Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand最新文献

{"title":"Characteristics of Fingertip Injuries in Children in Singapore.","authors":"Mala Satku,&nbsp;Mark Edward Puhaindran,&nbsp;Alphonsus Khin Sze Chong","doi":"10.1142/S021881041550032X","DOIUrl":"https://doi.org/10.1142/S021881041550032X","url":null,"abstract":"<p><p>Fingertip injuries are common in children, with varying degrees of severity. However, there is limited epidemiological information in the literature. An understanding of the characteristics of these injuries can be used as a basis to prevent such injuries. Epidemiological data was gathered through a retrospective review of all fingertip injuries affecting children, that presented to our department. There were 202 children with 234 injured fingertips in a period of 36 months. Most children were boys and most children injured their left hand. The mode age affected was 2 years. Accidental crush injuries in doors was the most common cause of fingertip injuries in children. An unexpectedly high number of children have fingertip injuries, with many requiring surgical treatment. Safety awareness and prevention of door crush injuries could reduce a large number of fingertip injuries in young children. </p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"410-4"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041550032X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34189408","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}

{"title":"Post Traumatic Avascular Necrosis of the Proximal Carpal Row--A Case Report.","authors":"Ruben Manohara,&nbsp;Sandeep Jacob Sebastin,&nbsp;Mark Edward Puhaindran","doi":"10.1142/S0218810415720211","DOIUrl":"https://doi.org/10.1142/S0218810415720211","url":null,"abstract":"<p><p>We report a case of avascular necrosis of the scaphoid, lunate and triquetrum in a young 21-year-old patient, after a purely ligamentous peri-lunate dislocation of the wrist. He presented with a Mayfield III peri-lunate dislocation after a road traffic accident and underwent an open reduction and internal fixation. Post-operatively, the scapho-lunate gap widened after removal of the temporary K-wires, and he gradually developed avascular necrosis of the scaphoid, lunate and triquetrum, and osteoarthritis of his wrist. We present this unusual case of simultaneous avascular necrosis of multiple carpal bones and discuss the possible risk factors and subsequent management plans for this complex injury. Our patient has no identifiable contributing factors to developing avascular necrosis. We suspect that the violence of the injury and surgery may have compromised the circulation, and advise caution when treating and counseling these patients pre-operatively.</p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"466-70"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34190895","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}

{"title":"Kienböck Disease: Recent Advances in the Basic Science, Assessment and Treatment.","authors":"Gregory Ian Bain,&nbsp;Chong Jin Yeo,&nbsp;Levi Philip Morse","doi":"10.1142/S0218810415400079","DOIUrl":"https://doi.org/10.1142/S0218810415400079","url":null,"abstract":"<p><p>Kienböck disease is a disorder of impaired lunate vascularity which ultimately has the potential to lead to marked degeneration of the wrist and impaired wrist function. The aetiology of the avascular necrosis is uncertain, but theories relate to ulnar variance, variability in lunate vascularity and intraosseous pressures. Clinical symptoms can be subtle and variable, requiring a high index of suspicion for the diagnosis. The Lichtmann classification has historically been used to guide management. We present a review of Kienböck disease, with a focus on the recent advances in assessment and treatment. Based on our understanding thus far of the pathoanatomy of Kienböck's disease, we are proposing a pathological staging system founded on the vascularity, osseous and chondral health of the lunate. We also propose an articular-based approach to treatment, with an arthroscopic grading system to guide management. </p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"352-65"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415400079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019850","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}

{"title":"Dupuytren's Contracture: A Bibliometric Study of the Most Cited Papers.","authors":"Cormac Weekes Joyce,&nbsp;Kenneth Mary Joyce,&nbsp;George Rahmani,&nbsp;Sean Michael Carroll,&nbsp;Jack Laurence Kelly,&nbsp;Padraic James Regan","doi":"10.1142/S0218810415500318","DOIUrl":"https://doi.org/10.1142/S0218810415500318","url":null,"abstract":"<p><p>The literature on Dupuytren's contracture is vast yet little information is known as to which papers have been the most influential. The purpose of this study was to identify the 50 most cited papers on Dupuytren's contracture and perform a citation analysis. Utilizing the Web of Science, 23 surgical, medical, plastic and hand surgery journals were searched for papers on Dupuytren's contracture. Resulting articles were ranked in order of times cited and each paper was analyzed for article-type, year of publication, country of origin, institution and level of evidence. The 50 most cited articles represent many important landmarks in Dupuytren's treatment and contain several seminal works by experts in the field. Whilst the top 50 list highlights the important papers on the condition, they certainly do not provide information about the quality of the evidence of the research, as most papers presented level 4 or 5 evidence.</p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"402-9"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34188948","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}

{"title":"Simple Trapeziectomy for Arthrosis of the Basal Joint of the Thumb: 49 Thumbs Reviewed After Two Years.","authors":"Kristine Elvebakk,&nbsp;Ingrid Elisabeth Johnsen,&nbsp;Cecilie Bendiksen Wold,&nbsp;Thomas Finsen,&nbsp;Harald Russwurm,&nbsp;Vilhjalmur Finsen","doi":"10.1142/S0218810415500367","DOIUrl":"https://doi.org/10.1142/S0218810415500367","url":null,"abstract":"<p><strong>Background: </strong>Many different surgical strategies for arthrosis of the carpometacarpal joint of the thumb are described in the literature. In 2010 we changed our routine procedure from an interposition arthroplasty using the abductor pollicis longus (APL) tendon to simple trapeziectomy without suspension or interposition. The purpose of this study was to review the clinical outcome after trapeziectomy and to compare it to those we had achieved with the APL procedure.</p><p><strong>Methods: </strong>We examined 49 hands operated with simple trapeziectomy during 2011-2012. Time between operation and review was 26 (15-26) months. Subjective estimation of pain before and after surgery and satisfaction with the general results were evaluated with visual analogue scales. The ability to participate in various activities of daily living before and after the operation were noted and patients completed the Quick-DASH and the PRWHE questionnaires. The mobility of the thumb and wrist were recorded and grip and key pinch strength were measured. The distance between the base of the first metacarpal and the scaphoid was noted on radiographs.</p><p><strong>Results: </strong>There were no significant differences between the present results and those we had achieved with the APL procedure regarding subjective estimation of pain and satisfaction, activities of daily living, mobility, strength and radiographic carpometacarpal distance. For many outcome parameters there was a non-significant trend for better results among the trapeziectomy patients, but increased clumsiness was reported by 20 of them.</p><p><strong>Conclusions: </strong>We conclude that our results with simple trapeziectomy are at least as good as with the APL procedure. However, the considerable number of patients complaining of clumsiness is worrying.</p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"435-9"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34189412","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}

{"title":"A Rare Case of Reverse Oblique Ulnar Head and Neck Fracture.","authors":"Li June Tay,&nbsp;Howard Cottam,&nbsp;Jonathan Compson","doi":"10.1142/S0218810415720247","DOIUrl":"https://doi.org/10.1142/S0218810415720247","url":null,"abstract":"<p><p>Isolated distal ulnar head and neck fractures are rare. Undisplaced fractures are normally treated non-operatively. We report a case of a reverse oblique ulnar head and neck fracture, which despite the initial undisplaced configuration, was unstable and displaced over the subsequent weeks. We believe that, though this particular fracture pattern could have been treated in a cast, it requires careful follow up, especially early on, or to undergo early internal fixation. </p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"477-8"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34190898","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}

{"title":"Anticipatory and Reactive Response to Falls: Muscle Synergy Activation of Forearm Muscles.","authors":"Greg Couzens,&nbsp;Graham Kerr","doi":"10.1142/S0218810415400067","DOIUrl":"https://doi.org/10.1142/S0218810415400067","url":null,"abstract":"<p><p>We investigated the surface electromyogram response of six forearm muscles to falls onto the outstretched hand. The extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris, abductor pollicis longus, flexor carpi radialis and flexor carpi ulnaris muscles were sampled from eight volunteers who underwent ten self-initiated falls. All muscles initiated prior to impact. Co-contraction is the most obvious surface electromyogram feature. The predominant response is in the radial deviators. The surface electromyogram timing we recorded would appear to be a complex anticipatory response to falling modified by the effect on the forearm muscles following impact. The mitigation of the force of impact is probably more importantly through shoulder abduction and extension and elbow flexion rather than action of the forearm muscles. </p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"343-51"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415400067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019849","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}

{"title":"The Significance of Bone Abrasions in Fight Bite Injuries: Beware of the Osteochondral Defect.","authors":"Dariush Nikkhah,&nbsp;Roshan Vijayan,&nbsp;Waseem Bhat","doi":"10.1142/S021881041520004X","DOIUrl":"https://doi.org/10.1142/S021881041520004X","url":null,"abstract":"Sir, Fight bites are commonly seen in emergency departments worldwide and are referred to hand surgeons. Seemingly innocuous puncture wounds over the metacarpophalangeal (MCP) joint, left untreated, can rapidly progress to septic arthritis with a hot, erythematous, painful and swollen joint. Mismanagement results in disastrous outcomes and inevitable destruction of the joint. 1) As implied, fight bites are usually sustained through violent altercations. Patients are often unreliable historians due to poor recollection, reluctance to seemingly incriminate themselves, and an under appreciation that dental contact is relevant to their management. We recommend careful, tactful questioning using neutral terms by the first line clinician: “Could the wound have been caused by contact with another person’s teeth? We ask as such injuries can cause serious infections.”","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"488"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041520004X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34087237","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}

{"title":"The Use of Composite Tissue Spare Parts to Restore Tripod Hand Function in Post-Traumatic and Congenital Hand Deficiency.","authors":"Bhaskaranand Kumar,&nbsp;Anil Keshavamurthy Bhat,&nbsp;Ashwath Madhusudan Acharya","doi":"10.1142/S0218810415500276","DOIUrl":"https://doi.org/10.1142/S0218810415500276","url":null,"abstract":"<p><p>The principle aim in complex defects in hand is to restore a functioning tripod pinch. Among the various options, the use of locally available spare parts offers to improve both functions and cosmetics. 10 patients underwent surgeries to restore tripod pinch using this concept of spare parts. Four of them were children with congenital differences and the rest were adults with post traumatic defects. Eight of them underwent on-top plasty out of which four underwent an island pedicled transfer of phalanges and the rest involved distraction lengthening and transfer of metacarpals. One patient underwent a vascularized tenocutaneous joint transfer and another, a non-vascularized metacarpal transfer. At last follow up, eight of them were using hand with tripod pinch and one, using a lateral pinch. A carefully planned use of local tissues as spare part results in satisfactory outcome without the need for additional graft material in hands with absent or poor function. </p>","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"380-5"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019853","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}

{"title":"Comparison between Collagenase Injection and Partial Fasciectomy in the Treatment of Dupuytren's Contracture.","authors":"Terence Khai Wei Tay,&nbsp;Huey Tien,&nbsp;Elizabeth Yenn Lynn Lim","doi":"10.1142/S0218810415500288","DOIUrl":"https://doi.org/10.1142/S0218810415500288","url":null,"abstract":"BACKGROUND\u0000A comparative study between two treatment methods (collagenase injection and open partial fasciectomy) for Dupuytren's contracture. This study will determine differences in clinical outcome, complication rate and patient satisfaction.\u0000\u0000\u0000METHODS\u000037 patients with 62 metacarpophalangeal joints (MCP) and 44 proximal interphalangeal joints (PIP) treated. There were 21 MCP joints (34%) and 8 PIP joints (18%) treated with injection. The remaining 66% of MCP joints and 82% of PIP joints were treated by open partial fasciectomy.\u0000\u0000\u0000RESULTS\u0000Overall, both treatment methods were successful in correcting the passive extension deficit in the MCP and PIP joints. Minor complications were reported in 45% of patients in the injection group versus 42% in the surgery group. Patient satisfaction was nearly equal for both groups.\u0000\u0000\u0000CONCLUSIONS\u0000Both treatment options have proven their effectiveness in treating Dupuytren's contracture. Open surgery is able to address additional joint contracture problems commonly associated with Dupuytren's disease. Collagenase injection has the advantage of early return of hand function and avoidance of surgical complications.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 3","pages":"386-90"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500288","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019854","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}