Comment on the article “Arm Ache” by H. A. Chabok and D. Ring, HAND, volume 9, number 2, pp. 151-155 (2014)
(Source: Hand)
Source: Hand - February 26, 2015 Category: Surgery Source Type: research
The surgical management of hand enchondroma without postcurettage void augmentation: authors’ experience and a systematic review
Conclusions
Simple curettage is an effective and inexpensive technique that does not lead to increased complication rates in the treatment of most hand enchondromas. (Source: Hand)
Source: Hand - February 24, 2015 Category: Surgery Source Type: research
Fixation for metacarpal neck fracture: a biomechanical study
Conclusions
For transverse metacarpal neck fractures, a metacarpal sled construct provides similar fixation to K-wires with limited dissection and without exposed hardware or the potential for soft tissue tethering. The new low profile construct using a minimally invasive technique would be suitable for unstable metacarpal neck fractures. (Source: Hand)
Source: Hand - February 20, 2015 Category: Surgery Source Type: research
Modified percutaneous needle aponeurotomy for the treatment of dupuytren’s contracture: early results and complications
Conclusion
Percutaneous needle aponeurotomy is an effective technique in the treatment of Dupuytren's contracture. Near complete correction of contracture was achieved and few complications were observed. Longer follow-up is needed to determine if these short-term results are maintained. (Source: Hand)
Source: Hand - February 20, 2015 Category: Surgery Source Type: research
Compression screw fixation without bone grafting for scaphoid fibrous nonunion
Conclusions
Patients with fibrous scaphoid nonunion demonstrated good results with rigid fixation without bone grafting. Increasing age and >1-year interval between injury and surgery resulted in lower self-assessed outcomes.
Level of Evidence
Therapeutic Level IV, retrospective case series (Source: Hand)
Source: Hand - February 18, 2015 Category: Surgery Source Type: research
Satisfaction and functional outcome with “self-care” for the management of fifth metacarpal fractures
Conclusion
Fifth metacarpal fractures can be managed effectively through an Emergency Department protocol without any formal orthopaedic follow-up. This pathway lead to excellent patient-reported outcome measures and patient satisfaction. This protocol has reduced unnecessary hospital attendances for patients and increased the time available for clinicians to deal with more challenging injuries. (Source: Hand)
Source: Hand - February 18, 2015 Category: Surgery Source Type: research
The Snow-Fink technique as an opposition tendon transfer for children born with a hypoplastic or absent thumb
Conclusions
An opposition transfer using the FDS tendon of the ring finger through a window in the transverse carpal ligament is a simple and reliable technique for improving thumb function in children born with an absent or hypoplastic thumb. This transfer does not produce a concave deformity in the hypothenar eminence like the Huber transfer, provides better pronation, and affords concurrent stabilization of the MCP joint. (Source: Hand)
Source: Hand - February 18, 2015 Category: Surgery Source Type: research
Ulnar collateral ligament strain of the thumb metacarpophalangeal joint: biomechanical comparison of two postoperative immobilization techniques
Conclusions
While immobilized, valgus thumb force, as opposed to MP flexion, is a likely contributor to UCL strain during simulated pinch representing noncompliance during the postoperative period. Supplemental thumb MP pin fixation more effectively protects the UCL from valgus strain. UCL shortening with FPL loading likely represents paradoxical MP extension due to flexion of the distal phalanx against the distal splint, suggesting attempted thumb flexion with splint immobilization alone does not jeopardize UCL repair.
Clinical Relevance
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Source: Hand - February 18, 2015 Category: Surgery Source Type: research
Mini dorsal incision to the triangular fibrocartilage complex: a new surgical approach
We describe a mini incision approach which aims to preserve the structure and proprioception of the primary and secondary stabilisers of the wrist joint. This approach requires less dissection and provides adequate exposure to the distal aspect of the TFCC and allows visualisation of the distal radial ulna joint (DRUJ) with complete TFCC lesions. (Source: Hand)
Source: Hand - February 18, 2015 Category: Surgery Source Type: research
The effect of feedback regarding coping strategies and illness behavior on hand surgery patient satisfaction and communication: a randomized controlled trial
Conclusion
We found that feedback regarding coping strategies and illness behavior using the PROMIS Pain Interference CAT did not affect patient satisfaction. Although feedback was associated with increased discussion of illness behavior in bivariate analysis, less effective coping strategies and personal factors (age, marital status, and work status) were more important factors. (Source: Hand)
Source: Hand - February 18, 2015 Category: Surgery Source Type: research
Common radiographic imaging modalities fail to accurately predict capitate morphology
Conclusion
These data suggest that plain radiographs, CT, 3D-CT, and MRI are not helpful in preoperative determination of true capitate morphology. Plain radiographs are as effective as more cost-intensive modalities in ruling out V-shaped capitates. (Source: Hand)
Source: Hand - February 14, 2015 Category: Surgery Source Type: research
Revisiting spontaneous rupture of the extensor pollicis longus tendon: eight cases without identifiable predisposing factor
Conclusion
The EPL tendon is at risk for spontaneous rupture even in the absence of identifiable predisposing risk factor. Rather than pure mechanical irritation, vascular and metabolic factors may also play a substantial role in the etiology of this uncommon diagnosis. (Source: Hand)
Source: Hand - February 11, 2015 Category: Surgery Source Type: research
Intraosseous ganglion cysts of the carpus: current practice
Abstract
Intraosseous cysts of the carpal bones are an infrequent cause of chronic wrist pain. The main body of work has investigated their occurrence in the proximal carpus, with limited incidence in the distal row. We review the current literature on the treatment of symptomatic carpal cysts following the report of a 17-year-old male with a 12-month history of progressive right wrist pain due to an intraosseous ganglion of the trapezoid. This review explores the pathology of carpal cysts, their varying presentation and current treatments. (Source: Hand)
Source: Hand - February 11, 2015 Category: Surgery Source Type: research
Treatment of Preiser disease with vascularized bone graft from the distal radius: a report of two cases
Abstract
The authors report two cases of women with Preiser disease treated with dorsal distal radius vascularized grafts. In the first case, after minor trauma, the patient had pain in the left wrist of insidious onset and evolution with significant worsening. The radiographic examination showed increased density of the proximal pole of the scaphoid, and magnetic resonance imaging (MRI) showed partial necrosis. Intraoperatively, as the integrity of the cartilage of the proximal pole of the scaphoid was observed, dorsal vascularized distal radius graft was performed using the 1,2 intercompartmental suprar...
Source: Hand - February 5, 2015 Category: Surgery Source Type: research
Meniscal allograft arthroplasty for the treatment of trapeziometacarpal arthritis of the thumb
Conclusions
The results of meniscal allograft arthroplasty are comparable to other surgical techniques for trapeziometacarpal arthritis with respect to pain, outcomes, strength, oppositional motion, complications, surgical time, cost, and return to work. The results suggest that meniscal allograft arthroplasty is a viable option in the surgical management of stages II and III arthritis of the TM joint. Further follow-up and clinical studies are warranted. (Source: Hand)
Source: Hand - January 22, 2015 Category: Surgery Source Type: research
