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Wrist denervation

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https://www.readbyqxmd.com/read/27893494/a-comparison-of-magnetic-resonance-imaging-and-electroneuromyography-for-denervated-muscle-diagnosis
#1
Betül Tepeli, Metin Karataş, Mehmet Coşkun, Oya Ümit Yemişçi
INTRODUCTION: The aim of this study was to evaluate the diagnostic value of magnetic resonance imaging (MRI) for muscle denervation due to focal lesions of the median nerve and to compare electrophysiological findings with MRI findings. METHODS: Twenty-six patients with electrophysiological studies diagnose for focal lesions of the median nerve were included in this study. Electrophysiological studies and MRI were conducted on 34 patients' hands. Patient hands were divided into two groups based on edema findings revealed by the MRI: group 1 (edema-negative group; n = 24) and group 2 (edema-positive group; n = 10)...
November 21, 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/27885386/wrist-denervation-of-the-posterior-interosseous-nerve-through-a-volar-approach-a-new-technique-with-anatomical-considerations
#2
Stephan Grechenig, Surjit Lidder, Manuel Dreu, Claudia Dolcet, Lucy Marguerite Cooper, Georg Feigl
PURPOSE: Full or selective wrist denervation is an effective treatment for chronic wrist pain. In this cadaveric study, a volar approach for prophylactic denervation of the posterior interosseous nerve (PIN) and the anterior interosseous nerve (AIN) was assessed, which can simultaneously be performed during volar approaches for distal radius fracture fixation or in combination with metalwork removal. MATERIALS AND METHODS: In total 40 adult upper limbs, embalmed using Thiel's method, were investigated...
November 24, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27852665/sensory-nerve-supply-of-the-distal-radio-ulnar-joint-with-regard-to-wrist-denervation
#3
G M Hohenberger, M J Maier, C Dolcet, A H Weiglein, A Schwarz, V Matzi
The objective of this study was to determine the precise departure points of the articular branches innervating the distal radio-ulnar joint from the anterior and posterior interosseous nerves. The study sample consisted of 116 upper limbs from adult human cadavers. The articular branches were prepared under the dissection microscope to take measurements using the radial styloid process as point of reference. The articular branch departed from the anterior interosseous nerve at a mean distance of 2.9 cm proximal to the styloid for a radius length of 20...
November 15, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27252125/backpack-palsy-a-rare-complication-of-backpack-use-in-children-and-young-adults-a-new-case-report
#4
Katy Rose, Anne Davies, Matthew Pitt, Didi Ratnasinghe, Luigi D'Argenzio
Backpack palsy is a well-recognised, albeit rare, complication of carrying backpacks. Although it has been mostly described in cadets during strenuous training, sporadic cases of brachial nerve impairment have been reported in children and young adults. Here we reported the case of a 15-year-old girl who presented with a left-side brachial palsy with axonal denervation of C5C7 motor roots following a school challenge for the Duke of Edinburgh Award. Her symptoms began soon after starting the challenge and included weakness of shoulder abduction and elevation, as well as forearm, wrist and fingers extension...
December 0: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/27244463/radical-wrist-denervation-and-preliminary-results
#5
Vijay Patil, Joan Arenas-Prat
Denervation is a well recognized procedure to treat degenerative or posttraumatic joint conditions, especially in cases where pain is a significant impediment to function even in the presence of stable and supple joint. However, this procedure currently is not as widely used for wrist surgeries as it merits. Denervation procedure obeys all-or-none phenomenon and we believe that even a few residual intact sensory fibers are able to transmit severe pain sensation and therefore every attempt should be made to target all the sensory supply to the wrist joint...
September 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/26948999/painful-thumb-carpometacarpal-joint-osteoarthritis-results-of-a-novel-treatment-approach
#6
Denis Ehrl, Holger C Erne, P Niclas Broer, Christian Metz, Erwin Falter
BACKGROUND: Pain reduction as well as preservation and improvement in range of motion remain the main aims in the treatment of thumb carpometacarpal (CMC) osteoarthritis (OA). We performed a retrospective outcome analysis of patients with symptomatic stage II-III thumb CMC joint arthritis treated with denervation, joint lavage and capsular imbrication. METHODS: 73 patients with stage II to III OA of the thumb CMC-joint underwent the described technique. A total of 42 patients complied with follow-up assessment and were included in this study...
July 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/26864307/patient-rated-outcomes-study-into-the-surgical-interventions-available-for-the-rheumatoid-hand-and-wrist
#7
Philip L Riches, Firas K Elherik, Sean Dolan, Frank Unglaub, Steffen J Breusch
INTRODUCTION: A multitude of surgical interventions are recognised for the treatment of the rheumatoid hand and wrist, however there seems to be a distinct lack of patient rated outcome measures (PROMs) studies reporting on the efficacy of these procedures. The aim of this study was to assess the PROMs related to hand and wrist surgery in patients with rheumatoid arthritis (RA). MATERIALS AND METHODS: A single surgeon series identified 94 patients (133 hands) with RA who had undergone one of eight surgical procedures (Swanson's arthroplasty, finger joint or wrist arthrodesis, carpal tunnel decompression, posterior interosseous nerve denervation, RA nodule excision, synovectomy/tenosynovectomy and tendon repair/release) with a mean follow-up period of 3 years...
April 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/26205711/salvage-operations-for-wrist-ligament-injuries-with-secondary-arthrosis
#8
REVIEW
Oded Ben Amotz, Douglas M Sammer
Wrist ligamentous injuries can be challenging to treat successfully. In some cases the ligament repair or reconstruction fails, resulting in instability and progressive degenerative changes. In other cases the original injury is missed, and the patient presents for the first time with established wrist arthritis. Multiple operations have been devised to treat patients with arthrosis secondary to wrist ligament injuries. This article discusses definitive salvage operations such as intercarpal arthrodeses and proximal row carpectomy, as well as other alternatives such as wrist denervation and radial styloidectomy...
August 2015: Hand Clinics
https://www.readbyqxmd.com/read/26184357/acute-scaphoidectomy-and-four-corner-fusion-for-the-surgical-treatment-of-trans-scaphoid-perilunate-fracture-dislocation-with-pre-existing-scaphoid-non-union
#9
Darren Roberts, Dominic Michael Power
This paper presents a rare case of trans-scaphoid perilunate fracture dislocation with concurrent scaphoid non-union of the left wrist following a motorcycle accident. Emergent CT identified scaphoid non-union advanced collapse and an acute scaphoidectomy, four-corner fusion, denervation and radiocarpal ligament repair was performed.
July 16, 2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26003411/abnormal-thermography-in-parkinson-s-disease
#10
I Antonio-Rubio, C J Madrid-Navarro, E Salazar-López, M J Pérez-Navarro, C Sáez-Zea, E Gómez-Milán, A Mínguez-Castellanos, F Escamilla-Sevilla
BACKGROUND: An autonomic denervation and abnormal vasomotor reflex in the skin have been described in Parkinson's disease (PD) and might be evaluable using thermography with cold stress test. METHODS: A cross-sectional pilot study was undertaken in 35 adults: 15 patients with PD and abnormal [(123)I]-metaiodobenzylguanidine cardiac scintigraphy and 20 healthy controls. Baseline thermography of both hands was obtained before immersing one in cold water (3 ± 1 °C) for 2 min...
August 2015: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/25596986/wrist-osteoarthritis
#11
REVIEW
J Laulan, E Marteau, G Bacle
Painful wrist osteoarthritis can result in major functional impairment. Most cases are related to posttraumatic sequel, metabolic arthropathies, or inflammatory joint disease, although wrist osteoarthritis occurs as an idiopathic condition in a small minority of cases. Surgery is indicated only when conservative treatment fails. The main objective is to ensure pain relief while restoring strength. Motion-preserving procedures are usually preferred, although residual wrist mobility is not crucial to good function...
February 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/25105788/-scaphoid-excision-and-four-corner-fusion-using-the-variable-angle-locking-intercarpal-fusion-plate-for-treatment-of-post-traumatic-degenerative-changes-of-the-wrist
#12
P Dráč, I Čižmář, M Homza, V Prášil, J Zapletalová
PURPOSE OF THE STUDY: The aim of this study is to compare functional and X-ray results before and after four-corner arthrodesis using an angular stable dorsal circular plate in patients with post-traumatic degenerative changes of the wrist. METHODS: Nine consecutive patients with scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) of the wrist, stage III, underwent scaphoid excision and four-corner fusion using angular stable plate fixation...
2014: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/25088214/brachial-artery-perforator-based-propeller-flap-coverage-for-prevention-of-readhesion-after-ulnar-nerve-neurolysis
#13
Hirotake Sekiguchi, Makoto Motomiya, Keisuke Sakurai, Dai Matsumoto, Tadanao Funakoshi, Norimasa Iwasaki
It is difficult for most plastic and orthopaedic surgeons to treat nerve dysfunction related to neural adhesion because the pathophysiology and suitable treatment have not been clarified. In the current report, we describe our experience of surgical treatment for adhesive ulnar neuropathy. A 58-year-old male complained of pain radiating to the ulnar nerve-innervated area during elbow and wrist motion caused by adhesive ulnar neuropathy after complex open trauma of the elbow joint. The patient obtained a good clinical outcome by surgical neurolysis of the ulnar nerve combined with a brachial artery perforator-based propeller flap to cover the soft tissue defect after resection of the scar tissue and to prevent readhesion of the ulnar nerve...
February 2015: Microsurgery
https://www.readbyqxmd.com/read/25068352/wrist-essentials-the-diagnosis-and-management-of-scapholunate-ligament-injuries
#14
REVIEW
Harvey Chim, Steven L Moran
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the pathophysiology of a scapholunate injury. 2. Understand how to diagnose scapholunate injuries 3. Formulate and carry out a surgical plan for patients with a scapholunate injury. SUMMARY: Scapholunate ligament instability is the most common form of carpal instability. Untreated scapholunate injuries can lead to a predictable pattern of wrist arthritis. Early forms of scapholunate ligament instability can be missed, and clinical detection relies on an educated observer...
August 2014: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/24906551/functional-and-patient-reported-outcome-of-partial-wrist-denervation-versus-the-mannerfelt-wrist-arthrodesis-in-the-rheumatoid-wrist
#15
COMPARATIVE STUDY
Philip L Riches, Firas K Elherik, Steffen J Breusch
INTRODUCTION: Wrist arthrodesis offers high success rates in patients with rheumatoid arthritis; however, loss of residual mobility may cause unnecessary disability. This makes wrist denervation an appealing alternative. However, there is a distinct lack of patient-reported outcome measure studies comparing these two procedures. The aim of this study was to report any change in function, pain and satisfaction following wrist arthrodesis compared to denervation in a single surgeon series of rheumatoid patients...
July 2014: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/24855965/vascularized-medial-femoral-trochlea-osteochondral-flap-reconstruction-of-advanced-kienb%C3%A3-ck-disease
#16
MULTICENTER STUDY
Heinz K Bürger, Christian Windhofer, Alexander J Gaggl, James P Higgins
PURPOSE: To describe the operative technique and report the results of 16 consecutive cases of arthroplasty for advanced Kienböck disease using a vascularized osteochondral graft from the medial femoral trochlea (MFT) with a minimum 12-month follow-up. METHODS: Chart reviews of 16 cases of osteochondral MFT flap transfers for lunate reconstruction were performed in 2 institutions. Mean patient age was 35 years (range, 19-51 y). Preoperative Lichtman staging was 2 in 7 patients, 3a in 8 patients, and 3b in 1...
July 2014: Journal of Hand Surgery
https://www.readbyqxmd.com/read/24829063/severe-and-extreme-idiopathic-median-nerve-lesions-at-the-wrist-new-insights-into-electrodiagnostic-patterns-and-review-of-the-literature
#17
REVIEW
Paul Seror, Raphaéle Seror
INTRODUCTION: We evaluated the electrodiagnostic (EDX) pattern of severe and extreme median nerve lesions at the wrist (MNLW) in patients with idiopathic carpal tunnel syndrome. METHODS: EDX data were recorded in 229 patients with 314 severe and extreme MNLW and 447 patients with 777 non-severe MNLW. We recorded distal motor latency (DML) to abductor pollicis brevis (APB) and second lumbricalis (2L), sensory conduction (SC) from digits 2 and 3, and needle examination of APB...
February 2015: Muscle & Nerve
https://www.readbyqxmd.com/read/24785703/sensory-innervation-of-the-triangular-fibrocartilage-complex-a-cadaveric-study
#18
Dawn M LaPorte, S Shar Hashemi, A Lee Dellon
PURPOSE: To describe the sensory innervation of the triangular fibrocartilage complex (TFCC) to understand the potential for selective denervation as an alternative treatment for recalcitrant pain from stable TFCC IA lesions after failed nonsurgical treatment. METHODS: Eleven fresh cadaveric limbs were dissected with × 3.2 loupe magnification in a proximal to distal manner. The candidate nerves were the dorsal cutaneous branch of the ulnar nerve, volar sensory branch of the ulnar nerve, anterior interosseous nerve, posterior interosseous nerve, medial antebrachial cutaneous nerve, and palmar cutaneous branch of the median nerve...
June 2014: Journal of Hand Surgery
https://www.readbyqxmd.com/read/24641896/radial-nerve-motor-palsy-following-seasonal-influenza-vaccination-a-case-report
#19
John S Taras, Kenneth W Donohue
This case report describes the course of a 26-year-old male who developed a dense motor palsy of the radial nerve after receiving a seasonal influenza vaccination. The palsy developed within 12 to 16 hours of inoculation and demonstrated no clinical recovery until 5 months postinjury. Electromyographic and nerve conduction studies obtained at six weeks postinjury were consistent with complete motor denervation. Sensory function was preserved. The injury was successfully treated nonoperatively with physical therapy and wrist splinting, and the palsy gradually resolved over the next several months...
2014: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/23149002/-complete-wrist-denervation-a-retrospective-study-of-27-cases-with-a-mean-follow-up-period-of-77-months
#20
E Simon, A Zemirline, J Richou, W Hu, D Le Nen
OBJECTIVES: Complete wrist denervation is a palliative operation, which yields still controversial outcomes. The aim of our study is to assess the late outcomes of complete wrist denervation. METHODS: In a retrospective continuous review of 27 complete and isolated denervations of the wrist joint performed by the same surgeon in 27 patients (15 men for 12 women) from 1995 to 2007, the pain (VAS), the function (Dash-score), the range of motion, the strength (Jamar) and the radiological changes were assessed at a mean follow-up period of 77 months (12 to 157)...
December 2012: Chirurgie de la Main
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