12,981 results match your criteria Journal of Hand Surgery[Journal]


Reverse pedicled flap with use of the superficial palmar branch of the radial artery and venous supercharging for thumb pulp repair.

J Hand Surg Eur Vol 2019 Feb 14:1753193419828598. Epub 2019 Feb 14.

St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex, UK *Corresponding author:

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http://dx.doi.org/10.1177/1753193419828598DOI Listing
February 2019

Reconstruction of anterior skin loss in all four fingers using a free medial plantar flap.

J Hand Surg Eur Vol 2019 Feb 14:1753193419828317. Epub 2019 Feb 14.

Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, PR China.

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http://dx.doi.org/10.1177/1753193419828317DOI Listing
February 2019

Comparison of the biomechanics of radial head prostheses with dynamic loading in the radiocapitellar joint.

J Hand Surg Eur Vol 2019 Feb 11:1753193419825526. Epub 2019 Feb 11.

1 Department of Orthopaedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

We used eight fresh cadaveric elbows to evaluate the biomechanical characteristics of the native radial head, an anatomic radial head prosthesis, and a non-anatomic radial head prosthesis using a dynamic model. The biceps, brachialis, and triceps were attached to pneumatic actuators loaded to mimic muscle force. The radiocapitellar contact pressure and area were measured in real time, and the associated curves were depicted simultaneously. Read More

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http://dx.doi.org/10.1177/1753193419825526DOI Listing
February 2019

Reach out and grasp the opportunity: reconstructive hand surgery in tetraplegia.

J Hand Surg Eur Vol 2019 Feb 11:1753193419827814. Epub 2019 Feb 11.

3 Shirley Ryan Ability Lab, Northwestern University and Hines VA Medical Center Chicago, IL, USA.

Reconstructive upper extremity surgeries in tetraplegia are technically challenging because of the many complicated real-time decisions that need to be made, e.g. extent of release of donor muscle-tendon complex, routing of donor muscles, tissue preparation and optimization, tensioning of muscle-tendon units, balancing joints and suturing tendon-to-tendon attachments. Read More

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http://dx.doi.org/10.1177/1753193419827814DOI Listing
February 2019

Perceptions and experiences of wrist surgeons on the management of triangular fibrocartilage complex tears: a qualitative study.

J Hand Surg Eur Vol 2019 Feb 10:1753193419826459. Epub 2019 Feb 10.

4 Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.

There is lack of consensus on the management of triangular fibrocartilage injuries. The aim of this study was to investigate wrist surgeons' experiences and perceptions regarding treatment of triangular fibrocartilage complex injuries and to explore the rationale behind clinical decision-making. A purposive sample of consultant wrist surgeons ( n = 10) was recruited through 'snow-balling' until data saturation was reached. Read More

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http://dx.doi.org/10.1177/1753193419826459DOI Listing
February 2019

Adjunctive Dorsal Scapular Nerve Transfer to Suprascapular Nerve for Brachial Plexus Birth Injuries: Case Series.

J Hand Surg Am 2019 Feb 5. Epub 2019 Feb 5.

Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada. Electronic address:

Purpose: Brachial plexus birth injury (BPBI) may result in permanent functional deficits. Brachial plexus birth injury involving the suprascapular nerve (SSN) is conventionally treated using accessory nerve transfer or excision and nerve grafting. This study analyzed shoulder function in patients with BPBI undergoing dorsal scapular nerve (DSN) to SSN transfer. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.008DOI Listing
February 2019
1 Read

Idiopathic Avascular Necrosis of Trapezoid in Adolescence: 3-Year Follow-Up.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.

Avascular necrosis (AVN) is relatively uncommon in the carpal bones, although it most frequently involves the lunate and scaphoid. The trapezoid has abundant vascular channels from a rich network of dorsal and palmar vessels, and only a few cases of AVN have been reported in adults who sustained a traumatic insult. We present a rare case of idiopathic AVN of the trapezoid in an adolescent presenting with refractory pain at the second metacarpal base. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.002DOI Listing
February 2019
1 Read

The Cerebral Palsy Profile of Health and Function: Upper-Extremity Domain's Sensitivity to Change Following Musculoskeletal Surgery.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Occupational Therapy, College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, PA; Shriners Hospitals for Children, Philadelphia, PA.

Purpose: The Cerebral Palsy Profile of Health and Function (CP-PRO) Computerized Adaptive Tests (CAT) are quality of life measures developed specifically for use in children with cerebral palsy. This study examined the ability of the upper-extremity (UE) CP-PRO CAT to detect change in function after UE surgery compared with the Pediatric Outcomes Data Collection Instrument (PODCI), ABILHAND-Kids, and Box and Blocks test.

Methods: From 2009 to 2013, children with cerebral palsy who had UE musculoskeletal surgery completed the UE CP-PRO CAT, PODCI-UE, ABILHAND-Kids, and Box and Blocks tests before surgery (97 children) and at 3 postoperative intervals: 6 months (80 children), 12 months (73 children), and 24 months (52 children). Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.007DOI Listing
February 2019
1 Read

Complications of Corrective Osteotomies for Extra-Articular Distal Radius Malunion.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopaedic Surgery, Southern California Permanente Medical Group, Anaheim, CA. Electronic address:

Purpose: Osteotomy of the distal radius for a fracture malunion is a challenging procedure. The purpose of this study was to review a series of osteotomies to determine the type and risk of complications.

Methods: A retrospective cohort study was performed, including all Kaiser Permanente Southern California patients who were aged 18 years or older between January 1, 2007, and September 25, 2015, and underwent osteotomy for an extra-articular distal radius fracture malunion. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.013DOI Listing
February 2019
1 Read

The Effect of Extensor Tendon Adhesions on Finger Motion.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, Sydney, Australia. Electronic address:

Purpose: To quantify the amount and pattern of finger range of motion loss at the metacarpophalangeal (MCP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints with a simulated extensor tendon adhesion at the level of the proximal phalanx or metacarpal.

Methods: In 10 cadaveric specimens, traction sutures were placed in the forearm extensor digitorum communis and flexor digitorum profundus tendons of the middle and ring fingers. Active motion was simulated by suspending weights from the traction sutures via pulleys. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.011DOI Listing
February 2019

Mycotic Aneurysm of the Ulnar Artery Secondary to Bacillus Calmette-Guérin Therapy for Bladder Cancer: A Rare Presentation of Hypothenar Hammer Syndrome.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL. Electronic address:

Mycotic aneurysms, especially those of the upper extremity, are rarely reported in literature. These aneurysms are caused by bacterial endocarditis and, therefore, are more commonly seen in patients who are in an immunocompromised state, including those requiring bacillus Calmette-Guérin (BCG) therapy for bladder cancer. Owing to the inevitable rupture of mycotic aneurysms, the standard treatment is surgical repair with appropriate secondary antibiotics. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.001DOI Listing
February 2019
1 Read

Targeted Muscle Reinnervation for Prosthesis Optimization and Neuroma Management in the Setting of Transradial Amputation.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Carolinas Medical Center, Atrium Health, Charlotte, NC; Reconstructive Center for Lost Limbs, OrthoCarolina Hand and Wrist Center, Charlotte, NC. Electronic address:

Targeted muscle reinnervation (TMR) is a surgical technique that improves modern myoelectric prosthesis functionality and plays an important role in the prevention and treatment of painful postamputation neuromas. Originally described for transhumeral amputations and shoulder disarticulations, the technique is being adapted for treatment of transtibial, transfemoral, transradial, and partial hand amputees. We describe a new technique for forearm TMR following transradial amputation with an emphasis on selecting nerve transfer patterns, managing sensory nerves, improving terminal soft tissue coverage, and employing pattern recognition technology. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.019DOI Listing
February 2019
1 Read

Suprascapular Ligament Release From an Anterior Approach: An Anatomic Feasibility Study.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Shriners Hospital for Children Philadelphia, Philadelphia, PA.

Purpose: The results of spinal accessory to suprascapular nerve transfers have been less reliable than other nerve transfers in the upper limb, possibly owing to compression of the nerve by the suprascapular ligament. The posterior approach has been advocated to allow for release of the ligament. The purpose of this study was to determine whether a ligament release is possible from the anterior approach. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.005DOI Listing
February 2019

A Comparison of PROMIS UE Versus PF: Correlation to PROMIS PI and Depression, Ceiling and Floor Effects, and Time to Completion.

J Hand Surg Am 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Therapy, George Fox University, Newberg, OR. Electronic address:

Purpose: This study aimed to (1) determine the correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) with PROMIS Upper Extremity (UE) and compare the correlations of PF and UE with PROMIS Pain Interference (PI) and PROMIS Depression; (2) compare the ability of PF and UE to capture health outcomes across the spectrum in patients seeking hand care; and (3) compare the time to completion for PROMIS PF to that for PROMIS UE.

Methods: Patients presenting to a hand clinic between October, 2015 and October, 2017 were asked to complete PROMIS PF, UE, PI, and Depression computerized adaptive tests. Spearman correlation coefficients (ρ) were calculated between the domains. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.006DOI Listing
February 2019

Zone 2 flexor tendon repairs using a tensioned strong core suture, sparse peripheral stitches and early active motion: results in 60 fingers.

J Hand Surg Eur Vol 2019 Feb 7:1753193419826493. Epub 2019 Feb 7.

2 Jiangsu Medical Research Center, Nantong, and Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

We report the outcomes of zone 2 tendon repairs in 60 fingers using a strong core suture, sparse peripheral stitches and early active motion. From January 2014 to April 2016, we repaired 60 flexor digitorum profundus tendons with a tensioned 4-strand or 6-strand core suture and three to four peripheral stitches. The A2 or A4 pulleys were vented as necessary. Read More

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http://dx.doi.org/10.1177/1753193419826493DOI Listing
February 2019

Postoperative three-dimensional high frequency power Doppler ultrasonography in scaphoid nonunions treated with vascularized bone grafts.

J Hand Surg Eur Vol 2019 Feb 6:1753193419826511. Epub 2019 Feb 6.

Olympia Hospital & Research Centre, Tamilnadu, India.

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http://dx.doi.org/10.1177/1753193419826511DOI Listing
February 2019

Normal values of distal radioulnar translation assessed by three-dimensional C-arm scans: a cadaveric study.

J Hand Surg Eur Vol 2019 Feb 6:1753193419826486. Epub 2019 Feb 6.

1 BG-Klinik Ludwigshafen, Department for Orthopedics and Orthopedic Trauma, Trauma Surgery Clinic at Heidelberg University, Ludwigshafen, Germany.

We investigated whether mobile C-arm cone beam computer tomography (CBCT) could be used to measure radioulnar translation. The study was conducted on 31 Thiel-fixed intact cadaver arms. Three-dimensional scans of each wrist were carried out in pronation and supination. Read More

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http://dx.doi.org/10.1177/1753193419826486DOI Listing
February 2019

Association of scapholunate dissociation and two-part articular fractures of the distal radius.

J Hand Surg Eur Vol 2019 Feb 6:1753193419826490. Epub 2019 Feb 6.

1 Department of Orthopedics, Flinders University, Bedford Park, SA, Australia.

Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. Read More

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http://dx.doi.org/10.1177/1753193419826490DOI Listing
February 2019

Systematic review on outcome of free functioning muscle transfers for elbow flexion in brachial plexus injuries.

J Hand Surg Eur Vol 2019 Feb 5:1753193419825527. Epub 2019 Feb 5.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Elbow flexion is widely regarded as the most important function to restore in brachial plexus injuries. Free functioning muscle transfer surgery is indicated in patients with delayed presentation or failure of other primary procedures. Results of the transfer surgeries have been reported in the form of case series, but no further studies are available. Read More

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http://dx.doi.org/10.1177/1753193419825527DOI Listing
February 2019
1 Read

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.031DOI Listing
February 2019
1 Read

Outcomes of Primary Reverse Total Shoulder Arthroplasty in Patients Younger Than 65 Years Old.

J Hand Surg Am 2019 Feb;44(2):104-111

Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL.

Purpose: We compare clinical outcomes of primary reverse total shoulder arthroplasty (RTSA) in patients 65 years old or younger with a matched control group of patients 70 years old or older.

Methods: Forty-three patients (17 men and 26 women) 65 years old or younger were retrospectively identified. The mean age was 60 years and average follow-up was 4. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023173099
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http://dx.doi.org/10.1016/j.jhsa.2018.11.008DOI Listing
February 2019
2 Reads

Intraosseous Epidermoid Cyst of the Radius.

J Hand Surg Am 2019 Jan 30. Epub 2019 Jan 30.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

We report the rare case of an intraosseous epidermoid cyst of the distal radius associated with an acute infection in a 79-year-old woman. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.004DOI Listing
January 2019

Bone Graft Substitutes: Current Concepts and Future Expectations.

J Hand Surg Am 2019 Jan 28. Epub 2019 Jan 28.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Owing to its osteoinductive and osteoconductive properties and the presence of osteogenic cells, freshly harvested autologous bone graft is the gold standard for skeletal reconstruction where there is inadequate native bone. Whereas these characteristics are difficult to replicate, engineered, commercially available bone graft substitutes aim to achieve a comparable osseoregenerative profile. This work furnishes the reader with an understanding of the predominant classes of bone graft substitutes available for reconstruction of upper extremity bone defects following trauma or oncological surgery. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.10.032DOI Listing
January 2019

Phalangeal Osteoid Osteoma of Thumb.

J Hand Surg Am 2019 Jan 29. Epub 2019 Jan 29.

Appalachian Orthopaedic Associates, Johnson City, TN.

Osteoid osteomas are typically benign osteoblastic bone tumors. Patients often present in their twenties with progressively increasing pain that is worse at night and relieved with nonsteroidal anti-inflammatory drugs. These lesions rarely occur in the hand or wrist; however, when those are involved, the proximal phalanx is the most common location and the index finger is the most commonly affected digit. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.003DOI Listing
January 2019

Arthroscopic treatment of triangular fibrocartilage complex injuries in paediatric and adolescent patients.

J Hand Surg Eur Vol 2019 Jan 31:1753193418825070. Epub 2019 Jan 31.

Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO, USA.

We assessed outcomes of 43 paediatric and adolescent patients (44 wrists) undergoing arthroscopic triangular fibrocartilage complex surgery by a single surgeon between 2003 and 2016. Medical records were reviewed for clinical, imaging, and operative data. Preoperatively, 49% of patients had additional diagnoses and mean QuickDASH was 47. Read More

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http://dx.doi.org/10.1177/1753193418825070DOI Listing
January 2019

Buddy taping versus splint immobilization for paediatric finger fractures: a randomized controlled trial.

J Hand Surg Eur Vol 2019 Jan 31:1753193418822692. Epub 2019 Jan 31.

1 Division of Hand Surgery, University Children's Hospital, Zurich, Switzerland.

The purpose of this single-centre randomized controlled trial was to assess the non-inferiority of buddy taping versus splint immobilization of extra-articular paediatric finger fractures. Secondary fracture displacement was the primary outcome; patient comfort, cost and range of finger motion were secondary outcomes. Ninety-nine children were randomly assigned to taping or splinting. Read More

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http://dx.doi.org/10.1177/1753193418822692DOI Listing
January 2019

Human Tendon-Derived Collagen Hydrogel Significantly Improves Biomechanical Properties of the Tendon-Bone Interface in a Chronic Rotator Cuff Injury Model.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center; Division of Plastic and Reconstructive Surgery, Veterans Affairs Palo Alto Health Care System. Electronic address:

Purpose: Poor healing of the tendon-bone interface (TBI) after rotator cuff (RTC) tears leads to high rates of recurrent tear following repair. Previously, we demonstrated that an injectable, thermoresponsive, type I collagen-rich, decellularized human tendon-derived hydrogel (tHG) improved healing in an acute rat Achilles tendon injury model. The purpose of this study was to investigate whether tHG enhances the biomechanical properties of the regenerated TBI in a rat model of chronic RTC injury and repair. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.021DOI Listing
January 2019
1 Read
1.655 Impact Factor

Temporary Bridge Plate Fixation of Pilon Fractures of the Proximal Interphalangeal Joint.

Authors:
Kagan Ozer

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI. Electronic address:

Pilon fractures of the proximal interphalangeal (PIP) joint are challenging injuries that can lead to arthritis, limited motion, and pain. Internal fixation is often difficult owing to comminution and inadequate bony support. External fixation requires a compliant patient and may result in pin-track infection, stiffness, and malunion. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.018DOI Listing
January 2019
4 Reads

Ulnar Nerve Anterior Transmuscular Transposition in the Lateral Decubitus Position.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS.

Ulnar nerve anterior transmuscular transposition is a well-accepted surgical technique for the treatment of ulnar nerve entrapment or subluxation at the elbow. The procedure, which addresses both compression and traction forces on the nerve, may be performed with the patient in the lateral decubitus position, allowing direct access to and excellent visualization of the ulnar nerve through an incision on the posteromedial aspect of the elbow. This report reviews the surgical indications and contraindications, pertinent anatomy, patient positioning rationale and method, surgical technique, postoperative management, and potential complications for this ulnar nerve transposition procedure. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.009DOI Listing
January 2019
2 Reads

Ulnar Collateral Ligament Reconstruction of Thumb Metacarpophalangeal Joint With Adductor Pollicis Tendon Using the Wide-Awake Approach.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Isehara-shi, Kanagawa, Japan.

Injuries to the ulnar collateral ligament (UCL) of the thumb are common and require prompt attention. Diagnostic findings and treatment options differ in acute and chronic injuries of the UCL. Pain and weakness of pinch and grip occur with chronic UCL instability. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.012DOI Listing
January 2019
2 Reads

The Capitate-to-Axis-of-Radius Distance (CARD): A New Radiographic Measurement for Wrist and Carpal Alignment in the Sagittal Plane.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.

Purpose: To determine the reliability of a new radiographic index evaluating sagittal radiocarpal alignment, the capitate-to-axis-of-radius distance (CARD). A secondary purpose was to validate this index by comparing values between normal wrists and those with distal radial fractures (DRFs) and rheumatoid arthritis (RA).

Methods: The CARD is defined as the perpendicular distance from the center of the capitate head to the axis of the radius. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023163082
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http://dx.doi.org/10.1016/j.jhsa.2018.10.024DOI Listing
January 2019
4 Reads

Closing Radial Wedge Osteotomy for Preiser Disease: Clinical Outcomes.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Purpose: To determine clinical outcomes of Preiser disease treated with closing radial wedge osteotomy (CRWO).

Methods: Seven patients with Preiser disease underwent CRWO. Two wrists had stage 2 disease, 3 had stage 3, 2 had stage 4 (Herbert-Lanzetta classification). Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.007DOI Listing
January 2019
2 Reads

The Association of Clavicle Fracture With Brachial Plexus Birth Palsy.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address:

Purpose: Shoulder dystocia is the strongest known risk factor for brachial plexus birth palsy (BPBP). Fractures of the clavicle are known to occur in the setting of shoulder dystocia. It remains unknown whether a clavicle fracture that occurs during a birth delivery with shoulder dystocia increases the risk of BPBP or, alternatively, is protective. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.006DOI Listing
January 2019
2 Reads

Computerized tomographic prediction of flexor tendon injuries complicating hamate hook fractures.

J Hand Surg Eur Vol 2019 Jan 23:1753193418823503. Epub 2019 Jan 23.

1 Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

We reviewed computerized axial tomography of 28 patients with hamate hook fractures who had surgical resection of the hook. We analysed the relationship between the fragment height ratio, fragment gap, and intraoperative findings of the tendons. We determined whether parameters in the images can predict complication of tear or disruption of the flexor tendons to the ring or little fingers. Read More

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http://dx.doi.org/10.1177/1753193418823503DOI Listing
January 2019

Comparison between simple release and Z-plasty of retinaculum for de Quervain's disease: a retrospective study.

J Hand Surg Eur Vol 2019 Jan 22:1753193418818341. Epub 2019 Jan 22.

Orthopedic Surgery, School of Medicine, Kyung Hee University, Seoul Korea.

We compared two surgical procedures for de Quervain's disease that was not responsive to conservative treatment. Group A (simple release) consisted of 38 patients and group B (Z-plasty of the retinaculum) included 36 patients. The visual analogue scale score and the Disabilities of the Arm, Shoulder and Hand Score improved significantly after surgery; there were no statistical differences in outcome between the two groups. Read More

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http://dx.doi.org/10.1177/1753193418818341DOI Listing
January 2019

Long-term results of arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability.

J Hand Surg Eur Vol 2019 Jan 20:1753193418822680. Epub 2019 Jan 20.

2 Department of Orthopaedic Surgery, Hallym University College of Medicine, Seoul, Korea.

There are various treatments for chronic dynamic scapholunate instability and there is still much debate about the best method of treatment. We retrospectively analysed 42 patients who had been treated by arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability. All patients were clinically improved without radiographic changes after surgery and were still satisfied at a mean follow-up of 68 months. Read More

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http://dx.doi.org/10.1177/1753193418822680DOI Listing
January 2019
3 Reads

Use of a Large Tenaculum Clamp as a Reduction Technique for Treatment of Distal Radius Fractures.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR. Electronic address:

Distal radius fractures are common upper extremity injuries requiring surgical treatment. In the context of management with a volar locking plate (VLP), a number of described techniques assist with restoration of individual anatomical parameters such as radial length, volar tilt, and articular congruity. We present a surgical technique that utilizes a large tenaculum bone clamp to provide an efficacious reduction in several planes. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.017DOI Listing
January 2019
1 Read

Prognostic Factors for Nonsurgically Treated Sagittal Band Injuries of the Metacarpophalangeal Joint.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.

Purpose: The aim of this study was to evaluate the factors that influence the prognosis for patients with sagittal band injuries who were treated nonsurgically.

Methods: A total of 94 patients who had been diagnosed with traumatic sagittal band injury and initially treated with 7 weeks of metacarpophalangeal (MCP) joint extension orthosis wear (5 weeks of full-time followed by 2 weeks of part-time use) were studied. The response to treatment, including finger range of motion (ROM), extensor tendon instability, grip strength, and functional outcome measured as Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score were assessed at 24-week follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023183051
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http://dx.doi.org/10.1016/j.jhsa.2018.11.011DOI Listing
January 2019
7 Reads

Biomechanical Properties of a Novel Mesh Suture in a Cadaveric Flexor Tendon Repair Model.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Division of Plastic and Reconstructive Surgery, Northwestern University, Chicago, IL. Electronic address:

Purpose: Conventional suture repairs, when stressed, fail by suture rupture, knot slippage, or suture pull-through, when the suture cuts through the intervening tissue. The purpose of this study was to compare the biomechanical properties of flexor tendon repairs using a novel mesh suture with traditional suture repairs.

Methods: Sixty human cadaveric flexor digitorum profundus tendons were harvested and assigned to 1 of 3 suture repair groups: 3-0 and 4-0 braided poly-blend suture or 1-mm diameter mesh suture. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.016DOI Listing
January 2019
1 Read

The Effects of Age on the Outcomes of Elbow Release in Arthrogryposis.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Shriner's Hospital for Children of Philadelphia, Philadelphia, PA.

Purpose: The goal of this study was to observe the effects of posterior elbow release on children with arthrogryposis at various age points: before the age of 2, between the ages of 2 and 3, and after the age of 3.

Methods: This study was a retrospective chart review of patients with arthrogryposis who underwent a posterior elbow release for an elbow extension contracture between 2007 and 2014 at one institution. Eighteen procedures in 13 patients, who had a minimum follow-up of at least 2 years, were included in the study. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.013DOI Listing
January 2019
1 Read

Spontaneous resolution of a partial capitohamate coalition.

J Hand Surg Eur Vol 2019 Jan 16:1753193418822248. Epub 2019 Jan 16.

1 Department of Orthopaedics and Traumatology, Orthoclinic, Brugge, Belgium.

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http://dx.doi.org/10.1177/1753193418822248DOI Listing
January 2019

Locking of the radial collateral ligament at the proximal interphalangeal joint: a case report and review of proximal interphalangeal joint triggering.

J Hand Surg Eur Vol 2019 Jan 16:1753193418821253. Epub 2019 Jan 16.

2 Service de Chirurgie plastique, reconstructive, esthétique et chirurgie de la main, Hôpital du Valais, Sierre, Switzerland.

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http://dx.doi.org/10.1177/1753193418821253DOI Listing
January 2019

Steroid injection for stenosing tenosynovitis of the extensor carpi ulnaris.

J Hand Surg Eur Vol 2019 Jan 16:1753193418821561. Epub 2019 Jan 16.

Department of Orthopaedic Surgery, Nishinomiya Municipal Central Hospital, Nishinomiya, Japan.

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http://dx.doi.org/10.1177/1753193418821561DOI Listing
January 2019
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Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty.

J Hand Surg Eur Vol 2019 Jan 17:1753193418822425. Epub 2019 Jan 17.

2 Department of Plastic, Reconstructive and Hand Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.

Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5. Read More

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http://journals.sagepub.com/doi/10.1177/1753193418822425
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http://dx.doi.org/10.1177/1753193418822425DOI Listing
January 2019
3 Reads

The correlation between the teardrop angle and anterior lunate facet displacement in plating distal radial fractures.

J Hand Surg Eur Vol 2019 Jan 17:1753193418822470. Epub 2019 Jan 17.

5 Traumatologie und Unfallchirurgie, Universitaetsspital Basel, Basel, Switzerland.

This study aimed to determine the association of teardrop angle and anteroposterior distance with anterior lunate facet displacement and articular congruity before and after anterior plating of distal radial fractures. We included 36 patients with complete intra-articular distal radial fractures with separate anterior lunate facet fragments. On radiographs we determined the teardrop angle and anteroposterior distance. Read More

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http://dx.doi.org/10.1177/1753193418822470DOI Listing
January 2019

Double antegrade intramedullary pinning for proximal phalangeal neck fractures in children.

J Hand Surg Eur Vol 2019 Jan 12:1753193418820178. Epub 2019 Jan 12.

1 Department of Surgery, School of Medicine, National Yang-Ming University.

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http://dx.doi.org/10.1177/1753193418820178DOI Listing
January 2019
2 Reads

Bilateral scapholunate widening may have a nontraumatic aetiology and progress to carpal instability and osteoarthritis with advancing age.

Authors:
Nadine Hollevoet

J Hand Surg Eur Vol 2019 Jan 12:1753193418819653. Epub 2019 Jan 12.

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Gent, Belgium.

It was hypothesized that bilateral widening of the scapholunate gap is relatively common in the absence of trauma and that it progresses to radiological carpal instability and scapholunate advanced collapse. Electronic files of 1000 patients with bilateral X-rays were studied in retrospect. Wide scapholunate gaps were bilaterally present in 67 and unilaterally in 51 patients. Read More

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http://dx.doi.org/10.1177/1753193418819653DOI Listing
January 2019
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Quantifying outcomes for leech therapy in digit revascularization and replantation.

J Hand Surg Eur Vol 2019 Jan 12:1753193418823595. Epub 2019 Jan 12.

1 Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, USA.

We retrospectively reviewed 201 digit replantations or revascularizations that were performed between August 2007 and June 2015. Leeching therapy was used in 48 digits and was more commonly required in replanted digits. In revascularized digits, leeching was used significantly more frequently in avulsion injuries and injuries associated with fractures. Read More

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http://dx.doi.org/10.1177/1753193418823595DOI Listing
January 2019
5 Reads

Total Elbow Arthroplasty.

J Hand Surg Am 2019 Jan 8. Epub 2019 Jan 8.

Harvard Medical School, Boston, MA; Department of Orthopaedic Surgery, Massachusetts Hospital, Boston, MA.

Total elbow arthroplasty design has evolved in recent decades. Indications for total elbow arthroplasty include advanced rheumatoid arthritis to osteoarthritis, post-traumatic arthritis, adverse sequelae of trauma, and unreconstructable acute fractures. This article summarizes the current evidence for total elbow arthroplasty, including the history of total elbow arthroplasty, an overview of the recent trends and designs, and current evidence-based outcomes. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.005DOI Listing
January 2019
11 Reads

False-Positive Rates for Nerve Conduction Studies and Ultrasound in Patients Without Clinical Signs and Symptoms of Carpal Tunnel Syndrome.

J Hand Surg Am 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedics, University of Pittsburgh, Pittsburgh, PA.

Purpose: The purpose of the study was to determine the rate of false positives for nerve conduction studies (NCSs) and ultrasound (US) in a population without signs and symptoms of carpal tunnel syndrome (CTS) using a CTS-6 score of 0 as the reference standard.

Methods: Patients were included in this study if they were referred for NCSs for a reason other than CTS (cubital tunnel syndrome and/or cervical radiculopathy) and they had a CTS-6 score of 0. An US measurement of the cross-sectional area (CSA) of the median nerve at the level of the carpal tunnel inlet was performed by a certified ultrasound technician. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.010DOI Listing
January 2019
5 Reads