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Retained Foreign Body Which Should be Suspected as a Cause of Retractable Chronic Hand Inflammation and Diagnostic Capacity of Ultrasonography

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Author(s)
Jeong Duk SuhYoung Soo JungHyun-Joo LeeJong-Pil YoonSuk-Joong LeePoong-Taek Kim
Keimyung Author(s)
Lee, Suk Joong
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
The journal of hand surgery Asian-Pacific volume
Issued Date
2020
Volume
25
Issue
4
Keyword
HandChronic inflammationForeign bodyUltrasonography
Abstract
Background:
The treatment strategy for distal radius fractures accompanied by volar lunate facet fragment is controversial. In most cases, only the bone fragment size was discussed and a plate for distal placement is selected due to the accompanying volar lunate facet fragment regardless of the direction of bone fragment displacement. In this study, we divided distal radius fractures accompanied by volar lunate facet fragment into dorsal and volar displaced fractures, and treated these surgically based on different treatment strategies.

Methods:
The subjects were 25 patients with distal radius fractures accompanied by volar lunate facet fragment treated by reduction and fixation using a volar locking plate (VLP) (male: 14, female: 11, mean age: 57.8 years old). A proximal VLP (PVLP) was selected for 13 dorsal displaced fractures and a distal VLP (DVLP) was selected for 12 volar displaced fractures. The range of motion, VAS, Q-DASH, and Mayo score were evaluated at 12 months after surgery, and compared.

Results:
No significant difference due to the difference in the direction of displacement was noted in the range of motion, VAS, Q-DASH, or Mayo score at 12 months after surgery and there were no perioperative complications. In addition, no re-displacement of volar lunate facet fragment was noted after surgery in any patient and bone fusion was observed.

Conclusions:
Reduction and fixation with a PVLP are possible even for dorsal displaced distal radius fractures accompanied by volar lunate facet fragment. For the volar displaced distal radius fractures, a favorable postoperative outcome is possible by applying a DVLP to the distal ulnar.
Keimyung Author(s)(Kor)
이석중
Publisher
School of Medicine (의과대학)
Citation
Jeong Duk Suh et al. (2020). Retained Foreign Body Which Should be Suspected as a Cause of Retractable Chronic Hand Inflammation and Diagnostic Capacity of Ultrasonography. The journal of hand surgery Asian-Pacific volume, 25(4), 423–426. doi: 10.1142/S2424835520500459
Type
Article
ISSN
2424-8363
Source
https://www.worldscientific.com/doi/10.1142/S2424835520500447
DOI
10.1142/S2424835520500459
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43461
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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