Journal of hand surgery (Edinburgh, Scotland)最新文献_第8页

Congenital absence of bilateral ulnar arteries in a symptomatic adult patient 一名有症状的成年患者先天性双侧尺动脉缺失

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-02-01 DOI: 10.1177/1753193419877752

E. Selçuk, F. Bayraktar

{"title":"Congenital absence of bilateral ulnar arteries in a symptomatic adult patient","authors":"E. Selçuk, F. Bayraktar","doi":"10.1177/1753193419877752","DOIUrl":"https://doi.org/10.1177/1753193419877752","url":null,"abstract":"off value for MCID of PRWE was 18, and the value of MDC of PRWE was 13. The sensitivity of this cut-off value was 61%, and the specificity was 100%. Two approaches are usually used to determine the MCID. One is the anchor-based approach, and the other is the distribution-based approach. However, there are various types of calculation methods in both approaches, which is a limitation of the MCID. We chose the ‘global ratings of change’ method, which is one of the most commonly used anchorbased approaches for establishing the MCID in longitudinal studies. Even though the retrospective ratings are susceptible to recall bias and the anchor-based approach does not consider the measurement precision, it is easy to obtain and provides the single best measure of the significance of change from the individual’s perspective. To compensate for the limitation of the anchor-based approach and define clinically meaningful change, use of multiple methods is strongly advocated. The distributionbased approaches, particularly those based on measurement precision, are best suited for the purpose of establishing that any observed changes are beyond the range of the measurement error of the instrument. It cannot be expected that the anchor-based and distribution-based approaches will be equivalent in all circumstances. Therefore, it is essential that the integrated system provides a means for resolving discrepancies across the method, and we used MDC methods as reference standard to determine the MCIDs of both PRO instruments. As the number of exclusions due to incomplete data and poor reliability was substantial and not every patient did have a minimum of two DASH and two PRWE scores, our results should be accepted with caution. Our study suggests that the MCIDs of DASH and PRWE were 9 and 18, respectively; and when the DASH and PRWE are used to measure subjective outcomes, the MCID of DASH is more sensitive and the MCID of PRWE is more specific in detecting clinical changes after surgical treatment of distal radial fractures.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419877752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47953833","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

Understanding the patient profile and health-related quality of life in patients presenting for hand surgery 了解手部手术患者的概况和健康相关的生活质量

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-02-01 DOI: 10.1177/1753193419880792

M. Birks, Kavita Sharma, K. Steele, Georgina L Jones, J. Miller

引用次数: 4

The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release 腕管释放后心理健康状况与功能结局及满意度的关系

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-02-01 DOI: 10.1177/1753193419866400

J. Maempel, P. Jenkins, J. McEachan

{"title":"The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release","authors":"J. Maempel, P. Jenkins, J. McEachan","doi":"10.1177/1753193419866400","DOIUrl":"https://doi.org/10.1177/1753193419866400","url":null,"abstract":"We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both p < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score (p < 0.001) and satisfaction (p = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. Level of evidence: II","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419866400","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65456517","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: 6

Return to golf after proximal row carpectomy and four-corner arthrodesis for scapholunate and scaphoid nonunion advanced collapse 舟月骨和舟骨骨不连晚期塌陷，近端肩胛骨切除术和四角关节融合术后重返高尔夫球场

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-02-01 DOI: 10.1177/1753193419883637

N. Goyal, Faisal Akram, R. Wysocki

引用次数: 0

Callus release and dynamic external fixation for delayed presentation of proximal interphalangeal joint fracture-dislocations Callus松解和动态外固定治疗近端指间关节骨折脱位的延迟表现

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-02-01 DOI: 10.1177/1753193419877607

Cheng-yu Yin, Hui-Kuang Huang, Jung-pan Wang

{"title":"Callus release and dynamic external fixation for delayed presentation of proximal interphalangeal joint fracture-dislocations","authors":"Cheng-yu Yin, Hui-Kuang Huang, Jung-pan Wang","doi":"10.1177/1753193419877607","DOIUrl":"https://doi.org/10.1177/1753193419877607","url":null,"abstract":"Various treatments have been proposed for fracturedislocations of the proximal interphalangeal (PIP) joint. Among them, dynamic distraction external fixation (DDEF) has become an attractive and favourable surgical intervention for hand surgeons because it allows early active motion and is less invasive to the surrounding soft tissues (Abou Elatta et al., 2017). However, it would appear to be impractical to use DDEF alone if the fracture-dislocation of the PIP joint has progressed to a delayed stage with partial healing and malunion at the fracture site. Therefore, we present a method of DDEF with preliminary percutaneous callus release to manage delayed presentation fracture-dislocations of the PIP joint. Between January 2017 and February 2019, three patients with fracture-dislocations of the PIP joint were treated in this manner at the senior author’s hospital. The delay in treatment was longer than 4 weeks from injury, when we considered that early union was underway with unsatisfactory restoration of the articular surface. All fractures involved less than 50% of the base of the middle phalanx. We excluded patients with a fracture pattern hindering the application of DDEF, stiff fingers without any passive range of motion, infection, and severe medical conditions hindering the patient’s survival. All the surgeries were performed by the senior corresponding author (experience Level III – experienced","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419877607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48448346","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 volar cutaneous flap from the ablated digit to simultaneously address first web contracture in radial polydactyly 消融术手指掌侧血管皮瓣同时治疗桡骨多指第一指网挛缩

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-01-01 DOI: 10.1177/1753193419870403

F. Soldado, Ramiro Ledesma-Negreiros, S. Barrera-Ochoa

引用次数: 2

Evaluation of functional outcomes after brachial plexus injury 臂丛神经损伤后功能结果的评估

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-01-01 DOI: 10.1177/1753193419879645

T. Quick, H. Brown

引用次数: 11

Functional outcomes after salvage procedures for the destroyed wrist: an overview 腕关节损伤抢救后的功能结果：综述

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-01-01 DOI: 10.1177/1753193419876063

M. Boeckstyns

引用次数: 5

Minimal clinically important difference is lower for carpal tunnel syndrome patients undergoing injection versus surgery 腕管综合征患者接受注射与手术的最小临床重要差异较低

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-01-01 DOI: 10.1177/1753193419871631

Verena J M M Schrier, R. Gelfman, P. Amadio

{"title":"Minimal clinically important difference is lower for carpal tunnel syndrome patients undergoing injection versus surgery","authors":"Verena J M M Schrier, R. Gelfman, P. Amadio","doi":"10.1177/1753193419871631","DOIUrl":"https://doi.org/10.1177/1753193419871631","url":null,"abstract":"and none required physical therapy. One patient reported mild pain at the base of the ipsilateral 5th metacarpal up to 9 months postoperatively. The others reported prompt and complete resolution of preoperative pain, noted no functional deficits or wrist weakness, were satisfied with the procedure, and to our knowledge, have not had any late complications. We believe that lengthening the ECU decreases tension in the tendon, which relieves painful stenosis or subluxation. Painless postoperative subluxation may occur. Subluxation or stenosis might be eliminated altogether by performing an ECU tenotomy (Figure 1(d)). However, the senior author favours lengthening over tenotomy to preserve some ECU function, in case the ECU should be called on as a donor tendon in the future, and because patients may be averse to a procedure that definitively eliminates the function of a body part. We recognize that neither of these potential benefits have been subjected to objective assessment. A prospective study including outcome measures is in order to determine the precise indications and efficacy of ECU lengthening.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419871631","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48475434","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: 5

Functional outcomes after surgery for thumb carpometacarpal joint arthritis 拇指腕掌关节关节炎手术后的功能结果

Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2020-01-01 DOI: 10.1177/1753193419883968

G. Giddins

引用次数: 6