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Journals Hand : Official Journal of the...

Hand : Official Journal of the American Association for Hand Surgery

https://read.qxmd.com/read/38488170/a-review-of-1228-in-office-hand-surgery-procedures-with-wide-awake-local-anesthesia-no-tourniquet-walant-at-a-single-private-practice
#21
JOURNAL ARTICLE
Jason R Coffman, Jeffrey A Dela Cruz, Brandon A Stein, Mark R Bagg, David W Person, Kunj K Desai, Ramesh C Srinivasan
BACKGROUND: This study examined the complication rate of Wide Awake Local Anesthesia No Tourniquet (WALANT) technique in the clinic setting with field sterility at a single private practice. We hypothesized that WALANT is safe and effective with a low complication rate. METHODS: This retrospective chart review included 1228 patients who underwent in-office WALANT hand procedures at a single private practice between 2015 and 2022. Patients were divided into groups based on type of procedure: carpal tunnel release, A1 pulley release, first dorsal compartment release, extensor tendon repair, mass excision, foreign body removal, and needle aponeurotomy...
March 15, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38456481/understanding-variations-in-the-management-of-displaced-distal-radius-fractures-with-satisfactory-reduction
#22
JOURNAL ARTICLE
Jomar N A Aryee, Giulia C Frias, Daniel K Haddad, Kevin D Guerrero, Vivian Chen, Fan Ling, David A Kirschenbaum, James T Monica, Brian M Katt
BACKGROUND: The American Academy of Orthopaedic Surgeons has set forth Clinical Practice Guidelines (CPGs) to help guide management of closed, displaced distal radius fractures (DRFs). There still exists variation in practice regarding operative vs nonoperative decision-making. This study aims to identify which factors influence the decision to treat DRFs not indicated for surgery by the CPGs after initial closed reduction. METHODS: Fifteen sets of DRFs and clinical vignettes were distributed via email to over 75 orthopedic residency programs, Orthopaedic Trauma Association, and New York Society for Surgery of the Hand membership...
March 8, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38450618/comparison-of-low-dose-computed-tomography-versus-conventional-dose-computed-tomography-in-the-evaluation-of-distal-radius-fractures
#23
JOURNAL ARTICLE
Steven L Zeng, A Jordan Grier, Hannah C Langdell, Kier M Blevins, William M Tian, Robert J French, Suhail K Mithani, Warren C Hammert, Christopher S Klifto
BACKGROUND: Distal radius fractures (DRFs) are common upper extremity fractures and often require surgical fixation when they are intraarticular. Preoperative computed tomography (CT) has emerged as a surgical planning tool to evaluate intraarticular DRFs. Although CT affords additional details, patients receive higher radiation doses than standard radiographs. We aim to develop a low-dose CT (LDCT) protocol, relative to the institutional standard-dose CT wrist for intraarticular DRFs although providing adequate detail for surgical decision-making...
March 7, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38439648/early-results-in-total-replacement-of-the-distal-radioulnar-joint
#24
JOURNAL ARTICLE
Mark P Smith, William B Kleinman, Nicholas E Crosby
BACKGROUND: Pathology of the distal radioulnar joint (DRUJ) including instability and arthritis presents a challenge for hand and upper extremity surgeons. Surgical options include a Darrach procedure and similar resections, soft tissue interposition arthroplasty, and a one-bone forearm. In 2005, a prosthesis for DRUJ arthroplasty was approved for use in the United States. The authors hypothesize that DRUJ arthroplasty will lead to improved pain and range of motion (ROM) with a moderate, but manageable, complication rate...
March 4, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38439631/acquired-aquagenic-syringeal-keratoderma-following-covid-19-infection
#25
JOURNAL ARTICLE
Bryce W Polascik, Samantha P Karklins, Matthew C Johnson, Warren C Hammert, Amy J McMichael
Aquagenic syringeal keratoderma (ASK), rare in males, is characterized by the rapid onset of edematous palmar wrinkling with small white papules after brief contact with water or sweat. A 24-year-old atopic male presented with a 2-week subacute history of bilateral palmar edema with whitish-colored papules after exposure to water, 3 months after having had COVID-19 infection treated with a full course of ritonavir-boosted nirmatrelvir (PAXLOVIDTM ). He had received 3 COVID-19 vaccines (Pfizer, New York, NY) about 12 months prior...
March 4, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38439630/teardrop-alignment-changes-after-volar-locking-plate-fixation-of-distal-radius-fractures-with-volar-ulnar-fragments
#26
JOURNAL ARTICLE
Justin C McCarty, Rachel E Cross, Charlotte L E Laane, Yannick Albert J Hoftiezer, Aquiles Gavagnin, Pietro Regazzoni, Alberto Fernandez Dell'Oca, Jesse B Jupiter, Abhiram R Bhashyam
BACKGROUND: We assessed factors associated with change in radiographic teardrop angle following volar locking plate (VLP) fixation of volarly displaced intra-articular distal radius fractures with volar ulnar fragments (VUF) within the ICUC database. The primary outcome was change in radiographic alignment on follow-up imaging, defined as a change in teardrop angle from intra-operative fluoroscopy greater than 5°. METHODS: Patients with distal radius fractures treated with a VLP within the ICUC database, an international collaborative and publicly available dataset, were identified...
March 4, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38420784/interspecialty-variation-in-perioperative-health-care-resource-usage-for-carpal-tunnel-release
#27
JOURNAL ARTICLE
Azeem Tariq Malik, James S Lin, Sonu Jain, Hisham Awan, Safdar N Khan, Kanu S Goyal
BACKGROUND: We investigated whether any interspecialty variation exists, regarding perioperative health care resource usage, in carpal tunnel releases (CTRs). METHODS: The 2010 to 2021 PearlDiver Mariner Database, an all-payer claims database, was queried to identify patients undergoing primary CTRs. Physician specialty IDs were used to identify the specialty of the surgeon-orthopedic versus plastic versus general surgery versus neurosurgery. Multivariate logistic regression analysis was used to identify whether there was any interspecialty variation between the use of health care resources...
February 29, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38420781/cause-of-extensor-pollicis-longus-ruptures-after-distal-radius-fracture-fixation-using-a-volar-plate
#28
JOURNAL ARTICLE
Charlotte L E Laane, Anjuli L Dijkmans, Chelsea J Messinger, Mathieu M E Wijffels, Abhiram R Bhashyam, Neal C Chen
BACKGROUND: This research sought to analyze a cohort of patients with extensor pollicis longus (EPL) ruptures after volar locked plating of a distal radius fracture (DRF) to characterize the incidence of ruptures that are unlikely to be related to dorsal screw prominence. METHODS: This is a retrospective, observational, descriptive cohort study of adults with operative fixation of a closed DRF and an EPL rupture between 2002 and 2022. Eighteen patients with operative fixation using a volar plate of a closed DRF had an EPL rupture...
February 29, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38420764/understanding-the-injury-mechanism-in-hamate-hook-fractures-by-investigating-fracture-morphologies-a-case-series-study
#29
JOURNAL ARTICLE
Ayumi Suzuki, Toshihiro Kanda
BACKGROUND: Many studies have described hamate hook fractures resulting from direct force from sporting tools. However, several authors have reported fractures that did not occur during swing-related activities. This study aimed to understand the injury mechanism of fractures by investigating their morphologies. METHODS: We selected patients with hamate hook fractures and collected data on computed tomography scans, injury causes, and how athletes handled sporting tools...
February 29, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38420760/patients-with-and-without-double-crush-syndrome-achieve-similar-rates-of-clinical-improvement-following-carpal-tunnel-release
#30
JOURNAL ARTICLE
Logan M Hansen, Eric X Jiang, Noah M Hodson, Nicholas Livingston, Ani Kazanjian, Mitchell Wu, Charles S Day
BACKGROUND: The purpose of this study is to compare outcomes of carpal tunnel release (CTR) in patients with and without double crush syndrome (DCS), defined as concurrent carpal tunnel syndrome (CTS) and cervical radiculopathy at C5-T1 on preoperative nerve conduction studies. METHODS: Patients with preoperative nerve conduction studies who underwent unilateral, isolated CTR were retrospectively identified. All patients completed preoperative and 3-month postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity (UE) and pain interference (PI), and Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaires, and responded to the anchor question: "Since your treatment, how would you rate your overall function?" (much worse, worse, slightly worse, no change, slightly improved, improved, much improved)...
February 29, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38419427/return-to-play-after-hook-of-hamate-fracture-a-systematic-review-and-meta-analysis
#31
REVIEW
Dylan Luxenburg, Nikhil Patel, Manish Narasimman, Jonathan Weinerman, Jean-Paul Russo, Anthony Martin, Arya Minaie, Seth Dodds
In athletes, a hook of hamate fracture is concerning in terms of time to return to sport and effect on performance upon return. This study aims to analyze the treatment of hook of hamate fractures in athletes to determine their rates of return to play, timelines of recovery, and performance level upon return to play. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to perform this analysis. The PubMed database was queried to perform the literature search. Data were pooled and analyzed...
February 28, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38415721/a-comparison-of-outcomes-in-acute-perilunate-injuries-systematic-review-and-meta-analysis-of-treatment-approaches
#32
JOURNAL ARTICLE
Matthew V Abola, Brett A Gerber, Madeline C Rocks, Jeffrey S Chen, Jacques H Hacquebord, Ali Azad
BACKGROUND: Perilunate dislocations (PLD) and fracture-dislocations (PLFD) comprise a spectrum of high-energy wrist injuries. The purpose of this review was to review operative strategies for perilunate injuries based on approach and compare outcomes. METHODS: A systematic review of literature on PLD and fracture-dislocations was carried out according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). PubMed and EMBASE databases were queried for literature...
February 28, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38414220/a-readability-study-of-carpal-tunnel-release-in-2023
#33
JOURNAL ARTICLE
Ankur Kayastha, Kirthika Lakshmanan, Michael J Valentine, Hunter D Kramer, James Kim, Nicholas Pettinelli, Robert C Kramer
BACKGROUND: The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend a sixth-grade reading level for patient-directed content. This study aims to quantitatively evaluate the readability of online information sources related to carpal tunnel surgery using established readability indices. METHODS: Web searches for "carpal tunnel release" and "carpal tunnel decompression surgery" queries were performed using Google, and the first 20 websites were identified per query...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38411136/comparison-of-intramedullary-screw-fixation-plating-and-k-wires-for-metacarpal-fracture-fixation-a-meta-analysis
#34
JOURNAL ARTICLE
Cristina R DelPrete, John Chao, Bobby B Varghese, Patricia Greenberg, Hari Iyer, Ajul Shah
BACKGROUND: Metacarpal fractures are common injuries with multiple options for fixation. Our purpose was to compare outcomes in metacarpal fractures treated with intramedullary screw fixation (IMF), Kirschner wires (K-wires), or plating. METHODS: A systematic literature review using the MEDLINE database was performed for studies investigating metacarpal fractures treated with IMF, plating, or K-wires. We identified 34 studies (9 IMF, 8 plating, 17 K-wires). A meta-analysis using both mixed and fixed effects models was performed...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38411126/snapping-wrist-from-bowstringing-of-the-digital-flexors-after-carpal-tunnel-release-a-case-report
#35
JOURNAL ARTICLE
Justin A Cline, Joshua T Rogers, Christopher H Merritt, Vafa Behzadpour, Bernard F Hearon
Symptomatic bowstringing of digital flexor tendons is a rare complication of carpal tunnel release (CTR). Two weeks after open CTR, a 47-year-old man with severe carpal tunnel syndrome had relief of his preoperative median paresthesia but complained of new-onset painful snapping of the wrist and transient ulnar paresthesia occurring with wrist dorsiflexion and concomitant digital flexion. Physical examination localized the audible snapping to the hook of hamate (HOH) where manual pressure eliminated the wrist motion-induced snapping and the associated ulnar paresthesia...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38411105/the-impact-of-social-determinants-of-health-on-the-treatment-of-distal-radius-fracture
#36
JOURNAL ARTICLE
Graham Grogan, Kristen L Stephens, Jesse Chou, Jasmina Abdalla, Ryan Wagner, Kacy J Peek, Aaron M Freilich, Brent R DeGeorge
BACKGROUND: Disparities in social determinants of health (SDH) have been shown to play an increasingly important role in the equitable delivery of health care. Distal radius fractures (DRFs) are among the most common upper-extremity injuries encountered. This study aims to examine the influence of economic, educational, social, environmental, and healthcare disparities on management of these injuries. METHODS: PearlDiver Mariner insurance claims database was analyzed for treatment patterns of DRF in patients aged 18 to 65 years based on the presence or absence of social determinants of health disparities (SDHDs)...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38411097/predictors-of-true-scaphoid-fractures-in-children
#37
JOURNAL ARTICLE
Daniel Milad, Aneesh Karir, Kevin Smit, Sasha Carsen, Kevin Cheung
BACKGROUND: The scaphoid is the most commonly fractured carpal bone in children. True scaphoid fractures have proven to be difficult to diagnose, as they may not be apparent on initial imaging. Children with clinical suspicion of a scaphoid fracture may be treated with continued immobilization, even in the absence of radiographic evidence of a fracture. The purpose of this study is to identify predictors of true scaphoid fractures in children to help guide management. METHODS: This study is a retrospective cohort study of children presenting to a tertiary pediatric hospital with hand or wrist injuries...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38411093/comparison-between-intramedullary-nail-and-percutaneous-pin-fixation-in-proximal-phalanx-fractures
#38
JOURNAL ARTICLE
Andrew W Hollins, Kristina Dunworth, Suhail K Mithani, Tyler S Pidgeon, Christopher S Klifto, David S Ruch, Marc J Richard
BACKGROUND: Percutaneous pinning has been the predominant technique for fixation of proximal phalanx fractures, but stiffness is a reported complication. The introduction of intramedullary (IM) nail fixation of proximal phalanx fractures provides a stronger biomechanical fixation for amenable fracture patterns with the added benefit of not tethering the soft tissue. The goal of this study was to compare the surgical outcomes of IM nail and percutaneous pin fixation in isolated proximal phalanx fractures...
February 27, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38406971/biomechanical-stability-of-diaphyseal-ulnar-shaft-fractures-and-ulnar-shortening-osteotomies-after-fixation
#39
JOURNAL ARTICLE
Lauren E Dittman, Katharine E Hinchcliff, Alexander W Hooke, Sanjeev Kakar
BACKGROUND: To determine the amount of micromotion during forearm rotation after diaphyseal ulnar shaft fracture or osteotomy. METHODS: This was a biomechanical study using 7 paired-matched cadavers. The upper extremity was mounted in a custom rig and the forearm brought through full pronation and supination. A Hall effect sensor was placed at the fracture ends to measure micromotion for all tested conditions. There were 4 conditions tested: (1) intact ulnar shaft with plate to act as a control; (2) transverse fracture/osteotomy without stabilization; (3) fracture/osteotomy with cortical apposition stabilized with plate fixation; and (4) 50% comminuted fracture stabilized with plate...
February 26, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38390835/compression-of-the-ulnar-nerve-by-the-arcade-of-struthers-look-and-you-shall-find
#40
JOURNAL ARTICLE
Shady Elmaraghi, Ruby Taylor, Isaac Tung, Megan M Patterson, Susan E Mackinnon
BACKGROUND: The arcade of Struthers was first proposed by Kane et al in 1973. Clinical investigations of this structure have been limited to small case series, focusing on the arcade as an isolated cause of compressive ulnar neuropathy. The purpose of our study was to investigate the incidence of this structure in patients undergoing ulnar nerve transposition. METHODS: A retrospective chart review of prospectively maintained data in a single surgeon's practice was performed...
February 23, 2024: Hand: Official Journal of the American Association for Hand Surgery
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