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_第7页

Biphasic motion of the median nerve in the normal Asian population. 亚洲正常人群正中神经的双相运动。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500100

C H Goh, B H Lee, Amitabha Lahiri

{"title":"Biphasic motion of the median nerve in the normal Asian population.","authors":"C H Goh, B H Lee, Amitabha Lahiri","doi":"10.1142/S0218810415500100","DOIUrl":"https://doi.org/10.1142/S0218810415500100","url":null,"abstract":"Background: The biomechanical interaction between the median nerve and the flexor tendons is an important consideration in Carpal tunnel syndrome (CTS). We aim to quantify the displacement and compressive deformation pattern of the median nerve in various stages of finger flexion in the normal population at the inlet of the carpal tunnel.Methods: Transverse ultrasounds images were taken at the carpal tunnel inlet during full-extension, mid-flexion and full flexion. The displacement, distance, Feret's diameter, and perimeter of the median nerve were calculated and compared between each position.Results: Biphasic median nerve motion was observed, with a displacement of 2.84 ± 3.49 mm in the ulnar direction from full-extension to mid-flexion (Phase I) and a further 0.93 ± 3.04 mm from mid-flexion to full flexion (Phase II). Of 49 hands, 37 (75.5%) exhibited ulnar displacement in Phase I while 12 (24.5%) exhibited radial displacement. Feret's diameter (5.95 ± 1.08 mm) and perimeter (13.28 ± 2.09) of the median nerve were greatest in the mid-flexed position.Conclusion: In a healthy Asian population, the median nerve has a biphasic motion during finger flexion, with maximal deformation in the mid-flexed position.","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":"73-80"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33322576","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: 1

Review of the Clinical Use of Fluoroscopy in Hand Surgery. 透视技术在手部手术中的临床应用综述。

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 Pub Date : 2015-01-01 DOI: 10.1142/S021881041530003X

Tom J Gieroba, Gregory I Bain, Peter J Cundy

引用次数: 10

Various Diagnostic and Treatment Pitfalls of Combined Fracture Dislocations of Trapezoid and Multiple Carpometacarpal Joints. 梯形多关节腕关节合并骨折脱位的诊断与治疗误区。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720168

Makoto Motomiya, Yasushi Tazaki, Norimasa Iwasaki

引用次数: 6

Osteonecrosis of Interphalangeal Joint of Thumb Two Months after Rattlesnake Bite. 响尾蛇咬伤后2个月拇指指间关节骨坏死。

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 Pub Date : 2015-01-01 DOI: 10.1142/S021881041572017X

Patrick Bonasso, Brandon Lucke-Wold, Glen Jacob

{"title":"Osteonecrosis of Interphalangeal Joint of Thumb Two Months after Rattlesnake Bite.","authors":"Patrick Bonasso, Brandon Lucke-Wold, Glen Jacob","doi":"10.1142/S021881041572017X","DOIUrl":"https://doi.org/10.1142/S021881041572017X","url":null,"abstract":"This case report details the osteonecrosis of the interphalangeal (IP) joint of the thumb two months after a rattlesnake bite. It describes the clinical presentation, imaging studies, histological review, pathology review, and review of literature. Our patient was a fifty-one year-old male who obtained a poisonous snakebite to the thumb. While in the hospital for acute treatment, a blood blister was debrided. He was seen two weeks after discharge for further debridement of epidermolysis. Patient presented one month later with a hand x-ray demonstrating bony erosions, and a bone scan showing active changes in the IP joint of his right thumb. He was taken to the OR for further debridement and definitive diagnosis. Pathology results confirmed osteonecrosis with negative bone cultures. The clinical presentation, diagnosis, and operative management of osteonecrosis offer a unique challenge, especially in a patient presenting with osteonecrosis from a poisonous snakebite. ","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":"330-2"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041572017X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33243130","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

Inheriting the Heritage, and Preparing for the Future. 继承传统，准备未来。

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 Pub Date : 2015-01-01 DOI: 10.1142/S021881041503001X

Goo Hyun Baek

引用次数: 1

Scaphoid Excision and Four-Corner Fusion for Neglected Perilunate Dislocations: Preliminary Results. 舟状骨切除术和四角融合术治疗被忽视的月骨周围脱位:初步结果。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500240

Abdelsalam Eid

{"title":"Scaphoid Excision and Four-Corner Fusion for Neglected Perilunate Dislocations: Preliminary Results.","authors":"Abdelsalam Eid","doi":"10.1142/S0218810415500240","DOIUrl":"https://doi.org/10.1142/S0218810415500240","url":null,"abstract":"Background: Perilunate dislocations are severe uncommon carpal injuries. They are sometimes missed with a reported incidence of up to 25%. Neglect for a period of time allows for soft tissue contractures, as well as bony changes that make reduction extremely difficult. For neglected cases, procedures such as staged open reduction, proximal row carpectomy, and wrist arthrodesis have been offered. The objective of this study was to examine whether scaphoid excision and four-corner fusion could be used to treat neglected perilunate dislocations.Methods: Ten patients with neglected perilunate dislocations were managed by scaphoid excision and four-corner fusion. The dominant hand was involved in eight cases. Graft material for the fusion was obtained from the excised scaphoid.Results: Six patients had complete relief of pain both at rest and during stressful activities. Two patients had no pain at rest and mild pain on stressful activities. The remaining two patients had mild pain at rest and moderate pain on stressful activities. The arc of extension/flexion of the wrist and grip strength both improved as compared to their preoperative levels. The average postoperative Quick DASH score was 12.5.Conclusions: Scaphoid excision with four corner fusion could be used to treat neglected perilunate dislocations with good pain relief and good hand function.","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":"280-4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33369618","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

Complete closed brachioradialis tendon rupture: a case report. 完全性闭合性肱桡肌肌腱断裂1例。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720028

Ifrah Afreen Khan, Luke Joseph Bonato, Ash Chehata

引用次数: 1

Irreducible Palmar Dislocation of the Distal Interphalangeal Joint Due to Closed Degloving of the Distal Phalanx of the Little Finger. 小指远端指间关节闭合性脱套导致的不可还原性掌位脱位。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720090

Naohito Hibino, Yoshitaka Hamada, Shyunichi Toki, Shinji Yoshioka, Masahiro Yamano, Koichi Sairyo

引用次数: 1

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500112

Marcus Sagerfors, Anil Gupta, Ole Brus, Marco Rizzo, Kurt Pettersson

{"title":"Patient related functional outcome after total wrist arthroplasty: a single center study of 206 cases.","authors":"Marcus Sagerfors, Anil Gupta, Ole Brus, Marco Rizzo, Kurt Pettersson","doi":"10.1142/S0218810415500112","DOIUrl":"https://doi.org/10.1142/S0218810415500112","url":null,"abstract":"Objectives: To prospectively evaluate patient related outcome measures after total wrist arthroplasty (TWA) using four different total wrist implants operated at a single referral center in Sweden.Methods: 206 primary TWAs were assessed preoperatively and after one year postoperatively with respect to the following eight outcome measures: Range of motion (flexion/extension, radial/ulnar deviation, pronation/supination), hand grip strength, Canadian Occupational Performance Measure (COPM), performance and satisfaction, Visual Analog Scale (VAS) pain scores at rest and in activity.Results: The Maestro TWA had a significantly greater improvement of radial/ulnar deviation than the Biax and Remotion TWAs. COPM performance and satisfaction improved more for the Maestro and Universal 2 prostheses than the Biax and Remotion.Conclusions: All four TWAs offer reduced VAS-scores and improved COPM-scores with preserved hand grip strength and somewhat improved range of motion. The Maestro TWA performed favorably compared to the Remotion TWA. Implant design may affect patient related outcome.","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":"81-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33322577","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: 28

Impact of phrenic nerve paralysis on the surgical outcome of intercostal nerve transfer. 膈神经麻痹对肋间神经移植手术效果的影响。

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 Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500069

Yusuke Kita, Yasuhito Tajiri, Shinya Hoshikawa, Yukinori Hara, Junichi Iijima

{"title":"Impact of phrenic nerve paralysis on the surgical outcome of intercostal nerve transfer.","authors":"Yusuke Kita, Yasuhito Tajiri, Shinya Hoshikawa, Yukinori Hara, Junichi Iijima","doi":"10.1142/S0218810415500069","DOIUrl":"https://doi.org/10.1142/S0218810415500069","url":null,"abstract":"Brachial plexus injuries (BPI) can be complicated by diaphragmatic paralysis (DP). This study determined the influence of DP on biceps brachii (BB) recovery after intercostal nerve transfer (ICNT) for BPI and investigated the respiratory complications of ICNT. The study included 100 patients, 84 showing no DP in preoperative and early postoperative chest radiographic images (non-DP group) and 16 with DP that persisted for over one year after surgery (DP group). The postoperative reinnervation time did not differ between groups. BB strength one year after surgery was lower in the DP group than non-DP group (p = 0.0007). No differences were observed 2-3 years after surgery. In the DP group, four patients had respiratory symptoms that affected daily activities and their outcomes deteriorated (p = 0.04). Phrenic nerve transfer should not be combined with ICNT in patients with poor respiratory function because of the high incidence of respiratory 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 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33322572","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