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":"A Huge Angioleiomyoma of the Finger.","authors":"Jason Churk Yan Mok, Ka Yuk Fan, Tun Hing Lui","doi":"10.1142/S0218810415720119","DOIUrl":"https://doi.org/10.1142/S0218810415720119","url":null,"abstract":"<p><p>Vascular leiomyoma is a rare soft tissue lesion in the upper limbs. We reported a case of vascular leiomyoma in a 77-year-old female. It presented with a large painless slow growing lesion in the finger, which had grown to size up to 4 × 3 cm. X-ray and MRI were performed pre-operatively. Surgical excision was performed and the histological findings confirm the diagnosis. </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 2","pages":"310-2"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33243124","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":"Postoperative voluminal flap reduction after fingertip reconstruction using the reverse digital artery island flap.","authors":"Satoshi Usami, Satoshi Kodaira, Tsutomu Homma, Mutsumi Okazaki","doi":"10.1142/S0218810415500197","DOIUrl":"https://doi.org/10.1142/S0218810415500197","url":null,"abstract":"<p><p>A total of 16 fingers of 16 patients were subjected to fingertip reconstruction using the reverse digital artery island flap (RDAIF). We evaluated the influences of postoperative flap congestion, initial harvested flap size, patient's age and smoking habit on postoperative final flap size and postoperative range of total active motion (TAM) in affected fingers at a mean interval of 11.4 months. In the results, final flap size and TAM showed a tendency to decrease with increase in the initial harvested flap size and age. Eventually, the final flap size moved towards the size of the fingertip defect. Factors of flap congestion and smoking habit had little influence on the change in flap size and TAM. In conclusion, wide harvested flaps showed significant postoperative reduction in size compared with the small flaps, and extensive skin defect after flap harvest caused a decrease in postoperative TAM. Thus, the size of the harvested RDAIF should be comparable to that of the fingertip defect to prevent postoperative decrease in range of motion in affected fingers, and indication of this flap to the elderly needs to be considered. </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 1","pages":"133-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992734","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 Effect of Screw Design on Union Rates in Scaphoid Nonunions.","authors":"Jiwei Wu, Shian Chao Tay, Alexander Y Shin","doi":"10.1142/S0218810415500239","DOIUrl":"https://doi.org/10.1142/S0218810415500239","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study is to compare the outcome of the conical fully threaded headless screw to that of a smooth shaft headless screw in a series of scaphoid nonunions requiring screw fixation to determine if screw design had an influence on union rates.</p><p><strong>Methods: </strong>We retrospectively reviewed 104 cases of surgically treated scaphoid nonunions. After eliminating cases with our exclusion criteria, the study cohort had 40 cases for analysis. A comparison and analysis of union rates was undertaken between the fully threaded Acutrak 2 mini screw and the smooth shaft Herbert screw.</p><p><strong>Results: </strong>Overall union rate for screw fixation was 88%. The fully threaded conical screw fixation had a significantly lower union rate of 50% compared to 97% for the smooth shaft screws.</p><p><strong>Conclusions: </strong>Our data revealed that the fully threaded conical screws were associated with significantly lower union rate compared to the smooth shaft Herbert type screws.</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 2","pages":"273-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33369617","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}
Rafael Sanjuan-Cerveró, Nuria Franco-Ferrando, Francisco Javier Carrera-Hueso, Jaime Eduardo Poquet-Jornet, Pedro Vazquez-Ferreiro
{"title":"Are Really Collagenase Clostriodium Hitolyticum Injections More Effective than Surgical Release?","authors":"Rafael Sanjuan-Cerveró, Nuria Franco-Ferrando, Francisco Javier Carrera-Hueso, Jaime Eduardo Poquet-Jornet, Pedro Vazquez-Ferreiro","doi":"10.1142/S0218810415200038","DOIUrl":"https://doi.org/10.1142/S0218810415200038","url":null,"abstract":"*Orthopedics and Traumatology Surgery, Head of Orthopedics and Traumatology Surgery, Hospital de Denia Marina Salud, Partida Beniadla, S/N, Denia, Alicante, Pharm D. Pharmacy Service, Hospital Dr Moliner, Porta Coeli s/n Serra, Valencia, Doctor of Pharmacy Program, University of Granada, Pharm D. Head of Pharmacy Service, Hospital de Denia Marina Salud, Partida Beniadla, S/N, Denia, Alicante, Ophtalmologic Department, Hospital Virxen da Xunqueira, Cee, A Coruna, Spain Letter to the Editor Hand Surgery 2015;20(2):333-334 • DOI: 10.1142/S0218810415200038","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 2","pages":"333-4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415200038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33406690","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":"Intratendinous Ganglion of the Extensor Tendon of the Hand.","authors":"Hyun-Joo Lee, Poong-Taek Kim, Hyo-Won Chang","doi":"10.1142/S0218810415720132","DOIUrl":"https://doi.org/10.1142/S0218810415720132","url":null,"abstract":"<p><p>Ganglion is a common benign lesion that usually arises adjacent to the joints or tendons of the hand. However, an intratendinous ganglion is a rare condition. We report two cases of intratendinous ganglion of the extensor tendon of the hand which were treated with excision. </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 2","pages":"316-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33243126","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":"Erratum: \"anatomy of the extensor pollicis brevis associated with an extension mechanism of the thumb metacarpophalangeal joint\".","authors":"Shinsuke Shigematsu, Hiroyuki Shimizu, Moroe Beppu, Kazuaki Hirata","doi":"10.1142/S021881041592001X","DOIUrl":"https://doi.org/10.1142/S021881041592001X","url":null,"abstract":"","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 1","pages":"201-2"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041592001X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992651","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":"Closed traumatic rupture of the flexor pollicis longus tendon in zone T I: a case report.","authors":"Kazuaki Uekubo, Soichiro Itoh, Taro Yoshioka","doi":"10.1142/S021881041572003X","DOIUrl":"https://doi.org/10.1142/S021881041572003X","url":null,"abstract":"<p><p>A healthy 41-year-old male suffered a direct blow on the palmar side of his right thumb when folding a table, which slipped along his thumb until it was stopped at the inter-phalangeal (IP) joint, resulting in a complete rupture of the flexor pollicis longus (FPL) tendon in zone T I. The proximal tendon stump was passed through the oblique pulley, fixed to the base of the distal phalanx with a pull-out wire technique and augmented on it using a part of the distal tendon remnant. After removal of the cast and the pull-out wire three weeks postoperatively, range of motion exercise was initiated and good functional recovery was obtained.</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 1","pages":"145-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041572003X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992687","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":"Mycobacterium chelonae infection of the hand presenting as a collar-button abscess.","authors":"Amy Nguyen, Kyros Ipaktchi, Meryl Livermore, Rodrigo Banegas","doi":"10.1142/S0218810415720041","DOIUrl":"https://doi.org/10.1142/S0218810415720041","url":null,"abstract":"<p><p>Mycobacterial infections of the hand are extremely rare, with Mycobacterium chelonae being an especially uncommon source of infection. The following is a report of such an infection presenting as a collar-button abscess. The difficulty of isolating the organism, in addition to a low index of suspicion for it, resulted in a significant delay in appropriate treatment. The patient demonstrated an indolent course of infection and unresponsiveness to traditional treatments, both red flags that should raise concern for a mycobacterial cause. Eventually, repeated irrigation and debridement and a prolonged course of antibiotics resulted in the resolution of the patient's symptoms.</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 1","pages":"149-51"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992688","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":"Neuropathic pain in brachial plexus injury.","authors":"Direk Tantigate, Saichol Wongtrakul, Torpon Vathana, Roongsak Limthongthang, Panupan Songcharoen","doi":"10.1142/S0218810415500057","DOIUrl":"https://doi.org/10.1142/S0218810415500057","url":null,"abstract":"<p><strong>Background: </strong>In Thailand, brachial plexus injury is a common traumatic injury that affects the function of the upper extremity. The current treatments focus mainly on improving the motor and sensory function. Apart from the motor and sensory deficit, these patients usually suffer from pain.</p><p><strong>Objective: </strong>The purpose of this study was to determine the prevalence and factors that relate to neuropathic pain in patients with brachial plexus injury.</p><p><strong>Methods: </strong>We collected data from March 2008 to July 2011. The DN4 Questionnaire was used to diagnose neuropathic pain in 95 patients.</p><p><strong>Results: </strong>The prevalence of neuropathic pain was as high as 76%. Majority of patients presented with hypoesthesia to pin prick, hypoesthesia to touch and numbness. Severity of neuropathic pain was significantly correlated with the type of brachial plexus injury. There was no difference between demographic characteristics of patients.</p><p><strong>Conclusion: </strong>Our study showed that the prevalence of neuropathic pain was high in brachial plexus injured patients. Therefore, surgeons should be aware of this common, yet underestimated, problem in brachial plexus injured patients.</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 1","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33322571","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":"Radial nerve lacerations--the outcome of end-to-end repairs in penetrating trauma.","authors":"M Laubscher, M Held, M Maree, M Solomons","doi":"10.1142/S0218810415500094","DOIUrl":"https://doi.org/10.1142/S0218810415500094","url":null,"abstract":"<p><p>Due to its mostly motor content, repair of the radial nerve is considered to yield favourable results. This is despite the fact that there are limited studies looking at the outcomes of end-to-end repair secondary to sharp penetrating trauma. We retrospectively reviewed the outcome of a series of repaired level 2 and level 3 radial nerves following penetrating stab injuries. Twenty-seven cases with adequate follow-up were included. All the patients underwent direct end-to-end repair. We evaluated the motor recovery of the target muscles using the British Medical Research Council (MRC) grading system. Wrist extension recovered in 93% of cases at a mean of six months. Finger extension recovered in 74% and thumb extension in 52% of cases within the follow-up period. We conclude that end-to-end repair is possible in the majority of level 2 and level 3 radial nerve lacerations secondary to penetrating stab injuries. Acceptable results can be expected.</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 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33322575","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}