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Techniques in Hand and Upper Extremity Surgery最新文献

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A Modified Approach for Arthroscopic Excision of Dorsal Midcarpal Ganglion Cysts Using Radiocarpal Portals. 利用桡骨门户进行背侧中掌神经节囊肿关节镜切除术的改良方法
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000452
Kun-Han Lee, Hui-Kuang Huang, Jung-Pan Wang
{"title":"A Modified Approach for Arthroscopic Excision of Dorsal Midcarpal Ganglion Cysts Using Radiocarpal Portals.","authors":"Kun-Han Lee, Hui-Kuang Huang, Jung-Pan Wang","doi":"10.1097/BTH.0000000000000452","DOIUrl":"10.1097/BTH.0000000000000452","url":null,"abstract":"<p><p>Wrist arthroscopy could be a treatment option for dorsal ganglion cysts. To achieve a thorough dorsal capsulectomy for the removal of midcarpal ganglion cysts, it is commonly necessary to combine both the radiocarpal and midcarpal portals. We present a modified method using radiocarpal portals only for arthroscopically excising dorsal midcarpal ganglion cysts. No extra midcarpal portals are necessary, and the method potentially generates satisfactory results.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570873","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 Wafer Procedure for Ulnar Impaction Syndrome. 治疗尺骨嵌顿综合征的反向晶片手术。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000453
Ismail Bulent Ozcelik, Mohd Hanifah Jusoh, Ali Cavit
{"title":"Reverse Wafer Procedure for Ulnar Impaction Syndrome.","authors":"Ismail Bulent Ozcelik, Mohd Hanifah Jusoh, Ali Cavit","doi":"10.1097/BTH.0000000000000453","DOIUrl":"10.1097/BTH.0000000000000453","url":null,"abstract":"<p><p>Ulnar impaction syndrome occurs when excessive load across the ulnocarpal joints results in pathologic changes, especially over the articular surface of the ulnar head and proximal ulnar corner of the lunate. The 2 main surgical options in ulnar impaction syndrome are ulnar shortening osteotomy and wafer procedure, whether open or arthroscopically, to decompress the ulnocarpal joint load. However, all of these techniques have their shortcomings and drawbacks. The current study demonstrates a novel technique to decompress the ulnocarpal joint load: the \"reverse wafer procedure\" for ulnar impaction syndrome. In this surgical technique, we resected the proximal ulnar side of the lunate instead of partial resection of the thin wafer of the distal ulnar head dome in the standard wafer procedure. This technique avoids iatrogenic central tear of triangular fibrocartilage and distal radioulnar joint portal arthroscopy, which is technically demanding while preserving the distal radioulnar joint.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225766","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
Rehabilitation Following a Triceps Branch to Axillary Motor Nerve Transfer-A Pragmatic Therapy Guide. 肱三头肌分支至腋窝运动神经转移后的康复--实用治疗指南。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000450
Joel O'Sullivan, Jack Jeffrey, Caroline Miller, Dominic Power
{"title":"Rehabilitation Following a Triceps Branch to Axillary Motor Nerve Transfer-A Pragmatic Therapy Guide.","authors":"Joel O'Sullivan, Jack Jeffrey, Caroline Miller, Dominic Power","doi":"10.1097/BTH.0000000000000450","DOIUrl":"10.1097/BTH.0000000000000450","url":null,"abstract":"<p><p>Peripheral motor nerve transfer surgery is a technique that may be used to restore motor function to paralyzed muscles. Motor nerve transfer involves harvesting an expendable motor nerve branch, and transfer to the motor branch of the denervated target muscle, using microsurgical coaptation. To date, a standardized rehabilitation protocol does not exist. The 6 stages of rehabilitation after motor nerve transfer surgery were outlined by colleagues in the Birmingham Peripheral Nerve Injury service in 2019. This article aims to provide a practical therapy perspective on the rehabilitation stages of motor nerve transfer surgery outlined in that paper, focusing on the radial to axillary nerve transfer. Timeframes for each stage along with exercise prescription and rationale are provided.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"2-8"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071850","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
An All-Arthroscopic Technique of Repairing Foveal Tears of the Triangular Fibrocartilage Complex Using a Bone Anchor-Repair Made Simple. 使用骨锚修复三角纤维软骨复合体窝状撕裂的全关节镜技术--简单修复。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000454
Muntasir Mannan Choudhury, Robert Tze Jin Yap, Jackson Kian Hong Jiang, Dawn Sinn Yii Chia, Andrew Yuan Hui Chin
{"title":"An All-Arthroscopic Technique of Repairing Foveal Tears of the Triangular Fibrocartilage Complex Using a Bone Anchor-Repair Made Simple.","authors":"Muntasir Mannan Choudhury, Robert Tze Jin Yap, Jackson Kian Hong Jiang, Dawn Sinn Yii Chia, Andrew Yuan Hui Chin","doi":"10.1097/BTH.0000000000000454","DOIUrl":"10.1097/BTH.0000000000000454","url":null,"abstract":"<p><p>Traumatic foveal tears of the triangular fibrocartilage complex lead to ulnar-sided wrist pain and instability, resulting in painful motion and loss of grip strength with a severe impact on the overall function of the upper limb. Surgical repair is nothing new and has traversed through the realm of open repair to arthroscopic assisted to all arthroscopic repair techniques over the many decades, with arthroscopic repairs showing better visualization, lesser trauma, and equally favorable patient outcomes. Techniques had varied from using trans osseous tunnels to bone anchors, with or without the usage of special jigs. Here, we describe a simple and fast 3 portal arthroscopic technique of repairing the torn foveal insertion of the triangular fibrocartilage complex using a bone anchor inserted under arthroscopic and fluoroscopic guidance into the fovea. Both the dorsal and volar limbs of the triangular fibrocartilage complex are repaired arthroscopically, resulting in a strong anatomic repair resulting in a stable and pain-free wrist.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"28 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913706","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
Sliding Osteotomy, a New Simple Technique for Olecranon Nonunion Treatment. 滑动截骨术--治疗骨不连的一种新的简单技术
Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-03-01 DOI: 10.1097/BTH.0000000000000451
Hossein Saremi, Sepehr Shirouei, Babak Shojaie
{"title":"Sliding Osteotomy, a New Simple Technique for Olecranon Nonunion Treatment.","authors":"Hossein Saremi, Sepehr Shirouei, Babak Shojaie","doi":"10.1097/BTH.0000000000000451","DOIUrl":"10.1097/BTH.0000000000000451","url":null,"abstract":"<p><p>Nonunion is a rare complication after surgical treatment of olecranon fracture, but indeed it is a devastating one because of the high potential for elbow stiffness, pain, soft tissue and skin problems, and device complaining. To our knowledge, there is no treatment of choice for olecranon nonunion in the literature. Here we describe a unique and new technique by sliding osteotomy of the olecranon in the form of prism and refixation with tension band wiring. Then, we report the clinical results for our 2 patients operated using this technique.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014328","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 Telephone Game. 电话游戏。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-12-01 DOI: 10.1097/BTH.0000000000000458
Alexander Y Shin
{"title":"The Telephone Game.","authors":"Alexander Y Shin","doi":"10.1097/BTH.0000000000000458","DOIUrl":"10.1097/BTH.0000000000000458","url":null,"abstract":"","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"199"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683300","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
360-degree Arthroscopic Management of Scaphoid Pseudarthrosis: Description of Technique and Indications. 360度关节镜治疗舟状骨假关节:技术和适应症描述。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-12-01 DOI: 10.1097/BTH.0000000000000448
Ricardo Kaempf de Oliveira, João Pedro Brunelli, Márcio Aita, Pedro J Delgado
{"title":"360-degree Arthroscopic Management of Scaphoid Pseudarthrosis: Description of Technique and Indications.","authors":"Ricardo Kaempf de Oliveira, João Pedro Brunelli, Márcio Aita, Pedro J Delgado","doi":"10.1097/BTH.0000000000000448","DOIUrl":"10.1097/BTH.0000000000000448","url":null,"abstract":"<p><p>Nonunion remains one of the main complications of scaphoid fractures, with no consensus being reached as to the best surgical technique for scaphoid pseudoarthrosis. Thus, different types of procedures for bone stability and biological stimulus for consolidation have been described. The use of arthroscopy for scaphoid pseudoarthrosis has advantages as it allows for treating associated injuries, preserving wrist proprioception by minimizing damage to the joint capsule and ligaments and not deteriorating the already fragile scaphoid vasculature, leading to a quick recovery. Arthroscopy was initially indicated for stable scaphoid pseudoarthroses, being used in all patterns of this condition, including unstable ones and those with flexion collapse. However, most scientific articles describe the use of arthroscopy only through the dorsal portals, creating technical difficulty in complete debridement of the site of pseudarthrosis and in placing bone graft. This study describes the 360-degree technique, which standardizes arthroscopy in scaphoid pseudoarthrosis treatment, allowing, with the use of dorsal, volar, and radial portals, direct approach to the entire circumference of the nonunion site, facilitating the debridement of the injury site, the correction of the scaphoid deformity, and the placement of a graft directly on the site of the defect, mainly in its volar region after correction of the flexion deformity. The 360-degree technique aims to help and standardize the arthroscopic procedure for scaphoid pseudarthrosis, creating a routine with defined surgery stages. Additional portals allow complete access to the entire nonunion site and better positioning of the bone graft under direct view.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"230-238"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911360","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 Approach to Unicondylar Proximal Phalangeal Fracture Fixation: Combining Antegrade Intramedullary Pinning With Flexion Proximal Interphalangeal Joint Transfixation. 单髁指骨近端骨折的创新固定方法:顺行髓内钉钉联合屈曲近端指骨间关节内固定。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-12-01 DOI: 10.1097/BTH.0000000000000449
Hsueh-Min Kuo, Hui-Kuang Huang, Cheng-Yu Yin, Yi-Chao Huang, Jung-Pan Wang
{"title":"Innovative Approach to Unicondylar Proximal Phalangeal Fracture Fixation: Combining Antegrade Intramedullary Pinning With Flexion Proximal Interphalangeal Joint Transfixation.","authors":"Hsueh-Min Kuo, Hui-Kuang Huang, Cheng-Yu Yin, Yi-Chao Huang, Jung-Pan Wang","doi":"10.1097/BTH.0000000000000449","DOIUrl":"10.1097/BTH.0000000000000449","url":null,"abstract":"<p><p>Various surgical techniques have been described for the fixation of displaced unicondylar fractures of the proximal phalanx, with K-wire and interfragmentary screws being the most commonly used. Although open reduction with joint exposure can provide direct visualization and allow for anatomic reduction, its potential drawbacks, such as joint stiffness and loss of range of motion, are of significant concern. We introduced a novel fixation technique for displaced unicondylar fractures of the proximal phalanx using antegrade intramedullary pinning and transfixation of the proximal interphalangeal joint, which is simple, effective, and does not require open reduction.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929904","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
Flexor Pollicis Tendon Reconstruction With Allograft Tendon After Rupture: Technique and Case Series. 骨折后用同种异体肌腱重建拇屈肌腱:技术和病例系列。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-12-01 DOI: 10.1097/BTH.0000000000000439
Sarah H Townsley, Alexander Y Shin
{"title":"Flexor Pollicis Tendon Reconstruction With Allograft Tendon After Rupture: Technique and Case Series.","authors":"Sarah H Townsley, Alexander Y Shin","doi":"10.1097/BTH.0000000000000439","DOIUrl":"10.1097/BTH.0000000000000439","url":null,"abstract":"<p><p>Division or rupture of the flexor pollicis longus (FPL) tendon can occur secondary to direct injury, laceration, or attritional rupture. Attritional rupture is particularly common in the setting volar plate fixation of a distal radius fracture. FPL tendon discontinuity can be restored through either primary repair or reconstruction. Primary repair can be challenging if not done within the first few days after injury secondary to contraction of the FPL muscle with retraction of the proximal tendon. Repair in this environment can lead to tension across the repair site as well as necessary flexion of the interphalangeal joint to accommodate primary repair. In the setting of attritional rupture, the proximal and distal ends are typically not viable for direct repair. We present our preferred technique for restoration of the FPL tendon, which is reconstruction with an allograft tendon.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"225-229"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929552","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
A Medial Approach That Provides Ample Exposure of the Coronoid for Fracture Management. 内侧入路为骨折治疗提供充分暴露冠状面。
Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-12-01 DOI: 10.1097/BTH.0000000000000444
Jorge L Orbay, John J Heifner, Robert R L Gray, Francisco Rubio, Nathan A Hoekzema, Deana M Mercer
{"title":"A Medial Approach That Provides Ample Exposure of the Coronoid for Fracture Management.","authors":"Jorge L Orbay, John J Heifner, Robert R L Gray, Francisco Rubio, Nathan A Hoekzema, Deana M Mercer","doi":"10.1097/BTH.0000000000000444","DOIUrl":"10.1097/BTH.0000000000000444","url":null,"abstract":"<p><p>We describe a medial approach to the coronoid where the flexor-pronator mass is released from its humeral origin by creating a proximally based tendinous flap. This technique facilitates access to the coronoid, preservation of the medial collateral ligament origin, and repair of the flexor-pronator mass. This approach has utility for all coronoid fracture variations but especially the O'Driscoll anteromedial subtype 3, which includes fractures of the sublime tubercle, the anteromedial facet, and the coronoid tip.</p>","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"214-219"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829628","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
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