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Hand Surgery and Rehabilitation

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https://www.readbyqxmd.com/read/28325434/radiation-exposure-and-the-orthopedic-surgeon-s-hand-measurement-of-the-equivalent-dose-over-13%C3%A2-months
#1
F Loisel, G Menu, E Boyer, I Pluvy, L Obert
Exposure to ionizing radiation in the operating room is governed by practical prevention and protection measures on the international, national and local levels. We evaluated the equivalent dose to the hand of an orthopedic surgeon over 13 months. An orthopedic surgeon wore a ring dosimeter on the ring finger of his right hand for all surgical procedures requiring intraoperative fluoroscopy between March 2014 and April 2015. Monthly doses were evaluated by the IRSN over the study period. The number and type of procedures were compiled as well as the type of fluoroscopy unit used...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325433/reliability-of-the-grip-strength-coefficient-of-variation-for-detecting-sincerity-in-normal-and-blocked-median-nerve-in-healthy-adults
#2
N J Wachter, M Mentzel, R Hütz, J Gülke
In the assessment of hand and upper limb function, detecting sincerity of effort (SOE) for grip strength is of major importance to identifying feigned loss of strength. Measuring maximal grip strength with a dynamometer is very common, often combined with calculating the coefficient of variation (CV), a measure of the variation over the three grip strength trials. Little data is available about the relevance of these measurements in patients with median nerve impairment due to the heterogeneity of patient groups...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325432/wide-awake-ultrasound-guided-percutaneous-extensor-central-slip-tenotomy-for-chronic-mallet-finger-a-prospective-study-of-14-cases-with-videos
#3
T Apard, G Candelier
The central slip tenotomy described by Fowler is an effective option for treating chronic mallet finger in order to avoid swan neck deformity of the finger. In a prospective study of 14 cases (13 failures of conservative treatment and one case of untreated mallet finger), we performed percutaneous ultrasound-guided central slip tenotomy with a 19 G needle using the wide-awake local anesthesia and no tourniquet (WALANT) technique. The mean extensor lag before surgery was 28° (range 20°-40°) and three patients had a swan neck deformity...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325431/nerve-conduits-for-treating-peripheral-nerve-injuries-a-systematic-literature-review
#4
J Braga Silva, G M Marchese, C G Cauduro, M Debiasi
Peripheral nerve injuries are a major public health problem. Nerve conduits have been developed in the recent years, although it is still not clear if they should replace nerve grafting and neurorrhaphy. This systematic review aims to gather evidence regarding the use of nerve conduits for peripheral nerve repair. The following electronic databases were searched: MEDLINE, Cochrane Library (CENTRAL) and Embase. Study selection and data extraction followed the PRISMA guidelines. The systematic review of the literature retrieved 6767 articles...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325430/m1-m2-ratio-for-radiological-follow-up-of-trapeziometacarpal-surgery
#5
LETTER
P Ledoux
No abstract text is available yet for this article.
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325429/stener-like-lesions-due-to-radial-collateral-ligament-rupture-in-the-metacarpophalangeal-joints-of-two-adjacent-fingers-a-case-report-and-review-of-literature
#6
A Toffoli, M Chammas
Rupture of the collateral ligaments in the metacarpophalangeal (MCP) joint of a finger is less common than in the thumb. Literature about these lesions is sparse but the number of chronic injuries reported underlies the number of cases overlooked by physicians at the first visit. A Stener-like lesion is characterized by interposition of the extensor hood or the sagittal band between the torn collateral ligament of the MCP joint of a finger and its insertion. It was originally described as interposition of the adductor aponeurosis of the thumb...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325428/complete-section-of-proper-palmar-digital-pedicles-correlation-between-arterial-patency-and-sensory-recovery
#7
G Pomares, F Dap, G Dautel
Wounds to proper palmar digital (PPD) pedicles are frequent surgical emergencies. A correlation between arterial patency and nerve regeneration, however, has never been demonstrated. Forty-seven patients presenting complete section of a PPD pedicle and having undergone surgical repair of both elements were followed-up at a minimum of one year postoperatively. Doppler ultrasound examination studied arterial patency as well as the degree of stenosis. Neurological examination determined the BMRC score and the existence of cold intolerance, symptomatic neuroma and neurogenic pain...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325427/surgical-management-of-closed-isolated-proximal-phalanx-fractures-in-the-long-fingers-functional-outcomes-and-complications-of-87-fractures
#8
A-S Desaldeleer-Le Sant, A Le Sant, V Beauthier-Landauer, N Kerfant, D Le Nen
Finger fractures are the most common skeletal injuries of the upper limbs. The purpose of this study was to evaluate the functional outcomes and complications after surgical management of isolated, closed fractures of the proximal phalanx (PP) of the hand (thumb excluded). Surgical management was indicated in 87 PP fractures. Fractures were reduced and fixed with pins, screws or a plate. Functional outcomes were assessed through the range of motion (ROM) in flexion-extension, hand and finger strength, and the QuickDASH and PRWHE scores...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325426/rotational-stability-test-for-the-diagnosis-of-radial-collateral-ligament-rupture-in-the-fingers-anatomical-study
#9
P Lazarus, J J Hidalgo Diaz, G Prunières, E Pire, C Taleb, S Honecker, P Bellemère, C Fontaine, P A Liverneaux
Diagnosing rupture of the radial collateral ligament (RCL) of the finger metacarpophalangeal (MCP) joints is difficult. The aim of this cadaver study was to validate a rotational test for the MCP after RCL transection. With the MCP and proximal interphalangeal joints in flexion, rotation along the axis of the proximal phalanx was applied through an extended distal interphalangeal joint to 36 cadaver fingers. Each finger's pulp described an arc of pronation and supination that was noted on the palm. The test was repeated three times: before transection, after transection of the proper collateral ligament (CL) and after transection of both the proper and accessory CLs...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325425/treatment-of-scaphotrapeziotrapezoid-osteoarthritis-with-the-pyrocardan-%C3%A2-implant-results-with-a-minimum-follow-up-of-2-years
#10
E Gauthier, M-V Truffandier, E Gaisne, P Bellemère
The aim of this study was to report the results of arthroplasty using a mobile pyrocarbon implant (Pyrocardan(®)) for isolated scaphotrapeziotrapezoid (STT) osteoarthritis. The hypothesis was that this arthroplasty leads to functional improvement without carpal instability. Twenty patients (22 implants) were included with a minimum follow-up of 2 years and an average age of 59.6 years. Outcome criteria were pain (VAS scale), QuickDASH and PRWE scores, strength (grip and pinch), wrist mobility, the Kapandji index, carpal height and the capitolunar angle measured on X-rays...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325424/surgical-treatment-of-carpal-boss-by-simple-resection-results-in-25%C3%A2-cases-at-a-mean-of-8%C3%A2-years-follow-up
#11
S Roulet, G Bacle, E Marteau, J Laulan
Carpal boss is a symptomatic bony protrusion on the dorsal surface of the wrist at the base of the 2nd and/or 3rd metacarpal. The goal of this study was to assess the reliability and safety of simply resecting the exostosis. From 1994 to 2014, 29 cases of carpal boss were treated by simple resection. Twenty-five of these patients were subsequently assessed by telephone questionnaire at a mean of 8 years' follow-up (range 1.1 to 20 years). There were no cases of recurrence; however, 1 patient reported carpometacarpal instability requiring fusion, 5 years after surgery...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28325423/stage%C3%A2-iv-kienb%C3%A3-ck-s-disease-proximal-row-carpectomy-and-application-of-rcpi-implant
#12
A Marcuzzi, F Colantonio, G Petrella, H Ozben, A Russomando
Kienböck disease is an aseptic osteonecrosis of the lunate, which gradually leads to total carpal collapse. Lichtman's classification relates radiographic evidence of wrist damage to four different stages and supports surgical decision-making. This study pertains to six patients (2 males and 4 females) affected by stage IV Kienböck's disease who underwent proximal row carpectomy and received an RCPI implant. The clinical outcomes consisted of wrist range of motion (ROM), pain on a VAS scale (0-10), the DASH score and the patient's level of satisfaction...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137448/chondrosarcoma-of-the-proximal-phalanx-of-the-ring-finger
#13
LETTER
E Muñoz-Mahamud, A Combalia, A Ferrerres
No abstract text is available yet for this article.
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137447/mismatch-in-outcomes-is-this-a-signal-to-investigate-the-possibility-of-kinesiophobia
#14
LETTER
Z Tuna, D Oskay
No abstract text is available yet for this article.
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137446/hamate-hook-stress-fracture-in-a-professional-bowler-case-report-of-an-unusual-causal-sport
#15
N How Kit, M Malherbe, C Hulet
Stress fracture of the hook of the hamate is uncommon and is usually seen in sports involving a club, racquet or bat (i.e., golf, tennis or baseball). It is caused by direct blunt trauma. We report an unusual case of stress fracture with non-union in a 23-year-old professional bowler, probably caused by endogenous constraints, 1 year after the start of symptoms. Treatment consisted of surgical resection of the hook of the hamate. Multimodal imaging of this fracture is reviewed.
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137445/lipofibromatous-hamartoma-of-the-radial-nerve-an-unusual-location
#16
G Pomares, B Pedeutour, F Dap, G Dautel
Lipofibromatous hamartoma is a congenital and ineradicable benign tumour of the peripheral nerve sheaths, affecting almost exclusively the median nerve and its branches. It corresponds to an infiltration of the nerve by lipofibramatous tissue that dissociates the fascicles. We report a highly unusual case of a lipofibromatous hamartoma of the radial nerve in the upper extremity in a 52-year-old female patient.
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137444/preliminary-results-of-the-induced-membrane-in-upper-limb-about-6-cases
#17
N M Anoumou, M Traoré, M Kouamé, A Yepié, G Varango
The aim of this study was to describe the preliminary results after reconstruction of segmental bone defects (SBDs) in the upper limb of six patients. This retrospective study included three men and three women with an average age of 35years (range 18-62years), who had four primary and two secondary SBDs. The average length of the SBD was 4.5 cm (2-10cm). According to the SOFCOT classification, type I (1 case), type II (4 cases) and type III (1 case) defects were identified. The reconstruction involved the humerus in two cases and the forearm bones in four cases...
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137443/extra-articular-subcutaneous-inverted-king-post-truss-ligament-reconstruction-for-severe-swan-neck-deformity-snapping-finger
#18
X de Soras, P de Mourgues, P Pradel, J-P Urien, E Beaudoin
A swan neck deformity (SND) can be well tolerated for a long time, until the appearance of a disabling "snapping finger". In its most advanced condition, the other hand is needed to initiate finger flexion. We propose a technique of extra-articular, subcutaneous ligament reconstruction with an "inverted king post-truss" configuration use in roofs and to reinforce railway bridges. An artificial ligament (MaxBraid™ polyethylene surgical suture, 5 metric, Biomet) makes a figure of eight between transosseous tunnels in the proximal and middle phalanges, crossing over top of the A3 pulley...
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137442/results-of-conservative-treatment-of-volar-plate-sprains-of-the-proximal-interphalangeal-joint-with-and-without-avulsion-fracture
#19
M Adi, J J Hidalgo Diaz, S Salazar Botero, G Prunières, P Vernet, S Facca, P Liverneaux
The prognosis of isolated volar plate sprains of the proximal interphalangeal (PIP) joint is related to the extension deficit. Some consider an associated avulsion fracture as a sign of severity. The goal of this study was to find out whether the outcomes of conservative treatment in PIP volar plate injury was impacted by the presence of an avulsion fracture. Our series included 75 patients, 27 years old on average, of which 58 were men. All sprains were stable. The X-rays were normal in 52 cases (group 1); an avulsion fracture was found in 23 cases (group 2)...
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28137441/effects-of-habitual-knuckle-cracking-on-metacarpal-cartilage-thickness-and-grip-strength
#20
M T Yildizgören, T Ekiz, S Nizamogullari, A D Turhanoglu, H Guler, N Ustun, M Kara, L Özçakar
Joint cracking involves a manipulation of the finger joints resulting in an audible crack. This study aimed to determine whether habitual knuckle cracking (KC) leads to an alteration in grip strength and metacarpal head (MH) cartilage thickness. Thirty-five habitual knuckle crackers (cracking their joints ≥5times/day) (20 M, 15 F, aged 19-27 years) and 35 age-, gender-, and body mass index-matched non-crackers were enrolled in the study. MH cartilage thickness was measured with ultrasound and grip strength was measured with an analog Jamar hand dynamometer...
February 2017: Hand Surgery and Rehabilitation
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