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Arthroscopic Excision of Hamate Osteoid Osteoma. 关节镜下钩骨样骨瘤切除术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000377
Anas Ar Altamimi, Saeed Al-Naser, Misbah Alhanbali
{"title":"Arthroscopic Excision of Hamate Osteoid Osteoma.","authors":"Anas Ar Altamimi,&nbsp;Saeed Al-Naser,&nbsp;Misbah Alhanbali","doi":"10.1097/BTH.0000000000000377","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000377","url":null,"abstract":"<p><p>Osteoid osteoma is considered the most common benign bone forming tumor accounting for 12% of all benign bone tumors. The carpus is a rare site for this tumor but quite a few cases were reported before. The lesion can be subperiosteal, cortical or medullary. Computed tomography scan is the gold standard diagnostic study, whereas magnetic resonance imaging can result in delaying the diagnosis as reported in the literature. Open excision with or without grafting was the technique of choice in most reviewed cases in the literature. In this paper we will illustrate a minimally invasive technique using wrist arthroscopy for an osteoid osteoma of hamate proximal pole. This minimally invasive arthroscopic technique provides a rapid recovery for patients with lesions that are accessible to wrist arthroscopy.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"157-160"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126104","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: 2
Carpometacarpal Ligament Reconstruction, Surgical Technique and Outcomes. 腕掌韧带重建，手术技术和结果。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000382
Monica B Pecache, Tsu-Min Tsai
{"title":"Carpometacarpal Ligament Reconstruction, Surgical Technique and Outcomes.","authors":"Monica B Pecache,&nbsp;Tsu-Min Tsai","doi":"10.1097/BTH.0000000000000382","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000382","url":null,"abstract":"<p><p>Basal thumb arthritis is a common condition with the earliest stage described as a period of ligament laxity and joint instability, without radiographic signs of arthritis. The condition is usually managed conservatively but a number of individuals can present with persistence of symptoms. We would like to describe our preferred technique for the management carpometacarpal ligament instability and laxity. This technique utilizes a slip of the flexor carpi radialis tendon and offers reconstruction of the intermetacarpal, dorsoradial and anterior oblique ligaments in an anatomic fashion using standard instruments available. The author has performed this technique in 33 patients over a course of 10 years and long-term outcomes of these cases are presented in this paper.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123993","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
Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation. 改良移植环技术加不可吸收缝合带治疗慢性肘关节脱位。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000385
Nikolaos P Sachinis, Ioannis Vasiadis, Christos K Yiannakopoulos, Panagiotis Givissis
{"title":"Modified Graft Loop Technique Augmented With Nonabsorbable Suture Tape for Chronic Elbow Dislocation.","authors":"Nikolaos P Sachinis,&nbsp;Ioannis Vasiadis,&nbsp;Christos K Yiannakopoulos,&nbsp;Panagiotis Givissis","doi":"10.1097/BTH.0000000000000385","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000385","url":null,"abstract":"<p><p>The task of achieving a good clinical outcome on patients with chronic elbow dislocation is arduous. Any stabilization method used should be robust enough in order to allow for early elbow motion. Immobilization of the elbow for a prolonged time period may lead to stiffness and heterotopic ossification. Several methods of ligament reconstruction have tried to address the global instability that is present in such scenarios. We describe a technique of reconstructing both bands of the medial ligament, and the lateral ulnar collateral ligament of the elbow, by using a looped tendon graft and reinforcing the lateral side with nonabsorbable tape and anchors. The graft is passed as a loop once through the humerus and ulna, recreating the anterior portion of the medial collateral ligament and the lateral ulnar collateral ligament. Then the lateral side is augmented with the tape and anchors and the loop is fixed. Lastly, the medial tail of the graft is used in order to recreate the posterior part of the medial ligament. This technique uses a single graft along with nonabsorbable tape and anchors to make a robust construct that will withstand early range of motion, without jeopardizing elbow stability. Potential complications include damage to the ulnar nerve, infection, elbow stiffness, or persistent instability in complex cases with bone involvement.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"202-207"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124016","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
Single Incision Modified Tension Slide Technique in Distal Biceps Repair: Improved Load to Failure While Reducing Surgical Pitfalls. 单切口改良张力滑块技术在肱二头肌远端修复中的应用:在减少手术缺陷的同时，提高手术负荷。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000376
Michael J Fitzgerald, James R Mullen, Mikael J Starecki, Andrew Greenberg, David V Tuckman
{"title":"Single Incision Modified Tension Slide Technique in Distal Biceps Repair: Improved Load to Failure While Reducing Surgical Pitfalls.","authors":"Michael J Fitzgerald,&nbsp;James R Mullen,&nbsp;Mikael J Starecki,&nbsp;Andrew Greenberg,&nbsp;David V Tuckman","doi":"10.1097/BTH.0000000000000376","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000376","url":null,"abstract":"<p><p>Historically, distal biceps tendon repair through the tension slide technique (TST) using a cortical button has yielded the strongest published repair measured by observed gap formation in both cyclic and maximal load to failure. The modified tension slide technique (MTST) was developed in order to provide the surgeon with a technically simpler and biomechanically more effective way to reduce gap formation and consistently seat/bottom-out the tendon within the bone tunnel through a more direct line of pull. In order to compare the biomechanics of the MTST to the TST, we used 24 matched bovine extensor tendons, and conducted maximal load to failure and cyclical load to failure testing using an Instron 5566 machine. The mean maximal load to failure for the MTST was 444 N versus 229 N for the TST ( P <0.004) while no gap formation was observed in either group after cyclic load testing. These findings indicate that the MTST has a statistically significant increased load to gap formation of ∼2-fold in comparison to TST. In the MTST both limbs of suture are passed back through the tendon, before button implantation, eliminating the \"operating in a hole\" effect required in the TST, and making for a simpler surgical procedure.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"152-156"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126102","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
Management of Pincer Nail Deformity by Realignment of Nailbed Using a Dermofascial Graft. 皮筋膜移植修复钳形甲畸形。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000379
Wasim Mourad, Sunil M Thirkannad
{"title":"Management of Pincer Nail Deformity by Realignment of Nailbed Using a Dermofascial Graft.","authors":"Wasim Mourad,&nbsp;Sunil M Thirkannad","doi":"10.1097/BTH.0000000000000379","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000379","url":null,"abstract":"<p><p>Pincer nail deformity is an uncommon entity which can be painful and cosmetically unappealing. We describe our technique of correcting this deformity by realignment of the nailbed using a dermofascial graft. Pain relief as well as a cosmetically good result have been obtained in all patients, and this has been maintained over the long term. The technique has proven to be safe, effective, and reproducible.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"161-167"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10496710","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
Open Screw Fixation of Large Anterior Glenoid Rim Fractures Using a Deltopectoral Approach With Subscapularis Splitting. 肩胛下肌分离经三角胸侧入路开放螺钉固定大前盂缘骨折。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000383
Georges Pfister, James-Charles Murison, Alexandre Sabate-Ferris, Julien Danis, Nicolas De l'Escalopier, Laurent Mathieu
{"title":"Open Screw Fixation of Large Anterior Glenoid Rim Fractures Using a Deltopectoral Approach With Subscapularis Splitting.","authors":"Georges Pfister,&nbsp;James-Charles Murison,&nbsp;Alexandre Sabate-Ferris,&nbsp;Julien Danis,&nbsp;Nicolas De l'Escalopier,&nbsp;Laurent Mathieu","doi":"10.1097/BTH.0000000000000383","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000383","url":null,"abstract":"<p><p>Anterior glenoid rim fracture is a consequence of the humeral head impacting the glenoid fossa. The management of large glenoid fractures involving more than 20% of the articulating glenoid requires surgical treatment. The 2 main techniques are open reduction internal fixation (ORIF) by screws and arthroscopic treatment using suture anchors or transcutaneous screws. Next to the technical equipment, a surgeon requires extensive experience to achieve good results with the arthroscopic technique. The main disadvantage using the ORIF technique is the detachment of the subscapularis muscle, which is often criticized for causing functional deficits of the subscapularis. Our study demonstrates the feasibility of the ORIF technique through a deltopectoral approach and splitting of the subscapularis. To our knowledge, subscapularis splitting has never been described to treat glenoid fractures.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"188-192"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122423","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: 1
Reduction Techniques in Volar Locking Plate Fixation of Distal Radius Fractures. 掌侧锁定钢板内固定桡骨远端骨折复位技术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000380
Todd H Alter, Bobby B Varghese, Cristina R DelPrete, Brian M Katt, James T Monica
{"title":"Reduction Techniques in Volar Locking Plate Fixation of Distal Radius Fractures.","authors":"Todd H Alter,&nbsp;Bobby B Varghese,&nbsp;Cristina R DelPrete,&nbsp;Brian M Katt,&nbsp;James T Monica","doi":"10.1097/BTH.0000000000000380","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000380","url":null,"abstract":"<p><p>Distal radius fractures are the most common upper extremity fracture and volar locking plate fixation has become a common modality for operative management of these injuries over the last 2 decades. However, despite the widespread use of volar locking plates, there remains no comprehensive guide detailing the available reduction techniques using these systems. This review aims to consolidate the reduction techniques from the literature along with the authors' experiences into a blueprint for distal radius fracture reduction when using a volar plate. Techniques described include those with and without use of the plate and with supplementary means of fixation for both extra-articular and intra-articular fracture patterns.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"168-177"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10496708","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: 1
You Don't Know What You Don't Know. 你不知道你不知道什么。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000404
Alexander Y Shin
{"title":"You Don't Know What You Don't Know.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000404","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000404","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114095","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
Coracoclavicular Ligament Reconstruction Using TightRope for Delayed Grade III Acromioclavicular Joint Injury After Ipsilateral Diaphyseal Clavicle Fracture Fixation: Surgical Technique and Review of Current Literature. 同侧骨干锁骨骨折固定后迟发性III级肩锁关节损伤用钢丝重建喙锁韧带:手术技术及文献综述。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000386
Zachary W Fulton, Amy Singleton, Richard M Miller
{"title":"Coracoclavicular Ligament Reconstruction Using TightRope for Delayed Grade III Acromioclavicular Joint Injury After Ipsilateral Diaphyseal Clavicle Fracture Fixation: Surgical Technique and Review of Current Literature.","authors":"Zachary W Fulton,&nbsp;Amy Singleton,&nbsp;Richard M Miller","doi":"10.1097/BTH.0000000000000386","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000386","url":null,"abstract":"<p><p>Athletes commonly sustain high-energy direct impact injuries to the shoulder, with acromioclavicular joint (ACJ) injuries accounting for over half. Ipsilateral ACJ injury and diaphyseal clavicle fracture occur nearly 7% of the time. There is limited literature offering treatment suggestions for this unique injury pattern and limited evidence providing guidance to suggest which injury patterns should be treated operatively or nonoperatively. Here, we present successful treatment of a high-level athlete utilizing a Knotless TightRope XP placed through a superior clavicle plate with successful return to full activity at 6 months postoperation. The TightRope technique offers the ability to augment through a preexisting superior clavicular plate in a low-profile manner and promote easy suture tensioning to obtain and maintain reduction of the injured ACJ.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"208-211"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10179187","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
Anatomical 3 Ligaments Reconstruction for Symptomatic Thumb Carpometacarpal Joint Instability. 解剖韧带重建治疗症状性拇指腕掌关节不稳。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000384
Naoki Kato, Eisuke Nomura
{"title":"Anatomical 3 Ligaments Reconstruction for Symptomatic Thumb Carpometacarpal Joint Instability.","authors":"Naoki Kato,&nbsp;Eisuke Nomura","doi":"10.1097/BTH.0000000000000384","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000384","url":null,"abstract":"<p><p>Thumb carpometacarpal (CMC) joint instability is thought to be a debilitating disorder and, if left untreated, develops joint persistent synovitis and osteoarthritis. In this study, we report a novel surgical technique reconstructing the anterior oblique ligament, the dorsoradial ligament, and the intermetacarpal ligament simultaneously using both the transverse carpal ligament, and the palmaris longus tendon. Six patients with a mean age of 44 years showing no osteoarthritic changes by the radiographical examination underwent our anatomical three ligaments reconstruction for persistent painful thumb CMC joint instability. Clinical results with the mean follow-up of 20 months demonstrated that the pain was subjectively improved in all patients, both the grip and the pinch strength were increased significantly and good functional motion of the thumb could be observed after the operation. These findings indicated that our surgical procedure could be one option of treatment of the symptomatic CMC joint instability in early-stage arthritis.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"193-201"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10179186","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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