Journal of Hand, Upper Limb, and Microsurgery

DOUBLE BONY MALLET TREATED WITH TWO HOOK PLATES: A CASE REPORT

Fredy Arianto — 2026-02-06

Mallet finger injury is characterized by discontinuity of the terminal extensor tendon resulting in an extensor lag at distal Interphalangeal (DIP) joint with or without compensatory hyperextension at the proximal Interphalangeal (PIP) joint. For a seemingly simple/minor injury, a lengthy, tedious treatment course is often required to obtain a satisfactory result. The management of bony mallet with or without large and subluxated DIP joint remains controversial. We report a 21-year-old male with two closed bony mallet injuries over the left middle and ring finger and a concomitant close fracture of the left scaphoid following a motor vehicle accident. Our patient was treated with open reduction and internal fixation using hook plate for both finger and headless compression screw for the scaphoid, resulting in a good outcome at 2 months post operatively.

The Characteristics of Radiologic Morphometry of Proximal Ulna Dorsal Angulation in Haji Adam Malik Hospital Patients

Yudha Satria — 2026-02-06

Introduction: Deviation from the normal elbow anatomy, i.e., fracture, may cause disturbance in daily activities. Proximal ulna dorsal angulation (PUDA) has been reported to be helpful in reduction in ulnar fracture. However, the evidence regarding this parameter is limited. This goal of this study is to describe the characteristics of PUDA in our patients.

Methods: This observational study was conducted at Haji Adam Malik Hospital Medan. All outpatients who aged 18-59 years old and with elbow pain during January-December 2023 were included. Patients with elbow pathologies were excluded from the study.

Results: This study includes 52 patients, in which 75% were men. Mean of patients’age was 24.19˚±2.49˚ years old. Mean value of PUDA on the right side was 5.99˚±2.91˚ and on the left side was 5.33˚±2.31˚.

Conclusion: We observed slightly higher PUDA on the right side compared to the left side. Future studies are needed to investigate more about the application of PUDA in clinical practice.

CLINICAL AND RADIOLOGICAL OUTCOMES OF OPEN REDUCTION AND INTERNAL FIXATION IN CASES OF SUPRACONDYLAR HUMERUS MALUNION FRACTURES IN CHILDREN AT HAJI ADAM MALIK HOSPITAL MEDAN PERIOD 2021 - 2023

Iman Dwi Winanto — 2026-02-06

Backgrounds : The distal supracondylar region is the most common site of fractures around the elbow in children. Malunion occurs when a broken bone heals in an abnormal position, potentially causing dysfunction of the bone or limb. Currently, the use of scoring systems is a standard part of evaluating treatment outcomes. However, proper validation studies are rare, and outcome measurement tools may not always be used for the population of interest. The Mayo Elbow Performance Score (MEPS) is a practical tool often used, combining subjective (pain) and objective assessment of elbow conditions. Moreover, MEPS has been used in the paediatric age group.

Methods : The study is an analytical study with a quasi-experimental design, using a pre-test - post-test one-group-only design. The sample size for this study was 10 patients, selected using non-probability sampling with a consecutive sampling. Data analysis in this study includes univariate and bivariate analysis. After the necessary data was collected, the data was analysed using SPSS software.

Results : In this study, the average age was 10 ± 2.76 (mean ± SD). The left arm was most commonly affected, with 9 individuals (90%). The average age is around six years, with a higher incidence between five and eight years. This study found a significant relationship in the increase of MEPS scores (p value = 0.009) and the degree of Carrying Angle (p value = <0.001) towards the normal range in patients with SCH before (pre-op) and after (post-op) open reduction and internal fixation. This study found a significant relationship in the decrease of Bauman's Angle (p value = 0.002) towards the normal range and the Anterior Humeral Line (p value = 0.016) in patients with supracondylar humerus fractures before (pre-op) and after (post-op) open reduction and internal fixation.

Conclusion : This study found significant differences in clinical outcomes, namely the increase in MEPS scores and radiological outcomes, and findings of the Anterior Humeral Line towards the normal range in patients with supracondylar

Grip the Future: Empowering the Next Era of Indonesian Hand Surgeons

Made Bramantya Karna — 2026-02-06

Grip the Future: Empowering the Next Era of Indonesian

Hand Surgeons

Restoring Dialogue: Surgical Neuro-Engineering for the Spastic Hand

Vaikunthan Rajaratnam — 2026-02-06

Restoring Dialogue: Surgical Neuro-Engineering for the Spastic Hand