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Volar locking plates versus external fixation and adjuvant pin fixation in unstable distal radius fractures: a randomized, controlled study.

J Hand Surg Am. 2013 Aug;38(8):1469-76

Authors: Williksen JH, Frihagen F, Hellund JC, Kvernmo HD, Husby T

Abstract
PURPOSE: To determine whether volar locking plates are superior to external fixation with adjuvant pins in the treatment of unstable distal radius fractures.
METHODS: A total of 111 unstable distal radius fractures were randomized to treatment with external fixation (EF) using adjuvant pins or with a volar locking plate (VLP). The mean age of the patients was 54 years (range, 20-84 y). Seven patients were lost to follow-up. At 1 year, 104 patients were assessed with a visual analog scale pain score, Mayo wrist score, Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH), range of motion, and radiological evaluation. The QuickDASH score at 52 weeks was the primary outcome measure.

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Treatment of the Complete Ring Avulsion Injury.

J Hand Surg Am. 2013 Jul 23;

Authors: Rawles RB, Deal DN

PMID: 23890392 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890392?dopt=Abstract

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Clinical commentary in response to "Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: A randomized clinical trial".

J Hand Ther. 2013 Jul-Sep;26(3):202-3

Authors: Michaud E, Hurov J

PMID: 23870761 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23870761?dopt=Abstract

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The effect of finger joint hypomobility on precision grip force.

J Hand Ther. 2013 Jul 15;

Authors: de Souza Campos C, Bracht MA, Dos Santos MJ

Abstract
STUDY DESIGN: Repeated measures experiment.
INTRODUCTION: Traumatic injuries and certain other diseases of the hand typically affect mobility of the finger joints. Decreased mobility may alter grip force control while one is grasping and lifting objects. However, the effect of finger joint hypomobility on grip force control has not yet been systematically investigated.
PURPOSE OF THE STUDY: The aim of this study was to investigate the effects of limited finger joint mobility, without other associated symptoms like pain, or sensory/proprioceptive deficits, on precision grip force control.
METHODS: Fifteen healthy subjects performed a pinching and lifting task of an object equipped with a force sensor and an accelerometer, via opposition of the thumb and index finger, in the following experimental conditions: unrestricted finger joint movement (UJM), restricted finger flexion (RFF), restricted finger extension (RFE), mock restricted flexion (MRF), mock restricted extension (MRE). The following pinch force variables were measured and analyzed: grip force at lift off, grip force peak, load force peak, latency, and static force.

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CORR Insights(®): Factors Associated With Survey Response in Hand Surgery Research.

Clin Orthop Relat Res. 2013 Jul 13;

Authors: Freedman BA

PMID: 23852736 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23852736?dopt=Abstract

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Carpal tunnel syndrome and trigger digit: common diagnoses that occur "hand in hand".

J Hand Surg Am. 2013 Aug;38(8):1635-7

Authors: Gancarczyk SM, Strauch RJ

PMID: 23849736 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23849736?dopt=Abstract

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Isolated Lunotriquetral Ligament Tears Treated With Ulnar Shortening Osteotomy.

J Hand Surg Am. 2013 Aug;38(8):1492-1497

Authors: Mirza A, Mirza JB, Shin AY, Lorenzana DJ, Lee BK, Izzo B

Abstract
PURPOSE: To evaluate outcomes in a single-surgeon series of ulnar shortening osteotomy for the treatment of traumatic isolated tears to the lunotriquetral interosseous ligament (LTIL).
METHODS: This study includes 53 consecutive cases of posttraumatic isolated LTIL tears treated with ulnar shortening osteotomy with minimum 1-year follow-up (range, 1.0-10.6 y). We confirmed all LTIL tears via arthroscopy before performing a precision 2.5-mm oblique osteotomy using a modified Rayhack technique. We assessed outcomes using grip strength measurements and Chun and Palmer's modified Gartland Werley wrist scoring system, which includes subjective and objective outcome measures.
RESULTS: Preoperatively, 45 cases were graded as fair (28%; n = 15) or poor (57%; n = 30) on the modified Gartland Werley score. There were insufficient data to calculate grades in 8 cases (15%). At final follow-up, most patients exhibited excellent (51%; n = 27) or good (32%; n = 17) scores, some scored fair (17%; n = 9), and none scored as poor. All subjective and objective variables significantly improved over a mean follow-up of 36 months (range, 12-127 mo). Mean grip strength increased from a value of 23 kg before surgery to 33 kg over the same period, a 41%

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Use of Kirschner Wires With Eyelets for Tension Band Wiring of Olecranon Fractures.

J Hand Surg Am. 2013 Jul 9;

Authors: Kim JY, Lee YH, Gong HS, Lee SL, Lee SK, Baek GH

Abstract
PURPOSE: To evaluate the clinical and radiographic outcomes of tension band wiring of displaced olecranon fractures treated using Kirschner wires with eyelets to assess their clinical performance with respect to complications such as backing out of the K-wires, restriction of forearm rotation, and neurovascular injury.
METHODS: The authors retrospectively reviewed 44 patients treated for an isolated, displaced olecranon fracture and checked range of motion, postoperative pain, complications, and incidence of hardware removal. The mean follow-up period was 41 months (range, 26-73 mo).
RESULTS: All fractures united, and anatomical reduction was achieved in all cases at final follow-up. Mean elbow flexion was 135° (range, 115° to 140°), and mean elbow extension was 4° (range, 0° to 15°). No pin migration, restriction of forearm rotation, or neurovascular injury occurred. Hardware removal was performed in 8 cases (18%). Compared to previous results with conventional Kirschner wires, no meaningful improvement in postoperative pain level or in the rate of hardware removal was observed.

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The association between glomus tumors and neurofibromatosis.

J Hand Surg Am. 2013 Aug;38(8):1571-4

Authors: Harrison B, Moore AM, Calfee R, Sammer DM

Abstract
PURPOSE: To determine whether an epidemiologic association exists between glomus tumors and neurofibromatosis.
METHODS: Using a pathology database, we established a study cohort consisting of all patients who had undergone excision of a glomus tumor of the hand between 1995 and 2010. We created a control cohort by randomly selecting 200 patients who had undergone excision of a ganglion cyst over the same period. We reviewed medical records for each cohort to identify patients with a diagnosis of neurofibromatosis. We calculated the odds ratio was calculated and performed Fisher's exact test to determine the significance of the association.
RESULTS: We identified 21 patients with glomus tumors of the hand. Six of these patients carried the diagnosis of neurofibromatosis (29%). In contrast, no patients in the control group carried the diagnosis of neurofibromatosis. The odds ratio for a diagnosis of neurofibromatosis in association with a glomus tumor compared with controls was 168:1.