keyword
https://read.qxmd.com/read/38307736/investigation-of-the-barriers-to-and-functional-outcomes-of-telerehabilitation-in-patients-with-hand-injury
#21
JOURNAL ARTICLE
Barış Seven, Ahmet Gökkurt, Meltem Koç, Buse Küpeli, Deran Oskay
BACKGROUND: Telerehabilitation is an approach that is growing in importance and rapidly becoming more prevalent. However, the potential barriers to this approach and its effectiveness relative to face-to-face treatment still need to be determined. PURPOSE: The aim of this study was to investigate the technology and access barriers, implementation and organizational challenges, and communication barriers faced by patients undergoing postoperative telerehabilitation after hand tendon repair surgery...
February 1, 2024: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://read.qxmd.com/read/38302384/pre-and-post-treatment-in-flexor-tendon-tenolysis-an-observational-study
#22
JOURNAL ARTICLE
Simone Seppi, Simona Vecchi, Ivan Raccagni, Chiara Novelli, Giorgio E Pajardi
BACKGROUND: Glide deficit of the distal flexors' tendons following primary repair in zone 1-3 are very common. Adhesions of tendons have multi factorial origins and are closely related to the healing of the affected tissues. The surgical practice used to resolve these complications is tenolysis. PURPOSE: The purpose of this study was to identify and compare the Visual Analog Scale (VAS) relate to pain and Total Active Motion (TAM) of adult patients of both sexes undergoing tenolysis surgery...
January 31, 2024: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://read.qxmd.com/read/38302383/treatment-of-trigger-finger-with-metacarpophalangeal-joint-blocking-orthosis-vs-relative-motion-extension-orthosis-a-randomized-clinical-trial
#23
JOURNAL ARTICLE
Burcu Yendi, Esra Atilgan, Seda Namaldi, Cigdem Ayhan Kuru
BACKGROUND: The metacarpophalangeal joint blocking orthosis (MCPJ-BO) is one of the first-line orthotic treatment for patients with trigger finger (TF). Relative motion extension orthosis (RME-O) has recently emerged as a treatment option for various hand disorders involving TF. PURPOSE: The primary objective of this study was to compare the effectiveness of 6 weeks of orthotic treatment with the MCPJ-BO and the RME-O for pain relief. Function and satisfaction with the orthosis were assessed as secondary objectives...
January 31, 2024: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://read.qxmd.com/read/38299246/options-for-restoring-finger-extension-in-mangled-forearm-injuries
#24
JOURNAL ARTICLE
Praveen Bhardwaj, Vigneswaran Varadharajan, Hari Venkatramani, S Raja Sabapathy
Restoration of finger extension in mutilating hand injuries is crucial for restoring prehension and independent use of the hand. Patients often express desire to restore finger extension once finger flexion is achieved. However, the extensive forearm injury precludes use of any of conventional donors like the wrist or finger flexors for transfer to restore finger extension. Two patients with sequelae of mangled forearm injuries, underwent biceps and long head of triceps transfer to the finger extensors to improve opening up of the fingers...
February 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38292100/complex-metacarpophalangeal-joint-dislocation-kaplan-s-lesion-of-the-index-finger-in-a-5-year-old-patient-a-case-report
#25
Yoann Durand, Nadim Naim Rodriguez, Stavros Georgopoulos, Carolina Mesoraca, Matthieu Jaën
INTRODUCTION: This report highlights a rare case of complex metacarpophalangeal (MCP) joint dislocation, commonly referred to as Kaplan's lesion. This type of dislocation typically results from a hyperextension injury and requires surgical intervention as closed maneuvers are unsuccessful in reducing the dislocation. Surgical reduction for complex MCP joint dislocations is commonly done through classic volar or dorsal approaches. This report presents a case of a complex MCP joint dislocation and the surgical approach taken to address the issue...
January 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38282930/ultrasonography-enthesitis-and-synovitis-screening-in-psoriatic-patients-a-case-control-study
#26
JOURNAL ARTICLE
Soumaya Boussaid, Rania Ben Aissa, Sonia Rekik, Safa Rahmouni, Samia Jammali, Khaoula Zouaoui, Hela Sahli, Mohamed Elleuch
BACKGROUND: The clinical screening of enthesitis and synovitis in patients with psoriasis lacks specificity and sensitivity during the preclinical phase. AIMS: to assess US subclinical synovitis and enthesitis in psoriatic patients compared with healthy controls. METHODS: A cross-sectional study on 40 psoriatic patients and 40 healthy sex- and age-matched controls. US examination of 18 joints was performed along with 22 entheseal sites on the upper and lower limbs...
December 2023: Mediterranean journal of rheumatology
https://read.qxmd.com/read/38235717/outcome-of-flexor-tendon-repair-using-eight-strand-core-stitch-without-postoperative-finger-splinting
#27
JOURNAL ARTICLE
Tarek Abdalla El-Gammal, Mohamed Mostafa Kotb, Yasser Farouk Ragheb, Yousif Tarek El-Gammal, Mina Micheal Anwar
BACKGROUND: There are no reports that detail clinical outcomes using the 8-strand suture techniques and early active mobilization. We aim to report the outcome of using an 8-strand double-cruciate core suture followed by early active motion without finger splinting. MATERIALS AND METHODS: Thirty-five patients with 41 affected digits were operated and followed up for at least 6 months. A double cruciate repair with 4 single cross-grasping stitches on either side was employed...
January 18, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38225841/-clinical-characteristics-and-treatment-analysis-of-three-cases-of-congenital-ulnar-collateral-flexor-contracture-of-the-forearm
#28
JOURNAL ARTICLE
Yu Zhang, Qian Xu, Haijun Mao, Shujuan Wang, Xiaojuan Sheng, Guangyue Xu
OBJECTIVE: To report the clinical characteristics and treatment analysis of 3 cases of congenital ulnar collateral flexor contracture of the forearm and take a reference for clinic. METHODS: A total of 3 patients with congenital ulnar collateral flexor contracture of the forearm were admitted between February 2019 and August 2021. Two patients were male and 1 was female, and their ages were 16, 20, and 16 years, respectively. The disease durations were 8, 20, and 15 years, respectively...
January 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38222941/tuberculosis-of-the-wrist-causing-carpal-tunnel-syndrome-in-a-patient-with-rheumatoid-arthritis-a-case-report
#29
Oshan Basnayake, Umesh Jayarajah, Thushan Beneragama
Among extrapulmonary tuberculosis, osteoarticular tuberculosis is a rare manifestation, and cases related to osteoarticular tuberculosis of large joints have been reported previously. However, tuberculous tenosynovitis causing carpal tunnel syndrome is a rare manifestation, especially in the background of rheumatoid arthritis. A 67-year-old Sri Lankan male with a background of rheumatoid arthritis presented with progressively enlarging left wrist swelling associated with pain and numbness for 2 months...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38188214/iatrogenic-flexor-tendon-rupture-caused-by-misdiagnosing-sarcoidosis-related-flexor-tendon-contracture-as-tenosynovitis-a-case-report
#30
Rui Yan, Zhe Zhang, Long Wu, Zhi-Peng Wu, He-De Yan
BACKGROUND: Sarcoidosis is a multisystem disease characterized by granuloma formation in various organs. Sarcoidosis-related flexor tendon contractures are uncommon in clinical settings. This contracture is similar to stenosing tenosynovitis and potentially leads to misdiagnosis and mistreatment. Herein, we report a rare case of sarcoidosis-related finger flexor tendon contracture that was misdiagnosed as tenosynovitis. CASE SUMMARY: A 44-year-old woman presented to our department with flexion contracture of the right ring and middle fingers...
December 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/38186383/one-stage-reconstruction-of-the-massive-overlying-skin-defect-combined-with-total-loss-of-extensor-tendon-in-zones-v-and-vi-using-a-reverse-pedicled-radial-forearm-tendinocutaneous-flap-a-case-report
#31
Hong Van Hoang, Trung Thai Vo, Khoa Xuan Ngo, Mat Thi Nguyen, Anh Quang Pham
Our case report involved a 36-year-old man who sustained injury during manual labor caused by a machine press. The patient had extensive fourth-degree burns in the right dorsal hand with total loss of extensor tendons in zones V and VI of the index, middle, and ring finger. We performed a reverse radial forearm tendinocutaneous flap (the radial artery flap permits the inclusion of three "strips" of vascularized tendons: brachioradialis, flexor carpi radialis, and palmaris longus) to cover his hand defects. Six months after the operation, the active extension of the index, middle, and ring metacarpophalangeal joints had recovered well...
March 2024: JPRAS Open
https://read.qxmd.com/read/38165448/is-arthritis-an-associated-risk-factor-for-trigger-finger-occurrence-after-carpal-tunnel-release-a-nationwide-population-based-study-in-korea
#32
JOURNAL ARTICLE
Young Sun An, Jong Won Gil, Sang Ki Lee, Taeho Oh, Sun Youl Seo
PURPOSE: We hypothesized that increased friction between the flexor tendon and surrounding structures due to hand arthritis is an important risk factor for trigger finger (TF) after carpal tunnel release (CTR). Therefore, we compared TF development according to the presence or absence of arthritis in carpal tunnel syndrome (CTS) patients treated with CTR. METHODS: This retrospective study was based on data collected from the National Health Insurance Service-National Sample Cohort (NHIS-NSC) in the Republic of Korea between January 1, 2002, and December 31, 2015...
January 2, 2024: International Orthopaedics
https://read.qxmd.com/read/38162547/resolution-of-trigger-finger-with-electroacupuncture
#33
Louis A Kazal, Semran Themer
BACKGROUND: Trigger finger (TF; a type of stenosing tenosynovitis) is common, affecting the flexor tendons of the hand, often causing significant pain and functional impairment. Treatment can include splinting, corticosteroid injection, or surgical release. There is little published research on the role of electroacupuncture (EA) for treating TF. CASE: After more than 1 year of pain and triggering, a 58 year-old male had locking of his left, fourth ring finger requiring painful manual reduction...
December 1, 2023: Medical Acupuncture
https://read.qxmd.com/read/38155925/an-investigation-of-tendon-strains-in-jersey-finger-injury-load-cases-using-a-finite-element-neuromuscular-human-body-model
#34
JOURNAL ARTICLE
Lennart V Nölle, Eduardo Herrera Alfaro, Oleksandr V Martynenko, Syn Schmitt
Introduction: A common hand injury in American football, rugby and basketball is the so-called jersey finger injury (JFI), in which an eccentric overextension of the distal interphalangeal joint leads to an avulsion of the connected musculus flexor digitorum profundus (FDP) tendon. In the field of automotive safety assessment, finite element (FE) neuromuscular human body models (NHBMs) have been validated and are employed to evaluate different injury types related to car crash scenarios. The goal of this study is to show, how such a model can be modified to assess JFIs by adapting the hand of an FE-NHBM for the computational analysis of tendon strains during a generalized JFI load case...
2023: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38147700/high-risk-and-low-prevalence-diseases-flexor-tenosynovitis
#35
REVIEW
Prayag Mehta, Joby Thoppil, Alex Koyfman, Brit Long
INTRODUCTION: Flexor tenosynovitis (FTS) is a deep space infection of an upper extremity digit which carries a high rate of morbidity. OBJECTIVE: This review highlights the pearls and pitfalls of FTS, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence. DISCUSSION: FTS typically occurs after direct penetrating trauma to the volar aspect of an upper extremity digit. Development of a deep space infection that quickly propagates through the flexor tendon sheath of a digit can result in serious structural damage to the hand and place the patient at risk for significant morbidity such as finger amputation or even result in death...
March 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38130379/comparison-of-six-strand-and-four-strand-techniques-on-the-repair-of-injured-deep-flexor-tendons-of-zone-ii-of-the-hand-a-randomized-controlled-clinical-trial
#36
JOURNAL ARTICLE
Mohammad Bagher Heydari, Yusef Porhesam, Arian Karimi Rouzbahani, Golnaz Mahmoudvand, Hormoz Mahmoudvand
BACKGROUND: Hand zone II flexor tendon repair had been associated with many complications thereby it was previously called no man's land. Although there is some agreement on the primary repair of flexor tendons in this area, it is challenging due to certain complications. We compared the six and four-strand techniques in the repair of flexor digitorum profundus (FDP) tendons of zone II. METHODS: This randomized controlled clinical trial was registered with the Iranian Registry of Clinical Trials (IRCT20130812014333N139)...
2023: World Journal of Plastic Surgery
https://read.qxmd.com/read/38105874/evaluation-of-outcome-measures-of-zone-v-flexor-tendon-injury-a-systematic-review
#37
REVIEW
Iris Cardoz Lobo, Sonali Manek, Krutika Bhosale, Chhaya Verma, Maksud Devale, Aditi Parekh, Priyanka Kerketta
Background  Flexor tendon injury zone V is a multicomponent soft tissue injury involving tendons, nerves, and vessels. Outcome assessment of repair thus requires evaluation of the hand as a whole rather than solely evaluating tendon function. The purpose of this Preferred Reporting Items for Systematic Reviews and Meta-Analyses -compliant systematic review was to identify and assess the components of outcome measures used in flexor zone V. Methods  A total of 3,761 studies were retrieved from four databases (PubMed, ProQuest, Cochrane Central, and Google Scholar)...
December 2023: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://read.qxmd.com/read/38104094/distal-forearm-squeeze-test-for-the-diagnosis-of-digital-flexor-tendon-injuries
#38
JOURNAL ARTICLE
Yunlong Zhi, Chengyue Wu, Maoqiang Li
BACKGROUND: The forearm/wrist squeeze/compression test has been used to examine digital flexor tendon injuries with varied names. Furthermore, the test has not been minutely described and its mechanism remains unclear. We renamed the test the "distal forearm squeeze test". The purpose of this study was to elaborate on the test and elucidate the mechanism. METHODS: Two patients with digital flexor tendons ruptured in zone 3 and zone 1 respectively and 50 outpatients with intact digital tendons underwent the test...
December 16, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38073411/index-finger-flexor-digitorum-profundus-function-deficit-after-shoulder-arthroscopy-treated-by-neurolysis-a-case-report
#39
JOURNAL ARTICLE
Seong Hun Kim, Min-Yung Chang, Heemin Choi, Jun-Ku Lee
A 60-year-old woman presented functional deficit of the index finger flexor digitorum profundus (FDP) tendon after shoulder arthroscopic rotator cuff repair. As no recovery was observed for 10 months, we conducted an operative exploration of the median nerve and the anterior interosseous nerve, followed by an external neurolysis. The patient recovered FDP function 4.5 months after the second operation. In a patient with persistent isolated FDP dysfunction after shoulder arthroscopy, operative exploration and external neurolysis could facilitate functional recovery...
December 5, 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38051506/efficacy-and-safety-of-dynavisc%C3%A2-gel-in-prevention-of-scar-adhesions-recurrence-after-flexor-tendons-tenolysis-in-zone-2-multicenter-retrospective-cohort-study
#40
MULTICENTER STUDY
Franco Bassetto, Giorgio Pajardi, Bruno Battiston, Massimo Corain, Silvia Sargenti, Carlotta Scarpa, Chiara Novelli, Cesare Tiengo, Andrea Vitali, Federico Facchin, Maddalena Bertolini, Luciano Cara, Giancarlo Caruso
AIM: Dynavisc® is a novel surgical product made of carboxymethylcellulose (CMC) and Polyethylene Oxide (PEO) designed to reduce post-surgical adhesions in tendons surgery. A multicenter retrospective cohort study was performed to investigate the clinical safety and efficacy of the Dynavisc® gel in reducing post-surgical adhesions after flexor tenolysis in zone 2. MATERIAL OF STUDY: Thirty-one patients suffering from stiff finger after flexor tendon repairs in zone 2 treated with standard release with (18 Dynavisc®-treated group) or without (13 controls) anti-adhesion gel application into the flexor tendon sheath and around the site of the tenolysis, were collected in five different hand surgery units...
2023: Annali Italiani di Chirurgia
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