Computed tomography’s influence on the classifications and treatment of the distal radius fractures
Conclusion
The less experienced in hand surgery the observer was, the more important computed tomography was for determining the fracture pattern. (Source: Hand)
Source: Hand - June 4, 2015 Category: Surgery Source Type: research
Multiple osteochondroma of the hand: initial and long-term follow-up study
Conclusions
The ulnar side and bones around the MCP joints are affected most commonly. The largest change was seen as the patients went from young childhood into adolescence, which may be due to rapid growth during this time. This is the largest study of these patients with the longest longitudinal data. (Source: Hand)
Source: Hand - June 3, 2015 Category: Surgery Source Type: research
“Hand surgeons probably don’t starve”: Patient’s perceptions of physician reimbursements for performing an open carpal tunnel release
Conclusion
Respondents believed that hand surgeons should be reimbursed greater than 12 times the Medicare reimbursement rate of approximately $412 and that the physicians (surgeons and anesthesiologist) should command most of the health care funds allocated to this treatment. This study highlights the discrepancy between patient’s perceptions and actual physician reimbursement as it relates to federal health care. Efforts should be made to educate patients on this discrepancy. (Source: Hand)
Source: Hand - June 3, 2015 Category: Surgery Source Type: research
Scapholunate instability after distal radius volar plating
Conclusions
In our representative population, scapholunate instability was uncommon, either from initial injury or possible progression of occult ligament injury, despite early motion without operative treatment of the ligament. Thus, we did not find strong evidence for routinely delaying motion or pursuing further workup. When early radiographs clearly demonstrate acute scapholunate instability, more aggressive treatment may be appropriate for selected patients. (Source: Hand)
Source: Hand - June 3, 2015 Category: Surgery Source Type: research
Olecranon tip osteoarticular autograft transfer for irreparable coronoid process fracture: a biomechanical study
Conclusions
In this biomechanical study of irreparable coronoid fracture, autograft olecranon tip transfer restored posterior elbow stability to a level not significantly different from the intact elbow in five of eight elbow positions tested. (Source: Hand)
Source: Hand - June 3, 2015 Category: Surgery Source Type: research
Closed median nerve rupture from elbow trauma
(Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Comparison of hand emergency triage before and after specialty templates (2007 vs. 2012)
Conclusion
A well-coordinated effort to speed access for hand emergencies can minimize expenses and improve quality of care (Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Retrograde Headless Intramedullary Screw Fixation for Displaced Fifth Metacarpal Neck and Shaft Fractures: Short Term Results
Conclusions
Retrograde headless intramedullary screw fixation of fifth metacarpal neck and shaft fractures has overall favorable early outcomes and offers the benefit of stable fixation, early motion without cast immobilization, and the ability for early return to work. This technique is a viable surgical option for these fractures and may be considered in the appropriate patient population. (Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Nonunion of the pisiform bone in a 9-year-old boy
We report one case of a 9-year-old boy with an unrecognized fracture of the pisiform bone who underwent a pisiformectomy 10 months after injury due to a nonunion of the pisiform bone. Good results were obtained and the wrist did not show any functional impairment. (Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report
We describe an unusual case of trans-scaphoid perilunate injury where the proximal half of the scaphoid avulsed from all attaching ligaments and extruded into the forearm. Treatment involved anatomic reduction and internal fixation of the fracture, scapholunate (SL) ligament repair, temporary K-wire fixation, and prolonged immobilization. At 19-month follow-up, the fracture healed, SL ligament remained intact, and the patient recovered much of his hand function. (Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Myopericytoma of the distal forearm: a case report
We report on a 44-year-old female who developed a myopericytoma in her right distal forearm. The patient presented with a painless solid mass that had been slowly increasing in size for approximately 5 years. Unlike typical myopericytoma in the extremity growing as a subcutaneous nodule, the tumor enveloped the distal ulna. This case suggests a different growth pattern for myopericytoma. Myopericytoma is a rare soft tissue tumor originating from perivascular myoid cells, which has only been recognized as a distinct condition in the past 15 years (Granter et al. Am J Surg Pathol. 22 (5):513-25, 1998). Most of these tumors...
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
Radial head dislocation due to gigantic solitary osteochondroma of the proximal ulna: case report and literature review
We present a case of a 4-year-old girl with this condition affecting her right elbow, which was treated by a trapezoidal shortening osteotomy at the radial neck following an oblique ulnar osteotomy with angulation and elongation after a complete resection of the tumor mass. The child remained asymptomatic with symmetric carrying angles during 2.5 years of follow-up post-surgery. We discuss the nature of this condition and review the literature. (Source: Hand)
Source: Hand - May 29, 2015 Category: Surgery Source Type: research
The effect of operative technique on ulnar nerve strain following surgery for cubital tunnel syndrome
Conclusion
An in situ release of the ulnar nerve at the elbow may relieve pressure on the nerve but does not address the problem of strain which may be the underlying pathology in many cases of ulnar neuropathy at the elbow (UNE). Transposition of the ulnar nerve anterior to the medial epicondyle addresses the problem of strain on the ulnar nerve. In addition, it does not create an increased strain on the ulnar nerve with elbow extension. (Source: Hand)
Source: Hand - May 22, 2015 Category: Surgery Source Type: research
Return to play following metacarpal fractures in football players
Conclusion
Football players who required surgical fixation of a metacarpal fracture demonstrated an efficient return to play, including in-season players with use of protective bracing.
Study Design
Case series, Level of evidence, IV (Source: Hand)
Source: Hand - May 21, 2015 Category: Surgery Source Type: research
Measurement of the radiographic anatomy of the small and ring metacarpals using computerized tomographic scans
Conclusion
Normal anatomic parameters of metacarpals are based primarily on radiographic data, and as such are limited due to bony overlap in the lateral plane, as well as imperfect radiographic projections that are known to distort anatomical relationships. This novel method of image reconstruction eliminates metacarpal overlap and defines precise anatomical reference for metacarpals. (Source: Hand)
Source: Hand - May 5, 2015 Category: Surgery Source Type: research
