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Hand Surgery and Rehabilitation

J Rimokh, H Najjari, V Rotari, C Maes, N Lebeau, M Moughabghab
Intraosseous cysts of the carpus are relatively common benign tumors. They are often discovered by chance and can cause wrist pain thereby requiring appropriate management. While conventional open surgical treatment leads to good results, it has certain disadvantages, the main one being postoperative stiffness. Arthroscopic treatment has been proposed as an alternative for lunate cysts. The present study consisted in evaluating the feasibility and outcomes of arthroscopic treatment for lunate and scaphoid cysts...
September 14, 2018: Hand Surgery and Rehabilitation
M-C Sapa, Y Igeta, S Gouzou, S Facca, C Pizza, J J Hidalgo Díaz, P Liverneaux
The aim of this retrospective study was to compare the results of arthroscopic dorsal capsulodesis performed with or without temporary K-wiring to treat patients who had sustained scapholunate ligament injuries. Our case series included 30 patients with an average age of 37 years (range: 19-55) of whom 12 were female. Dorsal scapholunate capsulodesis was carried out in all patients. In 15 patients, splint immobilization only was used (group I). For the remaining 15 patients, supplementary scapholunate and scaphocapitate K-wiring was performed (group II)...
September 13, 2018: Hand Surgery and Rehabilitation
M Kiran, I Guisasola, J-J George-Malal
Hand preference for perineal hygiene is not a commonly recorded data unlike hand dominance. Ability to reach the perineum is essential for a good functional outcome. There is no evidence in orthopaedic literature regarding its variability. The aim of this study was to examine hand preference for perineal hygiene in a cohort of hospital staff and enumerate possible factors that may associate with this preference. One hundred hospital staff in two NHS hospitals were asked questions regarding dominance of hand and hand preference for personal hygiene, ethnicity and gender...
August 30, 2018: Hand Surgery and Rehabilitation
S Barrera-Ochoa, J H Nuñez, X Mir
No abstract text is available yet for this article.
August 30, 2018: Hand Surgery and Rehabilitation
G Silk, N Vetharajan, H Nagata
A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Hand function was excellent following wire removal and mobilization. This is an extremely rare injury, easily missed. The mechanism of injury described leads to comparison with the Lisfranc injury of the foot.
August 28, 2018: Hand Surgery and Rehabilitation
S Roulet, G Bacle, J Guéry, B Charruau, E Marteau, J Laulan
The goal of this study was to assess the recurrence of Dupuytren's disease and the stability of the functional result after fasciectomy combined with the McCash open-palm technique. From 1989 to 1999, 56 consecutive patients were surgically treated for Dupuytren's disease. In 2003, 40 of these operated patients were reviewed by an independent evaluator; 12 patients were Tubiana stage 1, 16 stage 2, 9 stage 3 and 3 stage 4. Twenty-one of them were reviewed again in 2016 by a second evaluator who was unaware of the clinical results in 2003...
August 2, 2018: Hand Surgery and Rehabilitation
M C Sozbilen, A E Dastan, H Gunay, L Kucuk
Angle grinders are powerful tools used for cutting, shaving and polishing metal, stone, concrete and many hard surfaces in the work and hobby context. The aim of this study was to evaluate the acute hand injuries caused by angle grinders and to identify risk factors. Out of 742 acute hand and forearm injuries presenting in our emergency department between March 2016 and March 2017, 82 cases of injury due to angle grinder were included in the study. The age, gender, occupation, experience and education level of the injured patients were recorded...
August 2, 2018: Hand Surgery and Rehabilitation
O Grobnicu, F Vinée, Y Igeta, F Xavier, T Bourcier, P Liverneaux
The purpose of this work was to determine whether the Cochet-Bonnet (CB) corneal sensitivity test has a lower cutaneous pulp sensitivity threshold than the Semmes-Weinstein (SW) monofilament test. Tactile sensitivity thresholds for the radial hemi-pulp of the index finger of 25 healthy adult subjects aged 30 years on average were measured using SW and CB esthesiometers. The sensitivity threshold of the radial hemi-pulp of the index was lower with the CB test than with the SW test. The sensitivity and specificity of the CB test on palm wounds still needs to be determined to rule out nerve damage...
August 2, 2018: Hand Surgery and Rehabilitation
M Le Hanneur, A Walch, T Gerosa, A Grandjean, E Masmejean, T Lafosse
We aimed to assess the rate and type of postoperative motor deficits that might be encountered following elbow flexion reanimation using ulnar- and/or median-based side-to-end nerve transfers in patients with brachial plexus injuries. All patients who underwent elbow flexion reanimation between November 2015 and October 2017 at our facility by nerve transfer based on partial harvests of the median and/or ulnar nerves were included. Postoperative clinical assessment was conducted the day after surgery to identify motor deficits in the territory of the harvested nerves...
August 2, 2018: Hand Surgery and Rehabilitation
S Guéro
This article aims to provide hand surgeons with current knowledge on the developmental biology of the upper limb. It will review positioning, limb bud emergence and formation of the apical ectodermal ridge. The development of the limb bud is analyzed in its three axes: proximal-distal, anteroposterior and dorsoventral. The signaling center and primary morphogens that initiate and stimulate the development of each axis will be described. For the proximal-distal axis, the apical ectodermal ridge stimulates the production of FGFs in the underlying distal mesoderm...
July 21, 2018: Hand Surgery and Rehabilitation
L Athlani, Y-K De Almeida, H Maschino, F Dap, G Dautel
Hypothenar hammer syndrome is a rare condition secondary to ulnar artery damage in Guyon's canal, affecting mainly those exposed to repeated palm trauma. Surgery is discussed in cases of severe symptoms that are resistant to conservative treatment, and/or when anatomical lesions with high embolism potential are discovered during imaging exams. Resection of the pathological zone with revascularization by autologous vein graft is the best option. We report the case of a 60-year-old patient who had a recurrence of symptoms more than 10 years after this type of surgical treatment was performed...
July 20, 2018: Hand Surgery and Rehabilitation
M Rongières
This lecture will focus on posttraumatic finger contractures affecting the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints in adults. The pathophysiology, main causes and essential rehabilitation methods that can be used before resorting to surgical treatment are described, along with the clinical examination. The goal is to define the surgical indications, even though the literature shows the functional outcomes are disappointing. While there is little to no change in a joint's angular amplitude, the functional range of motion can be improved...
July 20, 2018: Hand Surgery and Rehabilitation
J H Nuñez, S Barrera-Ochoa, J Knorr, F Soldado
No abstract text is available yet for this article.
July 19, 2018: Hand Surgery and Rehabilitation
N Kachouh, A Cerlier, M Bouyer, R Legré
Closed rupture of the thumb flexor tendon pulleys is rare. Although anatomical and biomechanical studies have exposed the roles played by the pulleys in flexor pollicis longus (FPL) function, no standardized surgical management has yet been defined, in contrast to situations where pulley reconstruction is required in the fingers. We describe a case of rupture of the three pulleys in the thumb that probably occurred after violent thumb grasp during childbirth in the absence of any other trauma. We reconstructed the A1 pulley only using an extensor retinaculum graft because no remnants of the native pulleys were present...
July 16, 2018: Hand Surgery and Rehabilitation
N Bigorre, F Delaquaize, F Degez, S Celerier
The repair of flexor tendon lesions in zone 2 remains a highly controversial subject in hand surgery. Currently, there is no consensus about the management of these lesions intra- and postoperatively, but the literature suggests that a solid suture will allow early active motion. We hypothesized that the management of flexor tendon injury in zone 2 varies widely. Two online surveys were conducted with surgeons and hand therapists. The questions captured the demographics of the surveyed population, surgical technique, common complications, postoperative management (duration of immobilization, type of splint, rehabilitation techniques and principles of self-rehabilitation)...
June 19, 2018: Hand Surgery and Rehabilitation
Z Tuna, D Oskay
After tendon injuries, it has been observed clinically that patient-reported disability is more severe than the patient's actual performance. This is thought to result from a fear of movement (kinesiophobia) after surgery. The aim of this study was to investigate the presence of kinesiophobia in this patient population and its effects on the clinical outcomes. Patients (n=118) with tendon repairs were included. All the participants received early passive mobilization and were assessed at the end of the 8th week...
June 7, 2018: Hand Surgery and Rehabilitation
B Karslıoğlu, M Uzun, C Tetik, E Tasatan, A C Tekin, C D Buyukkurt
Mallet fracture is an avulsion of the extensor tendon and fracture of the dorsal rim of the articular surface of distal phalanx at the same time. If a part of the mallet fracture is angled or rotated to such a degree that prevents full anatomic reduction, malunion and deformities may occur as a result. The objective of this study was to describe a new surgical technique to provide derotation of the mallet fracture. A 22G or 21G needle is used like a joystick to reduce the mallet fracture with small, gentle movements...
June 6, 2018: Hand Surgery and Rehabilitation
T Poujade, N Balagué, J-Y Beaulieu
The aim of this study was to assess distal radioulnar joint stability after unipolar ulnar head replacement for post-Darrach instability. All the patients who underwent ulnar head replacement between1999 and 2015 for post-Darrach procedure instability at our clinic were reviewed. Seven Hebert-type and two uHead (SBI/Stryker) prostheses were implanted. None of the implants were cemented. We assessed stability, pain, range of motion and strength pre- and postoperatively. The changes in the radiographic appearance between immediate postoperative and the last follow-up were determined...
June 4, 2018: Hand Surgery and Rehabilitation
C Demirdover, F A Ozturk, H S Yazgan, N Yogurtcu, M Sevindik, H Vayvada
The aim of this study was to emphasize the importance of early surgical treatment of multicomponent soft tissue injuries of the wrist. A retrospective review was performed on 156 patients with multicomponent soft tissue injuries of the wrist who were treated between July 2007 and July 2015. All the patients included in the study were operated within the first 36hours of the injury and were hospitalized after the surgery based on the extent of their injury. The patients were evaluated in terms of age, gender, etiology, injured structures, total number of damaged structures, mean follow-up time, complications and reoperation...
June 2018: Hand Surgery and Rehabilitation
P Bellemère
Thanks to its remarkable mechanical properties and excellent biocompatibility, pyrocarbon is an ideal material for articular use. Various pyrocarbon implants for the hand and wrist have been developed over the past 25 years, with about 15 currently available for hemi-, total and interposition arthroplasty. This article describes the production methods and mechanical properties of pyrocarbon. The author summarizes the various implants available for each type of joint, their reported results in the literature, as well as his team's experience...
June 2018: Hand Surgery and Rehabilitation
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