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Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair.
The Journal of hand surgery, European volume Pub Date : 2024-12-06 DOI: 10.1177/17531934241300510
Mustafa Akyurek, Gunes Hafiz, Mihrican Sayan
{"title":"Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair.","authors":"Mustafa Akyurek, Gunes Hafiz, Mihrican Sayan","doi":"10.1177/17531934241300510","DOIUrl":"https://doi.org/10.1177/17531934241300510","url":null,"abstract":"<p><p>This study investigates the impact of proximal interphalangeal joint palmar plate injury on outcomes of flexor tendon repair in zone 2, excluding cases with fractures or dislocations. A retrospective review of 47 digits in 45 patients treated between 2014 and 2022 was conducted, analysing surgical notes, ultrasound images and patient photographs. The palmar plate was injured in 17 digits and intact in 30. Outcomes were assessed using the Strickland criteria for active range of movement 6 months postoperatively. Our analysis revealed that palmar plate injuries significantly affect flexor tendon repair outcomes, with a normal palmar plate increasing the likelihood of excellent recovery by 18 times. Although previous studies indicate no consensus on the impact of flexor digitorum superficialis repair, our findings emphasize the importance of palmar plate integrity. Nerve injury and flexor digitorum superficialis repair did not show significant effects on recovery in this cohort. Our study provides valuable insights into the importance of the injury to the palmar plate.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241300510"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788331","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
Using ring-pins for the treatment of ulnar styloid fractures.
The Journal of hand surgery, European volume Pub Date : 2024-12-05 DOI: 10.1177/17531934241300513
Sotetsu Sakamoto, Yasunori Hattori, Kazuteru Doi
{"title":"Using ring-pins for the treatment of ulnar styloid fractures.","authors":"Sotetsu Sakamoto, Yasunori Hattori, Kazuteru Doi","doi":"10.1177/17531934241300513","DOIUrl":"https://doi.org/10.1177/17531934241300513","url":null,"abstract":"<p><p>We report the use of 1.0 mm ring-pins for ulnar styloid fractures. Ten patients treated with ring-pins showed good clinical results, achieving bone union without complications. Ring-pins offer a simple, reliable alternative to traditional tension band wiring.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241300513"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782326","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
Long-term survivorship of the Herbert ulnar head prosthesis: a multicentre retrospective cohort study. 赫伯特尺骨头假体的长期存活率：一项多中心回顾性队列研究。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241238938
Lucy C Maling, Andrew M Smith, Mark Williamson
{"title":"Long-term survivorship of the Herbert ulnar head prosthesis: a multicentre retrospective cohort study.","authors":"Lucy C Maling, Andrew M Smith, Mark Williamson","doi":"10.1177/17531934241238938","DOIUrl":"10.1177/17531934241238938","url":null,"abstract":"<p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1350-1355"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295693","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
Outcomes of glenohumeral dysplasia after brachial plexus birth injury using the Sup-ER orthosis. 使用Sup-ER矫形器治疗臂丛神经产伤后的盂肱关节发育不良。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241242004
Nathan Khabyeh-Hasbani, Ann Marie Feretti, Victoria Ferrante, Manisha Joshi, Megan Gotleib-Horowitz, Steven M Koehler
{"title":"Outcomes of glenohumeral dysplasia after brachial plexus birth injury using the Sup-ER orthosis.","authors":"Nathan Khabyeh-Hasbani, Ann Marie Feretti, Victoria Ferrante, Manisha Joshi, Megan Gotleib-Horowitz, Steven M Koehler","doi":"10.1177/17531934241242004","DOIUrl":"10.1177/17531934241242004","url":null,"abstract":"<p><p>We investigated the efficacy of the supination-external rotation ('Sup-ER') orthosis, designed as a non-operative treatment to maintain normal anatomical growth of the shoulder, on the progression of glenohumeral dysplasia in patients with brachial plexus birth injuries. The Sup-ER orthosis was fabricated for 20 infants diagnosed with glenohumeral dysplasia after brachial plexus birth injuries and its success in correcting glenohumeral dysplasia was confirmed by objective calculations of the alpha angle on serial ultrasound findings and improvement in Active Movement Scale scores. Of the 20 patients, 14 had successful resolution of glenohumeral dysplasia, confirmed by shoulder abduction, shoulder flexion, external rotation and supination, Active Movement Scale scores and improving alpha angle measurements. Failure to rectify glenohumeral dysplasia, evidenced by worsening ultrasound findings and Active Movement Scale scores, necessitated a change to operative management in six patients.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1334-1339"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295694","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
Wide-awake surgery using local anaesthesia with adrenaline for ulnar nerve decompression and medial epicondylectomy. 使用肾上腺素局部麻醉进行尺神经减压和内上髁切除术的宽醒手术。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1177/17531934241252518
Rex Wang-Fung Mak, Michael Chu-Kay Mak, Pak-Cheong Ho
{"title":"Wide-awake surgery using local anaesthesia with adrenaline for ulnar nerve decompression and medial epicondylectomy.","authors":"Rex Wang-Fung Mak, Michael Chu-Kay Mak, Pak-Cheong Ho","doi":"10.1177/17531934241252518","DOIUrl":"10.1177/17531934241252518","url":null,"abstract":"<p><p>Ulnar nerve decompression with medial epicondylectomy was performed under Wide-Awake Local Anaesthesia No Tourniquet (WALANT) for cubital tunnel syndrome. Prospective investigation showed that WALANT is a safe and effective method of anaesthesia with good patient satisfaction.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1362-1364"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083077","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
A systematic review of management options for symptomatic scaphometacarpal impingement after trapeziectomy. 对斜方肌切除术后有症状的肩胛掌撞击的治疗方案进行系统回顾。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241240858
Tomos Richards, Ryan W Trickett
{"title":"A systematic review of management options for symptomatic scaphometacarpal impingement after trapeziectomy.","authors":"Tomos Richards, Ryan W Trickett","doi":"10.1177/17531934241240858","DOIUrl":"10.1177/17531934241240858","url":null,"abstract":"<p><p>Pain after trapeziectomy is a vexing problem, most commonly due to scaphometacarpal impingement. A number of treatment strategies have been described and are examined in this systematic review. In total, 27 studies describing revision surgery for unsatisfactory results after trapeziectomy were included. Results after soft tissue or synthetic suspensionplasties, arthrodesis procedures, implant arthroplasty and costochondral autografting were included. Most studies were heterogeneous in terms of patient selection and procedure performed, and the level of evidence and methodological quality were uniformly low. Autologous suspensionplasty procedures are the best studied and most rigorously reported techniques, with modest improvements in pain widely reported. Newer techniques using synthetic suture button suspension are encouraging with the benefit of earlier mobilization but require further study. Due to high incidences of complication and revision, the literature does not support the use of implant arthroplasty after trapeziectomy. Arthrodesis appears to be a reasonable last resort when attempts at suspension have failed.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1340-1349"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295689","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
How to follow up patients with brachial plexus birth palsy in the long term: a survey of expert opinion. 如何对臂丛神经出生麻痹患者进行长期随访：专家意见调查。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-04-25 DOI: 10.1177/17531934241247743
Stijn G C J de Joode, Martijn G M Schotanus, Lodewijk W van Rhijn, Steven K Samijo
{"title":"How to follow up patients with brachial plexus birth palsy in the long term: a survey of expert opinion.","authors":"Stijn G C J de Joode, Martijn G M Schotanus, Lodewijk W van Rhijn, Steven K Samijo","doi":"10.1177/17531934241247743","DOIUrl":"10.1177/17531934241247743","url":null,"abstract":"<p><p>There is no generally accepted diagnostic, treatment and follow-up algorithm for brachial plexus birth palsy in the current literature. This study evaluates the opinion of experts in the field of brachial plexus birth palsy surgery, to provide a follow-up guideline. A total of 35 experts attending an international meeting with a mean of 21.5 years (SD 10.1) of experience in the field filled out a questionnaire to evaluate the following: (1) the surgeons' background; (2) clinical follow-up; (3) radiological follow-up; and (4) International Classification of Functioning, Disability and Health (ICF) domains. A mean of 40 new brachial plexus birth palsy patients were seen per year by each expert, of which 36% needed surgery. In total, 27 experts scheduled a regular follow-up every year and the majority (83%) believed that standardized long-term clinical follow-up is necessary. However, standardized radiological follow-up is not necessary. Only 13 of 34 participants used patient-reported outcome measures to investigate ICF domains.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1367-1372"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867980","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
Surgeon variation in rates of surgery for trapeziometacarpal osteoarthritis in the United States. 美国外科医生对肩胛骨骨关节炎手术率的差异。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1177/17531934241252014
Floor A Davids, Niels Brinkman, David Ring, Julie E Adams
{"title":"Surgeon variation in rates of surgery for trapeziometacarpal osteoarthritis in the United States.","authors":"Floor A Davids, Niels Brinkman, David Ring, Julie E Adams","doi":"10.1177/17531934241252014","DOIUrl":"10.1177/17531934241252014","url":null,"abstract":"<p><p>We identified wide variation in surgery for trapeziometacarpal osteoarthritis among surgeons in the United States, with 42% performing no surgery, a median rate of surgery of 1.9/year, and 2% performed more than 30 procedures annually, representing 15% of all surgical procedures for TMC arthritis.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1365-1366"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083062","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
Long-term outcome of the Sauvé-Kapandji procedure in patients with post-traumatic distal radioulnar joint disorders. Sauvé-Kapandji手术对创伤后远端桡肘关节紊乱患者的长期疗效。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241242678
Gijs P Debeij, Pascal F W Hannemann, Jan A Ten Bosch
{"title":"Long-term outcome of the Sauvé-Kapandji procedure in patients with post-traumatic distal radioulnar joint disorders.","authors":"Gijs P Debeij, Pascal F W Hannemann, Jan A Ten Bosch","doi":"10.1177/17531934241242678","DOIUrl":"10.1177/17531934241242678","url":null,"abstract":"<p><p>The aims of this study were to retrospectively assess the occurrence of complications or need for secondary wrist procedures after the Sauvé-Kapandji procedure, and to prospectively assess patient-reported outcomes at long-term follow-up. All patients treated with the Sauvé-Kapandji procedure in our tertiary referral hospital between January 2008 and September 2021 were identified and contacted to complete the Quick Disabilities of the Arm, Shoulder, and Hand and the Patient-Rated Wrist/Hand Evaluation outcome measures. In total, 30 patients, with a median follow-up of 82 months, were included in this study. Complications occurred in 6 of 30 patients, which resulted in six secondary wrist procedures. Mean Quick Disabilities of the Arm, Shoulder, and Hand and Patient-Rated Wrist/Hand Evaluation scores were 30.1 and 33.6, respectively. We conclude that in respect of long-term outcomes, the Sauvé-Kapandji procedure can still be deemed to be a useful procedure, especially in patients with few other reconstructive options.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1313-1317"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The failed adult traumatic brachial plexus reconstruction. 成人创伤性臂丛神经重建失败。
The Journal of hand surgery, European volume Pub Date : 2024-12-01 Epub Date: 2024-02-19 DOI: 10.1177/17531934241231170
Ellen Y Lee, Nicholas Pulos, Allen T Bishop, Robert J Spinner, Alexander Y Shin
{"title":"The failed adult traumatic brachial plexus reconstruction.","authors":"Ellen Y Lee, Nicholas Pulos, Allen T Bishop, Robert J Spinner, Alexander Y Shin","doi":"10.1177/17531934241231170","DOIUrl":"10.1177/17531934241231170","url":null,"abstract":"<p><p>Traumatic adult brachial plexus injuries typically cause immediate loss of upper limb function. Timely multidisciplinary treatment in specialized centres often results in a useful helper arm. Both the patient and the surgical team can benefit from an open discussion to set realistic expectations. Surgical reconstruction is customized for each patient, considering their injury factors and functional objectives. Optimizing pain control, adherence to procedure indications and using meticulous surgical techniques help minimize the risk of failing to meet the patient's goals. The need for potential alternative treatment(s) if the desired result is not achieved should be detailed before the initial reconstruction. This review discusses late treatment options, including tendon transfers, joint fusions, free functioning muscle transfers and prosthetics, for managing the failed primary reconstruction of the traumatic adult brachial plexus.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1298-1312"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907257","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
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