3,719 results match your criteria Hand Injury Soft Tissue


Contusion concomitant with ischemia injury aggravates skeletal muscle necrosis and hinders muscle functional recovery.

Exp Biol Med (Maywood) 2022 Jul 1:15353702221102376. Epub 2022 Jul 1.

Department of Microsurgery, Orthopedic Trauma and Hand Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.

Contusion concomitant with ischemia injury to skeletal muscles is common in civilian and battlefield trauma. Despite their clinical importance, few experimental studies on these injuries are reported. The present study established a rat skeletal muscle contusion concomitant with ischemia injury model to identify skeletal muscle alterations compared with contusion injury or ischemia injury. Read More

View Article and Full-Text PDF

Doctor, why does my thumb hurt?

Aust J Gen Pract 2022 Jul;51(7):490-496

BAppSc(Phty), GradDipMgt, Certified Hand Therapist (USA), Accredited Hand Therapist (AHTA), Senior Hand Therapist, Northern Beaches Hand Therapy, Sydney, NSW.

Background: Stable and pain-free thumb function and pinch is vital for personal care, work, domestic and leisure activities.

Objective: The aim of this article is to increase awareness of timely referral to hand therapists for three common thumb conditions. This article covers three thumb conditions: acute trauma (ulnar collateral ligament), repetitive trauma (De Quervain's tendinopathy) and chronic progression (basal thumb osteoarthritis). Read More

View Article and Full-Text PDF

A case of infection and severe soft tissue loss of the elbow. Planning surgical treatment in compliance with good clinical-care practices and medico-legal implications.

Acta Biomed 2022 Jun 30;93(S1):e2022106. Epub 2022 Jun 30.

Trauma Unit and Emergency Department, IRCCS Galeazzi Orthopedics Institute, Milano, Italy.

Soft tissue loss around  the elbow, with tendons, nerves and bone exposure,  represents a challenging condition, often requiring a complex and accurate surgical reconstruction. Inadequate repair of soft tissue defects may in fact compromise further reconstructive orthopedic procedures, including  osteosynthesis and joint replacement. A correct reparative sequence of these lesions usually starts with an appropriate debridement and removal of all non-viable and infected tissues, followed by soft tissues management through plastic and reconstructive techniques. Read More

View Article and Full-Text PDF

Fingertip Injuries Outcome Score.

Plast Reconstr Surg Glob Open 2022 Jun 16;10(6):e4386. Epub 2022 Jun 16.

Jehangir and 18.52 North Hospital, Pune, India.

Fingertip injury reconstruction aims to restore function and appearance. We report our new fingertip injuries outcome score (FIOS) based on finger length, bone consolidation, nail aesthetics, sensation, range of motion, grip strength, and return to work to evaluate the functional outcome of fingertip injuries.

Methods: We analyzed the reliability and validity of the FIOS in 199 fingertip injuries of varying size, shape, and contours involving soft tissues and the bone. Read More

View Article and Full-Text PDF

Masson's Tumor of the Distal Phalanx May Present Like a Felon, Report of a Rare Case.

Adv Biomed Res 2022 29;11:32. Epub 2022 Apr 29.

Department of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Also known as intravascular papillary endothelial hyperplasia, Masson's tumor is a relatively rare soft-tissue vascular tumor that usually arises in the hand. Felon is an abscess formation in the distal phalanx that usually occurs following a penetrating microtrauma. We present a 30-year-old patient who was referred to our clinic with a palpable mass in the distal phalanx of the index finger after a needle stick injury. Read More

View Article and Full-Text PDF

Management of conflict injuries to the upper limb. Part 2: reconstruction and managing complications.

J Hand Surg Eur Vol 2022 Jun 14:17531934221105225. Epub 2022 Jun 14.

The Birmingham Hand Centre, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

This is the second of a two-part review article on the management of conflict injuries, focused on the reconstructive strategies for bone, nerve and soft tissue and to provide guidance on assessing and managing common complications associated with complex upper limb injuries. Following assessment and early surgical management, the conflict casualty will require further wound evaluation and planning prior to definitive reconstruction of limb injuries. Surgical management of the upper limb injury should aim, where possible, to preserve the limb and allow functional reconstruction. Read More

View Article and Full-Text PDF

Does Time to Operative Intervention of Distal Radius Fractures Influence Outcomes?

Hand (N Y) 2022 Jun 11:15589447211072219. Epub 2022 Jun 11.

Case Western Reserve University, Cleveland, OH, USA.

Background: No investigation has analyzed the time from injury to operative intervention and its effect on complications and functional outcomes in distal radius fractures. This investigation aimed to establish whether the time to surgical intervention from injury was associated with the observed rate of complications in distal radius fractures.

Methods: A retrospective review of all orthopedic trauma patients who came to our center was conducted from 2008 through 2014. Read More

View Article and Full-Text PDF

Arthroscopically Assisted Stabilization of Chronic Acromioclavicular Joint Instability.

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Nov 8.

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

This video article demonstrates biological and synthetic acromioclavicular (AC) and coracoclavicular stabilization with use of a hamstring tendon graft and a low-profile TightRope implant (Arthrex). The low-profile TightRope reduces soft-tissue irritation due to knot stacks. The tendon graft is wrapped around the clavicle and the coracoid to avoid weakening of the osseous structures as a result of clavicular and coracoidal tunnel placement. Read More

View Article and Full-Text PDF
November 2021

Coverage of exposed ankle and foot with the conjoined lower abdomen and groin flaps.

Injury 2022 Jun 7. Epub 2022 Jun 7.

Department of Orthopedic Hand Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, No.16 Chunhui Avenue, Longma Tan District, Luzhou, Sichuan 646,000, China. Electronic address:

Background: Extensive soft-tissue defects around the ankle and foot pose a difficult challenge to surgeons. Considering that natural contour, the ideal solution should match a thin and pliable skin flap to allow shoe fitting and provide a functional move. As the conjoined flaps were increasingly utilized in covering various defects, we present our experience using the bipedicle conjoined flap on the lower abdomen and groin site. Read More

View Article and Full-Text PDF

Long-term preservation of metacarpophalangeal joint function in traumatic defects by metatarsophalangeal osteochondral transplantation.

Arch Orthop Trauma Surg 2022 Jun 9. Epub 2022 Jun 9.

Aestheticum, Karlsplatz (Stachus) 4, 80335, München, Germany.

Introduction: The integrity of the metacarpophalangeal (MCP) joints is essential for finger and hand function. Preservation of range-of-motion is one of the aims in reconstruction of complex injuries to these joints. Osteochondral transplants have shown to be reliable in reconstruction of various joint defects. Read More

View Article and Full-Text PDF

Acute Thumb Reconstruction With Medial Femoral Condyle and Radial Forearm Free Flaps: A Case Report.

Hand (N Y) 2022 Jun 6:15589447221096705. Epub 2022 Jun 6.

Division of Plastic Surgery, University of British Columbia, Vancouver, Canada.

Traumatic thumb injuries often result in significant functional disability. With segmental bone loss, reconstructive options include antibiotic cement with delayed bone graft, revision amputation with webspace deepening, metacarpal distraction osteogenesis, index pollicization, bone flap, and free toe transfer. We present a case of a subtotal thumb amputation just distal to the metacarpal phalangeal joint resulting in loss of both soft tissue and a segmental bone defect of the proximal and distal phalanx. Read More

View Article and Full-Text PDF

A rare complication of radiofrequency treatment for cellulite of the lower leg.

JPRAS Open 2022 Sep 6;33:21-25. Epub 2022 May 6.

Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.

Radiofrequency (RF) is increasingly used as an aesthetic treatment for a variety of purposes ranging from the treatment of acne scarring, cellulite correction and skin and soft tissue rejuvenation. The majority of patients experience no complications, and the treatment is therefore also frequently administered by non-medically trained staff. We present a patient, who developed severe 3rd degree burn after RF treatment requiring reconstructive surgery with a split thickness skin graft. Read More

View Article and Full-Text PDF
September 2022

[Progress and thinking of minimally invasive technique in the treatment of chronic Achilles tendon rupture].

Authors:
Y J Hao A G Wang

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):524-527

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou 221009, China.

In recent years,the application of minimally invasive techniques in the treatment of chronic Achilles tendon rupture has become more and more mature,and it also faces many controversies and challenges.The concept of minimally invasive technique is to minimize the dissection of soft tissue around the Achilles tendon and reduce the occurrence of postoperative wound complications.Minimally invasive small incision surgery does not expose the Achilles tendon stump,and either tendon transposition or tendon transplantation can be achieved using this technique,but there is a risk of accidental injury to the peripheral nerve. Read More

View Article and Full-Text PDF

Posttreatment Imaging of the Wrist and Hand: Update 2022.

Semin Musculoskelet Radiol 2022 Jun 2;26(3):295-313. Epub 2022 Jun 2.

Department of Orthopaedic Surgery, University of Arizona, Tucson, Arizona.

Common indications for surgical procedures of the wrist and hand include acute fractures or fracture-dislocations; nonunited fractures; posttraumatic, degenerative, and inflammatory arthritides and tendinopathies; injuries to tendons, ligaments, and the triangular fibrocartilage complex; and entrapment neuropathies. Soft tissue or osseous infections or masses may also need surgical treatment. Several of these procedures require surgical hardware placement, and most entail clinical follow-up with periodic imaging. Read More

View Article and Full-Text PDF

Waveform-arranged multiple skin paddles: A novel design to reconstruct complex soft tissue defects of the extremities with a modified multi-lobed perforator flap.

Injury 2022 Jul 24;53(7):2550-2556. Epub 2022 May 24.

Department of Microsurgery and Hand Surgery, Xiangya Hosipital of Central South University, Changsha, 410008, China. Electronic address:

Background: Multi-lobed perforator flap was one of popular approaches for one-stage reconstruction of complex soft tissue defects because of its minimal donor-site morbidity. However, the area of skin island that can be harvested on the donor site is limited on the angiosome distribution, Moreover, large defects require more than the conventional skin island provided by a traditional multi-lobed perforator flap. For further extended skin paddles, this study presented a novel design of waveform-arranged skin paddles to elevated a modified multi-lobed perforator flap for the reconstruction of complex soft tissue defects in the extremities. Read More

View Article and Full-Text PDF

Effectiveness of instrument-assisted soft tissue mobilization for the management of upper body, lower body, and spinal conditions. An updated systematic review with meta-analyses.

Disabil Rehabil 2022 May 25:1-11. Epub 2022 May 25.

School of Physical Therapy, Faculty of Health Science, Western University, London, ON, Canada.

Purpose: To critically appraise randomized controlled trials (RCTs) on Instrument-Assisted Soft Tissue Mobilisation (IASTM) and quantify the effects of IASTM compared with other treatment in individuals with or without pathologies on function, pain, and range of motion.

Materials And Methods: We search four electronic databases from January 1999 to January 2022 and included RCTs of healthy participants/athletes and people with upper, lower, or spinal conditions, who received IASTM versus other active treatment for clinical outcomes (function, pain, and range of motion).

Results: Forty-six RCTs were considered eligible for data analysis. Read More

View Article and Full-Text PDF

A Prospective Analysis of Patient Characteristics Affecting the Outcome of Dorsal Splinting for Soft Tissue Mallet Injuries.

Hand (N Y) 2022 May 25:15589447221093674. Epub 2022 May 25.

Department of Orthopedic Surgery, NYU School of Medicine, NYU Langone Health, USA.

Background: Much has been written about the diagnosis and treatment of soft tissue mallet injuries. However, there has been little regarding the characteristics of this injury affecting patients' prognosis. The purpose of this prospective study was to identify factors influencing the outcome of treatment of soft tissue mallet injuries. Read More

View Article and Full-Text PDF

A rare case of subcutaneous traumatic index finger both extensor tendons rupture. Results of WALANT extensor digiti minimi transfer and literature review.

Acta Biomed 2022 03 10;92(S3):e2021577. Epub 2022 Mar 10.

.

Traumatic subcutaneous index finger both extensor tendons ruptures are rare injuries. Aim of the present paper is to review the literature about this uncommon lesion and to describe the case of 56 years old woman injured when her hand became stuck under a weight during a wrist hyperflexion movement. Surgical treatment was undertaken after 7 days. Read More

View Article and Full-Text PDF

A Comparison of Acute Versus Chronic Thumb Ulnar Collateral Ligament Surgery Using Primary Suture Anchor Repair and Local Soft Tissue Advancement.

J Hand Surg Glob Online 2022 May 27;4(3):141-146. Epub 2022 Mar 27.

Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger Musculoskeletal Institute, Danville, PA.

Purpose: To assess patient satisfaction and functional outcomes of primary suture anchor repair with local soft tissue advancement for both acute and chronic thumb ulnar collateral ligament (UCL) injuries.

Methods: We retrospectively reviewed patient charts who had undergone operative UCL repair between 2006 and 2013. Patients who had more than 8 weeks between the time of injury and surgery were classified as having chronic injuries. Read More

View Article and Full-Text PDF

Reconstruction of the Palmar Defect of the Hand with a Sensory Medial Plantar Artery Flap.

Front Surg 2022 6;9:874629. Epub 2022 May 6.

Department of orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, LuZhou, China.

Background: There are many approaches to repair the palmar defect of the hand, but due to the complex tissue structure, versatile functions, and high restoration demands, the repair of the palmar defect of the hand has always been a difficult task. Choosing suitable flaps to repair this kind of injury is always a tough challenge for the reconstructive surgeon because of the limitation of the number of arteries in the recipient hand and high restoration demands. The sensory medial plantar artery flap is considered as the ideal choice to repair the palmar defect of the hand. Read More

View Article and Full-Text PDF

Newly repairing technique of deformed hand by a posterior interosseous flap in an infant: A case report.

Int J Surg Case Rep 2022 Jun 18;95:107207. Epub 2022 May 18.

Department of Orthopedic, Aleppo University Hospital, Aleppo, Syria.

Introduction: Many non-surgical methods were performed to repair the deformities in the skeletal system to avoid severe complications post-open surgery, especially within the childhood stage or below. We aim, in this case, to present a new technique for repairing bony deformities in the childhood stage, which fewer studies have to instigate its efficacy versus open surgery.

Case Presentation: We present a 14-months-old infant with wrist extravasation injury at the neonatal stage (day 1), end with a right wrist volar contraction and complete loss of brain homunculus of the right hand. Read More

View Article and Full-Text PDF

Applications of Chitosan and its Derivatives in Skin and Soft Tissue Diseases.

Front Bioeng Biotechnol 2022 2;10:894667. Epub 2022 May 2.

Department of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, China.

Chitosan and its derivatives are bioactive molecules that have recently been used in various fields, especially in the medical field. The antibacterial, antitumor, and immunomodulatory properties of chitosan have been extensively studied. Chitosan can be used as a drug-delivery carrier in the form of hydrogels, sponges, microspheres, nanoparticles, and thin films to treat diseases, especially those of the skin and soft tissue such as injuries and lesions of the skin, muscles, blood vessels, and nerves. Read More

View Article and Full-Text PDF

[Mac Gregor flap for injured ring finger in a child].

Pan Afr Med J 2022 21;41:151. Epub 2022 Feb 21.

Service de Chirurgie Pédiatrique, Faculté de Médecine et de Pharmacie d'Agadir, Université Ibn Zohr, Centre Hospitalier Universitaire Souss Massa, Agadir, Maroc.

View Article and Full-Text PDF

[Application of anterolateral thigh bridge flap with free skin graft wrapping vascular bridge in complex calf soft tissue defects].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):619-624

The Microscopic Repair and Reconstruction Department of Hand and Foot, the First Affiliated Hospital of Anhui Medical University, Hefei Anhui, 230022, P. R. China.

Objective: To explore the effectiveness of anterolateral thigh bridge flap with free skin graft wrapping vascular bridge in repairing complex calf soft tissue defects.

Methods: The clinical data of 11 patients with complex calf soft tissue defects between April 2018 and October 2021 were retrospectively analyzed, including 9 males and 2 females, aged 11-60 years, with a median age of 39 years. There were 8 cases of calf soft tissue defect caused by traffic accident, and 3 cases of calf skin infection caused by chronic osteomyelitis. Read More

View Article and Full-Text PDF

Flow-through Dorsoulnar Perforator Flap Repair of Soft-Tissue Defect of the Finger with Segmental Digital Arterial Defect.

J Coll Physicians Surg Pak 2022 May;32(5):685-687

Department of Upper Limb and Hand Surgery, 521 Hospital of Norinco Group, Shaanxi, China.

The aim of this study was to investigate the feasibility of transferring the free flow-through dorsoulnar perforator flap to reconstruct severely injured fingers. From January 2015 to March 2019, 16 patients, 16 thumb or fingers volar partial defects concomitant with segmental digital arterial defects, were included in this study. The flow-through dorsoulnar perforator flaps were used to repair the finger wounds and reconstruct digit arteries. Read More

View Article and Full-Text PDF

Application of cryopreserved autologous skin replantation in the treatment of degloving injury of limbs.

J Plast Reconstr Aesthet Surg 2022 Apr 21. Epub 2022 Apr 21.

Yinfeng cryomedicine technology company, Ltd. No. 1109, the 3rd Gangxing Rd, Jinan 250012, China.

Degloving injury is a common and intractable injury with the bone and tendon exposed and contamination, the stripped skin cannot be replanted immediately and will be discarded, although auto-graft is needed for subsequent wound repair. In this study, autologous skin cryopreservation technique was applied to the treatment of severe limb degloving injuries. The clinical data of 9 patients from January 2016 to December 2018 were analyzed retrospectively. Read More

View Article and Full-Text PDF

In vivo evidence of lumbricals incursion into the carpal tunnel in healthy hands: An ultrasonographic cross sectional study.

J Hand Ther 2022 Apr-Jun;35(2):261-266. Epub 2022 Apr 30.

Radiology Department, Al-Razi Orthopedic Hospital, MOH Kuwait, Kuwait. Electronic address:

Introduction: During finger flexion, the tendons of flexor digitorum profundus migrate proximally, along with their attached lumbrical muscles. This incursion was suggested to extend into the Carpal Tunnel. Ultrasonographic imaging can be used to assess in vivo soft tissue behavior and incursion. Read More

View Article and Full-Text PDF

Characteristics and surgical treatment of recurrence melanoma of the foot: a case report and brief literature review.

Authors:
X-L Liu H Li G-Z Wu

Eur Rev Med Pharmacol Sci 2022 04;26(8):2918-2925

Department of Hand Surgery, Department of Emergency Medicine, China-Japan Union Hospital, Jilin University, Jilin, China.

Objective: Despite advances in plastic and reconstructive surgery, repairing soft tissue defects of the foot remains a complex surgical challenge when conventional methods cannot cover defects. We presented a case in which a free flap was used for reconstruction and reviewed the literature.

Patients And Methods: A 75-year-old woman with an acral melanoma history had a large exophytic mass on her right foot. Read More

View Article and Full-Text PDF

Reconstruction of cutaneous dorsal finger defects.

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Reconstruction of surgical defects on the dorsal finger can be challenging because of a lack of adjacent tissue reservoirs, poor laxity, and often thin, atrophic skin surrounding the defect.

Objective: To present reconstructive options for cutaneous dorsal finger defects.

Methods: We describe our five preferred approaches to reconstructing cutaneous dorsal finger defects based on the amount of available underlying tissue and location of the defect on the finger. Read More

View Article and Full-Text PDF
December 2021

Baseball Injury Resulting in Type III Salter-Harris Fracture of the First Proximal Phalangeal Base: A Case Report.

J Chiropr Med 2021 Dec 6;20(4):218-223. Epub 2022 Apr 6.

Radiology Department, Logan University, Chesterfield, Missouri.

Objective: The purpose of this report is to describe the clinical, radiographic, and diagnostic ultrasound findings in a patient who sustained a type III Salter-Harris fracture of the first proximal phalanx.

Clinical Features: A 14-year-old male baseball player presented to a chiropractic clinic with a 2-day history of proximal thumb pain, which began following a forceful hyperabduction injury while sliding into base. Thenar swelling was evident on clinical examination, and both active and passive thumb motions were painful in all directions. Read More

View Article and Full-Text PDF
December 2021