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The effect of knot position in Adelaide flexor tendon repairs 结位在阿德莱德屈肌腱修复中的作用
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-12-02 DOI: 10.1177/1753193419889297
M. Vanhees, Nicholas D Cardillo, M. Hile
{"title":"The effect of knot position in Adelaide flexor tendon repairs","authors":"M. Vanhees, Nicholas D Cardillo, M. Hile","doi":"10.1177/1753193419889297","DOIUrl":"https://doi.org/10.1177/1753193419889297","url":null,"abstract":"Hodgkinson PD. The use of skeletal traction to correct the flexed PIP joint in Dupuytren’s disease. A pilot study to assess the use of the Pipster. J Hand Surg Br. 1994, 19: 534–7. Messina A, Messina J. The TEC treatment (continuous extension technique) for severe Dupuytren’s contracture of the fingers. Ann Hand Upper Limb Surg. 1991, 10: 247–50. Messina JC, Messina A. Indications of the continuous extension technique (TEC) for severe Dupuytren Disease and recurrences. In: Werker PMN, Dias J, Eaton C, Reichert B, Wach W (eds) Dupuytren Disease and Related Diseases – The Cutting Edge. Switzerland, Springer International Publishing, 2017: 311–6. Rajesh KR, Rex C, Mehdi H, Martin C, Fahmy NRM. Severe Dupuytren’s contracture of the proximal interphalangeal joint: treatment by two-stage technique. J Hand Surg Br. 2000, 25: 442–4.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"303 - 304"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419889297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42231728","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
Thumb opposition: its definition and my approach to its measurement 拇指反对派：它的定义和我的测量方法
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-12-02 DOI: 10.1177/1753193419889504
M. Tonkin
{"title":"Thumb opposition: its definition and my approach to its measurement","authors":"M. Tonkin","doi":"10.1177/1753193419889504","DOIUrl":"https://doi.org/10.1177/1753193419889504","url":null,"abstract":"The trapeziometacarpal (TMC) joint allows movement in extension/flexion (alternatively termed radial abduction/adduction) in the frontal plane; abduction/adduction (alternatively, antepulsion/retropulsion) in the sagittal plane; and supination/pronation (rotation around the longitudinal thumb axis) (Figure 1). The first two are angular movements and the third is an axial rotation. I prefer to use the terminology extension/flexion and abduction/adduction for movements in the frontal and sagittal planes, and not those in brackets. Nevertheless, both are used by different authors. Circumduction is the path followed by the thumb in movement from full supination of 30 (reposition); to neutral rotation of 0 when the thumbnail is at 90 to the frontal plane with 20 of extension and 30 of abduction (neutral position); to full pronation of 90 with the thumbnail parallel to the frontal plane of the palm (opposition) (Figure 1).","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"315 - 317"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419889504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43986614","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
Partial flexor carpi radialis tendon transfer technique for midcarpal instability 腕中部不稳的部分桡侧腕屈肌腱转移技术
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-28 DOI: 10.1177/1753193419889307
Hero J. A. Zijlker, K. Harmsen, S. Strackee
{"title":"Partial flexor carpi radialis tendon transfer technique for midcarpal instability","authors":"Hero J. A. Zijlker, K. Harmsen, S. Strackee","doi":"10.1177/1753193419889307","DOIUrl":"https://doi.org/10.1177/1753193419889307","url":null,"abstract":"demonstrated, however, that the knot outside the repair was stronger only early in the healing process; they found no difference between inside and outside knot repair strength 6 weeks after. Recently, a knotless, asymmetric repair was reported to be even stronger compared with the Lim/Tsai configuration, highlighting that the knot was the weakest link in flexor tendon repairs (Lim et al., 2018). There are several limitations to this study. First, we did not add an epitendinous suture to our repair configurations before testing. This was done on purpose to avoid extra variables when analysing the results, but might not truly reflect the flexor tendon repair configurations used in vivo. Second, this is a basic science study, and the ex vivo setup might not mimic the in vivo environment. The knot position outside of the repair zone might be more prone to adhesions compared with the inside position, whereas the inside position causes decreased tendon-to-tendon contact in vivo. Lastly, the repair constructs were loaded to failure and did not undergo cyclic testing.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"304 - 306"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419889307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42147293","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
Patient’s satisfaction beyond hand function in Dupuytren’s disease: analysis of 1106 patients 1106例Dupuytren's病患者手功能以外的满意度分析
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-28 DOI: 10.1177/1753193419890284
R. Poelstra, Y. V. van Kooij, M. J. van der Oest, H. Slijper, S. Hovius, R. Selles
{"title":"Patient’s satisfaction beyond hand function in Dupuytren’s disease: analysis of 1106 patients","authors":"R. Poelstra, Y. V. van Kooij, M. J. van der Oest, H. Slijper, S. Hovius, R. Selles","doi":"10.1177/1753193419890284","DOIUrl":"https://doi.org/10.1177/1753193419890284","url":null,"abstract":"This study investigates the outcomes of 1106 patients with Dupuytren’s disease treated with limited fasciectomy or percutaneous needle fasciotomy over 16 years according to the different domains of patient-reported hand function. These patients completed the Michigan Hand Outcomes Questionnaire before and 3 months after surgery. Scores for the various outcome parameters were calculated and linear regression analyses were used to examine associations between the changes in digital extension deficit and change in Michigan Hand Outcomes Questionnaire (sub)scores. We found the largest effects of surgical treatment in the decreases in extension deficit, the appearance of the hand, and the satisfaction with the hand function. However, associations between different domains of evaluation were weak. We conclude that improvement of digital extension deficits is not parallel to varying aspects of patient satisfaction. The findings underline the importance of assessing domains relating to patient satisfaction other than objective hand function measures in Dupuytren’s disease. Level of evidence: IV","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"280 - 285"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419890284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49629394","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: 14
Incidence and operations of median, ulnar and radial entrapment neuropathies in Finland: a nationwide register study 芬兰正中、尺骨和桡骨压迫性神经病的发病率和手术:一项全国性的登记研究
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-19 DOI: 10.1177/1753193419886741
S. Hulkkonen, Kaisa Lampainen, J. Auvinen, J. Miettunen, J. Karppinen, J. Ryhänen
{"title":"Incidence and operations of median, ulnar and radial entrapment neuropathies in Finland: a nationwide register study","authors":"S. Hulkkonen, Kaisa Lampainen, J. Auvinen, J. Miettunen, J. Karppinen, J. Ryhänen","doi":"10.1177/1753193419886741","DOIUrl":"https://doi.org/10.1177/1753193419886741","url":null,"abstract":"The aim of this study was to investigate the incidence rates and operations for carpal tunnel syndrome and ulnar and radial neuropathies in specialist care in Finland. Patients diagnosed with entrapment neuropathies of the upper extremity were identified from the Care Register for Health Care, 2007–2016. There were 81,911 cases in 54,095,070 person-years. The total crude incidence rates per 100,000 person-years among women and men were 197 and 105 for carpal tunnel syndrome, 26 and 36 for ulnar neuropathies, and 5.7 and 8.5 for radial neuropathies, respectively. Of these, carpal tunnel syndrome was operated on in 63% of women and 61% of men, ulnar neuropathy in 43% of women and 47% of men, and radial neuropathy in 11% of women and 8% of men. Incidence of carpal tunnel syndrome and ulnar neuropathies increased up to late middle age, while radial neuropathies were less common. Level of evidence: III","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"226 - 230"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419886741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42713039","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: 22
Re: Gschwind CR, Yeomans JL, Smith BJ. Upper limb surgery for severe spasticity after acquired brain injury improves ease of care. J Hand Surg Eur. 2019, 44: 898–904. 回复:Gschwind CR, Yeomans JL, Smith BJ。获得性脑损伤后严重痉挛的上肢手术可提高护理的便利性。中华手外科杂志，2019,44(4):898-904。
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-19 DOI: 10.1177/1753193419887339
Daisy Ryan, Marie Song, J. Chan
{"title":"Re: Gschwind CR, Yeomans JL, Smith BJ. Upper limb surgery for severe spasticity after acquired brain injury improves ease of care. J Hand Surg Eur. 2019, 44: 898–904.","authors":"Daisy Ryan, Marie Song, J. Chan","doi":"10.1177/1753193419887339","DOIUrl":"https://doi.org/10.1177/1753193419887339","url":null,"abstract":"We thank Drs Andersson and Karlsson for their letter, which highlights the clinical relevance of our paper (Sun et al., 2019). We see this paper as an extension of our previously published work on CT scans of distal radius fractures (Mandziak et al., 2011). We have identified that distal radius fractures are significantly more likely to occur between the ligaments (Mandziak et al., 2011; Bain et al., 2013), especially in low velocity injuries. Therefore, each fragment will have its own ligament. We have identified that these ligaments are important in the initiation of the fracture, the settling of the fracture, and in establishing a pathoanatomic-based treatment plan (MacLean and Bain, 2019). This Osteoligamentous concept is important to understand in the assessment and treatment of all fractures (MacLean and Bain, 2019). In our recent paper (Sun et al., 2019), we identified significant widening in the scapholunate interval in specific 2-part distal radial fracture sub-types; namely radial styloid oblique, dorsal ulnar corner types. We agree that it is important to preoperatively assess the distal radius fracture and signs of carpal instability. We also agree with the authors that wrist arthroscopy is a valuable intra-operatively tool for diagnosis and assessment of the reduction. We support the important work of Lindau et al. (1997), where he provides an understanding of the longer-term outcome of these associated injuries. However, we feel that our work has highlighted the importance of sub-group analysis, and we believe that further research is required to better define which osteoligamentous injuries have a poorer prognosis. Our study highlights the important pathoanatomy of osteoligamentous injuries of the distal radius, appreciating both the osseous and soft tissue component. From a greater understanding of these osteoligamentous injuries, we can hopefully provide a more focused treatment plan.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"311 - 314"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419887339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65456531","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 anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb 拇指掌指关节桡侧副韧带stener型病变的解剖学研究
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-19 DOI: 10.1177/1753193419887344
R. Jakubietz, S. Erguen, Silvia Bernuth, R. Meffert, F. Gilbert, M. Jakubietz
{"title":"An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb","authors":"R. Jakubietz, S. Erguen, Silvia Bernuth, R. Meffert, F. Gilbert, M. Jakubietz","doi":"10.1177/1753193419887344","DOIUrl":"https://doi.org/10.1177/1753193419887344","url":null,"abstract":"The Stener-type lesion of the radial collateral ligament is rare. The insertion of the abductor pollicis brevis is believed to preclude its occurrence. The aim of this study was to determine whether this lesion can be induced mechanically. Four specimens were tested in neutral rotation and 20° of supination, in 45° and 30° of flexion, and in the neutral position. The angle of ulnar adduction to form a Stener-type lesion was measured. The lesion occurred only in 45° flexion in all specimens. A lesser angle of flexion decreased the rate of ligament displacement. In the neutral position no ligament displacement was found. A Stener-type lesion of the radial collateral ligament can occur in ulnar adduction and flexion of the metacarpophalangeal joint. Supination of the joint increases the likelihood of ligament displacement. As distal ruptures of the radial collateral ligament are uncommon, a high index of suspicion is required for diagnosis.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"131 - 135"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419887344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42863353","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
Selective denervation of the wrist for chronic pain: a systematic literature review 手腕选择性去神经支配治疗慢性疼痛：系统文献综述
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-19 DOI: 10.1177/1753193419886777
K. W. Chin, A. Engelsman, T. V. van Gulik, S. Strackee
{"title":"Selective denervation of the wrist for chronic pain: a systematic literature review","authors":"K. W. Chin, A. Engelsman, T. V. van Gulik, S. Strackee","doi":"10.1177/1753193419886777","DOIUrl":"https://doi.org/10.1177/1753193419886777","url":null,"abstract":"Selective denervation of sensory nerve branches to the wrist is a palliative surgical treatment option for patients with chronic wrist pain when preserving the range of motion and function is preferred. Treatment varies from partial isolated denervation of the posterior interosseous nerve to extensive ‘complete’ denervations. This study aimed to provide an overview of the literature regarding treatment outcomes in the domains of pain, grip strength, patient satisfaction and return to work. MEDLINE (PubMed), EMBASE and Cochrane databases were systematically searched and identified 993 studies, of which 12 were eligible for analysis. Denervation resulted in high ‘return to work’ rates (up to 94%), patient satisfaction (up to 92%), increased grip strength (7%–64%) and improved average pain scores (36%–92%). Treatment outcomes of both partial and complete denervations were favourable; however, variations in outcomes suggest the need for improving evidence regarding surgical technique and nerve identification.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"265 - 272"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419886777","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48405940","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
Evidence for efficacy of new developments in reconstructive upper limb surgery for tetraplegia 四肢瘫痪患者重建上肢手术新进展的疗效证据
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-17 DOI: 10.1177/1753193419886443
James P. Ledgard, C. Gschwind
{"title":"Evidence for efficacy of new developments in reconstructive upper limb surgery for tetraplegia","authors":"James P. Ledgard, C. Gschwind","doi":"10.1177/1753193419886443","DOIUrl":"https://doi.org/10.1177/1753193419886443","url":null,"abstract":"Nerve transfers are increasingly utilized for upper limb reconstruction in tetraplegia. We reviewed the literature for results achieved by nerve transfers for elbow extension, wrist control and finger and thumb flexion and extension. Muscle strength grading was the only outcome measure consistently reported. The results confirm that nerve transfers can effectively reanimate muscles in selected cases, with comparable strength with those achieved with tendon transfer for elbow extension but inferior strength for finger and thumb flexion. Transfer of supinator nerve branches to the posterior interosseous nerve appears to be reliable and offers increased span and better hand opening than is observed after tendon transfers. Only one publication demonstrated how reinnervation of muscles with nerve transfers translated into improved function, activity and participation for patients. More prospective studies, using standardized outcome measures, are needed to define the precise role of nerve transfers.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"43 - 50"},"PeriodicalIF":0.0,"publicationDate":"2019-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419886443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44570619","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
Anatomical anterior and posterior reconstruction for scapholunate dissociation: preliminary outcome in ten patients 解剖前后重建治疗舟月骨分离:10例患者的初步结果
Journal of hand surgery (Edinburgh, Scotland) Pub Date : 2019-11-13 DOI: 10.1177/1753193419886536
M. Sandow, T. Fisher
{"title":"Anatomical anterior and posterior reconstruction for scapholunate dissociation: preliminary outcome in ten patients","authors":"M. Sandow, T. Fisher","doi":"10.1177/1753193419886536","DOIUrl":"https://doi.org/10.1177/1753193419886536","url":null,"abstract":"This study reviews the efficacy of a reconstruction to address scapholunate dissociation using an anterior and posterior approach with a hybrid synthetic tape/tendon weave between the trapezium, scaphoid, lunate and radius: an anatomical front and back (ANAFAB) repair. This repair is a compilation of the components of a number of previously reported repair techniques, and based on published kinematic evidence. It aims to restore the anatomical mechanical constraints on both anterior and posterior aspects of the carpus. Patients were immobilized in a cast for 6 weeks, but no stabilizing wires were used. Ten patients have undergone the reconstruction and were assessed at a minimum 24-month follow-up. They achieved excellent realignment of the carpus, a postoperative median scapholunate gap of 3 mm and a recovery of more than 75% of grip strength and range of motion. No patient required secondary surgery or treatment related to the carpal stabilization. Level of evidence: IV","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":"45 1","pages":"389 - 395"},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1753193419886536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45065165","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: 21
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