Journal of hand surgery (Edinburgh, Scotland)最新文献_第6页

BSSH Spring Meeting Abstracts BSSH春季会议摘要

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-10-01 DOI: 10.1177/1753193420914762

{"title":"BSSH Spring Meeting Abstracts","authors":"","doi":"10.1177/1753193420914762","DOIUrl":"https://doi.org/10.1177/1753193420914762","url":null,"abstract":"Aim: To evaluate long-term outcomes of using Ligamentotaxor in treating complex fractures involving the PIP & D IP joints Methods: A retrospective study of all patients treated with Ligamentotaxor for unstable Intra-articular phalangeal fractures in our institution between 2009 and 2018. 29 patients were included and evaluated using both objective (range of motion, and regular X-rays) and subjective QuickDASH score for global function. Out of the 29 Patients, 68% were males and 7% were open injuries. Fractures were classified according to Pélissier’s classification based on the initial radiographs. The average time before surgery was 8–9 days. A gentle active motion was permitted on the day following surgery. Results: An average of 27.5 months (70-12) follow up; Radiological union was achieved in all patients at mean 33 days. The mean QuickDASH score was 8.7.85% of the patients had no limitation of their daily activities and 35 % experience pain on exertion. The mean flexion of the affected digit was 66 degrees and the mean extension deficit was six degrees. Neither secondary subluxation nor complex regional pain syndrome was reported in any of the cases. Only one case of superficial pin tract infection was reported and responded well to one week of oral antibiotics. Cold intolerance and persistent swelling were reported in four cases. Neither of the cases needed revision by fusion nor replacement. Conclusion: Ligamentotaxor is easy and quick to apply by surgeons and well tolerated by patients, and therefore this reliable technique could be relevant for the management of complex PIP and DIP joint fractures. The device allowed adequate fracture reduction, early mobilisation with minimal soft tissue complications.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193420914762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43832802","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

Questions about the treatment of the fractures around the fifth metacarpophalangeal joint 第五掌指关节周围骨折治疗中的几个问题

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-07-01 DOI: 10.1177/1753193419875899

M. Boeckstyns

{"title":"Questions about the treatment of the fractures around the fifth metacarpophalangeal joint","authors":"M. Boeckstyns","doi":"10.1177/1753193419875899","DOIUrl":"https://doi.org/10.1177/1753193419875899","url":null,"abstract":"The little finger, more than other fingers, may display a tendency to ‘curl’ after trauma or operation with a contracted hyperextension of the MCP joint and flexion of the interphalangeal joints. Although in my country the teaching is that you should immobilize the finger in the intrinsic plus position to avoid this problem, I believe that this is over-advised and over-used. I have encountered very few cases with contracture after longstanding immobilization, and I challenge the dogma that casting the fingers in the intrinsic plus position is mandatory. I consider the concept of safe-position as one among many examples of theoretical biomechanical considerations that lack clinical verification (Tang, 2019). My experience is that if immobilization in extrinsic plus is attempted, the hand almost always spontaneously slides into a more comfortable position with less MCP joint flexion in the plaster cast. For me, the key point is mobilization of the fingers before fracture healing is achieved and ensuring that the exercises are properly executed. In treating hand disorders, I use immobilization in a near ‘safe’ position in only a few situations, for example moderate MCP joint flexion of 40 –60 after flexor tendon reconstruction in the fingers. However, again as far as possible, I start with immediate or at least very early mobilization.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419875899","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48047160","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: 4

Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up 骨关节炎的斜跖全关节置换术:199例患者，随访至少10年

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-06-01 DOI: 10.1177/1753193419871660

M. Martin-Ferrero, C. Simón-Pérez, M. B. Coco-Martín, Aureliio Vega-Castrillo, H. Aguado-Hernández, A. Mayo-Íscar

引用次数: 22

Comparison of volar locking plates with external fixation and K-wires in arthroscopically assisted intra-articular distal radial fracture fixation 掌侧锁定钢板外固定与K线在关节镜辅助桡骨远端关节内骨折内固定中的比较

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-05-01 DOI: 10.1177/1753193419879567

Uldis Krustiņš, J. Krustiņš, Diāna Bringina, Kristine Laurane, A. Jumtins

引用次数: 6

Arthroscopic debridement does not enhance surgical treatment of intra-articular distal radius fractures: a randomized controlled trial 关节镜下清创术不能增强桡骨远端关节内骨折的外科治疗：一项随机对照试验

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-05-01 DOI: 10.1177/1753193419866128

C. Selles, M. Mulders, J. Colaris, M. van Heijl, B. Cleffken, N. Schep

{"title":"Arthroscopic debridement does not enhance surgical treatment of intra-articular distal radius fractures: a randomized controlled trial","authors":"C. Selles, M. Mulders, J. Colaris, M. van Heijl, B. Cleffken, N. Schep","doi":"10.1177/1753193419866128","DOIUrl":"https://doi.org/10.1177/1753193419866128","url":null,"abstract":"The aim of this study was to determine the difference in functional outcomes after open reduction and internal fixation (ORIF) with and without arthroscopic debridement in adults with displaced intra-articular distal radius fractures. In this multicentre trial, 50 patients were randomized between ORIF with or without arthroscopic debridement. The primary outcome measure was the Patient-Rated Wrist Evaluation (PRWE) score. Secondary outcome measures were Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, pain scores, range of wrist motion, grip strength, and complications. Median PRWE was worse for the intervention group at 3 months and was equal for both groups at 12 months. The secondary outcome measures did not show consistent patterns of differences at different time-points of follow-up. We conclude that patients treated with additional arthroscopy to remove intra-articular hematoma and debris did not have better outcomes than those treated with ORIF alone. We therefore do not recommend arthroscopy for removal of hematoma and debris when surgically fixing distal radius fractures. Level of evidence: I","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419866128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46972866","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: 18

Reconstruction of the forearm interosseous membrane: a biomechanical study of three different techniques 三种不同技术重建前臂骨间膜的生物力学研究

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-05-01 DOI: 10.1177/1753193419866382

P. Masouros, E. Apergis, A. Mavrogenis, G. Babis, Dendi K Artemi, V. Nikolaou

{"title":"Reconstruction of the forearm interosseous membrane: a biomechanical study of three different techniques","authors":"P. Masouros, E. Apergis, A. Mavrogenis, G. Babis, Dendi K Artemi, V. Nikolaou","doi":"10.1177/1753193419866382","DOIUrl":"https://doi.org/10.1177/1753193419866382","url":null,"abstract":"Reconstruction of the interosseous membrane has the potential to re-establish a normal loading pattern through the forearm and enhance stability after an Essex-Lopresti lesion. The aim of our study was to assess the capacity of three different techniques, which all use a regionally harvested autograft, to restore longitudinal stability. Simulation of the Essex-Lopresti lesion was done by excising the radial head and sectioning the interosseous membrane in seven cadaveric specimens. Each technique was used in each specimen consecutively, using the pronator teres, the brachioradialis and the flexor carpi radialis tendons, respectively. The specimens were submitted to mechanical testing by applying proximally migratory forces to the radius and radioulnar displacement was assessed fluroscopically at wrist level. The pronator teres tendon achieved the greatest reduction (94% correction with respect to the intact interosseous membrane/radial head out state, followed by brachioradialis (92%) and flexor carpi radialis (85%). However, no statistically significant differences in displacement data or strength were detected between the techniques.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419866382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47072028","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: 8

More severe cold intolerance is associated with worse sensory function after peripheral nerve repair or decompression 周围神经修复或减压后，更严重的感冒不耐受与更差的感觉功能有关

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-03-01 DOI: 10.1177/1753193419881081

Ö. Cesim, Ç. Öksüz

引用次数: 10

Carpal tunnel decompression in patients with normal nerve conduction studies 腕管减压对正常神经传导患者的研究

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-03-01 DOI: 10.1177/1753193419866646

S. Mackenzie, O. Stone, P. Jenkins, N. Clement, I. Murray, A. Duckworth, J. McEachan

{"title":"Carpal tunnel decompression in patients with normal nerve conduction studies","authors":"S. Mackenzie, O. Stone, P. Jenkins, N. Clement, I. Murray, A. Duckworth, J. McEachan","doi":"10.1177/1753193419866646","DOIUrl":"https://doi.org/10.1177/1753193419866646","url":null,"abstract":"Some patients present with typical clinical features of carpal tunnel syndrome despite normal nerve conduction studies. This study compared the preoperative and 1-year postoperative QuickDASH scores in patients with normal and abnormal nerve conduction studies, who underwent carpal tunnel decompression. Of the 637 patients included in the study, 19 had clinical features of carpal tunnel syndrome but normal nerve conduction studies, and underwent decompression after failure of conservative management. Preoperative QuickDASH scores were comparable in both groups (58 vs 54.8). However, there were significant differences between the normal and abnormal nerve conduction study groups in the QuickDASH at 1 year (34.9 vs 21.5) and change in QuickDASH postoperatively (23.1 vs 33.4). Patients with normal nerve conduction studies had comparable preoperative disability scores compared with those with abnormal studies. Although they had a significant improvement in QuickDASH at 1 year, this was significantly less than those with abnormal nerve conduction studies. Level of evidence: III","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419866646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41907725","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: 9

Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction 减压治疗复发性腕管综合征可显著改善腕管功能，提高患者满意度

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-03-01 DOI: 10.1177/1753193419875945

P. Stirling, T. Yeoman, A. Duckworth, N. Clement, P. Jenkins, J. McEachan

{"title":"Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction","authors":"P. Stirling, T. Yeoman, A. Duckworth, N. Clement, P. Jenkins, J. McEachan","doi":"10.1177/1753193419875945","DOIUrl":"https://doi.org/10.1177/1753193419875945","url":null,"abstract":"This prospective single-centre study describes the functional outcomes, satisfaction and health-related quality of life after open revision carpal tunnel decompression for recurrent carpal tunnel syndrome. The QuickDASH, patient satisfaction and EuroQol-5 dimensions questionnaires were collected preoperatively and postoperatively over a 5-year period (2013–2018). The median time to revision was 13.3 years (range 3.9–35.4 years; interquartile range 7.2–15.9 years). Outcomes were available for 14 hands in 13 patients at a mean of 20 months after revision surgery. The mean preoperative and postoperative QuickDASH scores were 55 and 29, respectively, and the mean improvement in QuickDASH was 26. The mean improvement in EuroQol-5 dimensions score was 0.1, and 13 of the 14 patients were satisfied. The net promoter score was 85. This study confirms that patients undergoing revision open carpal tunnel decompression for recurrent carpal tunnel syndrome experience a significant improvement in function and health-related quality of life. Level of evidence: IV","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419875945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46644669","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: 16

In idiopathic cubital tunnel syndrome, ulnar nerve excursion and instability can be reduced by repairing Osborne’s ligament after simple decompression 在特发性肘管综合征中，简单减压后修复奥斯本韧带可减少尺神经偏移和不稳定

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-03-01 DOI: 10.1177/1753193419869205

S. Kwak, Seung-Jun Lee, J. Bae, H. Jeong, Sang Woo Kang, K. Suh

{"title":"In idiopathic cubital tunnel syndrome, ulnar nerve excursion and instability can be reduced by repairing Osborne’s ligament after simple decompression","authors":"S. Kwak, Seung-Jun Lee, J. Bae, H. Jeong, Sang Woo Kang, K. Suh","doi":"10.1177/1753193419869205","DOIUrl":"https://doi.org/10.1177/1753193419869205","url":null,"abstract":"Osborne’s modified decompression involves repairing Osborne’s ligament beneath the ulnar nerve after simple decompression for idiopathic cubital tunnel syndrome. In this retrospective interrupted time series, 31 patients underwent modified simple decompression and 20 patients underwent conventional simple decompression. In the modified simple decompression group, the ulnar nerve length was measured at operation in full elbow flexion and extension before and after repair of Osborne’s ligament. Ulnar nerve instability during elbow motion was measured using ultrasonography before operation and at 12 months after operation. In patients treated by modified simple decompression, the ulnar nerve length in full elbow flexion reduced significantly after repair of Osborne’s ligament. At 12 months after surgery, the grade of ulnar nerve instability was lower in the modified simple decompression group than in the conventional simple decompression group. The clinical outcomes did not differ significantly between the groups at 24 months after operation. Level of evidence: III","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419869205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49195797","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: 2