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Hand: Official Journal of the American Association for Hand Surgery

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https://www.readbyqxmd.com/read/29871493/accuracy-and-reliability-of-radiographic-estimation-of-volar-lip-fragment-size-in-pip-dorsal-fracture-dislocations
#1
Daniel S Donovan, Jeremy D Podolnick, Wayne Reizner, O Alton Barron, Louis W Catalano, Steven Z Glickel
BACKGROUND: A cadaveric study was performed to evaluate the accuracy and reliability of radiographic estimation of the volar lip fragment size in proximal interphalangeal joint fracture-dislocations. METHODS: Middle phalangeal base volar lip fractures of varying size and morphology were simulated in 18 digits. Radiographs and digital photographs of the middle phalangeal joint surface were obtained pre- and postinjury. Ten orthopedic surgeons of varying levels of training estimated the fracture size based on radiographs...
June 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29845883/trends-in-pediatric-traumatic-upper-extremity-amputations
#2
Venus Vakhshori, Gabriel J Bouz, Cory K Mayfield, Ram K Alluri, Milan Stevanovic, Alidad Ghiassi
BACKGROUND: Traumatic upper extremity amputation in a child can be a life-altering injury, yet little is known about the epidemiology or health care costs of these injuries. In this study, using the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID), we assess these trends to learn about the risk factors and health care costs of these injuries. METHODS: Using the HCUP KID from 1997 to 2012, patients aged 20 years old or younger with upper extremity traumatic amputations were identified...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29807448/epidemiological-and-clinical-aspects-of-cleft-hand-case-series-from-a-tertiary-public-hospital-in-s%C3%A3-o-paulo-brazil
#3
Diego F Falcochio, Antonio C Da Costa, Clarissa P I Durigan, Valdenia Das G Nascimento, Claudio Santili, Ivan Chakkour
BACKGROUND: Cleft hand is a rare and congenital deformity that affects hands and feet and can be associated with other malformations. The objective was to evaluate the epidemiological and clinical aspects of cleft hand patient in a case series. METHODS: Baseline characteristics associated with this deformity, such as sociodemographic characteristics, affected upper limb side, family history, clinical manifestations, and the degree of deficiency according to Barsky, Manske and Halikis, and Valenti classifications, were analyzed in 38 patients treated in the Department of Orthopedic Surgery of the Irmandade da Santa Casa de Misericórdia de São Paulo, Brazil...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29807447/depression-and-pain-interference-correlate-with-physical-function-in-patients-recovering-from-hand-surgery
#4
Tom J Crijns, David N Bernstein, David Ring, Ronald M Gonzalez, Danielle Wilbur, Warren C Hammert
BACKGROUND: Patient-reported outcome measures vary more than expected based on underlying pathology, in part due to the substantial influence of mood and coping strategies. METHODS: This study addressed the primary null hypothesis that the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function score 1 month (range, 3-8 weeks) after hand surgery is not associated with PROMIS Depression and PROMIS Pain Interference scores prior to surgery, accounting for other factors...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29799270/a-comparison-of-ultrasound-and-mri-measurements-of-the-cross-sectional-area-of-the-median-nerve-at-the-wrist
#5
Beverly Hersh, Jennifer D'Auria, Michael Scott, John R Fowler
BACKGROUND: Ultrasound (US) measurement of cross-sectional area (CSA) of the median nerve has emerged as a viable alternative to electromyography/nerve conduction studies (EMG/NCS) for diagnosis of carpal tunnel syndrome (CTS). The purpose of this study is to compare CSA of the median nerve between US and MRI using current MRI and US technology. The null hypothesis is there is no difference between US and MRI CSA measurements. METHODS: The study design was an observational cohort, enrolling patients presenting to clinic with MRI of the wrist...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29799268/arthroscopic-abrasion-arthroplasty-is-not-superior-to-ligament-reconstruction-and-tendon-interposition-for-thumb-carpometacarpal-arthritis
#6
Dominik Rog, Tuna Ozyurekoglu, Kumar K Karuppiah
BACKGROUND: A few arthroscopic options have been proposed for the treatment of early stages of the arthritis of the thumb carpometacarpal (CMC) joint. The purpose of this study was to compare the results of arthroscopic abrasion arthroplasty with ligament reconstruction and tendon interposition (LRTI). METHODS: In this retrospective cohort study, 11 patients who underwent thumb CMC joint arthroscopic abrasion arthroplasty were compared with 15 patients who were randomly selected from a group of 80 LRTI arthroplasty patients during the same study period, with a minimum 1 year follow-up...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29790792/dorsal-plating-for-intra-articular-middle-phalangeal-base-fractures-with-volar-instability
#7
Travis A Doering, Andrew S Greenberg, David V Tuckman
BACKGROUND: Intra-articular middle phalangeal base fractures with volar instability are rare injuries with scant literature on optimal management. Our purpose is to describe our method of dorsal plating and report postoperative outcomes. METHODS: This study is a retrospective case review of 5 patients with intra-articular middle phalangeal base fractures with volar proximal interphalangeal joint instability, measuring subjective, clinical, and radiographic outcomes...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29761740/treatment-of-cutaneous-warts-with-multiple-puncture-technique
#8
Joseph S Mclaughlin, Thomas J Fischer, Gregory A Merrell
BACKGROUND: Despite a multitude of treatment options, cutaneous warts on the hands can be a recalcitrant clinical problem. METHODS: Based on Current Procedural Terminology ( CPT) billing codes, the office database was searched for a 10-year period of warts treated with a puncture technique after institutional review board approval. Office notes were examined, and patients were contacted to assess wart resolution or the need for further treatment as well as any complications...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29726293/predicting-tendon-tissue-grafting-source-from-the-extensors-of-long-fingers-a-systematic-review-of-cadaveric-studies
#9
Kaissar Yammine
BACKGROUND: The use of tendon tissue for transfer and grafting is a common practice in hand surgery. Many local tendons are usually used, mainly that of the palmaris longus muscle. However, this tendon could be absent in up to 46%. Extra slips of the extensor digitorum communis (EDC) and extra tendons such as the extensor indicis (EI) and the extensor digiti minimi (EDM) could be valuable sources for tendon tissue. METHODS: A systematic review was conducted to quantify the proportion of extra slips in relation to each tendon and extra tendons in relation to each long finger...
May 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29703086/pediatric-digital-necrosis-secondary-to-dressing-application-a-case-series
#10
Kim A Bjorklund, Dahlia M Rice, Ashley N Amalfi
BACKGROUND: Pediatric digital necrosis resulting in revision amputation is a devastating outcome following digital dressing application. METHODS: We report a series of 4 pediatric patients (age: 21 months-11 years) who presented for surgical consultation related to digital ischemia and irreversible necrosis following the application of Coban digital dressings. A review of the literature demonstrated that such injuries had not previously been described. RESULTS: In our case series, Coban dressing was utilized as a deterrent for thumb sucking, fingertip tuft fractures with nail bed lacerations, and a phalanx fracture secondary to crush injury...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29696994/the-impact-of-musical-training-on-hand-biomechanics-in-string-musicians
#11
Stacey L Gorniak, Evan D Collins, Kimberly Goldie Staines, Forrest A Brooks, Ricardo V Young
BACKGROUND: The effects of musical training on the body in professional musicians remain an understudied area, particularly in reference to understanding and managing orthopedic/neuromuscular deviations and injuries in this population. The purpose of this study was to evaluate hand/finger fine motor function in musicians via physical examination as well as laboratory-based evaluations. METHODS: Thirteen healthy noninjured young elite string musicians participated in this study...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29682986/on-top-plasty-for-atypical-thumb-duplication-a-case-report-with-10-year-follow-up
#12
Albert Pons-Riverola, Eric Camprubi-Garcia, Sergi Barrera-Ochoa, Josep M Bergua-Domingo, Jorge Knorr, Francisco Soldado
BACKGROUND: A very uncommon pattern of thumb duplication consists of an ulnar-side floating thumb and a radial-side distally hypoplastic thumb. METHODS: We report the case of a 15-month-old child with this type of thumb duplication on his right hand treated with an on-top-plasty technique. The ulnar-side segment was pedicled and transferred to the lateral thumb, which was distally resected. RESULTS: A well-aligned and widely mobile thumb with a wide first web and an excellent cosmetic appearance was exhibited 10 years after surgery...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29682985/the-7-structures-distal-to-the-elbow-that-are-critical-to-successful-anterior-transposition-of-the-ulnar-nerve
#13
John M Felder, Susan E Mackinnon, Megan M Patterson
BACKGROUND: Ulnar nerve transposition (UNT) surgery is performed for the treatment of cubital tunnel syndrome. Improperly performed UNT can create iatrogenic pain and neuropathy. The aim of this study is to identify anatomical structures distal to the medial epicondyle that should be recognized by all surgeons performing UNT to prevent postoperative neuropathy. METHODS: Ten cadaveric specimens were dissected with attention to the ulnar nerve. Intramuscular UNT surgery was simulated in each...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29671348/four-strand-versus-2-strand-suture-button-constructs-in-first-carpometacarpal-arthroplasty-a-biomechanical-study
#14
Beatrice L Grasu, Andrew J Trontis, Brent G Parks, Raymond A Wittstadt
BACKGROUND: Suture-button fixation is an alternative to no fixation, first metacarpal distraction techniques, or Kirschner wire fixation after trapeziectomy in treatment of first carpometacarpal (CMC) arthritis. A 4-strand suture-button construct requires a 2.7-mm tunnel, whereas a 2-strand construct requires a 1.1-mm tunnel, potentially decreasing the risk of metacarpal fracture. We compared stability and failure criteria of 4-strand versus 2-strand construct in a biomechanical model of first CMC joint arthroplasty...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29667850/a-survey-of-fellowship-trained-upper-extremity-surgeons-on-treatment-of-lateral-epicondylitis
#15
Steven R Niedermeier, Nisha Crouser, Amy Speeckaert, Kanu S Goyal
BACKGROUND: The aim of the study is to investigate current management strategies for lateral epicondylitis by fellowship-trained upper extremity surgeons. METHODS: A 17-question survey of treatment approaches and outcomes related to lateral epicondylitis was sent to 3354 surgeons using the American Society for Surgery of the Hand and American Shoulder and Elbow Surgeons member databases. RESULTS: Six hundred twelve upper extremity surgeons completed the survey...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29661071/a-comparison-of-image-quality-and-radiation-exposure-between-the-mini-c-arm-and-the-standard-c-arm
#16
Juliaan R M van Rappard, Willy A Hummel, Tijmen de Jong, Chantal M Mouës
BACKGROUND: The use of intraoperative fluoroscopy has become mandatory in osseous hand surgery. Due to its overall practicality, the mini C-arm has gained popularity among hand surgeons over the standard C-arm. This study compares image quality and radiation exposure for patient and staff between the mini C-arm and the standard C-arm, both with flat panel technology. METHODS: An observer-based subjective image quality study was performed using a contrast detail (CD) phantom...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29661070/scaphoid-cysts-literature-review-of-etiology-treatment-and-prognosis
#17
Tyler Safran, Jessica Hazan, Becher Al-Halabi, Hassan Al-Naeem, Sabrina Cugno
BACKGROUND: Cystic lesions of the carpal bones are rare entities that are infrequently reported in the literature. Scaphoid intraosseous cystic lesions represent a rare subset of carpal bone cysts. This review aims to summarize the available evidence on the evaluation and treatment of scaphoid cystic lesions to help guide clinical management. METHODS: Systematic electronic searches were performed using PubMed, Ovid, and Embase databases. Studies included were graded for their risk of bias...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29661069/the-black-cloud-phenomenon-in-hand-surgery
#18
Emily Zhao, Nathan Tiedeken, William Wang, John Fowler
BACKGROUND: The term black cloud for a surgeon is generally used to describe someone who is unusually busy compared with his or her counterparts, and it is a superstition that tends to pervade the medical world. The purpose of this study is to investigate whether black clouds exist in hand surgery. METHODS: We examined one academic year's worth of hand surgery-specific call at a level I trauma center and tabulated the number of hand-related patient transfers and add-on cases per surgeon...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29661068/correlation-between-radiological-parameters-and-functional-outcomes-in-patients-older-than-60-years-of-age-with-distal-radius-fracture
#19
Rodrigo Gutiérrez-Monclus, Héctor Gutiérrez-Espinoza, Jonathan Zavala-González, Cristian Olguín-Huerta, David Rubio-Oyarzún, Felipe Araya-Quintanilla
BACKGROUND: The relationship between radiographic and functional outcomes is controversial in the elderly. The objective of this study is to determine whether there is a correlation between functional outcome and acceptable distal radius fracture (DRF) alignment in patients older than 60 years of age. METHODS: This correlation study was carried out at the Central Metropolitan Health Service of Chile. A total of 180 patients diagnosed with extra-articular DRF, according to the AO classification, were prospectively recruited...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29619888/proximal-interphalangeal-joint-silicone-arthroplasty-for-osteoarthritis-midterm-outcomes
#20
Nima Naghshineh, Kanu Goyal, Juan M Giugale, Mithun K Neral, Joel V Ferreira, Glenn A Buterbaugh, Joseph E Imbriglia
BACKGROUND: Osteoarthritis of the proximal interphalangeal (PIP) joint affects a large percentage of the population and can lead to significant functional disability. The purpose of this study is to evaluate the midterm clinical effectiveness of PIP joint arthroplasty for nonrheumatic arthritis. METHODS: A single-center retrospective cohort study evaluating preoperative and postoperative objective and subjective measures was conducted. Range of motion (ROM), Disabilities of the Arm, Shoulder and Hand scores, key pinch strength, grip strength, and satisfaction with respect to pain, deformity, function, and strength were measured...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
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