Hand and Microsurgery最新文献

Entrapment of the palmar cutaneous branch of the median nerve: A neuropathy difficult to notice 正中神经掌皮支夹住:一种难以察觉的神经病变

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.162469

Bur z, Haluk zcanl, Duygu z

引用次数: 0

Atypical Hypothenar Hammer Syndrome Mimicking A Peripheral Nerve Tumor 模拟周围神经肿瘤的非典型鱼际下锤综合征

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.135836

{"title":"Atypical Hypothenar Hammer Syndrome Mimicking A Peripheral Nerve Tumor","authors":"","doi":"10.5455/handmicrosurg.135836","DOIUrl":"https://doi.org/10.5455/handmicrosurg.135836","url":null,"abstract":"An aneurysm is an abnormal focal dilatation of a blood vessel that increases its width by more than 50%. They are divided into true and pseudo-aneurysms. Ulnar artery pseudoaneurysm that causes pain, numbness and cold intolerance in the hypothenar region and develops after repetitive trauma has been named hypothenar hammer syndrome. Hypothenar hammer syndrome is a rare clinical entity that occurs more frequently in males and in the dominant hand as a result of repetitive trauma. Patient history and clinical examination are very important in the diagnosis of this disease, which is seen as an occupational disease and is associated with some sports branches. However, it can also occur with a single blunt trauma, in the non-dominant hand and regardless of occupation. Ultrasonography, Doppler, magnetic resonance and angiography help us to visualize an aneurysm. Although activity regulation and various medications are used among the treatments, surgical treatment is at the forefront in the presence of chronic pain and compression symptoms due to the mass. In the presence of signs of vascular insufficiency or a palpable pulsatile mass in the hand, this rare syndrome may be easy to diagnose and manage. But, in atypical cases, such as our case with no symptoms other than nonspecific pain in the hand, the aneurysm causing hypothenar hammer syndrome may mimic a peripheral nerve tumor.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87174822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Surgical Treatment for Burn Contracture on the Hand: A Retrospective Study 手部烧伤挛缩手术治疗效果的回顾性研究

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.157036

Ebubekir Eravşar, Ali zdemir

{"title":"Outcomes of Surgical Treatment for Burn Contracture on the Hand: A Retrospective Study","authors":"Ebubekir Eravşar, Ali zdemir","doi":"10.5455/handmicrosurg.157036","DOIUrl":"https://doi.org/10.5455/handmicrosurg.157036","url":null,"abstract":"Objectives: Burn-related contractures in joint regions with a high range of motion in the upper extremities can cause serious functional limitations. This retrospective case-control study aimed to evaluate the outcomes of surgical treatment for burn contracture on the hand. Methods: The study included 20 patients who underwent surgery and had at least 6 months of postoperative follow-up. We analyzed postoperative complications that occurred during the follow-up period and other variables, such as age, gender, follow-up time, the time between the burn injury and surgery, patients' satisfaction from surgery with a scoring system, as well as the affected hand of the patients. We defined the hand deformities of the patients due to contractures and evaluated the surgical methods performed for these deformities. Results: There were 7 females, and 13 males with a mean age of 17 years (SD: 11,98) in our study. The mean age at which the patients were injured due to burns was 13 years (SD: 12,14), and the mean time from injury to surgical treatment was 3.7 years (SD: 2,18). The mean follow-up period was 19.2 months (SD: 12,50). The patients reported a high level of satisfaction, with a mean satisfaction score of 8.7 out of 10 (SD: 1,69). Temporary K-wire fixation was used in two patients, and no complications related to K-wires were observed. Postoperative complications included limited flexion in the fifth finger, recurrence of the second finger contracture, mild recurrence of the fifth finger PIP joint contracture, and scar pain in the second web space. Two patients also experienced partial z-plasty flap necrosis which healed secondarily. Conclusion: Our data suggest that surgical treatment for burn contracture on the hand can provide functional mobility and improve the quality of life with a high level of satisfaction for patients.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84506524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LIGAMENT RECONSTRUCTION AND TENDON INTERPOSITION ARTHROPLASTY WITH SUTURE ANCHOR IN THE MANAGEMENT OF CARPOMETACARPAL JOINT ARTHRITIS OF THE THUMB 带缝线锚钉的韧带重建和肌腱间置关节置换术治疗拇指掌关节关节炎

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.146141

H. Zeybek, Alisa C, H. Cici

{"title":"LIGAMENT RECONSTRUCTION AND TENDON INTERPOSITION ARTHROPLASTY WITH SUTURE ANCHOR IN THE MANAGEMENT OF CARPOMETACARPAL JOINT ARTHRITIS OF THE THUMB","authors":"H. Zeybek, Alisa C, H. Cici","doi":"10.5455/handmicrosurg.146141","DOIUrl":"https://doi.org/10.5455/handmicrosurg.146141","url":null,"abstract":"ABSTRACT Purpose: The aim of this study was to report the clinical, functional, and radiological results of patients after early rehabilitation (<2 weeks) following surgical treatment for thumb carpometacarpal joint arthrosis using the ligament reconstruction and flexor carpi radialis tendon interposition with trapezoid suture anchor fixation technique. Patients and Methods: A retrospective analysis was made of 13 thumbs of 12 patients (2 males, 10 females; mean age 63.7 years) who were operated on with the ligament reconstruction and flexor carpi radialis tendon interposition with trapezoid suture anchor fixation technique, because of thumb carpometacarpal joint arthrosis between April 2016 and November 2022. At the final follow-up examination, a record was made of the demographic data, scapho-metacarpal space on the radiological evaluation, the Disabilities of the Arm, Shoulder, and Hand (DASH) scale score, Visual Analog Scale (VAS) score, and key pinch, tip pinch, and grip strength measurements. Results: The mean follow-up period was 36.3 months (range, 12-80 months). In the mean radiological follow-up period of 11.8 months (range, 5-22 months), the mean VAS score decreased from 7.1 (range, 5-10) to 1.7 (range, 1-3), and the mean DASH score from 75.8 (range, 54-90) to 18.2 (range, 7 -32). No significant decrease was determined in the scapho-metacarpal space during the follow-up period. At the final follow-up examination, grip strength was measured as mean 28.7kg (range, 24-39kg), key pinch strength as 2.82kg (range, 2-3.7kg) and tip pinch strength as 2.5kg (range, 1.8-3.4kg). Conclusion: Ligament reconstruction and flexor carpi radialis tendon interposition with trapezoid suture anchor fixation can be an effective alternative surgical treatment method for thumb carpometacarpal joint arthrosis in respect of both clinical and functional results.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81648992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FACTORS ASSOCIATED WITH BAD OUTCOME IN CONSERVATIVE THERAPY OF LATERAL EPICONDYLITIS 外上髁炎保守治疗不良结果的相关因素

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.144312

U. Rgan, Y. Un, Mustafa Zyildiran, Mehmet L

{"title":"FACTORS ASSOCIATED WITH BAD OUTCOME IN CONSERVATIVE THERAPY OF LATERAL EPICONDYLITIS","authors":"U. Rgan, Y. Un, Mustafa Zyildiran, Mehmet L","doi":"10.5455/handmicrosurg.144312","DOIUrl":"https://doi.org/10.5455/handmicrosurg.144312","url":null,"abstract":"Objectives: Lateral epicondylitis is an overuse syndrome that is one of the most common causes of elbow pain. The aim of this study is to determine the factors associated with bad outcome in conservative treatment of lateral epicondylitis in our population. Methods: Patients who applied to our outpatient clinic with the diagnosis of lateral epicondylitis between August 2020 and August 2021; analyzed retrospectively. 52 patients who were treated conservatively and followed up for at least 12 months were included in the study. Elbow functionality and pain were evaluated with the “Patient-Rated Tennis Elbow Evaluation” (PRTEE) scoring. Occupation of the patients, antidepressant usage, body mass index(BMI), age and smoking were questioned. Results: 7 (13.4%) patients stated that they fully benefited from conservative treatment. 29 patients (55.8%) expressed that they benefited from the treatment, but their complaints continued at low severity. 16 patients (30.8%) said that they did not benefit from the applied conservative treatment. While the mean PRTEE value was 46.57 in women, it was 32.34 in men. It was observed that female gender negatively affected clinical scores (p=0.004). Mean PRTEE score was 48.31 in physically active manual workers and 31.61 in desk workers (p=0.006). While the mean PRTEE value was 52.81 in patients using antidepressants, this value was 35.6 in patients not using antidepressants (p=0.037). No correlation was found between BMI and PRTEE scores by using Spearman correlation test. Conclusions: Female gender, being a manual worker and using antidepressant medication are associated with poor outcomes in the conservative treatment of lateral epicondylitis.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82100120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Office-based Percutaneous Needle Fasciotomy for Tubiana Stage 1 and 2 Dupuytren’s Contracture 办公室经皮针筋膜切开术治疗1期和2期Dupuytren挛缩

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.133455

Zeynel lu, Ender lu

{"title":"Office-based Percutaneous Needle Fasciotomy for Tubiana Stage 1 and 2 Dupuytren’s Contracture","authors":"Zeynel lu, Ender lu","doi":"10.5455/handmicrosurg.133455","DOIUrl":"https://doi.org/10.5455/handmicrosurg.133455","url":null,"abstract":"Purpose Dupuytren’s contracture (DC) is a common condition that causes flexion contracture of the fingers. Many treatment methods have been described for DC. Patients preferred outpatient treatment options during the COVID-19 pandemic, and percutaneous needle fasciotomy (PNF) can be performed in an office setting. This study reports the results of office-based PNF for Tubiana stage 1 and 2 DC. Methods A total of 44 rays in 29 patients (24 males and 5 females) were included. The mean age was 65.2 (49–76) years. Passive extension deficit (PED) of each joint, the visual analog scale (VAS) score for cosmetic appearance, and the Quick-Disabilities of the Arm, Shoulder, and Hand (Q-DASH) questionnaire results were recorded before and after treatment. Complications and recurrence rates were noted. The mean follow-up time was 11.6 (8–16) months. Results The PEDs for the metacarpophalangeal and proximal interphalangeal joints decreased in all patients during the early post-treatment period. Q-DASH and cosmetic VAS scores improved in all patients. The recurrence rate was 18% (8 of 44 rays) and a major complication was observed in one patient (rupture of the flexor digitorum profundus tendon). Conclusion PNF is a relatively simple procedure that can be performed in an office setting. The functional and cosmetic results were satisfactory in this study, with low recurrence and complication rates. Therefore, PNF may be the first choice treatment option for patients with Tubiana stage 1 and 2 DC.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86488684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of ultrasound-guided platelet-rich plasma injection in partial rotator cuff ruptures 超声引导下注射富血小板血浆治疗肩袖部分断裂的疗效

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.120975

E. Ertilav, Devran Ertilav, mer endur

引用次数: 0

OUTCOMES OF MICROSURGICAL DIGITAL REVASCULARIZATION WITH LOCAL ANESTHESIA: IS IT WORTH IT? 局部麻醉下显微外科指腹血运重建术的效果:值得吗?

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.144256

C. Fuentes, Julian Argalle

{"title":"OUTCOMES OF MICROSURGICAL DIGITAL REVASCULARIZATION WITH LOCAL ANESTHESIA: IS IT WORTH IT?","authors":"C. Fuentes, Julian Argalle","doi":"10.5455/handmicrosurg.144256","DOIUrl":"https://doi.org/10.5455/handmicrosurg.144256","url":null,"abstract":"OBJETIVE. Report the outcomes of patients with non-viable incomplete amputations at the level of the phalanges of the hand with evidence of vascular compromise undergoing digital revascularization using local anesthesia without epinephrine – no tourniquet. METHODS The authors technique proposes microsurgical digital revascularization using local anesthesia without the use of vasoconstrictor and without tourniquet following the inclusion criteria of non-viable incomplete amputation, single vascular lesion or associated with nerve, tendon, and bone lesions. Data are obtained from 20 patients from January 2022 to June 2022 and a three-month postoperative follow-up is performed where vitality, functionality and rehabilitation results are evaluated. RESULTS Successful revascularization in 100% of the cases, the most affected area was the distal phalanx in a 75% and second and third phalanges was the most affected fingers. Despite not using vasoconstrictor and no tourniquet, adequate visibility and control of the surgical field was achieved, allowing digital revascularization in a time not exceeding 1 hour with adequate results in terms of digital vitality and functionality. CONCLUSION Digital revascularization performed under local anesthesia without epinephrine and sedation provides the hand surgeon a prudent time to perform the procedure with pain, bleeding, and digital movements control, minimizing the rate of complications and adequate functional results.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"496 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74373254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EARLY SURGICAL RESULTS OF SUTURE ANCHOR TENDON REPAIR COMBINED WITH BONE DRILLING TECHNIQUE FOR RECALCITRANT LATERAL EPICONDYLITIS 缝合锚定肌腱修复联合骨钻孔技术治疗顽固性外上髁炎的早期手术效果

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.154991

Hakan Cici, Hakan Zeybek, Ali c

{"title":"EARLY SURGICAL RESULTS OF SUTURE ANCHOR TENDON REPAIR COMBINED WITH BONE DRILLING TECHNIQUE FOR RECALCITRANT LATERAL EPICONDYLITIS","authors":"Hakan Cici, Hakan Zeybek, Ali c","doi":"10.5455/handmicrosurg.154991","DOIUrl":"https://doi.org/10.5455/handmicrosurg.154991","url":null,"abstract":"Objectives: The aim of this study was to report the early results of patients who underwent surgical treatment with suture anchor tendon repair combined with the bone drilling technique for a diagnosis of recalcitrant lateral epicondylitis. Methods: A retrospective analysis was made of 11 patients (2 males, 9 females; mean age: 38.3 years) who underwent surgery with suture anchor tendon repair and the bone drilling technique for a diagnosis of recalcitrant lateral epicondylitis between September 2019 and January 2022. The demographic data of the patients, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score, Visual Analog Scale (VAS) value, joint Range of Motion (ROM) values, and the wrist extension, pinch and grip muscle strength measurements at the final follow-up examination were recorded. Results: The mean follow-up period was 18 months (range, 12-26 months), and the time to return to pre-injury activity in 10 patients was determined to be mean 7.3 months (range, 6-9 months). No significant loss of ROM was observed in any patient. The postoperative DASH score was calculated as mean 8.3 (range, 0 -43.5). A decrease of 84% was determined in the VAS scores postoperatively. Wrist extension strength was evaluated as grade 5 in 10 patients and grade 4 in one. The mean pinch strength was +102% of the non-operated extremity, and the mean grip strength was +101% of the non-operated extremity. Conclusion: The suture anchor tendon repair combined with the bone drilling technique can be an effective method in the surgical treatment of recalcitrant lateral epicondylitis, providing an early return to pre-injury activity, pain reduction and maintaining muscle strength","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135561288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Volar Radius Plate Position on Pinch and Grip Strength After Distal Radius Fracture Fixation 桡骨掌侧钢板位置对桡骨远端骨折固定后捏握强度的影响

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.149602

Yunus Demirta, Abd Emet, T. M

{"title":"Effects of Volar Radius Plate Position on Pinch and Grip Strength After Distal Radius Fracture Fixation","authors":"Yunus Demirta, Abd Emet, T. M","doi":"10.5455/handmicrosurg.149602","DOIUrl":"https://doi.org/10.5455/handmicrosurg.149602","url":null,"abstract":"Purpose: Distal radius fractures are commonly treated with volar plate fixation, which can cause flexor tendon irritation. However, the effect of plate position on pinch and grip strengths has not been thoroughly studied. The aim of this study was to investigate the effect of plate position on grip and pinch strength in patients who underwent volar plate fixation. Methods: We evaluated 40 patients who underwent volar locking plate fixation for distal radius fracture between 2018 and 2023. Patients were divided into three groups based on the Soong classification. We compared the modified Mayo wrist score, pinch and grip strengths between the affected and contrlateral normal extremities, and wrist range of motion at the last follow-up visits. Results: Of the 40 patients evaluated, 32 were included in the study: 10 were in grade 0 group (Soong grade 0), 11 in grade 1 group (Soong grade 1), and 11 in grade 2 group (Soong grade 2). Significant differences in modified Mayo wrist scores were found between grade 0 and 2 groups and between grade 1 and 2 groups. When comparing pinch strengths of all groups, grade 0 group had significantly better pinch strength than grade 1 and 2 groups. Regarding grip strengths, grade 0 group had a significantly better pinch strength than grade 2 group. Conclusions: Plate location can affect grip and pinch strength in patients undergoing volar plate fixation for distal radius fracture due to flexor tendon irritation. Patients with no increase in pinch strength in the postoperative period should be evaluated using ultrasonography (USG) for tendon irritation, and early implant removal should be considered if necessary.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80864507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0