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Journal of Physiotherapy Jan 2021
Topics: Elbow; Elbow Joint; Hand; Humans; Wrist; Wrist Joint
PubMed: 33272874
DOI: 10.1016/j.jphys.2020.11.005 -
Orthopaedics & Traumatology, Surgery &... Feb 2015Painful wrist osteoarthritis can result in major functional impairment. Most cases are related to posttraumatic sequel, metabolic arthropathies, or inflammatory joint... (Review)
Review
Painful wrist osteoarthritis can result in major functional impairment. Most cases are related to posttraumatic sequel, metabolic arthropathies, or inflammatory joint disease, although wrist osteoarthritis occurs as an idiopathic condition in a small minority of cases. Surgery is indicated only when conservative treatment fails. The main objective is to ensure pain relief while restoring strength. Motion-preserving procedures are usually preferred, although residual wrist mobility is not crucial to good function. The vast array of available surgical techniques includes excisional arthroplasty, limited and total fusion, total wrist denervation, partial and total arthroplasty, and rib-cartilage graft implantation. Surgical decisions rest on the cause and extent of the degenerative wrist lesions, degree of residual mobility, and patient's wishes and functional demand. Proximal row carpectomy and four-corner fusion with scaphoid bone excision are the most widely used surgical procedures for stage II wrist osteoarthritis secondary to scapho-lunate advanced collapse (SLAC) or scaphoid non-union advanced collapse (SNAC) wrist. Proximal row carpectomy is not indicated in patients with stage III disease. Total wrist denervation is a satisfactory treatment option in patients of any age who have good range of motion and low functional demands; furthermore, the low morbidity associated with this procedure makes it a good option for elderly patients regardless of their range of motion. Total wrist fusion can be used not only as a revision procedure, but also as the primary surgical treatment in heavy manual labourers with wrist stiffness or generalised wrist-joint involvement. The role for pyrocarbon implants, rib-cartilage graft implantation, and total wrist arthroplasty remains to be determined, given the short follow-ups in available studies.
Topics: Arthrodesis; Arthroplasty; Biomechanical Phenomena; Bone Transplantation; Carpal Bones; Decision Trees; Denervation; Humans; Osteoarthritis; Prostheses and Implants; Radiography; Range of Motion, Articular; Wrist Joint
PubMed: 25596986
DOI: 10.1016/j.otsr.2014.06.025 -
Hand Clinics Nov 2021Extensor carpi ulnaris tendon subluxation can be a challenging diagnosis as a cause of wrist pain. The tendon is stabilized by a tough subsheath. This subsheath is... (Review)
Review
Extensor carpi ulnaris tendon subluxation can be a challenging diagnosis as a cause of wrist pain. The tendon is stabilized by a tough subsheath. This subsheath is vulnerable to tears in acute wrist movements, especially those combining supination, flexion, and ulnar deviation. The patient presenting acutely may experience swelling, tenderness, and pain. In a chronic setting, the complaint is often an unstable wrist. The diagnosis can be made with a thorough examination, and ultrasonography can be used to evaluate the dynamics of the tendon. Surgical repair with a flap of extensor retinaculum to re-create the tendon's stabilizing subsheath is recommended.
Topics: Forearm; Humans; Joint Dislocations; Tendon Injuries; Tendons; Wrist Joint
PubMed: 34602128
DOI: 10.1016/j.hcl.2021.06.005 -
Hand (New York, N.Y.) Mar 2023
Topics: Humans; Wrist; Wrist Joint; Upper Extremity
PubMed: 36899468
DOI: 10.1177/15589447231162991 -
Seminars in Musculoskeletal Radiology Apr 2022Neuropathic symptoms involving the wrist are a common clinical presentation that can be due to a variety of causes. Imaging plays a key role in differentiating distal... (Review)
Review
Neuropathic symptoms involving the wrist are a common clinical presentation that can be due to a variety of causes. Imaging plays a key role in differentiating distal nerve lesions in the wrist from more proximal nerve abnormalities such as a cervical radiculopathy or brachial plexopathy. Imaging complements electrodiagnostic testing by helping define the specific lesion site and by providing anatomical information to guide surgical planning. This article reviews nerve anatomy, normal and abnormal findings on ultrasonography and magnetic resonance imaging, and common and uncommon causes of neuropathy.
Topics: Brachial Plexus Neuropathies; Humans; Magnetic Resonance Imaging; Radiculopathy; Upper Extremity; Wrist; Wrist Joint
PubMed: 35609575
DOI: 10.1055/s-0042-1742393 -
European Journal of Sport Science Feb 2022This study had two objectives: (a) revealing kinetic parameter differences at the fingers during a fastball and curveball, and (b) examining timing control between the...
This study had two objectives: (a) revealing kinetic parameter differences at the fingers during a fastball and curveball, and (b) examining timing control between the wrist and finger torques. The participants were eight baseball pitchers. The kinetics of the wrist and fingers were calculated using an inverse dynamics method. The peak torque and work of finger adduction during the curveball was significantly larger than that during the fastball. During the fastball pitch, the maximal correlation coefficient between the wrist flexion torque and finger flexion torque was very high ( = 0.94 ± 0.05). The reasons for this result are twofold: (a) the extrinsic finger muscles cross the wrist (biarticular muscle) and (b) the wrist flexion torque during the fastball pitch acts in the direction of acceleration of the ball. During the curveball pitch, we found two typical types of wrist and finger torque control. Furthermore, the two pitchers exerted large wrist extension and radial torque, and finger adduction torque. Although the other six pitchers hardly exerted these torques, they exerted wrist flexion torque predominantly. It was considered that the six pitchers selected wrist flexion torque as the control for the fastball and curveball pitch to confuse the batter.
Topics: Biomechanical Phenomena; Fingers; Humans; Kinetics; Torque; Wrist; Wrist Joint
PubMed: 33331246
DOI: 10.1080/17461391.2020.1866080 -
Hand (New York, N.Y.) Nov 2022Ganglion cysts are the most common soft tissue tumor of the hand and wrist, affecting pediatric and adult populations. Despite their frequency, there is no consensus... (Review)
Review
Ganglion cysts are the most common soft tissue tumor of the hand and wrist, affecting pediatric and adult populations. Despite their frequency, there is no consensus within the literature regarding the best management of pediatric wrist ganglia, and there are few recent publications examining this topic. We provide an up-to-date literature review examining the current issues and controversies in the management of pediatric wrist ganglia.
Topics: Adult; Humans; Child; Ganglion Cysts; Wrist; Hand; Wrist Joint; Soft Tissue Neoplasms
PubMed: 33174451
DOI: 10.1177/1558944720966716 -
Ugeskrift For Laeger Jun 2022The ganglion cyst is the most common soft-tissue tumour of the hand and wrist. 60-70% are found dorsally on the wrist. Ultrasound and MRI-imaging can distinguish whether... (Review)
Review
The ganglion cyst is the most common soft-tissue tumour of the hand and wrist. 60-70% are found dorsally on the wrist. Ultrasound and MRI-imaging can distinguish whether the tumour is cystic or solid and may be helpful in making a diagnosis. This article reviews the different treatment techniques and rates of recurrence. Arthroscopic excision has shown promising results, but open excision remains the gold standard. The aetiology and pathogenesis of the condition is still unknown and further research is needed especially in reducing the risk of recurrence.
Topics: Ganglion Cysts; Hand; Humans; Soft Tissue Neoplasms; Wrist; Wrist Joint
PubMed: 35781363
DOI: No ID Found -
Epidemiologic Reviews Jan 2022The health benefits of physical activity (PA) have been widely recognized, yet traditional measures of PA, including questionnaires and category-based assessments of... (Review)
Review
The health benefits of physical activity (PA) have been widely recognized, yet traditional measures of PA, including questionnaires and category-based assessments of volume and intensity, provide only broad estimates of daily activities. Accelerometers have advanced epidemiologic research on PA by providing objective and continuous measurement of PA in free-living conditions. Wrist-worn accelerometers have become especially popular because of low participant burden. However, the validity and reliability of wrist-worn devices for adults have yet to be summarized. Moreover, accelerometer data provide rich information on how PA is accumulated throughout the day, but only a small portion of these rich data have been used by researchers. Last, new methodological developments are emerging that aim to overcome some of the limitations of accelerometers. In this review, we provide an overview of accelerometry research, with a special focus on wrist-worn accelerometers. We describe briefly how accelerometers work; summarize the validity and reliability of wrist-worn accelerometers; discuss the benefits of accelerometers, including measuring light-intensity PA; and discuss pattern metrics of daily PA recently introduced in the literature. A summary of large-scale cohort studies and randomized trials that implemented wrist-worn accelerometry is provided. We conclude the review by discussing new developments and directions of research using accelerometers, with a focus on wrist-worn accelerometers.
Topics: Accelerometry; Adult; Exercise; Humans; Reproducibility of Results; Wrist; Wrist Joint
PubMed: 34215874
DOI: 10.1093/epirev/mxab004 -
The Journal of Hand Surgery, European... Sep 2022This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in...
This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in symptomatic wrist osteoarthritis during the first year after surgery. Sixty consecutive patients underwent an anterior and posterior interosseous neurectomy during 2018-2020. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation, EuroQol-5D-3L, pain at rest and on load, and objective function were assessed preoperatively and 3, 6 and 12 months postoperatively. Generalized estimating equations were used to analyse the effect on the outcome variables. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation and pain scores improved significantly postoperatively with no decline over time, but no patient reported outcome measure reached the minimal clinically important difference. Quality of life, strength and range of motion did not improve. We found no complications. Seventeen patients needed further surgery during the study period. More studies are needed to evaluate whether denervation is truly effective or not. II.
Topics: Denervation; Humans; Longitudinal Studies; Osteoarthritis; Pain; Patient Reported Outcome Measures; Prospective Studies; Quality of Life; Range of Motion, Articular; Wrist; Wrist Joint
PubMed: 35345931
DOI: 10.1177/17531934221088498