider factors do not influence recommendat ... Full text Link to item Cite

The use of solid form-fitting antibiotic cement spacers in bone loss of the lower extremity

Journal Article Current Orthopaedic Practice · October 11, 2012 Background: The purpose of this study was to report on the ease and success of using a solid form-fitting antibiotic cement spacer to manage critical-sized bone defects of the lower extremity. Our hypothesis was that these form fitting spacers will prevent ... Full text Cite

The vascularized fibular graft in precollapse osteonecrosis: is long-term hip preservation possible?

Journal Article Clin Orthop Relat Res · October 2012 BACKGROUND: Osteonecrosis of the femoral head (ONFH) is a debilitating condition affecting primarily young patients. Free vascularized fibular grafting (FVFG) may provide a durable means to preserve the femoral head. When used in the precollapse stages of ... Full text Link to item Cite

Paecilomyces lilacinus septic olecranon bursitis in an immunocompetent host.

Journal Article Am J Orthop (Belle Mead NJ) · May 2012 Paecilomyces lilacinus is a filamentous fungus that is a rare cause of infection in immunocompromised human hosts. We present a case of lilacinus septic olecranon bursitis in an otherwise healthy 78-year-old male. This patient's case was complicated by wou ... Link to item Cite

Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients.

Journal Article J Hand Surg Am · May 2012 PURPOSE: To evaluate internal distraction plating for the management of comminuted, intra-articular distal radius fractures in patients greater than 60 years of age at two level 1 trauma centers. We specifically desired to determine whether patients would ... Full text Link to item Cite

Arthroscopic treatment of peripheral triangular fibrocartilage complex tears with the deep fibers intact.

Journal Article J Hand Surg Am · March 2012 PURPOSE: We describe a variant of triangular fibrocartilage complex (TFCC) tears in which the superficial fibers attaching to the ulnar capsule are torn, with preservation of deep fibers inserting on the fovea. We present the clinical and magnetic resonanc ... Full text Link to item Cite

[Femur reconstruction using combined autologous fibula transfer and humeral allograft].

Journal Article Chirurg · December 2011 Wide resection far into the femoral metaphysis may be required to treat malignant bone tumors in the pediatric and adolescent patient population. Biological reconstruction using a free, vascularized fibular graft is a well-established surgical technique. A ... Full text Link to item Cite

Analysis of the complications of palmar plating versus external fixation for fractures of the distal radius.

Journal Article J Hand Surg Am · October 2011 PURPOSE: To evaluate whether there was a difference in complication rates in our patients treated with external fixation versus volar plating of distal radius fractures. We also looked for a difference in radiographic results; in the clinical outcomes of f ... Full text Link to item Cite

Can locking screws allow smaller, low-profile plates to achieve comparable stability to larger, standard plates?

Journal Article J Orthop Trauma · June 2011 OBJECTIVE: The open reduction and internal fixation of radial shaft fractures and osteotomies with standard 3.5-mm plates can be complicated by tendon irritation, hardware prominence, and fracture through the screw holes. With the advent of locking plate t ... Full text Link to item Cite

In reply

Journal Article Journal of Hand Surgery · April 1, 2011 Full text Cite

Vascular perfusion of a flexor carpi ulnaris muscle turnover pedicle flap for posterior elbow soft tissue reconstruction: a cadaveric study.

Journal Article J Hand Surg Am · February 2011 PURPOSE: The use of a pedicled flexor carpi ulnaris (FCU) muscle proximal turnover flap has been described previously for soft tissue reconstruction at the posterior elbow. Whereas consistent arterial supply to the FCU has been reported, the reliability of ... Full text Link to item Cite

Elbow, wrist, and hand injuries

Chapter · November 2, 2010 Cite

Corrective osteotomy for isolated malunion of the palmar lunate facet in distal radius fractures.

Journal Article J Hand Surg Am · November 2010 PURPOSE: Malunion of the palmar lunate facet fragment of distal radius fractures is associated with both early functional impairment and late degenerative changes. The goal of this study was to describe the clinical and radiographic outcomes after correcti ... Full text Link to item Cite

Management of peripheral triangular fibrocartilage complex tears in the ulnar positive patient: arthroscopic repair versus ulnar shortening osteotomy.

Journal Article J Hand Surg Am · October 2010 PURPOSE: One pattern of injury to the triangular fibrocartilage complex (TFCC) is a traumatic peripheral tear located at the ulnar end of the TFCC. Since 1989, this specific injury has been classified as a Palmer type 1B lesion. Various treatment options h ... Full text Link to item Cite

Management of subluxating ulnar nerve at the elbow.

Journal Article Orthopedics · September 7, 2010 Musculotendinous variations around the medial epicondyle can contribute to subluxation of the ulnar nerve at the elbow. This article reviews the presenting symptoms, operative findings, and results of surgery for subluxation of the ulnar nerve at the elbow ... Full text Link to item Cite

Scaphoid fracture: Open reduction internal fixation

Journal Article Operative Techniques in Sports Medicine · September 1, 2010 Scaphoid fractures are very common in young, active individuals. Most fractures are nondisplaced and can be treated with cast immobilization; however, there is a strong demand to return to function as early as possible. Scaphoid fractures with displacement ... Full text Cite

The cortical ring sign: a reliable radiographic landmark for percutaneous coracoclavicular fixation.

Journal Article J Shoulder Elbow Surg · January 2010 BACKGROUND: For treatment of acute acromioclavicular separations, we have been using a reproducible radiographic view of the coracoid-the cortical ring sign-that we believe allows for placement of percutaneous coracoclavicular fixation safely and reliably ... Full text Link to item Cite

Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair. Surgical technique.

Journal Article J Bone Joint Surg Am · October 1, 2009 BACKGROUND: The medial collateral ligament provides valgus stability to the elbow. The purpose of the present study was to describe the pathoanatomy of acute traumatic medial collateral ligament ruptures and to report the rationale and results of direct re ... Full text Link to item Cite

M.J. Richard and D.S. Ruch reply

Journal Article Journal of Bone and Joint Surgery · May 1, 2009 Cite

Traumatic Valgus Instability of the Elbow reply

Journal Article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · May 1, 2009 Link to item Cite

Emergent management of APC-2 pelvic ring injuries with an anteriorly placed C-clamp.

Journal Article J Orthop Trauma · 2009 OBJECTIVE: Can anteriorly placed pelvic C-clamps be used successfully in the emergent management of APC-2 pelvic fractures? DESIGN: Prospective cohort. SETTING: Level 1 trauma center. PATIENTS: A single-surgeon series of 24 patients with an anteroposterior ... Full text Link to item Cite

Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair.

Journal Article J Bone Joint Surg Am · November 2008 BACKGROUND: The medial collateral ligament provides valgus stability to the elbow. The purpose of the present study was to describe the pathoanatomy of acute traumatic medial collateral ligament ruptures and to report the rationale and results of direct re ... Full text Link to item Cite

Malunions and nonunions of the forearm.

Journal Article Hand Clin · May 2007 Modern techniques allow for high rates of union in the treatment of diaphyseal forearm fractures. In the case of nonunion, addressing the biology and stability of the fracture will similarly yield high union rates, but slightly decreased functional outcome ... Full text Link to item Cite

Precision and accuracy of joint space width measurements of the medial compartment of the knee using standardized MTP semi-flexed radiographs.

Journal Article Osteoarthritis Cartilage · October 2003 OBJECTIVE: To quantify the precision and accuracy of measurements of joint space width (JSW) and joint space narrowing (JSN) from the medial tibiofemoral compartment of knee radiographs using a simple and easily adaptable protocol. METHODS: Radiographs of ... Full text Link to item Cite