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Journal of Hand Surgery, European Volume

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https://www.readbyqxmd.com/read/29466912/radial-shaft-fracture-obliquity-as-a-predictor-of-distal-radioulnar-joint-instability
#1
Benjamin T K Ding, Kaamini Pillay, Sreedharan Sechachalam
We assessed whether radial shaft fracture obliquity measurements on radiographs could predict intra-operative distal radioulnar joint instability. We also clinically validated previously described predictors of distal radioulnar joint instability, which included a fracture line within 7.5 cm of the lunate fossa, radial shortening >5 mm, and ulna styloid fracture. We retrospectively analysed the radiographs of all surgically managed patients in our unit with radial shaft fractures from 2006 through 2016...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29458310/flexor-tendon-repair-in-the-hand-with-the-m-tang-technique-without-peripheral-sutures-pulley-division-and-early-active-motion
#2
Thomas Giesen, Lisa Reissner, Inga Besmens, Olga Politikou, Maurizio Calcagni
We report outcomes in 29 patients with flexor tendon repairs in 32 digits (five thumbs and 27 fingers) with our modified protocols. We repaired the lacerated flexor digitorum profundus tendons with core suture repairs using the 6-strand M-Tang method and without circumferential sutures. We divided the pulleys as much as needed to allow excursion of the repaired tendons, including complete division of the A4 or A2 pulleys when necessary. In nine fingers, we repaired one slip of the flexor digitorum superficialis tendon and resected the other half...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29458309/a-cyclic-testing-comparison-of-two-flexor-tendon-repairs-asymmetric-and-modified-lim-tsai-techniques
#3
Rebecca Q R Lim, Yoke-Rung Wong, Austin M K Loke, Shian-Chao Tay
This study compared the biomechanical performance of a novel 6-strand asymmetric flexor tendon repair with the modified Lim-Tsai technique using cyclic testing. Two groups of ten porcine tendons each were repaired and tested. Gap formation at every 100 cycles was measured. Survival was defined as maximum gap formation below 2 mm. All the repairs survived Stage I. With increased cyclic load in Stage II, the mean gap formation of modified Lim-Tsai repairs exceeded 2 mm at the 600th cycle and reached 4.2 mm (SD 1...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29458308/new-findings-about-the-intrascaphoid-arterial-system
#4
Zirun Xiao, Ge Xiong, Weiguang Zhang
We investigated the intraosseous arteries of six normal cadaveric scaphoids using red lead injection and three-dimensional reconstruction with micro-computed tomography. The arterial entrances were generally located around the dorsal ridge, the insertion of the scaphocapitate ligament and the radial part of the radioscaphocapitate ligament. Two to three trunk arteries entered the scaphoid on dorsal ridge at the level of the waist. The distal part of the scaphoid was mainly supplied by arteries from the waist...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29451099/a-systematic-review-and-meta-analysis-of-arthroscopic-assisted-techniques-for-thumb-carpometacarpal-joint-osteoarthritis
#5
Suzanne C Wilkens, Claudia A Bargon, Amin Mohamadi, Neal C Chen, J Henk Coert
Arthroscopic management of thumb carpometacarpal (CMC) osteoarthrosis (OA) is an approach that has unclear results. We performed a systematic review encompassing three electronic databases up to May 2016 for studies describing arthroscopic-assisted techniques for thumb CMC OA. Meta-analyses of visual analogue scores (VAS) for pain, Disabilities of the Arm, Shoulder and Hand (DASH) scores, grip strength and pinch strength before and after arthroscopy were performed for ten included non-randomized cohort studies comprising 294 patients...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29451098/the-association-between-preaxial-polydactyly-and-radial-longitudinal-deficiency-in-syndromic-cases-a-report-on-nine-families
#6
Mohammad M Al-Qattan
Preaxial polydactyly and radial longitudinal deficiency are usually viewed as two different entities. We present nine families with different disorders in which both preaxial polydactyly and radial longitudinal deficiency were seen in the phenotype. This indicates that both entities may be caused by the same developmental error or insult. The pathogenesis is complex and may be related to the interactions of two signalling loops: the first loop (named as the radial longitudinal deficiency loop) contains genes/proteins responsible for the development of the radial ray; and the second loop (named as the preaxial polydactyly loop) contains the Sonic Hedgehog involved in the pathogenesis of preaxial polydactyly...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29451097/a-three-dimensional-printed-patient-specific-scaphoid-replacement-a-cadaveric-study
#7
Philipp Honigmann, Ralf Schumacher, Romy Marek, Franz Büttner, Florian Thieringer, Mathias Haefeli
We present our first cadaveric test results of a three-dimensional printed patient-specific scaphoid replacement with tendon suspension, which showed normal motion behaviour and preservation of a stable scapholunate interval during physiological range of motion.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29448917/a-randomized-controlled-trial-comparing-ketorolac-and-triamcinolone-injections-in-adults-with-trigger-digits
#8
Mabel Qi He Leow, Aik Siew Robyn Hay, Shu Li Ng, Muntasir Mannan Choudhury, Huihua Li, Duncan Angus McGrouther, Shian Chao Tay
We assessed the efficacy of ketorolac trometamol injections compared with triamcinolone acetonide injections in trigger digits. Patients with trigger digits were randomized to receive either ketorolac or triamcinolone. They were followed up at 3, 6, 12 and 24 weeks, and monitored for resolution of triggering, pain and total active motion. One hundred and twenty-one patients with single trigger digits were recruited (59 ketorolac, 62 triamcinolone). At 6 weeks, 54% of patients in the triamcinolone group had complete resolution of trigger, whereas no patients in the ketorolac group had resolution...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29448916/tensioning-of-the-radioscaphocapitate-and-long-radio-lunate-ligaments-for-dynamic-radiocarpal-instability
#9
Carin Rubensson, Torsten Johansson, Lars Adolfsson
During 1994-2003, we treated 20 patients with post-traumatic radial-sided wrist pain and dynamic radiocarpal instability. After arthroscopy confirmed no disruption of the radioscaphocapitate ligament and an increased laxity of the ligament, we passed a strip of the radioscaphocapitate ligament through the long radio-lunate ligament. The rationale of this procedure was to increase tension of the two ligaments and to close the space of Poirier. Eighteen patients were assessed after 1-3.7 years (mean 2.5 years)...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29439589/measurement-properties-of-the-dutch-unit%C3%A3-rhumatologique-des-affections-de-la-main-and-its-ability-to-measure-change-due-to-dupuytren-s-disease-progression-compared-with-the-michigan-hand-outcomes-questionnaire
#10
Dieuwke C Broekstra, Edwin R van den Heuvel, Rosanne Lanting, Paul M N Werker
Data of a prospective longitudinal cohort study including 233 Dupuytren's patients was used to determine: (1) whether the Unité Rhumatologique des Affections de la Main scale and Michigan Hand outcomes Questionnaire can detect change in hand function due to Dupuytren's disease progression and to compare their abilities; (2) the concurrent validity, reliability, responsiveness and interpretability of the Dutch Unité Rhumatologique des Affections de la Main. The Unité Rhumatologique des Affections de la Main and Michigan Hand outcomes Questionnaire had comparable measurement properties, and were both able to distinguish participants with disease progression from those without progression (resp...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29433412/modified-littler-flap-for-sensory-reconstruction-of-large-thumb-pulp-defects
#11
Hui Wang, Xiaoxi Yang, Chao Chen, Bin Wang, Wei Wang, Song Jia
The Littler flap has been widely used to repair large pulp defects of the thumb; however, several complications have occurred frequently. In order to reduce these issues, the modified Littler flap innervated by the dorsal branch of the proper digital nerve and the proper digital nerve from the ulnar aspect of the middle finger or the radial aspect of the ring finger were devised in 16 consecutive cases. At the donor site, the defect of the proper digital nerve was repaired with a nerve graft from the proximal portion of the ipsilateral dorsal branch of the proper digital nerve...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29433411/spinal-accessory-nerve-repair-using-a-direct-nerve-transfer-from-the-upper-trunk-results-with-2-years-follow-up
#12
Adeline Cambon-Binder, Lynda Preure, Heba Dubert-Khalifa, Pierre-Sylvain Marcheix, Zoubir Belkheyar
Spinal accessory nerve grafting requires identification of both nerve stumps in the scar tissue, which is sometimes difficult. We propose a direct nerve transfer using a fascicle from the posterior division of the upper trunk. We retrospectively reviewed 11 patients with trapezius palsy due to an iatrogenic injury of the spinal accessory nerve in nine cases. The mean age was 38 years (range 21-59). Preoperatively, patients showed shoulder weakness and limited range of motion. At a mean follow-up of 25 months, active shoulder abduction improvement averaged 57°...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29411673/20-years-of-rheumatoid-hand-surgery-what-did-i-learn
#13
Daniel B Herren
Rheumatoid arthritis is one common form of inflammatory arthritis that affects about 1% of the population. Few conditions in hand surgery have undergone such fundamental changes within the last two decades as rheumatoid arthritis has with regard to clinical presentations and treatments. This article provides a personal practice-guided review of the author's decision making and treatment for patients with rheumatoid arthritis in the past two decades.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29411672/management-of-fracture-dislocations-of-the-little-finger-carpometacarpal-joint-a-systematic-review
#14
Will A Cobb, Lewis Dingle, Raina Zarb Adami, Jeremy Rodrigues
Fracture-dislocations of the carpometacarpal joint (CMCJ) of the little ray involve dorsal subluxation of the metacarpal base and they may be associated with injury of neighbouring CMCJs. Different treatment options are described, with no clear consensus on their management. This study presents a systematic review of comparative studies describing the management of these injuries. A bespoke search strategy was applied across multiple databases. Results were screened against specified stepwise inclusion criteria and data were extracted independently by two authors with discrepancy resolution by a third...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29402172/teaching-of-distal-radius-shortening-osteotomy-three-dimensional-procedural-simulator-versus-bone-procedural-simulator
#15
Ismaël Naroura, Juan José Hidalgo Diaz, Fred Xavier, Florent Baldairon, Henri Favreau, Philippe Clavert, Philippe Liverneaux
In order to facilitate the learning of distal radius shortening osteotomy by junior surgeons, the main assumption was that using a three-dimensional procedural simulator was better than a bone procedural simulator. After viewing a video, ten junior surgeons performed a distal radius shortening osteotomy: five with a bone procedural simulator (Group 1) and five with a three-dimensional procedural simulator (Group 2). All subsequently performed the same surgery on fresh cadaveric bones. The duration of the procedure, shortening of the radius, and the level of osteotomy were significantly better in Group 2...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29402171/three-dimensional-analysis-of-deformities-of-the-radius-and-ulna-in-congenital-proximal-radioulnar-synostosis
#16
Motoko Nakasone, Satoshi Nakasone, Masaki Kinjo, Tsuyoshi Murase, Fuminori Kanaya
We reconstructed three-dimensional images of radius and ulna in 38 forearms of 25 patients with congenital proximal radioulnar synostosis from their computed tomographic studies. We also analysed correlations between the deformities of radius and ulna and degrees of fixed pronation of these forearms. The average ulnar deviation, flexion and internal rotation deformities of the radius were 6°, 3° and 18°, respectively. The average radial deviation, extension and internal rotation deformities of the ulna were 3°, 4° and 30°, respectively...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29359622/the-virtual-hand-clinic-its-use-in-optimizing-trauma-footfall-in-a-hand-trauma-unit
#17
Abdulla Ibrahim, Daniel J Jordan, Muhammad A A Khan, Alastair G Lowrie
No abstract text is available yet for this article.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29359621/radio-scapho-capitate-ligament-reconstruction-during-proximal-row-carpectomy
#18
Mathias Haefeli, Paul Borbas
No abstract text is available yet for this article.
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29329504/expression-of-vitamin-d-receptor-in-the-subsynovial-connective-tissue-in-women-with-carpal-tunnel-syndrome
#19
Kahyun Kim, Hyun Sik Gong, Jihyeung Kim, Goo Hyun Baek
Studies suggest that low vitamin D levels are associated with carpal tunnel syndrome. We aimed to evaluate whether level of vitamin D receptor expression in the endothelial cells of the subsynovial connective tissue is associated with clinical features of carpal tunnel syndrome. We obtained the subsynovial connective tissue from 52 women with carpal tunnel syndrome during surgery and performed immunohistochemical analysis of vitamin D receptors in the endothelial cells of the subsynovial connective tissue. We explored correlation of vitamin D receptor expression with clinical features of carpal tunnel syndrome, such as age, symptom duration, symptom severity and electrophysiological severity...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29320907/a-single-injection-metacarpal-block-of-the-second-digital-ray-an-easy-efficient-and-patient-friendly-technique
#20
Guirgis A Awad
No abstract text is available yet for this article.
January 1, 2018: Journal of Hand Surgery, European Volume
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