Hand surgery & rehabilitation最新文献

Chronic Exertional Compartment Syndrome in the Forearm: Ultrasound-Guided surgical technique.

Hand surgery & rehabilitation Pub Date : 2025-01-29 DOI: 10.1016/j.hansur.2025.102094

Jean Michel Cognet, Jean Baptiste Facon, Alexandre Faure, Olivier Mares

{"title":"Chronic Exertional Compartment Syndrome in the Forearm: Ultrasound-Guided surgical technique.","authors":"Jean Michel Cognet, Jean Baptiste Facon, Alexandre Faure, Olivier Mares","doi":"10.1016/j.hansur.2025.102094","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102094","url":null,"abstract":"Introduction: Chronic exertional compartment syndrome of the forearm is most commonly associated with exercise. It presents as cramping after a few minutes of activity, requiring cessation of exercise. We describe an ultrasound-guided surgical technique for the treatment of forearm chronic exertional compartment syndrome.Anatomy and pathophysiology: The forearm consists of three compartments: the anterior, lateral, and dorsal compartments. These compartments are formed by the muscles of the forearm and are surrounded by a fibroelastic membrane composed of connective tissue. Repetitive activity in the forearm leads to an increase in muscle volume within a non-extensible compartment. This increase in pressure causes pain and cramping, forcing the individual to stop the activity. Diagnosis is based on measurement of intramuscular compartment pressures.Surgical technique: Surgical treatment involves performing a fasciotomy. This can be done through an incision along the length of the forearm or through a minimally invasive approach using endoscopic or ultrasound guidance. The ultrasound-guided technique uses two small entry points and a specialized knife. No post-operative immobilization is required, allowing patients to quickly resume their activities.Discussion: Chronic exertional compartment syndrome of the forearm is a condition that is particularly common among motorcyclists. Diagnosis is based on a combination of a suggestive clinical presentation and pathological intramuscular pressure. Treatment may be conservative or surgical (fasciotomy). Fasciotomy can be performed using an open approach or a minimally invasive ultrasound-guided technique. Published studies on ultrasound-guided treatment report excellent results with a rapid return to sports activities after surgery.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102094"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082976","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

Breaking stiffness: A non-invasive solution for proximal interphalangeal joint rigidity.

Hand surgery & rehabilitation Pub Date : 2025-01-28 DOI: 10.1016/j.hansur.2025.102096

Paolo Boccolari, Roberto Tedeschi, Danilo Donati

引用次数: 0

Breaking the cycle: Addressing the drucebo effect in hand rehabilitation.

Hand surgery & rehabilitation Pub Date : 2025-01-27 DOI: 10.1016/j.hansur.2025.102095

Roberto Tedeschi

引用次数: 0

Correspondence. Reply to the article "Cornelis S, Mufty S, Peters S. Isolated distal radioulnar joint septic arthritis, the intact triangular fibrocartilaginous complex serving as an anatomical barrier. Hand Surg Rehabil, January 2025.

Hand surgery & rehabilitation Pub Date : 2025-01-23 DOI: 10.1016/j.hansur.2025.102092

Andrea Manfredi, Philippe Liverneaux

引用次数: 0

Calcifying aponeurotic fibroma of the hand in an adult.

Hand surgery & rehabilitation Pub Date : 2025-01-22 DOI: 10.1016/j.hansur.2025.102093

O I Ranaivoson Manitra, R Manassé Herijaona, A C Anesy Anselme, S D Lazasoa, Bozon Olivier, Daoulas Thomas

引用次数: 0

Ultrasound-guided release of carpal tunnel syndrome - anterograde technique.

Hand surgery & rehabilitation Pub Date : 2025-01-21 DOI: 10.1016/j.hansur.2025.102091

Carla Ricardo Nunes, Olivier Marès, Vincent Martinel

{"title":"Ultrasound-guided release of carpal tunnel syndrome - anterograde technique.","authors":"Carla Ricardo Nunes, Olivier Marès, Vincent Martinel","doi":"10.1016/j.hansur.2025.102091","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102091","url":null,"abstract":"Compression of the median nerve in the carpal tunnel is a frequent pathology with severe functional impact. An ultrasound-guided technique was developed to preserve structures, diminish scar fibrosis and enable fast return to full activity. Its advantages are safety and low additional cost. Ultrasound-guided carpal tunnel release is indicated in moderate and severe carpal tunnel syndrome persisting after conservative treatment. A preoperative ultrasound scan is recommended to evaluate anatomy. Recurrent carpal tunnel syndrome, secondary carpal tunnel syndrome and anatomic variants compromising the safety of transverse carpal ligament division are contraindications. The procedure is performed under local anesthesia without tourniquet. The entry point is a short transverse incision proximal to the wrist crease. The transverse carpal ligament is divided anterogradely, using a dedicated blade under ultrasound control, making sure no nerves, tendons or blood vessels are injured. The final step is to check that the division is complete. Early return to use of the hand is permitted. Reports of similar techniques demonstrated early symptomatic relieve, favorable patient-reported outcome measures from within 1 week after surgery to 2 years' follow-up, with early return to normal daily activity and work. The complications rate is low: many series showed no complications. Comparative studies between ultrasound-guided carpal tunnel release and the mini-open technique reported similar or greater and quicker symptom relief, less scar pain and better strength. Final functional results tend to be similar.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102091"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030116","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

Hourglass-like constriction is a hallmark of neuralgic amyotrophy (Parsonage-Turner syndrome).

Hand surgery & rehabilitation Pub Date : 2025-01-20 DOI: 10.1016/j.hansur.2025.102090

G Fargeot, R Dukan, C Labeyrie

引用次数: 0

Radial nerve at Fhrose's arcade: a new technique of release under total ultrasound guidance. First experience. 全超声引导下桡骨神经松解的新技术。第一次经历。

Hand surgery & rehabilitation Pub Date : 2025-01-18 DOI: 10.1016/j.hansur.2025.102089

Olivier Marès, Javier Ferreira, Sarah Pradel, Vincent Martinel, Camillo Chaves, Thomas Apard

{"title":"Radial nerve at Fhrose's arcade: a new technique of release under total ultrasound guidance. First experience.","authors":"Olivier Marès, Javier Ferreira, Sarah Pradel, Vincent Martinel, Camillo Chaves, Thomas Apard","doi":"10.1016/j.hansur.2025.102089","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102089","url":null,"abstract":"Radial nerve compression at the arcade of Frohse is a rare but significant condition that typically presents with pain primarily after exertion and at night on the dorsal side of the forearm, more distally than tennis elbow pain, and weakness of the wrist extensors and the long fingers and thumb extensors. Traditional treatment often involves open surgery, resulting in significant scarring. This study introduces a novel percutaneous radial nerve release technique under complete ultrasound guidance and highlights its efficacy and safety. The procedure involves identifying the entry point, lateral of the radial nerve, allowing for targeted release of the superficial fascia surrounding the supinator muscle without damaging nearby vascular or nerve structures. A cadaveric study was performed on ten fresh-frozen specimens to validate the entry point and route, which successfully demonstrated complete fascial release without complications. Preliminary clinical results from five patients showed complete resolution of symptoms associated with radial tunnel syndrome with no reported complications. The technique results in a significantly smaller incision (<1 cm) compared to traditional methods (up to 10 cm) and can be performed under WALANT anesthesia, making it suitable for the outpatient setting. This approach offers a minimally invasive alternative for patients with isolated posterior interosseous nerve compression and highlights the importance of ultrasound guidance in achieving optimal results. Because the technique requires a learning curve, it is recommended for surgeons with experience in ultrasound-guided procedures.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102089"},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018835","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

Torsion and necrosis of a supernumerary digit. 多余手指扭曲和坏死。

Hand surgery & rehabilitation Pub Date : 2025-01-16 DOI: 10.1016/j.hansur.2025.102088

Raphael Israeli, Gil Gannot, Amir Oron

引用次数: 0

De Quervain's disease: Ultrasound-guided release. De Quervain病：超声引导下的释放。

Hand surgery & rehabilitation Pub Date : 2025-01-15 DOI: 10.1016/j.hansur.2025.102087

Francisco Javier Ferreira Villanova, Vincent Martinel, Olivier Marès

{"title":"De Quervain's disease: Ultrasound-guided release.","authors":"Francisco Javier Ferreira Villanova, Vincent Martinel, Olivier Marès","doi":"10.1016/j.hansur.2025.102087","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102087","url":null,"abstract":"Purpose: This study aimed to evaluate the outcomes of a novel antegrade, ultrasound-guided release of the first extensor tendon compartment for treating De Quervain's disease.Methods: We conducted a retrospective, single-center study of 34 patients who underwent ultrasound-guided release of the first extensor compartment for clinically diagnosed De Quervain's disease between June 2022 and December 2023. Inclusion criteria included age >18 years and failure of conservative treatment (e.g., NSAIDs, physiotherapy, and steroid injection) for more than six weeks. Exclusion criteria were prior trigger thumb surgery and documented allergy to local anesthetics. Outcomes were assessed using pain intensity (visual analog scale, VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, and complication rates.Results: The mean VAS for pain improved from 7.4 to 1.1, and the QuickDASH score improved from 55 to 9.4 at the final follow-up. We recorded three minor complications and no major complications.Conclusion: Ultrasound-guided surgical release of the first extensor compartment for De Quervain's disease is a minimally invasive, technologically advanced, and effective treatment option.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102087"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018607","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