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Techniques in Hand and Upper Extremity Surgery最新文献

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Treatment of Thumb Metacarpophalangeal Joint Hyperextension by Volar Plate Advancement and Capsulodesis With Suture Tape Augmentation. 掌侧钢板推进及缝合带增强包膜固定术治疗拇指掌指关节过伸症。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-05-04 DOI: 10.1097/BTH.0000000000000396
Tonya W. An, Michael Sun, S. Shin
{"title":"Treatment of Thumb Metacarpophalangeal Joint Hyperextension by Volar Plate Advancement and Capsulodesis With Suture Tape Augmentation.","authors":"Tonya W. An, Michael Sun, S. Shin","doi":"10.1097/BTH.0000000000000396","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000396","url":null,"abstract":"Basal joint arthritis is commonly associated with attenuation of the volar structures at the thumb metacarpophalangeal (MCP) joint, leading to an initially dynamic, and eventually passive hyperextension deformity. In surgical treatment of basilar thumb disease, intervention at the MCP joint should also be considered to correct deformity and prevent persistent dysfunction. We present a novel technique using suture tape augmentation of the thumb MCP joint volar plate advancement and capsulodesis, with the goal of preventing recurrent instability as a result of tissue attenuation and enabling early functional recovery. We also report a representative case of a 66-year-old woman with symptomatic thumb carpometacarpal osteoarthritis and 50 degrees of MCP passive hyperextension. She underwent trapeziectomy and MCP joint volar plate advancement and capsulodesis with suture tape augmentation. Postoperatively, the patient underwent early mobilization of the affected thumb and at final follow-up of 2 years postsurgery had a painless thumb with full opposition and without hyperextension at the MCP joint during pinch maneuvers.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43958963","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
Dry Arthroscopy of the Wrist With a Single-use, 1.9 mm Chip-on-tip System in Wide-awake Local Anesthesia No Tourniquet. 无止血带的全清醒局部麻醉中使用一次性1.9毫米尖端芯片的腕部干性关节镜。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-05-04 DOI: 10.1097/BTH.0000000000000393
Daniel Reiser, Mattias Hedspång, M. Sagerfors
{"title":"Dry Arthroscopy of the Wrist With a Single-use, 1.9 mm Chip-on-tip System in Wide-awake Local Anesthesia No Tourniquet.","authors":"Daniel Reiser, Mattias Hedspång, M. Sagerfors","doi":"10.1097/BTH.0000000000000393","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000393","url":null,"abstract":"We retrospectively reviewed our 34 first wrist dry arthroscopy cases using a single-use, 1.9 mm chip-on-tip system in wide-awake local anesthesia no tourniquet (WALANT). Thirteen patients were acute injuries; all acute patients underwent a magnetic resonance imaging (MRI) before arthroscopy. In total, 20 of 34 patients had a preoperative MRI. We use this method as a diagnostic tool in patients with wrist pain with suspected ligament tears and for the planning of treatment. We see 2 main advantages in the use of the needle chip-on-tip system: the simplicity of the procedure, and the minimal invasive character of the procedure due to the needle size that makes it possible to perform the procedure in WALANT. We find that the needle chip-on-tip arthroscopy system is a safe and cost-efficient alternative to wrist MRI with superior diagnostic ability. The procedure is minimally invasive and well suited for WALANT.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42884211","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: 1
Arthroscopic Trapeziectomy. 关节镜下斜方切除术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-05-03 DOI: 10.1097/BTH.0000000000000397
R. Tosti
{"title":"Arthroscopic Trapeziectomy.","authors":"R. Tosti","doi":"10.1097/BTH.0000000000000397","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000397","url":null,"abstract":"Several methods of resection arthroplasty for the thumb basal joint exist, yet one commonality of these procedures is the removal of the trapezium. My preference is to achieve total trapeziectomy through a less invasive approach and encourage immediate mobilization in order to expedite return to function. Herein I present a step by step method of arthroscopic total trapeziectomy without suspensionplasty.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42780339","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
Arthroscopic Management for Carpometacarpal Boss of Third Joint and Synovectomy: Technique and Case Report 关节镜下治疗第三关节腕节肌凸和滑膜切除术：技术和病例报告
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-04-25 DOI: 10.1097/BTH.0000000000000391
Luis Guilherme Rosifini Alves Rezende, F. J. Shimaoka, L. G. Mandarano-Filho, N. Mazzer
{"title":"Arthroscopic Management for Carpometacarpal Boss of Third Joint and Synovectomy: Technique and Case Report","authors":"Luis Guilherme Rosifini Alves Rezende, F. J. Shimaoka, L. G. Mandarano-Filho, N. Mazzer","doi":"10.1097/BTH.0000000000000391","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000391","url":null,"abstract":"The carpometacarpal boss (CMCB) is painful bony prominence in the dorsum of the hand that can lead to functional and aesthetic impairment. Nonoperative methods are the management of choice, achieving good outcomes. However, operative management could be an alternative in the absence of improvement. Nevertheless, open procedures are more likely to be done, but there are complications, and it is more aggressive to the soft tissue. The use of arthroscopic techniques has increased in the last decade, being a safe alternative for CMCB management. It has the advantage of being a minimally invasive technique, allowing the early range of motion. This minimally invasive method allows synovectomy and preserves tendon attachments, achieving good functional outcomes. This case report presents an arthroscopic technique for managing the middle finger CMCB.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 1","pages":"240 - 245"},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42629778","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
Headless Compression Screw for Metacarpal Nonunion: Description of a New Technique and Report of 4 Cases 无头加压螺钉治疗腕骨不连：一项新技术的描述及4例报告
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-04-13 DOI: 10.1097/BTH.0000000000000390
Rene Jorquera Aguilera, Francisco Melibosky, J. Brunelli, P. Delgado, Ricardo Kaempf de Oliveira
{"title":"Headless Compression Screw for Metacarpal Nonunion: Description of a New Technique and Report of 4 Cases","authors":"Rene Jorquera Aguilera, Francisco Melibosky, J. Brunelli, P. Delgado, Ricardo Kaempf de Oliveira","doi":"10.1097/BTH.0000000000000390","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000390","url":null,"abstract":"Nonunion is a rare complication of metacarpal fractures and is usually associated with compound, open fractures with tissue loss and infection, or after failed surgical treatment. Repair by rigid osteosynthesis with plate and screws combined with autologous bone grafting has always been the treatment of choice for most patients. Such method allows early motion, although it has been proven that the presence of hardware may cause local soft tissue irritation. Often, hardware removal and tendon releases are necessary. We describe an original technique with a fixation method for the treatment of metacarpal nonunions, considering the excellent results attained with an intramedullary, headless screw for metacarpal fracture fixation. We report a series of three cases that evolved to bone healing with excellent clinical, functional, and radiographic outcomes.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 1","pages":"232 - 239"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44160188","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: 2
Denervation With Periosteal Resection of the First Carpometacarpal Joint. 第一腕骨-腕骨关节骨膜切除去神经支配。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-04-08 DOI: 10.1097/BTH.0000000000000389
Joan Arenas-Prat
{"title":"Denervation With Periosteal Resection of the First Carpometacarpal Joint.","authors":"Joan Arenas-Prat","doi":"10.1097/BTH.0000000000000389","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000389","url":null,"abstract":"Osteoarthritis of the first carpometacarpal joint is a frequent condition that hand surgeons have to deal with. When conservative measures such as physiotherapy, steroid injections, or splinting fail to alleviate symptoms, trapeziectomy is considered the gold standard for surgical treatment. In the present article, a novel technique is presented to denervate the joint capsule together with the periosteum and the endosteum to address sensory receptors located in these 2 extracapsular structures in the proximity of the first carpometacarpal joint area. Denervation with periosteal resection, apart from being a relatively easy and less aggressive technique compared with trapeziectomy, offers satisfactory pain relief with a faster recovery time.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48122852","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: 3
Double Barrel Screw Fixation for Proximal Phalanx Fracture. 双筒螺钉内固定治疗Phalanx近端骨折。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-04-06 DOI: 10.1097/BTH.0000000000000387
R. Gray, F. Rubio, J. Heifner, N. Hoekzema, D. Mercer
{"title":"Double Barrel Screw Fixation for Proximal Phalanx Fracture.","authors":"R. Gray, F. Rubio, J. Heifner, N. Hoekzema, D. Mercer","doi":"10.1097/BTH.0000000000000387","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000387","url":null,"abstract":"A variety of fixation options exist for treatment of unstable proximal phalanx fractures. Variables which require consideration include the strength of fixation, the invasiveness of the technique and the postoperative rehabilitation protocol. Here we present a minimally invasive technique for dual headless compression screw fixation of proximal phalanx fractures which reduces extensor tendon violation and allows early motion in the immediate postoperative period.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232250","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: 3
The Paradox of Balance. 平衡的悖论。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-01-05 DOI: 10.1097/BTH.0000000000000378
Alexander Y Shin
{"title":"The Paradox of Balance.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000378","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000378","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122412","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
Mentorship: Perspectives Through the Eyes of the Mentee and Mentor. 师徒关系:从学员和导师的角度看问题。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2021-11-01 DOI: 10.1097/BTH.0000000000000373
Nicholas Pulos, Alexander Y Shin
{"title":"Mentorship: Perspectives Through the Eyes of the Mentee and Mentor.","authors":"Nicholas Pulos, Alexander Y Shin","doi":"10.1097/BTH.0000000000000373","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000373","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"25 4","pages":"207"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114057","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: 1
Graduation. 毕业典礼。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2021-07-22 DOI: 10.1097/BTH.0000000000000364
Alexander Y Shin
{"title":"Graduation.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000364","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000364","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"25 3","pages":"129"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39209421","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
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