keyword
https://read.qxmd.com/read/38162910/ultrasound-and-magnetic-resonance-imaging-neurography-assessment-of-diagnostic-criteria-in-patients-with-carpal-tunnel-syndrome-using-electrophysiological-tests-as-gold-standard-a-prospective-study
#1
JOURNAL ARTICLE
Mona Gamalludin Alkaphoury, Eman F Dola
OBJECTIVES: Evaluating peripheral neuropathy mainly relies on physical examination, patient history, and electrophysiological studies. High-resolution ultrasound is a fast, noninvasive modality for dynamic nerve assessment that enables the length of the nerve to be examined. Magnetic resonance imaging is preferred for examining deeper nerves with a high contrast resolution; its use shows excellent benefit in patients with atypical presentation, equivocal diagnosis, suspected secondary causes, and postsurgical relapse...
2024: SAGE Open Medicine
https://read.qxmd.com/read/38142433/the-relationship-between-the-wrist-flexion-creases-and-the-volar-radiocarpal-joint-a-cadaveric-study
#2
JOURNAL ARTICLE
Andrew R Rust, Sonu A Jain
BACKGROUND: Surgical approaches to the volar radiocarpal joint have historically entailed wide exposure, possibly contributing to poor wound healing and wrist denervation. To avoid wound complications and wrist denervation, minimally invasive and percutaneous approaches to the volar radiocarpal joint have been proposed. To help guide these minimally invasive or percutaneous approaches to the joint, we sought to characterize the relationship between the volar wrist flexion creases and the volar radiocarpal joint...
December 24, 2023: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/37888777/partial-denervation-of-the-thumb-carpometacarpal-joint-a-new-technique
#3
JOURNAL ARTICLE
Hayman Lui, Sanjeev Kakar
BACKGROUND: To report the clinical outcomes of partial denervation for the treatment of basilar thumb joint arthritis. METHODS: Patients who underwent partial denervation of the basilar thumb joint for osteoarthritis from a single center between 2019 and 2021 were recruited into the study. This involved a technique that involved cauterization of the joint capsule and its innervation through the branches of the superficial radial, palmar cutaneous branch of the median, lateral antebrachial, and ulnar nerves...
October 27, 2023: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/37814739/isolated-ulnar-neuropathy-after-acute-angioedema
#4
Sabine Itani, Hamza Malick, Priya C Nangrani, Tony Lai, Patrick Sims
Ulnar neuropathy commonly causes hand paresthesia, often associated with mechanical compression or repetitive movements across the elbow or wrist. There are a few cases that document ulnar nerve injury from rapid compression in the absence of trauma. We present a 30-year-old previously healthy male who developed bilateral hand and forearm swelling, numbness, and pain after an allergic reaction initially treated with epinephrine and steroids. Following treatment, swelling improved; however, paresthesia and weakness persisted...
September 2023: Curēus
https://read.qxmd.com/read/37453763/wrist-arthritis-and-arthrodesis-preserving-function-minimizing-problems
#5
REVIEW
Anthony LoGiudice, Hisham Awan
Wrist arthritis is a common condition with numerous causes and presentations. Several management options exist, and treatment should be individualized based on patient age, comorbidities, occupation, duration of symptoms, and failed treatment modalities. Arthroscopy and denervation are appealing because of shorter recovery time and preservation of motion, but duration of effectiveness varies between patients. Patients who fail these smaller procedures or those with pancarpal arthrosis are treated effectively with total wrist arthrodesis or total wrist arthroplasty in lower-demand patients...
August 2023: Hand Clinics
https://read.qxmd.com/read/37437016/improved-control-of-a-prosthetic-limb-by-surgically-creating-electro-neuromuscular-constructs-with-implanted-electrodes
#6
JOURNAL ARTICLE
Jan Zbinden, Paolo Sassu, Enzo Mastinu, Eric J Earley, Maria Munoz-Novoa, Rickard Brånemark, Max Ortiz-Catalan
Remnant muscles in the residual limb after amputation are the most common source of control signals for prosthetic hands, because myoelectric signals can be generated by the user at will. However, for individuals with amputation higher up the arm, such as an above-elbow (transhumeral) amputation, insufficient muscles remain to generate myoelectric signals to enable control of the lost arm and hand joints, thus making intuitive control of wrist and finger prosthetic joints unattainable. We show that severed nerves can be divided along their fascicles and redistributed to concurrently innervate different types of muscle targets, particularly native denervated muscles and nonvascularized free muscle grafts...
July 12, 2023: Science Translational Medicine
https://read.qxmd.com/read/37385950/treatment-of-early-undifferentiated-chronic-monoarthritis-of-the-wrist-by-arthroscopic-wrist-synovectomy-combined-with-partial-denervation
#7
JOURNAL ARTICLE
Yong Yang, Zhong-Zhe Li, Xing-Jian Huang
OBJECTIVE: Undifferentiated chronic monosecarthritis (UCMA) is a group of inflammatory joint diseases that has the potential to progress to other diseases and can seriously affect patients' quality of life. There is yet no unified consensus regarding treatment of UCMA. This study aimed to investigate the efficacy of arthroscopic synovectomy combined with partial wrist denervation in treating Larsen 1-3 UCMA. METHODS: In this case series, we reviewed 14 patients with UCMA treated by arthroscopic synovectomy combined with partial denervation from February 2017 to June 2020...
June 29, 2023: Orthopaedic Surgery
https://read.qxmd.com/read/37223389/clinical-outcomes-of-arthroscopic-ligament-sparing-dorsal-capsulodesis-for-partial-scapholunate-ligament-tear
#8
JOURNAL ARTICLE
Matthew W T Curran, Stefanie Wieschollek, Ruby Strauss, Silvia Manzanero, Benjamin Hope, Greg Couzens, Mark Ross
Introduction  Various wrist arthroscopy techniques can be used in the management of scapholunate ligament (SLL) partial tears but their success has not been proven. Arthroscopic techniques including thermal shrinkage are becoming more popular in the management of partial SLL injuries. We hypothesized that arthroscopic ligament-sparing capsular tightening yields reliable and satisfactory results for the management of partial SLL tears. Methods  A prospective cohort study was conducted on adult (age ≥18 years) patients with chronic partial SLL tears...
June 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/37223381/use-of-wrist-denervation-in-the-treatment-of-slac-and-snac-wrist-by-assh-members
#9
JOURNAL ARTICLE
Nisha N Kale, Jake Foote, Gleb Medvedev
Background  Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are common patterns of wrist arthritis, and surgical treatment options include partial and total wrist arthrodesis and wrist denervation, which maintains the current anatomy while relieving pain. Introduction  The purpose of this study is to elucidate current practices within the hand surgery community with respect to the use of anterior interosseous nerve/posterior interosseous nerve (AIN/PIN) denervation in the treatment of SLAC and SNAC wrists...
June 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/36966047/ulnar-wrist-denervation-articular-branching-pattern-and-selective-blockade-of-the-dorsal-branch-of-the-ulnar-nerve
#10
JOURNAL ARTICLE
Scott N Loewenstein, Andrew Regent-Smith, Anthony LoGiudice, Gwendolyn Hoben, Arnold Lee Dellon
PURPOSE: Ulnar wrist denervation has been a successful treatment for patients with ulnar-sided wrist pain. The purpose of this study was to characterize the articular branches of the dorsal branch of the ulnar nerve (DBUN) and validate a technique for selective peripheral nerve blockade. METHODS: In cadavers, we performed simulated local anesthetic injections using 0.5 mL of 0.5% methylene into the subcutaneous tissue at a point midway between the palpable borders of the pisiform and ulnar styloid...
June 2023: Journal of Hand Surgery
https://read.qxmd.com/read/36916712/does-anterior-plus-posterior-interosseus-neurectomy-lead-to-better-outcomes-than-isolated-posterior-interosseus-denervation-in-the-treatment-of-chronic-wrist-pain-a-systematic-review-of-the-literature-and-meta-analysis
#11
REVIEW
Andrea Fidanza, Stefano Necozione, Lorenzo Garagnani
PURPOSE: Partial wrist denervation can be performed by isolated posterior interosseous nerve (PIN) or combined PIN plus (+) anterior interosseous nerve (AIN) neurectomy procedures. The purpose of the current systematic review is to investigate any differences in clinical outcomes and failures in patients undergoing AIN + PIN vs isolated PIN neurectomy. METHODS: A review of the English Literature was performed on Medline, WOS and Scopus according to PRISMA protocol combining 'wrist denervation', 'PIN neurectomy', 'AIN neurectomy', anterior interosseous nerve neurectomy' and 'posterior interosseous nerve neurectomy'...
March 14, 2023: EFORT Open Reviews
https://read.qxmd.com/read/36772971/ser77tyr-transthyretin-amyloidosis-in-israel-initial-manifestations-and-diagnostic-features
#12
JOURNAL ARTICLE
Amir Dori, Michael Arad, Yishay Wasserstrum, Arthur Pollak, Vera Nikitin, Merav Ben-David, Jana Shamash, Ayelet Hashachar Nahum, Efrat Shavit-Stein, Liran Domachevsky, Rafael Kuperstein, Dan Dominissini, Natalia Shelestovich, Menachem Sadeh, Elon Pras, Lior Greenbaum
OBJECTIVE: Amyloidosis due to the transthyretin Ser77Tyr mutation (ATTRS77Y) is a rare autosomal-dominant disorder, characterized by carpal-tunnel syndrome, poly- and autonomic-neuropathy, and cardiomyopathy. However, related symptoms and signs are often nonspecific and confirmatory tests are required. We describe the age and frequency of early symptoms and diagnostic features among individuals of Jewish Yemenite descent in Israel. METHODS: Records of mutation carriers were retrospectively reviewed...
February 11, 2023: Annals of Clinical and Translational Neurology
https://read.qxmd.com/read/36436810/denervation-of-the-thumb-carpometacarpal-joint-for-symptomatic-osteoarthritis-in-46-patients
#13
JOURNAL ARTICLE
R Rath, M Haerle, C Stollberg, S Herrmann, F Lampert
We investigated the effect of an extended denervation procedure in the thumb carpometacarpal (CMC) joint in patients suffering from CMC osteoarthritis. Between 2006 and 2018, 46 patients underwent the procedure in our clinic and were included in this retrospective study. Pain, strength, range of motion, DASH score, complications and overall satisfaction were determined. Assessment showed a significant decrease in pain and excellent physical function at a median 5 years' follow-up. Twelve patients needed secondary surgery due to persistent pain...
February 2023: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/36244710/osteotomies-core-decompression-and-denervation-for-the-treatment-of-kienb%C3%A3-ck-disease
#14
REVIEW
Kashyap K Tadisina, Mitchell A Pet
Various osteotomies, core decompression, and denervation all have demonstrated favorable outcomes in treatment of Kienböck disease. Given the rarity of this disease, there is a dearth of high-level comparative studies to direct treatment. In this article, the authors review the current literature surrounding these techniques, and provide summary recommendations for the procedure choice.
November 2022: Hand Clinics
https://read.qxmd.com/read/36075380/neuropathic-donor-site-pain-following-radial-forearm-free-flap-harvest-a-multicenter-study-on-incidence-prognostic-factors-and-quality-of-life
#15
JOURNAL ARTICLE
L L Bruin, C A Hundepool, L S Duraku, A J M Luijsterburg, T De Jong, W F Willems, M A M Mureau, J M Zuidam
BACKGROUND:  The radial forearm free flap (RFFF) is widely used and is considered one of the workhorse flaps in oncologic head and neck reconstructions. However, the potential for significant donor-site morbidity remains a major drawback. Although various donor-site problems have been reported, the incidence of neuropathic pain and possible predicting factors remain unclear. This study aimed to identify the incidence, prognostic factors, and impact on quality of life of neuropathic pain following RFFF harvest...
November 14, 2022: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/35870958/anatomical-study-of-the-innervation-of%C3%A2-triangular-fibrocartilage-complex-and-distal-radioulnar-and-radiocarpal-joints-implications-for-denervation
#16
JOURNAL ARTICLE
John Tran, Loretta Ho, Herbert P von Schroeder, Anne M R Agur, Philip W H Peng
PURPOSE: Open and percutaneous denervation is an emerging technique for joint pain. This study investigated the course and distribution of the articular branches innervating the triangular fibrocartilage complex (TFCC), distal radioulnar joint (DRUJ), and radiocarpal joint (RCJ) relative to bony and soft tissue landmarks to guide wrist denervation procedures. METHODS: Fourteen formalin-embalmed specimens were serially dissected to expose the origin, course, and distribution of articular branches innervating the TFCC, DRUJ, and RCJ...
September 2022: Journal of Hand Surgery
https://read.qxmd.com/read/35345931/the-effects-of-partial-wrist-denervation-in-wrist-osteoarthritis-patient-reported-outcomes-and-objective-function
#17
JOURNAL ARTICLE
Elin M Swärd, Mikael Andersson Franko, Maria K Wilcke
This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in symptomatic wrist osteoarthritis during the first year after surgery. Sixty consecutive patients underwent an anterior and posterior interosseous neurectomy during 2018-2020. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation, EuroQol-5D-3L, pain at rest and on load, and objective function were assessed preoperatively and 3, 6 and 12 months postoperatively...
March 28, 2022: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/35320984/neurorrhaphy-of-anterior-and-posterior-interosseous-nerves-in-the-prevention-of-neuroma-following-a-radical-neurectomy-a-case-report
#18
Krystelle Sioufi, Peter Alam, Sonia Bédard, Nicolas Patenaude
Selective wrist denervation is a surgical technique frequently performed for the treatment of chronic wrist pain. While this technique is often effective in pain reduction, it is still associated with certain complications such as pain recurrence secondary to neuroma formation. We present a case report that details the clinical case of a young yoga teacher suffering from debilitating chronic wrist pain, refractory to conservative treatments. We describe a new surgical technique for the treatment of chronic wrist pain: posterior interosseous nerve and anterior interosseous nerve neurectomy followed by neurorrhaphy in preventing neuroma formation...
2022: SAGE Open Medical Case Reports
https://read.qxmd.com/read/34847117/denervation-of-the-joints-of-the-hand-and-wrist-surgical-techniques-and-a-systematic-review-with-meta-analysis
#19
JOURNAL ARTICLE
Thomas E Tieman, Liron S Duraku, Mark J W van der Oest, Caroline A Hundepool, Ruud W Selles, J Michiel Zuidam
BACKGROUND: Joint denervation of the wrist, basal joint of the thumb, and the finger is an option for patients with chronic pain. Compared with other surgical treatment options, function is preserved and the rehabilitation time is limited. A systematic review and meta-analysis were performed for each joint to determine whether the choice of technique and choice of denervation of specific articular sensory branches lead to a different outcome. METHODS: Embase, MEDLINE (OvidSP), Web of Science, Scopus, PubMed publisher, Cochrane, and Google Scholar database searches yielded 17 studies with reported outcome on denervation of the wrist, eight on the basal joint of the thumb, and five on finger joints...
December 1, 2021: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/34533612/-babysitter-nerve-transfer-from-the-thenar-branch-to-the-deep-terminal-branch-of-the-ulnar-nerve-an-option-to-preserve-the-intrinsic-hand-muscles-in-proximal-lesions-of-the-ulnar-nerve
#20
REVIEW
Clemens Gstoettner, Stefan Salminger, Gregor Laengle, Bernhard Gesslbauer, Wolfgang J Weninger, Lena Hirtler, Oskar C Aszmann
OBJECTIVE: The objective of this surgery is to achieve early reinnervation of the intrinsic hand muscles through axons of the median nerve, preventing irreversible atrophy of the muscle tissue. The nerve transfer is achieved via a babysitter graft, which is sutured end-to-side to the donor as well as the recipient nerve. The procedure is carried out in combination with a proximal reconstruction of the ulnar nerve. INDICATIONS: High-grade lesions of the ulnar nerve without spontaneous regeneration, particularly when lesions are located proximally and/or when patients present late...
October 2021: Operative Orthopädie und Traumatologie
keyword
keyword
113120
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.