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Journal of Hand Surgery Asian-Pacific Volume

Mineyuki Zukawa, Ryusuke Osada, Tomoatsu Kimura
We report a rare case of radial dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint of the thumb. Ulnar dislocation has been reported, but previous reports have not mentioned radial dislocation of the extensor tendon in the thumb. Radial dislocation of the extensor tendon of the thumb gradually progressed after cerebral hemorrhage and the patient could not extend MCP joint of the thumb. To resolve difficulty in extending the MCP joint, surgical centralization of the extensor tendon and partial resection of the flexor pollicis brevis (FPB) and abductor pollicis brevis (APB) insertions was performed...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Rohit Singh, Adrian Chojnowski, Stuart Hay
BACKGROUND: The increasingly fashionable sport of motocross is practiced worldwide by millions of people, but there is very little in the literature regarding its associated injuries and their prevention. We therefore present the first comprehensive, prospective study looking at hand and wrist injuries resulting from motocross injuries in the UK. METHODS: Data was prospectively collected over a 5-year period (from 2010 to 2015) at our regional trauma unit. We exclusively looked at motocross riders...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Kenji Goto, Kiyohito Naito, Yoichi Sugiyama, Nana Nagura, Ayaka Kaneko, Yoshiyuki Iwase, Kazuo Kaneko
BACKGROUND: The aim of this study was to assess the height of nonunion formation injuring the ulnar-side finger flexor tendon, the positional relationship between the hook of the hamate and little finger flexor tendon was evaluated on CT scans. METHODS: The subjects were 20 healthy patients (40 hands) (14 males and 6 females, mean age: 28 years old). Their hands were imaged in extension and flexion of the fingers on CT. The position of the little finger flexor tendon was determined regarding the height of the hook of the hamate as 100%...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Jiro Namba, Satoshi Miyamura, Michio Okamoto, Koji Yamamoto
Few cases of humeral medial epicondyle nonunion develop to symptomatic condition. We report a pediatric case of distally displaced nonunion. At first, the palliative repair surgery was chosen due to irreduciblity of the epicondyle fragment at 10 years old. After 2 years and 3 months wait for maturation of ossification at the trochlea, the definitive surgery consisting of epicondylectomy and ligament reconstruction was performed. This is the first pediatric case of humeral medial epicondyle nonunion with an unossified trochlea which needed a two-staged surgery...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Germán E Sánchez-Morales, Javier E Anaya-Ayala, María A Serrano-Cueva, Eladio Salas-Torrez, Carlos A Hinojosa
Parkes Weber Syndrome (PWS) is a congenital disorder characterized by the presence of arteriovenous malformations (AVMs) in upper or lower extremities. We herein present a 35 year-old male with PWS with complex AVMs in the right upper extremity; he had been previously treated with multiple sessions of vessel embolization, sclerotherapy and AVM resections. The patient presented to our clinic with two month history of progressive hand ischemia, digit necrosis and infection. Angiography was performed demonstrating numerous AVMs and filiform flow through the ulnar artery with poor opacification of arterial structures in the hand...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Chris Milner, Deepak Samson, Simon Tan
BACKGROUND: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates. METHODS: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Min Kai Chang, Sanchalika Acharyya, Zeus Yiwei Lim, Shian Chao Tay
BACKGROUND: The single looped suture modified Lim/Tsai technique is widely used for flexor tendon repairs. It has been shown to possess better biomechanical properties and require less repair time per tendon as compared to the double looped suture original Lim/Tsai technique. However, there is no clinical data on the modified technique. METHODS: The retrospective study included zone 2 flexor tendon repairs made using the modified Lim/Tsai technique from January 2008 to December 2014...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Takeo Matsusue
BACKGROUND: Antithrombotic therapy following replantation remains controversial, and the survival of replanted digits is affected by various other factors, such as the state of vascular damage and the surgeon's level of skill. The present study's aim is to obtain clinical evidence for postoperative antithrombotic therapy in replantation, with antithrombotic therapy being the only variable. METHODS: This was a single-center retrospective study of patients who underwent replantation of a completely amputated digit by the same surgeon...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Rik Osinga, L Estermann, H J Klein, S Schibli-Beer, A R Jandali, U Hug
BACKGROUND: Literature provides little and controversial evidence regarding the influence of ulnar variance (UV) on the incidence of scaphoid fractures. The aim of this retrospective study was to assess UV in a large number of patients with acute scaphoid fracture in comparison to a control group of the same population. METHODS: During a two year period, 182 patients with acute scaphoid fractures (fracture group) and 182 ethnicity-, gender- and age-matched patients with wrist contusions (control group) were treated in three non-university hospitals...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Yuki Fujihara, Nasa Fujihara, Michiro Yamamoto, Hitoshi Hirata
BACKGROUND: To date, little is known about the characteristics of highly cited studies in hand surgery compared with other orthopaedic subspecialties. We aimed to assess the position of hand surgery within the orthopedic surgery literature. METHODS: We conducted a bibliographic analysis using the Web of Science database to review 1,568 articles published between January 2012 and December 2012 in 4 relevant general orthopedic and 2 hand surgery journals. We used the number of citations within 3 years of publication to measure the impact of each paper...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Sarah Tolerton, Mark Nabarro
We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Bryan G Beutel, Eitan Melamed
Combined simultaneous radial wrist extensor injuries, namely ipsilateral extensor carpi radialis longus (ECRL) and brevis (ECRB) avulsion fractures, are rare. While non-operative management with cast immobilization has been described, most recommend operative intervention in the acute setting. Surgical repair of chronic injuries, however, has received little attention in the literature. This case describes a 50-year-old male who sustained combined ipsilateral ECRL and ECRB avulsion fractures from the bases of the index and middle metacarpals...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Akinori Sakai, Yukichi Zenke, Kunitaka Menuki, Yoshiaki Yamanaka, Takafumi Tajima, Soshi Uchida
BACKGROUND: Some cases treated with open palm technique need relatively long wound healing time. This study aims to clarify whether the preoperative lifestyle-related diseases or factors are associated with surgical results after the open palm technique for Dupuytren's contracture. METHODS: The study included 122 fingers of 84 hands of 84 consecutive male patients with Dupuytren's contracture who were treated with McCash's open palm technique at our hospital from 1980 to 2016...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Gen Nakamura, Muneaki Abe, Hozumi Kumano
Acute compartment syndrome of the forearm secondary to hematoma without direct trauma has been reported rarely. We report a case of acute compartment syndrome of the forearm following a hematoma after playing golf. A 55-year-old man felt pain in his left forearm while playing golf that gradually worsened. He could not continue to play and visited the emergency department of our hospital. The radial side of his left forearm was markedly swollen on presentation, and he suffered severe pain that worsened with ulnar flexion of the wrist; no paralysis or hypesthesia was observed...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Jin Young Kim, Jae Hyun Kim
Giant cell tumour of tendon sheath (GCTTS) is considered benign, but well known for its high recurrence rate. Bone involvement of GCTTS is not uncommon and closely related to local recurrence after surgery. Radiologic findings of bone involvement are pressure erosion, circumscribed cortical destruction and degenerative arthritis. The treatment involves complete resection of tumor including bone lesion. This case presents GCTTS of young male patient with multiple bone destructions of different state, treated by complete excision of the tumor and curettage of bone lesion...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Jenny Reid, Jill Baker, Dominique Davidson
We present the case of a fit and well 62-year-old male with Dupuytren's disease in the right hand who underwent percutaneous needle fasciotomy (PNF) for a moderate flexion contracture of the right little finger. 18 months later he developed a pain-free soft tissue swelling at the distal previous needling site. A fasciectomy procedure identified a cyst within the pre-tendinous cord, which was confirmed as a dermoid inclusion cyst on histological analysis. Dermoid inclusion cysts may occur in the hands at the site of penetrating trauma but we are unaware of any report of an inclusion cyst at the site of PNF surgery...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Sudhir Kannan, Arijit I Ghosh, Joseph J Dias, Harvinder Pal Singh
BACKGROUND: Strong surgical repair is the mechanical basis of early mobilization and prerequisite for biological healing following tendon grafting. Side to side and pulvertaft repairs were developed to meets these demands. However, these techniques have later been modified to improve the strength of repair but their characteristics have not been compared. METHODS: We compared biomechanical strength of the modified side-to-side (SS) repair with the modified Pulvertaft (PT) repair technique in turkey tendons keeping overlap length, anchor points, type of suture, suture throw and amount of suture similar...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Antonio García-Jiménez, Camila Chanes-Puiggrós, Laura Trullols-Tarragó, María-Carmen Pulido-García
BACKGROUND: Primary malignant tumours of the hand are extremely rare, with chondrosarcoma being the most common. We describe six consecutive cases of chondrosarcoma (CS) of the hand, with a follow-up of 12 months to 10 years after surgical intervention. METHODS: Five cases were primary tumors and one was secondary to Ollier's disease. Mean age at diagnosis was 67.5 years (range 46 to 85 years) and three patients were males. The bone most commonly affected was the proximal phalanx (in 4 patients), followed by the metacarpal bone (3 cases in the other 2 patients)...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
H R Smith, C Conyard, J Loveridge, R Gunnarsson
BACKGROUND: Tooth knuckle injuries can be expensive to treat and may necessitate amputation in some cases. Several limitations exist in the literature regarding our knowledge around the factors predicting amputation and the need for multiple debridements in treating this injury. METHODS: A historic cohort study of 321 patients treated for tooth knuckle injuries was undertaken. Twenty-one demographic, clinical and laboratory variables were collected. Two outcome measurements were collected - the need for amputation and the need for more than one surgical debridement...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Keiichi Muramatsu, Yasuhiro Tominaga, Takahiro Hashimoto, Toshihiko Taguchi
BACKGROUND: The trapeziometacarpal joint is the second most common site of osteoarthritis in the hand and the most frequent one to require surgery. Arthrodesis of the trapeziometacarpal joint is recognized as one of the valuable technique but unfortunately there has been wide variation in the union rate. The purpose of this study was to evaluate a new arthrodesis technique involving a cross-shaped bone graft and locking plate fixation. METHODS: Eleven male patients diagnosed as Eaton's stage III osteoarthritis of the trapeziometacarpal join were treated in our institute...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
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