-
Intramedullary Compression Screw Fixation for Middle Phalangeal Fractures J. Hand Surg. (IF 1.9) Pub Date : 2024-02-02 Adam R. George, Hagen Abbot, Luke McCarron, David J. Graham, Brahman S. Sivakumar
Purpose This study aimed to evaluate short- and medium-term clinical and patient-reported outcomes of intramedullary compression screw fixation for extra-articular middle phalangeal fractures. Methods A retrospective study was performed on a series of 20 patients (with a total of 23 fractured digits) who underwent fixation of middle phalangeal fractures between January 2020 and March 2023. The results
-
Thoracic Outlet Syndrome in the Pediatric and Young Adult Population J. Hand Surg. (IF 1.9) Pub Date : 2024-02-02 Karen Bach, Melissa A. Miller, Allison Allgier, Tamara Al Muhtaseb, Kevin J. Little, Ann R. Schwentker
Purpose This study aimed to assess both nonsurgical and operative treatment outcomes of pediatric and young adult patients with thoracic outlet syndrome (TOS) at a tertiary care pediatric hospital. Methods A retrospective chart review of patients diagnosed with TOS, who were seen between January 2010 and August 2022 at a tertiary care pediatric hospital, was conducted. Collected pre- and postoperative
-
What Is a Surgical Site Infection After Carpal Tunnel Release? J. Hand Surg. (IF 1.9) Pub Date : 2024-02-01 Evan P. Sandefur, Jadon H. Beck, Maxwell O. Vest, Andrea A. Yu-Shan, Natalie H. Vaughn, Peter J. Apel
Purpose Considerable variation exists in the literature on published rates of surgical site infection (SSI) after carpal tunnel release, ranging over 20-fold, from 0.28% to 6.4%. The reason for this variability is unknown. Methods A retrospective review was conducted on 748 open carpal tunnel releases performed under wide-awake local anesthetic no tourniquet in an in-office procedure room. The following
-
-
Comparing the Outcomes of Suture Anchor Repair and Rein-Type Capsular Suture for Triangular Fibrocartilage Complex Foveal Tears With a Minimum 2-Year Follow-Up J. Hand Surg. (IF 1.9) Pub Date : 2024-02-01 I-Ning Lo, Kuan-Jung Chen, Cheng-Yu Yin, Hui-Kuang Huang, Jung-Pan Wang, Yi-Chao Huang
Purpose Recent biomechanical studies have highlighted the importance of foveal reinsertion when repairing triangular fibrocartilage complex (TFCC) injury with foveal tears. However, clinical studies comparing different repair techniques are scarce. We compared the clinical outcomes of suture anchor repair and rein-type capsular suture in patients with TFCC palmer 1B foveal tears with a minimum of 2-year
-
-
-
-
-
Correction of Congenital Ring-Little Finger Metacarpal Synostosis Through Simultaneous Interpositional Allograft Bone After Split Osteotomy of the Synostosis Site and Distraction Lengthening of the Fifth Metacarpal J. Hand Surg. (IF 1.9) Pub Date : 2024-01-28 Ji Sup Hwang, Sang Beom Ma, Jihyeung Kim, Goo Hyun Baek
Purpose We attempted a technique for patients with congenital ring-little finger metacarpal synostosis involving simultaneous interpositional allograft bone after split osteotomy of the synostosis site and distraction lengthening of the fifth metacarpal along with correction of the metacarpal joint abduction contracture. The purpose of this study was to describe the surgical technique and its outcomes
-
One-Year Outcomes of the Anatomical Front and Back Reconstruction for Scapholunate Dissociation J. Hand Surg. (IF 1.9) Pub Date : 2024-01-18 Heather S. Haeberle, Christopher J. DeFrancesco, Brian W. Yang, Christian Victoria, Scott W. Wolfe
Purpose Anatomical front and back (ANAFAB) reconstruction addresses the critical volar and dorsal ligaments associated with scapholunate dissociation. We hypothesized that patients with symptomatic, chronic, late-stage scapholunate dissociation would demonstrate improvements in all radiographic parameters and patient-reported outcomes (PROMs) after ANAFAB reconstruction. Methods From 2018 to 2021,
-
Application of Artificial Dermis Combined With a Medial Flap From the Second Toe to Repair Degloving Injury of the Fingertip J. Hand Surg. (IF 1.9) Pub Date : 2024-01-17 Shiyu Zou, Kelie Wang, Zhiying Chen
There is no standard technique for repairing degloving injuries of the fingertip. Nail bed flap transplantation is a common surgical technique to address this injury, but this procedure inevitably damages the donor site in the toe. This article describes a surgical technique that can restore the appearance of the injured fingernail and preserve the length and function of the injured finger without
-
Syndromic Involvement of Patients Presenting With Congenital Upper Limb Anomalies: An Analysis of 4,317 Cases J. Hand Surg. (IF 1.9) Pub Date : 2024-01-14 Linzie Wildenauer, Sophia Mavrommatis, Donald S. Bae, Suzanne E. Steinman, Lindley B. Wall, , Ann E. Van Heest
Purpose This study investigated the patterns of syndromic involvement for patients with congenital upper limb anomalies (CULAs). We hypothesize that patients with CULAs will present with predictable syndromic patterns. Methods This retrospective study queried the multicenter Congenital Upper Limb Differences (CoULD) Registry. Of the 4,317 patients enrolled, 578 (13%) reported one or more syndromes
-
Anconeus Muscle Transfer to Correct or Prevent Wrist Radial Deviation in Radial and Posterior Interosseous Nerve Injuries J. Hand Surg. (IF 1.9) Pub Date : 2024-01-12 Jayme A. Bertelli, Harsh R. Shah, Christopher S. Crowe
Purpose Wrist radial deviation is a possible complication of tendon transfer for restoration of wrist extension in cases of radial nerve paralysis. In posterior interosseous nerve (PIN) injury, this is because of the imbalance caused by the intact extensor carpi radialis longus and paralysis of the extensor carpi ulnaris (ECU). This deformity may also occur following transfer of the pronator teres
-
The Scope and Distribution of Upper Extremity Nerve Injuries Associated With Combat-Related Extremity Limb Salvage J. Hand Surg. (IF 1.9) Pub Date : 2024-01-12 Colin J. Harrington, Marissa E. Dearden, Patrick McGlone, Benjamin K. Potter, Scott M. Tintle, Jason M. Souza
Purpose Chronic pain and functional limitations secondary to nerve injuries are a major barrier to optimal recovery for patients following high-energy extremity trauma. Given the associated skeletal and soft tissue management challenges in the polytraumatized patient, concomitant nerve injuries may be overlooked or managed in delayed fashion. Whereas previous literature has reported rates of peripheral
-
Neurogenic Thoracic Outlet Syndrome: A Primer for Hand and Peripheral Nerve Surgeons J. Hand Surg. (IF 1.9) Pub Date : 2024-01-12 Peter J. Apel, Nicholas J. Peterman, Evan P. Sandefur, Cesar J. Bravo
Neurogenic thoracic outlet syndrome is a complex condition and is commonly misunderstood. Historically, much of this confusion has been because of its grouping with other diagnoses that have little in common other than anatomic location. Modern understanding emphasizes the role of small unmyelinated C type pain and sympathetic fibers. Diagnosis is primarily clinical, after ruling out other common conditions
-
Dorsal Plating, Lateral Plating, and Intramedullary Screw Fixation of Extra-Articular Proximal Phalangeal Fractures: A Cadaveric Biomechanical Comparison J. Hand Surg. (IF 1.9) Pub Date : 2024-01-09 Brahman Sivakumar, David J. Graham, Elizabeth Clarke
Background To provide a biomechanical comparison of dorsal plating, lateral plating and intramedullary screw [IMS] fixation for extra-articular proximal phalangeal fractures. Methods Midshaft osteotomies were performed on 36 cadaveric proximal phalanges. The phalanges were fixed by dorsal plating, lateral plating or IMS fixation, and subjected to a four-point bending force. Force was applied to achieve
-
Factors Influencing the Successful Treatment of Recurrent Trigger Finger With Repeated Corticosteroid Injections: A Prospective Cohort Study J. Hand Surg. (IF 1.9) Pub Date : 2024-01-05 Pobe Luangjarmekorn, Adithep Charoenyothakun, Vanasiri Kuptniratsaikul, Pravit Kitidumrongsook
Purpose The aim of this study was to determine the success rate, duration of disease control, and predictive factors of success of repeated corticosteroid injections for recurrent trigger finger. Methods This prospective cohort study involved patients who had recurrent trigger finger and a history of corticosteroid injections. A total 114 patients were treated with repeated corticosteroid injections
-
Building a Multidisciplinary Clinic Dedicated to Upper-Extremity Limb Loss J. Hand Surg. (IF 1.9) Pub Date : 2024-01-05 Anirudh Kulkarni, Margaret Luthringer, Alta Fried, Matt Mikosz, Jamie Mauro, Gina Radice Vella, Tara Lally, Ajul Shah
Complete care of the patient with upper limb loss mandates a long-term, multifaceted approach. Increased functionality and quality of life require collaborative efforts between the patient’s surgeon, prosthetist, hand therapists, mental health professionals, and peers. An individual surgeon may find that initiating and maintaining a practice offering total integrated treatment for upper-extremity amputees
-
Investigation Into the Effects of Intra-Articular Steroid on Post-Traumatic Osteoarthritis in Distal Radius Fractures: A Randomized Controlled Pilot Study J. Hand Surg. (IF 1.9) Pub Date : 2024-01-04 Anthony L. Logli, Christopher H. Evans, Jeffrey Duryea, Dirk R. Larson, Karim Bakri, Brian T. Carlsen, David G. Dennison, Kristin E. Karim, Nicholas A. Pulos, Peter C. Rhee, Marco Rizzo, Alexander Y. Shin, Bassem T. Elhassan, Sanjeev Kakar
Purpose The aim of this prospective, randomized, controlled, double-blinded pilot study was to determine the rates of post-traumatic osteoarthritis and assess joint space width in the presence or absence of a single intra-articular injection of corticosteroid after an acute, intra-articular distal radius fracture (DRF). Methods Forty patients received a single, intra-articular, radiocarpal joint injection
-
Complications and Unplanned Reoperation After Thumb Metacarpophalangeal Arthrodesis J. Hand Surg. (IF 1.9) Pub Date : 2024-01-03 Ingmar W.F. Legerstee, Oscar Y. Shen, Kevin Kooi, Yannick A.J. Hoftiezer, Kyle R. Eberlin, Neal C. Chen
Purpose Arthrodesis of the metacarpophalangeal (MCP) joint of the thumb is a common procedure to treat arthritis or instability. Studies reporting hardware complications and nonunion rates after thumb MCP joint arthrodesis report on small sample sizes. We aimed to describe the hardware complication rate, the nonunion rate, and the number of thumbs that achieve union among patients undergoing thumb
-
The Effect of Local Purified Exosome Product, Stem Cells, and Tacrolimus on Neurite Extension J. Hand Surg. (IF 1.9) Pub Date : 2024-01-01 Daan J. Rademakers, Sara Saffari, Tiam M. Saffari, Nicholas Pulos, Alexander Y. Shin
Purpose The combination of cellular and noncellular treatments has been postulated to improve nerve regeneration through a processed nerve allograft. This study aimed to evaluate the isolated effect of treatment with purified exosome product (PEP), mesenchymal stem cells (MSCs), and tacrolimus (FK506) alone and in combination when applied in decellularized allografts. Methods A three-dimensional i
-
-
-
-
-
-
A Fresh Cadaver Study on the Innervation of Brachioradialis and Extensor Carpi Radialis Longus Muscles J. Hand Surg. (IF 1.9) Pub Date : 2023-12-27 Jayme A. Bertelli, Juliana Rojas-Neira, Angela Cristina Prieto Garzon, Fernando Levaro
Purpose Distal nerve transfers have revolutionized peripheral nerve surgery by allowing the transfer of healthy motor nerves to paralyzed ones without causing additional morbidity. Radial nerve branches to the brachialis (Ba), brachioradialis (Br), and extensor carpi radialis longus (ECRL) muscles have not been investigated in fresh cadavers. Methods The radial nerve and its branches were dissected
-
A Comparison of Early Complication Rates of Endoscopic Carpal Tunnel Release With and Without Resident Involvement J. Hand Surg. (IF 1.9) Pub Date : 2023-12-28 Louis C. Grandizio, Alexander W. Mettler, Daniel S. Hayes, Victoria C. Garcia, Jad El Koussaify, Shahid Manzar, Joel C. Klena
Purpose The purpose of this study was to compare the complication rates of endoscopic carpal tunnel release (ECTR) relative to orthopedic resident trainee involvement in the procedure. Methods All patients undergoing isolated, elective ECTR by two attending surgeons within a 59-month period were analyzed. Cases were categorized as the following according to the degree of resident involvement: ECTR
-
Biomechanical Comparison of Fixation of Metacarpal Shaft Fractures With Intramedullary Threaded Nail and Dorsal Plate J. Hand Surg. (IF 1.9) Pub Date : 2023-12-15 Luigi Piarulli, Mehrangiz Taheri, Sorin Siegler, Christopher M. Jones
Purpose The purpose of this study was to investigate the mechanical properties of metacarpal long oblique and transverse shaft fractures stabilized by threaded intramedullary nails and dorsal plates and screws. Methods Transverse and oblique midshaft osteotomies were created in 28 paired left and right metacarpal bones from four fresh frozen cadavers. Each matched pair was fixed with one 4.5-mm threaded
-
Evaluation of Upper Extremity Reachable Workspace in Children With Brachial Plexus Birth Injury J. Hand Surg. (IF 1.9) Pub Date : 2023-12-15 Robert T. Richardson, Stephanie A. Russo, Ross S. Chafetz, Spencer Warshauer, Emily Nice, James G. Richards, Dan A. Zlotolow, Scott H. Kozin
Purpose Brachial plexus birth injury (BPBI) results in upper extremity (UE) movement limitations. Current assessments of UE function used to inform clinical decision-making only evaluate a limited set of static postures and/or movements and have been criticized for being insensitive to certain meaningful differences in function. Reachable workspace provides a numeric and visual assessment of global
-
Evaluation of Different Surgical Techniques for Revision Cubital Tunnel Release: A Meta-Analysis of Patient-Reported Symptoms J. Hand Surg. (IF 1.9) Pub Date : 2023-12-15 Ramin Shekouhi, Justin Taylor, Xizhao Chen, Annika Liu, Kevin A. Hao, Ariel Pomputius, Harvey Chim
Purpose Controversy exists regarding the best option for revision surgery in refractory cubital tunnel syndrome (CuTS). The purpose of this systematic review was to evaluate the effectiveness of revision surgery and determine the optimal surgical approach for patients requiring revision surgery for CuTS. Methods A literature search was conducted. Characteristics of the included studies were summarized
-
The Role of Exosomes in Upper-Extremity Tissue Regeneration J. Hand Surg. (IF 1.9) Pub Date : 2023-12-13 Daan J. Rademakers, Sara Saffari, Alexander Y. Shin, Nicholas Pulos
Exosomes are cell-free membrane vesicles secreted by a wide variety of cells as secretomes into the extracellular matrix. Alongside facilitating intercellular communication, exosomes carry various bioactive molecules consisting of nucleic acids, proteins, and lipids. Exosome applications have increased in popularity by overcoming the disadvantages of mesenchymal stem cell therapies. Despite this, a
-
Driving Factors of Recommending a Hand Surgery Clinic After Surgery J. Hand Surg. (IF 1.9) Pub Date : 2023-12-13 Jarry T. Porsius, Marloes H.P. ter Stege, Ruud W. Selles, Harm P. Slijper
Purpose Since a patient’s recommendation of a clinic to others is an important indicator of patient experience, more insight is needed into the underlying factors that motivate such recommendations. This retrospective cohort study assessed the relative contribution of the following: (1) patient-related characteristics, (2) treatment outcome, (3) satisfaction with treatment outcome, and (4) patients’
-
At What Time Interval After a Sharp Nerve Laceration Is Primary Nerve Repair No Longer Possible? J. Hand Surg. (IF 1.9) Pub Date : 2023-12-12 Nirbhay S. Jain, Meaghan L. Barr, Neil F. Jones
Purpose The timeframe after a sharp nerve injury when nerve grafting becomes required remains unclear. A retrospective analysis was performed to determine the timeframe when primary repair of a sharp nerve laceration can no longer be performed and grafting becomes necessary. Methods All sharp nerve injuries in three regions of the hands and upper extremity—major nerves, common digital nerves, and proper
-
Current Treatment Landscape for Dystrophic Epidermolysis Bullosa: From Surgical Management to Emerging Gene Therapies and Novel Skin Grafts J. Hand Surg. (IF 1.9) Pub Date : 2023-12-11 Dillan F. Villavisanis, David P. Perrault, Sara N. Kiani, David Cholok, Paige M. Fox
Epidermolysis bullosa is a genetic skin disorder characterized by blister formation from mechanical trauma. Dystrophic epidermolysis bullosa (DEB) is caused by mutations in the COL7A1 gene presenting as generalized blisters from birth, which can result in extensive scarring, alopecia, esophageal stenosis, corneal erosions, and nail dystrophy. This disease also often leads to pseudosyndactyly of the
-
Articular Surface Involvement With Retrograde Headless Screw Fixation of the Proximal Phalanx J. Hand Surg. (IF 1.9) Pub Date : 2023-12-11 Sean Martin, E. Patrick Murray, Anthony Mitchell, Will Beucler, Robert Ablove
Purpose Intramedullary (IM) screw fixation of proximal phalanx (P1) fractures is a treatment option increasing in popularity. This study aimed to quantify the articular surface loss after retrograde screw insertion and to determine the range of motion (ROM) of the proximal interphalangeal (PIP) joint while the defect in the P1 head is engaged with the base of the middle phalanx (P2). Methods Twelve
-
A Changing Landscape in the Surgical Management of Wrist Arthritis: An Analysis of National Trends From 2009 to 2019 J. Hand Surg. (IF 1.9) Pub Date : 2023-12-11 John M. Kopriva, Anthony L. Karzon, Hayden L. Cooke, Nina Suh, Michael B. Gottschalk, Eric R. Wagner
Purpose The purpose of this study was to analyze the trends in the annual volume and incidence of proximal row carpectomy (PRC), four-corner fusion (4CF), total wrist arthrodesis (TWF), and total wrist arthroplasty (TWA) from 2009 to 2019 in the United States. Methods The IBM Watson Health MarketScan databases were queried to identify annual case volumes for PRC, 4CF, TWF, and TWA from 2009 to 2019
-
Surgical Feasibility Study on Cadaver for Vascularized Wrist Joint Transplantation J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Francesca Alice Pedrini, Marco Innocenti, Kareem Hassan, Lawrence Scott Levin
Purpose Despite modern advancements in the treatment of late stages of wrist joint degeneration, few reliable options exist for patients requiring motion-preserving reconstruction of their radiocarpal and midcarpal joints. Vascularized composite allotransplantation (VCA) could be considered an option for wrist reconstruction in the future. The goal of this study was to describe the relevant anatomy
-
Outcomes of Distal Radius Fractures in Solid Organ Transplant Recipients J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Christopher R. Gajewski, Kevin Y. Chen, Nirbhay S. Jain, Neil F. Jones
Purpose Distal radius fractures (DRFs) are one of the most common conditions that musculoskeletal providers treat. As the frequency of solid organ transplants (SOT) increases, these providers are often called upon to manage DRFs in these patients. These patients are at increased risk for osteopenia and osteoporosis, given the altered bone metabolism after SOT and frequent use of glucocorticoid and
-
Clinical Recovery of Spastic Finger Flexion Using Hyperselective Neurectomy: A Case Series J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Mohammadreza Emamhadi, Mohammad Haghani Dogahe, Amirreza Emamhad
Purpose Hyperselective neurectomy (HSN) is an advanced peripheral nerve ablation procedure that can relieve spasticity and enhance the quality of life in patients with spasticity following upper motor neuron injuries. The main advantage of HSN is that it can treat spasticity as well as preserve hand function. Thus, HSN may be the procedure of choice in patients with spastic functional hands. In this
-
Bone Health Screening Prior to Medicare Eligibility—Osteoporosis Screening and Fracture Prevention After Distal Radius Fractures in Patients Aged 50–59 J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Jung Ho Gong, Chao Long Azad, Gongliang Zhang, Oluseyi Aliu, Aviram M. Giladi
Purpose Current guidelines recommend bone mineral density (BMD) testing after fragility fractures in patients aged 50 years or older. This study aimed to assess BMD testing and subsequent fragility fractures after low-energy distal radius fractures (DRFs) among patients aged 50–59 years. Methods We used the 2010–2020 MarketScan dataset to identify patients with initial DRFs with ages ranging between
-
Intra-articular Pressure in the Distal Radioulnar Joint: A Biomechanical Study J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Rodrigo Gutiérrez-Monclus, Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla, Carlos Gutierrez-Novoa, Paúl Cordero-Barzallo, Alfonso Rodríguez-Baeza, Ángel Ferreres-Claramunt, Marc García-Elias
Purpose The aim of the study was to use cadaveric models to assess the effect of loading the forearm muscles in different forearm rotations, with or without disruption to the stabilizing components, on the intra-articular pressure of the distal radioulnar joint (DRUJ). Methods Ten forearms with no severe osteoarthritis or injury to the DRUJ stabilizers were used. They were placed in a vertical support
-
Neonatal Limb Compartment Syndrome: A Comprehensive Review J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Ibrahim Cherry, Diane Franck, Frederic Urbain
Purpose Neonatal limb compartment syndrome (NLCS) is a rare and potentially limb-threatening condition defined as an increased pressure within a confined limb compartment. Clinicians may fail to distinguish NLCS from other mimicking conditions. Misdiagnosis is possible due to a low index of suspicion for this condition, which may delay appropriate and urgent treatment. A comprehensive review of the
-
Tibial Nerve Repair in a Dog Model: Effect of Local and Systemic Administration of Erythropoietin J. Hand Surg. (IF 1.9) Pub Date : 2023-12-07 Mostafa M. Alsayed, Mahmoud F. Ahmed, Mohamed A. Hashem, Ahmed I. Maaty, Mohamed K. El-Kherbetawy, Mohsen M. Hassan, Asser A. Sallam
Purpose This study aimed to assess the effectiveness of erythropoietin (EPO) as a novel treatment for peripheral nerve injury after surgical repair of an induced tibial nerve injury in dogs. Methods Mongrel dogs (n = 27) were randomly divided into three equal groups. A complete tibial nerve injury was induced and repaired directly by stay sutures and the local application of 1 mL fibrin glue (control
-
Appropriateness and Reliability of an Online Artificial Intelligence Platform’s Responses to Common Questions Regarding Distal Radius Fractures J. Hand Surg. (IF 1.9) Pub Date : 2023-12-08 Michele Christy, Marie T. Morris, Charles A. Goldfarb, Christopher J. Dy
Purpose Chat Generative Pre-Trained Transformer (ChatGPT) is a novel artificial intelligence chatbot that is changing the way humans gather information online. The purpose of this study was to investigate ChatGPT’s ability to appropriately and reliably answer common questions regarding distal radius fractures. Methods Thirty common questions regarding distal radius fractures were presented in an identical
-
Pyrolytic Carbon Hemiarthroplasty for Proximal Interphalangeal Joint Arthritis, Long-Term Follow-Up J. Hand Surg. (IF 1.9) Pub Date : 2023-12-07 Eva Lundqvist, Louise Kempe, Wolfgang Krauss, Marcus Sagerfors
Purpose The purpose of this study was to assess the long-term clinical, subjective, and radiographic results of pyrocarbon hemiarthroplasty for proximal interphalangeal joint (PIPJ) arthritis at a single institution. Methods Patients treated with a pyrolytic carbon hemiarthroplasty between 2005 and 2015 were contacted for a clinical follow-up visit. Patients were assessed before surgery, one year after
-
Clinically Significant Treatment Delay in Pediatric Scaphoid Fractures J. Hand Surg. (IF 1.9) Pub Date : 2023-12-07 J. Taylor Lackey, Paige L. Seiler, Brian R. Lee, Micah K. Sinclair
Purpose Pediatric scaphoid fractures present to treatment in a delayed manner 8% to 29% of the time. The indications for cast immobilization in this population are not clear. The definition of a clinically important treatment delay is based only on anecdotal reports. Successful treatment with a cast may be more desirable than surgical intervention. However, it remains unclear what clinical and radiographic
-
-
The Green Transfer—Long-Term Results J. Hand Surg. (IF 1.9) Pub Date : 2023-11-30 Douglas T. Hutchinson, Michelle A. James, Wendy A. Tomhave, Ann Van E. Heest
Purpose The purpose of this study was to determine the long-term results of the Green transfer (flexor carpi ulnaris to extensor carpi radialis brevis) for patient-reported outcomes, wrist position, and range of motion. Methods We re-examined 13 patients from a previous prospective study involving surgery for hemiplegia that included a Green transfer. The average follow-up was 8 years with the range
-
-
-
-
-
-
-
Amyloidosis and Considerations for the Hand Surgeon J. Hand Surg. (IF 1.9) Pub Date : 2023-12-02 Chelsea R. Brown, James D. Bergin, D. Nicole Deal
Amyloidosis can lead to cardiac, renal, and other multiorgan failure. New treatments have become available that can prolong survival but rely on early diagnosis. Manifestations of amyloidosis in hand surgery include carpal tunnel syndrome, trigger finger, peripheral neuropathy, and spontaneous distal biceps rupture. Often, these can predate systemic amyloidosis, offering hand surgeons an opportunity
-
The Impact of Venous Reconstruction on Finger Replantation Success Rates Based on Level of Injury J. Hand Surg. (IF 1.9) Pub Date : 2023-12-02 Vinay Rao, Victoria A. Zeyl, Luke Soliman, Nikhil Sobti, Reena A. Bhatt, Scott T. Schmidt, Loree K. Kalliainen
Purpose The requirement for anatomic venous reconstruction in digit replantation is an ongoing area of research. In this study, we evaluated our institutional experience to study whether replantation success is affected by the presence or absence of vein repair, stratified by the level of injury. Methods A retrospective review was performed at an urban, level-1 trauma center of all single-digit replantations
-
Union and Complication Rates After Total Wrist Arthrodesis: A Systematic Review and Meta-Analysis J. Hand Surg. (IF 1.9) Pub Date : 2023-12-01 David H. Owen, Joshua W. Booth, Paul A. Agius, Diana M. Perriman, Paul N. Smith, Chris J. Roberts
Purpose Total wrist arthrodesis (TWA) has been performed using various techniques. We aimed to provide pooled prevalence estimates of union and complications of TWA by technique. A secondary aim was to provide estimates of union and complication rates by treatment of the carpometacarpal joint (CMCJ) in TWA using plates. Given the widespread adoption of wrist arthrodesis plates (WAP), we hypothesized
-
Immunohistochemical Investigation of Mechanoreceptors Within the Injured Scapholunate Ligament J. Hand Surg. (IF 1.9) Pub Date : 2023-12-01 Oliver Miles, Stephen Tham, Wayne Morrison, Jason Palmer, David McCombe
Purpose Scapholunate ligaments (SLLs) play a well-established role in maintaining carpal alignment and kinematics, and are innervated with sensory mechanoreceptors located within the ligaments. They are involved in the afferent arc of dynamic wrist stability. The aim of this study was to describe the changes in these mechanoreceptor populations in injured SLLs. Methods Injured SLLs were collected from