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Techniques in Hand and Upper Extremity Surgery最新文献

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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
Augmented Fixation in Transverse Midshaft Humerus Fractures Using a Nitinol Staple: Surgical Technique and Case Series. 使用镍钛诺钉对横向肱骨中轴骨折进行加固固定：手术技术与病例系列》（Augmented Fixation in Transverse Midshaft Humerus Fractures Using a Nitinol Staple: Surgical Technique and Case Series.
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000470
Jack G Graham, Daniel E Davis
{"title":"Augmented Fixation in Transverse Midshaft Humerus Fractures Using a Nitinol Staple: Surgical Technique and Case Series.","authors":"Jack G Graham, Daniel E Davis","doi":"10.1097/BTH.0000000000000470","DOIUrl":"10.1097/BTH.0000000000000470","url":null,"abstract":"<p><p>Maintaining the reduction of a transverse humeral shaft fracture can be particularly challenging while applying a compression plate for definitive fixation. Nitinol compression staples are being increasingly utilized in orthopedic surgery due to their unique ability to apply continuous compression between staple legs at body temperature. We have found them to be particularly useful in the maintenance of the reduction of transverse humeral shaft fractures before compression plate application. This simple technique allows for the removal of reduction clamps and precise plate placement. We describe our technique for using nitinol compression staples to augment fracture fixation in transverse humeral shaft fractures as well as our experience using this technique in a case series of 4 patients.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"80-87"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673193","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
Technique for Minimally Invasive, Arthroscopic-assisted Distal Radius Fracture Fixation. 微创关节镜辅助桡骨远端骨折固定技术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000461
Vincent Lau, Rick Tosti, Michael Rivlin
{"title":"Technique for Minimally Invasive, Arthroscopic-assisted Distal Radius Fracture Fixation.","authors":"Vincent Lau, Rick Tosti, Michael Rivlin","doi":"10.1097/BTH.0000000000000461","DOIUrl":"10.1097/BTH.0000000000000461","url":null,"abstract":"<p><p>Distal radius fractures are common injuries that often require surgical intervention. Commonly, these fractures are fixed using open reduction internal fixation with plating and screws. This often requires a more extensive soft tissue dissection and exposure. In contrast for certain cases, percutaneous headless compression screws may be appropriate. We present a technique for minimally invasive arthroscopic-assisted reduction and percutaneous screw fixation with an extremity traction device. A case is provided to demonstrate the technique as a viable option for the treatment of intra-articular distal radius fractures.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"101-105"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650136","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
Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series. 矫正性开楔外翻肱骨近端延长截骨术。技术和病例系列。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000466
Patrick Goetti, William R Aibinder, Natalie R Rollick, Dominique M Rouleau, Kenneth J Faber
{"title":"Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series.","authors":"Patrick Goetti, William R Aibinder, Natalie R Rollick, Dominique M Rouleau, Kenneth J Faber","doi":"10.1097/BTH.0000000000000466","DOIUrl":"10.1097/BTH.0000000000000466","url":null,"abstract":"<p><p>Symptomatic varus malunion after proximal humeral fractures is associated with weakness and painful limitation of shoulder range of motion. When there is conformity of the articular surface and no avascular necrosis, a head-preserving procedure is best indicated. Arthroscopic arthrolysis, subacromial decompression, and tuberoplasty have been described for the treatment of mild deformity. In cases with more severe deformity, corrective extracapsular lateral closing wedge valgus osteotomy has been reported as a reliable treatment option, in terms of both pain relief and improved function. While this procedure adequately restores rotator cuff tensioning, it is associated with a shortening of the lever arm to the deltoid muscle, secondary to a loss of humeral length. We describe our technique and results with a vascular-sparing, medial open-wedge osteotomy, using a structural allograft and lateral locking plate. In our opinion, this procedure is safe and effective, with the potential to improve functional outcomes in young and active patients.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138804951","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
Volar Intra-articular Extended Window Approach for Intra-articular Distal Radius Fractures. 掌侧关节内扩展窗入路治疗桡骨远端关节内骨折。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000463
Robin N Kamal, Pedro Bronenberg, Lauren M Shapiro
{"title":"Volar Intra-articular Extended Window Approach for Intra-articular Distal Radius Fractures.","authors":"Robin N Kamal, Pedro Bronenberg, Lauren M Shapiro","doi":"10.1097/BTH.0000000000000463","DOIUrl":"10.1097/BTH.0000000000000463","url":null,"abstract":"<p><p>Distal radius fractures are one of the most common injuries seen globally with increasing use of use of volar plating for surgical treatment. Although it is common to directly visualize the articular surface for most other periarticular fractures, during volar plating of the distal radius the joint is typically not visualized. This is due to concern for carpal instability from disruption of the volar carpal ligaments. When direct visualization of the articular surface is deemed necessary, either to reduce articular fragments or to confirm the quality of reduction, current options include a separate dorsal arthrotomy or arthroscopic assistance. However, biomechanical evidence supports safely performing a volar capsulotomy to visualize the articular surface. We describe the Volar Intra-Articular Extended Window approach, which allows direct visualization of the articular surface through the volar approach to treat distal radius fractures.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"115-121"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11105992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plate Fixation of Hamate Fractures in Fourth and Fifth Carpometacarpal Fracture Dislocations. 第四和第五腕足骨折脱位Hamate骨折的钢板内固定。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000460
Sanju P Eswaran, Michael J Schreck, Brian J Harley
{"title":"Plate Fixation of Hamate Fractures in Fourth and Fifth Carpometacarpal Fracture Dislocations.","authors":"Sanju P Eswaran, Michael J Schreck, Brian J Harley","doi":"10.1097/BTH.0000000000000460","DOIUrl":"10.1097/BTH.0000000000000460","url":null,"abstract":"<p><p>Traumatic dislocations of the fourth and fifth metacarpals, in conjunction with dorsal hamate fractures, are a common entity that can lead to the instability of the fourth and fifth carpometacarpal (CMC) joints. The fracture of the hamate, usually in a coronal dorsal shear configuration, can lead to the dorsal subluxation of the hamatometacarpal joint. Open reduction and internal fixation of the hamate bone with a dorsally applied buttress plate can re-establish a stable and congruent joint surface and anatomically align the articular surfaces of the small and ring finger CMC joints. We present a technique of internal fixation of the hamate to facilitate the reduction of the hamatometacarpal joints. Using a dorsal approach centered over the fourth and fifth CMC joints, the joint surfaces are directly visualized and subsequent fixation of the hamate is performed using a 1.3-mm T-plate to securely buttress its articular surface. This technique presents an approach to the multifaceted injury pattern of fourth and fifth CMC dislocations associated with a hamate fracture.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427657","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
Musculofascial Z-Lengthening for the Management of Chronic Medial Epicondylitis: Technique and Early Results. 肌筋膜z型延长治疗慢性内上上髁炎:技术和早期结果。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-06-01 DOI: 10.1097/BTH.0000000000000464
Sailesh V Tummala, Eugenia Lin, Vikram Gill, Kevin J Renfree
{"title":"Musculofascial Z-Lengthening for the Management of Chronic Medial Epicondylitis: Technique and Early Results.","authors":"Sailesh V Tummala, Eugenia Lin, Vikram Gill, Kevin J Renfree","doi":"10.1097/BTH.0000000000000464","DOIUrl":"10.1097/BTH.0000000000000464","url":null,"abstract":"<p><p>Medial epicondylitis is a common elbow pathology secondary to flexor-pronator tendinosis associated with repetitive wrist flexion activities. Though often responsive to nonoperative management, recalcitrant symptomatology is not uncommon. Surgical intervention for chronic medial epicondylitis most commonly involves open debridement of degenerative tendon which can be difficulty to identify and with a notably risk of iatrogenic complication. We present a reproducible musculofascial z-lengthening of the flexor-pronator mass for management of chronic medial epicondylitis and report the mid-term results of this intervention.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"106-109"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650135","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
Elbow Arthroscopy: Essential Principles of Positioning, Anatomy, and Portal Placement. 肘关节镜检查：定位、解剖和门静脉放置的基本原则。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000457
Nathan S Lanham, Christopher Michael Belyea, Joel R Peterson, Charles M Jobin
{"title":"Elbow Arthroscopy: Essential Principles of Positioning, Anatomy, and Portal Placement.","authors":"Nathan S Lanham, Christopher Michael Belyea, Joel R Peterson, Charles M Jobin","doi":"10.1097/BTH.0000000000000457","DOIUrl":"10.1097/BTH.0000000000000457","url":null,"abstract":"<p><p>Elbow arthroscopy is an important surgical technique for the treatment of various elbow pathologies. Range of indications for elbow arthroscopy include, but are not limited to, diagnostic evaluation, removal of loose bodies, synovectomy, contracture releases, lateral epicondylitis treatment, and adjunct use for fracture reduction. Surgeons' understanding of anatomy and portal placement is critical for successful treatment. This article reviews the relevant surgical anatomy, portal placement, patient positioning, surgical indications, and complications for this technique.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414507","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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