Reliability of handgrip strength test in elderly subjects with unilateral thumb carpometacarpal osteoarthritis
Conclusions
The present results indicate that maximum handgrip strength can be measured reliably, using the Jamar hand dynamometer, in patients with thumb CMC OA, which enables its use in research and in the clinic to determine the effect of interventions on improving grip. (Source: Hand)
Source: Hand - September 19, 2014 Category: Surgery Source Type: research
Biomechanical evaluation of metacarpal fracture fixation: application of a 90° internal fixation model
Conclusions
When subject to apex dorsal bending, the orthogonal construct and the standard dorsal plate construct behaved comparably. These data suggest that despite its shorter length, lower profile, and less substantial screws, the orthogonal construct provides sufficient rigidity.
Clinical Relevance
This study represents a “proof of concept” regarding the applicability of orthogonal plating in the metacarpal and provides the foundation for minimizing construct size and profile. (Source: Hand)
Source: Hand - September 16, 2014 Category: Surgery Source Type: research
Use of peripheral nerve transfers in tetraplegia: evaluation of feasibility and morbidity
Conclusion
Nerve transfers can be used to reestablish volitional control of hand function in SCI. This surgery does not downgrade existing function, uses expendable donor nerve, and has no postoperative immobilization, which might make it a more viable option than traditional tendon transfer and other procedures. (Source: Hand)
Source: Hand - September 12, 2014 Category: Surgery Source Type: research
Phenolization and coralline hydroxyapatite grafting following meticulous curettage for the treatment of enchondroma of the hand. A case series of 82 patients with 5-year follow-up
Conclusion
We concluded that the combination of meticulous curettage of the lesion, with the use of phenol as local adjuvant and coralline hydroxyapatite graft is a safe technique that prevents recurrence and allows adequate and uncomplicated local new bone formation. (Source: Hand)
Source: Hand - September 12, 2014 Category: Surgery Source Type: research
Implanted passive engineering mechanism improves hand function after tendon transfer surgery: a cadaver-based study
Conclusions
The cadaver study showed that the implanted engineering mechanism for attaching multiple tendons to one muscle significantly improved hand function in grasping tasks when compared with the current procedure. (Source: Hand)
Source: Hand - September 11, 2014 Category: Surgery Source Type: research
Outcomes assessment of lunate replacement arthroplasty with intrinsic carpal ligament reconstruction in Kienböck’s disease
Conclusions
Although these subjective and objective results reflect substantial improvement, there remain recognizable deficiencies in both prosthetic design and surgical strategy that require further modification. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Four-corner arthrodesis with a radiolucent locking dorsal circular plate: technique and outcomes
Conclusions
FCA with the Xpode® yielded reasonable results for pain and function and demonstrated a fusion rate of 80 %. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Multicentric giant cell tumor of the fourth and fifth metacarpals with lung metastases
We report a rare case of a multicentric GCTB arising simultaneously in the non-dominant fourth and fifth metacarpals of a 25-year-old female. The patient underwent ray amputation of the two involved digits, and the surgical margins were histologically negative for tumor. The tumor had the classic histologic appearance of a benign GCTB. A year after the amputation, the patient developed pulmonary metastasis which was treated with pulmonary lobe resection. She is currently over 2.5 years postsurgical treatment of the primary lesion with no evidence of local recurrence or distant metastasis. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Madelung’s Deformity
(Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Long-term follow-up of osteochondral autologous transplantation in the metacarpophalangeal joints
(Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Long-term outcomes following single-portal endoscopic carpal tunnel release
Conclusions
Single-portal endoscopic carpal tunnel release is an effective surgical treatment for carpal tunnel syndrome. Low recurrence rates and maintenance of low symptom and function scores can be expected at 8 to 10 years following this technique. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Readability of patient education materials from the AAHS
(Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Radiographic indicators of a shared epiphysis in radial polydactyly
Conclusion
Radiographic differences exist between children with separate and shared epiphyses. In patients with shared epiphyses, the radial thumb tends to be smaller, closer to the ulnar thumb, and less divergent. Threshold values were identified for predicting the status of the epiphysis based on the angle × interspace distance and the angle × interspace index. These values may be used to help determine in advance of surgery if a shared epiphysis exists. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Setting expectations following endoscopic cubital tunnel release
Conclusions
Improved RTW time following ECuTR versus ATUN indicates potential and substantial cost-saving implications with respect to reduced worker productivity loss. Patients with more severe preoperative Dellon’s classification can expect less optimal results regarding postoperative satisfaction and resolution rates of N/T and pain. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
Digital radiographic evaluation of hand-wrist bone maturation and prediction of age in South Indian adolescents
Conclusion
The results of this study showed significant association between hand-wrist skeletal maturation levels and CA. Digital radiographic assessment of hand-wrist skeletal maturation can be used as a better choice for predicting average bone age of an individual because of its simplicity, reliability and lesser radiation exposure. (Source: Hand)
Source: Hand - September 1, 2014 Category: Surgery Source Type: research
