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Techniques in Hand and Upper Extremity Surgery最新文献

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Surgical Technique: Spinal Accessory to Infraspinatus Nerve Transfer in Brachial Plexus Birth Injury. 手术技术：臂丛神经产伤的脊髓附件至冈下神经转移。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-13 DOI: 10.1097/BTH.0000000000000493
Heather R Burns, Tanir A Moreno, Alexandra L McLennan, Erica Y Xue, Jenny Lee Nguyen, Brinkley K Moore
{"title":"Surgical Technique: Spinal Accessory to Infraspinatus Nerve Transfer in Brachial Plexus Birth Injury.","authors":"Heather R Burns, Tanir A Moreno, Alexandra L McLennan, Erica Y Xue, Jenny Lee Nguyen, Brinkley K Moore","doi":"10.1097/BTH.0000000000000493","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000493","url":null,"abstract":"<p><p>Nerve transfers, nerve grafts, and tendon transfers have been used to restore shoulder active external rotation in patients with brachial plexus birth injuries. Traditionally used nerve surgery techniques are nerve transfer from the spinal accessory nerve to a suprascapular nerve (SSN) or nerve grafting from C5 to the SSN. However, results are often suboptimal. A more distal and more targeted transfer from the spinal accessory nerve directly to the infraspinatus branch of the SSN has previously been described and mid-term outcomes are encouraging. Herein, we describe a modification of this technique with accompanying step-by-step intraoperative photographs.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297604","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
Snapping Triceps Syndrome: Surgical Technique. 肱三头肌折断综合征：手术技术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000475
Fa Yu Chan, Caroline Lam, Roger Butorac, Laurent Willemot
{"title":"Snapping Triceps Syndrome: Surgical Technique.","authors":"Fa Yu Chan, Caroline Lam, Roger Butorac, Laurent Willemot","doi":"10.1097/BTH.0000000000000475","DOIUrl":"10.1097/BTH.0000000000000475","url":null,"abstract":"<p><p>Snapping triceps syndrome is a rare cause of medial elbow pain and ulnar neuritis caused by subluxation and triggering of the medial tricipital muscle belly over the medial distal humeral ridge and condyle. The diagnosis and surgical management of snapping triceps syndrome can be challenging due to the subtlety of the symptoms and the infrequent presentation. Despite the diagnosis relying largely on clinical examination, noninvasive dynamic ultrasonography may facilitate detection. Correct recognition of this condition is crucial in the avoidance of surgical misadventure and revision surgery. This paper illustrates our surgical technique for the management of snapping triceps and reviews the available literature on this relatively obscure condition.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"129-131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029225","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
Tenoscopy for the Treatment of Hand Intratendinous Ganglion: Technique Description and Case Report. 腱鞘镜治疗手部腱鞘内神经节：技术描述和病例报告。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000481
Ricardo Kaempf de Oliveira, João Pedro Farina Brunelli, Fernando Corella Montoya, Pedro J Delgado
{"title":"Tenoscopy for the Treatment of Hand Intratendinous Ganglion: Technique Description and Case Report.","authors":"Ricardo Kaempf de Oliveira, João Pedro Farina Brunelli, Fernando Corella Montoya, Pedro J Delgado","doi":"10.1097/BTH.0000000000000481","DOIUrl":"10.1097/BTH.0000000000000481","url":null,"abstract":"<p><p>Synovial or ganglion cysts are the most common soft tissue tumors of the wrist and hand and can arise from joints or tendons. Intratendinous synovial cysts, in contrast, are rare and their pathogenesis is still a matter of debate. The treatment of synovial cysts of articular origin using arthroscopy is commonly used with good results. For cysts of tendon origin, that is, extra-articular, when located at the ankle, shoulder, knee, and wrist, endoscopic treatment has also been described in a procedure called tenoscopy. We describe the technique and the good results using tenoscopy for a patient treated for an intratendinous synovial cyst located at the extensor communis tendon of the third digit. It is a reproducible, safe technique with low morbidity, and the patient has had no complications or recurrence.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"166-170"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874865","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
Evaluation of the Dysfunctional Scapula. 肩胛骨功能障碍评估。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000484
Joaquin Sanchez-Sotelo
{"title":"Evaluation of the Dysfunctional Scapula.","authors":"Joaquin Sanchez-Sotelo","doi":"10.1097/BTH.0000000000000484","DOIUrl":"10.1097/BTH.0000000000000484","url":null,"abstract":"<p><p>Periscapular pain and dysfunction are relatively common complaints in the practice of upper extremity surgeons. However, evaluation of the dysfunctional scapula is intimidating for most. Physical examination of the periscapular muscles is very rich, and a systematic approach provides the opportunity to establish a diagnosis for most patients. Conditions underlying scapular dysfunction include trapezius palsy, serratus palsy, brachial plexus injuries, muscular dystrophy, snapping scapula, pectoralis minor syndrome, congenital undescended scapula, and functional scapular dyskinesis, among others. Patients should be examined with their torso uncovered and assessed from the front and back. Inspection, evaluation of motion, and strength testing may be followed by certain examination maneuvers specific for each condition. The scapular assistance test may help predict the outcome of treatment for certain conditions. Plain radiographs oftentimes need to be complemented with magnetic resonance of the chest to capture periscapular muscles as well as an electromyogram with nerve conduction studies. Computed tomography is particularly helpful for skeletal abnormalities. Ultrasound is used to assess certain peripheral nerve injuries and to guide diagnostic and therapeutic injections. A focused evaluation of the scapula followed by a more specific and directed approach for each condition suspected will allow upper extremity surgeons to approach the evaluation of the dysfunctional scapula with much more confidence.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"28 3","pages":"182-191"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000983","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
Hand Surgery, Service, and the Sea. 手外科、服务和海洋。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000492
Nicholas Pulos, Alexander Y Shin
{"title":"Hand Surgery, Service, and the Sea.","authors":"Nicholas Pulos, Alexander Y Shin","doi":"10.1097/BTH.0000000000000492","DOIUrl":"10.1097/BTH.0000000000000492","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"123"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735258","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
Surgical Technique: Brachioradialis to Extensor Carpi Radialis Longus and Brevis Nerve Transfers for Tetraplegia. 手术技术：治疗四肢瘫痪的肱肌至桡侧伸肌和肱拇趾神经转移术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000471
Chao Long Azad, Nicholas A Orlando, Allan J Belzberg, Sami H Tuffaha
{"title":"Surgical Technique: Brachioradialis to Extensor Carpi Radialis Longus and Brevis Nerve Transfers for Tetraplegia.","authors":"Chao Long Azad, Nicholas A Orlando, Allan J Belzberg, Sami H Tuffaha","doi":"10.1097/BTH.0000000000000471","DOIUrl":"10.1097/BTH.0000000000000471","url":null,"abstract":"<p><p>Improving upper extremity function in high cervical spinal cord injury (SCI) patients with tetraplegia is a challenging task owing to the limited expendable donor muscles and nerves that are available. Restoring active wrist extension for these patients is critical because it allows for tenodesis grasp. This is classically achieved with brachioradialis (BR) to extensor carpi radialis brevis (ECRB) tendon transfer, but outcomes are suboptimal because BR excursion is insufficient and its origin proximal to the elbow further limits the functionality of the tendon transfer, particularly in the absence of elbow extension. As an alternative approach to restore wrist extension in patients with ICSHT group 1 SCI, we present the first clinical report of the BR to extensor carpi radialis longus (ECRL) and BR to ECRB nerve transfers.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973909","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
The Greco-Nice-Lag: Lag Screw and Double Nice Knot Fixation for Spiral Proximal Phalanx Fractures-Connecting the Shoulder to the Finger. Greco-Nice-Lag: Lag螺钉和双Nice结固定治疗螺旋形近端指骨骨折-连接肩膀和手指。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000462
Victor E Greco, Ethan Wiesler
{"title":"The Greco-Nice-Lag: Lag Screw and Double Nice Knot Fixation for Spiral Proximal Phalanx Fractures-Connecting the Shoulder to the Finger.","authors":"Victor E Greco, Ethan Wiesler","doi":"10.1097/BTH.0000000000000462","DOIUrl":"10.1097/BTH.0000000000000462","url":null,"abstract":"<p><p>A colorful array of fixation options exists for the management of operative long oblique or spiral proximal phalanx fractures. These include lag screws, intramedullary devices, Kirschner wires, dorsal or lateral plating, and cerclage wiring. The \"Nice double-suture knot,\" described by Boileau and colleagues, is a sliding, self-stabilizing knot initially created for tuberosity fixation in the shoulder. Nice knot cerclage has been described in shoulder arthroplasty, as well as for comminuted patella fractures. Here we describe a technique utilizing a single lag screw with 2 Nice knot cerclage sutures for the treatment of a spiral proximal phalanx fracture in a 65-year-old active smoker with osteopenia.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"110-114"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291916","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
Artificial Intelligence: Understanding Current Limitations and Future Potentials. 人工智能：了解当前的局限和未来的潜力。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000482
Alexander Y Shin
{"title":"Artificial Intelligence: Understanding Current Limitations and Future Potentials.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000482","DOIUrl":"10.1097/BTH.0000000000000482","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"28 2","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066200","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
Syndactyly Reconstruction Technique Utilizing Skin Substitute. 利用皮肤替代物的挛缩重建技术
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000473
Lindley B Wall, Charles A Goldfarb
{"title":"Syndactyly Reconstruction Technique Utilizing Skin Substitute.","authors":"Lindley B Wall, Charles A Goldfarb","doi":"10.1097/BTH.0000000000000473","DOIUrl":"10.1097/BTH.0000000000000473","url":null,"abstract":"<p><p>Syndactyly reconstruction often times leaves areas of skin deficit that require coverage for healing. Numerous techniques have been reported to address the deficits, including graftless technique, which utilizes mobilization of adjacent skin for coverage, full-thickness skin grafting, and skin substitute grafts. The technique described here demonstrates the ease of the use of skin substitutes for coverage in syndactyly reconstruction and reports the expected outcomes.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"60-61"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933400","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
Reverse Ishiguro Extension Block Technique as an Alternative for Irreducible Osseous Mallet Finger. 反向石黑伸展阻滞技术作为不可复发骨性槌状指的替代方法。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000465
Laura M Perez-Lopez, Miguel Perez-Abad, María Alejandra Suarez Merchan, David Alejandro Cabrera Ortiz
{"title":"Reverse Ishiguro Extension Block Technique as an Alternative for Irreducible Osseous Mallet Finger.","authors":"Laura M Perez-Lopez, Miguel Perez-Abad, María Alejandra Suarez Merchan, David Alejandro Cabrera Ortiz","doi":"10.1097/BTH.0000000000000465","DOIUrl":"10.1097/BTH.0000000000000465","url":null,"abstract":"<p><p>Subacute or late-presenting unstable osseous mallet finger might be hard to reduce and, therefore, remain subluxed when using the traditional Ishiguro technique. In such cases, we suggest it is best to prioritize correction of joint subluxation over step-by-step adherence to the traditional Ishiguro technique. Specifically, we contend that carrying out the procedure in reverse order typically results in an easier and more stable reduction of both joint and fracture.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"62-66"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805241","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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