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Hand: Official Journal of the American Association for Hand Surgery

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https://www.readbyqxmd.com/read/30102073/surgical-management-of-madelung-deformity-a-systematic-review
#1
Abbas Peymani, Anna Rose Johnson, Arriyan S Dowlatshahi, Johannes G G Dobbe, Samuel J Lin, Joseph Upton, Geert J Streekstra, Simon D Strackee
BACKGROUND: Madelung deformity is a congenital wrist condition characterized by volar subluxation of the wrist caused by premature growth arrest of the distal radius. Progressive symptoms can necessitate surgical intervention, yet optimal treatment strategy remains unknown. The aim of this study is to determine treatment options, surgical indications, and operative outcomes for Madelung deformity. METHODS: This study adhered to the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) guidelines...
August 13, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30095014/early-correction-of-distal-radius-partial-articular-malunion-leads-to-good-long-term-functional-recovery-at-mean-follow-up-of-4-years
#2
T David Luo, Fiesky A Nunez, Elizabeth A Newman, Fiesky A Nunez
BACKGROUND: Distal radius articular step-off or deformity may cause posttraumatic arthritis and poor functional outcome. The purpose of this study was to evaluate pain and functional outcomes in patients with malunited partial articular distal radius fractures who underwent corrective osteotomy. We hypothesized that anatomic restoration of distal radius articular surface after a malunited partial articular distal radius fracture results in improvement in pain and functional measures and delays the development of posttraumatic arthritis...
August 10, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30084270/ulnar-nerve-enlargement-at-the-medial-epicondyle-negatively-correlates-with-nerve-conduction-velocity-in-cubital-tunnel-syndrome
#3
T David Luo, Amy P Trammell, Luke P Hedrick, Ethan R Wiesler, Francis O Walker, Mark J Warburton
BACKGROUND: In cubital tunnel syndrome (CuTS), chronic compression often occurs at the origin of the flexor carpi ulnaris at the medial epicondyle. Motor nerve conduction velocity (NCV) across the elbow is assessed preoperatively to corroborate the clinical impression of CuTS. The purpose of this study was to correlate preoperative NCV to the direct measurements of ulnar nerve size about the elbow at the time of surgery in patients with clinical and/or electrodiagnostic evidence of CuTS...
August 7, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30084266/the-declining-use-of-wrist-spanning-external-fixators
#4
Venus Vakhshori, Alexis D Rounds, Nathanael Heckmann, Ali Azad, Jessica M Intravia, Santano Rosario, Milan Stevanovic, Alidad Ghiassi
BACKGROUND: External fixation has been traditionally used to treat comminuted or open distal radius fractures that are not amenable to open reduction internal fixation. This procedure is associated with a relatively high complication rate and has been used with decreasing frequency in recent years. However, trends in external fixation utilization for the treatment of distal radius fractures have not been described. METHODS: Using the Nationwide Inpatient Sample, patients with a distal radius fracture treated with external fixation from 2003 to 2014 were identified...
August 7, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30081662/performance-of-pediatric-promis-cats-in-children-with-upper-extremity-fractures
#5
William D Gerull, Ugochi C Okoroafor, Jason Guattery, Charles A Goldfarb, Lindley B Wall, Ryan P Calfee
BACKGROUND: This study was designed to quantify the performance of the pediatric Patient-Reported Outcome Measurement Information System (PROMIS) when delivered as part of routine care to children with upper extremity (UE) fractures. METHODS: This cross-sectional study analyzed 964 new pediatric patients presenting with an UE fracture. All patients completed PROMIS computer adaptive tests for pain interference, peer relationships, UE function, and mobility domains at clinic registration...
August 6, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30081654/patients-with-triangular-fibrocartilage-complex-injuries-and-distal-radioulnar-joint-instability-gain-improved-forearm-peak-pronation-and-supination-torque-after-reinsertion
#6
Jonny K Andersson, Elisabet M Hagert, Jan Fridén
BACKGROUND: Forearm peak pronation and supination torque measurements are reduced up to 30% in patients with triangular fibrocartilage complex (TFCC) 1B injuries with concomitant distal radioulnar joint (DRUJ) instability. The aim of our study was to evaluate whether patients with TFCC 1B injuries, with concomitant DRUJ instability, improve in forearm peak pronation and supination torque following TFCC reinsertion surgery where postoperative DRUJ stability was achieved. METHODS: We report a retrospective case series with short-term follow-up (20 months) of the postoperative forearm peak torque in pronation and supination in 11 patients (9 women/2 men, average age at surgery 32 years) operated on by TFCC reinsertion...
August 6, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30081647/the-effect-of-radial-shaft-dorsal-screw-prominence-in-volar-locking-plate-fixation-of-distal-radius-fractures
#7
Nicholas Pulos, Brent R DeGeorge, Alexander Y Shin, Marco Rizzo
BACKGROUND: The purpose of this study was to determine whether prominent radial shaft screws in volar locked plating of distal radius fractures increase the risk of tendon irritation, tendon rupture, or hardware removal. METHODS: Patients who underwent volar locked plating of distal radius fractures from April 2002 to March 2016 with at least 6 months of follow-up were evaluated. Variables examined included demographics, extensor tendon irritation, extensor tendon rupture, and hardware removal...
August 6, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30079783/the-effect-of-growth-differentiation-factor-8-myostatin-on-bone-marrow-derived-stem-cell-coated-bioactive-sutures-in-a-rabbit-tendon-repair-model
#8
Kunihide Muraoka, Wei Le, Anthony W Behn, Jeffrey Yao
BACKGROUND: We have reported that bioactive sutures coated with bone marrow-derived mesenchymal stem cells (BMSCs) enhance tendon repair strength in an in vivo rat model. We have additionally shown that growth differentiation factor 8 (GDF-8, also known as myostatin) simulates tenogenesis in BMSCs in vitro. The purpose of this study was to determine the possibility of BMSC-coated bioactive sutures treated with GDF-8 to increase tendon repair strength in an in vivo rabbit tendon repair model...
August 6, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30079762/the-chauffeur-fracture-historical-origins-of-an-often-forgotten-eponym
#9
Mattia Andreotti, Francesco Tonon, Gaetano Caruso, Leo Massari, Michele A Riva
This article describes the origin of the term "chauffeur fracture" used to indicate an oblique fracture of the radial styloid process with extension into the wrist joint. This kind of fracture was originally described by the British surgeon Jonathan Hutchinson in 1866. The invention of the automobile increased the incidence of this fracture among chauffeurs and cabdrivers. Indeed, at the beginning of the 20th century, motor vehicles were started by means of a crank-handle connected to the engine, which needed to be turned vigorously clockwise by hand...
August 6, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30073871/why-not-life-and-limb-vasopressor-use-in-intensive-care-unit-patients-the-cause-of-acute-limb-ischemia
#10
Anastassia Newbury, Katharine D Harper, Arianna Trionfo, Frederick V Ramsey, Joseph J Thoder
BACKGROUND: Acute limb ischemia (ALI) of the upper extremity is a rare yet severe condition in intensive care unit (ICU) patients that generally leads to amputation. The aim of this study is to determine risk factors for development of upper extremity limb ischemia in ICU patients requiring vasopressor support. METHODS: This is a retrospective study conducted from 2010 to 2015. Patients who received vasopressors during ICU admission were considered for the study...
August 3, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30073868/oral-antibiotics-are-effective-for-the-treatment-of-hand-osteomyelitis-in-children
#11
Jennifer S Kargel, Douglas M Sammer, Ronnie A Pezeshk, Jonathan Cheng
BACKGROUND: Acute osteomyelitis of the hand is common in the pediatric population. Treatment with intravenous antibiotics is expensive and is associated with catheter-site infection and thrombosis. The purpose of this study is to investigate the efficacy of managing osteomyelitis of the hand in children with oral antibiotics. METHODS: A retrospective review of cases of acute osteomyelitis of the hand at a single pediatric institution over a 4.5-year period was performed...
August 3, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30073845/preoperative-promis-scores-predict-postoperative-promis-score-improvement-for-patients-undergoing-hand-surgery
#12
David N Bernstein, Jeff R Houck, Ronald M Gonzalez, Danielle M Wilbur, Richard J Miller, David J Mitten, Warren C Hammert
BACKGROUND: Patient-Reported Outcomes Measurement Information System (PROMIS) can be used alongside preoperative patient characteristics to set postsurgery expectations. This study aimed to analyze whether preoperative scores can predict significant postoperative PROMIS score improvement. METHODS: Patients undergoing hand and wrist surgery with initial and greater than 6-month follow-up PROMIS scores were assigned to derivation or validation cohorts, separating trauma and nontrauma conditions...
August 3, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30070590/prosthetic-arthroplasty-of-proximal-interphalangeal-joints-for-treatment-of-osteoarthritis-and-posttraumatic-arthritis-systematic-review-and-meta-analysis-comparing-the-three-ulnar-digits-with-the-index-finger
#13
Michael T Milone, Christopher S Klifto, Jacques H Hacquebord
BACKGROUND: It is common teaching that treatment of index finger alone is a relative contraindication for arthroplasty of the proximal interphalangeal joint (PIPJ). However, limited data exist reporting the digit-specific complication of PIPJ arthroplasty for the treatment of osteoarthritis or posttraumatic arthritis. The purpose of this article is to perform a systematic review and meta-analysis of the literature to assess whether the 3 ulnar digits may bear a similar instability and complication profile...
August 2, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30067126/perioperative-narcotic-use-and-carpal-tunnel-release-trends-risk-factors-and-complications
#14
Trent M Gause, John J Nunnery, Abhinav B Chhabra, Brian C Werner
BACKGROUND: The goals of the study were to: (1) evaluate trends in preoperative and prolonged postoperative narcotic use in carpal tunnel release (CTR); (2) characterize risks for prolonged narcotic use; and (3) evaluate narcotic use as an independent risk factor for complications following CTR. METHODS: A query of a large insurance database from 2007-2016 was conducted. Patients undergoing open or endoscopic CTR were included. Revision surgeries or patients undergoing median nerve repair at the forearm, upper extremity fasciotomies, or with distal radius fractures were excluded...
August 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30060684/building-a-hand-and-upper-extremity-transplantation-program-lessons-learned-from-the-first-20-years-of-vascularized-composite-allotransplantation
#15
Shaun D Mendenhall, Stav Brown, Oded Ben-Amotz, Michael W Neumeister, L Scott Levin
BACKGROUND: Upper extremity transplantation is a quality-of-life enhancing treatment for select patients with upper extremity loss. This article reviews the preoperative, intraoperative, and postoperative challenges in the upper extremity transplantation process and the lessons learned from the first 2 decades of hand transplantation. METHODS: Key components of the author's hand transplantation protocol including patient selection, donor screening, surgical rehearsal, donor procurement, transplantation, immunosuppression, and patient outcome reporting/follow-up are reported to assist other teams who wish to establish a hand transplantation program...
July 31, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30060689/cost-effectiveness-of-initial-revision-digit-amputation-performed-in-the-emergency-department-versus-the-operating-room
#16
Joseph A Gil, Avi D Goodman, Andrew P Harris, Neill Y Li, Arnold-Peter C Weiss
BACKGROUND: The objective of this study was to determine the comparative cost-effectiveness of performing initial revision finger amputation in the emergency department (ED) versus in the operating room (OR) accounting for need for unplanned secondary revision in the OR. METHODS: We retrospectively examined patients presenting to the ED with traumatic finger and thumb amputations from January 2010 to December 2015. Only those treated with primarily revision amputation were included...
July 30, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30060681/nonsurgical-treatment-of-de-quervain-tenosynovitis-a-prospective-randomized-trial
#17
Joseph A Ippolito, Spencer Hauser, Jay Patel, Michael Vosbikian, Irfan Ahmed
BACKGROUND: De Quervain tenosynovitis is commonly seen in patients who perform repetitive wrist ulnar deviation with thumb abduction and extension. Previous studies comparing nonsurgical options have contributed to a lack of consensus about ideal management. This study's purpose was to analyze results in prospectively randomized patients treated with either corticosteroid injection (CSI) alone versus CSI with immobilization. METHODS: Radial sided wrist pain, first dorsal compartment tenderness, and positive Finkelstein test were used to define De Quervain...
July 30, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30056754/open-reduction-internal-fixation-with-transverse-volar-plating-for-unstable-proximal-interphalangeal-fracture-dislocation-the-seatbelt-procedure
#18
Andrew E Federer, Evan M Guerrero, Travis J Dekker, Suhail K Mithani, J Mack Aldridge, David S Ruch, Marc J Richard
BACKGROUND: Unstable intra-articular proximal interphalangeal (PIP) joint fracture-dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involvement may be treated successfully with less invasive procedures, fracture-dislocations with a volar shear component may benefit from joint reduction with subchondral support for maintenance of stability. The purpose of this article is to describe a volar transverse plate and screw technique and report the short-term postoperative results...
July 28, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30052074/incidence-and-reason-for-readmission-and-unscheduled-health-care-contact-after-distal-radius-fracture
#19
Kirsten Sumner, Louis C Grandizio, Max D Gehrman, Jove Graham, Joel C Klena
BACKGROUND: Understanding risk factors for readmission may help decrease the rate of these costly events. The purpose of this study is to define the incidence of 30-day readmission and unscheduled health care contact (UHC) after distal radius fracture (DRF). In addition, we aim to define risk factors for readmission and UHC. METHODS: A retrospective review of patients who sustained a DRF at our trauma center was performed. We recorded baseline demographics, fracture characteristics, and treatment...
July 27, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30043624/dupuytren-disease-management-trends-a-survey-of-hand-surgeons
#20
Logan Carr, Brett Michelotti, Morgan Brgoch, Randy Hauck, John Ingraham
BACKGROUND: Indication for intervention in Dupuytren disease is influenced by many factors, including location and extent of disease, surgeon preference, and comfort level with different treatment techniques. The aim of this study was to determine current Dupuytren disease management trends. METHODS: A questionnaire was sent through the American Society for Surgery of the Hand to all members. In addition to demographic data, questions focused on indications for different procedural interventions based on location of disease, age, and activity level of the patient...
July 25, 2018: Hand: Official Journal of the American Association for Hand Surgery
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