Journal of hand surgery (Edinburgh, Scotland)最新文献_第4页

Prophylactic internal fixation of the scaphoid to treat impending stress fracture in an athlete 预防性舟骨内固定治疗运动员即将发生的应力性骨折

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-04-11 DOI: 10.1177/17531934221093289

Stuart W. Jones, Fiona C. Campbell, Doug A. Campbell

引用次数: 0

The incidence and spectrum of congenital hand differences in patients with Fanconi anaemia: analysis of 48 patients 范可尼贫血患者先天性手的发生率及频谱差异:48例分析

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-31 DOI: 10.1177/17531934221087521

G. Bourke, D. Wilks, S. Kinsey, R. Feltbower, N. Giri, B. Alter

{"title":"The incidence and spectrum of congenital hand differences in patients with Fanconi anaemia: analysis of 48 patients","authors":"G. Bourke, D. Wilks, S. Kinsey, R. Feltbower, N. Giri, B. Alter","doi":"10.1177/17531934221087521","DOIUrl":"https://doi.org/10.1177/17531934221087521","url":null,"abstract":"We analysed the spectrum of congenital hand differences in a cohort of patients with Fanconi anaemia (FA). Data of 48 FA patients at the National Cancer Institute were reviewed focusing on age at diagnosis, type and severity of limb difference and any potential association with other known clinical anomalies that are part of the FA phenotype, specifically VACTERL-H and PHENOS. Twenty-eight patients had an upper limb difference, which always included thumb hypoplasia. Twenty-three patients had bilateral upper limb differences, including varying combinations and severities of thumb hypoplasia, radial dysplasia and thumb duplication. Patients with a limb difference were diagnosed at a younger age (<2 years: 15/28 with limb anomaly versus 4/20 without a limb anomaly). However, 7/28 with limb anomalies, usually thumb hypoplasia, were not diagnosed until after 6 years of age. This study demonstrates the broad spectrum of radial ray anomalies within the FA phenotype along with the possibility of either unilateral or bilateral upper limb differences and adds further merit to consideration of screening for FA in all cases of radial ray anomaly. Level of evidence: II","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42520533","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

Residual stability of the distal radioulnar joint following ulnar styloid fracture: influence of the remnant distal radioulnar ligaments 尺茎突骨折后远端尺桡关节的剩余稳定性:残余远端尺桡韧带的影响

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-31 DOI: 10.1177/17531934221088508

M. Maniglio, Il-Jung Park, M. Kuenzler, Matthias A Zumstein, M. McGarry, T. Lee

{"title":"Residual stability of the distal radioulnar joint following ulnar styloid fracture: influence of the remnant distal radioulnar ligaments","authors":"M. Maniglio, Il-Jung Park, M. Kuenzler, Matthias A Zumstein, M. McGarry, T. Lee","doi":"10.1177/17531934221088508","DOIUrl":"https://doi.org/10.1177/17531934221088508","url":null,"abstract":"Clinical studies suggest that even untreated basal ulnar styloid fractures may not affect patient outcomes. This may be due to the remaining parts of the distal radioulnar ligament still attached providing sufficient residual stability of the distal radioulnar joint. We tested this hypothesis in a biomechanical cadaveric model. Dorsopalmar translation of the distal radioulnar joint and forearm rotation were measured. Seventeen specimens were tested after a simulated ulnar styloid fracture including the fovea, followed by transection of the remaining palmar (n = 9) or dorsal (n = 8) portions of the distal radioulnar ligament and finally with all remnants transected. Rotation and translation both increased significantly after the final transection compared with the foveal fracture. The increase in translation was larger after transection of the dorsal remnants. We conclude that in an ulnar styloid fracture including the fovea, some ligament components are still attached to the ulnar head, giving residual stability to the distal radioulnar joint.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43624824","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

Sum of parts: an approach to reconstruction for Type A postaxial polydactyly using metacarpal transposition 部分总和:一种利用掌骨转位重建A型轴后多指畸形的方法

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-28 DOI: 10.1177/17531934221088272

Neel Vishwanath, Vinay Rao, Reena A. Bhatt

{"title":"Sum of parts: an approach to reconstruction for Type A postaxial polydactyly using metacarpal transposition","authors":"Neel Vishwanath, Vinay Rao, Reena A. Bhatt","doi":"10.1177/17531934221088272","DOIUrl":"https://doi.org/10.1177/17531934221088272","url":null,"abstract":"runs under the fascia. A second 2 cm incision is made in the crease of the popliteal fossa where identification of the proximal SN can be facilitated by gently moving the distal SN. Absence of motor response upon direct electrical stimulation is used for positive SN identification. The tibial and peroneal nerves are identified. The SN is dissected as far proximally as possible and then cut. The SN is then gently lead through the ankle incision and cut as far distally as possible. Both incisions are closed in a subcuticular fashion. A third mid-calf incision may be required for neurolysis at the level where the SN crosses through the fascia if it cannot be reached through the ankle incision. Since January 2000 we have used this technique to harvest one or two SNs as needed in approximately 400 infants with BPBI. Due to incomplete coding in our database, the exact number of patients or the number of SNs harvested per patient cannot be provided. Our surgical time to harvest one SN graft of 10–13 cm, from incision to wound dressing, has ranged between 35 to 55 minutes. We have found paracetamol to be sufficient in controlling postoperative pain in our series. Surgical scars have been barely visible using skin line incisions and subcuticular closure. Our postoperative complications included one superficial wound infection and one partial palsy of foot extension that resolved spontaneously. None of the patients required conversion to open dissection. Our modifications of supine positioning of the child allows synchronous brachial plexus exploration and SN nerve harvesting, thus reducing operating time. The decision to harvest one or two SNs can be made after assessment of the severity of the nerve lesion. The use of a Kilian nasal speculum provides an ideal working corridor to neurolyse the SN and helps to minimize the number of skin incisions.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41806671","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 use of wide awake local anaesthesia initially applied tourniquet (WALAIAT) in flexor tendon surgery: a randomized controlled trial 宽清醒局部麻醉最初应用止血带（WALAIAT）在屈肌腱手术中的应用：一项随机对照试验

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-18 DOI: 10.1177/17531934221087579

M. Abdelshaheed

引用次数: 1

Surgical resection of venous malformations of the forearm 前臂静脉畸形的外科切除

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-16 DOI: 10.1177/17531934221086889

C. Laurian, A. Bisdorff, Claudine Masonni, P. Cerceau, N. Paraskevas

引用次数: 0

Dysfunctional movement patterning in the hand: an unrecognized entity? 手部功能失调的运动模式:一个未被识别的实体?

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-13 DOI: 10.1177/17531934221085838

Daniel J Brown, S. Gillespie, G. Cheung

引用次数: 0

Management of digital amputations: commentary and personal opinions 数字截肢的管理：评论和个人意见

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-13 DOI: 10.1177/17531934221085806

P. Tos

引用次数: 0

Factors associated with self-reported pain and hand function following surgical A1 pulley release 手术解除A1滑轮后自我报告疼痛和手功能相关因素

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-10 DOI: 10.1177/17531934221085401

J. E. Koopman, C. Hundepool, R. Wouters, L. Duraku, J. Smit, R. Selles, J. Zuidam

{"title":"Factors associated with self-reported pain and hand function following surgical A1 pulley release","authors":"J. E. Koopman, C. Hundepool, R. Wouters, L. Duraku, J. Smit, R. Selles, J. Zuidam","doi":"10.1177/17531934221085401","DOIUrl":"https://doi.org/10.1177/17531934221085401","url":null,"abstract":"Surgical A1 pulley release can considerably reduce pain and improve hand function, but individual outcomes are highly variable. This study aimed to identify factors contributing to self-reported pain and hand function 3 months postoperatively. We included 2681 patients who had received surgical treatment for a trigger finger or thumb and who completed the Michigan Hand outcomes Questionnaire (MHQ). Hierarchical linear regression models were used to investigate patient and clinical characteristics associated with postoperative pain and hand function. For both pain and hand function, the most influential factors associated with worse outcomes were worse MHQ scores at baseline (β 0.38 and 0.33, respectively) and ≥3 preoperative steroid injections (β –0.36 and –0.35). These factors indicated that patients with severe preoperative symptoms represent a group with a more advanced disease that is more difficult to treat. These findings can assist clinicians in patient counselling, expectation management and decision-making about the timing of the intervention. Level of evidence: II","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45560634","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

Frequency of amyloid deposition in idiopathic carpal tunnel syndrome 特发性腕管综合征中淀粉样蛋白沉积的频率

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2022-03-09 DOI: 10.1177/17531934221085542

A. Afshar, Shiva Sohrabi, A. Tabrizi, Siamak Kazemi-Sufi, A. Abbasi

引用次数: 1