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Hand Surgery and Rehabilitation

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https://read.qxmd.com/read/31103479/symptomatic-epiphyseal-sprains-and-stress-fractures-of-the-finger-phalanges-in-adolescent-sport-climbers
#1
N Bärtschi, A Scheibler, A Schweizer
The purpose of this study was to document and evaluate patient characteristics, injury mechanisms and clinical outcomes of epiphyseal stress fractures of the finger phalanges in adolescent rock climbers to identify contributing factors to this injury. Twenty-eight climbers with epiphyseal pain treated at our clinic between 2006 and 2018 were included in the study. Sixteen patients completed a questionnaire addressing injury details as well as training regimen before and after the injury. The mean age at the time of injury was 13...
May 16, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/31102742/free-composite-medial-femoral-trochlea-osteochondral-cutaneous-flap-for-wrist-scaphoid-and-lunate-cartilage-lesions-advantages-of-a-skin-paddle
#2
M Aribert, D Corcella, M Bouyer, Denis Corcella, Michael Bouyer
The medial femoral trochlea flap is a chondrocorticoperiosteal flap. It has recently been described in the context of cartilage lesions. It is mainly used for reconstruction in nonunion of the scaphoid's proximal pole and Kienböck disease. The medial femoral trochlea flap may be harvested with a skin island flap to monitor its vascularization. The surgical technique has been extensively described for its primary osteochondral form. However, the corticoperiosteal form has not been thoroughly studied and described...
May 15, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/31078705/atypical-schwannoma-of-the-median-nerve-a-case-report
#3
V Rutka, T Castel, M Burnier, G Herzberg
Schwannomas of the hand are very rare tumors and represent less than 3% of all soft tissue tumors in the hand. These tumors share clinical, epidemiological and imaging characteristics with the other soft tissue and peripheral nerve tumors; thus it can be difficult to make a preoperative diagnosis. Here we report the case of a 48-year-old woman who presented with a schwannoma arising from the palmar branch of the median nerve. The tumor measured 54 x 41 x 52 mm and was located in the thenar eminence...
May 9, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/31077868/letter-to-editor-regarding-comparison-between-single-portal-endoscopic-and-1-cm-open-carpal-tunnel-release-could-the-1-cm-open-carpal-tunnel-release-surgery-miss-space-occupying-lesions
#4
LETTER
Adriana Martínez-Catasús, Luis Lobo-Escolar, Jordi García-Bonet, Mónica Corrales-Rodríguez, Alejandro Pasarín-Martínez, Daniel Berlanga-de-Mingo
Given the controversy about the best surgical technique for carpal tunnel release, this study tested the hypothesis that no significant differences would be observed between single-portal endoscopic release and a short, 1-cm incision open release in a large sample of patients. Consecutive patients were assigned to one of the two techniques. Preoperative and postoperative measurements included grip and pinch strength, a visual analog scale for pain and a satisfaction questionnaire. Eighty-seven patients completed the study: 35 with an endoscopic release and 52 with an open release...
May 8, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30959124/development-of-a-cadaveric-training-model-for-pollicization-of-the-index-finger
#5
C Klein, V Rotary, R Gouron, E Havet
There are currently no surgical models for learning index finger pollicization. This led us to develop and evaluate a cadaveric model for index finger pollicization. Ten hands from fresh cadavers were used. In each case, we evaluated all the surgical steps, the appearance of the web space, the new thumb's position, and the model's advantages and disadvantages. Flap coverage was insufficient due to poor skin condition in 3 cases and the commissure was too short in 3 cases. The dissection and tendon transfer steps were performed correctly in 9 cases...
April 5, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30953796/end-to-side-innervated-sensate-radial-forearm-flap-in-the-hand-a-5-year-follow-up
#6
S Lucchina, C Fusetti, L Lazzaro, A Nistor, M Guidi
Optimal functional reconstruction of the palmar surface of the hand requires good sensibility especially for the thumb and the radial side of the fingers. We report the long-term results of a distally based radial forearm flap (RFF) used for soft tissue coverage in the palm, index and middle finger and an end-to-side neurorrhaphy between the lateral antebrachial cutaneous nerve (LACN) and the proper palmar digital nerve of the middle finger to restore sensation. At 5 years' follow-up, the patient's sensory recovery was assessed through static and moving two-point discrimination, light touch sensation, pain perception, hot and cold temperature perception, an electrophysiological study and sweat test...
April 3, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30951876/ma%C3%A3-a%C3%A2-trapeziometacarpal-joint-arthroplasty-survival-and-clinical-outcomes-at-5-years-follow-up
#7
A Andrzejewski, P Ledoux
We sought to report the clinical and radiological outcomes and the survival of Maïa® trapeziometacarpal joint arthroplasty retrospectively at a mean 5 years' follow-up. We evaluated the implant survival and the clinical outcomes of 93 patients (113 prostheses). Patients were examined during a consultation and their mobility, key pinch strength and satisfaction were recorded. Patients also completed a QuickDASH evaluation. The 5-year survival rate was 92.2%. The mean QuickDASH score was 26.7. The complication rate was 31% and the revision rate was 12...
April 2, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30940599/long-term-functional-outcomes-after-surgical-treatment-of-nonspecific-thoracic-outlet-syndrome-retrospective-study-of-70-cases-at-a-mean-of-8-years-follow-up
#8
A Perchoc, C Andro, H Letissier, P Schiele, D Le Nen
Our objective was to study the clinical and functional outcomes after surgical treatment of nonspecific thoracic outlet syndrome (TOS) using a supraclavicular approach. We included every patient with TOS who was treated surgically by the same surgeon at a single hospital between 1999 and 2014 with a minimum follow-up of 4 years. The primary outcome was the overall evaluation of the function by the QuickDASH score. Secondary outcomes included functional, subjective outcomes, pain levels, and neuropathic features...
March 30, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30904496/pisiformectomy-in-advanced-pisotriquetral-joint-arthritis-a-retrospective-study-of-12-wrists-with-a-mean-follow-up-of-7-5-years
#9
Y-K De Almeida, C Piessat, L Athlani, F Dap, G Dautel
Pisiformectomy is the gold standard treatment for pisotriquetral arthritis resistant to conservative treatment. We evaluated the long-term clinical and functional outcomes after pisiformectomy in resistant pisotriquetral arthritis cases. We retrospectively evaluated 11 patients (12 wrists), mean age of 59 years (49-69) treated by pisiformectomy using a standardized surgical technique. Pisiformectomy was performed for primary osteoarthritis in 10 cases, for post-traumatic osteoarthritis in 1 case and for pisotriquetral instability in 1 case...
March 20, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30904495/treatment-of-chronic-scapholunate-instability-results-with-three-ligament-tenodesis-vs-scapholunate-and-intercarpal-ligamentoplasty
#10
L Athlani, N Pauchard, F Dap, G Dautel
In this retrospective case control/comparison study, we compared the clinical and radiological outcomes in patients with chronic scapholunate dissociation treated with three-ligament tenodesis (3 LT) versus scapholunate and intercarpal ligamentoplasty (SLICL). Twenty patients with a mean age of 43 years were treated with the 3 LT procedure and 26 patients with a mean age of 44 years with the SLICL procedure. All patients had chronic reducible scapholunate dissociation without chondral lesions. The two groups of patients were operated on by senior surgeons, at the same facility, over two different time periods...
March 20, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30902737/arthroplasty-of-the-proximal-interphalangeal-joint-with-the-tactys-%C3%A2-modular-prosthesis-results-in-case-of-index-finger-and-clinodactyly
#11
A Griffart, H Agneray, T Loubersac, E Gaisne, P Bellemère
There are various surgical solutions for arthrosis of the proximal interphalangeal (PIP) joint: arthrodesis or denervation. Clinodactyly that is major and the index fingers are traditional contraindications for PIP arthroplasty prostheses. The recurrence of clinodactyly with ligament imbalance and mechanical complications are known complications. The purpose of our study was to evaluate the objective and subjective clinical results and radiological complications of Tactys® prostheses on the PIP joint of the index fingers or with clinodactyly of more than 5° in the other fingers...
March 19, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30831336/comparison-between-single-portal-endoscopic-and-1-cm-open-carpal-tunnel-release
#12
A Martínez-Catasús, L Lobo-Escolar, J García-Bonet, M Corrales-Rodríguez, A Pasarín-Martínez, D Berlanga-de-Mingo
Given the controversy about the best surgical technique for carpal tunnel release, this study tested the hypothesis that no significant differences would be observed between single-portal endoscopic release and a short, 1-cm incision open release in a large sample of patients. Consecutive patients were assigned to one of the two techniques. Preoperative and postoperative measurements included grip and pinch strength, a visual analog scale for pain and a satisfaction questionnaire. Eighty-seven patients completed the study: 35 with an endoscopic release and 52 with an open release...
March 2, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30818074/arthrodesis-of-the-thumb-metacarpophalangeal-joint-conventional-open-technique-with-a-locking-plate-or-compression-pins-versus-minimally-invasive-technique-with-compression-pins-or-screws
#13
M Swaisi, Y Igeta, R Pavalache, P Vernet, S Facca, J J Hidalgo Diaz, P Liverneaux
Arthrodesis of the thumb metacarpophalangeal (MCP) joint usually leads to satisfying results when performed with an open technique. The main complication is adhesion of the extensor tendons that sometimes requires hardware removal associated with tenolysis. The goal of this study was to assess whether a minimally invasive technique could reduce the risk of this complication. Arthrodesis of the thumb MCP was performed using an open technique with a locking plate or compression pins in 12 cases (group I) and using a minimally invasive technique with compression pins or screws in 12 cases, for a total of 24 patients aged 48...
February 25, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30802604/evaluation-of-a-shape-memory-staple-the-qual%C3%A2-in-radial-shortening-osteotomy-in-kienb%C3%A3-ck-s-disease-a-retrospective-study-of-30-cases-evaluation-d-une-agrafe-%C3%A3-m%C3%A3-moire-de-forme-la-qual%C3%A2-dans-l-ost%C3%A3-osynth%C3%A3-se-des-ost%C3%A3-otomies-de-raccourcissement-du-radius
#14
Jennifer Laravine, Thierry Loubersac, Etienne Gaisne, Philippe Bellemère
The QUAL® (Memometal, Stryker) is a shape memory staple used for bone fixation during distal radius shortening osteotomy in the context of Kienböck's disease. The present study is a retrospective, single-center and multisurgeon study of 30 patients with a mean follow-up of 8 years. Clinical criteria (range of motion (ROM), strength, pain and functional score) and radiographic data (ulnar variance, distal radius articular surface inclination, Lichtman stage, carpal height and bone healing) were evaluated pre- and postoperatively...
February 22, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30708121/closed-disruption-of-a-single-flexor-digitorum-superficialis-tendon-slip-3-cases
#15
A Schweizer, T Bayer
Two men and one woman (age 31, 36 and 45 years) felt a painful pop in the left middle, right middle and right index finger during sport-related activities (2 sport climbing and 1 judo). Clinical examination found a painful flexor tendon in zone 2 but no function deficit specific to the flexor digitorum superficialis (FDS) tendon. MRI and ultrasonography revealed a complete disruption of the radial FDS tendon slip only, which was found retracted between the A2 and A3 pulleys. All flexor tendon pulleys remained intact...
April 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30639054/bennett-s-fracture-comparative-study-between-open-and-closed-surgical-techniques
#16
S J M Kamphuis, A P A Greeven, S Kleinveld, T Gosens, E M M Van Lieshout, M H J Verhofstad
The aim of this study was to assess long-term outcomes of surgically treated Bennett fractures, while comparing open reduction and internal fixation (ORIF) with closed reduction and percutaneous fixation (CRPF). Patients treated between 1994 and 2010 were assessed retrospectively during an outpatient visit using a validated questionnaire (i.e. DASH, pain assessed through VAS), sensory testing, grip- and pinch-strength and radiographic analysis for post-traumatic arthritis. Fifty patients were included. Mean follow-up was 10 years...
April 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30782503/physiolysis-for-correction-of-clinodactyly-with-delta-phalanx-early-improvement
#17
L El Sayed, A Salon, C Glorion, S Guero
Congenital clinodactyly known as "delta phalanx" is a congenital finger deviation caused by a middle phalanx abnormality. Progressive realignment can be achieved with normal growth through physiolysis according to Vickers. The purpose of this investigation was to identify the rate of correction in congenital clinodactyly following epiphyseal bar resection.We studied retrospectively 24 fingers in 14 patients aged from 14 months to 11 years old (y/o), operated on by two surgeons performing epiphyseal bar resection using a modified Vickers' method...
February 16, 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30661512/intra-articular-nodular-fasciitis-of-the-proximal-interphalangeal-joint-of-a-finger-a-case-report
#18
H Choughri, J-M Coindre, F M Leclère
Nodular fasciitis is a benign reactive lesion, often mistaken for a soft-tissue sarcoma in clinical practice. Involvement of the finger is rare, and a finger joint even rarer. We report on the clinical, radiological and histological features of intra-articular nodular fasciitis in a 52-year-old man, originating from the proximal interphalangeal joint of the right ring finger, with cortical erosion of adjacent bone. The discussion is focused on the tumor diagnosis and therapeutic approach, the differential diagnosis and the importance of immunohistochemical staining to establish the final diagnosis...
February 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30611704/adaptive-proximal-scaphoid-implant-apsi-10-year-outcomes-in-patients-with-snac-wrists
#19
M Aribert, Y Bouju, F Chaise, T Loubersac, E Gaisne, P Bellemère
Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI® ) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. A clinical and radiographic study was performed. Our case series included 39 patients, of which 33 were contacted, with a mean follow-up of 10 years (5...
February 2019: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/30528551/carpal-tunnel-syndrome-due-to-hibernoma-of-the-wrist-case-report
#20
A Bouya, M Tibouda, A Jaafar
Carpal tunnel syndrome (CTS) is the most frequent among entrapment neuropathies. The usual etiology is idiopathic, but can be caused by space-occupying lesions, a relatively rare condition. This condition becomes exceptional when the space-occupying lesion corresponds to a rare tumor whose location is atypical. The authors report the case of a 36-year-old woman with CTS due to hibernoma of the wrist.
February 2019: Hand Surgery and Rehabilitation
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