Hand & Wrist Reconstruction Journal Scan

Related Articles

Reconstruction of both volar and dorsal limbs of the scapholunate interosseous ligament.

J Hand Surg Am. 2013 Aug;38(8):1625-34

Authors: Henry M

Abstract
Complete scapholunate interosseous ligament deficiency can lead to pain, reduced functional performance, and scapholunate advanced collapse arthritis. Efforts to restore carpal stability began with procedures to tether scaphoid motion. Techniques evolved to include multiple differing strategies of linking the scaphoid to the lunate dorsally in the transverse plane. Actually restoring stability has proven elusive owing to the impossibility of truly replicating the original anatomy and the multidirectional forces to which the scapholunate interface is subjected. The described surgical technique differs from others by reconstructing both the volar and dorsal limbs of the scapholunate ligament and accounting for the multiple force vectors involved in scapholunate instability.

PMID: 23890501 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890501?dopt=Abstract

Related Articles

Image-guided distal radius osteotomy using patient-specific instrument guides.

J Hand Surg Am. 2013 Aug;38(8):1618-24

Authors: Kunz M, Ma B, Rudan JF, Ellis RE, Pichora DR

Abstract
In this article, we describe a method for computer-assisted distal radius osteotomies in which computer-generated, patient-specific plastic guides are used for intraoperative guidance. Before surgery, the correction and plate location are planned using computed tomography scans for both radii and ulnae, and the planned locations of the distal and proximal drill holes for the plate are saved. A plastic, patient-specific instrument guide is created using a rapid prototyping machine into which a mirror image of intraoperative, accessible bone structure of the distal radius is integrated. This allows for unique positioning of the guide during surgery. For each planned drill location, a guidance hole is incorporated into the guide. During surgery, a conventional incision is made, and the guide is positioned on the radius. The surgeon drills the holes for the plate screws into the intact radius and performs the osteotomy using the conventional technique. Using the predrilled holes, the surgeon affixes the plate to the radius fragments. The guides are easy to integrate into the surgical workflow and minimize the need for intraoperative fluoroscopy for guidance of the procedure.

PMID: 23890500 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890500?dopt=Abstract

Related Articles

A historical perspective on the essex-lopresti injury.

J Hand Surg Am. 2013 Aug;38(8):1599-606

Authors: McGlinn EP, Sebastin SJ, Chung KC

Abstract
An Essex-Lopresti injury is a fracture of the radial head with concomitant dislocation of the distal radioulnar joint and rupture of the interosseous membrane. Poor outcomes have been associated with this rare injury if the dislocation of the distal radioulnar joint is missed in the acute setting. This injury is named after the British orthopedic surgeon Peter Essex-Lopresti, who made a number of important observations about this injury in 1951. Peter Essex-Lopresti was a promising young surgeon, and his untimely death at the age of 35 brought an early end to a remarkable career. This article investigates the evolution of treatment for this injury and sheds light on the life of the surgeon for whom the injury is named.

PMID: 23890499 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890499?dopt=Abstract

Related Articles

Factitious hand disorders: review of 29 years of multidisciplinary care.

J Hand Surg Am. 2013 Aug;38(8):1590-8

Authors: O'Connor EA, Grunert BK, Matloub HS, Eldridge MP

Abstract
PURPOSE: To improve our understanding of factitious hand disorders with a review of our experience over 29 years in a multidisciplinary hand center.
METHODS: A retrospective chart review was performed to identify workers' compensation patients treated for factitious hand disorders in the multidisciplinary hand center between January 1981 and September 2010. Multidisciplinary evaluation at this center involved evaluation by hand surgeons, occupational therapists, and psychologists. Data collected include age, sex, race, educational level, clinical presentation, number of diagnostic tests, number of surgeries, time to referral to the multidisciplinary center, direct cost of care, psychological diagnosis, Minnesota Multiphasic Personality Inventory, treatment modalities, and work status.

Related Articles

Pain and carpal tunnel syndrome.

J Hand Surg Am. 2013 Aug;38(8):1540-6

Authors: Duckworth AD, Jenkins PJ, Roddam P, Watts AC, Ring D, McEachan JE

Abstract
PURPOSE: Pain is not a classical symptom of carpal tunnel syndrome (CTS), with the exception of numbness that is so intense that it is described by patients as painful. The primary aim of our study was to determine which factors correlated with pain for patients diagnosed with CTS.
METHODS: We prospectively assessed all patients diagnosed with CTS in our unit over a 1-year period. We recorded demographic details for all patients, including past medical history, body mass index, smoking, and occupation. The diagnosis and severity of carpal tunnel syndrome were established through a combination of history, clinical assessment, and nerve conduction studies. Of 275 patients diagnosed and treated for CTS, 183 were women (67%), the mean age was 55 years (range, 22-87 y), and 166 cases were bilateral (60%). The mean body mass index was 29.5 kg/m(2) (range, 17-48 kg/m(2)), and 81 patients smoked (30%). Patients completed a Short Form-McGill pain questionnaire (SF-MPQ) as a measure of pain at initial presentation. We assessed outcome 1 year after intervention using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score.

Related Articles

Commentary on "articular cartilage thickness at the distal radius: a cadaveric study".

J Hand Surg Am. 2013 Aug;38(8):1482-3

Authors: Garcia-Elias M

PMID: 23890494 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890494?dopt=Abstract

Related Articles

Clinical outcomes of endoscopic carpal tunnel release in patients 65 and over.

J Hand Surg Am. 2013 Aug;38(8):1524-9

Authors: Beck JD, Wingert NC, Rutter MR, Irgit KS, Tang X, Klena JC

Abstract
PURPOSE: To examine outcomes of endoscopic carpal tunnel release (ECTR) in patients 65 and older. We hypothesized that this population could expect relief of pain, night pain/numbness, and numbness.
METHODS: A retrospective review was conducted of all patients 65 years of age and over who had ECTR for nerve conduction study-confirmed carpal tunnel syndrome (CTS) from October 2007 to July 2010. The charts were reviewed for demographic data, symptoms and physical findings, patient satisfaction, and 3 patient-reported outcome scores. Preoperative and postoperative results for pain, night pain/numbness, and numbness were compared. Logistic regression analysis was used to assess whether age influenced symptom resolution. Boston carpal tunnel, Short Form-36 and Disabilities of the Arm, Shoulder, and Hand scores were compared between patients with mild, moderate, or severe CTS.

Related Articles

Pediatric Terrible Triad Elbow Fracture Dislocations: Report of 2 Cases.

J Hand Surg Am. 2013 Jul 23;

Authors: Dailiana ZH, Papatheodorou LK, Michalitsis SG, Varitimidis SE

Abstract
An elbow dislocation associated with radial head and coronoid process fractures, the terrible triad injury, has an unpredictable outcome in adults and is rare in children. We present 2 such injuries in children, 1 combined with an olecranon fracture, and both with good early clinical outcomes. However, in 1 of the 2 cases, avascular necrosis of the proximal radius was evident on radiographs.

PMID: 23890394 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890394?dopt=Abstract

Related Articles

Clinical and radiological results of radiolunate arthrodesis for rheumatoid arthritis: 22 wrists followed for an average of 7 years.

J Hand Surg Am. 2013 Aug;38(8):1484-91

Authors: Motomiya M, Iwasaki N, Minami A, Matsui Y, Urita A, Funakoshi T

Abstract
PURPOSE: To evaluate the clinical and radiological results of radiolunate (RL) arthrodesis for rheumatoid arthritis (RA) patients treated with disease-modifying antirheumatic drugs and/or biologicals with an average of 7 years of follow-up. In addition, we compared the results in advanced stages with those in less advanced stages in patients with comparatively low disease activity of RA.
METHODS: This study included RL arthrodesis for 22 wrists in 19 patients with comparatively low disease activity of RA. The mean follow-up period was 7 years (range, 2-16 y). Fourteen wrists with Larsen classification grade III and 8 wrists with grade IV were included in this study. The range of motion was calculated, and clinical scores were graded using the Mayo wrist score and the Stanley classification. The carpal height ratio (CHR) and ulnar translation (UT) were determined from the radiographs.