Assuntos
Corticosteroides/administração & dosagem , COVID-19/epidemiologia , Articulação da Mão , Injeções Intra-Articulares , Artropatias/tratamento farmacológico , Articulação do Punho , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Estudos Retrospectivos , SARS-CoV-2 , Reino Unido/epidemiologiaRESUMO
We present a case of synovial chondromatosis affecting the interphalangeal joint where the disease did not clearly manifest itself on pre-operative radiographs. Although rare, surgeons should consider articular synovial chondromatosis as a differential for pain and stiffness in any joint, even those of the hand.
Assuntos
Condromatose Sinovial/diagnóstico , Articulações dos Dedos/patologia , Idoso , Condrócitos/metabolismo , Condromatose Sinovial/diagnóstico por imagem , Condromatose Sinovial/patologia , Condromatose Sinovial/fisiopatologia , Mãos/diagnóstico por imagem , Força da Mão , Humanos , Imuno-Histoquímica , Corpos Livres Articulares/patologia , Masculino , Radiografia , Amplitude de Movimento Articular , Membrana Sinovial/diagnóstico por imagem , Articulação do Punho/diagnóstico por imagemRESUMO
We present results of four-corner carpal arthrodesis with the Acumed Hubcap circular plate performed at our unit. Eight patients underwent eight procedures over five years, for scapholunate advanced collapse (five wrists) and scaphoid non-union advanced collapse (three wrists). Outcomes included range of motion, quickDASH scores, and visual analogue scores for satisfaction. At final follow-up, mean flexion-extension arc was 56°, mean radial-ulnar deviation 29° and mean quickDASH score was 23/100. Mean score for satisfaction was 7.7/10 (77%). Seven out of eight (87.5%) patients said they would have it done again, and would also recommend it to others. Radiological union was achieved in all cases. One screw broke in one arthrodesis without causing symptoms. The functional outcomes with our use of the Hubcap are comparable to those reported in literature to date with other circular plates (e.g. Spider plate). There were no non-unions, which is the main reported complication with these plates.
