Thomas J. France

Distal Radius Articular Surface Visualization: Comparison of Ligament-Sparing Volar and Dorsal Radiocarpal Arthrotomies for Distal Radius Fracture Reduction

Dylan R. Rakowski, Evan H. Richman, Riley Kahan, Kacy J. Peek et autres

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The Effect of Scapholunate Interval and Angle on Radiocarpal Joint Loading

Thomas J. France, Songyuan Gu, Winthrop C. Lockwood, Todd H. Baldini et autres

INTRODUCTION: Carpal instability related to scapholunate ligament injury can manifest as an increased scapholunate (SL) interval and/or angle. Radiocarpal arthrosis is expected with chronic carpal instability due to an imbalance of normal joint loading. This study seeks to quantify the effect of …

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Maximizing Exposure of the Distal Humerus

Thomas J. France, Brandon S. Smetana

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Analysis of Trapeziometacarpal Joint Mechanics During Spanning and Nonspanning Fixation for Thumb Metacarpal Distraction Lengthening

Winthrop C. Lockwood, Francisco Rodríguez-Fontán, Thomas J. France, Alexander S. Lauder et autres

Background: Thumb trapeziometacarpal joint (TMj) contact area, pressures, and stability were quantified during metacarpal osteotomy and distraction lengthening with and without TMj-spanning fixation in a cadaver model. Spanning fixation was hypothesized to decrease TMj contact pressure, contact area, joint space narrowing, and …

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Radiocapitellar and Ulnotrochlear Pressures Increase in a Radial Head Fracture Model

Thomas J. France, Winthrop C. Lockwood, Songyuan Gu, Nicholas J. Tucker et autres

BACKGROUND: Changes in intra-articular pressure have not been previously described in relation to the management of radial head fractures. We hypothesized that pressure within the radiocapitellar and ulnotrochlear joints would increase with progressive radial head resection, mimicking a displaced radial head fracture, …

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Posterolateral Rotatory Instability Develops Following the Modified Kocher Approach and Does Not Resolve Following Interval Repair

Stephen D. Daniels, Thomas J. France, Kacy J. Peek, Nicholas J. Tucker et autres

BACKGROUND: The modified Kocher and extensor digitorum communis (EDC)-splitting intervals are commonly utilized to approach the lateral elbow. Iatrogenic injury to the lateral ulnar collateral ligament may result in posterolateral rotatory instability (PLRI). in the present cadaveric study, we (1) evaluated lateral …

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Pediatric Multidrug-Resistant Disseminated Tuberculosis Presenting as Small Finger Tuberculous Osteomyelitis

Clayton J. Hoffman, Thomas J. France, Tyler Cram, Jenna L. Bodmer et autres

CASE: We report a case in the United States of a 12-year-old girl with multidrug-resistant tuberculous (MDR-TB) osteomyelitis of the hand managed with surgical debridement and second-line anti-TB therapy. The disease course was complicated by dissemination and multifocal progression. CONCLUSION: Despite early …

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Clinical Outcomes of Severely Angulated Fifth Metacarpal Neck Fractures Treated Nonsurgically

Thomas J. France, Fraser J. Leversedge, Alexander S. Lauder

BACKGROUND: Reasonable functional outcomes for nonoperative management of isolated, closed fifth metacarpal neck fractures with up to 70° angulation have been reported; however, reported outcomes for fractures with greater than 70° angulation are limited. This study describes clinical outcomes of nonsurgically treated …

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