936 results match your criteria Fingertip Injuries


Comparison of Clinical Outcomes of Heterodigital Neurovascular Island Flap, Reverse Homodigital Neurovascular Island Flap, and Cross-Finger Flap Used for Fingertip Reconstruction.

Indian J Orthop 2022 May 3;56(5):847-855. Epub 2022 Feb 3.

Department of Orthopedics and Traumatology, Education and Research Hospital, Kayseri, Turkey.

Objective: The fundamentals of fingertip defect reconstructions should be mainly to restore the sensation with contour and identical pulp volume, and texture. To achieve these, various flap techniques were described in which those had their own advantages and disadvantages to restore the fingertip injuries. This study aimed to compare clinical outcomes of three different local flap procedures widely used for the reconstruction of fingertip defects: heterodigital neurovascular island (HeNI) flap, reverse homodigital neurovascular island (rHoNI) flap, and cross-finger (CF) flap. Read More

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Rethinking the Need for Nail Plate Removal: A Comparison of the Risks Between Standard Nail Bed Repair and Nonoperative Management.

Ann Plast Surg 2022 05;88(3 Suppl 3):S209-S213

From the Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI.

Purpose: Nail bed injuries are commonly treated with nail plate removal and repair due to concern for future nail deformity. There is controversy whether this is necessary. We compared the outcomes for adult patients with simple nail bed lacerations who underwent either formal nail bed repair or nonoperative management. Read More

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Innervated Reconstruction of Fingertip Degloving Injury Using a Dorsal Digital Perforator Flap Combined With a Cross-Finger Flap.

Ann Plast Surg 2022 05 7;88(5):500-506. Epub 2022 Mar 7.

Department of Hand Surgery, The Second Hospital of Tangshan, Tangshan, Hebei.

Background: The reconstruction of a fingertip degloving injury presents a functional and aesthetic challenge. We used a dorsal digital perforator flap combined with a cross-finger flap to reconstruct this type of injury. The purposes of this retrospective study were to evaluate the efficacy of the combined flaps and to present our clinical experience. Read More

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Outcomes of Acute Repair Versus Nonrepair of Zone I Flexor Digitorum Profundus Tendon Injuries.

J Hand Surg Am 2022 Apr 9. Epub 2022 Apr 9.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO. Electronic address:

Purpose: The aim of this study was to determine whether the clinical results of zone I flexor digitorum profundus (FDP) tendon injuries managed with acute surgical repair are comparable to the clinical results of those managed without repair (eg, primary FDP excision or observation).

Methods: Patients aged ≥18 years presenting to a level 1 trauma center between 2015 and 2020 with zone I FDP tendon injury were identified with retrospective chart review. We assessed the following data: age, sex, physical therapy visits, surgical intervention, surgical complications (including infection, repeat surgery after the primary intervention, and rupture of repair), and patient-reported outcomes measurement information system scores. Read More

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IV3000 semi-occlusive dressing use in simple and complex fingertip injuries: efficacy and affordability.

J Wound Care 2022 Apr;31(4):340-347

Ninewells Hospital, Dundee, UK.

Objective: This study aimed to explore the efficacy of the IV3000 semi-occlusive, transparent adhesive film dressing in the non-surgical management of simple as well as more complex fingertip injuries.

Method: In this qualitative study, patients with fingertip injuries were prospectively recruited and treated conservatively with the dressing between 2015 and 2017. Inclusion criteria included any fingertip injury with tissue loss and patient consent for non-surgical treatment consistent with the study protocol. Read More

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Long-term follow-up of one-stage artificial dermis reconstruction surgery for fingertip defects with exposed phalanx.

Hand Surg Rehabil 2022 Mar 17. Epub 2022 Mar 17.

Department of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning, Guangxi, 530021, China. Electronic address:

Fingertip injuries are among the most common injuries of the hand. Although numerous treatment methods have been described in detail in the literature, there are a few alternatives that require exploration. We analyzed 24 patients who underwent one-stage artificial dermis (Pelnac®) reconstruction surgery between 2012 and 2016 to assess the effectiveness of this alternative reconstruction method for extensive fingertip injury with exposed phalanx. Read More

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Up in Flames: The Safety of Electrocautery Trephination of Subungual Hematomas with Acrylic Nails.

West J Emerg Med 2022 Feb 23;23(2):183-185. Epub 2022 Feb 23.

Evans Army Community Hospital, Department of Emergency Medicine, Fort Carson, Colorado.

Introduction: Subungual hematomas are fingertip injuries, generally secondary to blunt trauma, that cause pain due to an accumulation of blood under the fingernail. It is generally considered standard of practice to relieve this accumulation by means of trephination with a hollow tip needle, a heated paper clip, or electrocautery. It has been assumed that due to the flammable properties of acrylic, trephination via electrocautery has the potential to ignite acrylic nails and cause burns and other potentially serious injury, making electrocautery contraindicated in patients with acrylic nails. Read More

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February 2022

Comparative Analysis of a Modified Secondary Healing Protocol for Fingertip Amputations and Non-microsurgical Reconstruction Techniques.

Rev Bras Ortop (Sao Paulo) 2022 Feb 25;57(1):108-112. Epub 2021 Oct 25.

Residente, Departamento de Ensino, Instituto Mexicano del Seguro Social, Universidad de Guadalajara, Puerto Vallarta, Jalisco, Mexico.

 To describe and compare the results obtained with a secondary healing protocol for fingertip amputations and their relationship to injury severity according to the Allen classification.  Medical records of 127 fingertip injuries were revised, and a retrospective, comparative, analytical study the amputations treated conservatively was performed. Injury characteristics, healing time, and complications were described and analyzed. Read More

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February 2022

Design and experimental testing of a force-augmenting exoskeleton for the human hand.

J Neuroeng Rehabil 2022 02 21;19(1):23. Epub 2022 Feb 21.

Department of Biomedical Engineering, The College of New Jersey, 2000 Pennington Road, STEM Building, Ewing, NJ, 08628, USA.

Background: Many older Americans suffer from long-term upper limb dysfunction, decreased grip strength, and/or a reduced ability to hold objects due to injuries and a variety of age-related illnesses. The objective of this study was to design and build a five-fingered powered assistive exoskeleton for the human hand, and to validate its ability to augment the gripping and pinching efforts of the wearer and assist in performing ADLs.

Methods: The exoskeleton device was designed using CAD software and 3-D printed in ABS. Read More

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February 2022

Bilateral Finger Morton Neuroma after Primary Fingertip Amputation.

Plast Reconstr Surg Glob Open 2022 Jan 27;10(1):e4035. Epub 2022 Jan 27.

Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Morton's neuroma (MN) is a painful, proliferative fibrosis of perineural tissue caused by pressure or recurrent irritation that was previously thought to affect only the common interdigital nerve of the foot. We present a case of a bilateral MN of both the ulnar and radial proper digital nerves of the fifth finger in a 30-year-old patient, following multiple surgeries on the aforementioned finger. The patient was referred to our center by a peripheral hospital after traumatic fingertip amputation distal the DIP joint, where the fingertip was initially simply sutured. Read More

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January 2022

Investigation of Predictors of Successful Replantation of Distal Digits at the Nail Bed Level: The Contribution of Digital Nerve Repair to Survival Rate.

Plast Reconstr Surg 2022 Apr;149(4):889-896

From the Department of Hand Surgery, Tokyo Hand Surgery and Sports Medicine Institute, Takatsuki Orthopaedic Hospital; Department of Hand Surgery and Microsurgery, Yotsuya Medical Cube; and Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University.

Background: Replantation of amputated digits at the nail bed level is surgically challenging and differs from replantation at a more proximal amputation level. This study aimed to determine the predictors influencing the success rate of fingertip replantation.

Methods: Overall, 239 digits of 226 patients who underwent replantation surgery from August of 2009 to March of 2020 were considered. Read More

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A Prospective Trial Comparing Outcomes at 11 Months of a Standard Cross-Finger Flap versus a Laterally Based Thenar Flap for Fingertip Reconstruction.

J Hand Surg Asian Pac Vol 2022 Feb 9;27(1):49-56. Epub 2022 Feb 9.

Department of Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

The standard cross-finger flap (CFF) and laterally based thenar flap (LTF) are the time-tested modalities of fingertip reconstruction. We were unable to find any studies that have compared these two flaps for fingertip reconstruction. The aim of this study is compare the outcomes of these two flaps at 11 months after fingertip reconstruction. Read More

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February 2022

The Current State of Fat Grafting in the Hand: A Systematic Review for Hand Diseases.

Hand (N Y) 2022 Feb 8:15589447211066347. Epub 2022 Feb 8.

University of Michigan, Ann Arbor, USA.

Autologous fat grafting (AFG) has traditionally been used for facial rejuvenation and soft tissue augmentation, but in recent years, its use has expanded to treat diseases of the hand. Autologous fat grafting is ideal for use in the hand because it is minimally invasive, can restore volume, and has regenerative capabilities. This review summarizes the emerging evidence regarding the safety and efficacy of AFG to the hand in several conditions, including systemic sclerosis, Dupuytren disease, osteoarthritis, burns, and traumatic fingertip injuries. Read More

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February 2022

An ultrashort video can teach residents to perform a fingertip injury repair.

AEM Educ Train 2022 Feb 1;6(1):e10713. Epub 2022 Feb 1.

Virginia Tech Carilion School of Medicine Roanoke Virginia USA.

Background: Acute fingertip injuries are common. Providers in rural and underserved areas often transfer these patients due to lack of comfort and skill with treating these injuries. Current learners prefer short and high-density educational material. Read More

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February 2022

The Clinical Effect of Digital Dorsal Fascial Island Flap Combined With Crossfinger Flap for Repairing Distal Degloving Injury and Sensory Reconstruction.

Front Surg 2021 17;8:732597. Epub 2022 Jan 17.

The Department of Hand Surgery, The Second Hospital of Tangshan, Tangshan, China.

Background: To explore the clinical effect of digital dorsal fascial island flap combined with crossfinger flap to repair distal degloving injury and sensory reconstruction.

Methods: A total of 19 patients with distal fingertip degloving injuries treated with digital dorsal fascial island flap combined with crossfinger flap in our hospital from April 2018 to August 2020 were retrospectively included. Semmes-Weinstein (SW) monofilament and static two-point discrimination (S-2PD) tests, active range-of-motion (ROM) of the fingers, cold intolerance, visual analog scale (VAS) score patient complications, and patient satisfaction were evaluated. Read More

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January 2022

Green sheet clips for venous anastomosis on Tamai Zone I fingertip replantation and lymphaticovenular anastomosis.

Authors:
Takashi Kageyama

Microsurgery 2022 05 29;42(4):391-392. Epub 2022 Jan 29.

Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine, Tokyo, Japan.

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Fingertip reconstruction with a subcutaneous flap and composite graft composed of nail bed and volar pulp skin.

Arch Plast Surg 2022 Jan 15;49(1):70-75. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, International St. Mary's Hospital, Incheon, Korea.

Background: Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical approach: a subcutaneous flap and composite graft.

Methods: We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. Read More

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January 2022

A Threshold QuickDASH Score for Estimating a Diagnosis of Major Depression in Patients With Fingertip Injuries in the American and Dutch Population.

Hand (N Y) 2021 Dec 30:15589447211060456. Epub 2021 Dec 30.

Harvard Medical School/Massachusetts General Hospital, Boston, MA, USA.

Background: The aim was to determine the threshold Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score that estimates a diagnosis of major depression in patients with fingertip injuries in American and Dutch patients.

Methods: In this observational cross-sectional study, 112 patients with a recent fingertip injury measured symptoms of depression with the Patient Health Questionnaire and upper extremity disability with the QuickDASH.

Results: In the US cohort, 8 of 56 patients had an estimated diagnosis of major depression. Read More

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December 2021

Negative-Pressure Wound Therapy Application in Fingertip Replantations and a Systematic Review.

Plast Reconstr Surg 2022 Jan;149(1):38e-47e

From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University; and Chicing Plastic Surgery Clinic.

Background: Fingertip replantation is technically challenging. Venous congestion is one of the most common causes of replantation failure. Therefore, various venous drainage procedures and salvage techniques have been used in venous congestion. Read More

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January 2022

Local or distal flap in the management of digital trauma in children.

Afr J Paediatr Surg 2022 Jan-Mar;19(1):5-8

Hassan II University Hospital of Faz, Department of Pediatric Surgery; Sidi Mohamed Ben Abdallah University of Faz; Faculty of Medicine and Pharmacy Fes, Morocco.

Objectives: We aim to describe the management of fingertip injuries treated by flaps in the paediatric surgery emergency ward and evaluate the long-term results.

Patients And Methods: Through a 2-year prospective study, we analysed all fingertip injuries treated by flaps in the paediatric emergency ward. We collected patients' data and the clinical and imaging characteristics of the lesions. Read More

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December 2021

Fingertip Amputation Reconstruction with VY Advancement Flap: Literature Review and Comparative Analysis of Atasoy and Kutler Flaps.

World J Plast Surg 2021 Sep;10(3):8-17

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India.

Background: Many different flaps had been described to cover exposed bone in fingertip amputations and injuries. The variants of VY advancement flap, by far the simplest, had proven to render good functional and aesthetic outcome. We aimed to revisit and compare the various VY advancement flaps in fingertip reconstruction. Read More

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September 2021

The Homodigital Propeller Flap: A New Tool for Fingertip Reconstruction. Surgical Technique, Anatomical Study, and Clinical Relevance.

Plast Reconstr Surg 2022 Feb;149(2):413-418

From ELSAN, Clinique Belledonne; Plastic Reconstructive and Aesthetic Surgery, Hand Surgery and Burns Unit, FX Michelet Center, University Hospital of Bordeaux; Surgery School, University of Bordeaux; Plastic Reconstructive and Aesthetic Surgery Department and Burn Unit, University Hospital of Toulouse Rangueil; and Plastic, Reconstructive, and Aesthetic Surgery Department, Clinique Mutualiste de Pessac.

Background: An ideal flap for fingertip injuries should cover a significant loss of substance and avoid joint flexion to prevent later contracture and joint stiffness. In this study, the authors describe a modified homodigital island flap-the homodigital propeller flap-to better meet these requirements.

Methods: An anatomical model of fingertip loss is used to analyze the advancement achieved without flexion of the finger. Read More

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February 2022

Intracortical Somatosensory Stimulation to Elicit Fingertip Sensations in an Individual With Spinal Cord Injury.

Neurology 2022 Feb 8;98(7):e679-e687. Epub 2021 Dec 8.

From the Research and Exploratory Development Department (M.S.F., L.E.O., B.P.C., E.A.P., M.C.T., F.V.T.), Johns Hopkins University Applied Physics Laboratory, Laurel; National Institute of Mental Health (D.P.M.), NIH, Bethesda; Department of Biomedical Engineering (T.M.T., D.N.C.), Department of Physical Medicine and Rehabilitation (R.W.N., M.A.A., P.A.C., G.L.C.), Department of Neurosurgery (W.S.A.), and Department of Neurology (B.A.W., N.E.C.), Johns Hopkins University, Baltimore, MD; UMC Utrecht Brain Center (W.S., N.F.R.), the Netherlands; and Department of Organismal Biology and Anatomy (S.J.B.), University of Chicago, IL.

Background And Objectives: The restoration of touch to fingers and fingertips is critical to achieving dexterous neuroprosthetic control for individuals with sensorimotor dysfunction. However, localized fingertip sensations have not been evoked via intracortical microstimulation (ICMS).

Methods: Using a novel intraoperative mapping approach, we implanted electrode arrays in the finger areas of left and right somatosensory cortex and delivered ICMS over a 2-year period in a human participant with spinal cord injury. Read More

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February 2022

Blast injury of the finger caused by mobile battery explosion: A case report.

Trauma Case Rep 2021 Dec 8;36:100551. Epub 2021 Nov 8.

Department of Orthopaedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan.

Lithium-ion batteries can cause several types of injuries upon explosion due to misfire. We report a case in which a mobile battery explosion resulted in high-pressure injection of metal debris into a small entry point on the skin creating puncture wounds on a patient's index finger, necessitating surgical intervention for massive debridement. A healthy 45-year-old, right-hand-dominant woman presented to the emergency department 4 h after a mobile battery had exploded in her left hand, causing burns to the left index finger. Read More

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December 2021

Characteristics of fingertip injuries and proposal of a treatment algorithm from a hand surgery referral center in Mexico City.

Acta Chir Plast 2021 ;63(3):113-117

Background: Fingertips are the most commonly injured anatomical structures in the upper extremity. The aim of this work is to present our experience in the management of fingertip injuries.

Methods: All patients with fingertip injuries managed by Plastic and Reconstructive Surgery Division of Hospital General “Dr Manuel Gea Gonzalez” in Mexico from July 2010 to June 2015 were included; their demographic characteristics were described, as well as patterns of injury and management. Read More

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November 2021

Comparing Flap Advancement and Wound Coverage of Anterograde Homodigital Neurovascular Island Flap Designs: A Cadaveric Model.

J Hand Surg Am 2021 Nov 18. Epub 2021 Nov 18.

Department of Anatomy & Cell Biology, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada. Electronic address:

Purpose: Anterograde homodigital neurovascular island flaps are a reconstructive option for volar fingertip injuries and confer the advantage of preserving fingertip sensation after surgery. However, the amount of flap advancement and wound coverage provided by stepwise and triangular flap designs remains unknown. This study sought to investigate how incremental proximal dissection of the pedicle influences flap advancement and whether advancement and/or coverage differ between the triangular and stepwise flap designs using 22 paired cadaveric digits. Read More

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November 2021

Reconstruction of fingertip defects with the anterograde homodigital neuroarterial island flap under local anesthesia.

J Plast Reconstr Aesthet Surg 2022 Jan 22;75(1):439-488. Epub 2021 Oct 22.

Department of Plastic and Reconstructive Surgery, Ningbo First Hospital, 59th Liuting Road, Ningbo 315000, China.

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January 2022

An overview of mallet finger injuries.

Acta Biomed 2021 11 3;92(5):e2021246. Epub 2021 Nov 3.

Leeds General Infirmary, Leeds, U.K.

Mallet finger describes a fingertip deformity where the distal interphalangeal joint (DIPJ) of the affected digit is held in flexion, unable to extend the distal phalanx actively. The deformity is typically a consequence of traumatic disruption to the terminal extensor tendon at its insertion at the proximal portion of the distal phalanx or slightly proximally at the level of the DIPJ. Patients typically present with a history describing the event of injury with a typical mallet deformity. Read More

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November 2021

Expanding indication of free hypothenar flap transfer: Sequential pedicled ulnar palm flap transfer to a relatively large hypothenar flap donor site.

J Plast Reconstr Aesthet Surg 2022 Jan 20;75(1):332-339. Epub 2021 Sep 20.

Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine, Tokyo, Japan; Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.

Background: Free hypothenar flap (HTF) transfer allows sensible soft tissue reconstruction of the fingertip. However, HTF is basically indicated for a relatively small soft tissue defect, as width of an HTF is limited up to approximately 20 mm to allow primary donor site closure. Combined with sequential local flap to an HTF donor site, a larger HTF can be used without the contracture risk. Read More

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January 2022

Epidemiology and Outcome of Nailbed Injuries Managed in Children's Emergency Department: A 10-Year Single-Center Experience.

Pediatr Emerg Care 2022 Feb;38(2):e776-e783

From the Children's Emergency, KK Women's and Children's Hospital.

Background: Fingertip injuries are among the most common hand injuries in children and result in significant health, time, and a financial burden. Nailbed injuries constitute a large proportion of fingertip injuries and are frequent in children.

Objectives: This study aimed to examine the epidemiology, injury patterns, and treatment strategies implemented in patients with nailbed injuries between 0 and 18 years of age. Read More

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February 2022