journal
https://read.qxmd.com/read/26387999/wrist-septic-arthritis-an-11-year-review
#21
JOURNAL ARTICLE
Robert Tze Jin Yap, Shian Chao Tay
BACKGROUND: This report utilizes 11 years (2003-2013) of clinical records of patients for a retrospective evaluation of the effectiveness of various combinations of diagnostic methods, treatment options and surgical procedures to try to determine the optimal combinations to improve the rate of success for the treatment of septic wrist arthritis. METHODS: Analysis of records of 40 patients treated for septic wrist arthritis in our hospital involving records of physical examination, full blood analysis, biochemical, microbial profiles, type of surgical intervention, length of stay, number of surgical interventions to resolution and the rate of morbidity and mortality...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387998/comparison-between-collagenase-injection-and-partial-fasciectomy-in-the-treatment-of-dupuytren-s-contracture
#22
COMPARATIVE STUDY
Terence Khai Wei Tay, Huey Tien, Elizabeth Yenn Lynn Lim
BACKGROUND: A comparative study between two treatment methods (collagenase injection and open partial fasciectomy) for Dupuytren's contracture. This study will determine differences in clinical outcome, complication rate and patient satisfaction. METHODS: 37 patients with 62 metacarpophalangeal joints (MCP) and 44 proximal interphalangeal joints (PIP) treated. There were 21 MCP joints (34%) and 8 PIP joints (18%) treated with injection. The remaining 66% of MCP joints and 82% of PIP joints were treated by open partial fasciectomy...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387997/the-use-of-composite-tissue-spare-parts-to-restore-tripod-hand-function-in-post-traumatic-and-congenital-hand-deficiency
#23
JOURNAL ARTICLE
Bhaskaranand Kumar, Anil Keshavamurthy Bhat, Ashwath Madhusudan Acharya
The principle aim in complex defects in hand is to restore a functioning tripod pinch. Among the various options, the use of locally available spare parts offers to improve both functions and cosmetics. 10 patients underwent surgeries to restore tripod pinch using this concept of spare parts. Four of them were children with congenital differences and the rest were adults with post traumatic defects. Eight of them underwent on-top plasty out of which four underwent an island pedicled transfer of phalanges and the rest involved distraction lengthening and transfer of metacarpals...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387996/structural-failure-mechanisms-of-common-flexor-tendon-repairs
#24
JOURNAL ARTICLE
Tim Sebastian Peltz, Roger Haddad, Peter James Scougall, Sean Nicklin, Mark Peter Gianoutsos, Rema Oliver, William Robert Walsh
BACKGROUND: This study investigated the exact failure mechanisms of the most commonly used conventional tendon repair techniques. A new method, radiographing repair constructs in antero-posterior and lateral projections before and after tensioning was used. This allowed to precisely analyse failure mechanisms in regards to geometrical changes in all three dimensions. Additionally the biomechanical stability focusing on gapping was tested. METHODS: Sheep fore limb deep flexor tendons were harvested and divided in eight groups of ten tendons...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387995/3d-dynamic-analysis-of-the-wrist
#25
JOURNAL ARTICLE
Michael J Sandow
With advances in imaging and computing technology the greater capacity to diagnose, plan and deliver care to patients with hand and wrist disorder is being realised. Work in our laboratory, has been able to identify certain specific rules that control wrist motion, and is a step on the pathway to creating a unified theory of carpal mechanics which will incorporate a kinetic biomechanical model. This will allow more precise anatomically based as well as quantitative diagnoses, but also an ability to test a proposed intervention in a "what if" scenario...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387994/kienb%C3%A3-ck-disease-recent-advances-in-the-basic-science-assessment-and-treatment
#26
REVIEW
Gregory Ian Bain, Chong Jin Yeo, Levi Philip Morse
Kienböck disease is a disorder of impaired lunate vascularity which ultimately has the potential to lead to marked degeneration of the wrist and impaired wrist function. The aetiology of the avascular necrosis is uncertain, but theories relate to ulnar variance, variability in lunate vascularity and intraosseous pressures. Clinical symptoms can be subtle and variable, requiring a high index of suspicion for the diagnosis. The Lichtmann classification has historically been used to guide management. We present a review of Kienböck disease, with a focus on the recent advances in assessment and treatment...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387993/anticipatory-and-reactive-response-to-falls-muscle-synergy-activation-of-forearm-muscles
#27
JOURNAL ARTICLE
Greg Couzens, Graham Kerr
We investigated the surface electromyogram response of six forearm muscles to falls onto the outstretched hand. The extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris, abductor pollicis longus, flexor carpi radialis and flexor carpi ulnaris muscles were sampled from eight volunteers who underwent ten self-initiated falls. All muscles initiated prior to impact. Co-contraction is the most obvious surface electromyogram feature. The predominant response is in the radial deviators...
October 2015: Hand Surgery
https://read.qxmd.com/read/26387992/the-omt-classification-of-congenital-anomalies-of-the-hand-and-upper-limb
#28
JOURNAL ARTICLE
Michael A Tonkin, Kerby C Oberg
The Oberg, Manske and Tonkin (OMT) Classification of congenital anomalies of the hand and upper limb uses dysmorphological terminology, placing conditions in one of three groups: Malformations, Deformations and Dysplasias. The main group, Malformations, is further subdivided according to whether the whole of the limb is affected or the hand plate alone, and whether the primary insult involves one of the three axes of limb development and patterning or is non-axial. The common surgical diagnoses, such as thumb duplication and thumb hypoplasia, are then placed within this framework...
October 2015: Hand Surgery
https://read.qxmd.com/read/26094486/are-really-collagenase-clostriodium-hitolyticum-injections-more-effective-than-surgical-release
#29
LETTER
Rafael Sanjuan-Cerveró, Nuria Franco-Ferrando, Francisco Javier Carrera-Hueso, Jaime Eduardo Poquet-Jornet, Pedro Vazquez-Ferreiro
No abstract text is available yet for this article.
2015: Hand Surgery
https://read.qxmd.com/read/26094485/the-classification-of-swanson-for-congenital-anomalies-of-upper-limb-modified-by-the-japanese-society-for-surgery-of-the-hand-jssh
#30
REVIEW
Kousuke Iba, Emiko Horii, Toshihiko Ogino, Kenichi Kazuki, Katsuhiko Kashiwa
The aim of this study is to introduce the classification of Swanson for congenital anomalies of upper limb modified by the Japanese Society for Surgery of the Hand (the JSSH modification) in English. The Swanson classification has been widely accepted by most hand surgeons. However, several authors have suggested that complex cases, particularly those involving the complex spectrum of cleft hand and symbrachydactyly, are difficult to classify into the classification schemes. In the JSSH modification, brachysyndactyly, so-called atypical cleft hand and transverse deficiency are included under the same concept of transverse deficiency...
2015: Hand Surgery
https://read.qxmd.com/read/26094484/review-of-the-clinical-use-of-fluoroscopy-in-hand-surgery
#31
REVIEW
Tom J Gieroba, Gregory I Bain, Peter J Cundy
Fluoroscopy is a commonly used tool in hand surgery. There have been recent advances in the technology and its clinical utilisation. Indications include assessment of joint and fracture fixation and stability, particularly when combined with minimally invasive techniques. Recent developments include surgeon operated mini C-arm image intensifiers. We present a review of the clinical utilisation of fluoroscopy in hand surgery including recent developments, Australian legislation, safety issues, strategies to reduce radiation exposure and clinical examples for imaging distal radius and scaphoid fracture fixation...
2015: Hand Surgery
https://read.qxmd.com/read/26051782/osteonecrosis-of-interphalangeal-joint-of-thumb-two-months-after-rattlesnake-bite
#32
JOURNAL ARTICLE
Patrick Bonasso, Brandon Lucke-Wold, Glen Jacob
This case report details the osteonecrosis of the interphalangeal (IP) joint of the thumb two months after a rattlesnake bite. It describes the clinical presentation, imaging studies, histological review, pathology review, and review of literature. Our patient was a fifty-one year-old male who obtained a poisonous snakebite to the thumb. While in the hospital for acute treatment, a blood blister was debrided. He was seen two weeks after discharge for further debridement of epidermolysis. Patient presented one month later with a hand x-ray demonstrating bony erosions, and a bone scan showing active changes in the IP joint of his right thumb...
2015: Hand Surgery
https://read.qxmd.com/read/26051781/various-diagnostic-and-treatment-pitfalls-of-combined-fracture-dislocations-of-trapezoid-and-multiple-carpometacarpal-joints
#33
JOURNAL ARTICLE
Makoto Motomiya, Yasushi Tazaki, Norimasa Iwasaki
We report a rare case of combined fracture dislocations of the trapezoid and multiple carpometacarpal joints that became chronic due to inappropriate treatments. Although an acceptable clinical result was obtained with limited intercarpal fusion, correct diagnosis and initial treatments including anatomical reduction and fixation for obtaining a good clinical result, are important for complex trapezoid injury.
2015: Hand Surgery
https://read.qxmd.com/read/26051780/extensive-periosteal-chondroma-in-the-middle-phalanx-with-pathological-fracture-reconstructed-with-strut-bone-grafting
#34
JOURNAL ARTICLE
Kenji Serigano, Masayoshi Ikeda, Joji Mochida
We report of a pathological fracture of the middle phalanx of the little finger due to periosteal chondroma. The periosteal chondroma occupied an extensive area of the middle phalanx extending to the proximal interphalangeal joint, and the fracture involved the distal interphalangeal articular surface. The fracture was internally fixed using a strut bone grafting after resection of the chondroma. One year and four months after the operation, remodeling of the phalanx had completed without recurrence and functional loss...
2015: Hand Surgery
https://read.qxmd.com/read/26051779/avulsion-injuries-of-the-flexor-digitorum-profundus-tendon-an-unclassified-pattern-of-injury
#35
JOURNAL ARTICLE
Mokhtar Abdul Azeem, Yousef Marwan, Ali Esmaeel
Closed avulsion of the flexor digitorum profundus (FDP) tendon is classified based on the impact of injury on the management plan. In this report, we present a case with unclassified pattern of FDP tendon avulsion. The injury involves an intra-articular fracture of the volar part of distal phalanx of the little finger resulting into two bony fragments, one attached to the retracted avulsed tendon and another separated and incarcerated at A4 pulley, and an intact dorsal cortex of the phalanx. Based on that, we recommend the development of a new classification scheme for this condition...
2015: Hand Surgery
https://read.qxmd.com/read/26051778/intratendinous-ganglion-of-the-extensor-tendon-of-the-hand
#36
JOURNAL ARTICLE
Hyun-Joo Lee, Poong-Taek Kim, Hyo-Won Chang
Ganglion is a common benign lesion that usually arises adjacent to the joints or tendons of the hand. However, an intratendinous ganglion is a rare condition. We report two cases of intratendinous ganglion of the extensor tendon of the hand which were treated with excision.
2015: Hand Surgery
https://read.qxmd.com/read/26051777/trans-scaphoid-perilunate-dislocation-union-of-an-extruded-scaphoid-proximal-pole-fragment
#37
JOURNAL ARTICLE
Pky Goon, K R Vaghela, A J Chojnowski
We present an unusual case of a closed perilunate dorsal-dislocation of the carpus, with an associated scaphoid fracture. In this extreme case, the proximal scaphoid pole was extruded volarly and proximally. After closed manipulation, the proximal pole of the scaphoid was further dislocated dorsally, a phenomenon not previously described in the literature. At open reduction this fragment was noted to have no soft tissue attachment but after reduction, distal radius bone graft and compression screw fixation the scaphoid went on to unite with a good functional result...
2015: Hand Surgery
https://read.qxmd.com/read/26051776/a-huge-angioleiomyoma-of-the-finger
#38
JOURNAL ARTICLE
Jason Churk Yan Mok, Ka Yuk Fan, Tun Hing Lui
Vascular leiomyoma is a rare soft tissue lesion in the upper limbs. We reported a case of vascular leiomyoma in a 77-year-old female. It presented with a large painless slow growing lesion in the finger, which had grown to size up to 4 × 3 cm. X-ray and MRI were performed pre-operatively. Surgical excision was performed and the histological findings confirm the diagnosis.
2015: Hand Surgery
https://read.qxmd.com/read/26051775/limb-preservation-in-recurrent-giant-cell-tumour-of-distal-end-of-radius-with-fibular-graft-fracture-role-of-ulnocarpal-arthrodesis
#39
JOURNAL ARTICLE
Narinder Kumar
Giant cell tumors of distal radius are locally aggressive tumors with a high rate of recurrence. Though surgery remains the mainstay of treatment, reconstruction remains a challenge in cases of recurrence. Recurrences of GCT in autogenous fibular grafts have been rarely reported and pathological fractures through such grafts are even rarer. Ulnocarpal arthrodesis has never been described as a limb preservation procedure in such a recurrent lesion in distal radius with pathological fracture through a well incorporated fibular graft...
2015: Hand Surgery
https://read.qxmd.com/read/26051774/irreducible-palmar-dislocation-of-the-distal-interphalangeal-joint-due-to-closed-degloving-of-the-distal-phalanx-of-the-little-finger
#40
JOURNAL ARTICLE
Naohito Hibino, Yoshitaka Hamada, Shyunichi Toki, Shinji Yoshioka, Masahiro Yamano, Koichi Sairyo
Since irreducible dislocation of the distal interphalangeal joint (DIP joint) is dorsal dislocation, irreducible palmar dislocation of the DIP Joint is very rare. This case was associated with a closed degloving injury of the distal phalanx of the little finger and required operative treatment.
2015: Hand Surgery
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