3,018 results match your criteria Hand Injury Soft Tissue


Flexor Tendon Lacerations Secondary to Closed Proximal Phalangeal Fracture.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):123-126

1 Hand Unit, Sydney Hospital, Sydney, Australia.

We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis. Read More

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http://dx.doi.org/10.1142/S2424835519720093DOI Listing

[Application of high frequency color Doppler ultrasound combined with wide-field imaging in the preoperative navigation of anterolateral thigh perforator flap surgery].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):190-194

Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To investigate the application of high frequency color Doppler ultrasound (HFCDU) combined with wide-field imaging in the preoperative navigation of anterolateral thigh perforator flap graft.

Methods: Between January 2017 and March 2018, 28 patients with skin and soft tissue defects were treated, including 22 males and 6 females, with an average age of 33.5 years (range, 17-66 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201810025DOI Listing
February 2019
1 Read

Plantar pressure changes in hindfoot relief devices of different designs.

J Exp Orthop 2019 Feb 7;6(1). Epub 2019 Feb 7.

Department of Orthopaedics, Trauma and Hand Surgery, Klinikum Osnabrück, Osnabrück, Germany.

Background: It is frequently observed that overloading the foot can impair bone and soft tissue healing and can lead to harmful sequelae (i.e. ulcers, stress reactions) in context of pre-existing tissue disabilities. Read More

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http://dx.doi.org/10.1186/s40634-019-0173-9DOI Listing
February 2019
1 Read

Surgical Procedures Performed by Emergency Medical Teams in Sudden-Onset Disasters: A Systematic Review.

World J Surg 2019 Jan 24. Epub 2019 Jan 24.

School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.

Background: Emergency medical teams (EMTs) frequently provide surgical care after sudden-onset disasters (SODs) in low- and middle-income countries. The purpose of this review is to describe the types of surgical procedures performed by EMTs with general surgical capability in order to aid the recruitment and training of surgeons for these teams.

Methods: A search of electronic databases (PubMed, MEDLINE, and EMBASE) was carried out to identify articles published between 1990 and 2018 that describe the type of surgical procedures performed by EMTs in the impact and post-impact phases of a SOD. Read More

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http://dx.doi.org/10.1007/s00268-019-04915-1DOI Listing
January 2019
2 Reads

Enhancing function after radial nerve injury with a high-profile orthosis and a bio-occupational orthotic framework.

J Hand Ther 2019 Jan 21. Epub 2019 Jan 21.

Department of Health Sciences, Rehabilitation and Functional Performance Postgraduate Program, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil.

Study Design: Case report.

Introduction: Radial nerve injury can cause severe functional impairment due to paralysis of wrist and digit extensors. Various orthotic designs have been described, including static, dynamic, and tenodesis. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.003DOI Listing
January 2019

Reconstruction of digit planer injuries using component transfer of double second toes: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland.

The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the middle, ring, and small fingers, along with variable destruction of middle phalanges and distal interphalangeal joints. Simultaneous vascularized second-toe transfers were performed with customized joint and pulp reconstruction of middle and small fingers. Read More

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http://dx.doi.org/10.1002/micr.30411DOI Listing
January 2019
1 Read

A Hand-Held Device to Apply Instrument-Assisted Soft Tissue Mobilization at Targeted Compression Forces and Stroke Frequencies.

J Med Device 2019 Mar 4;13(1):0145041-145045. Epub 2018 Dec 4.

Department of Mechanical and Biomedical Engineering, Boise State University, 1910 University Drive, Boise, ID 83725-2085

Instrument-assisted soft tissue mobilization (IASTM) is a manual therapy technique that is commonly used to treat dysfunctions in ligaments and other musculoskeletal tissues. The objective of this study was to develop a simple hand-held device that helps users accurately apply targeted compressive forces and stroke frequencies during IASTM treatments. This portable device uses a force sensor, tablet computer, and custom software to guide the application of user-specified loading parameters. Read More

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http://dx.doi.org/10.1115/1.4041696DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298531PMC
March 2019
2 Reads

Analgesic Effect of Sinew Acupuncture for Patients with Soft-Tissue Injuries: A Pilot Trial.

Chin J Integr Med 2019 Jan 18. Epub 2019 Jan 18.

School of Chinese Medicine, The University of Hong Kong, Hong Kong SAR, China.

Objective: To investigate the immediate analgesic effect of sinew acupuncture for patients with soft-tissue injuries (STIs).

Methods: Two hundreds eligible adult patients suffering from STIs were recruited and received sinew acupuncture with flexible treatment schedules. The number of treatment sessions was pragmatically decided by each patient on the basis of their pain relief. Read More

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http://dx.doi.org/10.1007/s11655-019-3061-3DOI Listing
January 2019
1 Read

Glenohumeral Arthrodesis With Reamer-Irrigator-Aspirator (RIA) Bone Grafting After Traumatic Proximal Humerus Bone Loss and Flail Shoulder.

Tech Hand Up Extrem Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.

Glenohumeral arthrodesis is a salvage procedure in the shoulder with few indications. However, in young patients with flail shoulder, shoulder arthrodesis is a durable, functional option. Allograft or autograft can be used to reconstruct the defect during glenohumeral arthrodesis. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000226DOI Listing
January 2019

One-stage reconstruction of complex soft tissue defects in the hands using multidigit, chimeric, lateral arm, perforator flaps.

J Plast Reconstr Aesthet Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Orthopaedics Surgery, the Second Affiliated Hospital of Soochow University, SuZhou, 235131, Jiangsu, China. Electronic address:

Purpose: To describe our experience using microsurgically fabricated, multilobed, chimeric, lateral arm (LA) flaps to reconstruct hand injuries with complex, multidigit, soft tissue defects and to evaluate the morbidity and esthetic and functional outcomes of the donor sites.

Methods: We performed a single center, retrospective analysis of 21 patients with hand wounds treated from October 2013 to February 2016. All patients underwent reconstruction using multilobed, chimeric, free, LA flaps. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.12.034DOI Listing
December 2018
7 Reads

Secondary procedures for restoration of upper limb function in late cases of neonatal brachial plexus palsy.

Eur J Orthop Surg Traumatol 2019 Feb 8;29(2):329-336. Epub 2019 Jan 8.

Department of Οrthopedics, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500, Ioannina, Greece.

Neonatal brachial plexus palsy is a devastating complication after a difficult delivery. The incidence of this injury has not significantly decreased over the past decades, despite all the advances in perinatal care. Although primary repair of the nerves with microsurgical techniques is the common treatment strategy nowadays, there are late cases in which secondary procedures in tendons or bones are necessary. Read More

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http://dx.doi.org/10.1007/s00590-019-02362-1DOI Listing
February 2019
1 Read

Pedicled Abdominal Flaps for Enhanced Digital Salvage After Severe Frostbite Injury.

Wilderness Environ Med 2018 Dec 24. Epub 2018 Dec 24.

Department of Vascular Surgery, University Hospital Coventry and Warwickshire, Coventry, UK; Warwick Medical School, University of Warwick, Coventry, UK.

Extremities are the area of the body most commonly affected by frostbite, which can also affect the face, ears, perineum, or genitals. Optimum management has moved away from early amputation and debridement toward maximizing tissue preservation and delaying surgical intervention. Increasing length of digit amputation increases morbidity, in terms of loss of hand function, experienced by patients. Read More

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http://dx.doi.org/10.1016/j.wem.2018.09.003DOI Listing
December 2018
2 Reads

Intra-Operative Bone Stability Test.

Tech Orthop 2018 Dec 25;33(4):279-282. Epub 2017 Dec 25.

Children's Hospital of Los Angeles.

Fractures of the supercondylar humerus are the most common elbow fracture in pediatrics. Management of this injury would be aided if surgeons could reliably test fracture stability intraoperatively after pinning. A transverse supracondylar humerus fracture model was created using 3 adult cadaver upper-extremity specimens with an intact soft tissue envelope. Read More

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http://dx.doi.org/10.1097/BTO.0000000000000278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250262PMC
December 2018
11 Reads

Free composite groin flap to solve a complex loss of tissue in a traumatic injury of the foot: A case report.

Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.

University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.

Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.032DOI Listing
December 2018
1 Read

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00051DOI Listing
December 2018
4 Reads

Volar Resurfacing of the Thumb with a Superficial Circumflex Iliac Artery Perforator Flap after Hydrofluoric Acid Burn.

J Hand Microsurg 2018 Dec 5;10(3):162-165. Epub 2018 Apr 5.

Division of Plastic Surgery, University of Colorado, Aurora, Colorado, United States.

A right-hand-dominant 55-year-old male automotive mechanic presented 24 hours following a hydrofluoric acid burn to the volar left thumb. Despite the severity of soft tissue injury, the neurovascular bundles were intact. Although a free toe-pulp flap is often described to cover volar digit defects, the resultant 6- × 4-cm full-thickness injury of the thumb was too large to be adequately covered by a toe-pulp flap or other commonly used local flaps from the ipsilateral hand. Read More

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http://dx.doi.org/10.1055/s-0038-1630146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255742PMC
December 2018
2 Reads

Foot and Ankle Injuries in Soccer.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

University of California, Davis, Department of Orthopaedics, 3301 C St, Ste 1700, Sacramento, CA 95816, USA. Email:

The ankle is one of the most commonly injured joints in soccer and represents a significant cost to the healthcare system. The ligaments that stabilize the ankle joint determine its biomechanics-alterations of which result from various soccer-related injuries. Acute sprains are among the most common injury in soccer players and are generally treated conservatively, with emphasis placed on secondary prevention to reduce the risk for future sprains and progression to chronic ankle instability. Read More

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http://dx.doi.org/10.12788/ajo.2018.0096DOI Listing
October 2018
8 Reads

Zancolli procedure and nerve repair with sural graft as a treatment for patient with claw hand due to complete rupture of ulnar and median nerve: A case report.

Int J Surg Case Rep 2018 2;53:285-290. Epub 2018 Nov 2.

Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia.

Introduction: Combined injuries of peripheral nerve of upper extremity are usually the result of severe trauma to the extremity, and are often associated with substantial soft tissue, vascular, and bony injuries. The most common form of such combined injury is a low median-ulnar palsy, usually due to laceration of the volar wrist. It is a devastating injury, and with delayed presentation the injury is going to be more difficult to reconstruct. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240725PMC
November 2018
1 Read

Conservative treatment of fingertip injuries in children - first experiences with a novel silicone finger cap that enables woundfluid analysis.

GMS Interdiscip Plast Reconstr Surg DGPW 2018 19;7:Doc05. Epub 2018 Oct 19.

Pediatric Surgery, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.

Human fingertips are able to regenerate soft tissue and skin after amputation injuries with excellent cosmetic and functional results when treated with semiocclusive dressings. Despite bacterial colonizations, proceeding infections are not reported with this management. The underlying mechanisms for this form of regenerative healing as well as for the resilience to infections are not known. Read More

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http://www.egms.de/en/journals/iprs/2018-7/iprs000125.shtml
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http://dx.doi.org/10.3205/iprs000125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218674PMC
October 2018
11 Reads

A panorama of radial nerve pathologies- an imaging diagnosis: a step ahead.

Insights Imaging 2018 Dec 5;9(6):1021-1034. Epub 2018 Nov 5.

Department of Orthopaedics, SMS Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

The radial nerve has a long and tortuous course in the upper limb. Injury to the nerve can occur due to a multitude of causes at many potential sites along its course. The most common site of involvement is in the proximal forearm affecting the posterior interosseous branch while the main branch of the radial nerve is injured in fractures of the humeral shaft. Read More

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http://link.springer.com/10.1007/s13244-018-0662-x
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http://dx.doi.org/10.1007/s13244-018-0662-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6269333PMC
December 2018
18 Reads

Recurrent branch of anterior interosseous artery perforator-based propeller flap for distal forearm injuries: Report of 2 cases.

Microsurgery 2018 Nov 31;38(8):917-923. Epub 2018 Oct 31.

Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan.

Despite various options for the reconstruction of soft tissue defects in the distal forearm, perforator-based propeller flap is rarely used. Here, we presented 2 cases of distal forearm injuries that were repaired using the recurrent branch of anterior interosseous artery perforator-based propeller flap. Patients in these cases were 57 and 67 years of age. Read More

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http://dx.doi.org/10.1002/micr.30388DOI Listing
November 2018
4 Reads

The First Dorsal Metacarpal Artery Flap Family: A Review.

Surg J (N Y) 2018 Oct 29;4(4):e215-e219. Epub 2018 Oct 29.

Orthopedics department, Hospital Lucus Agusti, Lu, Spain.

Deep soft tissue injuries around the thumb can severely hinder hand function if not treated correctly. Many different surgical options have been described for the treatment of these serious lesions, including microsurgical flaps, such as toe to hand flaps, local flaps, and distant pedicled flaps. The first dorsal metacarpal artery family of flaps belongs to this last category. Read More

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http://dx.doi.org/10.1055/s-0038-1675369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205856PMC
October 2018
1 Read

Randomized Controlled Clinical Study to Determine the Oral and Dermal Tolerability of an Experimental Denture Wipe.

J Prosthodont 2019 Feb 28;28(2):138-145. Epub 2018 Nov 28.

Salus Research Inc., Fort Wayne, IN.

Purpose: To evaluate oral and dermal tolerance following use and user acceptability of an experimental denture-cleansing wipe. An exploratory objective was to develop a method to assess denture wipe effectiveness in removing debris from denture surfaces.

Materials And Methods: This was a single-center, randomized, controlled, parallel-group, examiner-blind study in participants with ≥1 full/partial denture. Read More

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http://doi.wiley.com/10.1111/jopr.12992
Publisher Site
http://dx.doi.org/10.1111/jopr.12992DOI Listing
February 2019
7 Reads

Treatment Strategies in the Management of Maxillofacial Ballistic Injuries in Low-Intensity Conflict Scenarios.

J Maxillofac Oral Surg 2018 Dec 2;17(4):466-481. Epub 2018 Feb 2.

Dental Centre, INHS Kalyani, Vishakhapatnam, Andhrapradesh India.

Introduction: The facial disfigurement and functional debility resulting from craniomaxillofacial injuries in low-intensity conflict scenarios can physically and psychologically traumatize the afflicted personnel. Efficient and definitive management, with complete esthetic restoration and functional rehabilitation, is not only an organizational obligation, but also a tactical necessity to maintain a high state of morale among the troops. There exist two schools of thought on principles of management of such injuries. Read More

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http://link.springer.com/10.1007/s12663-018-1089-0
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http://dx.doi.org/10.1007/s12663-018-1089-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181847PMC
December 2018
6 Reads

Infection due to Saksenaea vasiformis Following a Spider Bite.

J Hand Surg Am 2018 Oct 18. Epub 2018 Oct 18.

Orthopaedic and Trauma Department, Complutense University of Madrid, Madrid, Spain; School of Medicine, Complutense University of Madrid, Madrid, Spain.

Cutaneous mucormycosis due to Saksenaea vasiformis species is exceptional. There have been about 40 reported cases worldwide, with most being fatal. We report an exceptional nonlethal case of mucormycosis due to S. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.08.020DOI Listing
October 2018
2 Reads

Sonographic imaging of hand and wrist injuries: applications in the ER setting.

Emerg Radiol 2018 Oct 16. Epub 2018 Oct 16.

Department of Radiology, University Hospital, Cleveland, OH, USA.

Acute osseous and soft tissue injuries to the hand and wrist are a common cause for ER visitation. Though diagnostic assessment has historically remained the province of conventional radiography, CT and MRI, sonography is gaining increasing acceptance and utilization. Offering multiple inherent advantages as an imaging modality, ultrasonic assessment has proven its utility in the evaluation of ligamentous and tendinous carpal and digital injuries as well as infection and inflammation. Read More

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http://link.springer.com/10.1007/s10140-018-1649-0
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http://dx.doi.org/10.1007/s10140-018-1649-0DOI Listing
October 2018
10 Reads

[Olecranon fractures].

Unfallchirurg 2018 Nov;121(11):911-922

Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Universitätsklinik zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Olecranon fractures represent a common elbow injury and they are usually treated operatively. Depending on fracture morphology conservative therapy can be considered in geriatric patients. When surgical treatment is performed the anatomical features of the proximal ulna have to be taken into consideration. Read More

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http://link.springer.com/10.1007/s00113-018-0567-7
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http://dx.doi.org/10.1007/s00113-018-0567-7DOI Listing
November 2018
9 Reads

Repair of soft tissue defects of the fingers with medial plantar venous flap.

Rev Assoc Med Bras (1992) 2018 Jun;64(6):501-508

Department of hand and foot surgery, Yiwu Central Hospital, Jiangdong Road 699#, Yiwu city, Zhejiang province, China.

Objective: To report the surgical procedures and efficacy of using medial plantar venous flap for the repair of soft tissue defects of the fingers.

Methods: From March 2010 to April 2012, medial plantar venous flaps were harvested to repair the wounds of 31 fingers in 29 cases. Among them, there were 13 middle fingers with defects at the tips in 11 cases, 7 fingers with defects in the dorsal part in 7 cases, and 11 fingers with defects in the finger pulp in 11 cases. Read More

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http://dx.doi.org/10.1590/1806-9282.64.06.501DOI Listing
June 2018
4 Reads

Individual Treatment of Delayed Distal Biceps Tendon Rupture: Case Report and Literature Review.

Ann Plast Surg 2019 Mar;82(3):277-283

From the Division of Plastic and Hand Surgery, Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, China.

Introduction: Complicated elbow injuries (elbow injuries with bone and soft tissue injury) with distal biceps tendon ruptures (DBTRs) are not uncommon. There are several treatment modalities in different situations of injuries. In this article, we reported 3 successful individual treatments of delayed DBTR with complicated elbow injuries. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001624DOI Listing
March 2019
12 Reads

Management of Spinal Cord Injury-Induced Upper Extremity Spasticity.

Hand Clin 2018 Nov 20;34(4):555-565. Epub 2018 Aug 20.

Department of Hand Surgery, Swiss Paraplegic Centre, Guido A. Zäch Str. 1, Nottwil CH-6207, Switzerland; Institute of Clinical Sciences, Center for Advanced Reconstruction of Extremities, University of Gothenburg, Gothenburg, Sweden. Electronic address:

Spasticity affects more than 80% of patients with spinal cord injury. Neural mechanisms and musculotendinous alterations lead to typical upper extremity features including shoulder adduction/internal rotation, forearm pronation, and elbow, wrist, and finger flexion. Long-standing spasticity may lead to soft tissue and joint contractures and further impairment of upper extremity function. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183007
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http://dx.doi.org/10.1016/j.hcl.2018.07.001DOI Listing
November 2018
2 Reads

Surgical Management of Spasticity of the Elbow.

Hand Clin 2018 Nov 20;34(4):503-510. Epub 2018 Aug 20.

Department of Orthopaedic Surgery, Nicklaus Children's Hospital, 3100 Southwest 62nd Avenue, Miami, FL 33155, USA.

A spastic limb refers to one with increased tone. This commonly results from an upper motor neuron injury, which, in turn, leads to disinhibition of reflex arcs. At the level of the elbow, affected individuals typically exhibit a flexion posture secondary to spastic contracture of the biceps, brachialis, and brachioradialis muscles. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183006
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http://dx.doi.org/10.1016/j.hcl.2018.06.007DOI Listing
November 2018
3 Reads

Determination of oxygen perfusion in the area of radiation-induced fibrosis of the skin in patients with breast cancer and its role in pathogenesis of late radiation injury.

Exp Oncol 2018 Oct;40(3):235-238

Saint Petersburg State Pediatric Medical University, Saint Petersburg 194100, Russia.

Aim: Late radiation injury in the form of radiation-induced fibrosis (RIF) is one of the many complications of radiation therapy. The aim was to evaluate oxygen perfusion in the skin in the area of late radiation injury manifested as RIF in patients with breast cancer.

Materials And Methods: Based on our first-hand experience in treating late radiation injures of soft tissues in patients with breast cancer, we measured oxygen perfusion of the skin (tсрО2) in the area of late radiation injury using a transcutaneous monitor (oximeter) TCM 400 (Radiometer, Denmark). Read More

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October 2018
3 Reads

Comparison of thick- and thin-slice images in thoracoabdominal trauma CT: a retrospective analysis.

Eur J Trauma Emerg Surg 2018 Sep 28. Epub 2018 Sep 28.

Department of Diagnostic and Interventional Radiology, Institut fuer Diagnostische und Interventionelle Radiologie, Clinic of the Goethe University, Haus 23C UG, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Purpose: To compare thick (5 mm) and thin slice images (1.5 mm) of lung, soft tissue, and bone window in thoracoabdominal trauma computed tomography.

Materials And Methods: 167 Patients that underwent thoracoabdominal trauma CT between November 2014 and December 2015 were included in the study. Read More

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http://dx.doi.org/10.1007/s00068-018-1021-9DOI Listing
September 2018
3 Reads

Masquelet technique for the treatment of acute osteomyelitis of the PIP joint caused by clenched-fist human bite injury: A case report.

Int J Surg Case Rep 2018 17;51:282-287. Epub 2018 Sep 17.

Department of Orthopedic Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan.

Introduction: The Masquelet technique is a well-known and efficient procedure for lower limb soft tissue reconstruction after severe osteomyelitis requiring bone excision. However, this technique is rarely used in the hand.

Presentation Of Case: The patient was 38-year-old man. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.09.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149196PMC
September 2018
2 Reads

[Clinical application of Flow-through chimeric anterolateral thigh perforator flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Aug;32(8):1052-1055

Department of Hand and Microsurgery, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P.R.China.

Objective: To investigate the feasibility and efficacy of the Flow-through chimeric anterolateral thigh perforator (ALTP) flap for one-stage repair and revascularization in complex defects of the extremities.

Methods: Between May 2014 and June 2017, 6 patients with soft tissue defects on the limbs combined with dead space, bone defects, or tendon and joint exposure, were reconstructed with the Flow-through chimeric ALTP flap. All 6 patients were male. Read More

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http://dx.doi.org/10.7507/1002-1892.201802039DOI Listing
August 2018
3 Reads

Effect of non-steroidal anti-inflammatory drugs on post-surgical complications against the backdrop of the opioid crisis.

Burns Trauma 2018 13;6:25. Epub 2018 Sep 13.

1Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street, STOP 8312, Lubbock, TX 79430 USA.

The USA is currently going through an opioid crisis, associated with tremendous economic and societal impacts. In response to this crisis, healthcare professionals are looking for alternative pain management methods, and non-steroidal anti-inflammatory drugs (NSAIDs) are a sensible choice because of their effectiveness after surgical procedures. However, before surgeons start prescribing NSAIDs in place of opioids, it is crucial to first understand their potential post-surgical complications. Read More

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http://dx.doi.org/10.1186/s41038-018-0128-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136175PMC
September 2018
1 Read

Functional outcomes and complications of open elbow dislocations.

Obere Extrem 2018 11;13(3):204-210. Epub 2018 Jun 11.

1BG Trauma Center Ludwigshafen, Clinic for Trauma and Orthopaedic Surgery, University of Heidelberg, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen on the Rhine, Germany.

Background: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury.

Patients And Methods: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. Read More

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http://dx.doi.org/10.1007/s11678-018-0466-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132405PMC
June 2018
2 Reads

[Repairing the bone and skin defect of foot after improved toe-to-finger reconstruction utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(33):2656-2660

Department of Hand and Foot Microsurgery, Chang'an Xin'an Hospital, Dongguan 523800, Chian.

To evaluate the clinical outcome of repairing donor site of foot after improved toe-to-finger reconstruction utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery. Twelve patients of toe defect after reconstruction were repaired from March, 2015 to June, 2017 utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery in the Department of Hand and Foot Microsurgery of Xin'an Hospital, Dongguan City.Of which, there were 7 cases of great toe defect with fibular side of phalanx ungual and skin, 5 cases of second toe defect with proximal interphalangeal joints and the partial bone accompanied the great toe defect. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.33.009DOI Listing
September 2018
1 Read

[Reconstruction of the middle phalangeal base of the finger using an osteocartilaginous autograft from the hamate].

Oper Orthop Traumatol 2018 Sep 14. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1007/s00064-018-0566-4DOI Listing
September 2018
3 Reads

[Application of delayed skin-stretching device in treatment of skin and soft tissue defects].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1281-1285

Department of Hand and Foot Surgery, the Second Hospital of Dalian Medical University, Dalian Liaoning, 116023,

Objective: To summarize the effectiveness of delayed skin-stretching device in treatment of skin and soft tissue defects.

Methods: Between December 2014 and December 2016, 10 cases of skin and soft tissue defects were treated with delayed skin-stretching device. There were 6 males and 4 females with an average age of 53 years (range, 42-64 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201804050
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http://dx.doi.org/10.7507/1002-1892.201804050DOI Listing
October 2018
10 Reads

Efficacy of Dehydrated Human Amniotic Membrane Allograft for the Treatment of Severe Extravasation Injuries in Preterm Neonates.

Wounds 2018 Aug;30(8):224-228

Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY.

Introduction: A peripheral intravenous (PIV) catheter is placed in 60% to 70% of neonatal intensive care unit (NICU) infants. Extravasation injuries occur in 18% to 33%, with 70% in neonates < 27 weeks of gestational age. Despite such frequent use of PIV therapy, evidence on best practice, injury prevention, management, and treatment of extravasations is lacking. Read More

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August 2018
9 Reads

Improving Effective Magnetic Resonance Imaging (MRI) Application in Soft Tissue Wrist Injury.

J Am Board Fam Med 2018 Sep-Oct;31(5):795-804

From the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC).

Introduction: Magnetic resonance imaging (MRI) for soft-tissue wrist injury may be overprescribed, contributing to ineffective health care resource use. We aimed to discern predictive factors that may improve MRI's application in soft-tissue wrist injury.

Methods: We conducted a retrospective chart review of adults who underwent MRIs for possible soft-tissue wrist injury between June 2009 and June 2014. Read More

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http://dx.doi.org/10.3122/jabfm.2018.05.170423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341471PMC
October 2017
1 Read

Nerve injury in severe trauma with upper extremity involvement: evaluation of 49,382 patients from the TraumaRegister DGU® between 2002 and 2015.

Scand J Trauma Resusc Emerg Med 2018 Sep 10;26(1):76. Epub 2018 Sep 10.

Institute for Research in Operative Medicine (IFOM), University of Witten / Herdecke, Cologne, Germany.

Background: Peripheral nerve injury (PNI) as an adjunct lesion in patients with upper extremity trauma has not been investigated in a Central European setting so far, despite of its devastating long-term consequences. This study evaluates a large multinational trauma registry for prevalence, mechanisms, injury severity and outcome characteristics of upper limb nerve lesions.

Methods: After formal approval the TraumaRegister DGU® (TR-DGU) was searched for severely injured cases with upper extremity involvement between 2002 and 2015. Read More

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https://sjtrem.biomedcentral.com/articles/10.1186/s13049-018
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http://dx.doi.org/10.1186/s13049-018-0546-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131878PMC
September 2018
3 Reads

Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System.

J Am Acad Orthop Surg 2018 Nov;26(22):e477-e482

From the Division of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL (Dr. Barinaga, Dr. Beason, and Dr. Gardner), and The Springfield Clinic Orthopedic Group, Springfield, IL (Dr. Gardner), and Memorial Medical Center, Springfield, IL (Dr. Beason).

Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required the use of an external fixator, which is associated with several postoperative complications. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221376PMC
November 2018
8 Reads

Perforating vessel as an alternative option of a recipient selection for posterior trunk-free flap reconstruction.

Microsurgery 2018 Oct 5;38(7):763-771. Epub 2018 Sep 5.

Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Background: The reconstruction of complex defects in the posterior trunk is a challenging problem. Various surgical methods using local flap, propeller flap, and muscle flap have been reported. However, in case where a free flap is inevitable, due to the absence of usable recipient vessels, eventually it may fail to perform or the use of long vessel graft is mandatory. Read More

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http://dx.doi.org/10.1002/micr.30369DOI Listing
October 2018
5 Reads

Analysis of the risk factors that determine composite graft survival for fingertip amputation.

J Hand Surg Eur Vol 2018 Dec 3;43(10):1030-1035. Epub 2018 Sep 3.

Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.

The composite graft is the only surgical method that is able to maintain digital length and provide soft tissue coverage without donor site morbidities in microsurgically non-replantable fingertip amputations. This study aimed to explore the risk factors that determine the survival of composite grafts. Clinical characteristics associated with graft survival were retrospectively analysed by a comparison between the graft survival and failure groups. Read More

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http://journals.sagepub.com/doi/10.1177/1753193418795820
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http://dx.doi.org/10.1177/1753193418795820DOI Listing
December 2018
10 Reads

Scapholunate Ligament Internal Brace 360-Degree Tenodesis (SLITT) Procedure.

J Wrist Surg 2018 Sep 30;7(4):336-340. Epub 2018 Jan 30.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

 Scapholunate (SL) joint instability is one of the most common injuries of the wrist and may result from a fall or high-energy mechanism on the outstretched hand. The purpose of this case report is to describe the outcome of a 360-degree tenodesis to the SL joint with an internal brace (SLITT) for the treatment of SL instability.  A 42-year-old male patient underwent SL ligament reconstruction with the SLITT procedure 12 months after injury. Read More

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http://dx.doi.org/10.1055/s-0038-1625954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117169PMC
September 2018
33 Reads

Patterns of Complex Carpal Injuries in the Hand from Fireworks.

J Hand Microsurg 2018 Aug 25;10(2):93-100. Epub 2018 Apr 25.

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, United States.

To describe the various patterns of complex carpal and metacarpal fracture dislocations observed in a consecutive series of firework injuries and the operative management performed. We performed a retrospective study of seven consecutive patients (six males; mean age = 22 ± 13, range, 8-39 years) who presented to a level I trauma center with firework injuries to the hand between July 2014 and January 2016. All injuries were sustained while a lighted firework was held in the hand. Read More

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http://dx.doi.org/10.1055/s-0038-1642069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103762PMC
August 2018
8 Reads

Prediction of Meniscal and Ligamentous Injuries in Lateral Tibial Plateau Fractures Based on Measurements of Lateral Plateau Widening on Multidetector Computed Tomography Scans.

Biomed Res Int 2018 29;2018:5353820. Epub 2018 Jul 29.

Department of Pediatric Orthopaedic Surgery, Children's Hospital, Hamburg-Altona, Germany.

Background: The influence of increasing lateral plateau widening on the frequency of meniscal and ligamentous lesions in lateral tibial plateau fractures has been examined in very few studies using plain radiographs. Because the amount of this parameter cannot be measured accurately on plain radiographs, the purpose of this survey was to look for a possible correlation between the extent of lateral plateau widening, as measured on multidetector CT (MDCT) scans, and different soft-tissue injuries determined from magnetic resonance imaging (MRI).

Materials And Methods: 55 patients with a lateral tibial plateau fracture were included in this retrospective case series. Read More

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https://www.hindawi.com/journals/bmri/2018/5353820/
Publisher Site
http://dx.doi.org/10.1155/2018/5353820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087612PMC
January 2019
11 Reads

Upper extremity injuries associated with all terrain vehicle accidents: A multicenter experience and case review.

Injury 2018 Oct 22;49(10):1805-1809. Epub 2018 Aug 22.

Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC 29425, United States; Ralph H. Johnson Veterans Administration Medical Center, Charleston, SC 29425, United States. Electronic address:

Background: All terrain vehicle accidents are a common cause of trauma admission and often associated with extremity injuries. However specifics of injury patterns to the upper extremity has not previously been described. A multicenter, retrospective study was conducted to determine the frequency and distribution of upper extremity injuries sustained from ATV accidents. Read More

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http://dx.doi.org/10.1016/j.injury.2018.08.018DOI Listing
October 2018
16 Reads