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Journal of Hand Surgery, European Volume

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https://www.readbyqxmd.com/read/28641495/mixing-local-anaesthetics-corticosteroid-and-ketorolac-tromethamine-leads-to-no-extreme-ph-or-precipitation
#1
M Q H Leow, K S Chua, S C Tay
No abstract text is available yet for this article.
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28627963/the-natural-history-of-recovery-of-elbow-flexion-after-obstetric-brachial-plexus-injury-managed-without-nerve-repair
#2
T E J Hems, T Savaridas, D A Sherlock
In this study, we report the outcome for spontaneous recovery of elbow flexion in obstetric brachial plexus injury managed without nerve reconstruction. Excluding those with transient paralysis, our records revealed 152 children with obstetric brachial plexus injury born before our unit routinely offered brachial plexus reconstruction. Five had had nerve repairs. Of the remainder, only one patient had insufficient flexion to reach their mouth. Elbow flexion started to recover clinically at a mean age of 4 months for Narakas Group 1, 6 months for Group 2, 8 months for Group 3 and 12 months for Group 4...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28610464/methodological-quality-and-reporting-of-systematic-reviews-in-hand-and-wrist-pathology
#3
J Wasiak, A Y Shen, R Ware, T J O'Donohoe, C M Faggion
The objective of this study was to assess methodological and reporting quality of systematic reviews in hand and wrist pathology. MEDLINE, EMBASE and Cochrane Library were searched from inception to November 2016 for relevant studies. Reporting quality was evaluated using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and methodological quality using a measurement tool to assess systematic reviews, the Assessment of Multiple Systematic Reviews (AMSTAR). Descriptive statistics and linear regression were used to identify features associated with improved methodological quality...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28610461/the-impact-of-transferred-vascularized-toe-joint-length-on-motion-arc-of-reconstructed-finger-proximal-interphalangeal-joints-a-cadaveric-study
#4
C-C Hsu, C Y Y Loh, D Kao, S L Moran, Y-T Lin
Vascularized toe joint transfer for finger proximal interphalangeal joint reconstruction can result in sub-optimal arc of motion and extension lag due to inappropriate intercalated bony segment length. We investigated the impact of intercalated segment length on passive arc of motion and extension lag of the reconstructed proximal interphalangeal joint. Cadaveric intercalated joint grafts were harvested from lesser toes and transferred to cadaveric fingers. The pre-determined finger proximal interphalangeal joint defect size was 2 cm...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28610452/outcomes-of-flexor-tendon-repairs-in-zone-2-subzones-with-early-active-mobilization
#5
K Moriya, T Yoshizu, N Tsubokawa, H Narisawa, S Matsuzawa, Y Maki
We report on the outcomes of flexor tendon repair in zone 2 subzones with early active mobilization in 102 fingers in 88 consecutive patients. There were 28, 53, 15, and six fingers with repairs in zones 2A to 2D, respectively. Rupture of the repair occurred in four fingers, all in zone 2B. Excluding those with repair ruptures, the mean total active motion was 230° (range 143°-286°). Evaluated with Tang's criteria, the outcomes were ranked excellent in 39 fingers, good in 46, fair in ten, poor in three, and failure in four...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28605949/venous-flaps-for-coverage-of-traumatic-soft-tissue-defects-of-the-hand-a-systematic-review
#6
R Wharton, H Creasy, C Bain, M James, A Fox
A PRISMA-guided systematic review was performed of all published cases that detail the use of venous flaps for soft tissue reconstruction of the hand following trauma. Outcome measures examined included flap survival rates, venous congestion, and return to theatre. Database searches were performed on Medline, Embase, AHMED, CINAHL. A total of 381 articles were identified. Data were extracted from 45 articles that met inclusion criteria. A total of 756 flaps were described and their data analysed. A total of 75% of flaps were arterialized and 25% were pure venous flaps...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28605948/vascular-anatomy-of-the-capitate-determined-by-micro-computed-tomography-angiography
#7
G Xiong, Z R Xiao, W G Zhang
No abstract text is available yet for this article.
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28605942/current-attitudes-regarding-surgical-treatment-of-cubital-tunnel-syndrome-in-the-uk
#8
E O'Grady, D Power, S Tan
No abstract text is available yet for this article.
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28604156/outcomes-of-repair-of-the-lacerated-a2-pulley-with-extensor-retinaculum-during-primary-flexor-tendon-repair
#9
A El-Shebly, M El Fahar, H Mohammed, A Bahaa Eldin
We report outcomes of repairing the lacerated A2 pulley with extensor retinaculum graft in ten patients (ten fingers) during primary flexor tendon repair in zone 2. Complete A2 pulley lacerations were found in eight fingers and partial A2 pulley laceration in two. We extended the laceration in the sheath to the middle of the A4 or A1 pulley to allow tendon repair with a four-strand core suture. The A2 pulley was reconstructed with an extensor retinaculum graft. All patients followed the early controlled active mobilization protocol and recovered active range of motion at the interphalangeal joints without major extension deficits...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28602132/treatment-of-congenital-clasped-thumb-in-arthrogryposis
#10
H Abdel-Ghani, M Mahmoud, A Shaheen, M Abdel-Wahed
We report the result of treatment of 69 complex clasped thumbs in 39 patients with distal arthrogryposis. The mean age at surgery was 30 months. Surgical reconstruction included skin augmentation of the first web using modified dorsal rotation advancement flap (Abdel-Ghani flap), a la Carte release of tight structures of the first web, and chondrodesis of the thumb metacarpophalangeal joint. The mean follow-up was 4 years. We prefer chondrodesis because of the presence of global instability, abnormal joint structure, abnormal articular surfaces, and inefficient muscles for transfer...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28602125/modification-of-the-use-of-the-extensor-retinaculum-for-reducible-distal-radioulnar-joint-instability-technique-and-results
#11
A Filius, J M Zuidam, J B Jaquet, H P Slijper, J H Coert
Different surgical techniques have been described for chronic distal radioulnar joint instability: they are often complicated, quite invasive and may not be recommended for bidirectional instability. We describe a procedure using a radial-based extensor retinaculum strip and a capsular plication. This is a simple technique and less invasive than 'anatomic' radioulnar ligament reconstructions. We report the results of 38 patients (38 wrists) who we treated. After a minimum of 8 months we quantified the outcomes of the patients objectively by assessing ranges of motion, grip strength and clinical assessment of stability, and subjectively using questionnaires...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28589776/early-active-motion-after-rigid-internal-fixation-of-unstable-extra-articular-fractures-of-the-proximal-phalanx
#12
Y Ataker, S Uludag, S C Ece, E Gudemez
The purpose of this study is to describe active early rehabilitation in proximal phalanx fractures treated with rigid internal fixation. A total of 22 consecutive patients presenting with spiral, oblique or comminuted extra-articular fractures of the proximal phalanx were included in the study. All fractures were rigidly stabilized with plate and screws or screws alone and subsequently entered an active early rehabilitation programme. The mean follow-up period was 15.4 months (SD 10.1). Mean visual analogue scale pain score was 0...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28587568/ultrasonographic-examination-of-the-ruptured-cord-after-collagenase-treatment-or-needle-fasciotomy-for-dupuytren-s-contracture
#13
J Strömberg, P Vanek, J Fridén, Y Aurell
Local treatment of Dupuytren's contracture, either by collagenase or needle fasciotomy, allows disruption of the pathological cord during forced extension. The purpose of this study was to investigate the cord before and after both treatments by ultrasound. A total of 39 patients with a minimum of 20° contracture in the metacarpophalangeal joint were included and randomized to treatment with either collagenase (20 patients) or needle fasciotomy (19 patients). The distance between the distal and the proximal parts of the ruptured cord was measured by ultrasound and the difference in passive joint movement before and after treatment was measured with a goniomenter...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28580866/complications-after-hand-surgery-in-patients-with-a-raised-international-normalized-ratio
#14
R M Zimmerman, E Paryavi, N B Zimmerman, K R Means
A multicentre database was used to compare complications in 231 patients with an elevated International Normalized Ratio with 1626 control patients with a normal International Normalized Ratio. Patients with International Normalized Ratios measured within 48 hours of hand surgery were identified. Logistic regression models were used to assess the association between anticoagulation and reoperation rates, emergency department visits and hospital readmissions for the first 30 days after operation. The group with a raised International Normalized Ratio had a significantly higher Charlson Comorbidity Score...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28552023/peri-implant-radial-and-ulnar-shaft-fractures-after-volar-locking-plate-fixation-of-the-distal-radius
#15
S Barrera-Ochoa, J H Nuñez, X Mir
No abstract text is available yet for this article.
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28488456/international-classification-of-functioning-disability-and-health-development-of-an-assessment-set-to-evaluate-functioning-based-on-the-brief-icf-core-set-for-hand-conditions-icf-handa
#16
S Kus, C Dereskewitz, M Coenen, A Rauch, K-D Rudolf
Timely identification of patients' problems after disorder or injury of the hand requires a thorough functional assessment. However, the variety of outcome measures available makes it difficult to choose the appropriate instrument. The brief International Classification of Functioning, Disability and Health (Brief ICF Core Set for Hand Conditions) provides a standard for what aspects need to be measured in hand injuries and disorders without specifying how to make the assessment. We developed the ICF-based Assessment Hand (ICF HandA), an assessment set for functioning based on the Brief ICF Core Set for Hand Conditions...
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28488448/indications-techniques-and-outcomes-of-arthroscopic-repair-of-scapholunate-ligament-and-triangular-fibrocartilage-complex
#17
C L Mathoulin
This review includes updated understanding of the roles of intrinsic and extrinsic carpal ligaments in scapholunate instability and details the author's experience of indications, arthroscopic repair methods, and outcomes of treating the instability. A classification on triangular fibrocartilage complex injuries is reviewed, followed by author's indications, methods, and outcomes of arthroscopic repair of triangular fibrocartilage complex injuries.
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28480816/nail-bed-granuloma-as-a-complication-of-nail-bed-injuries
#18
B T Ding, M Satkunanantham, S Sechachalam
No abstract text is available yet for this article.
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28480780/augmented-hamate-replacement-arthroplasty-for-fracture-dislocations-of-the-proximal-interphalangeal-joints-in-12-patients
#19
B P Thomas, S Raveendran, S R Pallapati, G A Anderson
We report clinical outcomes in 12 patients with hemi-hamate replacement arthroplasty combined with volar plate arthroplasty. The volar plate was reattached using trans-osseous sutures to reconstruct the ligament-box complex after hamate grafting to augment the stability of the proximal interphalangeal joint. Ten patients had improved joint movement from a mean of 14° before surgery to a mean of 77° at a minimum follow-up of 2 years. Grip strength and pain of the affected hand and patient-rated hand and wrist scores were improved in these 10 patients...
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28462679/thumb-boutonni%C3%A3-re-deformity-without-rheumatoid-arthritis-or-trauma
#20
T Hara, H Yoneda, S Kurimoto, M Yamamoto, K Iwatsuki, H Hirata
Boutonnière deformity of the thumb without rheumatoid arthritis or trauma is not widely recognised. This study aimed to investigate its prevalence, relation to sex and age, and identifying factors associated with the extensor mechanism using ultrasonography. We examined 248 thumbs from 127 participants who were asymptomatic for hand disorders and had no history of hand injury. Boutonnière deformity was identified in 20 thumbs of 17 participants and was significantly more prevalent among elderly participants than among young participants...
April 1, 2017: Journal of Hand Surgery, European Volume
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