Articles & Research
Learning Curves in Motec Total Wrist Arthroplasty: An International Cohort Study
An international study tracked six experienced surgeons through their first 30 Motec total wrist arthroplasty cases. Complications and revisions were three times more common in the first half of each surgeon's learning curve, suggesting this procedure should be concentrated among fewer, higher-volume centers.
Assessing Bone Mineral Density Using Radiographs of the Hand: A Multicentre Validation Study
A study of 188 patients found that a simple measurement from hand X-rays can accurately predict bone density, offering a faster and more accessible alternative to standard bone scans. The method reliably identified osteoporosis, potentially helping more patients get screened after a wrist fracture."
Justifying CT Prior to MRI in Cases of Suspected Occult Hip Fracture: A Proposed Diagnostic Protocol Injury
A four-year study of 103 patients tested a diagnostic protocol using CT scans first, followed by MRI only when needed, to identify occult hip fractures. The approach diagnosed nearly half of cases with CT alone, cut diagnosis time significantly, and saved an estimated 66,805 Euro compared to using MRI for every patient.
Closed Flexor Tendon Avulsions Associated With a Distal Radius Fracture
This case report details a rare flexor tendon injury linked to a distal radius fracture, where the tendons tore away from the muscle itself rather than at the fracture site. The case highlights the importance of thorough clinical exams in high-energy wrist fractures, even when tendons appear intact near the break.
Turning a Challenge into an Advantage: A Technical Report on Kyphoplasty for Multiple Myeloma
Kyphoplasty, a procedure first described in 2001 for the treatment of osteoporotic Vertebral Compression Fractures (VCFs), has since been used successfully for pathological vertebral compression fractures, including those caused by multiple myeloma. Whilst the evidence base for kyphoplasty remains incomplete, there is a general consensus that it is safe and significantly reduces pain in up to 84% of patients in whom non-surgical management has failed.
Outcomes of Immediate Full Weight Bearing Protocol for Incomplete Intertrochanteric Occult Hip Fractures
A study of 45 patients with incomplete intertrochanteric occult hip fractures found that immediate full weight bearing was a safe treatment approach, with no cases of fracture displacement. The findings suggest surgery or immobilization may be unnecessary for these fractures and raise questions about the need for routine MRI scans in similar cases.
Replication of Coupled Movements of the Wrist: A Cadaveric Study of Total Wrist Arthroplasty
The purpose of this study was to determine how well the active range of motion and the forces required to achieve motions are maintained following cadaveric implantation of the ball-and-socket style total wrist arthroplasty (TWA).
The Incidence of Palmaris Longus in the Heterogeneous Israeli Population
A study of 950 wrists examined how often the palmaris longus tendon is missing in a diverse Israeli population. Researchers found the tendon absent in more than a third of participants, with rates varying significantly by geographic origin. The findings offer surgeons better data for planning tendon graft procedures.
Measuring Foot Abduction Brace Wear Time Using a Single 3-axis Accellerometer
A new method uses a single accelerometer to track how well infants wear foot abduction braces for clubfoot treatment. The study found strong agreement between accelerometer data and parent diaries, offering doctors a more accurate way to monitor compliance without special equipment.