Techniques in Hand and Upper Extremity Surgery最新文献_第5页

Modified Extensor Indicis Proprius Opponensplasty. 改良伸指肌腱膜外侧成形术

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000478

Nuttara Wiboonthanasarn, Kanon Limudomporn, Chairoj Uerpairojkit, Piyabuth Kittithamvongs, Sopinun Siripoonyothai, Navapong Anantavorasakul, Kanchai Malungpaishrope

{"title":"Modified Extensor Indicis Proprius Opponensplasty.","authors":"Nuttara Wiboonthanasarn, Kanon Limudomporn, Chairoj Uerpairojkit, Piyabuth Kittithamvongs, Sopinun Siripoonyothai, Navapong Anantavorasakul, Kanchai Malungpaishrope","doi":"10.1097/BTH.0000000000000478","DOIUrl":"10.1097/BTH.0000000000000478","url":null,"abstract":"Extensor indicis proprius (EIP) opponensplasty is one of the commonly used techniques to restore thumb abduction and opposition in patients with thenar muscle dysfunction from various causes of median nerve palsy. However, its subcutaneous route around the distal ulna may not represent a straight line of pull, and part of the extensor hood sometimes has to be harvested along with the EIP tendon to gain adequate length to reach the insertion. The purpose of the study is to present the alternative method of EIP opponensplasty and report the clinical outcomes. The modified EIP opponensplasty was performed on 16 patients with severe carpal tunnel syndrome. At the final follow-up examination, all patients were able to regain their desired level of activities. The Kapandji score, abduction angle, and the disabilities of the arm, shoulder, and hand score improved in all patients. There were no complications related to harvesting the EIP tendon. Two patients developed finger stiffness, which improved after rehabilitation. This technique is safe and effective for restoring thumb function and can solve the insufficient tendon length problem of the original EIP opponensplasty.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"146-153"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207835","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

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

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":"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.","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

Arthroscopic Hemitrapeziectomy and Extensor Carpis Radialis Longus Suspensioplasty With Intermetacarpal Ligament Reconstruction for Thumb Carpometacarpal Joint Osteoarthritis: Surgical Technique. 拇指腕掌关节骨性关节炎的关节镜下半掌切除术和腕伸肌悬吊成形术与掌间韧带重建术：手术技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000476

José Sous, Miguel Tovar-Bazaga, Astrid Teixeira-Taborda

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

引用次数: 0

Subcutaneous Anterior Transposition With Modified Procedures to Prevent Recurrence Associated With the Transposed Ulnar Nerve. 通过皮下前路移位术和改良程序防止与移位的Ulnar神经相关的复发。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000477

Junichiro Shibuya, Masatoshi Takahara, Hiroshi Satake, Michiaki Takagi

{"title":"Subcutaneous Anterior Transposition With Modified Procedures to Prevent Recurrence Associated With the Transposed Ulnar Nerve.","authors":"Junichiro Shibuya, Masatoshi Takahara, Hiroshi Satake, Michiaki Takagi","doi":"10.1097/BTH.0000000000000477","DOIUrl":"10.1097/BTH.0000000000000477","url":null,"abstract":"Subcutaneous anterior transposition of the ulnar nerve is a common surgical treatment for cubital tunnel syndrome. However, there are surgical failures associated with the new compressive sites at the edge of flexor carpi ulnaris (FCU) and resubluxation posterior to the medial epicondyle of the transposed nerve. To reduce the muscle volume at the edge of FCU, we approach the ulnar nerve by dividing the muscle belly of the FCU humeral heads. This procedure can reduce repeated traction forces on the transposed nerve at the edge of the FCU. To keep the transposed ulnar nerve anteriorly, we use a fat flap including the membranous superficial fascia. This flap can softly stabilize the ulnar nerve and act as a pliable cover to prevent perineural scarring or further constriction around the flap. Ninety-three elbows in 90 patients who had undergone this procedure for cubital tunnel syndrome were evaluated. According to Messina's criteria, the numbers of patients showing excellent, good, fair, and poor recovery were 41 (44%), 47 (51%), 5 (5%), and 0 (0%), respectively. Most patients experience resolution of symptoms and good functional outcomes. None of the patients suffered recurrence, infection, or nerve injury.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"132-136"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913366","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

Transfer of Motor Fascicle From the Ulnar Nerve to the Axillary Nerve by Posterior Access. New Approach. 通过后方入路将运动筋膜从尺神经转移到腋神经。新方法。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000483

Luis Carlos Diaz, Enrique Vergara-Amador

引用次数: 0

Combined Wrist Extensor Tenodesis and Tendon Transfers for Severe Spastic Flexed Wrist Deformity: Surgical Technique and Case Series. 针对严重痉挛性屈腕畸形的联合腕伸肌腱腱鞘切除术和肌腱转移术：手术技术和病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000479

Paula A Pino, Christopher S Crowe, Kitty Y Wu, Peter C Rhee

引用次数: 0

Posterior Interosseous Artery Adipofascial Flap for the Management of Distal Radioulnar Joint Osteoarthritis. 骨间后动脉脂肪筋膜瓣治疗桡骨远端关节骨关节炎

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-01 DOI: 10.1097/BTH.0000000000000486

Aleksandar Lovic, Javier Pérez-Rodríguez, Pedro Bolado-Gutiérrez

引用次数: 0