The role of fracture reduction and plate position in the aetiology of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures
Conclusions
The results show a statistically and clinically significant effect of both plate position and fracture reduction on plate prominence and support the theory that both contribute to the aetiology of post-operative FPL rupture. (Source: Hand)
Source: Hand - January 15, 2015 Category: Surgery Source Type: research
Evaluation of content and accessibility of hand fellowship websites
Conclusions
Most hand surgery fellowships lack readily accessible and comprehensive websites. The paucity of online content suggests HFWs are underutilized as educational resources and future opportunity may exist to optimize these tools. (Source: Hand)
Source: Hand - January 15, 2015 Category: Surgery Source Type: research
Analysis of four recruitment methods for obtaining normative data through a Web-based questionnaire: a pilot study
Conclusions
Obtaining normative data that is truly representative of the US population is a difficult task. The use of any one recruitment method is unlikely to result in a representative sample, but a greater understanding of these methods will empower researchers to use them to target specific populations. This pilot analysis provides support for the use of Facebook and clinical research sites in addition to traditional methods of e-mail and paper flyers. (Source: Hand)
Source: Hand - January 14, 2015 Category: Surgery Source Type: research
Outcomes after radiocarpal dislocation: a retrospective review
Conclusion
Radiocarpal dislocations result in significant osseous and ligamentous injury to the distal radius and carpus. Early recognition and treatment of radiocarpal dislocations with open reduction, internal fixation, and repair of ligaments may result in improved long-term functional outcomes when compared to acute partial or complete wrist arthrodesis. (Source: Hand)
Source: Hand - January 14, 2015 Category: Surgery Source Type: research
The use of an iPad to collect patient-reported functional outcome measures in hand surgery
Conclusions
The addition of an iPad is an efficient and preferable questionnaire format for functional outcome assessment in a hand and upper extremity surgery practice setting. The iPad is particularly preferable for longer outcome questionnaires and for patients under the age of 50. (Source: Hand)
Source: Hand - January 14, 2015 Category: Surgery Source Type: research
The influence of dominant limb involvement on DASH and QuickDASH
Conclusion
Upper extremity disability as measured by the DASH is slightly, but significantly greater when the dominant limb is involved.
Level of evidence: Prognostic level II (Source: Hand)
Source: Hand - January 14, 2015 Category: Surgery Source Type: research
The “hierarchical” Scratch Collapse Test for identifying multilevel ulnar nerve compression
Conclusion
The SCT is useful in localizing the site of primary compression of the ulnar nerve in patients with cubital tunnel syndrome. It is also sensitive enough to detect secondary compression points when primary sites are sequentially frozen out with a topical anesthetic, termed the hierarchical SCT. The findings of the hierarchical SCT are in keeping with the double crush hypothesis described by Upton and McComas in 1973 and the hypothesis of multilevel nerve compression proposed by Mackinnon and Novak in 1994. (Source: Hand)
Source: Hand - January 6, 2015 Category: Surgery Source Type: research
Distal ulna leiomyosarcoma treated with custom polymethylmethacrylate prosthesis with a 4-year follow-up
We present an unusual case of a 63-year-old woman with a primary leiomyosarcoma arising from the distal end of the ulna treated successfully with a wide excision and custom distal ulna, with 4-year follow-up and no recurrence.
Literature review
Tumors to develop at the distal end of the ulna have been reported as part of large series such as Dahlin and few case reports. According to Cooney, Exner, and Mankin, reconstruction for distal ulnar neoplasms is not necessary to maintain function. However, Noble and Laurentin-Perez disagree because stabil...
Source: Hand - December 30, 2014 Category: Surgery Source Type: research
Solitary, adult-onset, intraosseous myofibroma of the finger: report of a case and review of literature
Abstract
Myofibroma is a rare benign neoplasm of myofibroblastic origin. It typically occurs in the skin and subcutaneous tissues of the head and neck in infants and young children as multicentric lesions known as infantile myofibromatosis. Intraosseous myofibromas are very rare and are typically destructive lesions that predominantly affect craniofacial bones in the setting of myofibromatosis. Solitary, intraosseous myofibromas in adults are exceedingly rare. Herein, we report a myofibroma involving the middle phalanx of the right index finger in a 58-year-old man who presented with a pathologic fracture...
Source: Hand - December 24, 2014 Category: Surgery Source Type: research
Biomechanical comparison of double grasping repair versus cross-locked cruciate flexor tendon repair
Conclusions
This study demonstrates that the CLC-IHM flexor tendon repair method better resists gapping and has a greater tensile strength compared to the experimental DGL-IHM method. The authors believe that while the DGL-IHM provides double the number of sutures at the repair site per needle pass, this configuration does not adequately secure the loop suture to the tendon, resulting in a high percentage of suture pullout and inability to tolerate loads as high as those of the CLC-IHM group. (Source: Hand)
Source: Hand - December 24, 2014 Category: Surgery Source Type: research
Biomechanical evaluation of double-strand (looped) and single-strand polyamide multifilament suture: influence of knot and suture size
Conclusion
Within the constraints of this model, a looped suture fared worse than a non-looped suture especially when comparing 4-0 and 3-0 sutures. However, two-knot 3-0 looped suture constructs did resist the force generally accepted as occurring with early non-resistive tendon motion protocols, while two-knot 4-0 looped suture constructs did not.
Clinical Relevance
This paper provides a description of a model to evaluate various suture materials and knot strengths in isolation of the tendon itself. This allowed us to evalua...
Source: Hand - December 18, 2014 Category: Surgery Source Type: research
Hibernomas of the upper extremity: a case report and literature review
We present an unusual case of hibernoma in the hand treated with marginal excision, resulting in good function, cosmesis, and no recurrence. (Source: Hand)
Source: Hand - December 17, 2014 Category: Surgery Source Type: research
A brief review of extensor tendon injuries specific to the pediatric patient
This article focuses on the differences in injury type and treatment of pediatric versus adult extensor tendon injuries. A detailed history and physical examination is crucial in the management of extensor tendon injuries of the young patient. Treatment of pediatric extensor tendon injuries depends largely on the site of injury. A majority of these injuries may be treated with splinting or primary repair. Treatment methods that require high compliance must be adjusted for the young child. (Source: Hand)
Source: Hand - December 15, 2014 Category: Surgery Source Type: research
Comparison of acellular nerve allograft modification with Schwann cells or VEGF
Conclusions
These results show that SCs improve axonal regeneration in a 20 mm ANA to a greater extent than VEGF. VEGF treatment showed a trend toward increased axonal regeneration but was not significantly different compared to the untreated ANA. The role of VEGF may be clearer in longer grafts where ischemia is a greater factor. (Source: Hand)
Source: Hand - December 12, 2014 Category: Surgery Source Type: research
Outcomes and complications of ulnar shortening osteotomy: an institutional review
Conclusions
General outcome measures were favorable. Smokers and patients with workers’ compensation claims experienced significantly poorer outcomes. However, the incidence of nonunion and delayed union was higher than most reports in the literature. Furthermore, we demonstrated a high refracture rate (11.4 %) following removal of hardware. (Source: Hand)
Source: Hand - December 12, 2014 Category: Surgery Source Type: research
