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Techniques in Hand and Upper Extremity Surgery最新文献

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Flexor Carpi Ulnaris Surgical Approach to the Volar Ulnar Corner of the Distal Radius. 尺侧腕屈肌手术入路桡骨远端掌尺角。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-01-13 DOI: 10.1097/BTH.0000000000000505
Arya Minaie, Christopher Warburton, Nikhil Patel, Nicolette Schurhoff, Christopher Oguayo, Seth D Dodds
{"title":"Flexor Carpi Ulnaris Surgical Approach to the Volar Ulnar Corner of the Distal Radius.","authors":"Arya Minaie, Christopher Warburton, Nikhil Patel, Nicolette Schurhoff, Christopher Oguayo, Seth D Dodds","doi":"10.1097/BTH.0000000000000505","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000505","url":null,"abstract":"<p><p>There are many approaches to the wrist both volar and dorsal, depending on the injury at hand. The design of the volar locking plate has created a rise in distal radius fractures being treated using a volar FCR approach and its modifications. It does, however, have limitations in visualization of the volar ulnar corner of the radius. In this paper, we will revisit the flexor carpi ulnaris approach and pose some considerations for its historical context, safety, efficacy, and surgical technique.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972550","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 Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension: Correspondence. 用自体移植物和纽扣悬吊法重建拇指掌指关节尺侧副韧带通信。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000494
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Revision Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension: Correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1097/BTH.0000000000000494","DOIUrl":"10.1097/BTH.0000000000000494","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"228"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156211","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
Motor Examination of the Brachial Plexus. 臂丛神经运动检查。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000485
Nicholas Pulos, Allen T Bishop, Robert J Spinner, Alexander Y Shin
{"title":"Motor Examination of the Brachial Plexus.","authors":"Nicholas Pulos, Allen T Bishop, Robert J Spinner, Alexander Y Shin","doi":"10.1097/BTH.0000000000000485","DOIUrl":"10.1097/BTH.0000000000000485","url":null,"abstract":"<p><p>Serial physical examination is often required in the evaluation of brachial plexus injuries. (Noland, 2019) A comprehensive evaluation that includes a thorough history, electrodiagnostic evaluation, and imaging studies, in addition to physical examination, can provide valuable information about the location of the lesion, prognosis for recovery, and whether surgical intervention is necessary. After brachial plexus reconstruction, physical examinations are also performed to document clinical improvement and identify any residual issues. The videos included in this clinical examination techniques section demonstrate the muscle strength examination testing for the brachial plexus and offer best practices for documentation.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"224-227"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440943","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
Unique Idea: Using the KliniTray "Breast Board" for Immobilization of Digital Amputates During Replantation. 独特的创意：使用 KliniTray "乳房板 "在移植过程中固定数字截肢者。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000487
Rachel V Currie, Jamie D Clements, Shakeel M Dustagheer
{"title":"Unique Idea: Using the KliniTray \"Breast Board\" for Immobilization of Digital Amputates During Replantation.","authors":"Rachel V Currie, Jamie D Clements, Shakeel M Dustagheer","doi":"10.1097/BTH.0000000000000487","DOIUrl":"10.1097/BTH.0000000000000487","url":null,"abstract":"<p><p>The KliniTray \"breast board\" used by many oncological breast surgeons is an innovative idea to succor microsurgical digital replantation. This piece of sterile equipment is readily available and provides excellent immobilization and retraction of the skin of digital amputates with minimal trauma. The fine metal pins are the key to its efficacy. They provide the flexibility to alter the position of the amputated part and alter the retraction of skin edges as many times as necessary. The construct acts as a tremor-free assistant for a single surgeon to efficiently prepare the amputated part of a digit, saving time including expensive theatre time.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"194-196"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459787","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
De Quervain's Tenosynovitis Release With Excision of the First Dorsal Compartment: Novel Surgical Technique and a Case Series. 通过切除第一背侧腱鞘室解除 De Quervain's Tenosynovitis：新颖的手术技术和病例系列。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000488
Adam Margalit, Jared Bookman, Michael Aversano, Michael Guss, Omri Ayalon, Nader Paksima
{"title":"De Quervain's Tenosynovitis Release With Excision of the First Dorsal Compartment: Novel Surgical Technique and a Case Series.","authors":"Adam Margalit, Jared Bookman, Michael Aversano, Michael Guss, Omri Ayalon, Nader Paksima","doi":"10.1097/BTH.0000000000000488","DOIUrl":"10.1097/BTH.0000000000000488","url":null,"abstract":"<p><p>Incision of the dorsal side of the tendon sheath in release of De Quervain's tenosynovitis has traditionally been advocated to prevent the risk of volar tendon subluxation. We describe a novel technique of complete excision, rather than simple incision, of the first dorsal compartment tendon sheath. Over a 10-year period, 147 patients (154 wrists) underwent first dorsal compartment release using this technique of complete excision of the sheath. No postoperative immobilization is used. Patients were followed for a mean of 7.0 months. Records were assessed for any complications including reoperation, tendon subluxation, recurrence, wound complications, scar tenderness, and superficial radial sensory nerve paresthesias. There were no cases of recurrence, reoperation, or tendon subluxation after release with this technique. Postoperatively, 7 (4.5%) patients had scar tenderness and 5 (3.2%) of these patients also had superficial radial sensory nerve parasthesias, which all resolved at the time of final follow-up. Mean range of motion was 73±11 degrees of flexion and 69±10 degrees of extension. In contrast to simple incision, we propose that this technique provides a more complete release of the compartment without risk of symptomatic subluxation or bowstringing and provides a complete release of a separate extensor pollicis brevis subsheath or any concomitant retinacular cysts associated with the tendonitis. There is an immediate removal of the symptomatic swelling and visible, painful bump associated with the thickened retinaculum with this technique. Furthermore, no immobilization is required after surgery.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"197-200"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440941","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 Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension: Correspondence. 用自体移植物和纽扣悬吊法重建拇指掌指关节尺侧副韧带通信。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000495
Alexander Lauder, Francisco Rodriguez-Fontan, Emily M Pflug
{"title":"Revision Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension: Correspondence.","authors":"Alexander Lauder, Francisco Rodriguez-Fontan, Emily M Pflug","doi":"10.1097/BTH.0000000000000495","DOIUrl":"10.1097/BTH.0000000000000495","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"228-229"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297603","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
Triceps-to-Biceps Tendon Transfer Technique for Restoration of Elbow Flexion in Adult Brachial Plexus Injury. 用于恢复成人臂丛神经损伤患者肘关节屈曲的肱三头肌-肱二头肌肌腱转移技术
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000491
Morgan B Weber, Sarah H Townsley, Allen T Bishop, Robert J Spinner, Alexander Y Shin
{"title":"Triceps-to-Biceps Tendon Transfer Technique for Restoration of Elbow Flexion in Adult Brachial Plexus Injury.","authors":"Morgan B Weber, Sarah H Townsley, Allen T Bishop, Robert J Spinner, Alexander Y Shin","doi":"10.1097/BTH.0000000000000491","DOIUrl":"10.1097/BTH.0000000000000491","url":null,"abstract":"<p><p>Restoration of elbow flexion is a priority in treating adult traumatic brachial plexus injuries. A tendon transfer is an ideal option for patients not candidates for reconstructive nerve surgery or free-functioning muscle transfer. For patients with a partial brachial plexus injury or a pan plexus injury with adequate recovered triceps function and loss of elbow flexion, a triceps-to-biceps tendon transfer is a nonmicrosurgical option to restore elbow flexion. The technique of triceps-to-biceps transfer in which the complete triceps tendon is transferred laterally, secured lateral to the radial tuberosity, and reinforced with suture to the biceps tendon is described.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"214-223"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591629","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 "Modern" Surgeon. 现代 "外科医生
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000498
Alexander Y Shin, Nicholas Pulos
{"title":"The \"Modern\" Surgeon.","authors":"Alexander Y Shin, Nicholas Pulos","doi":"10.1097/BTH.0000000000000498","DOIUrl":"10.1097/BTH.0000000000000498","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"193"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476984","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 Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension. 用自体移植物和纽扣悬吊法重建拇指掌指关节尺侧副韧带
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000490
Emily M Pflug, Francisco Rodriguez-Fontan, Alexander Lauder
{"title":"Revision Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Reconstruction With Autograft and Button Suspension.","authors":"Emily M Pflug, Francisco Rodriguez-Fontan, Alexander Lauder","doi":"10.1097/BTH.0000000000000490","DOIUrl":"10.1097/BTH.0000000000000490","url":null,"abstract":"<p><p>Recurrent instability following thumb ulnar collateral ligament repair or reconstruction may result in pain and poor function. The use of certain suture anchors during the index procedure may predispose patients to the development of osteolysis and subsequent fixation failure. In this article, we describe an effective surgical technique for revision reconstruction of ulnar collateral ligament injuries using autograft and suture suspensionplasty. This technique restores joint stability and allows functional recovery with minimal postoperative complications.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"208-213"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447267","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 Suspensionplasty With Suture Tape Augmentation​ for Basal Thumb Arthritis. 用缝合带增强韧带悬吊成形术治疗拇指基底关节炎
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000489
Victor Shen, Davis Kuruvilla, Lauren Ladehoff, Alec Talsania, Jay Talsania
{"title":"Ligament Suspensionplasty With Suture Tape Augmentation​ for Basal Thumb Arthritis.","authors":"Victor Shen, Davis Kuruvilla, Lauren Ladehoff, Alec Talsania, Jay Talsania","doi":"10.1097/BTH.0000000000000489","DOIUrl":"10.1097/BTH.0000000000000489","url":null,"abstract":"<p><p>Thumb carpometacarpal arthritis is common with aging, more common in women than men, and usually occurs after age 40. If a patient fails conservative treatments such as splinting, medications, and corticosteroid injections, then surgical intervention may be appropriate. Currently, there is no consensus on the best surgical treatment. By limiting metacarpal subsidence, ligament suspensionplasty with suture tape augmentation offers great pain relief, excellent functional outcomes, and limited postoperative immobilization. With this technique, trapeziectomy is first performed. A portion of the abductor pollicis longus tendon is resected and loaded onto the SwiveLock anchor using 4-0 FiberLoop, in addition to suture tape. The prepared graft and tape construct is anchored into the lateral first metacarpal (MC) base and index metacarpal base. After surgery, patients are put in a short arm thumb spica splint, interphalangeal (IP) joints free. Active motion is initiated at the first postoperative visit, usually within 1 week. All patients who had thumb arthritis treated with carpometacarpal suspensionplasty and suture tape augmentation between 2015 and 2022 by a single hand surgeon at our institution were queried. A total of 110 patients were invited to take part in this study, and 61 patients consented and were included in this study. Mean last in-office follow up was at 7.5±4.0 months, which showed significant improvements in pinch strength ( P =0.011). A survey taken at a mean 2.8±1.3 years (range: 0.5 to 5.2 y) after surgery reports a postoperative DASH score of 7.3±7.7 (range: 0 to 23.3), and VAS pain score of 0.7±1.1 (range: 0 to 5).</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"201-207"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440942","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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