3,058 results match your criteria Hand Injury Soft Tissue


[Repair of skin and soft tissue defects in extremities with the superior lateral genicular artery perforator flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):467-470

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

Objective: To investigate the feasibility and effectiveness of the superior lateral genicular artery perforator flap for repairing of soft tissue defects in extremities.

Methods: Between September 2010 and October 2017, 11 cases of skin and soft tissue in extremities were repaired with the superior lateral genicular artery perforator flap. There were 10 males and 1 female, with an average age of 37. Read More

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http://dx.doi.org/10.7507/1002-1892.201811103DOI Listing
April 2019
1 Read

Most coronoid fractures and fracture-dislocations with no radial head involvement can be treated nonsurgically with elbow immobilization.

J Shoulder Elbow Surg 2019 Apr 4. Epub 2019 Apr 4.

Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery and Trauma Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Hypothesis: Conservative treatment of isolated coronoid fractures and fracture-dislocations focused on soft-tissue healing can provide good clinical results in the majority of patients. Our aims were (1) to evaluate the outcome of a conservative treatment protocol designed for isolated coronoid fractures with or without associated elbow dislocations (ICFs) and (2) to characterize the fractures with a dedicated image analysis protocol.

Methods: Of 38 consecutive patients sustaining acute ICFs, 28 were treated nonsurgically after meeting specific inclusion criteria, prospectively followed up, and clinically evaluated at least 1 year after sustaining their injuries. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.005DOI Listing
April 2019
3 Reads

Pinning of supracondylar fractures in children - Strategies to avoid complications.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany. Electronic address:

In the pediatric population supracondylar humerus fracture (SHF) is one of the most common injuries. Diagnosis is based on inspection and conventional radiography. SHFs should be classified according to the modified Gartland classification, which guides treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.042DOI Listing
March 2019
3 Reads

Traumatic injury pattern is of equal relevance as injury severity for experimental (poly)trauma modeling.

Sci Rep 2019 Apr 5;9(1):5706. Epub 2019 Apr 5.

Trauma Department, Hannover Medical School, Hannover, Germany.

This study aims to elaborate the relevance of trauma severity and traumatic injury pattern in different multiple and/or polytrauma models by comparing five singular trauma to two different polytrauma (PT) models with high and one multiple trauma (MT) model with low injury-severity score (ISS). The aim is to provide a baseline for reducing animal harm according to 3Rs by providing less injury as possible in polytrauma modeling. Mice were randomly assigned to 10 groups: controls (Ctrl; n = 15), Sham (n = 15); monotrauma groups: hemorrhagic shock (HS; n = 15), thoracic trauma (TxT; n = 18), osteotomy with external fixation (Fx; n = 16), bilateral soft tissue trauma (bSTT; n = 16) or laparotomy (Lap; n = 16); two PT groups: PT I (TxT + HS + Fx; ISS = 18; n = 18), PT II (TxT + HS + Fx + Lap; ISS = 22; n = 18), and a MT group (TxT + HS + bSTT + Lap, ISS = 13; n = 18). Read More

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http://dx.doi.org/10.1038/s41598-019-42085-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450898PMC
April 2019
1 Read

Thumbs down: testing anatomy in the ED.

Emerg Med J 2019 Apr;36(4):224-238

Emergency Department, Royal Alexandra Hospital, Paisley, UK.

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http://dx.doi.org/10.1136/emermed-2018-208075DOI Listing
April 2019
1 Read

The flip-flap puzzle flap: Another recycling option.

Arch Plast Surg 2019 Mar 31;46(2):176-180. Epub 2019 Mar 31.

Department of Plastic, Reconstructive and Hand Surgery, Charles Nicolle University Hospital, Rouen, France.

Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al. introduced the concept of the free-style puzzle flap, in which a previously harvested flap becomes its own donor site by recycling the perforator. Read More

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http://dx.doi.org/10.5999/aps.2018.00983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446029PMC

The epidemiology of work-related musculoskeletal injuries among chiropractors in the eThekwini municipality.

Chiropr Man Therap 2019 19;27:18. Epub 2019 Mar 19.

Department of Chiropractic, Faculty of Health Sciences, Durban University of Technology, Ritson Campus, P O Box 1334, Durban, 4000 South Africa.

Background: Chiropractors are a unique group of health care professionals who are at risk for developing work-related musculoskeletal injuries. Diversity of daily practice imposes different physical demands on the chiropractor. This study aimed to determine the prevalence of work-related musculoskeletal injuries in chiropractors in eThekwini municipality and selected risk factors associated with these work-related musculoskeletal injuries. Read More

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https://chiromt.biomedcentral.com/articles/10.1186/s12998-01
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http://dx.doi.org/10.1186/s12998-019-0238-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423772PMC
March 2019
1 Read

A comparison of the bipedicled nerve flap with the Littler flap for reconstructing a neurocutaneous defect of digits.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Hand Surgery Department, the Second Hospital of Tangshan, Tangshan, Hebei, 063000, PR China. Electronic address:

Background: Complex digital injuries involving soft-tissue loss and digital nerve defect continues to pose a reconstructive challenge. This study reports the repair of such neurocutaneous defect with the bipedicled nerve flap or the Littler flap and compares the results of the two techniques.

Methods: A retrospective study was conducted in 59 patients who had a neurocutaneous defect in the single digit treated with the bipedicled nerve flap or the Littler flap from Jul 2008 to May 2016. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.026DOI Listing

The ALT-flap for Achilles tendon reconstruction: Functional outcomes.

Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Plastic, Reconstructive, Hand and Burn Surgery, Bogenhausen Academic Teaching Hospital, Munich, Germany.

Background: Following Achilles tendon rupture and repair, re-ruptures or infections are not infrequent. Consequently, several surgical techniques have been described to decrease complication rates. This study aimed to evaluate the outcomes of the free composite fascio-cutaneous anterolateral thigh (ALT) flap including fascia lata for reconstruction of combined complex soft-tissue and Achilles tendon defects. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005652DOI Listing
March 2019
1 Read

Computational wrist analysis of functional restoration after scapholunate dissociation repair.

Med Biol Eng Comput 2019 Mar 22. Epub 2019 Mar 22.

Orthopaedic Research Laboratory, Department of Biomedical Engineering, Virginia Commonwealth Universitymedica, P.O. Box 843067, Richmond, VA, 23284-3067, USA.

The scapholunate ligament stabilizes the scaphoid and lunate of the proximal row in the wrist which allows for proper force transmission with the radius and ulna. Damage to this structure degenerates into arthritis and disability. Controversy exists over the best technique to restore function and reduce pain. Read More

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http://link.springer.com/10.1007/s11517-019-01971-6
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http://dx.doi.org/10.1007/s11517-019-01971-6DOI Listing
March 2019
5 Reads

Anatomic Reconstruction of the Posterolateral Corner: An All-Arthroscopic Technique.

Arthrosc Tech 2019 Feb 21;8(2):e153-e161. Epub 2019 Jan 21.

Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability. Successful treatment of PLC injuries requires an understanding of the complex anatomy and biomechanics of the PLC. Several open PLC reconstruction techniques have been published. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410677PMC
February 2019

Gunshot Wounds to the Upper Extremity.

J Am Acad Orthop Surg 2019 Apr;27(7):e301-e310

From the Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, CA.

Upper extremity gunshot wounds result in notable morbidity for the orthopaedic trauma patient. Critical neurovascular structures are particularly at risk. The fractures are often comminuted and may be associated with a variable degree of soft-tissue injury. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00676DOI Listing
April 2019
1 Read

Imaging in the diagnosis of ulnar nerve pathologies-a neoteric approach.

Insights Imaging 2019 Mar 20;10(1):37. Epub 2019 Mar 20.

Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India.

The ulnar nerve is a branch of the C8 and T1 nerve roots and arises from the medial cord of the brachial plexus. It supplies the intrinsic muscles of the hand and assists the median nerve in functioning of the flexors. Also known as the musician's nerve, it is the second most common nerve involved in compressive neuropathy following the median nerve. Read More

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http://dx.doi.org/10.1186/s13244-019-0714-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426899PMC

Subcutaneous Transposition of the Flexor Pollicis Longus: Does It Provide Increased Length for Tendon Repair? A Cadaveric Study.

Hand (N Y) 2019 Mar 20:1558944719837014. Epub 2019 Mar 20.

1 Columbia University Medical Center, New York, NY, USA.

Background: Flexor pollicis longus (FPL) tendon lacerations typically occur via sharp mechanisms such as knife injury. When the injury is chronic, it may be difficult to perform a tension free repair, and tendon lengthening may be required. This article proposes a technique that transposes the proximal tendon stump over the thenar eminence subcutaneously, out of the carpal tunnel, in an attempt to gain additional tendon length by eliminating the sharp turn the FPL takes. Read More

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http://dx.doi.org/10.1177/1558944719837014DOI Listing

Firework Injuries of the Hand: An Analysis of Treatment and Health Care Utilization.

Hand (N Y) 2019 Mar 17:1558944719829905. Epub 2019 Mar 17.

1 Massachusetts General Hospital, Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, USA.

Background: Firework injuries to the hand can be devastating due to the explosive and ballistic nature of these devices. The aim of this study was to describe the injury and treatment characteristics of patients requiring surgery for firework-related hand injuries and to investigate which factors are associated with an increased utilization of health care resources.

Methods: A retrospective chart review of patients undergoing surgery for firework-related hand injuries at two American College of Surgeons level I trauma centers between 2005 and 2016 was performed. Read More

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http://dx.doi.org/10.1177/1558944719829905DOI Listing

[Finger amputation following a minor injury: insurance aspects in Germany and practical approaches].

Handchir Mikrochir Plast Chir 2019 Feb 5;51(1):54-61. Epub 2019 Mar 5.

Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle.

Expert medical assessments are an integral part of a physician's sphere of activity today. Since subspecialisation is constantly advancing, there is often a limited pool of medical experts available for specific assessment matters. Medical experts have to assess the full proof of facts and the probability of correlations. Read More

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http://dx.doi.org/10.1055/a-0826-4669DOI Listing
February 2019

Clinical utility and potential of ultrasound in osteoarthritis.

Radiol Med 2019 Mar 4. Epub 2019 Mar 4.

Rheumatological Clinic, Università Politecnica delle Marche, Ospedale ''C. Urbani'', Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy.

Osteoarthritis (OA) is the most common disorder of human joints. Imaging is necessary in daily practice for OA patients, and conventional radiography remains the gold standard. However, conventional radiography is not sensitive in the early stage of OA and cannot clearly detect inflammatory condition. Read More

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http://dx.doi.org/10.1007/s11547-019-01013-zDOI Listing

Diffuse reflectance spectroscopy-enhanced drill for bone boundary detection.

Biomed Opt Express 2019 Feb 30;10(2):961-977. Epub 2019 Jan 30.

Tyndall National Institute, Lee Maltings Complex, Dyke parade, Cork, Ireland, T12R5CP.

Intramedullary nailing is a routine orthopedic procedure used for treating fractures of femoral or tibial shafts. A critical part of this procedure involves the drilling of pilot holes in both ends of the bone for the placement of the screws that will secure the IM rod to sections of the fractured bone. This step introduces a risk of soft tissue damage because the drill bit, if not stopped in time, can transverse the bone-tissue boundary into the overlying muscle, causing unnecessary injury and prolonging healing time due to periosteum damage. Read More

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http://dx.doi.org/10.1364/BOE.10.000961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377869PMC
February 2019
2 Reads

Calculation of flexor pollicis longus moment arm for wrist motion in a cadaver model validates the tenodesis effect for therapy.

J Hand Ther 2019 Feb 18. Epub 2019 Feb 18.

Tendon and Soft Tissue Biology Laboratory, Mayo Clinic, Rochester, MN, USA. Electronic address:

Introduction: Synergies of fingers and wrist motion have been incorporated into therapies for finger flexor tendon injuries to improve repair outcomes. Similar synergistic therapy strategies have not been well documented for the thumb.

Purpose Of The Study: The purpose of this study was to investigate the extent to which wrist motion enables a synergistic effect at the thumb in a cadaveric model by measuring flexor pollicis longus excursion and calculating the moment arm of this tendon at the wrist joint. Read More

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http://dx.doi.org/10.1016/j.jht.2019.01.005DOI Listing
February 2019
1.810 Impact Factor

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
March 2019
2 Reads

Flap Related Complications Requiring Secondary Surgery in a Series of 851 Local Flaps Used for Fingertip Reconstruction.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):24-29

‖ Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Background: Local flaps are widely used to cover fingertip defects. Errors in design or technical execution of the flap may lead to morbidity and additional surgical procedure. The purpose of this study was to review flap related complications requiring unplanned secondary surgery to characterize preventable issues. Read More

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http://dx.doi.org/10.1142/S242483551950005XDOI 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 02;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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367492PMC
February 2019
1 Read

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

World J Surg 2019 May;43(5):1226-1231

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
May 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
1 Read

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
2 Reads

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
3 Reads
1.401 Impact Factor

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
13 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
4 Reads

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

Wilderness Environ Med 2019 Mar 24;30(1):59-62. 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
March 2019
4 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
17 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
2 Reads

Three-dimensional kinematics of the flexor pollicis longus tendon in relation to the position of the FPL plate and distal radius width.

Arch Orthop Trauma Surg 2019 Feb 1;139(2):269-279. Epub 2018 Dec 1.

AUVA Trauma Hospital Lorenz Böhler-European Hand Trauma Center, Donaueschingenstraße 13, 1200, Vienna, Austria.

Introduction: The standard therapy of intra-articular and extra-articular distal radius fractures consists of open reduction and stabilization using palmar osteosynthesis with an angularly stable plate. The integrity of the flexor pollicis longus tendon (FPLT) may be mechanically affected by the plate, with rupture rates between 1 and 12% reported in the literature, occurring during a postoperative time period from 4 to 120 months. The aim of this study was to investigate the position of the tendon in relation to the distal edge of the plate using high-resolution ultrasonic imaging. Read More

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http://link.springer.com/10.1007/s00402-018-3081-z
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http://dx.doi.org/10.1007/s00402-018-3081-zDOI Listing
February 2019
22 Reads

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
11 Reads

Technique Tip: Platysma-flap Approach to the Clavicle.

Tech Hand Up Extrem Surg 2019 Mar;23(1):31-32

Valais Hospital, Martigny.

The surgical treatment of a displaced fracture of the clavicular shaft generally consists in an open reduction and plate fixation. The most common complications of the classic direct "transplatysma" approach are hardware related. These consist of simple hardware irritations requiring secondary plate removal but also feared wound healing problems ranging from dehiscence to superficial and deep wound infections. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000219DOI Listing
March 2019
15 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
3 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
12 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
17 Reads

[Application of ipsilateral digital proper artery dorsal branch flap to repair mid-phalanx degloving injury with distal segment finger defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 11;32(11):1446-1449

The First Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of ipsilateral digital proper artery dorsal branch flap to repair mid-phalanx degloving injury with distal segment finger defect.

Methods: Between February 2013 and July 2016, 11 cases (11 fingers) of mid-phalanx degloving injury with distal segment finger defect were treated. There were 9 males and 2 females with an average age of 33. Read More

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http://dx.doi.org/10.7507/1002-1892.201804055DOI Listing
November 2018
1 Read

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
28 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
11 Reads

Venous super-drained posterior interosseous artery flap for dorsal hand defects.

Microsurgery 2018 Nov 31;38(8):876-881. Epub 2018 Oct 31.

Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University, Faculty of Medicine, Ataturk Training and Research Hospital, İzmir, Turkey.

Background: Posterior interosseous artery flap PIAF is one of the most preferred reconstructive options for upper extremity defects. As a reverse flap, venous congestion is always a threatening factor. In this report authors aimed to present their experience with venous super-drained posterior interosseous artery flap VS-PIAF. Read More

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http://dx.doi.org/10.1002/micr.30381DOI Listing
November 2018

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

The conjoined parascapular and latissimus dorsi free flap for reconstruction of extensive knee defects.

Microsurgery 2018 Nov 25;38(8):867-875. Epub 2018 Oct 25.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Hand and Plastic Surgery, University of Heidelberg, Ludwigshafen, Germany.

Background: Extensive soft-tissue defects affecting the knee region pose a significant reconstructive challenge and may require separate or multiple flaps for coverage. We evaluated the conjoined parascapular and latissimus dorsi free flap as an alternative reconstructive option.

Methods: From January 2013 to December 15, 2016 patients (7 female and 8 male) with a mean age of 47. Read More

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http://doi.wiley.com/10.1002/micr.30361
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http://dx.doi.org/10.1002/micr.30361DOI Listing
November 2018
12 Reads

Four-Dimensional Imaging of Soft Tissue and Implanted Biomaterial Mechanics: A Barbed Suture Case Study for Tendon Repair.

ACS Appl Mater Interfaces 2018 Nov 5;10(45):38681-38691. Epub 2018 Nov 5.

Timely, recent developments in X-ray microcomputed tomography (XμCT) imaging such as increased resolution and improved sample preparation enable nondestructive time-lapse imaging of polymeric biomaterials when implanted in soft tissue, which we demonstrate herein. Imaging the full three-dimensional (3D) structure of an implanted biomaterial provides new opportunities to assess the micromechanics of the interface between the implant and tissues and how this changes over time as force is applied in load-bearing musculoskeletal applications. In this paper, we present a case study demonstrating in situ XμCT and finite element analysis, using a dynamically loaded barbed suture repair for its novel use in tendon tissue. Read More

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http://pubs.acs.org/doi/10.1021/acsami.8b09700
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http://dx.doi.org/10.1021/acsami.8b09700DOI Listing
November 2018
5 Reads