Long-term follow-up of first metacarpal extension osteotomy for early CMC arthritis
Conclusions
Based on subjective and objective follow-up data, first metacarpal extension osteotomy can provide good long-term results in terms of patient satisfaction, pain relief, and upper extremity function. It is a reasonable alternative to ligament reconstruction in patients with early-stage trapeziometacarpal arthritis. (Source: Hand)
Source: Hand - November 15, 2014 Category: Surgery Source Type: research
The incidence of postoperative flare reaction and tissue complications in Dupuytren’s disease using tension-free immobilization
Conclusions
The incidence of flare reaction using tension-free immobilization postoperatively was low in our study. According to our findings, wound healing problems are rare when tensionless splinting is utilized.
Type of study/level of evidence
Case series, Level IV, Therapeutic study (Source: Hand)
Source: Hand - November 15, 2014 Category: Surgery Source Type: research
Differences in response rates between mail, e-mail, and telephone follow-up in hand surgery research
Conclusions
The response rate to survey by phone is significantly higher than by mail or e-mail. Younger age, smoking, higher pain intensity, and working full-time are associated with not responding.
Type of study/level of evidence: Prognostic I (Source: Hand)
Source: Hand - November 15, 2014 Category: Surgery Source Type: research
The Meniscus Arrow® as a fixation device for the treatment of mallet fractures: results of 50 cases
Conclusion
The bioresorbable meniscal nail fixation technique provides a fast and successful surgical treatment for mallet fractures with a minimum of adverse events. (Source: Hand)
Source: Hand - November 15, 2014 Category: Surgery Source Type: research
Radiographic interpretation of distal radius fractures: visual estimations versus digital measuring techniques
This study compared visual measurements made by 25 orthopaedic residents and attending physicians to formal measurements made by a single fellowship trained musculoskeletal radiologist in a series of patients with distal radius fractures. A search was performed utilizing the ICD-9 code for distal radius fracture in all patients presenting to a single institution emergency department. Participants used visual estimation to rate 25 radiographs. Parameters estimated included radial inclination, radial height, volar tilt, and the presence of intra-articular displacement. Analysis using Lin concordance coefficients, Bland Altma...
Source: Hand - November 15, 2014 Category: Surgery Source Type: research
Alternatives to sural nerve grafts in the upper extremity
Conclusions
Our algorithm for selecting nerve graft material has evolved with our growing understanding of nerve internal topography and the drive to minimize additional incisions, maximize ease of harvest, and limit donor morbidity. This has led us away from using the sural nerve when possible and allowed us to avoid a second operative limb in two thirds of the cases. (Source: Hand)
Source: Hand - November 8, 2014 Category: Surgery Source Type: research
Pyrocarbon interposition arthroplasty for proximal capitate avascular necrosis
Conclusions
Medium-term results appear to offer the benefits of being able to return to heavy manual labour as well as retaining a functional range of motion. It is difficult to predict long-term survival, but the outcome so far is encouraging, and conversion to midcarpal fusion remains a salvage option. (Source: Hand)
Source: Hand - November 8, 2014 Category: Surgery Source Type: research
Coccidioidomycosis causing osteomyelitis of the hand in an immunocompetent patient
We present the case of a 35-year-old immunocompetent male immigrant from India who was ultimately diagnosed as having Coccidioidomycosis immitis osteomyelitis of his ring finger metacarpal. His initial surgery included drainage and bacterial cultures only. When he failed to improve, he presented for a second opinion. The patient’s origin and travel history coupled with the appearance of rapid bone destruction on plain radiographs prompted a second operation for tissue biopsy and culture for bacteria, fungus, and mycobacteria cultures. This case highlights the importance of a thorough clinical history in deriving an appro...
Source: Hand - November 7, 2014 Category: Surgery Source Type: research
Comparisons of three radiographic views in assessing for scapholunate instability
Conclusions
The PA ulnar deviation and clenched fist stress views were equally effective in showing a dynamic SL diastasis following wrist injury. Neither view was more effective than a neutral PA view in diagnosing static SL instability. (Source: Hand)
Source: Hand - November 5, 2014 Category: Surgery Source Type: research
Language barriers in Hispanic patients: relation to upper-extremity disability
Conclusion
Primary language has less influence on symptom intensity and magnitude of disability than psychological distress and ineffective coping strategies. Interventions to optimize mood and to reduce pain interference should be considered in patients of all nationalities.
Type of study/level of evidence: Prognostic II. (Source: Hand)
Source: Hand - November 4, 2014 Category: Surgery Source Type: research
Incidence of symptomatic compressive peripheral neuropathy after shoulder replacement
Conclusion
The 1-year incidence rate of new onset clinical post-operative CPN symptoms was 2.5 %. There was no significant difference of CPN rates between surgical and non-operative groups. (Source: Hand)
Source: Hand - November 4, 2014 Category: Surgery Source Type: research
Attritional extensor tendon rupture in a patient with Phialophora verrucosa tenosynovitis: case report
We present a case of fungal tenosynovitis caused by Phialophora verrucosa that led to extensor tendon rupture in a patient who was on chronic immunosuppressive therapy. Indolent fungal cysts can elude clinical diagnosis until excision is performed with definitive pathologic examination. In immunocompromised patients, antifungal therapy may be warranted after cyst excision even in the absence of acute infection to prevent subsequent progression to tenosynovitis. (Source: Hand)
Source: Hand - November 4, 2014 Category: Surgery Source Type: research
Comparative analysis of photograph-based clinical goniometry to standard techniques
Conclusions
Our study supports photograph-based goniometry as the new standard goniometric technique, as it has been clinically validated, is performed with greater consistency and better inter-rater reliability when compared with manual goniometry. It also allows for better documentation of measurements and potential incorporation into medical records in direct contrast to visual estimation. (Source: Hand)
Source: Hand - November 1, 2014 Category: Surgery Source Type: research
Pollicization of the index finger for radial hypoplasia
Conclusions
This video has reviewed the essential steps in performing a pollicization procedure in patients with radial hypoplasia. (Source: Hand)
Source: Hand - October 31, 2014 Category: Surgery Source Type: research
Social impact of peripheral nerve injuries
Conclusions
Our study demonstrates that patients with single site nerve compression neuropathies experience fewer negative psychosocial effects compared to patients with more proximal upper extremity peripheral nerve disorders and neuromas. The impact on QoL was strongly correlated with pain and depression, where patients with neuromas and painful peroneal nerve entrapments reported greater detriments to QoL. (Source: Hand)
Source: Hand - October 25, 2014 Category: Surgery Source Type: research
