The latest knowledge on the trending case this month
myAO Trauma clinical case roundup on hand crush injuries with compartment syndrome - fracture fixation and posterior interosseous flap
Crush injuries of the hand can present with wide variety of patterns and generally involve multiple tissues. Patients with severe crush injury can develop compartment syndrome.
In this month's Trauma clinical case roundup, myAO is featuring a case of metacarpal, distal radius, and ulna fractures from Jaime Forigua, a specialist hand surgeon from Colombia and member of the Upper Extremity group, along with a compilation of knowledge references on the topic.
We invite you to review this interesting clinical case and hope that you will find this knowledge update useful.
Featured case on hand crush injuries with compartment syndrome
Guidelines for management of crush injuries of the hand. J Clin Orthop Trauma, Apr 11, 2020 Lahiri A Read more
Mangled right hand: A case report. Int J Surg Case Rep, Dec 23, 2022 Gautam P, Gyawali S, Mainali P, Niraula H, Shrestha JM, Lohani I Read more
Isolated Dislocation of Hamate with Hook Fracture in Setting of Acute Hand Compartment Syndrome: A Case Report and Review of the Literature. J Orthop Case Rep, Nov 1, 2020 Saiz AM, Wuellner JC, Bayne CO Read more
Upcoming related AO events
AO Trauma Seminar—Hand, Wrist and Forearm Fractures
A die-punch fracture is a depression fracture of the lunate fossa of the distal radius that is caused by a vertical load through the lunate. In some cases, the die-punch fracture is in a state that is difficult to reset, such as when it is not limited to the lunate fossa.
Various fixation methods have been successfully applied to the repair of distal humeral fractures in dogs. These include minimally invasive plate osteosynthesis (MIPO), open reduction internal fixation (ORIF) with plate and screw constructs or combinations of pins, screws and wire, external skeletal fixation (ESF), intramedullary pinning (IMP), and cross-pin fixation.
The radial forearm free flap (RFFF) is a flap with ideal characteristics for lip reconstruction because it is thin and can be folded to restore both the skin and the inner lining.
Crush injuries of the hand can present with wide variety of patterns and generally involve multiple tissues. Patients with severe crush injury can develop compartment syndrome.
Odontogenic keratocysts (OKC), previously known as keratocystic odontogenic tumors (KCOT or KOT), are rare benign cystic lesions involving the mandible or maxilla and are believed to arise from dental lamina. Treatment is often with marsupialization/enucleation/excision +/- aggressive curettage. However, they can have a very high recurrence rate (30-60%), and follow-up is essential.
Total hip arthroplasty with acetabular dysplasia presents many challenges to the reconstructive surgeon. The complex femoral and acetabular anatomy makes standard reconstruction technically challenging.
Shoulder instability (SI) is one of the most common causes of front leg lameness in dogs. SI describes a wide range of soft tissue injuries to the ligaments, tendons and muscles of the shoulder. It affects all sizes and breeds of dogs.
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