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hand injury tendons

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https://www.readbyqxmd.com/read/29764283/minimally-invasive-thread-trigger-digit-release-a-preliminary-report-on-34-digits-of-the-adult-hands
#1
Danqing Guo, Logan McCool, Alexander Senk, Brionn Tonkin, Joseph Guo, Rachel M Lytie, Danzhu Guo
The trigger finger release was performed in 34 digits (11 thumbs and 23 fingers) of 24 patients through the thread transecting technique with the tip-to-tip approach, in which a 22-gauge needle inserts into a 18-gauge needle when both needles are inside the hand, guiding the 22-gauge needle to exit the hand at the same access point of 18-gauge needle. We prospectively evaluated the effectiveness and functional recovery of these patients. In all 34 digits, triggering and locking were resolved, and complete extension and flexion occurred immediately following the release...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29736263/using-nerve-transfer-to-restore-prehension-and-grasp-12-years-following-spinal-cord-injury-a-case-report
#2
Ida K Fox, Christine B Novak, Lorna C Kahn, Susan E Mackinnon, Rimma Ruvinskaya, Neringa Juknis
Introduction: Nerve transfers are used routinely for reconstruction of hand function following lower motor neuron lesions. In people with cervical spinal cord injury (SCI), this novel and alternate reconstruction option may be useful to restore prehension and grasp, and improve hand function. Case presentation: A 34-year-old male presented 12 years post-mid-cervical SCI. Pre-operative electrodiagnostic studies revealed intact lower motor neurons below the SCI level...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29716413/minimally-invasive-modified-camitz-opponensplasty-for-severe-carpal-tunnel-syndrome
#3
Mitsuhiko Nanno, Norie Kodera, Yuji Tomori, Shinro Takai
PURPOSE: We aimed to compare the clinical results and the complications between the minimally invasive modified Camitz opponensplasty and the conventional Camitz opponensplasty for severe carpal tunnel syndrome (CTS), and to evaluate the efficacy of the modified technique for CTS. METHODS: Twenty-eight hands in 24 patients with severe CTS who had disorder of the thumb opposition with thenar muscle atrophy (group 1) were treated by minimally invasive modified Camitz opponensplasty, passing the transferred palmaris longus (PL) tendon under the abductor pollicis brevis (APB) fascia using only palm and thumb incision, and no incision to either wrist crease or forearm...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29713920/epidemiological-patterns-of-traumatic-musculoskeletal-injuries-and-non-traumatic-disorders-in-japan-self-defense-forces
#4
Masatoshi Amako, Yoshiyuki Yato, Yasuo Yoshihara, Hiroshi Arino, Hiroshi Sasao, Osamu Nemoto, Tomohito Imai, Atsushi Sugihara, Satoshi Tsukazaki, Yutaka Sakurai, Koichi Nemoto
BACKGROUND: The epidemiological patterns of musculoskeletal injuries or disorders in military personnel have not been well documented and a better understanding is required for proper preventative measures and treatment. Here, we investigated musculoskeletal injuries or disorders among members of the Japan Self-Defense Forces. METHODS: All orthopedic patients (n = 22,340) who consulted to Japan Self-Defense Forces Hospitals were investigated for their type of injury or disorder, the injured body part, the mechanism, and the cause of injuries...
May 1, 2018: Injury Epidemiology
https://www.readbyqxmd.com/read/29706248/a-new-sign-allowing-diagnosis-in-the-pathologies-of-the-extensor-tendons-of-the-hand
#5
A Leti Acciaro, F Pilla, G Colzani, N Corradi
INTRODUCTION: The thorough knowledge of the anatomy of the extensor tendon system of the hand is crucial for clinical examination and detection of tendon injuries. The Juncturae between the EDCII and other extensor tendons presents different incidences, shapes ("r" or "y") and morphologies (Type I, II, III). The EIP does not receive connection. These characteristics may result in variable effects on extensor tendons during active finger movements. The purpose of this study is to investigate and describe a new sign helping diagnosis for injuries or pathologies of EIP and EDC index finger (EDC II), based on a cadaveric dissection and clinical observation...
January 9, 2018: Injury
https://www.readbyqxmd.com/read/29702048/nerve-transfer-surgery-for-penetrating-upper-extremity-injuries
#6
Efstathios Karamanos, Ilya Rakitin, Sophie Dream, Aamir Siddiqui
CONTEXT: Nerve transfer surgery is an option for repair of penetrating injuries of the upper extremity. In the right setting, it has advantages over tendon transfers and nerve grafting. OBJECTIVE: To review our experience since 2006 of nerve transfer surgery in the upper extremities. DESIGN: We included cases performed to repair penetrating trauma within three months of injury with at least three years' follow-up. MAIN OUTCOME MEASURES: Preoperative and postoperative muscle strength of the affected extremity...
April 9, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29701103/results-of-primary-repair-of-distal-triceps-tendon-ruptures-in-a-general-population
#7
G Giannicola, G Bullitta, R Rotini, L Murena, D Blonna, M Iapicca, G Restuccia, G Merolla, M Fontana, A Greco, M Scacchi, G Cinotti
Aims The aim of the study was to analyze the results of primary tendon reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the general population. Patients and Methods A total of 28 patients were operated on for primary DTTR reinsertions, including 21 male patients and seven female patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained an acute DTTR and five had a chronic injury. One patient had a non-simultaneous bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or dislocation...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29692376/sports-injury-related-fingers-and-thumb-deformity-due-to-tendon-or-ligament-rupture
#8
Rong-Jie Bai, Hui-Bo Zhang, Hui-Li Zhan, Zhan-Hua Qian, Nai-Li Wang, Yue Liu, Wen-Ting Li, Yu-Ming Yin
Background: Hand injuries are very common in sports, such as skiing and ball sports. One of the major reasons causing hand and finger deformity is due to ligament and tendon injury. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) can demonstrate the complex anatomy of the fingers and thumb, especially the tendons and ligaments, and provide the accurate diagnosis of clinically important fingers and thumbs deformity due to ligamentous and tendinous injuries during sport activities...
May 5, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#9
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29662762/local-administration-of-trolox-a-vitamin-e-analog-reduced-tendon-adhesion-in-a-chicken-model-of-flexor-digitorum-profundus-tendon-injury
#10
Yuk Wa Lee, Sai Chuen Fu, Tsui Yu Mok, Kai Ming Chan, Leung Kim Hung
Background: Hand flexor tendon injuries are compromised with tendon adhesion. Tendon adhesion forms between flexor tendon and tendon sheath, reduces the range of motion of fingers, and affects their function. Oxidative stress is increased in flexor tendon after injury and might play a role in tendon adhesion formation. Trolox (6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid), a water-soluble analog of vitamin E, is antioxidative. Trolox reduced oxidative stress and the expression of fibrotic cytokines in the bile gut ligation animal model...
July 2017: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29650376/trapezius-muscle-transfer-for-restoration-of-elbow-extension-in-a-traumatic-brachial-plexus-injury
#11
Hamza M Alrabai, Martin G Gesheff, Ahmed I Hammouda, Janet D Conway
Voluntary elbow extension is essential for optimal upper limb positioning required for daily living activities, particularly above-shoulder maneuvers. The authors present a case of traumatic brachial plexus injury in which paralysis of the musculature selectively supplied by the posterior cord was based on magnetic resonance imaging and nerve conduction studies. An attempt at a radial nerve graft at another center was not effective. Ipsilateral hand function improved after multiple local tendon transfers were performed...
April 9, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29643421/serpine1-knockdown-enhances-mmp-activity-after-flexor-tendon-injury-in-mice-implications-for-adhesions-therapy
#12
Margaret A T Freeberg, Youssef M Farhat, Anas Easa, Jacob G Kallenbach, Dominic W Malcolm, Mark R Buckley, Danielle S W Benoit, Hani A Awad
Injuries to flexor tendons can be complicated by fibrotic adhesions, which severely impair the function of the hand. Adhesions have been associated with TGF-β1, which causes upregulation of PAI-1, a master suppressor of protease activity, including matrix metalloproteinases (MMP). In the present study, the effects of inhibiting PAI-1 in murine zone II flexor tendon injury were evaluated utilizing knockout (KO) mice and local nanoparticle-mediated siRNA delivery. In the PAI-1 KO murine model, reduced adherence of injured tendon to surrounding subcutaneous tissue and accelerated recovery of normal biomechanical properties compared to wild type controls were observed...
April 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29596088/a-systematic-review-of-prognostic-factors-for-sensory-recovery-after-digital-nerve-reconstruction
#13
Jennifer S Kim, Nana-Yaw Bonsu, Hyuma A Leland, Joseph N Carey, Ketan M Patel, Mitchel Seruya
BACKGROUND: Successful digital nerve repair is crucial in preventing painful neuroma formation and restoring sensory function after traumatic hand injury. The purpose of this study is to identify prognostic factors affecting sensory recovery following digital nerve reconstruction. METHODS: A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines including studies reporting patients 18 years and older, greater than 10 reconstructed digital nerves, and greater than or equal to 3 months follow-up...
March 29, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29574492/the-anterior-knee-normal-variants-common-pathologies-and-diagnostic-pitfalls-on-mri
#14
REVIEW
Yong Wei Liu, Matthew R Skalski, Dakshesh B Patel, Eric A White, Anderanik Tomasian, George R Matcuk
The anterior aspect of the knee is host to an array of normal variants and potential pathology. These normal anatomic variants are often encountered and may mimic pathologies, leading to unnecessary work-up and treatments. On the other hand, there are several subtle abnormalities that may be easily overlooked or mistaken for variants or other injuries or diseases. Recognition of these diagnostic challenges is essential for radiologists to make an accurate diagnosis. This article reviews normal anatomical variants of ligaments, tendons, bones, and other important structures of the anterior knee, focusing on magnetic resonance imaging features...
March 25, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29525025/hand-and-wrist-injuries-common-problems-and-solutions
#15
REVIEW
Nicholas Pulos, Sanjeev Kakar
Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. This article highlights common sports injuries of the hand and wrist and their complications, and includes tips for successful management...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29524152/difficulties-in-identifying-the-bacterial-species-from-the-genus-clostridium-in-a-case-of-injury-related-osteitis
#16
REVIEW
Marta Kierzkowska, Piotr Pędzisz, Ireneusz Babiak, Jakub Janowicz, Mateusz Kulig, Anna Majewska, Anna Sawicka-Grzelak, Grażyna Młynarczyk
Most Clostridium species are part of saprophytic microflora in humans and animals; however, some are well-known human pathogens. We presented the challenges in identifying the Clostridium species isolated from a patient with an infected open dislocation of the proximal interphalangeal joint of the fourth digit of the right hand. The clinical materials were intraoperative samples collected from a patient diagnosed with an injury-related infection, with soft tissue loss and tendon sheath involvement. The available biochemical, molecular, and genetic techniques were used in identifying the isolated bacteria...
March 9, 2018: Folia Microbiologica
https://www.readbyqxmd.com/read/29516111/diagnosis-of-isolated-extensor-carpi-radialis-longus-ecrl-tendon-avulsion-fracture-using-ultrasound-a-paradigm-shift
#17
N Alnaif, S Alrobaiea, Alain J Azzi, S Thibaudeau, M H Martin
Isolated avulsion fracture of the extensor carpi radialis longus (ECRL) tendon is a rare and poorly understood injury. We present a unique case of a 45-year-old male who fell on his flexed right hand. He presented with a subtle but extremely painful mass on the dorsum of his wrist. Ultrasound (U/S) imaging of the mass revealed an avulsed bone fragment attached to the ECRL tendon, confirming the clinical suspicion of an ECRL avulsion injury. Computed tomography and magnetic resonance imaging are well-documented imaging modalities to detect tendon avulsions...
March 7, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29509625/the-impact-of-specialty-on-cases-performed-during-hand-surgery-fellowship-training
#18
Jason Silvestre, Joseph Upton, Benjamin Chang, David R Steinberg
BACKGROUND: Hand surgery fellowship programs in the United States are predominately sponsored by departments or divisions of orthopaedic surgery or plastic surgery. This study compares the operative experiences of hand surgery fellows graduating from orthopaedic or plastic surgery hand surgery fellowships. METHODS: Operative case logs of 3 cohorts of hand surgery fellows graduating during the academic years of 2012-2013, 2013-2014, and 2014-2015 were analyzed. The median case volumes were compared by specialty via Mann-Whitney U tests...
March 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29509619/late-reconstruction-of-the-interosseous-membrane-with-bone-patellar-tendon-bone-graft-for-chronic-essex-lopresti-injuries-outcomes-with-a-mean-follow-up-of-over-10-years
#19
Michael P Gaspar, Julie E Adams, Ralph C Zohn, Sidney M Jacoby, Randall W Culp, A Lee Osterman, Patrick M Kane
BACKGROUND: The purpose of this study was to report our long-term outcomes following reconstruction of the forearm interosseous membrane (IOM) with bone-patellar tendon-bone (BPTB) graft for treatment of chronic Essex-Lopresti injuries. METHODS: We identified 33 patients who underwent IOM reconstruction with BPTB graft for chronic Essex-Lopresti injuries over a 20-year treatment interval. Twenty male and 13 female patients, with a mean age of 42.1 years (range, 19 to 73 years) and a minimum follow-up interval of 5 years, were included...
March 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29481328/laparoscopy-assisted-chimeric-peritoneal-deep-inferior-epigastric-perforator-flap-for-reconstruction-of-hand-and-foot
#20
Enqi Guo, Qingping Xie, Ziguan Zhu, Peihong Jin, Peihong Jin, Liang Wang
Management of hand and foot defects with exposed tendons is a big challenge for plastic surgeons. Thin vascularized tissue offers an ideal surface for tendon excursion. OBJECTIVE: This study examines the reconstructive benefits of a laparoscopy-assisted chimeric peritoneal-deep inferior epigastric artery perforator (DIEP) flap in the treatment of hand and foot injury defects. MATERIALS AND METHODS: A retrospective review was performed on 8 patients (6 men, 2 women) that received hand or foot reconstruction with laparoscopy-assisted chimeric peritoneal-DIEP flap...
February 2018: Wounds: a Compendium of Clinical Research and Practice
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