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Techniques in Hand and Upper Extremity Surgery最新文献

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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
Vascularized, Denervated Muscle Targets for Treatment of Symptomatic Neuromas in the Upper Extremity: Description of Operative Technique. 血管化、去神经化肌肉靶治疗上肢症状性神经瘤:手术技术描述。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000374
Nicholas A Calotta, Philip J Hanwright, Aviram Giladi, Sami H Tuffaha
{"title":"Vascularized, Denervated Muscle Targets for Treatment of Symptomatic Neuromas in the Upper Extremity: Description of Operative Technique.","authors":"Nicholas A Calotta,&nbsp;Philip J Hanwright,&nbsp;Aviram Giladi,&nbsp;Sami H Tuffaha","doi":"10.1097/BTH.0000000000000374","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000374","url":null,"abstract":"<p><p>Symptomatic neuromas of the upper extremity often cause persistent, debilitating pain that is resistant to medical management. Following upper extremity amputation, painful neuromas may disrupt rehabilitation efforts and pose a barrier to prosthetic use. Several surgical approaches have been attempted to treat neuromas, each of which suffers from limitations. We have developed a novel technique, the vascularized, denervated muscle target, that offers a compelling new option for primary prevention and secondary treatment of symptomatic neuromas of the upper extremity. Here, we provide a detailed description of our surgical technique as it is applied to neuromas of the upper extremity.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 3","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10496242","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: 3
An Ultrasound-guided Percutaneous Surgical Technique for Trigger Finger Release Using a Minimally Invasive Surgical Knife. 超声引导下使用微创手术刀进行扳机指释放的经皮手术技术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000367
Michiel Cromheecke, Vincent Haignère, Olivier Mares, Pieter-Bastiaan De Keyzer, Pascal Louis, Jean-Michel Cognet
{"title":"An Ultrasound-guided Percutaneous Surgical Technique for Trigger Finger Release Using a Minimally Invasive Surgical Knife.","authors":"Michiel Cromheecke,&nbsp;Vincent Haignère,&nbsp;Olivier Mares,&nbsp;Pieter-Bastiaan De Keyzer,&nbsp;Pascal Louis,&nbsp;Jean-Michel Cognet","doi":"10.1097/BTH.0000000000000367","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000367","url":null,"abstract":"<p><p>Triggering of the finger at the A1 pulley is one of the most frequent pathologies encountered in hand surgery and a common cause of hand pain. Open release of the A1 pulley is currently still regarded as the golden-standard procedure. Nevertheless, there is an increasing interest in minimally invasive percutaneous techniques for the treatment of this condition. Current techniques range from percutaneous needle techniques without imaging, to the use of hook knives, with ultrasound guidance. Because of concerns about possible complications or incomplete releases, hand surgeons remain wary. The objective of this study was to introduce a new ultrasound-guided percutaneous surgical technique for trigger finger release, using a second-generation minimally invasive surgical knife. In this series of 78 releases, complete resolution of the symptoms was found in 98.7% of the cases. One recurrence of triggering was observed. There were no tendon injuries, infections, or neurovascular lesions recorded. This paper contains technical pearls and possible pitfalls to ensure the surgeon of a complete release and to avoid complications. A video of the technique was also included as Supplemental Digital Content (http://links.lww.com/BTH/A143). We can conclude that the procedure can be considered as safe and highly effective for the treatment of triggering at the A1 pulley.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478446","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: 3
Mini-invasive Osteotomy for Pediatric Distal Radius Malunion. 微创截骨治疗小儿桡骨远端畸形愈合。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000362
Markus Pääkkönen
{"title":"Mini-invasive Osteotomy for Pediatric Distal Radius Malunion.","authors":"Markus Pääkkönen","doi":"10.1097/BTH.0000000000000362","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000362","url":null,"abstract":"<p><p>Although most malunions after pediatric distal radius fractures will remodel as the child grows, adolescent patients with severe malunion and limited growth require reduction to restore alignment. The authors technique for a mini-invasive osteotomy is presented. The apex of the malunion is approached from a single 2 cm volar incision through the flexor carpi radialis sheath. Open wedge osteotomy is performed. The osteosynthesis is secured with an individually contoured T-plate. The procedure was used to correct a severe visible malunion in a 12-year-old girl. Normal alignment was achieved with no nerve or tendon injury or irritation, infection, refracture, or any other complication. Mini-invasive osteotomy with a volar plate is a feasible method for experienced hand surgeons for the treatment of distal radius malunion in adolescents.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477978","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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