Arthroscopic Fixation of Metacarpal Head Fractures

2021 ◽  
pp. 1127-1133
Author(s):  
Deepak N. Bhatia
Keyword(s):  
Metacarpal Head ◽  
Arthroscopic Fixation

Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures

2017 ◽  
Vol 22 (01) ◽  
pp. 35-38 ◽  
Author(s):  
Eichi Itadera ◽  
Takahiro Yamazaki
Keyword(s):  
Screw Fixation ◽  
Proximal Phalanx ◽  
Metacarpophalangeal Joint ◽  
Fixation Method ◽  
Compression Screw ◽  
Metacarpal Head ◽  
Headless Compression Screw ◽  
Articular Fractures ◽  
Intramedullary Canal ◽  
Cannulated Drill

We developed a new internal fixation method for extra-articular fractures at the base of the proximal phalanx using a headless compression screw to achieve rigid fracture fixation through a relatively easy technique. With the metacarpophalangeal joint of the involved finger flexed, a smooth guide-pin is inserted into the intramedullary canal of the proximal phalanx through the metacarpal head and metacarpophalangeal joint. Insertion tunnels are made over the guide-pin using a cannulated drill. Then, a headless cannulated screw is placed into the proximal phalanx. All of five fractures treated by this procedure obtained satisfactory results.

scholarly journals Metacarpal Bony Dimensions Related to Headless Compression Screw Sizes

2019 ◽  
Vol 12 (S 01) ◽  
pp. S39-S44
Author(s):  
Michael Okoli ◽  
Kevin Lutsky ◽  
Michael Rivlin ◽  
Brian Katt ◽  
Pedro Beredjiklian
Keyword(s):  
Computed Tomography ◽  
Fracture Fixation ◽  
Ct Scans ◽  
Compression Screw ◽  
Metacarpal Head ◽  
Headless Compression Screw ◽  
Metacarpal Bones ◽  
Headless Compression Screws ◽  
The Mean ◽  
Distal Aspect

Abstract Introduction The purpose of this study is to determine the radiographic dimensions of the finger metacarpals and to compare these measurements with headless compression screws commonly used for fracture fixation. Materials and Methods We analyzed computed tomography (CT) scans of the index, long, ring, and small metacarpal bones and measured the metacarpal length, distance from the isthmus to the metacarpal head, and intramedullary diameter of the isthmus. Metacarpals with previous fractures or hardware were excluded. We compared these dimensions with the size of several commercially available headless screws used for intramedullary fixation. Results A total of 223 metacarpals from 57 patients were analyzed. The index metacarpal was the longest, averaging 67.6 mm in length. The mean distance from the most distal aspect of the metacarpal head to the isthmus was 40.3, 39.5, 34.4, and 31 mm for the index, long, ring, and small metacarpals, respectively. The narrowest diameter of the isthmus was a mean of 2.6, 2.7, 2.3, and 3 mm for the index, long, ring, and small metacarpals, respectively. Of 33 commercially available screws, only 27% percent reached the isthmus of the index metacarpal followed by 42, 48, and 58% in the long, ring, and small metacarpals, respectively. Conclusion The index and long metacarpals are at a particular risk of screw mismatch given their relatively long lengths and narrow isthmus diameters.

Arthroscopic fixation of superior labral lesions using a biodegradable implant: A preliminary report

1995 ◽  
Vol 11 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Michael J. Pagnani ◽  
Kevin P. Speer ◽  
David W. Altchek ◽  
Russell F. Warren ◽  
David M. Dines
Keyword(s):  
Preliminary Report ◽  
Biodegradable Implant ◽  
Arthroscopic Fixation

Diagnosis of the Aetiology of a Locked Metacarpophalangeal Joint Using MRI

1993 ◽  
Vol 18 (5) ◽  
pp. 645-647 ◽  
Author(s):  
F. SCHUIND ◽  
B. STALLENBERG
Keyword(s):  
Metacarpophalangeal Joint ◽  
Mri Scan ◽  
Metacarpal Head

A case is reported of a locked MP joint due to ulceration of the metacarpal head. This was clearly visible on MRI scan.

scholarly journals Arthroscopic Fixation of Os Acetabuli and Labral Repair: Suture-on-Screw Technique

2021 ◽  
Author(s):  
Steven F. DeFroda ◽  
Daniel Wichman ◽  
Robert Browning ◽  
Thomas D. Alter ◽  
Shane J. Nho
Keyword(s):  
Labral Repair ◽  
Arthroscopic Fixation

Traumatic Dislocation of the Extensor Tendons over the Fifth Metacarpo-Phalangeal Joint

1989 ◽  
Vol 14 (3) ◽  
pp. 350-351
Author(s):  
J. VAN MEIRHAEGHE ◽  
M. VERCAUTEREN
Keyword(s):  
Extensor Tendons ◽  
Metacarpal Head ◽  
Traumatic Dislocation

An unusual traumatic dislocation of the extensor tendons of the fifth metacarpo-phalangeal joint is reported. The extensor hood and capsule were split longitudinally in the mid-line dorsally and the extensor tendons separated, displacing in opposite directions onto the side of the metacarpal head.

Arthroscopic Fixation of Fractures Around the Knee

Arthroscopy ◽  
2016 ◽  
pp. 399-418
Author(s):  
Pietro Randelli ◽  
Davide Cucchi ◽  
Filippo Randelli ◽  
Chiara Fossati ◽  
Paolo Cabitza
Keyword(s):  
Arthroscopic Fixation
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