JA Oni's research while affiliated with University of Nottingham and other places
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Publications (18)
This study assessed whether nonunion of displaced scaphoid waist fractures with nonoperative treatment could be predicted from 4 week CT scans. Thirty-one patients with unilateral displaced scaphoid waist fractures and adequate follow-up were included. CT scans in the longitudinal axis of the scaphoid with sagittal and coronal slices were done 4 we...
This prospective study investigated a cohort of 59 scaphoid waist fractures which were treated nonoperatively in a below-elbow plaster cast for 4 weeks and then underwent a Week 4 CT scan to assess displacement and progress to union. Forty-three were classed as undisplaced and 37 of these 43 were also classed as 'united'. All the 37 undisplaced and...
It was hypothesized that preserving a layer of gliding tissue, the parietal layer of the ulnar bursa, between the contents of the carpal tunnel and the soft tissues incised during carpal tunnel surgery might reduce scar pain and improve grip strength and function following open carpal tunnel decompression.
Patients consented to randomization to tre...
Sixty-six patients with acute scaphoid fractures were treated non-operatively in a below elbow plaster for 8 to 12 weeks and underwent CT scans along the longitudinal axis of the scaphoid at 12 to 18 weeks. These scans showed that 14 fractures had not united and that 30 had united throughout the whole cross-section of the scaphoid. The other 22 had...
This prospective study investigated whether dual energy X-ray absorptiometry (DXA) could detect acute scaphoid fractures. We blindly compared 10 normal and 10 fractured scaphoid images produced with a new technique of DXA scan analysis. This measured and plotted the density of the scaphoid throughout its length, producing a linear graph of the scap...
This study investigated whether the outcome of bone graft and internal fixation surgery for nonunion of scaphoid fractures could be predicted by gadolinium-enhanced MR assessments of proximal fragment vascularity. Sixteen established scaphoid fracture nonunions underwent gadolinium-enhanced MR scanning before surgical treatment with bone grafting a...
We treated 50 patients with fractures of the waist of the scaphoid in a below-elbow plaster cast for up to 13 weeks. Displacement of the fragments was assessed independently by two observers using MRI and radiographs performed within two weeks of injury.
The MRI assessments showed that only the measurement of sagittal translation of the fragments a...
This prospective study describes the use of a short hand cast, which leaves the finger metacarpophalangeal and wrist joint free, for angularly displaced little finger metacarpal shaft fractures which require reduction. Twenty-seven patients with a mean age of 25 (range, 16-39) years with little finger or combined ring and little finger displaced me...
This study assessed the reliability of the rapid exchange grip test for detecting submaximal grip effort, particularly evaluating its performance with motivated subjects with genuine hand weakness secondary to pain. Fifty normal participants performing with maximum effort then feigning hand weakness and 50 patients recovering from carpal tunnel sur...
The first case of Dupuytren's contracture in a black patient with no obvious caucasian admixture was reported in 1979. This condition is rare in the purely black population and since 1979 only 23 cases have been reported. We present the case of a black man with no history of caucasian admixture with bilateral Dupuytren's contracture. We suggest tha...
This study investigates the concerns of 50 patients with ganglia and their reasons for primary care consultation and referral to a hand unit. Although a minority of patients sought advice and treatment because of pain, more (38%) were concerned about the cosmetic appearance and a significant number (28%) were concerned that their ganglion was a mal...
We report the results of five interposition palmar plate (Tupper) arthroplasties for post-traumatic or post-infection osteoarthritis of metacarpophalangeal joints. All were pain free at a median follow-up of 4 years. The mean arc of joint flexion was 55 degrees and finger to thumb tip pinch was 60% of normal. All patients had reduced grip strength,...
Sixty-six patients with acute scaphoid fractures were treated non-operatively in a below elbow plaster for 8 to 12 weeks and underwent CT scans along the longitudinal axis of the scaphoid at 12 to 18 weeks. These scans showed that 14 fractures had not united and that 30 had united throughout the whole cross-section of the scaphoid. The other 22 had...
Citations
... Our findings correlate the extent of healing to mechanical stability, which helps to determine when to remove a cast and advise on return to work. CT scanning has been used not only to estimate union, but also to determine how much of the fracture gap is bridged by healing bone (Amirfeyz et al., 2011;Singh et al., 2005). The percentage of union in CT scans has also been used in previous studies, particularly when dealing with waist fractures (Grewal et al., 2013). ...
... Evidence from clinical trials suggests that a scaphoid waist fracture that is nondisplaced on computed tomography (CT) will heal with adequate immobilization [1][2][3][4][5]. Screw fixation helps people with a nondisplaced waist fracture avoid cast wear, but it does not improve long-term outcomes [6][7][8]. ...
... 18 High complication rates and poor long term results of implant arthroplasty prompted researchers to use autologous tissue like volar plate or dorsal joint capsule as interpositional material. 3,19,20 Previous studies have examined the soft tissue interposition in the metacarpophalangeal joint (MCPJ) in rheumatoid arthritis patients. 2,21 However, use of volar plate requires resection of the metacarpal head or base of the proximal phalanx and sacrifice of collateral ligament leading to joint instability. ...
... We found cosmesis was the most common presenting complaint (42%) followed by fear of malignancy (31%) and pain (27%) irrespective of sex, position of ganglion, or dominance. In Westbrook et al.'s study [15], 38% were concerned about appearance, 28% about malignancy, 26% about pain, and 8% about abnormal sensation or function. Gang and Makhlouf [16] reported pain in 33%, Noppachart and Vajara [13] reported pain in 58.3%, and we reported pain in 27%. ...
... When Mennen and Grabe 1 accurately reported on the discovery of a patient of pure African descent with Dupuytren's disease in 1979, little was known of the disease ever affecting other ethnic groups, especially Africans. This condition was first described by the French surgeon Guillaume Dupuytren in 1834 and it has largely been believed to occur in males of Northern European descent, and that migratory patterns of society distributed this condition to other parts of the world. 2 Since the first initial report of a black patient with the disease, 3 a few more cases have been reported in black African patients [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and other ethnic groups. 21,22 We have seen an increasing number of patients of pure African descent that have undergone surgery at our institution in recent years. ...
... Instead, the integrated sensors within the GripAble device and software can facilitate therapists in tracking user compliance to the standard grip strength protocol by analysing hand pose, the time-varying force profile and associated timings of key events, such as rise time, peak force and decay period. Moreover, the software can be used to provide a variety of grip strength measures, including but not limited to, grip endurance, sustained gripping, rapid exchange, 39 gripping rotatory impaction 40 and sine wave grip dexterity tests. 41 Ultimately, these will provide a holistic and objective view of hand function, which is of paramount importance, especially when normal face-to-face observational assessments can no longer be routinely performed. ...
... Several authors have lessened the immobilization material and promoted early mobilization after K-wire fxation [14,15,[18][19][20][23][24][25][26][27][28]. Moreover, recent evidence revealed that early mobilization of fngers after the injury causes signifcant consequences in only a few patients who underwent nonoperative treatment [29][30][31][32]. Tese studies raise the question of the necessity of postoperative hand immobility. ...
... However, scaphoid views are the most useful. Therefore, MRI or CT scans are indicated in most scaphoid fractures [7,8]. ...
... It has been generally accepted that the perfusion of the proximal pole of the scaphoid is a key factor to osseous consolidation after reconstruction of scaphoid nonunion [2,10,23]. Intraoperative punctate bleeding has been described as an evaluation tool of perfusion, with good correlation to osseous consolidation rates [10,13]. However, Rancy et al. [16] feel that intraoperative punctate bleeding is unreliable as an indicator of PP vascularity or SNU healing potential. ...
... Second-line imaging techniques have been proposed to achieve earlier definitive diagnosis and reduce overtreatment. Magnetic resonance (MR) imaging has been described as the gold standard, 9,11,18,21,26,[28][29][30]34 and the roles of computed tomography (CT), 2,8,29,30 bone scintigraphy (RNBS), 5,6,12,46 ultrasound (US) 4,22,31,32,38,39 and DEXA scanning 43 have also been investigated. While MR and CT are comparable in terms of fracture detection, MR has the advantages of (i) detecting soft-tissue injuries such as scapho-lunate dissociation and (ii) avoiding ionising radiation. ...