Techniques in Hand and Upper Extremity Surgery最新文献_第2页

A New Technique of Brachioradialis Tendon Rerouting Combined With Osteotomy in Contractures of the Forearm. 前臂挛缩前臂桡肌腱改道联合截骨术的新技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000522

Ladislav Nagy, Tudor Trache, Lisa Reissner

引用次数: 0

Bony Mallet Finger Malunion: Corrective Osteotomy Technique. 骨槌状指畸形愈合：矫正截骨技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000528

Matthew V Abola, Troy B Amen, Edward A Athanasian

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Pulley Reconstruction for Bowstringing After Gracilis Free Functioning Muscle Transfer for Elbow Flexion in Adult Traumatic Brachial Plexus Injury. 成人外伤性臂丛损伤肘关节屈曲无股薄肌移植后弓形弓系的滑轮重建。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000516

Ellen Y Lee, Allen T Bishop, Robert J Spinner, Alexander Y Shin

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Advanced Orthosis for Radial Nerve Palsy: Improving Daily Function and Patient Comfort. 桡神经麻痹的高级矫形器：改善日常功能和患者舒适度。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000523

Paolo Boccolari, Sabrina Distante, Roberto Tedeschi, Danilo Donati

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A Novel Technique for Collateral Ligament Reconstruction at the Proximal Interphalangeal Joint. 指间关节近侧副韧带重建新技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000517

Lauren E Tagliero, Aida Sarcon, Kitty Y Wu, Marco Rizzo

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Delayed Tricep Repair Using Dermal Allograft: Technique and Case Examples. 使用同种异体真皮修复延迟三头肌：技术和案例。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-09-01 DOI: 10.1097/BTH.0000000000000526

Juan Luis Fayos Jordán, Nicolette Ann Schurhoff, David M Bodansky, Pedro M Piqueras Vidal, Alejandro Badia

{"title":"Delayed Tricep Repair Using Dermal Allograft: Technique and Case Examples.","authors":"Juan Luis Fayos Jordán, Nicolette Ann Schurhoff, David M Bodansky, Pedro M Piqueras Vidal, Alejandro Badia","doi":"10.1097/BTH.0000000000000526","DOIUrl":"10.1097/BTH.0000000000000526","url":null,"abstract":"An acellular dermal matrix is a biological graft composed of several components present in the dermis such as collagen fibers, elastin, fibronectin, and hyaluronic acid that serve as support for cellular repopulation that will gradually become vascularized. This provides mechanical resistance and improves suture retention. With this article we aim to present 2 cases, and our technique, in which a rupture of the distal triceps tendon occurred, patients presented late due to usual insurance authorization delays, and then required delayed surgical repair by means of dermal acellular matrix grafting in order to bridge the substantial gap due to tricep proximal retraction. The first case report describes a 55-year-old male with abetalipoproteinemia who suffered an unclear injury to his right triceps tendon and apparently an olecranon bursitis and/or tricep tendonitis. Surgical intervention involved exploring the triceps tendon, revealing degenerative tissue and a detached muscle belly that was unrepairable, necessitating immediate reconstruction with a dermal allograft. The poor quality of the triceps tendon, weakened by cortisone injections, precluded primary repair, highlighting the rationale for graft reconstruction. The second case concerns a 54-year-old male, a gym owner and amateur bodybuilder, who suffered a fracture of the lateral epicondyle with avulsion of the distal triceps following a motorcycle accident. The patient underwent surgery with end-to-end suturing of the tendon and augmentation of the suture using acellular dermal matrix. The successful use of a dermal allograft in surgical reconstruction presents a promising solution in cases with insufficient tendon quality.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609821","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

Snap Off Compression Pins for 4 Corner Fusion With Case Series. 扣下压缩销4角融合与案例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-08-21 DOI: 10.1097/BTH.0000000000000531

Gus Strauss, Tantien Nguyen, Michael Doarn

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Split Latissimus Dorsi Tendon Transfer for External Rotation in Obstetrical Brachial Plexus Injury. 分离背阔肌肌腱转移术治疗产科臂丛神经损伤。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-08-21 DOI: 10.1097/BTH.0000000000000533

Aleksandar Lovic, Javier Pérez-Rodríguez

{"title":"Split Latissimus Dorsi Tendon Transfer for External Rotation in Obstetrical Brachial Plexus Injury.","authors":"Aleksandar Lovic, Javier Pérez-Rodríguez","doi":"10.1097/BTH.0000000000000533","DOIUrl":"10.1097/BTH.0000000000000533","url":null,"abstract":"The intramuscular neurovascular branching pattern of the latissimus dorsi muscle provides 2 parts with independent neurovascular supply. The medial and lateral branches arising from the thoracodorsal pedicle run parallel to the muscle fibers and, therefore, 2 independent motor flaps can be harvested. We propose a modification to the latissimus dorsi tendon transfer for external rotation based on these 2 muscular parts. The medial (transverse) part is transferred to the rotator cuff insertion to dynamically enhance external rotation, and the lateral part acts as a stabilizer of the humeral head during rotation. A retrospective review of the patients who underwent this procedure was performed, and active and passive ranges of motion for external rotation and Mallet scores were analyzed, with special attention to complications and limitations to internal rotation. The average shoulder abduction aROM after the procedure was 140 degrees (range: 90 to 180 degrees). The external rotation aROM showed a significant postoperative increase both in abduction (from a mean value of 3 to 78 degrees) and in adduction (from a mean value of 1 to 37 degrees). A significant improvement of the Mallet scores for global abduction, global external rotation, hand to neck and hand to mouth motions was registered, with no significant change in hand on spine score. The proposed technique proved to be a good option to optimize the reconstruction of external rotation without limiting internal rotation. It takes advantage of the anatomy of the latissimus dorsi to perform a double transfer with one donor muscle, limiting morbidity. Level of Evidence: Therapeutic IV.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884007","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

Percutaneous Tenotomy With Ultrasonic Debridement for Lateral Epicondylitis: Surgical Technique and Short-term Patient Outcomes. 经皮肌腱切开术加超声清创治疗外侧上髁炎：手术技术和短期疗效。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-08-14 DOI: 10.1097/BTH.0000000000000529

Nicolette Ann Schurhoff, Ariana Shaari, David M Bodansky, Alejandro Badia

{"title":"Percutaneous Tenotomy With Ultrasonic Debridement for Lateral Epicondylitis: Surgical Technique and Short-term Patient Outcomes.","authors":"Nicolette Ann Schurhoff, Ariana Shaari, David M Bodansky, Alejandro Badia","doi":"10.1097/BTH.0000000000000529","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000529","url":null,"abstract":"Lateral epicondylitis, commonly called \"tennis elbow,\" is a prevalent musculoskeletal disorder affecting individuals engaged in repetitive movements. Nonsurgical treatments often yield temporary relief, but refractory cases require surgical intervention. This study evaluates the efficacy of percutaneous ultrasonic tenotomy (PUT) with the Tenex TX system as a minimally invasive alternative for treating chronic lateral epicondylitis. We conducted a retrospective case series of 20 patients treated between 2017 and 2022, with at least 12 months of follow-up. The procedure involved ultrasound-guided debridement and aspiration of abnormal tissue via a small incision under local anesthesia, with optional digital via VR headset or IV sedation. Pre- and postoperative data were collected to assess pain levels, activity limitations, and patient satisfaction. Results demonstrated significant improvements in pain (P<0.001), strength (P<0.001), and sleep (P<0.05). Patients returned to normal activities within 3 to 7 days and reported a mean satisfaction score of 4.45/5. Notably, 100% indicated willingness to undergo the procedure again if required. Complications were minimal, consistent with existing literature. This study supports PUT as a safe and effective option for managing refractory lateral epicondylitis. Its minimally invasive nature, coupled with rapid recovery and high patient satisfaction, underscores its potential to replace more invasive surgical alternatives. However, further research with larger cohorts and extended follow-ups is warranted to validate long-term outcomes and refine procedural protocols.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838044","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

Dorsoradial Ligament Reconstruction For Instability After Trapeziometacarpal Dislocation. 背桡骨韧带重建术治疗斜骨掌骨脱位后不稳。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-08-07 DOI: 10.1097/BTH.0000000000000532

Arin Drtil, Robert Mayberry, Justin Choy, William F Pientka

{"title":"Dorsoradial Ligament Reconstruction For Instability After Trapeziometacarpal Dislocation.","authors":"Arin Drtil, Robert Mayberry, Justin Choy, William F Pientka","doi":"10.1097/BTH.0000000000000532","DOIUrl":"10.1097/BTH.0000000000000532","url":null,"abstract":"Trapeziometacarpal (TMC) dislocations are rare injuries that can lead to chronic instability, pain, and early degenerative changes if not properly addressed. While multiple surgical techniques exist for stabilizing the TMC joint, there is ongoing debate regarding the optimal approach. The dorsoradial ligament (DRL) has been increasingly recognized as the primary stabilizer of the TMC joint, and its insufficiency is a key contributor to post-traumatic instability. Traditional reconstruction techniques, such as the Eaton-Littler method, often involve tendon transfers, which introduce donor site morbidity, increased operative time, and prolonged recovery. Here, we describe a novel technique for DRL reconstruction utilizing a knotless suture augmentation system, providing a minimally invasive robust stabilization without the need for tendon transfer. Dorsoradial ligament reconstruction using knotless suture augmentation offers a technically simple, efficient, and less morbid alternative to tendon-based reconstruction techniques. This method provides early robust fixation while preserving native anatomy, potentially reducing failure rates associated with dorsoradial ligament insufficiency. While early results are promising, longer-term follow-up and larger sample sizes are needed to fully validate its efficacy in preventing post-traumatic arthritis and recurrent instability.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795805","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