1,720,965 research outputs found
Towards a new frontier in wrist rehabilitation: The traction-free posture orthosis
Full text linkThis study presents the novel Traction-Free Posture Orthosis, designed to address wrist stiffness without the use of traditional traction methods. The orthosis employs a velcro system to stabilize the position of the wrist in flexion or extension, thereby avoiding the compression and rotational disadvantages associated with non-perpendicular traction forces. Triangular-shaped cuts in the brace allow for plastic material flexibility, ensuring movement and comfort. Significant is the absence of a traction strap, which traditionally reduces the support surface and could create pressure points leading to patient discomfort or treatment rejection. The design facilitates a wide contact surface with the hand, optimal load distribution, and the capacity to adjust dual traction straps independently, adapting to the natural wrist movement. This single-piece base orthosis offers a stable, cost-effective, and patient-friendly alternative to conventional splints. However, patients with stiffness in both flexion and extension may require two separate orthoses, potentially increasing costs and patient inconvenience. Overall, the Traction-Free Posture Orthosis represents an innovative step in wrist rehabilitation, providing a quick-to-construct, easy-to-wear solution with the promise of enhanced patient compliance and comfort
Erratum to “Unraveling the mysteries of the oblique retinacular ligament: A review of its anatomy and biomechanical characteristics” [Transl. Res. Anat. 35C (2024)/100301] (Translational Research in Anatomy (2024) 35, (S2214854X24000219), (10.1016/j.tria.2024.100301))
No full textThe publisher regrets that the Ethical statement was missed to be published in the article. The publisher would like to apologise for any inconvenience caused. The Ethical statement is appended below: Ethical statement The authors declare that the work described has not involved experimentation on humans or animals
Revolutionizing PIP joint fracture treatment: A case of surgical precision and rapid recovery
Full text linkIntroduction: Proximal interphalangeal joint (PIPj) fractures are a common yet challenging injury, particularly in athletes. This case study explores innovative surgical techniques combined with targeted rehabilitation to optimize recovery and functionality. Case presentation: A 20-year-old male soccer goalkeeper sustained a severe Proximal Interphalangeal Joint fracture-dislocation of the third finger during a game. He was treated using the wide awake local anesthesia no tourniquet (WALANT) technique and a Medartis TriLock plate, originally designed for the proximal phalanx but adapted for use on the middle phalanx. Clinical discussion: Immediate postoperative mobilization was facilitated by the WALANT technique, enhancing pain management and functional recovery. The adaptation of the TriLock plate, typically not used in this context, proved crucial for stabilizing the complex fracture. Follow-up included regular physiotherapy, focusing on mobility exercises and strength training, which were instrumental in the patient's quick return to sport. Conclusions: This case underscores the effectiveness of combining innovative surgical adaptations with early rehabilitation in treating complex hand injuries. Such approaches can lead to successful outcomes, significantly improving recovery times and functional results in athletic populations. This strategy may set a precedent for future treatment protocols in sports-related hand injuries
Non-surgical treatment of oblique diaphyseal fractures of the fourth and fifth metacarpals in a professional athlete: A case report
Full text linkIntroduction: Metacarpal fractures are common sports-related injuries, often requiring tailored treatment strategies, especially in athletes. The management of oblique diaphyseal fractures poses unique challenges due to their inherent instability. This case report discusses a non-surgical approach in treating such fractures in a professional athlete. Case presentation: A 26-year-old professional soccer player sustained oblique diaphyseal fractures of the fourth and fifth metacarpals during training. Given the athlete's professional demands and the fracture's nature, a conservative treatment was implemented. This included the application of a modified ulnar gutter brace, allowing for immobilization of the metacarpophalangeal joints (MP) while permitting active mobilization of the interphalangeal joints(IP). Clinical discussion: The non-surgical treatment focused on achieving skeletal stability and maintaining hand function. Despite the complexity of oblique fractures, the conservative approach was successful, enabling the athlete to resume professional activities with minimal risk of fracture displacement. Regular radiographic follow-ups showed no further displacement, highlighting the effective management of such fractures through personalized conservative treatment plans. Conclusions: This case underscores the viability of conservative treatment for specific metacarpal fractures in athletes. Tailoring the treatment to accommodate the athlete's professional needs and understanding the biomechanical characteristics of the fracture are crucial for successful outcomes. The case also suggests that non-surgical management can be a viable option for certain complex metacarpal fractures, especially in high-demand patients
“Unraveling the mysteries of the oblique retinacular ligament: A review of its anatomy and biomechanical characteristics”
Full text linkIntroduction: The oblique retinacular ligament (ORL) has fascinated researchers since its first detailed description by Landsmeer in 1949. Integral to the sophisticated mechanics of finger movements, its anatomical presence and function have sparked extensive debate. Despite initial doubts about its existence, it is now recognized as a crucial structure within the hand's biomechanical system. Materials and methods: A review was conducted to collate primary studies on the ORL, focusing on cadaveric anatomy and biomechanical analyses. Modern dissection techniques and equipment have facilitated the identification of the ORL in virtually all examined samples, moving past earlier challenges of isolating such minute structures. Results: Research elucidates the ORL's dynamic role in coordinating movements between the proximal and distal interphalangeal joints, contradicting earlier theories that deemed it a mere static stabilizer. Recent findings, especially those by Balakrishnan et al., highlight a complex cross structure that allows the ORL to maintain its functional relevance across various joint positions. This challenges previous notions and underscores its significance in finger extension mechanisms. Conclusion: The journey to understand the ORL underscores its pivotal role in hand biomechanics, transforming from a structure of ambiguous existence to a key element in finger movement coordination. This shift in understanding opens new possibilities for therapeutic approaches to hand deformities, emphasizing the ORL's critical function in both anatomical and clinical contexts. As research progresses, it continues to reveal the ORL's complex contributions to hand dynamics, offering insights that promise to enhance outcomes in hand surgery and rehabilitation
Treatment of wrist stiffness through posture orthosis and active exercise: A case report
Full text linkIntroduction: Wrist fractures, particularly the distal radius, can result in significant stiffness and hand dysfunction if not mobilized early. The variable immobilization period post-fracture depends on fracture type, location, stability, and surgical intervention. Inadequate early mobilization typically leads to structured stiffness, influenced by patient health, injury mechanism, joint surface involvement, associated tissue injuries, and patient motivation. Case presentation: A 64-year-old female in good health suffered a distal radius fracture, treated with open reduction and internal fixation. A modified treatment plan, including custom orthosis and active wrist exercises, was initiated after the standard immobilization phase to enhance the range of motion while accommodating the patient's daily activities. Clinical discussion: The patient underwent 15 evaluations of active range of motion (AROM) using a goniometer, guided by the American Society of Hand Therapists. A Tissue Composition Analysis (TCA) was performed to guide the orthosis-treatment choice. Despite consistent improvement shown in AROM, it was inconclusive whether the modified treatment contributed significantly beyond the standard approach. Conclusions: While the patient's AROM improved, the treatment's effect on this single case cannot definitively confirm the efficacy of the modified approach. A more extensive study is necessary to evaluate the conservative treatment strategy's validity for such fractures in high-demand patients, considering the biomechanical complexity of the injury and the patient's professional needs
Review of contemporary non-surgical management techniques for metacarpal fractures: Anatomy and rehabilitation strategies
Full text linkThis comprehensive study explores the various aspects of metacarpal fractures, a
prevalent condition in hand injuries. We delve into the anatomy of the metacarpals,
elucidating how their structural characteristics influence fracture mechanics and treatment
options. Special attention is given to the diverse types of fractures, particularly the
differing tolerances for angular, shortening, and rotational deformities. The manuscript
extensively reviews conservative treatment approaches, emphasizing the efficacy of non-
surgical methods like modified braces and active mobilization techniques. Additionally,
we provide a nuanced understanding of specific fracture types, such as neck fractures,
highlighting their unique healing dynamics. This research offers valuable insights for
orthopedic and plastic surgery practitioners, advancing the understanding and
management of metacarpal fracture
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