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Journals Journal of Hand Surgery Asian-...

Journal of Hand Surgery Asian-Pacific Volume

https://read.qxmd.com/read/38726500/long-term-outcomes-of-wrist-arthroplasty-using-the-remotion%C3%A2-implant-in-non-inflammatory-wrist-pathology
#1
JOURNAL ARTICLE
Ole Reigstad, Trygve Holm-Glad, Johanne Korslund, Cathrine Myhre, Rasmus Thorkildsen, Magne Røkkum
Background: Wrist arthroplasty is increasingly offered to patients with symptomatic wrist arthritis as an alternative to wrist arthrodesis. The purpose of this study was to present our outcomes with the ReMotion™ wrist arthroplasty in a consecutive series of patients with wrist arthritis from non-inflammatory conditions. Methods: Thirteen (eight women, nine dominant wrists) patients, 68 (44-85) years of age with advanced radiocarpal arthritis due to SLAC/SNAC (11) and Kienbock disease (2) had a ReMotion™ (Stryker, Michigan, USA) wrist arthroplasty implanted, and were prospectively followed for 7 (4-9) years...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726499/pins-and-rubbers-traction-system-for-treatment-of-intraarticular-fractures-of-distal-interphalangeal-joint
#2
JOURNAL ARTICLE
G O Kaplan, F D M Özdemir, H Uzun, G G Ustun
Background: The pins and rubber traction system (PRTS) has proven effective in managing intra-articular fractures of the proximal interphalangeal joint. However, there is scant evidence in the literature regarding its efficacy in treating distal interphalangeal joint (DIPJ). This study aims to investigate the outcomes of PRTS in the treatment of comminuted intra-articular fractures of the DIPJ. Methods: We conducted a retrospective review of patients with comminuted intra-articular fractures of the DIPJ treated with PRTS between 2017 and 2021...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726498/comparison-of-long-term-healthcare-cost-and-utilisation-of-nonoperative-and-surgical-management-of-thumb-cmc-arthritis
#3
JOURNAL ARTICLE
Alfred P Yoon, Hao Wu, William T Chung, Lu Wang, Kevin C Chung
Background: Thumb carpometacarpal joint (CMC) osteoarthritis is the most symptomatic hand arthritis but the long-term healthcare burden for managing this condition is unknown. We sought to compare total healthcare cost and utilisation for operative and nonoperative treatments of thumb CMC arthritis. Methods: We conducted a retrospective longitudinal analysis using a large nationwide insurance claims database. A total of 18,705 patients underwent CMC arthroplasty (trapeziectomy with or without ligament reconstruction tendon interposition) or steroid injections between 1 October 2015 and 31 December 2018...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726497/outcomes-of-the-transungual-approach-in-56-consecutive-digital-subungual-glomus-tumours
#4
JOURNAL ARTICLE
Debashis Biswas, Saurav Sikdar, Takbirul Islam
Background: Glomus tumour is a painful small tumour of the glomus body commonly located under the nail bed. The aim of this study is to evaluate the correlation of clinical diagnosis with MRI findings, determine the prevalence of the tumour at different subungual locations and determine the differences in outcomes (if any) between a longitudinal and a transverse nail bed incision for excision of the tumour. Methods: This retrospective study of 56 subungual glomus tumour was conducted from May 2010 to December 2021...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726496/a-review-on-volar-fracture-dislocations-of-the-proximal-interphalangeal-joint
#5
REVIEW
Abby Choke, Ruth En Si Tan, Andre Eu-Jin Cheah
Volar fracture-dislocations of the proximal interphalangeal joint are rare injuries caused by an axial force on a flexed digit resulting in an avulsion fracture of the dorsal lip of the middle phalanx with volar dislocation of the joint. This volar subtype is analogous to the more common dorsal subtype with a mirror image fracture on the dorsal lip of the middle phalanx. The main significance in this type of injury lies in the disruption of the extensor mechanism at the central slip. The goals of treatment, apart from restoring a congruent and stable joint, is to restore the extensor mechanism to prevent a boutonnière deformity...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726495/chronic-volar-dislocation-of-the-distal-radioulnar-joint-stabilised-by-a-partial-extensor-carpi-ulnaris-tendon-strip-a-case-report
#6
JOURNAL ARTICLE
Ajeesh Sankaran, Hannan Sheik Kabir, K R Thushara, Abdu P P Shareef
Volar dislocation of the distal radioulnar joint is a rare injury that is often missed at initial presentation. We report a 21-year-old male patient who presented 2 months after sustaining this injury. He was successfully managed by open reduction and reconstruction of the dorsal radioulnar ligament using a partial distally based extensor carpi ulnaris tendon strip. A literature review showed only a few reported cases with varied methods for management. The technique utilised is analysed in comparison to the others...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726494/isolated-unilateral-absence-of-lunate-a-case-report-and-review-of-literature
#7
JOURNAL ARTICLE
Ajin Edwin, Praveen Bhardwaj, Shrutikanth Salyan, S Raja Sabapathy
Isolated unilateral absence of lunate is an extremely rare condition with only one such case reported in English literature so far. The rarity of this condition can lead to diagnostic dilemma, especially if patient has an old history of trauma or surgery around the wrist, leading to unnecessary intervention and difficulty in ensuring a good surgical outcome. We present such a case and discuss the clinical pointers to the diagnosis of this condition. Level of Evidence: Level V (Therapeutic).
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726493/scapular-elevation-sign-a-new-sign-in-evaluation-of-thoracic-outlet-syndrome
#8
JOURNAL ARTICLE
Panu H Nordback, Sandeep J Sebastin, Zachary Z Yong, Ellen Y Lee, Aymeric Y T Lim
Background: We noted that patients with thoracic outlet syndrome (TOS) have elevation of the ipsilateral scapula and named this the scapular elevation sign (SES). The aim was to determine the prevalence of SES in a normal cohort, compare SES with other provocative tests and to determine the treatment effect on SES. Methods: First, normal asymptomatic subjects were prospectively assessed to determine the prevalence of SES in a normal cohort. Second, patients with TOS were retrospectively examined for the presence of SES and four provocative tests: supraclavicular pressure, scalene test, elevated arm stress test (EAST) and the military brace manoeuvre...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726492/ulnar-neuropathy-after-distal-radius-fractures-a-case-series-and-review-of-literature
#9
JOURNAL ARTICLE
Ian Jason Magtoto, Gavrielle Hui-Ying Kang, Lam Chuan Teoh
Background: Ulnar neuropathy after a distal radius fracture is rare and has limited reports in literature. As such, there is no consensus regarding the optimal treatment and management of such injuries. We report our experience with managing these uncommon injuries. Methods: A retrospective review was conducted where patients presenting with ulnar neuropathy after sustaining a distal radius fracture were identified from January 2021 to December 2023 from our hospital database. Results: A total of four patients were identified...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726491/the-safety-of-volar-to-dorsal-percutaneous-screw-fixation-of-bennett-fracture-dislocation-a-cadaveric-study
#10
JOURNAL ARTICLE
Cheuk Bun Tse, Mark Zhu, Matthew Peter James Fisk, Joshua Andy Sevao
Background: Bennett fractures are traditionally fixed with percutaneous K-wires from dorsal to volar, or with a volar to dorsal screw via a volar open approach. While volar to dorsal screw fixation is biomechanically advantageous, an open approach requires extensive soft tissue dissection, thus increasing morbidity. This study aims to investigate the practicality and safety of Bennett fracture fixation using a percutaneous, volar to dorsal screw, particularly with regard to the median nerve and its motor branch during wire and screw insertion...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726490/metacarpal-fracture-fixation-with-intramedullary-screws
#11
JOURNAL ARTICLE
Adam R George, Zac Dragan, Hagen Abbot, Cameron Handford, David J Graham, Brahman Sivakumar
Background: Intramedullary screws (IMS) have become a viable option for metacarpal fracture fixation. To further appraise their utility, this study assessed clinical and patient-reported short- and medium-term outcomes of IMS fixation for extra-articular metacarpal fractures. Methods: A retrospective cohort study was performed in a series of 32 patients (with a total of 37 fractures) who underwent metacarpal fracture fixation over a 42-month period between January 2020 and July 2023. Results: Mean time for return to work was 39...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726489/development-and-validation-of-a-low-cost-drilling-model
#12
JOURNAL ARTICLE
Janice Chin-Yi Liao, Lan Anh Thi LE, Mabel Qi-He Leow, Siti K M Yusoff, Alphonsus Khin-Sze Chong, Jin Xi Lim
Background: Simulation models enable learners to have repeated practise at their own time, to master the psycho-motor and sensory acuity aspects of surgery and build their confidence in the procedure. The study aims to develop and evaluate the feasibility of a low-cost drilling model to train surgeons in the drilling task. The model targets three aspects of drilling - (1) Reduce plunge depth, (2) Ability to differentiate between bone and medullary canal and (3) Increase accuracy drilling in various angles. Methods: This cross-sectional study was conducted after obtaining ethics approval...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726488/outcomes-of-arthrodesis-of-the-metacarpophalangeal-joint-of-the-thumb-for-sequelae-of-collateral-ligament-injuries-a-series-of-18-cases-with-6-year-follow-up
#13
JOURNAL ARTICLE
Gaetan Vanpoulle, Louis Ducharne, Ioana Ivan, Denis Corcella, Alexandra Forli
Background: Untreated or insufficiently treated collateral ligament injuries of the thumb metacarpophalangeal (MP) joint can lead to instability or even osteoarthritis. Arthrodesis is one of the treatment options available for the treatment of the sequelae of collateral ligament injuries. The objective of our study was to evaluate the radiological, clinical and functional outcomes of MP joint arthrodesis performed for sequelae of collateral ligament injuries. Methods: We conducted a retrospective, single-centre study and reviewed the files of patients who had a thumb MP joint arthrodesis following a collateral ligament injury between 2011 and 2019...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38726487/like-father-like-daughter-ectodermal-dysplasia-syndactyly-syndrome-a-case-report
#14
JOURNAL ARTICLE
Gopika Jith, Santanu Suba, Sanjay Kumar Giri
Ectodermal dysplasia-syndactyly syndrome 1 (EDSS1) is an exceedingly rare condition associated with mutations in the PVL4 gene. It is characterised by sparse, brittle hair, eyebrows and eyelashes, abnormal dentition and nails, along with bilateral cutaneous syndactyly involving the fingers and toes. We report a 2-year-old girl who presented to us with bilateral complete simple syndactyly of the third and fourth web spaces of the hands, along with bilateral syndactyly of both feet involving the second to fourth toes...
May 10, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494168/retro-oesophageal-transfer-of-contralateral-c7-in-birth-brachial-plexus-injury-a-retrospective-study
#15
JOURNAL ARTICLE
Pradeep Kumar Kesavan, Jyoshid R Balan, Ajai S Kunnath, Vinu Roy, Prince H Prasanna
Background: Presence of available healthy nerve roots on the injured side determines the outcome after nerve reconstruction. Paucity of nerve roots warrants contralateral C7 harvest for optimal results. We aim to study the risks and benefits of retro oesophageal transfer of contralateral C7 root in infants with birth brachial plexus injury. Methods: Study was carried out from 2017 to 2022 in 13 children who have undergone retro oesophageal transfer of contralateral C7 root to affected side. Follow-up period ranged from 8 to 60 months after the surgery...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494167/secondary-intention-healing-for-fingertip-amputations-in-a-tropical-climate
#16
JOURNAL ARTICLE
Jie Hui Nah, Camelia Qian Ying Tang, Muntasir Mannan Choudhury, Dawn Sinn Yii Chia, Duncan Angus McGrouther, Jackson Kian Hong Jiang
Background: Various studies have examined occlusive dressings in fingertip amputations and reported good outcomes. Occlusive dressing preserves appropriate pH, cell accumulation and moisture for healing, thereby limiting scar formation and deformity. To our knowledge, no study was performed in tropical Asia. This study aims to demonstrate the viability of healing fingertip amputations through secondary intention using an effective dressing technique, even in warm tropical climates. Methods: All patients who presented to our institution with fingertip amputations from 1 July 2020 to 31 July 2022 were analysed retrospectively...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494166/measurement-of-radiological-parameters-of-distal-radius-fracture-using-the-ulnar-axis-compared-with-the-radial-axis
#17
JOURNAL ARTICLE
Pravit Kitidumrongsook, Pobe Luangjarmekorn, Vanasiri Kuptniratsaikul, Theephop Teeragananan, Sirisak Chaitantipongse
Background: The long axis of the radius is a standard reference for measuring radiological parameters in distal radius fractures. However, in patients with severe comminution and anatomical variation with distal radius bowing, it is challenging to assess using the long axis of the radius. The long axis of the ulna can be used as an alternative reference. The aim of this study is to assess the reliability and level of agreement using the long axis of the ulna as an alternative reference in comparison to the long axis of the radius...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494165/a-novel-operation-technique-for-forearm-deformities-in-patients-with-brachial-plexus-birth-injury-retrospective-analysis-of-14-patients
#18
JOURNAL ARTICLE
Okyar Altaş, Serkan Bayram, Safiye Özkan, Hayati Durmaz, Atakan Aydin
Background: We aimed to evaluate the effectiveness of our novel operation technique that included radial shaft shortening plus supination producing osteotomy and transfer of the biceps brachii tendon to the brachialis tendon in patients with chronic radial head dislocation secondary to brachial plexus birth injury (BPBI). Methods: Fourteen patients with chronic radial head dislocation resulting from BPBI were included in this study, with a minimum 1-year postoperative follow-up period. All patients underwent the same surgical procedure...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494164/clinical-features-and-classification-of-proximal-carpal-fracture-dislocation-through-the-radiocarpal-joint
#19
JOURNAL ARTICLE
Ge Xiong, Wei Zheng, Jin Zhu
Background: The most common types of wrist dislocation are trans-scaphoid lunate dislocation (TLD) and trans-scaphoid perilunate dislocation, in which the lunate and proximal scaphoid are dislocated through the midcarpal joint. There is another rare type of dislocation in which the proximal carpi are dislocated through the radiocarpal joint. The purpose of this study is to examine the clinical features of this type of dislocation. Methods: Six cases of the proximal carpal fracture dislocation via the radiocarpal joint were retrospectively reviewed...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494163/resection-arthroplasty-is-a-valuable-strategy-for-humeroradial-synostosis-a-case-report
#20
JOURNAL ARTICLE
Mariana Almeida, Takehiko Takagi, Akiko Torii, Shinichiro Takayama
A 15-year-old girl with humeroradial synostosis since birth underwent a resection arthroplasty. A trapezoidal resection osteotomy of approximately 2 cm was performed at the anterior part of the bone flexure. This resulted at 18 months in an elbow arc of motion of 60°-110° and forearm pronation/supination of 40° and 60° without postoperative complications and improved disabilities of the arm, shoulder and hand and Hand 20 scores. Radiographic analysis revealed a humeroradial joint with a maintained pseudarthrosis and hinged motion at the humeroulnar joint...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
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