Ulnar Impaction Syndrome: Ulnar Shortening vs. Arthroscopic Wafer Procedure.

The outcome of ulnar shortenings was compared with that of arthroscopic wafer resections for ulnar impaction (or abutment) syndrome in patients with a positive ulnar variance. The outcome was measured by DASH score, visual analog scale for pain, and working incapacity. The mean DASH score in the ulnar shortening group was 26; in the wafer group it was 36. The VAS scores were respectively 4.4 and 4.6. The working incapacity was 7?months in the ulnar shortening group and 6.1 months in the wafer group. The differences between the two groups were not statistically significant.

Outcome of simultaneous surgical treatment of hyperextension of metacarpophalangeal and basal joint osteoarthritis of the thumb.

The effect of correction of metacarpophalangeal (MCP) joint hyperextension on the outcome of reconstructive surgery for basal joint osteoarthritis of the thumb was studied. Impairment, pain and satisfaction were similar after a combined surgical treatment of MCP hyperextension and basal thumb osteoarthritis in 33 patients, as in a series of 233 patients at the same institution after osteoarthritis surgery with a normal MCP joint.

Long-term outcome of trapeziectomy with ligament reconstruction and tendon interposition (LRTI) versus prosthesis arthroplasty for basal joint osteoarthritis of the thumb.

Several surgical techniques are available to treat thumb basal joint arthritis. In this study, we compare the long-term results of a thumb basal joint prosthesis (de la Caffinière or Roseland type prosthesis) with those of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). We could not find any difference between both techniques with respect to impairment, pain reduction, patient satisfaction and disability.

Ulnar shortening or arthroscopic wafer resection for ulnar impaction syndrome.

The outcome of ulnar shortenings was compared to the outcome after arthroscopic wafer resections for ulnar impaction (or abutment) syndrome in patients with a positive ulnar variance. Both surgical techniques are described. The outcome was measured by the DASH score, the visual analogue score for pain and the working incapacity. The mean DASH score in the ulnar shortening group was 26, in the wafer group it was 36. The VAS were respectively 4.4 and 4.6. The working incapacity was 7 months in the ulnar shortening group and 6.1 months in the wafer group. The differences between the two groups were not statistically significant.

Primary haematogenous septic arthritis of the wrist in immunocompetent healthy patients: a report of four cases.

Primary haematogenous nontraumatic arthritis of the wrist is uncommon. We report four such cases. All had a spontaneous onset with a delay in diagnosis. Treatment consisted of an open debridement and systemic antibiotics. Outcome appeared to be related to the delay between onset and treatment.

Subungual glomus tumours: a technical tip towards diagnosis on plain radiographs.

Plain radiography can help in confirming the clinical diagnosis of a subungual glomus tumour, as erosive changes in the distal phalanx are present in 22% of cases. Such changes will be more easily identified on a lateral radiograph with the painful finger and its contralateral counterpart pointing toward each other: discrete scalloping of the distal phalanx will thus be made more evident.