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Int Orthop 2019 Jan 10. Epub 2019 Jan 10.

Sant'andrea Hospital, Traumatology Sports Center "Kilk Kilgour", "La Sapienza" University, Via Di Grottarossa, 1035-1039, Rome, RM, Italy.

Introduction: Biological arthroplasties are the most used surgical techniques, for the treatment of trapeziometacarpal osteoarthritis; all of them provide the reconstruction of trapeziometacarpal joint by a tendon graft. The aim of the study is to compare two surgical techniques: interposition arthroplasty and suspension arthroplasty at 12-month follow-up in order to evaluate the clinical and radiographic results.

Methods: Sixty-seven patients surgically treated for basal thumb osteoarthritis were divided into two groups: 36 patients, (8 M; 27 F) (39 hands), treated with interposition arthroplasty are included in group A and 31 patients, (6 M; 25 F) (34 hands), treated with suspension are included in group B. Read More

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

Department of Hand Surgery, Ruihua affiliated hospital of Soochow University, No. 5 Tayun Road, Yuexi Town, Wuzhong District, Suzhou, 215104, China. Electronic address:

Combination foot flaps for digit reconstruction was previously introduced by our group as an alternative method for toe-to-hand transfer. The aim of this study was to analyze our experience with the combination foot flaps and to present the surgical refinements that were introduced. A prospective study was conducted including all combination foot flaps performed at our hospital since September 2009. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1545-1548

Department of Hand Surgery, Repair and Reconstruction Surgery, the Second Hospital of Tangshan (the Affiliated Hospital of North China Polytechnic University), Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of Ilizarov technique in reconstruction of thumb function in patients with thumb degloving injury after amputation.

Methods: Between June 2011 and September 2016, 9 cases of thumb degloving injury were treated with amputation and Ilizarov technology. There were 8 males and 1 female with an age of 18-52 years (mean, 34. Read More

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Thumb reconstruction has been a very challenging issue for hand surgeons. In this report, we present a case of thumb reconstruction with combination of the wrap-around flap prefabricated by the medialis pedis perforator flap with phalanx and nail bed banked from the amputated thumb. A 22-year-old man suffered from the left thumb amputation as well as large soft tissue defect of hand and comminuted fracture in wrist due to a crush accident. Read More

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

J Hand Microsurg 2018 Dec 20;10(3):125-129. Epub 2018 Mar 20.

Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.

Although dorsal subluxation is a typical finding for osteoarthritis of the thumb carpometacarpal (CMC) joint, it is difficult to evaluate the subluxation after trapeziectomy and the significance of its surgical correction combined with trapeziectomy is still controversial. The purpose of this study was to develop a method to evaluate dorsal subluxation without using landmarks on the trapezium. Thirty patients with thumb CMC arthritis and 13 normal patients were included in this study. Read More

Orthop Clin North Am 2019 Jan;50(1):87-93

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address:

In the field of upper extremity surgery there are myriad new and developing technologies. The purpose of this article is to highlight a few of the most compelling new technologies and review their background, indications for use, and most recently reported outcomes in clinical practice. Read More

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S13-S17

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.

Background: In this study, we present the long-term functional and aesthetic outcomes in patients with complicated asymmetric radial polydactyly treated with this surgical technique involving the transposition of a duplicated thumb.

Methods: We evaluated 6 thumbs in 6 patients who underwent radial polydactyly reconstruction using the transposition of duplicated thumb procedure between 2001 and 2017. The procedure was used when one of the thumbs was not obviously dominant over the other, with one having a better proximal portion and the other having a better distal portion. Read More

J Plast Surg Hand Surg 2018 Dec 16;52(6):359-362. Epub 2018 Nov 16.

a Department of Orthopaedic Surgery , Nara Medical University , Kashihara , Japan.

Objective: Toe-to-hand transplantation is a reliable procedure that replaces like-with-like in cases of a lost thumb or finger. The aim of this study is to investigate the effects of toe transplantation on patients from the perspectives of quality of life (QOL) and disability.

Methods: Ten patients with traumatic amputation of a digit underwent reconstruction with toe transplantation. Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):469-473

† School of Medicine, Deakin University, Waurn Ponds, Geelong, Australia.

Background: To assess the midterm outcome of patients under 65 who underwent anatomic pyrocarbon hemiarthroplasty for thumb carpometacarpal (CMC) osteoarthritis.

Methods: A prospective analysis was performed of a consecutive series of active patients, less than 65 years of age, with symptomatic osteoarthritis who had undergone a CMC hemiarthroplasty using a stemmed metacarpal based, anatomic pyrolytic carbon resurfacing with an additional one third flexor carpi radialis (FCR) tendon transfer to maintain stability. The Wrightington Hand Score, Disability Arm Shoulder and Hand (DASH) Score, and the Patient Rated Wrist Evaluation Score (PRWE) were utilised. Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):515-519

‖ Centro Médico Imbanaco de Cali S.A, Cali, Colombia.

Background: Pellegrini's surgical technique is the most useful for thumb carpometacarpal joint osteoarthritis. The purpose of this paper is to describe the technique of a modified version using a bone block in the tunnel through which the flexor carpi radialis tendon is passed (BBTI).

Methods: Case series of patients diagnosed with osteoarthritis of the thumb carpometacarpal joint, in stage II or higher based on Eaton's classification, that were intervened using the BBTI technique for a 2-year period. Read More

J Hand Surg Am 2019 Jan 23;44(1):9-17. Epub 2018 Oct 23.

Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina (Unisul), Tubarão, SC, Brazil.

Purpose: With ulnar nerve injuries, paralysis of the first dorsal interosseous (FDI) and the adductor pollicis (ADP) muscles weakens pinch. The likelihood that these muscles will be reinnervated following ulnar nerve repair around the elbow is very low. To overcome this obstacle, we propose a more distal repair: transferring the opponens pollicis motor branch (OPB) to the terminal division of the deep branch of the ulnar nerve (TDDBUN). Read More

J Spinal Cord Med 2018 Oct 23:1-8. Epub 2018 Oct 23.

b Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.

Context/objective: Spinal cord injury (SCI) causes atrophy of brain regions linked to motor function. We aimed to estimate cortical thickness in brain regions that control surgically restored limb movement in individuals with tetraplegia.

Design: Cross-sectional study. Read More

J Wrist Surg 2018 Nov 2;7(5):394-398. Epub 2018 Jul 2.

Department of Orthopaedics and Traumatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

 Proximal migration of the first metacarpal can be seen after total trapeziectomy and various techniques have been described to prevent this subsidence.  We hypothesized the insertion of a poly-L/D-lactide spacer to prevent proximal migration of the first metacarpal without the need of an additional ligament reconstruction, allowing early mobilization and less demanding rehabilitation.  Ten thumbs were treated with a total trapeziectomy and insertion of a poly-L/D-lactide scaffold. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(2):130-136

Ortopedické oddělení, Karvinská Hornická Nemocnice, a.s., Karviná - Nové Město.

PURPOSE OF THE STUDY Trapeziometacarpal osteoarthritis affects primarily postmenopausal middle-aged and older women. Total joint replacement is one of the surgical treatment options for symptomatic advanced degenerative changes of the carpometacarpal joint. This study aims to evaluate the short-term functional and radiological results of the Ivory ® prosthesis with the minimum followup period of three years after the surgery. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(2):125-129

Ortopedické oddělení Nemocnice v Chomutově, Krajská zdravotní, a.s., Chomutov.

PURPOSE OF THE STUDY The aim of the study was to present the surgical technique combining the interposition and suspension arthroplasty using the TIE-IN implant as a treatment option for advanced symptomatic to final stage rhizarthrosis. MATERIAL AND METHODS Since 2015 we have performed the interposition arthroplasty combined with suspension arthroplasty using the TIE-IN implant in 12 patients, mostly indicated for stage IV rhizarthrosis. In two cases stage III rhizarthrosis with concomitant trapezium destruction was present. Read More

J Hand Surg Am 2018 Oct 3. Epub 2018 Oct 3.

Department of Plastic Surgery, Yale School of Medicine, New Haven, CT.

Purpose: Traumatic amputations of the thumb are rare in children compared with adults, but hand surgeons remain reticent to consider microsurgical reconstruction with toe-to-thumb transfers. This study reports the functional outcomes and complications of children with traumatic thumb amputations who underwent toe-to-thumb reconstruction.

Methods: A retrospective review of children who sustained thumb amputations and whose parents elected for their child to undergo reconstruction by toe-to-thumb transfer was performed. Read More

Mod Rheumatol 2018 Oct 4:1-15. Epub 2018 Oct 4.

a Department of Orthopedic Surgery , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences , Japan.

Objectives: The aim of the current study was to investigate the pattern of extensor pollicis brevis (EPB) insertion macroscopically and histologically using cadaveric thumbs, and to compare the incidence of different insertions with that of thumb boutonnière deformity in rheumatoid arthritis (RA) patients who required surgical reconstruction.

Methods: We examined 103 thumbs of 58 adult cadavers with no evidence of RA, and reviewed the surgical records of 28 thumbs of 23 RA patients who underwent surgical reconstruction for thumb boutonnière deformity. The incidence of different insertion patterns of the cadaveric thumbs and the RA thumbs were compared using the Fisher's exact test. Read More

J Hand Surg Asian Pac Vol 2018 Sep;23(3):408-411

* Department of Orthopaedic Surgery, Tsuchiura Kyodo Hospital, Tsuchiura, Japan.

A 15-year-old male patient presented with difficulty extending his right thumb due to subluxation of the extensor pollicis longus (EPL) tendon. Physical examination showed that active motion of the thumb's metacarpophalangeal (MP) joint was 76° in flexion and -58° in extension. During active extension, the EPL tendon shifted onto the ulnar aspect of the MP joint, and the extensor pollicis brevis (EPB) tendon shifted onto the central dorsal course of the MP joint. Read More

J Bone Joint Surg Am 2018 Oct;100(19):e127

Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.

Background: Although orthopaedic surgeons have been shown to prescribe excessive amounts of opioid analgesics postoperatively, the degree in which surgical trainees contribute to this trend is unknown. The purpose of this study was to compare self-reported opioid-prescribing behavior, factors influencing this behavior, and perceptions of patient opioid utilization and disposal between hand surgeons and trainees.

Methods: Attending hand surgeons and trainees in hand, orthopaedic, and plastic surgery programs were invited to participate in a web-based survey including demographic characteristics; self-reported prescribing behavior specific to 4 procedures: open carpal tunnel release, trigger finger release, thumb carpometacarpal arthroplasty, and distal radial fracture open reduction and internal fixation; and perceptions and influencing factors. Read More

J Hand Surg Eur Vol 2018 Sep 17:1753193418797922. Epub 2018 Sep 17.

1 Department of Plastic, Reconstructive and Hand Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

Triphalangeal thumb is a rare congenital anomaly in which the thumb has three phalanges. Clinical presentation of triphalangeal thumb can vary considerably and can be present in both hands or unilateral. The thumb can be long with a finger-like appearance. Read More

Eplasty 2018 13;18:ic15. Epub 2018 Aug 13.

Division of Plastic Surgery, Department of Surgery, Rutgers University/New Jersey Medical School, Newark.

J Hand Surg Eur Vol 2018 Aug 22:1753193418793579. Epub 2018 Aug 22.

3 Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, Sydney.

The reconstruction of a congenital hypoplastic thumb usually involves release of a tight first web space, metacarpophalangeal joint stabilization, reconstruction of intrinsic muscle function, and extrinsic tendon reconstruction, as appropriate. Numerous surgical options and combinations are available, but the approaches vary among surgeons who work in the field of congenital hand surgery and the empirical evidence that allows for evaluation of the results of techniques is scarce. Both the pre-operative assessment and intra-operative findings of all thumb elements - bone, joints, and soft tissues - should be considered in the surgical decision-making and eventually define the methods of reconstruction. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1201-1204

Department of Pediatric Orthopaedics, Wuxi No.9 People's Hospital Affiliated to Soochow University, the Orthopaedic Hospital of Wuxi, Wuxi Jiangsu, 214000,

Objective: To explore the effectiveness of anterograde fascial flap of digital artery in reconstruction of Wassel Ⅳ-D thumb duplication.

Methods: Twelve cases of Wassel Ⅳ-D thumb duplication were treated with anterograde fascial flap of digital artery between June 2014 and March 2017. There were 7 boys and 5 girls with an age of 9-32 months (mean, 13. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(10):1317-1320

Department of Pediatric Orthopaedic, Wuxi No.9 People's Hospital Affiliated to Soochow University, the Orthopaedic Hospital of Wuxi, Wuxi Jiangsu, 214000, P.R.China.

Objective: To investigate the diagnosis and treatment of thumb polydactyly with symphalangism in children.

Methods: Seven cases of thumb polydactyly with symphalangism were treated between January 2013 and May 2017. There were 5 males and 2 females, aged from 10 months to 11 years, with an average age of 3. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):827-831

Department of Hand and Plastic Surgery, the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Zhejiang, 325027, P.R.China.

Surgery is still the main treatment for congenital polydactyly, and the aim of surgical reconstruction is to obtain a thumb with excellent function and appearance. A systematic assessment of polydactyly is required prior to surgery, including bone stress lines, joint deviation, joint activity and joint instability, size and development of finger and nail. Bone shape, joint incongruency, and abnormal tendon insertions must be corrected completely, in order to obtain good function and to avoide secondary surgery. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):798-802

Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233,

The replantation of amputated finger (or limb) and the reconstruction of the thumb and fingers started in 1960s in China. With the development of microsurgical techniques, both finger replantation and reconstruction achieved worldwide significant success. And now it is not the survival rate but the function of replanted finger that attracted more attention. Read More

Acta Neurochir (Wien) 2018 Oct 9;160(10):2019-2023. Epub 2018 Aug 9.

Neuroscience Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Objective: Injuries of the upper trunk of the brachial plexus may trigger motor and sensory deficits. There exists a growing body of literature with respect to the reconstruction of motor deficits in upper trunk brachial plexus injuries by using nerve transfers; albeit to date, very few old reports have focused on the reconstruction of sensory loss resulting from upper trunk injuries. In this case series, we review six cases (five males and one female) with upper trunk brachial plexus injuries undergoing sensory nerve transfers. Read More

World J Plast Surg 2018 May;7(2):151-158

Plastic, Reconstructive Surgery and Burns Department, Tanta Faculty of Medicine, Tanta, Egypt.

Background: Reconstruction of complex soft tissue defects of the thumb, with exposure of tendons, joints or bones, has always been a difficult task. We evaluated the functional and esthetic outcomes of 1 dorsal metacarpal artery island flap in reconstruction of post-traumatic soft tissue defects of the thumb.

Methods: Between January 2012 and June 2014, fifteen patients with complex post-traumatic soft tissue thumb defects underwent 1 dorsal metacarpal artery island flap. Read More

J Bone Joint Surg Am 2018 Aug;100(15):1275-1280

Department of Orthopaedics, University of Utah, Salt Lake City, Utah.

Background: The purpose of this study was to evaluate the hypothesis that an increased duration of immobilization following trapeziectomy with ligament reconstruction and tendon interposition (LRTI) leads to improved patient-reported outcomes compared with an early mobilization protocol.

Methods: At 2 institutions, we prospectively randomized 223 patients (238 thumbs) undergoing LRTI to receive 1 of 2 postoperative rehabilitation protocols. The immobilization protocol consisted of use of a postoperative forearm-based thumb-spica splint for 7 days followed by a forearm-based thumb-spica cast for 5 weeks and then by a custom forearm-based thermoplastic thumb-spica splint for an additional 6 weeks. Read More

Acta Ortop Bras 2018 May-Jun;26(3):158-161

. Plastic Surgery Division, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective: To evaluate postoperative epidemiological and functional factors in patients operated to treat duplicate thumb.

Methods: This retrospective case series evaluated 20 patients (23 thumbs) treated from January 2012 to December 2016 at our service. Epidemiological and clinical factors were studied, including Tada score. Read More

Hand Surg Rehabil 2018 Oct 17;37(5):311-315. Epub 2018 Jul 17.

Department of hand and reconstructive surgery, hôpital de la Timone, chirurgie de la main et réparatrice des membres, Aix-Marseille University, Assistance publique-Hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address:

Closed rupture of the thumb flexor tendon pulleys is rare. Although anatomical and biomechanical studies have exposed the roles played by the pulleys in flexor pollicis longus (FPL) function, no standardized surgical management has yet been defined, in contrast to situations where pulley reconstruction is required in the fingers. We describe a case of rupture of the three pulleys in the thumb that probably occurred after violent thumb grasp during childbirth in the absence of any other trauma. Read More

J Hand Surg Eur Vol 2018 Jan 1:1753193418787151. Epub 2018 Jan 1.

2 Traumatology and Orthopaedia, Miguel Hernandez University, Alicante, Spain.

We compared 84 patients with the Ivory trapeziometacarpal prosthesis versus 62 with ligament reconstruction and tendon interposition arthroplasty performed for osteoarthritis. There were 134 women and 12 men with a mean age of 60 years. Prospective clinical assessment was made using the Quick Disability of the Arm, Shoulder and Hand (DASH) questionnaire, visual analogue scale for pain, range of motion, and grip and pinch strength. Read More

Hand (N Y) 2018 Nov 13;13(6):NP27-NP31. Epub 2018 Jul 13.

1 Mayo Clinic, Rochester, MN, USA.

Background: Traumatic brachial plexus injury (BPI) in patients with complete spinal cord injury (SCI) such as paraplegia or tetraplegia is a very rare and debilitating combined injury that can occur in high-energy traumas. Management of a BPI should be aimed at regaining strength for self-transfers and activities of daily living to restore independence. However, brachial plexus reconstruction (BPR) in this unique patient population requires considerable planning due to the combined elements of upper and lower motor neuron injuries. Read More

Anat Cell Biol 2018 Jun 27;51(2):71-78. Epub 2018 Jun 27.

Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

Pulleys are thickened regions in flexor tendons sheaths of the digits. They are essential and act as fulcrum for the flexion and extension of the digits. The arrangement and number of pulley system differs greatly between the thumb and other digits. Read More

J Am Acad Orthop Surg 2018 Aug;26(16):562-571

From University Orthopedics and the Department of Orthopaedics, Warren Alpert Medical School of Brown University (Dr. Weiss), and the Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, RI (Dr. Goodman).

The thumb basal joint is the second most common site of osteoarthritis in the hand, and osteoarthritis of this joint can contribute to painful movement and debilitating function. To achieve a high degree of prehensile and manipulative function, this highly mobile joint is constrained by both the saddle morphology of the trapezium and a stout complement of ligamentous constraints. The disease proceeds progressively with several wear patterns. Read More

Front Neurol 2018 8;9:436. Epub 2018 Jun 8.

Department of Neurology, University of Tennessee Health Science Center, Memphis, TN, United States.

Following the administration of brachial plexus anesthesia for right thumb carpometacarpal arthroplasty with ligament reconstruction, a 54-year-old woman with all limbs intact developed phantom limb sensations, including the misperception of the placement of her right arm and frozen limb sensations in her fingers. Immobility of her fingers in a stacked position was experienced for ~3.5 days after surgery, and she described her phantom sensations as the hand experiencing "tingling" and feeling "heavy. Read More

J Orthop Res 2018 Nov 23;36(11):2851-2864. Epub 2018 Jul 23.

Department of Development and Regeneration, KU Leuven Campus Kulak, Kortrijk, Belgium.

Ligament reconstruction can provide pain relief in patients with a painful, unstable, pre-arthritic trapeziometacarpal (TMC) joint. Imbrication of the dorsoradial ligament (DRL) has been proposed as a minimal invasive stabilization technique. It requires less invasive surgery than an Eaton-Littler technique and shows promising long-term clinical outcome. Read More

Microsurgery 2018 Oct 26;38(7):821-822. Epub 2018 Jun 26.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Asia University Hospital, Asia University College of Medical and Health Science, Taichung, Taiwan.

Plast Reconstr Surg Glob Open 2018 May 14;6(5):e1763. Epub 2018 May 14.

Department of Plastic Surgery, North Bend Medical Center, Coos Bay, Ore.

Background: Trapeziectomy with interpositional arthroplasty using Repriza acellular dermal matrix is a novel technique to treat primary and secondary carpometacarpal joint arthritis. Early studies with nonautograft interposition indicate promising post-trapeziectomy space maintenance with results similar to ligament reconstruction with tendon interposition, without the potential risks and increased operating time of harvesting a tendon autograft.

Methods: Eleven patients in a retrospective cohort were followed for a minimum of 6 weeks (mean, 12). Read More

Plast Reconstr Surg Glob Open 2018 May 10;6(5):e1736. Epub 2018 May 10.

Hand and Microsurgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif.

Traumatic injuries and other conditions resulting in thenar loss and loss of opposition function can cause significant functional limitations. There are limited options available to restore function and bulk to the thenar musculature. A 26-year-old man had an unfortunate accident at work with a machine mixer creating a crush injury to his left hand. Read More

J Wrist Surg 2018 Jul 9;7(3):191-198. Epub 2017 Nov 9.

Department of Trauma and Orthopaedics, Southport and Ormskirk Hospital NHS Trust, Southport, United Kingdom.

 Injuries to thumb carpometacarpal joint ligaments lead to instability. Eaton-Littler's ligament reconstruction traditionally uses a strip of flexor carpi radialis to stabilize the CMC joint.  We have modified this technique to reproduce the direction of active action of the anterior oblique ligament by reconstructing both the volar and dorsoradial ligaments. Read More

J Hand Surg Eur Vol 2018 Dec 5;43(10):1036-1043. Epub 2018 Jun 5.

Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey.

This article defines a sensate, pedicled heterodigital flap from the proximal radial side of the index finger for reconstructing large soft tissue defects of the thumb. The pedicle consists of the radial digital artery of the index finger. Dorsal sensory branch of proper digital nerve and one of the terminal sensory branches of radial nerve are included in the flap for sensation. Read More

PLoS One 2018 30;13(5):e0196661. Epub 2018 May 30.

Department of Neurology and Neuroscience, Nagoya City University Graduate School of Medical Science, Mizuho-ku, Nagoya, Japan.

Background: Striatal dopamine is functionally important for the acquisition of motor skills. However, it remains controversial as to whether intrinsic processing of motor learning is impaired in patients with Parkinson's disease (PD), and if yes, whether the impairment is associated with altered striatal dopamine release. Additionally, most neuro-imaging studies of patients with PD have focused on motor sequence learning. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(8):992-995

Department of Hand Surgery, Renqiu City People's Hospital, Renqiu Hebei, 062550, P.R.China.

Objective: To investigate the effectiveness of transferring the ulnaris proper digital nerve of index finger and its dorsal branch to repair the thumb nerve avulsion.

Methods: Between January 2007 and May 2015, 23 patients with thumb nerve avulsion were treated by transferring the ulnaris proper digital nerve of index finger and its dorsal branch. There were 17 males and 6 females with an average age of 32 years (range, 16-63 years). Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(8):987-991

Hand Surgical Centre, Nanhua Hospital, Nanhua University, Hengyang Hunan, 421001,

Objective: To explore the feasibility of harvesting free thinned innervated anterolateral thigh (ALT) perforator flap for repairing the donor defect after wrap-around flap transfer.

Methods: Between May 2011 and December 2013, free thinned innervated ALT perforator flap was used to repair the donor defects after wrap-around flap transfer in 9 patients. There were 8 males and 1 female, with a mean age of 31. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 May;32(5):542-547

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, 100035, P.R.China.

Objective: To explore the effectiveness of functional reconstruction of hand grasp and pinch by tendon transfers in patients with cervical spinal cord injury.

Methods: Between July 2013 and January 2016, tendon transfer surgery were performed in 21 patients (41 hands) with cervical spinal injury that motion level was located at C to reconstruct hand grasp and pinch function. There were 18 males and 3 females with a mean age of 42. Read More

Hand (N Y) 2018 May 1:1558944718778405. Epub 2018 May 1.

1 Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA.

Background: A few arthroscopic options have been proposed for the treatment of early stages of the arthritis of the thumb carpometacarpal (CMC) joint. The purpose of this study was to compare the results of arthroscopic abrasion arthroplasty with ligament reconstruction and tendon interposition (LRTI).

Methods: In this retrospective cohort study, 11 patients who underwent thumb CMC joint arthroscopic abrasion arthroplasty were compared with 15 patients who were randomly selected from a group of 80 LRTI arthroplasty patients during the same study period, with a minimum 1 year follow-up. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 May;31(5):564-569

Department of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming Yunnan, 650032, P.R.China.

Objective: To investigate the effectiveness of the digital technology in repairing tiny hand wounds with superficial lateral sural artery perforator flap.

Methods: Between August 2013 and October 2016, 10 cases of tiny hand wounds were treated with the superficial lateral sural artery perforator flap. There were 6 males and 4 females, aged 19 to 47 years (mean, 31. Read More