Basal joint arthroplasty decreases carpal tunnel pressure
Conclusions
BJA decompresses the carpal tunnel and decreases the pressure within. In patients with concomitant CTS, the BJA alone (without additional release of the transverse carpal ligament) decreases the carpal tunnel pressure. Further study is warranted to determine the need for discrete release of the transverse carpal ligament in patients with CTS who are undergoing BJA.
Level of Evidence
Level II, diagnostic. (Source: Hand)
Source: Hand - March 10, 2015 Category: Surgery Source Type: research
In vitro kinematics of the proximal interphalangeal joint in the finger after progressive disruption of the main supporting structures
Conclusions
In the intact PIP joint, rotations and translation are strongly coupled to the amount of joint flexion. Gross instability of the PIP joint occurs when disruption of the collateral ligaments and volar plate is accompanied by resection of at least 30 % of volar lip of the middle phalanx. Collateral ligament injuries, volar plate injuries alone, and fractures at the volar base of the middle phalanx that involve less than 30 % of the articular surface are unlikely to result in gross instability and may be managed effectively with non-operative treatments. (Source: Hand)
Source: Hand - March 10, 2015 Category: Surgery Source Type: research
Evaluation of the Patient-Specific Functional Scale in hand fractures and dislocations
Conclusions
In these patients with hand fractures or dislocations, the PSFS indicated significant improvement in function. Using items identified by the patient, the PSFS provides a valuable perspective of outcome and may be used in conjunction with generic disease-specific questionnaire for assessment of the upper extremity. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Effect of preservation of corticoperiosteal attachment on bone healing at osteotomy sites after ulna-shortening osteotomy
Conclusions
Preservation of the corticoperiosteal attachment significantly shortened the endosteal union time. Our results indicate that preservation of the periosteum may accelerate bone healing after ulna-shortening osteotomy. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Bilateral congenital absence of the opponens pollicis muscle: a case report
Conclusions
Differentiation between congenital muscle anomalies and carpal tunnel syndrome is very important in order to avoid performing unnecessary surgical procedures. We present a case of bilateral congenital absence of the opponens pollicis muscle, which has not previously been reported, and review the literature regarding congenital muscle anomalies of the hand. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
An alternate graft for staged flexor tendon reconstruction
We describe the novel use of semitendinosus as a tendon graft for 2-stage flexor digitorum profundus (FDP) reconstruction. To our knowledge, this is the first reported use of a hamstring tendon graft in this setting. The FDP of two digits were reconstructed in a 30 year-old male who presented 18 years after the original injury. The semitendinosus was chosen as a graft as the traditional grafts were deemed inappropriate. The result of the operation is convincing, and we suggest the semitendinosus tendon to be considered an option for FDP reconstruction. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Tenosynovitis of the wrist and thumb and carpal tunnel syndrome caused by Histoplasma capsulatum : case report and review of the literature
Abstract
A patient presenting with acute carpal tunnel syndrome and swelling and pain in the wrist and thumb is presented. An open carpal tunnel release and tenosynovectomy were performed with biopsy specimen revealing infection with Histoplasma capsulatum. The case is discussed in context of the prior scant literature of tenosynovitis of the wrist and hand caused by histoplasmosis. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Composite grafting for pediatric fingertip injuries
Conclusions
Fingertip composite grafts rarely take completely even in young children. Despite poor viability, however, most patients will have at least partial graft take and do not undergo additional reconstructive procedures. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Carpometacarpal boss: an unusual cause of extensor tendon ruptures
(Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Subclavius posticus: an anomalous muscle in association with suprascapular nerve compression in an athlete
We present an athlete who presented with incapacitating suprascapular nerve compression associated with a subclavius posticus diagnosed by MRI. Symptoms were relieved, and function was restored by decompression of the nerve and excision of the anomalous muscle. We present this case to bring awareness of the subclavius posticus as an anatomic variant and a potential additional source for compression in suprascapular neuropathy. We recommend high-resolution magnetic resonance imaging to evaluate cases of isolated suprascapular neuropathy.
Level of Evidence: V (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Barbed Sutures and Tendon Repair—a Review
Conclusions
Barbed suture tenorraphy has a myriad of theoretical advantages, supported by varying ex vivo studies, as compared to traditional techniques. However, due to the non-uniformity in current studies and the lack of available data in a live model, we are unable to argue for or against barbed suture tenorraphy. We believe our review provides the most in-depth analysis of barbed suture tenorraphy to date, illuminates the potential advantages of using barbed sutures, and highlights the need for further investigation into this technique. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
The internet as a source of information for De Quervain’s tendinitis
Conclusions
We concluded that quality information about De Quervain’s tendinitis is available on the internet and is most likely to be found using the search term De Quervain’s tenosynovitis and in the first 10 results of an internet search. However, most information is written above the recommended 6th grade reading level. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
One-per-mil tumescent technique for bone and joint surgery in hand
Conclusions
We consider one-per-mil tumescent technique as a promising successor of pneumatic tourniquet in bone and joint surgery, especially for lengthy procedures on hand and upper extremity. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Giant acquired periungual fibrokeratoma of the thumb: case report and review
We report a giant acquired periungual fibrokeratoma of the thumb in this study. The size of the tumor is 40 × 25 × 21 mm3. Clinical and histopathological characteristics of acquired fibrokeratoma are also reviewed. (Source: Hand)
Source: Hand - March 1, 2015 Category: Surgery Source Type: research
Routine use of locking shaft screws is not necessary in volar plate fixation of distal radius fractures
Discussion
Distal radius fractures frequently occur in patients with low bone mineral density. Non-locking, bicortically placed shaft screws provide adequate stability to allow for early range of motion without loss of reduction or hardware failure. The routine use of locking screws in the shaft portion of volar plates does not appear justified. (Source: Hand)
Source: Hand - February 27, 2015 Category: Surgery Source Type: research
