Techniques in Hand and Upper Extremity Surgery最新文献_第3页

Subcondylar Fossa Reconstruction in Pediatric Patients Following Malunion of Proximal Phalangeal Neck Fractures: Technique and Case Series. 小儿近端指骨颈骨折畸形愈合后的髁下窝重建：技术和病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-06-01 DOI: 10.1097/BTH.0000000000000512

David P VanEenenaam, Sarah L Struble, Eliza Buttrick, Benjamin Chang, Apurva S Shah

{"title":"Subcondylar Fossa Reconstruction in Pediatric Patients Following Malunion of Proximal Phalangeal Neck Fractures: Technique and Case Series.","authors":"David P VanEenenaam, Sarah L Struble, Eliza Buttrick, Benjamin Chang, Apurva S Shah","doi":"10.1097/BTH.0000000000000512","DOIUrl":"10.1097/BTH.0000000000000512","url":null,"abstract":"The subcondylar fossa is the bony depression between the articulating surface of the proximal and middle phalanges of the fingers that allows for full flexion at the proximal interphalangeal joint. A bony block may form in the subcondylar fossa secondary to the malunion of a proximal phalangeal neck fracture. If there is a substantial loss of flexion, surgical correction could be indicated. Corrective osteotomy is technically challenging in the proximal interphalangeal joint area as the phalangeal head is small, creating fixation challenges and carrying the risk of avascular necrosis and joint contracture. Current literature describes multiple techniques with varying complexity and there is no consensus on the ideal operation to manage these fractures after malunion. The subcondylar fossa reconstruction first proposed by Simmons and colleagues is a simple and safe surgical technique that involves directly removing the bony block at the phalangeal neck. Despite its utility, it has not been described in pediatric patients since its original report of 3 patients in 1987. This study describes the subcondylar fossa reconstruction technique and presents the outcomes of its application in 4 pediatric patients.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721797","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

Vascularized Proximal Fibula Transfer to Distal Radius: Reconstruction of Large Bone Defects Including DRUJ Stabilization After Giant Cell Tumor Excision. 带血管的腓骨近端向桡骨远端转移：巨细胞瘤切除后包括DRUJ稳定在内的大骨缺损重建。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-06-01 DOI: 10.1097/BTH.0000000000000514

Laura C Burlage, Liron Duraku, David Stewart

引用次数: 0

Stabilization of the Thumb Carpometacarpal Joint Utilizing a Minimally Invasive Approach: A Novel Technique. 利用微创入路稳定拇指掌关节：一种新技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000501

Monica Shoji, John B Park, Alexy Ilchuk, Carl M Harper

引用次数: 0

Minimally Invasive Arthroscopic-Assisted Treatment for Isolated Scaphoid Fossa Die Punch Nascent Malunion. 微创关节镜辅助治疗孤立性舟状窝凹模新生儿畸形愈合。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000499

Lucian Lior Marcovici, Alessandro Greco, Antonio Luca Muscatiello, Beatrice Chiossi, Alessia Pagnotta

{"title":"Minimally Invasive Arthroscopic-Assisted Treatment for Isolated Scaphoid Fossa Die Punch Nascent Malunion.","authors":"Lucian Lior Marcovici, Alessandro Greco, Antonio Luca Muscatiello, Beatrice Chiossi, Alessia Pagnotta","doi":"10.1097/BTH.0000000000000499","DOIUrl":"10.1097/BTH.0000000000000499","url":null,"abstract":"A die punch fracture is an intra-articular fracture of the distal radius characterized by a localized depression of the articular surface, typically occurring in the lunate fossa. Misdiagnosis or incorrect management can lead to articular malunion. While die punch fractures in the scaphoid fossa are less common, their nascent malunions pose significant treatment challenges. Traditionally, these fractures are treated with an open dorsal and volar approach, combined with osteotomy and internal fixation. Arthroscopic-assisted osteotomy has emerged as a promising technique due to its precision and minimally invasive nature. We present a new arthroscopic assisted minimally invasive technique for treating isolated dislocated die punch fracture nascent malunion of the scaphoid fossa. We treated an isolated scaphoid die punch nascent malunion, with a 5 mm joint surface depression. Using a 3-4 portal and a 30-degree curved mini osteotome, we performed an intra-articular osteotomy of the fragment. A small 2 cm skin incision over the Lister tubercle and a 1 cm bone window facilitated the introduction of a 30-degree curved curette to elevate and anatomically reduce the fragment under arthroscopic guidance. Definitive fixation was achieved with 3 K-wires. Postoperative x-rays at 6 weeks show complete fracture consolidation, confirmed by a subsequent computed tomography scan. At 3 months, patients demonstrated satisfactory clinical recovery with wrist range of motion and grip strength equal to the contralateral wrist, returning to normal activities. This technique is feasible and safe, minimizing soft tissue damage, preserving proprioception and vascularity, and enabling faster recovery.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469453","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

Revision Triceps Reconstruction With Achilles Bone Block Allograft Augmentation: A Novel Inlay Technique. 跟腱骨块异体骨块增强改良三头肌重建：一种新的镶嵌技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000504

Matthew B Weber, Glenn Lee, Ilvy Cotterell

{"title":"Revision Triceps Reconstruction With Achilles Bone Block Allograft Augmentation: A Novel Inlay Technique.","authors":"Matthew B Weber, Glenn Lee, Ilvy Cotterell","doi":"10.1097/BTH.0000000000000504","DOIUrl":"10.1097/BTH.0000000000000504","url":null,"abstract":"Managing rerupture of the triceps brachii tendon after surgical repair is challenging due to poor tissue quality, retraction, and adhesions. This clinical scenario often requires augmentation with native tissue or tendon allografts. Traditional techniques include V-Y advancement, reinforced triceps advancement with double row or suture bridge fixation, and allograft tendon augmentation. This paper presents a novel method of fixation using an Achilles tendon allograft with a calcaneal bone block which aims to enhance previously described techniques. This new technique involves inserting an Achilles allograft calcaneal bone plug into the dorsal ulna to increase surface area for primary bone healing. The bone plug is then secured under a precontoured locking plate, potentially reducing the risks of displacement or fixation failure. This also avoids the placement of screws through the calcaneal plug, which puts it at risk for fracture. This technique also has drawbacks, such as increased costs, the potential need for a second surgery to remove hardware, and more extensive soft tissue dissection. In the patient case described, this method effectively reconstructed the triceps tendon in a revision setting.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932991","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 Use of Nitinol Staples as Reduction Aids in Fixation of Forearm Diaphyseal Fractures: Surgical Technique and Case Series. 使用镍钛诺订书钉作为前臂骨骺骨折固定的还原辅助工具：手术技术与病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000496

Ethan Y Song, Emmanuel O Emovon, Andrew W Hollins, Eliana B Saltzman, Suhail K Mithani, Marc J Richard, Tyler S Pidgeon

{"title":"The Use of Nitinol Staples as Reduction Aids in Fixation of Forearm Diaphyseal Fractures: Surgical Technique and Case Series.","authors":"Ethan Y Song, Emmanuel O Emovon, Andrew W Hollins, Eliana B Saltzman, Suhail K Mithani, Marc J Richard, Tyler S Pidgeon","doi":"10.1097/BTH.0000000000000496","DOIUrl":"10.1097/BTH.0000000000000496","url":null,"abstract":"Forearm diaphyseal fractures are common orthopedic injuries that typically require surgical intervention using various implants and approaches. Maintaining reduction while simultaneously achieving compression in radial and/or ulnar shaft fractures during compression plate application can be challenging, particularly with unstable segmental and/or transverse fracture patterns. Nitinol compression staples have become increasingly used as a reduction aid because of their ability to provide continuous compression between the staple legs at the fracture site, low profile, and ease of application. These staples have the potential to be an effective means of maintaining reduction and applying compression before definitive plate fixation for radial and ulnar shaft fractures. We present our surgical technique and an associated patient series detailing our institution's experience, highlighting favorable outcomes and potential considerations when using nitinol compression staples for forearm fracture management.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297605","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

Retrograde Intramedullary Pinning of Metacarpal Fractures Through the Collateral Recess. 通过侧凹逆行髓内钉固定掌骨骨折

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000500

Kendall Keck, Anca Dogaroiu, Marion Aribert, Cyril Awaida, Andrei Odobescu

{"title":"Retrograde Intramedullary Pinning of Metacarpal Fractures Through the Collateral Recess.","authors":"Kendall Keck, Anca Dogaroiu, Marion Aribert, Cyril Awaida, Andrei Odobescu","doi":"10.1097/BTH.0000000000000500","DOIUrl":"10.1097/BTH.0000000000000500","url":null,"abstract":"There are several common types of fixations for metacarpal fractures: pins, plates, lag, and intramedullary (IM) screws. The advantages of pins are that they are ubiquitous, cost-effective, have shorter operative times, and preserve soft tissues, thereby minimizing adhesions. In this article, we describe metacarpal fracture fixation utilizing the technique of retrograde IM pinning through collateral recess access. We present the postoperative outcomes of our patients who underwent metacarpal fracture fixation utilizing this technique. Details of the fractures, patient comorbidities, demographics, and postoperative outcomes were gathered. Primary outcomes investigated were nonunion, malunion, need for revision, and range of motion (ROM). A total of 29 fractures in 14 patients were included, with multiple fractures present in 8 patients. The fractures were open in 8 cases. The orientation of the fracture was transverse in 22 cases and oblique in 7 with comminution noted in 13 fractures. Full ROM was obtained in 15 digits with 6 digits noted to have a good ROM and 6 digits still undergoing therapy. There were no nonunions noted and only one malunion. In conclusion, retrograde, double IM pinning through collateral recess access represents a reliable, cost-effective, and minimally traumatic method of metacarpal fixation, including carpometacarpal fracture dislocations.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469457","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

Chronic Exertional Compartment Syndrome of the Forearm: Compartment-specific Endoscopic Fasciotomy. 前臂慢性劳损筋膜室综合征：腔室特异性内窥镜筋膜切开术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000502

Guy Guenthner, Bradley Wiekrykas, Matthew Salzler, Charles Cassidy

引用次数: 0

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 : 2025-03-01 DOI: 10.1097/BTH.0000000000000493

Heather R Burns, Tanir A Moreno, Alexandra L McLennan, Erica Y Xue, Jenny Lee Nguyen, Brinkley K Moore

引用次数: 0

Radial Longitudinal Deficiency: Description of a Novel Surgical Technique and Clinical Cases. 放射状纵向缺陷：一种新的手术技术和临床病例描述。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-03-01 DOI: 10.1097/BTH.0000000000000497

Enrique Vergara-Amador, Laura López-Rincón, Camilo Romero Barreto, Tatiana Almario-Aristizábal

{"title":"Radial Longitudinal Deficiency: Description of a Novel Surgical Technique and Clinical Cases.","authors":"Enrique Vergara-Amador, Laura López-Rincón, Camilo Romero Barreto, Tatiana Almario-Aristizábal","doi":"10.1097/BTH.0000000000000497","DOIUrl":"10.1097/BTH.0000000000000497","url":null,"abstract":"Radial longitudinal deficiency III and IV present as a short upper limb, functional elbow, and wrist with severe radial and palmar angulation, where the carpus articulates with the radial and palmar edge of the ulna, allowing limited mobility in a nonfunctional position. Surgical treatment aims to correct radial angulation and flexed carpal position, often altering carpal positioning over the distal ulna and impacting wrist mobility. In addition, fixation through distal ulnar epiphysis affects its growth. Although these procedures improve appearance, functionality remains suboptimal. This study describes a novel ulnar osteotomy and extensor carpi ulnaris transfer for the correction of wrist deformity in radial longitudinal deficiency with preservation of ulnocarpal motion and epiphyseal growth. The surgical technique, indications, contraindications, and potential complications are described. Three cases with postoperative follow-ups at 36, 12, and 6 months, evaluating deformity and pre/postsurgical wrist mobility ranges, are reported. A correction was achieved in the forearm-hand angle of 71 to 88 degrees of the initial. The total range of movement, between 50 degrees and 80 degrees, was almost the same before and after the operation in the most anatomic position. In one patient, there was a residual deformity at the dorsoradial border, which showed no progression during the last 6 months of follow-up. For patients with radial longitudinal deficiency, functional outcomes with preserved mobility appear to hold greater significance. The technique described in this study enabled deformity correction while maintaining a wide range of motion. The preservation of the physis in a different orientation is an aspect that will need evaluation in long-term follow-up but offers potential treatment options in the future; due to the unknown of the secondary deformity, it is recommended that the long-term results should be awaited before adoption of this technique.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903711","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