Increase of weight-bearing capacity of patients with lesions of the TFCC using a wrist brace

Study design: Retrospective cross-sectional case series. Background: Lesions of the triangular fibrocartilage complex (TFCC) can result in pain during axial load and unstable distal radioulnar joint (DRUJ). Conventional wrist orthoses decrease initial pain sufficiently but also prevent any movement during recovery and do not contribute to the stabilization of the DRUJ. Purpose: In this retrospective analysis, we tested if the weight-bearing capacity of patients with lesions of the triangular fibrocartilage complex was increased by wearing a brace that stabilizes the distal radioulnar joint. Methods: Twenty-three patients had an arthroscopically confirmed TFCC lesion. We compared preoperative dynamic weight-bearing capacity of both hands with and without a commercially available wrist brace (WristWidget). Subgroup analysis was performed for stability of the distal radioulnar joint and etiology of the TFCC lesion. The dynamic ulnar variance was measured in a modified weight bearing test. We used parametric tests for normally distributed values. Results: The weight-bearing capacity of the hand with TFCC lesion was significantly lower than of the control hand (16 verus 36 kg; p <0.001). The relative load of the affected hand compared to the unaffected hand increased from 48 % (CI 37-60, SD 27) to 59 % (CI 47-72, SD 29 with a brace. The device had no effect on the control hand. Twelve patients with unstable DRUJ had a lower weight-bearing capacity compared to the eleven with stable joint. The percentage improvement with bracing was higher for those with unstable joints (versus stable) and traumatic lesions (versus degenrative). Conclusion: The use of a wrist brace significantly increases the weight-bearing capacity and therefore the maximum tolerated axial load of patients with a lesion of the TFCC. Patients with traumatic lesion or unstable DRUJ tend to show lower values than with degenerative lesions or stable joints

Effect of the beginning of a special interdisciplinary rehabilitation program with injuries of the hand

The objective of this study was the evaluation of the outcome of a special interdisciplinary therapy program depending on the beginning of the rehabilitation. The outcome of a specialized hand rehabilitation immediately after as well as short-term follow-up of 76 patients with injuries of the hand respectively wrist and CRPS was analysed with the use of self-assessed parameters and objective functional scores. The patients were divided into a group with an early (&lt; 120 days after trauma) or late beginning of the rehabilitation. Better results for the early beginners were shown with statistical significance for the DASH–Score as well as ROM at follow-up. Especially patients with CRPS and finger injuries had a benefit. The study shows the importance of an early beginning especially with respect to function. There are differences in between different injuries or diseases with respect to these effects, especially patients with CRPS seem to profit.THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

Influence of the beginning of a special interdisciplinary therapy program with work-related injuries of the hand

The objective of this retrospective study was the evaluation of the outcome of a special interdisciplinary therapy program depending on the beginning of the rehabilitation after the initial injury of the hand or wrist.The outcome of a specialized hand rehabilitation immediately after the treatment program as well as short-term follow-up of 76 patients with injuries of the upper extremity (hand respectively wrist) and CRPS was analysed with the use of self-assessed parameters as well as objective functional scores. The patients were divided into a group with an early (&lt; 120 days after trauma) or late (&lt; 120 days after trauma) beginning of the rehabilitation.Better results for the early beginners were shown with statistical significance for the DASH–Score (p = 0.027) as well as ROM (p = 0.009) at follow-up. Especially patients with CRPS and finger injuries had a benefit.Our study shows the importance of an early beginning especially with respect to function. There are differences in between different injuries or diseases with respect to these effects, especially patients with CRPS seem to profit.THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

High Incidence of Hand Injuries From Blocking in Elite Taekwondo Despite the Use of Protective Gear: A 5-Year Descriptive Epidemiology Study.

Hand and wrist injuries are a common but underestimated issue in taekwondo. Detailed data on injury risk, patterns, and mechanism are missing. To evaluate (1) the fight time exposure-adjusted injury incidence rate (IIR) and clinical incidence and (2) injury site, type, sport-specific mechanism, and time loss in taekwondo. Descriptive epidemiology study. Athletes from a single national Olympic taekwondo training center were investigated prospectively for hand and wrist injuries during training and competition over 5 years. The Orchard Sports Injury Classification System Version 10 was used to classify injury type, and analysis of the anatomic injury site was performed. The mechanism of injury was classified as due to either striking or blocking techniques. From a total of 107 athletes, 79 athletes (73.8%) with a total exposure time of 8495 hours were included in the final data set. During the study period, 75 injuries of the hand and wrist region were recorded despite the athletes using protective hand gear. The IIR was 13.9 (95% CI, 10.5-17.5) and was significantly higher during competition. The clinical incidence as an indicator for risk of injury was 60.7% (95% CI, 50.9-70.5). Finger rays were the most affected location (68%), and fractures (43%) and joint ligament injuries (35%) were the most common type of injury. Significantly more injuries were found on the dominant hand side (P &lt; .001). Comparison of injury mechanisms demonstrated significantly more injuries at the finger rays deriving from blocking techniques (P = .0104). The mean time loss for all hand and wrist injuries was 15.7 ± 13.5 days (range, 3-45 days) and was highest for distal radial fractures, with a mean of 39.7 ± 4.8 days (range, 32-45 days). There was a significantly higher IIR for acute hand and wrist injuries in elite taekwondo athletes during competition, which resulted in considerable time loss, especially when fractures or dislocations occurred. Significantly more injuries to the finger rays were found during blocking despite the use of protective hand gear. Improvement of tactical skills and blocking techniques during training and improved protective gear appear to be essential for injury prevention

Biomechanische Untersuchungen zur Maximalbelastbarkeit der Fingermittelgelenksarthrodese mit Gewindedraht. Eigene Versuche und Literaturvergleich

Third Year Jesuit Philosophy Students, 1900