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Journal of Hand Surgery, European Volume

Lara Yildirimer, Colin T Brewster, Hina Aziz, Zeynep Unluer, Barbara Jemec, Anna De Leo
The aim of this study was to analyse the management of nail bed injuries from a clinical and economic perspective. We carried out a retrospective analysis of nail bed injuries treated operatively at a tertiary Plastic Surgery Hand Trauma Unit during 2016. The National Schedule of Reference Costs (2015-2016) was used to estimate the costs of treating 630 patients. The most common mechanism was a crush injury in a door (33%). Fifty-five per cent of patients had an associated tuft fracture. The minimum cost per annum for patients treated for nail bed injuries in our unit was calculated to be £511,560 (€573,362; US$666,664)...
February 18, 2019: Journal of Hand Surgery, European Volume
Sergi Barrera-Ochoa, David Campillo-Recio, Xavier Mir-Bullo
No abstract text is available yet for this article.
February 18, 2019: Journal of Hand Surgery, European Volume
Oliver W G Manley, Justin C R Wormald, Dominic Furniss
Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. The overall incidence of the injuries increased from 70 to 110 per 100,000. There were especially large increases in the incidence of fractures in the over 75 years age group and nail bed injuries in the 0-14 years age group...
February 14, 2019: Journal of Hand Surgery, European Volume
Adam Sierakowski, Mohammed Ahmed, Julia Ruston, Charles Yuen Yung Loh
No abstract text is available yet for this article.
February 14, 2019: Journal of Hand Surgery, European Volume
Qiang Chen, QingPing Xie, DanHong Pan
No abstract text is available yet for this article.
February 14, 2019: Journal of Hand Surgery, European Volume
Yucheng Sun, Arnold Adikrishna, Hanpyo Hong, Jun Tan, In-Ho Jeon
We used eight fresh cadaveric elbows to evaluate the biomechanical characteristics of the native radial head, an anatomic radial head prosthesis, and a non-anatomic radial head prosthesis using a dynamic model. The biceps, brachialis, and triceps were attached to pneumatic actuators loaded to mimic muscle force. The radiocapitellar contact pressure and area were measured in real time, and the associated curves were depicted simultaneously. No significant differences in the contact area or associated curves were found between native radial head and the anatomic radial head prosthesis...
February 11, 2019: Journal of Hand Surgery, European Volume
Jan Fridén, Richard L Lieber
Reconstructive upper extremity surgeries in tetraplegia are technically challenging because of the many complicated real-time decisions that need to be made, e.g. extent of release of donor muscle-tendon complex, routing of donor muscles, tissue preparation and optimization, tensioning of muscle-tendon units, balancing joints and suturing tendon-to-tendon attachments. Nerve transfer surgeries can add functionality but also make the reconstruction planning more complex. In this overview, we present some of the fundamental muscle-tendon-joint mechanics studies that allow for single-stage surgical reconstruction of hand function as well as early postoperative activity-based training in patients with cervical spinal cord injuries...
February 11, 2019: Journal of Hand Surgery, European Volume
Vanessa I Robba, Alexia Karantana, Andrew P G Fowler, Claire Diver
There is lack of consensus on the management of triangular fibrocartilage injuries. The aim of this study was to investigate wrist surgeons' experiences and perceptions regarding treatment of triangular fibrocartilage complex injuries and to explore the rationale behind clinical decision-making. A purposive sample of consultant wrist surgeons ( n = 10) was recruited through 'snow-balling' until data saturation was reached. Semi-structured interviews were conducted, digitally recorded and transcribed verbatim...
February 10, 2019: Journal of Hand Surgery, European Volume
Zhang Jun Pan, Yun Fei Xu, Lei Pan, Jing Chen
We report the outcomes of zone 2 tendon repairs in 60 fingers using a strong core suture, sparse peripheral stitches and early active motion. From January 2014 to April 2016, we repaired 60 flexor digitorum profundus tendons with a tensioned 4-strand or 6-strand core suture and three to four peripheral stitches. The A2 or A4 pulleys were vented as necessary. Following early active flexion of the repaired tendons, no repairs ruptured and 52/60 (87%) fingers recovered to good or excellent function using the Tang criteria after follow-up of 8-33 months...
February 7, 2019: Journal of Hand Surgery, European Volume
Terrence Jose Jerome, Ilayaraja Venkatachalam, Naveen Kumar
No abstract text is available yet for this article.
February 6, 2019: Journal of Hand Surgery, European Volume
Benedict Swartman, Laura Benner, Stephan Grechenig, Jochen Franke, Paul A Grützner, Marc Schnetzke
We investigated whether mobile C-arm cone beam computer tomography (CBCT) could be used to measure radioulnar translation. The study was conducted on 31 Thiel-fixed intact cadaver arms. Three-dimensional scans of each wrist were carried out in pronation and supination. Four established measurement methods were used (radioulnar line, subluxation ratio, epicentre and radioulnar ratio methods) to measure radioulnar translation. The intraclass correlation coefficient for inter-observer and intra-observer reliability were excellent in three of four methods (>0...
February 6, 2019: Journal of Hand Surgery, European Volume
Grace T W Sun, Simon B M MacLean, Justin J Alexander, Richard Woodman, Gregory I Bain
Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. From each scan, two images were analysed to identify the scaphoid, lunate and articular fracture line in the distal radius for fracture type categorization...
February 6, 2019: Journal of Hand Surgery, European Volume
Tina Munn Yi Lee, Sreedharan Sechachalam, Mala Satkunanantham
Elbow flexion is widely regarded as the most important function to restore in brachial plexus injuries. Free functioning muscle transfer surgery is indicated in patients with delayed presentation or failure of other primary procedures. Results of the transfer surgeries have been reported in the form of case series, but no further studies are available. This systematic review aims to provide a deeper understanding of this complex surgery and consists of 19 articles that include 364 patients. Data on injury characteristics, surgical techniques, complications as well as outcome measures were analysed...
February 5, 2019: Journal of Hand Surgery, European Volume
Samir K Trehan, Gregory Schimizzi, Tony S Shen, Lindley B Wall, Charles A Goldfarb
We assessed outcomes of 43 paediatric and adolescent patients (44 wrists) undergoing arthroscopic triangular fibrocartilage complex surgery by a single surgeon between 2003 and 2016. Medical records were reviewed for clinical, imaging, and operative data. Preoperatively, 49% of patients had additional diagnoses and mean QuickDASH was 47. Patients were telephoned to assess current wrist pain, subsequent treatment(s), satisfaction, and to complete QuickDASH and Patient-Rated Wrist Evaluation questionnaires. Twenty-five patients responded with mean follow-up of 70 months (minimum 13 months)...
January 31, 2019: Journal of Hand Surgery, European Volume
Daniel M Weber, Michelle Seiler, Ulrike Subotic, Marcus Kalisch, Robert Weil
The purpose of this single-centre randomized controlled trial was to assess the non-inferiority of buddy taping versus splint immobilization of extra-articular paediatric finger fractures. Secondary fracture displacement was the primary outcome; patient comfort, cost and range of finger motion were secondary outcomes. Ninety-nine children were randomly assigned to taping or splinting. Sixty-nine fractures were undisplaced; 31 were displaced and required reduction before taping or splinting. Secondary displacement occurred in one patient in the taping and three in the splinting group...
January 31, 2019: Journal of Hand Surgery, European Volume
Shinsuke Takeda, Masahiro Tatebe, Hisao Ishii, Akimasa Morita, Kenji Wakai, Hitoshi Hirata
We reviewed computerized axial tomography of 28 patients with hamate hook fractures who had surgical resection of the hook. We analysed the relationship between the fragment height ratio, fragment gap, and intraoperative findings of the tendons. We determined whether parameters in the images can predict complication of tear or disruption of the flexor tendons to the ring or little fingers. Of 28 patients, 16 had fragment height ratios between 50-74; ten among them had worn (eight patients) or ruptured (two patients) flexor tendons...
January 23, 2019: Journal of Hand Surgery, European Volume
Jin-Young Kim, Jong-Hun Baek, Jae-Hoon Lee
We compared two surgical procedures for de Quervain's disease that was not responsive to conservative treatment. Group A (simple release) consisted of 38 patients and group B (Z-plasty of the retinaculum) included 36 patients. The visual analogue scale score and the Disabilities of the Arm, Shoulder and Hand Score improved significantly after surgery; there were no statistical differences in outcome between the two groups. In group A, one patient required reoperation, two had subluxations of extensor tendons and two had temporary loss of sensation in the area of the radial nerve...
January 22, 2019: Journal of Hand Surgery, European Volume
Jin-Kak Kim, Seung-Jin Lee, Sae-Hyun Kang, Jun-Sik Park, Jin Park, Gab-Lae Kim
There are various treatments for chronic dynamic scapholunate instability and there is still much debate about the best method of treatment. We retrospectively analysed 42 patients who had been treated by arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability. All patients were clinically improved without radiographic changes after surgery and were still satisfied at a mean follow-up of 68 months. Arthroscopic debridement and percutaneous pinning may be a good option for treating chronic dynamic scapholunate instability...
January 20, 2019: Journal of Hand Surgery, European Volume
Hero J A Zijlker, Merel J Berkhout, Marco J P F Ritt, Niels van Leeuwen, Cees B IJsselstein
Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5.5 years. Twenty-four of the Universal 2 implants that remained in situ after a mean follow-up of 9 years (range 4 to 13 years) were re-examined. Sixteen functioned satisfactorily...
January 17, 2019: Journal of Hand Surgery, European Volume
Teun Teunis, Sjoerd Meijer, Jesse Jupiter, Daniel Rikli
This study aimed to determine the association of teardrop angle and anteroposterior distance with anterior lunate facet displacement and articular congruity before and after anterior plating of distal radial fractures. We included 36 patients with complete intra-articular distal radial fractures with separate anterior lunate facet fragments. On radiographs we determined the teardrop angle and anteroposterior distance. On digital three-dimensional models we measured proximal-distal, anteroposterior and ulnoradial anterior lunate facet displacement, and we outlined the gap surface area...
January 17, 2019: Journal of Hand Surgery, European Volume
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