A wrist injury

BMJ ◽  
2021 ◽  
pp. n101
Author(s):  
Kashif Ahmad ◽  
Girish Vashista
Keyword(s):  
Wrist Injury

scholarly journals A Case Report of Volar Dislocation of Ulnar Head: A Very Rare Wrist Injury Easy to Overlook and Easy to Diagnose

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Ozcan Kaya ◽  
Okan Ozkunt ◽  
Irem Kurt
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Physical Examination ◽  
Outpatient Service ◽  
Distal Radioulnar Joint ◽  
Magnetic Resonance Images ◽  
Wrist Pain ◽  
Wrist Injury ◽  
Forearm Rotation ◽  
Radioulnar Joint

Introduction: Ulnar volar dislocation (UVD) is a very rare entity. Due to rarity of condition, usually, it’s misdiagnosed at emergency departments and management of this clinical entity is not well studied. Here, we report a case of UVD impressing diagnostic challenge, indication of treatment, and follow-up. Case Report: A 29-year-old man presented to orthopedic outpatient service with complaining of the right wrist pain. He had an assault history 3 days before. In the emergency department, he had been diagnosed as wrist sprain. Splint and pain killers were prescribed. Due to increase of pain, he admitted to orthopedics. He was diagnosed UVD. Under general anesthesia, joint was reduced with forced pronation maneuver. After 3 weeks immobilization period, magnetic resonance images revealed partial injury of triangular fibrocartilage complex then splint removed and rehabilitation initiated. Over than 24 months, he is doing well without movement limitation and wrist strength impairment. Conclusion: For prevention misdiagnosis of UVD, physical examination is very important. Forearm rotation limitation with pain in the wrist should be indicative for distal radioulnar joint injury. Physical examination should be supported with proper evaluation of suitable radiographs. After reduction of joint, magnetic resonance images give clues about ligamentous injury. Our case supports the importance of rigorous physical examination and evaluation of radiographs for wrist injury. In the presence of partial injury of ligaments, the condition can be treated with shorter periods of immobilization and early rehabilitation. Keywords: Wrist pain, ulnar volar dislocation, distal radioulnar joint, forearm rotation.

scholarly journals Wrist Injury - Cheerleader

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S195
Author(s):  
Monique S. Burton ◽  
Suzanne Hecht
Keyword(s):  
Wrist Injury

scholarly journals Does Forehand Racquet Handgrip influence Incidence and Type of Wrist Injury in Tennis? A Preliminary Study in Indian Tennis

2018 ◽  
Vol 52 (1) ◽  
pp. 1-4
Author(s):  
Sharad Prabhakar ◽  
Mandeep S Dhillon ◽  
Himmat Dhillon ◽  
Sidak Dhillon ◽  
Dharam S Meena
Keyword(s):  
Daily Practice ◽  
Statistical Correlation ◽  
Anatomical Site ◽  
Wrist Injuries ◽  
Wrist Injury ◽  
Tennis Players ◽  
Preliminary Study ◽  
A Prospective Study ◽  
Lost To Follow Up

ABSTRACT Introduction Tennis is one of the major global sports, with over 75 million players participating in the game in more than 200 countries affiliated with the International Tennis Federation. The upper extremity is particularly susceptible to injury in tennis because of the use of the racquet, which acts as a lever, and due to the effect of repetitive stroke play on the dominant limb. Materials and methods Between July 2009 and October 2010, in a prospective study involving players at a local tennis academy, 219 tennis players were evaluated for wrist injury. A specialized injury proforma was filled up for these players and parameters, such as injury type, mechanism of injury, forehand racquet grip (eastern, western and semiwestern), missed time from game, and treatment (medical or surgical) were recorded. The players were grouped into low-intensity players (those with average daily practice hours < 2.5) and high-intensity players (with ≥ 2.5 daily average practice hours). Statistical analysis was performed to assess the association of different wrist injuries with type of forehand handgrip. Results Out of 219 players, 14 players were lost to follow-up. Out of the remaining 205 players, a total of 157 (76%) players were aware of the type of handgrip they were using, while 18 (9%) players did not have any knowledge of their handgrip. The remaining 30 (15%) players were found to be confused as far as handgrip was concerned. Out of 157 players who had knowledge regarding handgrip, 102 players were using the semiwestern grip, 44 were using the western grip, and the remaining 11 were using the eastern type of handgrip. There were seven injuries sustained in the wrist and hand. Due to the relatively small number of wrist injury cases, no statistical correlation could be derived between handgrip use and specific injuries in the upper limb. Conclusion In tennis players with wrist injuries, different grips of the racquet are not related to the anatomical site of the lesion. Previous studies have correlated the type of handgrip with the pattern of wrist injuries. Though we have 219 players in our study, the players who sustained wrist injuries were less (7). Thus, we were unable to find any correlation between type of handgrip and pattern of wrist injuries. Further studies are required so as to understand the biomechanics of tennis injuries. How to cite this article Prabhakar S, Dhillon MS, Meena DS, Dhillon H, Dhillon S. Does Forehand Racquet Handgrip influence Incidence and Type of Wrist Injury in Tennis? A Preliminary Study in Indian Tennis. J Postgrad Med Edu Res 2018;52(1):1-4.

Magnetic Resonance Arthrography of the Wrist: The Impact on Operative Management of Wrist Injuries

2021 ◽  
Author(s):  
Glenn E. Lee ◽  
Grace L. Forster ◽  
Aaron M. Freilich ◽  
Brent R. DeGeorge
Keyword(s):  
Magnetic Resonance ◽  
Operative Procedure ◽  
Operative Management ◽  
Magnetic Resonance Arthrography ◽  
Wrist Injuries ◽  
Wrist Injury ◽  
Level Of Evidence ◽  
Related Factors ◽  
Mri Study ◽  
The Impact

Abstract Background There is no consensus on the utility of arthrography in the evaluation of wrist injuries. This study evaluates ordering trends of different types of magnetic resonance imaging (MRI) of the wrist and compares rates of surgery following these imaging modalities. Methods A national claims-based database was used to identify patients who underwent MRI within 90 days of a first-instance diagnosis of wrist injury from 2010 to 2018. The utilization of MRI without intravenous (IV) contrast, MRI with IV contrast, and MRI with arthrogram was investigated. The instances of operative procedures of the wrist within 1 year of MRI study were recorded. Patient demographics, comorbidities, type of operative procedure, and ordering physician specialty were obtained. Logistic regression analysis was used to evaluate the utilization of MRI and subsequent 1-year operative intervention rates as well as association of patient-related factors. Results Magnetic resonance arthrography use was associated with higher rates of subsequent operative treatment. Surgeons were more likely to order an arthrogram at the time of MRI. Younger patients were more likely to undergo MRI-based advanced imaging. Conclusion Surgeons may perceive MRA of the wrist to play an important role in operative decision-making following wrist injury. Level of Evidence This is a Level III, retrospective cohort study.

A Rare Wrist Injury: Simultaneous Fractures of the Hamate Body and Scaphoid Waist

Orthopedics ◽  
2009 ◽  
Vol 32 (8) ◽  
pp. 604-606 ◽  
Author(s):  
Merter Yalcinkaya ◽  
Nikola Azar ◽  
Ahmet Dogan
Keyword(s):  
Wrist Injury

scholarly journals Hand Posturing Is a Nonverbal Indicator of Catastrophic Thinking for Finger, Hand, or Wrist Injury

2018 ◽  
Vol 476 (4) ◽  
pp. 706-713 ◽  
Author(s):  
Suzanne C. Wilkens ◽  
Jonathan Lans ◽  
Claudia A. Bargon ◽  
David Ring ◽  
Neal C. Chen
Keyword(s):  
Wrist Injury ◽  
Catastrophic Thinking

scholarly journals The “Chauffeur Fracture”: Historical Origins of an Often-Forgotten Eponym

Hand ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 252-254 ◽  
Author(s):  
Mattia Andreotti ◽  
Francesco Tonon ◽  
Gaetano Caruso ◽  
Leo Massari ◽  
Michele A. Riva
Keyword(s):  
20Th Century ◽  
Wrist Joint ◽  
Styloid Process ◽  
Motor Vehicles ◽  
Wrist Injury ◽  
Oblique Fracture ◽  
Radial Styloid ◽  
French Surgeon ◽  
Historical Origins

This article describes the origin of the term “chauffeur fracture” used to indicate an oblique fracture of the radial styloid process with extension into the wrist joint. This kind of fracture was originally described by the British surgeon Jonathan Hutchinson in 1866. The invention of the automobile increased the incidence of this fracture among chauffeurs and cabdrivers. Indeed, at the beginning of the 20th century, motor vehicles were started by means of a crank-handle connected to the engine, which needed to be turned vigorously clockwise by hand. If the motor started unexpectedly, the crank-handle could jerk back violently and thereby cause a wrist injury due to sudden hyperextension. We retrospectively reviewed the literature and historical articles to better define the historical origins of an often-forgotten eponym. In 1904, the French surgeon Just Lucas-Championnière first evidenced the occupational origin of this fracture, so introducing the term “chauffeur fracture” to identify this injury.

scholarly journals Face Validity and Content Validity of a Game for Distal Radius Fracture Rehabilitation

2019 ◽  
Vol 08 (05) ◽  
pp. 388-394 ◽  
Author(s):  
Henriëtte A.W. Meijer ◽  
Maurits Graafland ◽  
Miryam C. Obdeijn ◽  
J. Carel Goslings ◽  
Marlies P. Schijven
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Content Validity ◽  
Serious Game ◽  
Face Validity ◽  
Radius Fracture ◽  
Mixed Group ◽  
Wrist Injury ◽  
Level Of Evidence ◽  
Therapy Regimen

Background Patients recovering from a variety of wrist injuries are frequently advised to exercise to regain lost wrist and hand function. Treatment regimens to regain motion in the wrist are highly variable, and adherence to exercise protocols is known to be low. A serious game ReValidate! incorporating standardized exercise regimens was developed to motivate patients. In this study, the game is evaluated regarding its face validity and content validity. Methods In this cross-sectional study, a mixed group of “users” (n = 53) including patients currently recovering from wrist injury, and a mixed group of “experts” (n = 46) including professionals advising patients on therapy regimen after wrist injury played at least one complete level of the serious game. Players evaluated the game by means of a structured questionnaire regarding its content, clinical applicability, and user experience. Questions were answered on a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Results All groups valued the game as being able to support wrist rehabilitation and being of use to patients recovering from a distal radius fracture (users: median 4, P25–P75 3–4 vs. experts: median 4, P25–P75 3.50–5; p = not significant). The types of exercises performed during the game were considered to be both realistic and complete compared with regular physiotherapy exercises (users: median 4, P25–P75 3–4 vs. experts: median 4, P25–P75 3–5, p = not significant). Conclusions The ReValidate! serious game can be regarded as a valid tool for patients to regain their wrist function after injury. Level of evidence This is a Level II study.

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