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Techniques in Hand and Upper Extremity Surgery最新文献

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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
Innovative Advances in Hand Surgery. 手外科的创新进展。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000468
Alexander Y Shin
{"title":"Innovative Advances in Hand Surgery.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000468","DOIUrl":"10.1097/BTH.0000000000000468","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378490","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 BioPro Thumb Carpometacarpal Hemiarthroplasty: Case Series and Surgical Technique. BioPro拇指腕掌半关节置换术：病例系列和手术技术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000456
Julia Chung, Salma Albino-Hakim, Kate Samuels, David Bodansky, Alejandro Badia
{"title":"The BioPro Thumb Carpometacarpal Hemiarthroplasty: Case Series and Surgical Technique.","authors":"Julia Chung, Salma Albino-Hakim, Kate Samuels, David Bodansky, Alejandro Badia","doi":"10.1097/BTH.0000000000000456","DOIUrl":"10.1097/BTH.0000000000000456","url":null,"abstract":"<p><p>Thumb carpometacarpal (CMC) osteoarthritis is painful and debilitating. Here, we explore outcomes of a modular, press-fit thumb CMC hemiarthroplasty prosthesis (BioPro). This surgical option permits minimal bone resection, sparing the trapezium, hence allowing revision options if necessary. A retrospective review of all cases of the modular thumb CMC implants performed at one community US center between 2018 and 2021 were included and invited for email or telephone review. Electronic records were examined for demographics, patient outcomes, and morbidity. Eleven patients underwent 11 thumb CMC joint hemiarthroplasties, mean age was 64.8 years (SD: 7.68 y), with 6 females. Six received surgery on their dominant extremity. Two were manual workers (both in the medical field), 6 office-based, 2 retired, and 1 homemaker. The preoperative median pain score (Visual Analog Score) was 8/10 (range: 5 to 10), reducing to 1/10 (range: 1 to 10) ( P =0.000033) with a median follow-up of 23 months (range: 13 to 39 mo). In all, 8/11 patients reported they would recommend this surgery to friends and family and opt for the same surgery on their contralateral hand if necessary. One patient reported persistent pain a year postoperatively. On review, the head of the implant was placed too deep into the trapezium. Another center found that this patient had a postoperative trapezium fracture and underwent revision with implant removal and conversion to a suspension arthroplasty. At 12 months, 10/11 thumb CMC hemiarthroplasty showed good pain relief, function, and patient satisfaction. The BioPro has a low risk of subluxation and allows salvage options to remain available should failure occur.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147493","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
Combined Hyperselective Neurectomy and Fractional Lengthening Technique for Triceps Spasticity. 超选择性神经切除联合部分延长技术治疗三头肌痉挛。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000455
Paula A Pino, Kitty Y Wu, Peter C Rhee
{"title":"Combined Hyperselective Neurectomy and Fractional Lengthening Technique for Triceps Spasticity.","authors":"Paula A Pino, Kitty Y Wu, Peter C Rhee","doi":"10.1097/BTH.0000000000000455","DOIUrl":"10.1097/BTH.0000000000000455","url":null,"abstract":"<p><p>Triceps spasticity can occur in patients with upper motor neuron syndrome. It is often undetected when there is predominant elbow flexion spasticity and/or contracture. This condition can become apparent after surgery for elbow flexor spasticity, leading to impaired active elbow. Although triceps muscle-tendon lengthening procedures can be performed, these techniques do not directly address the issue of spasticity which is neurally mediated. This article presents a surgical technique for addressing triceps spasticity with a combined approach of hyperselective neurectomy of the medial head of the triceps and muscle-tendon lengthening of the long and lateral heads.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159848","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
Modification of the Zancolli Lasso Procedure for Simultaneous Correction of Wartenberg's Sign. 同时矫正Wartenberg征的Zancoli-Lasso程序的改进。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000459
Brynn A Hathaway, Samantha J Burch, Chloe C Krasnoff, Matthew R Zeiderman, Joel S Solomon
{"title":"Modification of the Zancolli Lasso Procedure for Simultaneous Correction of Wartenberg's Sign.","authors":"Brynn A Hathaway, Samantha J Burch, Chloe C Krasnoff, Matthew R Zeiderman, Joel S Solomon","doi":"10.1097/BTH.0000000000000459","DOIUrl":"10.1097/BTH.0000000000000459","url":null,"abstract":"<p><p>Ulnar nerve injury initiates an imbalance between the intrinsic muscles and extrinsic extensors of the ring and small fingers, which leads to the characteristic hyperextension of the metacarpophalangeal (MP) joints and flexion of the proximal interphalangeal joints of these 2 digits-commonly referred to as the ulnar claw hand. In addition to these changes in the static posture of the hand, ulnar nerve palsy severely impairs grasp due to deficient active MP joint flexion. In most cases, motor balance can be restored by preventing MP joint hyperextension and augmenting MP joint flexion using the Zancolli lasso procedure (ZLP). Ulnar neuropathy can cause a second motor imbalance between the ulnar intrinsics and the extensor digit minimi leading to an abduction deformity of the small finger known as Wartenberg's sign. The inability to adduct the small finger can be a great source of frustration to patients. Using a cadaveric biomechanical model, we have developed a simple modification of the Zancolli lasso procedure that simultaneously corrects claw deformity and Wartenberg's sign and we report its efficacy in 2 clinical cases.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"45-48"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414508","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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