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Journal of Hand Surgery

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https://www.readbyqxmd.com/read/28941785/neutrophilic-dermatosis-of-the-hands-a-review-of-17-cases
#1
Anthony M Y Cheng, Harriet S Cheng, Belinda J Smith, David A Stewart
PURPOSE: Neutrophilic dermatosis of the hands is an inflammatory skin condition related to Sweet syndrome that responds to corticosteroids. It commonly affects the dorsum of the hand and often mimics infection, with violaceous inflammatory papules and plaques that may ulcerate. The aim of this study was to review the clinical presentation of neutrophilic dermatosis of the hands. METHODS: A retrospective review was undertaken of all cases of neutrophilic dermatosis of the hands seen at a tertiary hospital in New South Wales, Australia, over a 5-year period...
September 21, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28941784/patients-transferred-for-upper-extremity-amputation-participation-of-regional-trauma-centers
#2
Shantum Misra, Suzanne C Wilkens, Neal C Chen, Kyle R Eberlin
PURPOSE: Level-I trauma centers are required to provide hand and microsurgery capability at all times. We examined transfers to our center to better understand distant patient referrals and, indirectly, study referrals in our region. METHODS: Records were reviewed from 2010 to 2015 to evaluate patients transferred to our level-I institution for upper extremity amputation. Patients were referred from 6 states to our institution over this period. We measured the straight-line distance from each patient's transferring facility to our facility and compared this distance with the straight-line distances from the zip code of the transferring facility to the zip code of each level-I trauma center...
September 20, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28935339/quantitative-measurements-of-the-cross-sectional-configuration-of-the-flexor-pollicis-longus-tendon-using-ultrasonography-in-patients-with-pediatric-trigger-thumb
#3
Jihyeung Kim, Hyun Sik Gong, Hyun Sik Seok, Young Hun Choi, Sohee Oh, Goo Hyun Baek
PURPOSE: Pediatric trigger thumb is regarded as an acquired condition characterized by flexion deformity of the interphalangeal joint of the thumb. However, the exact etiology and pathoanatomy of this condition remain unknown. The purpose of this study was to evaluate cross-sectional configurations of the flexor pollicis longus (FPL) tendon and the area under the A1 pulley quantitatively using ultrasonography. METHODS: In this study we enrolled 43 patients, 23 boys and 20 girls, with unilateral pediatric trigger thumb...
September 19, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28935338/soft-tissue-surgery-for-adults-with-nonfunctional-spastic-hands-following-central-nervous-system-lesions-a-retrospective-study
#4
Laure Gatin, Alexis Schnitzler, Fabien Calé, Guillaume Genêt, Philippe Denormandie, François Genêt
PURPOSE: Soft tissue surgery for upper extremity contractures can improve hygiene, pain, and appearance in adults with central nervous system lesions. The goal of such interventions is highly individual; thus, goal attainment scaling (GAS; a method of scoring the extent to which patient's individual goals are achieved [5 levels] in the course of intervention and using T score values) is pertinent to evaluate outcome. The objective of this study was to assess the effect of soft tissue surgery for upper extremity muscle contractures in patients with central nervous system lesions using GAS...
September 19, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28935337/necrotizing-sweet-syndrome-of-the-upper-extremity-after-elective-hand-surgery
#5
Jason S Lipof, Lisa A Beck, Swapna C Reddy, Richard D Southgate, Kimberly Carney-Young, Warren C Hammert
Sweet syndrome, or acute febrile neutrophilic dermatosis, is a systemic disease process mainly characterized by hyperpyrexia and skin lesions. A newly described entity, necrotizing Sweet syndrome, is a severe and locally aggressive dermatological condition that clinically and histopathologically resembles a necrotizing soft tissue infection. It is characterized by pathergy, a nonspecific inflammatory response to cutaneous trauma resulting in a propagation of the disease. In contrast to a necrotizing infection, this condition responds to systemic steroids...
September 19, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28927882/treatment-of-hand-macrodactyly-with-resection-and-toe-transfers
#6
Pedro C Cavadas, Alessandro Thione
Macrodactyly is an uncommon congenital hand condition that can be difficult to treat and that can have a profound negative impact on patients and their families. Although many treatments have been described, results tend to be inconsistent. The authors report a case in which a combination of ray resection, partial finger resection, and toe transfer resulted in a 4-digit hand with acceptable function and cosmesis.
September 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28927881/four-year-outcomes-of-midcarpal-hemiarthroplasty-for-wrist-arthritis
#7
Marie Anneberg, Greg Packer, Joseph J Crisco, Scott Wolfe
PURPOSE: The purpose of this study was to review the average 4-year outcomes of a cohort of patients with wrist arthritis, treated by a single surgeon with a novel prosthetic hemiarthroplasty of the midcarpal joint. We hypothesized that midcarpal hemiarthroplasty would improve range of motion and grip strength of patients with wrist arthritis, with a complication profile comparable with that of alternative solutions for wrist arthritis. METHODS: We reviewed a series of 20 patients treated with a midcarpal hemiarthroplasty at an average of 4 years following surgery...
September 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28927880/treatment-of-neer-iib-distal-clavicle-fractures-using%C3%A2-anatomical-locked-plate-fixation-with-coracoclavicular-ligament-augmentation
#8
Lei Han, Yungen Hu, Renfu Quan, Weili Fang, Bo Jin, Ligang Huang
PURPOSE: The purpose of this study was to evaluate the clinical and radiographic outcomes of Neer type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with coracoclavicular ligament augmentation. METHODS: Twelve patients with Neer Type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with suture anchor augmentation of the coracoclavicular ligament, were retrospectively studied. Clinical outcomes were assessed using the Constant score and the Disabilities of the Arm, Shoulder, and Hand (DASH) score...
September 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28927879/effects-of-volar-tilt-wrist-extension-and-plate-position-on-contact-between-flexor-pollicis-longus-tendon-and-volar-plate
#9
Caroline N Wolfe Wurtzel, Geoffrey T Burns, Andy F Zhu, Kagan Ozer
PURPOSE: Volar plates positioned at, or distal to, the watershed line have been shown to have a higher incidence of attritional rupture of the flexor pollicis longus (FPL). In this study, we aimed to evaluate the effect of wrist extension and volar tilt on the contact between the plate and the FPL tendon in a cadaver model. We hypothesized that, following volar plate application, loss of native volar tilt increases the contact between the FPL and the plate at lower degrees of wrist extension...
September 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28917548/volar-capsular-release-after-distal-radius%C3%A2-fractures
#10
Robin N Kamal, David S Ruch
PURPOSE: Loss of full wrist range of motion is common after treatment of distal radius fractures. Loss of wrist extension limiting functional activities, although uncommon, can occur after volar plating of distal radius fractures. Unlike other joints in which capsular release is a common form of treatment for stiffness, this has been approached with caution in the wrist owing to concerns for carpal instability. We tested the null hypothesis that hardware removal and open volar capsular release would not lead to improved upper extremity-specific patient-reported outcome (Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaire)...
September 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28917547/growth-of-the-new-thumb-metacarpal-after-pollicization-for-thumb-hypoplasia
#11
Michael A Tonkin, Nathan D Trist, Dirk J van der Spuy, Albert Yoon, Harvinder P Singh, Richard D Lawson
PURPOSE: To investigate the radiographic length and width of the new thumb metacarpal in relation to the middle finger proximal phalanx; to assess the incidence of premature physeal closure of the new metacarpal; and to consider whether there is a relationship between growth characteristics and the presence of union or nonunion of the new trapezium to the retained index finger metacarpal base. MATERIALS AND METHODS: Forty pollicizations were assessed with preoperative or immediate postoperative radiographs and follow-up radiographs to establish the growth characteristics of the new thumb metacarpal...
September 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28917546/parosteal-osteosarcoma-of-the-distal-radius-mimicking-an-osteochondroma-a-diagnostic-misadventure
#12
Sahil Sanghavi, Abhijeet Wahegaonkar, Yogesh Panchwagh, Amit Kharat
We present a case of a parosteal osteosarcoma mimicking an osteochondroma with atypical clinical features, radiographic findings, and histological examination. This report serves to exemplify the importance of recognizing the similarities between these 2 entities and other peculiar features that will help to differentiate between sessile osteochondromas and parosteal osteosarcomas, to prevent misdiagnosis.
September 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28899589/trapeziectomy-with-suspension-interposition-arthroplasty-for-thumb-carpometacarpal-osteoarthritis-a-randomized-controlled-trial-comparing-the-use-of-allograft-versus-flexor-carpi-radialis-tendon
#13
Miriam Marks, Stefanie Hensler, Martina Wehrli, Anne-Gita Scheibler, Stephan Schindele, Daniel B Herren
PURPOSE: The objective of this randomized controlled trial was to compare the 12-month postoperative Michigan Hand Outcomes Questionnaire (MHQ) total score between patients with osteoarthritis (OA) at the first carpometacarpal (CMC I) joint who underwent trapeziectomy with suspension-interposition arthroplasty using the flexor carpi radialis (FCR) tendon and those receiving a human dermal collagen template (allograft). METHODS: We included 60 patients with CMC I OA who met the indications for surgery...
September 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28899588/costs-associated-with-single-use-and-conventional-sets-for-distal-radius-plating
#14
Bryce Fugarino, Mary Patricia Fox, Cristina Terhoeve, Nicholas Pappas
PURPOSE: Volar plating of distal radius fractures is an increasingly common procedure. Presterilized, single-use volar plate fixation sets have been purported to increase operating room efficiency and decrease cost. The purpose of this study was to compare the actual cost of using a conventional set compared with the projected cost of using its single-use counterpart. METHODS: We retrospectively analyzed 30 consecutive cases of volar plate fixation in which conventional instrument sets were used...
September 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28899587/gradual-onset-diseases-misperception-of%C3%A2-disease-onset
#15
Bastiaan T van Hoorn, Suzanne C Wilkens, David Ring
PURPOSE: Gradual onset diseases (eg, carpal tunnel syndrome, cubital tunnel syndrome, and trapeziometacarpal arthrosis) tend to go unnoticed for years. When a slowly progressive disease transitions from asymptomatic to symptomatic, it may seem like an acute event. The primary aim of this study was to determine the percentage of patients who perceive the slowly progressive disease as having started within 1 year. We also hypothesized that (1) there would be no factors associated with perception of an onset of disease within 1 year, more specifically among patients with advanced disease; and (2) there would be no difference in a decision to pursue operative treatment between patients who perceived the onset of the disease to be recent and those who perceived it to be long-standing...
September 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888574/patient-and-disease-specific-factors-associated-with-operative-management-of-de-quervain-tendinopathy
#16
Nikolas H Kazmers, Tiffany C Liu, Joshua A Gordon, David J Bozentka, David R Steinberg, Benjamin L Gray
PURPOSE: It remains unclear which factors, patient- or disease-specific, are associated with electing to undergo operative management for de Quervain tendinopathy. Our null hypothesis was that no patient- or disease-specific factors would be associated with the choice of surgical treatment of de Quervain tendinopathy. METHODS: We performed a retrospective review of consecutive patients diagnosed with de Quervain tendinopathy over 3 years by 1 of 3 fellowship-trained hand surgeons at an urban academic institution...
September 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888569/a-biomechanical-analysis-of-2-constructs-for-metacarpal-spiral-fracture-fixation-in-a-cadaver-model-2-large-screws-versus-3-small-screws
#17
Andre Eu-Jin Cheah, Anthony W Behn, Garet Comer, Jeffrey Yao
PURPOSE: Surgeons confronted with a long spiral metacarpal fracture may choose to fix it solely with lagged screws. A biomechanical analysis of a metacarpal spiral fracture model was performed to determine whether 3 1.5-mm screws or 2 2.0-mm screws provided more stability during bending and torsional loading. METHODS: Second and third metacarpals were harvested from 12 matched pairs of fresh-frozen cadaveric hands and spiral fractures were created. One specimen from each matched pair was fixed with 2 2...
September 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888568/in%C3%A2-vivo-3-dimensional-kinematics-of-thumb-carpometacarpal-joint-during-thumb-opposition
#18
Yohei Kawanishi, Kunihiro Oka, Hiroyuki Tanaka, Kiyoshi Okada, Kazuomi Sugamoto, Tsuyoshi Murase
PURPOSE: This study primarily aimed to demonstrate the screw-home rotation of the thumb carpometacarpal (CMC) joint and the function of surrounding ligaments during thumb oppositional motion. METHODS: A 3-dimensional kinematic analysis of the thumb CMC joint was conducted using data derived from computed tomography of 9 healthy volunteers. Scans were obtained in the neutral forearm and wrist position and the thumb in maximum radial abduction, maximum palmar abduction, and maximum opposition...
September 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888567/biomechanics-of-the-acute-boutonniere-deformity
#19
Luis Grau, Hasan Baydoun, Kevin Chen, Seth T Sankary, Farid Amirouche, Mark H Gonzalez
PURPOSE: To demonstrate which structures of the extensor mechanism create a boutonniere deformity, when damaged, in a cadaver model. An analysis of how damage to these anatomical structures affects the biomechanical performance of the extensor mechanism was also performed. METHODS: We secured 18 fresh cadaveric hands onto an apparatus consisting of a computer-controlled motor and tensiometer attached in series to the extensor communis tendon of the ring and middle digits...
September 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28888573/an-extradigital-glomus-tumor-of-the-median-antebrachial-vein
#20
Anthony R Andreoni, Jessica Waughtel, Jonathan Cook, Pablo A Bejarano, David Friedman
Glomus tumors are benign vascular neoplasms that arise from specialized dermal arteriovenous anastomoses called glomus bodies. These tumors are most often found in the digital pulp and subungual region of the fingertips; however, a review of the literature suggests that extradigital glomus tumors may occur more often than is generally recognized. Although most extradigital glomus tumors arise within subcutaneous tissues, glomus tumors have occasionally been found within bones, nerves, and blood vessels. An intravascular glomus tumor of the forearm is a very rare occurrence and only a few cases have been reported in the literature...
September 6, 2017: Journal of Hand Surgery
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