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https://www.readbyqxmd.com/read/28806831/clinical-sign-for-missed-decompression-of-a-separate-extensor-pollicis-brevis-compartment-in-de-quervain-s-disease
#1
Niels Benatar
Persistent pain despite previous surgery for de Quervain's disease might be due to an overlooked septum between the abductor pollicis longus tendon slips and the extensor pollicis brevis tendon, or an overlooked completely separate compartment for the extensor pollicis brevis tendon alone. In both of these instances, extension of the MP joint of the thumb against resistance elicits pain at the distal level of the first extensor compartment of the wrist. When this sign is positive, revisional surgery and decompression of the remaining septum or separate compartment is indicated...
August 2017: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/28802536/incidence-of-glove-perforation-during-hand-surgical-procedures
#2
Kevin F Lutsky, Christopher Jones, Jack Abboudi, William Kirkpatrick, Fred Liss, Charles Leinberry, Asif Ilyas, Dennis Martin, Pedro K Beredjiklian
PURPOSE: To determine the rate of glove perforation during hand surgery. METHODS: We prospectively examined the rate of glove perforations among 10 fellowship-trained hand surgeons at our institution during a 6 week period. Gloves were tested for perforation using a water-fill technique at the conclusion of each surgical procedure. Surgeons recorded the presence of any glove perforations. RESULTS: Eleven perforations were identified in 10 gloves among 600 surgical procedures during the study period...
August 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28795210/-arthrodesis-of-the-trapeziometacarpal-joint
#3
REVIEW
T Pillukat, M Mühldorfer-Fodor, R Fuhrmann, J Windolf, J van Schoonhoven
OBJECTIVE: Bony fusion of the trapeziometacarpal joint. INDICATIONS: High demands concerning stability and strength of the thumb in primary or secondary osteoarthritis (e.g., posttraumatic osteoarthritis following injuries to the carpometacarpal joint of the thumb); instability in the absence of osteoarthritis due to malformations, ligamentous laxicity, and joint hypermobility; malformations; improvement of hand function in neurological disorders; salvage procedure after carpometacarpal arthroplasty provided bone stock is sufficient...
August 9, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28791730/arterial-supply-of-the-thumb-systemic-review
#4
REVIEW
J Miletin, A Sukop, V Baca, D Kachlik
INTRODUCTION: We offer a complete systematic review of the anatomy of arteries of the thumb, including their sources in the first web space. MATERIALS AND METHODS: Eleven studies were selected from the PubMed, Medline, Embase, Scopus and Ovid databases. Data about each artery of the thumb were obtained; in particular, the incidence and dominance of each of these arteries were calculated. RESULTS: The ulnopalmar digital artery of the thumb (UPDAT) was found in 99...
August 9, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28781212/tendon-transfer-to-restore-the-extension-of-the-thumb-using-the-extensor-carpi-radialis-brevis-a-long-term-follow-up
#5
Shusen Cui, Guang Yang, Qiang Li, Guangzhi Wu, Zhenxing Wang, Ju Zhang, Wei Yu
PURPOSE: The present study aimed to investigate the long-term functional and clinical outcomes of a tendon transfer to restore the extension of the thumb using the extensor carpi radialis brevis. METHODS AND MATERIALS: From June 2005 to September 2012, eight patients (six males; two females) with a mean age of 30 years (range, 16-52 years) who suffered rupture or division of extensor pollicis longus underwent a tendon transfer to restore the extension of the thumb using the extensor carpi radialis brevis...
July 18, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28774707/2d-projection-based-software-application-for-mobile-c-arms-optimises-wire-placement-in-the-proximal-femur-an-experimental-study
#6
B Swartman, D Frere, W Wei, M Schnetzke, N Beisemann, H Keil, J Franke, P A Grützner, S Y Vetter
PURPOSE: A new software application can be used without fixed reference markers or a registration process in wire placement. The aim was to compare placement of Kirschner wires (K-wires) into the proximal femur with the software application versus the conventional method without guiding. As study hypothesis, we assumed less placement attempts, shorter procedure time and shorter fluoroscopy time using the software. The same precision inside a proximal femur bone model using the software application was premised...
July 25, 2017: Injury
https://www.readbyqxmd.com/read/28774254/can-physical-examination-create-a-stener-lesion
#7
Manesha Lankachandra, John P Eggers, James W Bogener, Richard L Hutchison
BACKGROUND: The purpose of this study is to determine whether a Stener lesion can be created while testing stability of the ulnar collateral ligament (UCL) of the thumb. Testing was performed in a manner that reproduced clinical examination. METHODS: Six fresh frozen hand and forearm specimens underwent sequential sectioning of the accessory UCL, the proper UCL, and the ulnar sagittal band. Measurements of radial deviation of the metacarpophalangeal (MCP) joint were taken with the thumb in neutral rotation, pronation and supination, both with 0 degrees and with 30 degrees of flexion of the MCP joint...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28774248/thumb-function-and-electromyography-result-after-modified-camitz-tendon-transfer
#8
Claire Marie Durban, Bernard Antolin, Chung Ying Sau, Sheung Wai Li, Wing Yuk Ip
BACKGROUND: Various techniques of opponensplasty have been developed with the aim of restoring the thumb function. The modified Camitz opponensplasty is a simple technique done together with an open carpal tunnel release. It restores thumb palmar abduction soon after the procedure, during such time that the abductor pollicis brevis (APB) is still recovering. The aim of this study was to assess the recovery and level of activity of the abductor pollicis brevis and palmaris longus (PL) muscles during thumb opposition and abduction after performing the modified Camitz opponensplasty...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28774242/adductor-tenotomy-combined-with-palmar-capsulodesis-for-spastic-thumb-in-palm-deformity-in-cerebral-palsy-description-of-a-surgical-technique-and-clinical-results
#9
García Luis-Alejandro, Gómez Bárbara
BACKGROUND: Spastic thumb deformity in cerebral palsy significantly impedes hand function. Flexion-adduction forces across the first ray is the result from imbalance between intrinsic and extrinsic muscles. Multiples surgeries have been devised for the treatment of this condition such as contracture release and by tendon transfers for balancing the muscles forces. We report the results of a less demanding surgical technique, intended to avoid hyperextension of the metacarpophalangeal joint previously described in other series...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28774234/multiple-carpometacarpal-dislocations-of-the-hand-an-uncommon-variant-a-rare-case
#10
Milind Deshpande, Tanvir Doomra, Sambaprassad Nadkarni
Carpometacarpal fracture dislocations of the hand are a relatively uncommon injury. The injury is difficult to diagnose because of the gross swelling of the hand. The diagnosis of this unusual form of injury requires a high index of suspicion, vigilant examination and high-quality radiography. This article reports a case of young male grieved with dislocation of all carpometacarpal (CMC) joints due to motor vehicle collision. Standard radiographs and CT scan revealed dorsal dislocations of second to fourth CMC joints, volar fracture dislocation of fifth carpometacarpal joint, fracture dislocation of CMC joint of thumb and dorsal dislocation of the trapezoid...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28774233/disruption-of-flexor-tendon-after-intrasheath-triamcinolone-acetonide-injection-for-trigger-digits-two-case-reports
#11
Toshikazu Tanaka, Takeshi Ogawa, Takaji Yanai, Eriko Okano, Sho Kohyama, Naoyuki Ochiai
We experienced two cases of flexor tendons rupture after triamcinolone acetate (TA) injection for trigger finger. A 45-year-old man underwent injection of 40 mg of TA and 1 mL of 1% lidocaine solution into his little finger. While playing golf 3 months after the injection, he heard a popping sound, and was unable to flex it. A 57-year-old female nurse had undergone injection of 40 mg of TA and 1 mL of 1% lidocaine solution into her thumb twice at a 2-month interval. Two months after the second injection, she was unable to flex it...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28774189/variation-in-the-rate-of-surgery-for-ulnar-collateral-ligament-injury-of-the-metacarpophalangeal-joint-of-the-thumb
#12
Nicky Stoop, Teun Teunis, David Ring, Kyle R Eberlin
BACKGROUND: The indications for repair of rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MP) joint of the thumb are debated. We studied factors predictive of operative treatment. METHODS: In this retrospective study, we queried the research database from 3 affiliated urban hospitals in a single city in the United States and identified 383 patients with a thumb MP UCL injury. We recorded age, sex, treating surgeon, and whether or not a magnetic resonance imaging (MRI) was ordered...
November 1, 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28770158/amniotic-constriction-band-a-report-of-two-cases-with-unique-clinical-presentations
#13
Sunil Richardson, Rakshit Vijay Khandeparker, Philippe Pellerin
Amniotic constriction band is a rare clinical entity with varied manifestations that range from a combination of congenital malformations to isolated malformations that are unique to each patient. The etiology of this entity remains unknown. Herein, we highlight two cases of amniotic constriction band that presented to our unit with unique clinical characteristics. To the best of our knowledge, an isolated circumferential band of scarring on the face with ocular involvement, as demonstrated by the first case, and a combination of bilateral complete cleft lip and palate with bilateral microphthalmia, auto-amputation of the right thumb, and a constriction band on the left thumb, as demonstrated by the second case, are extremely rare presentations of amniotic constriction band that were not previously reported in the literature and therefore necessitate a special mention...
June 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/28770140/giant-intrauterine-cystic-malformation-of-thumb
#14
Arushi Agarwal, Kamal Nain Rattan, Ankur Dhiman, Ananta Rattan
No abstract text is available yet for this article.
April 2017: Journal of Neonatal Surgery
https://www.readbyqxmd.com/read/28765477/triggering-of-the-abductor-pollicis-longus-in-association-with-dequervain-s-tenosynovitis
#15
Dustin Adam Greenhill, Joseph J Thoder, Hesham Abdelfattah
DeQuervain's tenosynovitis is a common cause of radial-sided wrist pain. Symptoms result from a narrow first dorsal compartment and associated tendinosis of the enclosed extensor pollicis brevis and/or abductor pollicis longus (APL). Surgical intervention, offered when conservative measures fail to adequately relieve symptoms, requires a detailed understanding of potentially aberrant anatomy in order to avoid persistence or recurrence of symptoms. We describe a case whereby the patient presented with complaints of thumb triggering in extension and associated disabling first dorsal compartment tendinosis...
July 31, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28764182/pigmented-villonodular-synovitis-of-thumb-a-cytological-diagnosis
#16
Kaneeka Bhatnagar, Akshdeep Singh Bawa, Vikram Narang, Pavneet Kaur
Pigmented Villonodular Synovitis (PVNS) is a unique benign proliferative process of unknown aetiology involving the synovial lined joints diffusely or focally. The entity remains a diagnostic challenge. This condition is attributed to an increased synovial proliferation causing villous or nodular changes of synovial lined joints leading to PVNS, Pigmented Villonodular Bursitis (PVNB) when arising from bursae or Pigmented Villonodular Tenosynovitis (PVNTS) originating from the tendon sheath. We present a case of a young female with nodular masses on right thumb with cytomorphological features on FNAC suggestive of PVNS which was finally confirmed by histopathology...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28762056/functional-brain-effects-of-hand-disuse-in-patients-with-trapeziometacarpal-joint-osteoarthritis-executed-and-imagined-movements
#17
Martina Gandola, Maurilio Bruno, Laura Zapparoli, Gianluca Saetta, Elena Rolandi, Antonio De Santis, Giuseppe Banfi, Alberto Zerbi, Valerio Sansone, Eraldo Paulesu
The human trapeziometacarpal (TMC) joint has a crucial evolutionary importance as it permits rotation and opposition of the thumb to the other fingers. In chronic TMC joint osteoarthritis (i.e., rhizarthrosis), this motor ability, essential for pinching, grasping, and manipulating objects, may become difficult or impossible due to intolerable pain. Here, we assess whether patients with rhizarthrosis show signs of abnormal brain representation of hand movements. To this end, we studied 35 patients with rhizarthrosis, affecting predominantly one of the two hands, and 35 healthy subjects who underwent both behavioural and fMRI measures of brain activity during overtly executed or imagined thumb-to-finger-opposition movements...
July 31, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28761211/holt-oram-syndrome-a-rare-variant
#18
Binoy Shankar, Euden Bhutia, Dinesh Kumar, Sunil Kishore, Shakti Pad Das
Holt-Oram syndrome is an autosomal dominant disorder, characterised by skeletal abnormalities of the upper limb associated with congenital heart defect, mainly atrial and ventricular septal defects. Skeletal defects exclusively affect the upper limbs in the preaxial radial ray distribution and are bilateral and asymmetrical. They range from clinodactyly, absent or digitalised thumb, hypoplastic or absent radii, and first metacarpal to hypoplastic ulna and carpal bone anomalies. Cardiac involvement ranges from asymptomatic conduction disturbances to multiple structural defects...
July 2017: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28761206/comparative-dermatoglyphic-study-between-autistic-patients-and-normal-people-in-iran
#19
Mansoureh Kazemi, Mohammad Reza Fayyazi-Bordbar, Nasser Mahdavi-Shahri
Autism is a neurodevelopmental disorder originating from early childhood; nevertheless, its diagnosis is in older ages. In addition to heredity, environmental factors are also of great significance in the etiology of the disease. Dermatoglyphic patterns, albeit varied, remain stable for a lifetime and yield a large number of patterns upon examination. Studies have shown a significant association between dermatoglyphics and some diseases, especially genetic ones. We compared fingerprints between patients with autism and normal individuals in a Fars population living in Khorasan-Razavi Province, Iran, in 2015...
July 2017: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28760124/interphalangeal-arthrodesis-using-an-intramedullary-nitinol-implant-a-prospective-study
#20
Markus Jakubek, Martin Enzendorfer, Rainer Fiala, Klemens Trieb
OBJECTIVES: This study aims to evaluate the nitinol (X-Fuse®) implant in arthrodesis of the distal interphalangeal and the thumb joints with respect to bone fusion and clinical efficiency. PATIENTS AND METHODS: This prospective study included 24 consecutive patients (7 males, 17 females; mean age 56.8 years; range 27 to 79 years) with nitinol (X-Fuse®) implants in their 41 joints. All patients were followed-up clinically and radiographically with respect to fusion, complications and outcome at a minimum of 14 months postoperatively (mean 28±6 months)...
August 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
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