Journal of Hand and Microsurgery最新文献_第8页

Low-caliber gunshot wounds in the hand a report of three cases. 手部低口径枪伤三例报告。

IF 0.5

Journal of Hand and Microsurgery Pub Date : 2024-08-13 eCollection Date: 2024-12-01 DOI: 10.1016/j.jham.2024.100149

Pearce Lane, Melissa Robinson, Ronit Wollstein

{"title":"Low-caliber gunshot wounds in the hand a report of three cases.","authors":"Pearce Lane, Melissa Robinson, Ronit Wollstein","doi":"10.1016/j.jham.2024.100149","DOIUrl":"10.1016/j.jham.2024.100149","url":null,"abstract":"Introduction: Low-caliber gunshot wounds (GSW) to the hand are common and their incidence is increasing. Most low-caliber GSW's are treated in the emergency department (ED) with washout, intravenous antibiotics and any further follow-up treatment usually performed in an outpatient capacity. Treatment of these injuries specifically to the hand may be controversial in terms of timing and extent of washout, debridement, and fixation. Currently, the literature lacks a concise treatment algorithm, and this report aims to provide clinical scenarios that may educate management decision-making for patients with these injuries.Methods: We discuss three cases that failed this initial treatment presenting as an infected nonunion. Each patient underwent irrigation, stabilization, and received antibiotics, yet showed no evidence of interval healing at follow-up. One of the patients demonstrated evidence of infection only one week following the injury.Results: Cultures were positive in all cases and a surgery for debridement, fixation as well as antibiotic treatment was necessary. Only one patient followed up as recommended by the treating surgeon, yet two of three of the patients demonstrated clinical improvement after surgical intervention.Conclusions: Despite being low caliber, this type of GSW to the hand likely causes more damage than to a larger part of the upper or lower extremity given the proximity of vital anatomic structures in the hand. We suggest considering a more aggressive initial treatment in the emergency room, especially for fracture patterns that could otherwise be treated non-operatively and in a particularly nonadherent population.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 5","pages":"100149"},"PeriodicalIF":0.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819549","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

Utility of ultrasound imaging in the diagnosis of postoperative complications following upper extremity tendon repair. 超声波成像在诊断上肢肌腱修复术后并发症中的应用。

IF 0.5

Journal of Hand and Microsurgery Pub Date : 2024-08-10 eCollection Date: 2024-12-01 DOI: 10.1016/j.jham.2024.100146

Darren Sultan, Mark Guelfguat, Ralph Liebling

引用次数: 0

Reconstruction of the finger pulp with palmar digital artery perforator propeller flap using a digital artery perforator at the lateral base of the finger pulp. 利用指髓外侧基部的数字动脉穿孔器螺旋桨皮瓣重建指髓。

IF 0.5

Journal of Hand and Microsurgery Pub Date : 2024-08-09 eCollection Date: 2024-12-01 DOI: 10.1016/j.jham.2024.100144

Satoshi Kodaira, Keizo Fukumoto

{"title":"Reconstruction of the finger pulp with palmar digital artery perforator propeller flap using a digital artery perforator at the lateral base of the finger pulp.","authors":"Satoshi Kodaira, Keizo Fukumoto","doi":"10.1016/j.jham.2024.100144","DOIUrl":"10.1016/j.jham.2024.100144","url":null,"abstract":"Purpose: The digital artery perforator (DAP) flap is used to repair finger pulp defects as it can help preserve the digital artery. The standard DAP flap donor site is dorsal or lateral; however, the color of the flap typically poorly matches that of the finger pulp. The purpose of this study is to report two types of novel palmar DAP flaps.Methods: We designed two types of palmar DAP flaps using a digital artery perforator at the lateral base of the finger pulp and used them to reconstruct eight fingers of seven patients. The type A flap was created on the palmar lateral aspect of the middle phalanx and was rotated by 90°; it was used in combination with an oblique triangular flap for four small defects. The type B flap was created on the palmar aspect of the middle phalanx and was rotated by 180°; it was used in combination with skin grafts for four moderate defects.Results: All flaps survived completely despite transient congestion with the type B flap within 3 days of surgery.Conclusions: Since this perforator is always present, the DAP flap is useful and yields esthetically pleasing results.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 5","pages":"100144"},"PeriodicalIF":0.5,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819669","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

Diagnostic and management strategies for pseudoaneurysm of the ulnar artery: A scoping review. 尺动脉假性动脉瘤的诊断和治疗策略：范围综述。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2024-06-24 eCollection Date: 2024-10-01 DOI: 10.1016/j.jham.2024.100117

W Nicholas Jungbauer, Matthew D Rich, Nellie V Movtchan, Shelley S Noland, Ashish Y Mahajan

{"title":"Diagnostic and management strategies for pseudoaneurysm of the ulnar artery: A scoping review.","authors":"W Nicholas Jungbauer, Matthew D Rich, Nellie V Movtchan, Shelley S Noland, Ashish Y Mahajan","doi":"10.1016/j.jham.2024.100117","DOIUrl":"10.1016/j.jham.2024.100117","url":null,"abstract":"Introduction: Pseudoaneurysm of the ulnar artery (PUA) can arise secondary to several inciting etiologies and may lead to pain, arterial insufficiency, and ulnar nerve palsy. Given the relative infrequency of PUA diagnosis, there is no consensus regarding its proper diagnosis and management strategies. The purpose of this review is to summarize the existing data regarding PUA and develop an algorithm for management.Methods: A review was performed following PRISMA Extension for Scoping Reviews guidelines. Manuscripts were included if they 1) studied patients over the age of 18, 2) discussed specifics of the PUA and 3) detailed its management.Results: Thirty-one manuscripts were included, presenting data on 32 patients with a mean ± standard deviation age of 46.9 ± 19.6 years. Ulnar artery injury mechanism included trauma (13/32, 40.6 %), iatrogenic (9/32, 28.1 %), and inherent connective tissue disease (4/32, 12.5 %), among others. Ultrasonography was the most common imaging modality (14/32, 43.7 %), and a majority (22/32, 68.8 %) of patients were managed surgically, typically via pseudoaneurysm resection ± venous grafting for reconstruction. Non-operative interventions included ultrasound-guided compression therapy and thrombin injection.Conclusion: While PUA are infrequently diagnosed, inciting events such as accidental or iatrogenic trauma continue to be documented, and management guidelines are lacking. Duplex ultrasonography is recommended as the first line imaging study, with subsequent Allen Test to assess for ulnar artery vs. mixed dominance for hand perfusion. A pseudoaneurysm of 3 cm is proposed as a general threshold for considering intervention, with caveats for smaller lesions causing pain or neurologic symptoms. This review serves as a reference for physicians who encounter PUA.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 4","pages":"100117"},"PeriodicalIF":0.3,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134159","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

Osteofibrous Dysplasia of Humerus: An Unusual Presentation of a Rare Lesion. 肱骨骨纤维结构不良:一种罕见病变的不寻常表现

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0042-1757181

K Venkatadass, Deepak Jain, Owais Ahmed, S Rajasekaran

引用次数: 0

JHAM's next chapter: A thrilling leap with Elsevier in 2024! JHAM 的下一个篇章：2024 年与爱思唯尔实现惊险一跃！

IF 0.4

Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1016/j.jham.2024.100058

J Terrence Jose Jerome, Jorge Boretto, Luigi Troisi, Takehiko Takagi, Mohamed A Ellabban, Sonu Jain

引用次数: 0

Relative Motion Extension Splint after Extensor Tendon Reconstruction. 伸肌腱重建后的相对运动伸展夹板

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0043-1761222

Egemen Ayhan, Ozge Buket Arslan, Kadir Cevik, Cigdem Oksuz

引用次数: 0

Review of Replantation Services from a Level One Trauma Center in India. 印度一级创伤中心再植服务回顾。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2023-11-29 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1777066

Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal

{"title":"Review of Replantation Services from a Level One Trauma Center in India.","authors":"Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal","doi":"10.1055/s-0043-1777066","DOIUrl":"10.1055/s-0043-1777066","url":null,"abstract":"The aim of this article is to examine the elements that contribute to effective operation of a specialized replantation center and to provide readers with a general idea of the outcome of replantation services in India. A dedicated high-volume center coupled with a sound referral system is the backbone of replantation services in a country. A retrospective study was done on all patients who visited a level 1 trauma center in India from November 1, 2017, to December 31, 2018, for various amputations. The medical records and digital pictures of these patients were extracted from the records and analyzed. During the study period, 77 replants were performed on 63 patients at our center. Males were 68% of the study, mostly belonging to the 20 to 40 years age group (63%). Thirty-four percent of cases were smokers. Agricultural injuries (49%) were the most common cause of amputation. Finger replantation was the most common type of replantation (82%). The rate of successful replantation was highest for scalp (100%) followed by hand (71%) and thumb (67%). Setting up dedicated replantation services is essential, especially in highly populated areas. Manpower, resources, and a protocol-led approach help in achieving optimum results. A multidisciplinary team approach with round-the-clock availability plays a vital role in intraoperative decision-making and planning postoperative rehabilitation.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 5","pages":"328-339"},"PeriodicalIF":0.3,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049525","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

Current Concepts and Management of Upper Limb Amputees. 上肢截肢者的当前概念和管理。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2023-08-25 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1773775

Eliana B Saltzman, J Terrence Jose Jerome, R Glenn Gaston

引用次数: 0

Implant Failure in Orthopaedics: Law Does Not Hold the Surgeon Accountable. 骨科植入失败：法律不追究外科医生的责任。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2023-02-07 eCollection Date: 2023-02-01 DOI: 10.1055/s-0043-1762553

J Terrence Jose Jerome, Arpitha Hc, Nandimath Ov

引用次数: 0