Chris Daniels

Orthopaedic Hand Surgeon. Views are my own.

[Chris Daniels @DanielsHandMD]

@nongtanch @boneglass C+

[Chris Daniels @DanielsHandMD]

@SportsDocRadio @AAOS1 @Davembmd Dude…

[Chris Daniels @DanielsHandMD]

@robgraymd @orthofacts @NuelleSportsMD @OrthopodReg @MedscapeOrtho @ORSsociety @medicalaxioms @InvictaOrtho Let’s not get distracted by a cool idea and a nice looking AP; that phalanx fracture is extended by 30-45degrees. What do you call a perc OIF?

[Chris Daniels @DanielsHandMD]

@hjluks My TFCC hurts just watching that

[Chris Daniels @DanielsHandMD]

@orthobullets @CleveClinicFL @ShamimUmarji @zafnaqui @JohnDunnMD @MarvinDingleMD @robgraymd @ReedHoyerMD @KevinCh29151666 @jenny_a_green @drpedrojdelgado Similar to others. Dorsal approach, thorough debridement of fracture, DR autograft if any cavitation is found, one screw. Case series on 2 screws have great results, but IMHO the cost hasn’t been shown to be justified (absent of compelling reason, like waist comminution)

[Chris Daniels @DanielsHandMD]

@orthobullets @schulte_ss @anilbhatortho @JohnDunnMD @ChrisDyMD @drbadia @robgraymd @jenny_a_green @HANDWRISTDR @drpedrojdelgado @Congenitalhand @BgTalkinman In season, long oblique, with closed physis? 3x 1.6 screws (2.0 if giant hands), probably ulnar to radial to more easily get under lateral band. Return to protected play (in cast) at >14days post-op. Return to unprotected play after 4 weeks and motion is full.

[Chris Daniels @DanielsHandMD]

@scottwagnermd @theblcklst That’s amazing, congrats! Sucks to have to be an Intern again though.

[J Bone & Joint Surg @jbjs]

What's New in Spine Surgery

@MelHelgesonMD @scottwagnermd

https://t.co/MoK5rM6Yzo

[Brian Riley @Coach_BRiley]

A hard fought game last night against @AF_HKY. So grateful for the medical staff that handled the situation with one of our players. We are thankful he’s doing well today. Thanks again to our trainer, doctors, and medical staff for their support. #GoArmy

[Curtis National Hand Center Research @CNHC_research]

We compared the effectiveness of 3 constructs for simulated dorsal PIP joint fracture-dislocations in a cadaver model. #dynamicexternalfixation #proximalinterphalangealjoint #hand #research #medtwitter #cadaver #surgery #orthotwitter
https://t.co/EfCZngRFbm

[Chris Daniels @DanielsHandMD]

@InvictaOrtho Worse case scenario there is that you’re back to the current situation

[Chris Daniels @DanielsHandMD]

@OrthoWomen I love the use of locking screws here. Have thought about the same, but have never implemented. Any biomechanical studies looking at this?

[fluoroquinoloner @fluoroquinolo13]

One of my favorite things about pediatrics is looking at imaging. Like have you ever seen a baby's hand x ray? That shit is adorable.

[Chris Daniels @DanielsHandMD]

@northwoods1980 @FootAndAnkleMD No, but if someone doesn’t have a fluoro in clinic it would be a good option

[Chris Daniels @DanielsHandMD]

@northwoods1980 @FootAndAnkleMD 1) with few exceptions, Stener is not X-ray diagnosis. 2) Nonop will fail if Stener is present, MRI/US can exclude that lesion. 3) literature supports that you practically can’t worsen the UCL or induce a Stener not already there.

[Chris Daniels @DanielsHandMD]

@northwoods1980 For me, suspected thumb UCL gets X-ray (to see any avulsion fragment, which would change the fixation strategy in OR), and side-to-side fluoro stress views to make diagnosis of tear v sprain. MRI (or U/S) iff patient wants nonop, to exclude Stener.