Circ-ATAD1 is overexpressed in osteosarcoma (OS) and suppresses the maturation of miR-154-5p to increase cell invasion and migration
CONCLUSIONS: Circ-ATAD1 is overexpressed in OS and suppresses miR-154-5p maturation to increase cell invasion and migration.PMID:34857012 | PMC:PMC8638470 | DOI:10.1186/s13018-021-02809-4 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Jihui Zhou Li Xu Peng Yang Shibang Lin Haizhou Huang Source Type: research

Evaluation of a New Virtual Reality Concept Teaching K-Wire Drilling With Force Feedback Simulated Haptic in Orthopedic Skills Training
CONCLUSIONS: Training with the VR simulator for K-wire insertion resulted in better surgical skills than training by a surgeon and cadaver model.CLINICAL RELEVANCE: Training with the VR simulator provides the opportunity to improve and refine surgical skills without the risk of harming patients. It offers easier access, unlimited repetitions, and is more cost-effective compared with training sessions with cadavers.PMID:34857404 | DOI:10.1016/j.jhsa.2021.09.008 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Michaela Huber Uwe Katzky Karolina M üller Markus Bl ätzinger Wolfgang Goetz Peter Grechenig Daniel Popp Katharina Angerpointner Source Type: research

Risk of Total Wrist Arthrodesis Following Proximal Row Carpectomy: An Analysis of 1,070 Patients
This study aimed to investigate the patient and procedure factors that are associated with increased risk for conversion to TWA in a large cohort of patients who underwent PRC.METHODS: The current procedural technology codes identified patients in a National Veteran's Health database undergoing a PRC over a 26-year period. Risk factors of interest comprised age, posterior interosseous nerve neurectomy, wrist arthritis pattern, bilateral surgery, smoking, comorbidities, and preoperative opioid use. The primary outcome was the rate of conversion to TWA. Cox proportional hazard regression was used to create hazard ratios of s...
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Michelle Zeidan Brittany N Garcia Chao-Chin Lu Andrew R Stephens Wei Chen Nikolas H Kazmers Brian C Sauer Andrew R Tyser Source Type: research

Application of "Hand as Foot" analogy method in palatine bones anatomy teaching
Asian J Surg. 2021 Nov 29:S1015-9584(21)00698-9. doi: 10.1016/j.asjsur.2021.11.022. Online ahead of print.NO ABSTRACTPMID:34857458 | DOI:10.1016/j.asjsur.2021.11.022 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Zhengrui Li Yuan Liu Ling Zhang Rui Liu Source Type: research

Virtual Interactive Surgical Skills Classroom: A Parallel-group, Non-inferiority, Adjudicator-blinded, Randomised Controlled Trial (VIRTUAL)
CONCLUSIONS: VCT provides greater accessibility and resource efficiency compared to FFT, with similar educational benefit. VCT has the potential to improve global availability and accessibility of surgical skills training.PMID:34857499 | DOI:10.1016/j.jsurg.2021.11.004 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Arjun Nathan Monty Fricker Maria Georgi Sonam Patel Man Kien Hang Aqua Asif Amil Sinha William Mullins Jessie Shea Nancy Hanna Massimo Monks David Peprah Akash Sharma George Ninkovic-Hall Benjamin W Lamb John Kelly Ashwin Sridhar Justin W Collins Source Type: research

Influence of the flexor digitorum superficialis tendon transfer on grip strength
J Hand Surg Eur Vol. 2021 Dec 3:17531934211061220. doi: 10.1177/17531934211061220. Online ahead of print.ABSTRACTThe flexor digitorum superficialis tendon of the ring finger can be transferred to the thumb flexor. We followed ten patients after such a transfer for 5-128 months and measured grip strength and force transmission of the fingers and individual phalanges while the patients gripped 10-cm or 20-cm diameter cylinders. The grip strength of the middle, ring and little fingers was reduced when gripping the 10-cm cylinder, with a significantly larger decrease in the ring finger. With the 20-cm cylinder, grip forces of ...
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Angelina Garkisch Stefanie Schmitt Nicole Kim Dagmar-C Fischer Karl-Josef Prommersberger Marion M ühldorfer-Fodor Source Type: research

Clinical and radiological results of distal radioulnar joint arthroplasty with the Aptis prosthesis
We report the results of the treatment of disorders of the distal radioulnar joint with the semi-constrained Aptis prosthesis. Nineteen patients were assessed at a mean follow-up of 7 years. All patients had been operated on previously at the wrist, forearm or elbow. The Disabilities of Arm, Shoulder and Hand score had a mean value of 40, the Patient-Rated Wrist Evaluation score had a mean of 49 and the visual analogue scale for pain had a mean of 3.9. The mean ranges of pronation, supination, wrist flexion and wrist extension were 78°, 76°, 60° and 51°, respectively. The mean grip strength was 23 kg. Compl...
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Delphine Lambrecht Wim Vanhove Nadine Hollevoet Source Type: research

"Efficacy and safety of monopolar versus bipolar radial head arthroplasty: A systematic review and meta-analysis"
CONCLUSIONS: No significant difference was found between monopolar and bipolar radial head prostheses in terms of efficacy and safety. Therefore, high-quality randomized controlled trials are required to determine the superiority of one design over the other.PMID:34861403 | DOI:10.1016/j.jse.2021.10.037 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Elsayed Said Mohamed Ameen Ali A Sayed Khaled H Mosallam Ahmed M Ahmed Hamdy Tammam Source Type: research

Rehabilitation for atraumatic shoulder instability in circus arts performers: delivered via telehealth
J Shoulder Elbow Surg. 2021 Nov 30:S1058-2746(21)00812-0. doi: 10.1016/j.jse.2021.10.033. Online ahead of print.ABSTRACTBACKGROUND: The Watson Instability Program (WIP1) is current best evidence for conservative management of atraumatic shoulder instability, but it is unknown if this program can be effectively delivered via teleconsultation. The purpose of this longitudinal pre-post intervention study was to determine the effects of the Watson Instability Shoulder Program on patient reported outcome measures, scapula position, shoulder strength and handstand stability in student circus performers with atraumatic shoulder i...
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Charlotte L Ganderton Oren Tirosh David Munro Denny Meyer Ross Lenssen Simon Balster Lyn Watson Sarah Warby Source Type: research

Sister Mary Joseph's nodule revealing a jejunal adenocarcinoma: A case report
CONCLUSION: Practicians must be aware of clinical implication of Sister Mary Joseph nodule. Aggressive surgery when feasible can be beneficial for survival.PMID:34861547 | DOI:10.1016/j.ijscr.2021.106620 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Dansou Gaspard Gbessi Freddy Hou éhanou Rodrigue Gnangnon Yacoubou Imorou Soua ïbou Kelly Edwin Haag Isma ïl Lawani Delphin Kuassi Mehinto Source Type: research

Circ-ATAD1 is overexpressed in osteosarcoma (OS) and suppresses the maturation of miR-154-5p to increase cell invasion and migration
CONCLUSIONS: Circ-ATAD1 is overexpressed in OS and suppresses miR-154-5p maturation to increase cell invasion and migration.PMID:34857012 | DOI:10.1186/s13018-021-02809-4 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Jihui Zhou Li Xu Peng Yang Shibang Lin Haizhou Huang Source Type: research

Evaluation of a New Virtual Reality Concept Teaching K-Wire Drilling With Force Feedback Simulated Haptic in Orthopedic Skills Training
CONCLUSIONS: Training with the VR simulator for K-wire insertion resulted in better surgical skills than training by a surgeon and cadaver model.CLINICAL RELEVANCE: Training with the VR simulator provides the opportunity to improve and refine surgical skills without the risk of harming patients. It offers easier access, unlimited repetitions, and is more cost-effective compared with training sessions with cadavers.PMID:34857404 | DOI:10.1016/j.jhsa.2021.09.008 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Michaela Huber Uwe Katzky Karolina M üller Markus Bl ätzinger Wolfgang Goetz Peter Grechenig Daniel Popp Katharina Angerpointner Source Type: research

Risk of Total Wrist Arthrodesis Following Proximal Row Carpectomy: An Analysis of 1,070 Patients
This study aimed to investigate the patient and procedure factors that are associated with increased risk for conversion to TWA in a large cohort of patients who underwent PRC.METHODS: The current procedural technology codes identified patients in a National Veteran's Health database undergoing a PRC over a 26-year period. Risk factors of interest comprised age, posterior interosseous nerve neurectomy, wrist arthritis pattern, bilateral surgery, smoking, comorbidities, and preoperative opioid use. The primary outcome was the rate of conversion to TWA. Cox proportional hazard regression was used to create hazard ratios of s...
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Michelle Zeidan Brittany N Garcia Chao-Chin Lu Andrew R Stephens Wei Chen Nikolas H Kazmers Brian C Sauer Andrew R Tyser Source Type: research

Application of "Hand as Foot" analogy method in palatine bones anatomy teaching
Asian J Surg. 2021 Nov 29:S1015-9584(21)00698-9. doi: 10.1016/j.asjsur.2021.11.022. Online ahead of print.NO ABSTRACTPMID:34857458 | DOI:10.1016/j.asjsur.2021.11.022 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Zhengrui Li Yuan Liu Ling Zhang Rui Liu Source Type: research

Virtual Interactive Surgical Skills Classroom: A Parallel-group, Non-inferiority, Adjudicator-blinded, Randomised Controlled Trial (VIRTUAL)
CONCLUSIONS: VCT provides greater accessibility and resource efficiency compared to FFT, with similar educational benefit. VCT has the potential to improve global availability and accessibility of surgical skills training.PMID:34857499 | DOI:10.1016/j.jsurg.2021.11.004 (Source: Hand Surgery)
Source: Hand Surgery - December 3, 2021 Category: Surgery Authors: Arjun Nathan Monty Fricker Maria Georgi Sonam Patel Man Kien Hang Aqua Asif Amil Sinha William Mullins Jessie Shea Nancy Hanna Massimo Monks David Peprah Akash Sharma George Ninkovic-Hall Benjamin W Lamb John Kelly Ashwin Sridhar Justin W Collins Source Type: research

Electric Scooter-Related Upper Limb Fractures: Analysis of 458 Cases
CONCLUSIONS: The most common ULF associated with e-scooters was the radial head fracture. Physicians should be alert to and seek associated fractures during initial assessments of e-scooter-related upper limb injuries. Further investigation may be warranted to evaluate the effectiveness of protective measures in reducing the number of injuries.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.PMID:34852957 | DOI:10.1016/j.jhsa.2021.09.033 (Source: Hand Surgery)
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Shai Factor Or Shaked Franck Atlan Tamir Pritsch Ittai Shichman Source Type: research

Current status of robot-assisted minimally invasive esophagectomy: what is the real benefit?
Surg Today. 2021 Dec 1. doi: 10.1007/s00595-021-02432-0. Online ahead of print.ABSTRACTRobot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer has been performed increasingly frequently over the last few years. Robotic systems with articulated devices and tremor filtration allow surgeons to perform such procedures more meticulously than by hand. The feasibility of RAMIE has been demonstrated in several retrospective comparative studies, which showed similar short-term outcomes to conventional minimally invasive esophagectomy (cMIE). Considering the number of harvested lymph nodes, RAMIE may be superio...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Jun Kanamori Masayuki Watanabe Suguru Maruyama Yasukazu Kanie Daisuke Fujiwara Kei Sakamoto Akihiko Okamura Yu Imamura Source Type: research

Management and outcomes of flexor tendon repairs at a peripheral hospital: a New Zealand case series study
This study evaluated a peripheral hospital in New Zealand; where all flexor tendon repairs were performed by a generalist Orthopaedic service. The purpose of the study was to benchmark management and outcomes from a peripheral hospital in comparison to international standards.METHODS: A retrospective single-centre consecutive case series of Zones I and II flexor tendon repairs was extracted between 1 January 2014 and 1 January 2018. Medical records were used to evaluate management and outcomes of repairs. Hand therapy notes were used to evaluate rehabilitation protocols provided. The primary objective was to measure re-rup...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Yuxuan Zhou Sanjeev Krishna Paul Kenneth Sharplin Source Type: research

Preparation for Hand Surgery Fellowship: A Comparison of Resident Training Pathways
Plast Reconstr Surg. 2021 Dec 2. doi: 10.1097/PRS.0000000000008615. Online ahead of print.NO ABSTRACTPMID:34855700 | DOI:10.1097/PRS.0000000000008615 (Source: Hand Surgery)
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: David Mitchell Allison Laffoon Aashish Rajesh Source Type: research

Reliability of deep branch of ulnar nerve identification in interosseous-to-ulnar motor nerve transfer: a cadaver study of 20 wrists
Hand Surg Rehabil. 2021 Nov 29:S2468-1229(21)00630-7. doi: 10.1016/j.hansur.2021.11.006. Online ahead of print.ABSTRACTReinnervation of the intrinsic hand muscles after proximal ulnar nerve repair is often unsatisfactory. Promising results have nevertheless been reported recently for supercharged end-to-side anterior interosseous to deep branch of the ulnar nerve (DBUN) transfer. The aim of this study was to determine whether the DBUN can be reliably identified without retrograde intraneural dissection from Guyon's canal. Twenty cadaveric wrists were dissected. In a first stage, nerve transfer was performed through a limit...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: S Moling A Heitz J Ruyer Source Type: research

Minimally Invasive Interphalangeal Arthrodesis
We describe a technique of resecting bone cartilage and getting stable fixation with 2 mini incisions, 1 lateral and 1 in the digital pulp. Using a digital block anesthesia and under fluoroscopy, a small round burr is introduced into the joint by a lateral joint line stab incision. The joint space is enlarged by manual traction on the finger. After adequate cartilage resection, good bone to bone contact in an adequate position is fixed with a cannulated Herbert screw inserted percutaneously by the finger pulp. We describe 4 cases operated with this technique, 3 for pain and 1 for esthetics. All 4 demonstrated good results ...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Celso R Folberg Jairo Andr é O Alves Fernando M S Pereira Source Type: research

Electric Scooter-Related Upper Limb Fractures: Analysis of 458 Cases
CONCLUSIONS: The most common ULF associated with e-scooters was the radial head fracture. Physicians should be alert to and seek associated fractures during initial assessments of e-scooter-related upper limb injuries. Further investigation may be warranted to evaluate the effectiveness of protective measures in reducing the number of injuries.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.PMID:34852957 | DOI:10.1016/j.jhsa.2021.09.033 (Source: Hand Surgery)
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Shai Factor Or Shaked Franck Atlan Tamir Pritsch Ittai Shichman Source Type: research

Current status of robot-assisted minimally invasive esophagectomy: what is the real benefit?
Surg Today. 2021 Dec 1. doi: 10.1007/s00595-021-02432-0. Online ahead of print.ABSTRACTRobot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer has been performed increasingly frequently over the last few years. Robotic systems with articulated devices and tremor filtration allow surgeons to perform such procedures more meticulously than by hand. The feasibility of RAMIE has been demonstrated in several retrospective comparative studies, which showed similar short-term outcomes to conventional minimally invasive esophagectomy (cMIE). Considering the number of harvested lymph nodes, RAMIE may be superio...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Jun Kanamori Masayuki Watanabe Suguru Maruyama Yasukazu Kanie Daisuke Fujiwara Kei Sakamoto Akihiko Okamura Yu Imamura Source Type: research

Management and outcomes of flexor tendon repairs at a peripheral hospital: a New Zealand case series study
This study evaluated a peripheral hospital in New Zealand; where all flexor tendon repairs were performed by a generalist Orthopaedic service. The purpose of the study was to benchmark management and outcomes from a peripheral hospital in comparison to international standards.METHODS: A retrospective single-centre consecutive case series of Zones I and II flexor tendon repairs was extracted between 1 January 2014 and 1 January 2018. Medical records were used to evaluate management and outcomes of repairs. Hand therapy notes were used to evaluate rehabilitation protocols provided. The primary objective was to measure re-rup...
Source: Hand Surgery - December 2, 2021 Category: Surgery Authors: Yuxuan Zhou Sanjeev Krishna Paul Kenneth Sharplin Source Type: research

A 3-Dimensional Suture Technique for Flexor Tendon Repair: A Biomechanical Study
CONCLUSIONS: Porcine flexor tendons repaired using the 3D technique and UHMWPE suture exceeded a 2-mm gap force and tensile strength of 140 N. The ultimate tensile strength was superior to that of the Adelaide technique, regardless of the suture material.CLINICAL RELEVANCE: This in vitro study on porcine flexor tendon suture highlights that the mechanical properties of 3D repair are better than those of 3D repair using the Adelaide technique when a UHMWPE suture is used.PMID:34848101 | DOI:10.1016/j.jhsa.2021.09.030 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Marie Castoldi Federico Solla Olivier Camuzard Martine Pithioux Virginie Rampal Olivier Rosello Source Type: research

Evaluation of burned hand function after enzymatic debridement
J Plast Reconstr Aesthet Surg. 2021 Oct 22:S1748-6815(21)00517-9. doi: 10.1016/j.bjps.2021.09.074. Online ahead of print.ABSTRACTHand burns are common injuries that can result in long-term impairment of hand function. Enzymatic debridement (ED) prevents damage to the viable dermis due to the procedure's selectivity and has become an option for obtaining an accurate depth assessment and enabling wound re-epithelialization with less skin graft use. We conducted a prospective study from July 2015 to July 2018, which enrolled patients with deep partial-thickness hand burns and treated them with ED using bromelain. After a spec...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Carlos Corrales-Ben ítez David Gonz ález-Peinado Álvaro González-Miranda Jos é Ramón Martínez-Méndez Source Type: research

Recent and Chronic Sprains of the First Metacarpo-Phalangeal Joint
The objective of this article is to provide evidence, from both older and recent studies, that guides the choice of the best treatment in clinical practice. To this end, we will address the following questions: What is a Stener lesion? (history and pathophysiology); In addition to the physical examination, what other investigations are appropriate in doubtful cases? (with special attention to the indications of ultrasonography and MRI); What are the clinical and radiological criteria for performing surgery in patients with acute first MCPJ sprains? What reconstruction procedures are appropriate in patients with acute or ch...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Alexandra Forli Antonin Bentejac Gabriel Lateur Denis Corcella Source Type: research

Dangers of Filler Breast Augmentation
Plast Reconstr Surg Glob Open. 2021 Nov 29;9(11):e3898. doi: 10.1097/GOX.0000000000003898. eCollection 2021 Nov.NO ABSTRACTPMID:34849315 | PMC:PMC8615354 | DOI:10.1097/GOX.0000000000003898 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Shubashri Jeyaratnam Janna Joethy Source Type: research

A Systematic Review of Health State Utility Values in the Plastic Surgery Literature
CONCLUSIONS: The HSUV literature within PRS is scant and heterogeneous. Researchers should become familiar with these outcomes, as integrating utility and cost data will help illustrate that the impact of certain interventions are cost-effective when we consider patient quality of life.PMID:34849317 | PMC:PMC8615317 | DOI:10.1097/GOX.0000000000003944 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Adrienne N Christopher Martin P Morris Viren Patel Kevin Klifto John P Fischer Source Type: research

Predictive Factors of Keloid Formation in Congenital Foot Syndactyly
CONCLUSIONS: If digital enlargement in distal phalanx is present when compared with adjacent toe in patients who had undergone primary foot syndactyly divisions, risk of keloid development should be communicated preoperatively, and preventive strategies for keloid development and close observations are required.PMID:34849319 | PMC:PMC8615357 | DOI:10.1097/GOX.0000000000003946 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Sang Ho Oh Sang Hyun Woo Source Type: research

Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
Plast Reconstr Surg Glob Open. 2021 Nov 29;9(11):e3958. doi: 10.1097/GOX.0000000000003958. eCollection 2021 Nov.ABSTRACTDespite the success of composite tissue allograft (CTA) such as face and hand transplant at improving recipients' quality of life, organ donors' hesitation needs to be better understood. The aim of the study was to assess Canadian organ donors' willingness to donate their face and hands, and the efficacy of an educational intervention.METHODS: Canadians registered for organ donation were invited to complete an online survey about CTA. An interactive vignette was introduced part way through to clarify tran...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Ann-Sophie Lafreniere Becher Al-Halabi Stephanie Thibaudeau Claire Temple-Oberle Source Type: research

Invited Discussion on: Prevention of Breast Implant Displacement Using the Acellular Dermal Matrix Garter Belt
Aesthetic Plast Surg. 2021 Nov 30. doi: 10.1007/s00266-021-02685-7. Online ahead of print.NO ABSTRACTPMID:34850251 | DOI:10.1007/s00266-021-02685-7 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Sebastian Cotofana Michael G Alfertshofer Konstantin Frank Dimitry V Melnikov Lysander Freytag Nicholas Moellhoff Source Type: research

Mortality and functional outcomes of fragility fractures of the pelvis by fracture type with conservative treatment: a retrospective, multicenter TRON study
CONCLUSIONS: The survival rate of patients treated by conservative treatment was relatively good. Type III in the Rommens and Hofmann classification was related to lower life expectancy and loss of walking ability.PMID:34850256 | DOI:10.1007/s00068-021-01839-1 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Toshifumi Omichi Yasuhiko Takegami Katsuhiro Tokutake Yuki Saito Osamu Ito Toshihiro Ando Shiro Imagama Source Type: research

The association of bariatric surgery and Dupuytren's disease: a propensity score-matched cohort study
J Hand Surg Eur Vol. 2021 Dec 1:17531934211062023. doi: 10.1177/17531934211062023. Online ahead of print.ABSTRACTWe aimed to assess the association between bariatric surgery and incident Dupuytren's disease (DD) using propensity score-matched cohort studies among Swedish nationwide healthcare registries. Patients aged 30-79 years who underwent bariatric surgery 2006-2019 were matched on their propensity scores, up to two obese bariatric surgery-free (unexposed) patients. We applied Cox proportional hazard regression to calculate hazard ratios (HR) with 95% confidence intervals (CI) for the risk of DD overall, in subgroups ...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Theresa Burkard Jennifer C E Lane Dag Holmberg Anders Thorell Andrea M Burden Dominic Furniss Source Type: research

Carpal tunnel syndrome and finger deformities in children with mucopolysaccharidoses and mucolipidoses: a retrospective review of 52 patients
J Hand Surg Eur Vol. 2021 Dec 1:17531934211061980. doi: 10.1177/17531934211061980. Online ahead of print.ABSTRACTThis single-centre retrospective study reports our management of carpal tunnel syndrome in 52 children (103 hands) with mucopolysaccharidoses and mucolipidoses. All except one were bilateral. The median age at surgery was 4 years (range 1.5 to 12). The diagnosis of carpal tunnel syndrome was confirmed by an electromyogram (EMG) in all patients; 38% of these presented without any clinical signs. Surgical neurolysis was performed in all hands, combined with epineurotomy in 52 hands (50%) and flexor tenosynovectomy...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Cl ément Thirache Mathilde Gaume Cyril Gitiaux Arielle Salon Caroline Dana St éphanie Pannier Source Type: research

Four-corner arthrodesis using the 4Fusion ® quadripodal shape memory staple: a long-term review
J Hand Surg Eur Vol. 2021 Dec 1:17531934211063614. doi: 10.1177/17531934211063614. Online ahead of print.ABSTRACTWe investigated the reliability of the 4Fusion® quadripodal memory staple in a consecutive series of 59 four-corner arthrodeses in a single centre. Forty-one patients (46 wrists) had a radiological and clinical assessment at a mean follow-up of 7.4 years. Thirteen patients (13 wrists) were lost to follow-up. Bone union was achieved in all but one patient. Seven patients were reoperated, six for device removal and one for nonunion. Most patients were satisfied, had a functional range of wrist mobility, good s...
Source: Hand Surgery - December 1, 2021 Category: Surgery Authors: Gwena ël Mevel Aymeric De Geyer Warren Kim Maud Ebalard Micka ël Ropars Thierry Dreano Source Type: research

Optimizing the Virtual Interview Experience for Hand Surgery Fellowships
J Hand Surg Am. 2021 Nov 26:S0363-5023(21)00659-6. doi: 10.1016/j.jhsa.2021.10.008. Online ahead of print.ABSTRACTSimilar to many other medical training programs, fellowship interviews for hand surgery will be conducted virtually for a second consecutive year. We provide strategies for applicants to ideally portray themselves and to learn about fellowship programs. We include approaches for fellowship programs to identify candidates that match their values as a program, as well as ways to provide useful information to applicants about the program's culture. Given that components of virtual interviewing and recruitment will...
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Caroline J Granger Anjali Khosla Daniel A Osei Christopher J Dy Source Type: research

Smaller hands and less experience are associated with greater ergonomic strain during endoscopic procedures
In this study, we sought to quantitatively analyze provider factors that influence ergonomic strain during live endoscopic procedures.METHODS: Surface electromyography (sEMG) was used to measure ergonomic strain on physicians while performing upper and lower endoscopies. EMG data were normalized to a maximal voluntary contraction (MVC) recording for each muscle group, yielding a %MVC value. Subgroup analyses were performed based on glove size, physician training level, specialty, and handedness.RESULTS: A total of 165 upper (n = 68) and lower (n = 97) endoscopies were recorded. Endoscopists with small hand sizes had signif...
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Alexander Shiang Jean S Wang Bradley Kushner Ali K Panahi Michael M Awad Source Type: research

Functional Testing Using a Force Motion Capture Device for Hand Surgery Outcome Assessment: A Proof of Concept
Plast Reconstr Surg. 2021 Nov 29. doi: 10.1097/PRS.0000000000008651. Online ahead of print.NO ABSTRACTPMID:34846360 | DOI:10.1097/PRS.0000000000008651 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Joshua P Drost James Clarkson Tamara Reid Bush Source Type: research

Pyrocarbon Arthroplasty Implants in the Upper Extremity: A Systematic Review of Outcomes and Pooled Analysis of Complications
CONCLUSION: In the absence of large clinical trials, systematic reviews such as these can help inform clinical guidelines and provide practitioners with an evidence-based reference to improve informed consent.PMID:34847116 | DOI:10.1097/PRS.0000000000008514 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Jad Abi-Rafeh Hassan ElHawary Alain J Azzi Stephanie Thibaudeau Source Type: research

Denervation of the Joints of the Hand and Wrist: Surgical Techniques and a Systematic Review with Meta-Analysis
CONCLUSIONS: Only denervation of the metacarpophalangeal joint of the thumb reported an increase in pain; however, this was a single patient. Wrist and first carpometacarpal joint and finger joint denervation have a high satisfaction rate and decrease the pain. There was no difference between techniques.PMID:34847117 | DOI:10.1097/PRS.0000000000008517 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Thomas E Tieman Liron S Duraku Mark J W van der Oest Caroline A Hundepool Ruud W Selles J Michiel Zuidam Source Type: research

A Correlation between Upper Extremity Compressive Neuropathy and Nerve Compression Headache
CONCLUSIONS: The degree of overlap between nerve compression syndromes of the head/neck and upper extremity suggests that peripheral nerve surgeons should be aware of this correlation and screen affected patients comprehensively. Similar patient presentation, treatment, and anatomical basis of nerve compression make either amenable to treatment by nerve surgeons, and treatment of both entities should be an integral part of a formal peripheral nerve surgery curriculum.PMID:34847118 | DOI:10.1097/PRS.0000000000008574 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Lisa Gfrerer Christian Chartier Jonathan Lans Kyle R Eberlin William Gerald Austen Source Type: research

Use of the Antegrade Posterior Interosseous Artery Flap for Coverage of Complex Elbow Wounds
This article explains the technique for harvesting an antegrade posterior interosseous artery flap and describes 10 cases in which the flap was used for complex soft-tissue defects of the elbow not amenable to local wound care or skin grafting.PMID:34847119 | DOI:10.1097/PRS.0000000000008578 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Luke P Robinson Rashad H Usmani Antony Hazel Amitava Gupta Source Type: research

The Impact of Plastic Surgery Volume on Inpatient Burn Outcomes
Plast Reconstr Surg. 2021 Dec 1;148(6):1001e-1006e. doi: 10.1097/PRS.0000000000008573.ABSTRACTBACKGROUND: Acute burn care involves multiple types of physicians. Plastic surgery offers the full spectrum of acute burn care and reconstructive surgery. The authors hypothesize that access to plastic surgery will be associated with improved inpatient outcomes in the treatment of acute burns.METHODS: Acute burn encounters with known percentage total body surface area were extracted from the National Inpatient Sample from 2012 to 2014 based on International Classification of Diseases, Ninth Edition, codes. Plastic surgery volume p...
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: David P Perrault Danielle H Rochlin T Justin Gillenwater Yvonne L Karanas Clifford C Sheckter Source Type: research

Optimizing the Virtual Interview Experience for Hand Surgery Fellowships
J Hand Surg Am. 2021 Nov 26:S0363-5023(21)00659-6. doi: 10.1016/j.jhsa.2021.10.008. Online ahead of print.ABSTRACTSimilar to many other medical training programs, fellowship interviews for hand surgery will be conducted virtually for a second consecutive year. We provide strategies for applicants to ideally portray themselves and to learn about fellowship programs. We include approaches for fellowship programs to identify candidates that match their values as a program, as well as ways to provide useful information to applicants about the program's culture. Given that components of virtual interviewing and recruitment will...
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Caroline J Granger Anjali Khosla Daniel A Osei Christopher J Dy Source Type: research

Smaller hands and less experience are associated with greater ergonomic strain during endoscopic procedures
In this study, we sought to quantitatively analyze provider factors that influence ergonomic strain during live endoscopic procedures.METHODS: Surface electromyography (sEMG) was used to measure ergonomic strain on physicians while performing upper and lower endoscopies. EMG data were normalized to a maximal voluntary contraction (MVC) recording for each muscle group, yielding a %MVC value. Subgroup analyses were performed based on glove size, physician training level, specialty, and handedness.RESULTS: A total of 165 upper (n = 68) and lower (n = 97) endoscopies were recorded. Endoscopists with small hand sizes had signif...
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Alexander Shiang Jean S Wang Bradley Kushner Ali K Panahi Michael M Awad Source Type: research

Functional Testing Using a Force Motion Capture Device for Hand Surgery Outcome Assessment: A Proof of Concept
Plast Reconstr Surg. 2021 Nov 29. doi: 10.1097/PRS.0000000000008651. Online ahead of print.NO ABSTRACTPMID:34846360 | DOI:10.1097/PRS.0000000000008651 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Joshua P Drost James Clarkson Tamara Reid Bush Source Type: research

Pyrocarbon Arthroplasty Implants in the Upper Extremity: A Systematic Review of Outcomes and Pooled Analysis of Complications
CONCLUSION: In the absence of large clinical trials, systematic reviews such as these can help inform clinical guidelines and provide practitioners with an evidence-based reference to improve informed consent.PMID:34847116 | DOI:10.1097/PRS.0000000000008514 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Jad Abi-Rafeh Hassan ElHawary Alain J Azzi Stephanie Thibaudeau Source Type: research

Denervation of the Joints of the Hand and Wrist: Surgical Techniques and a Systematic Review with Meta-Analysis
CONCLUSIONS: Only denervation of the metacarpophalangeal joint of the thumb reported an increase in pain; however, this was a single patient. Wrist and first carpometacarpal joint and finger joint denervation have a high satisfaction rate and decrease the pain. There was no difference between techniques.PMID:34847117 | DOI:10.1097/PRS.0000000000008517 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Thomas E Tieman Liron S Duraku Mark J W van der Oest Caroline A Hundepool Ruud W Selles J Michiel Zuidam Source Type: research

A Correlation between Upper Extremity Compressive Neuropathy and Nerve Compression Headache
CONCLUSIONS: The degree of overlap between nerve compression syndromes of the head/neck and upper extremity suggests that peripheral nerve surgeons should be aware of this correlation and screen affected patients comprehensively. Similar patient presentation, treatment, and anatomical basis of nerve compression make either amenable to treatment by nerve surgeons, and treatment of both entities should be an integral part of a formal peripheral nerve surgery curriculum.PMID:34847118 | DOI:10.1097/PRS.0000000000008574 (Source: Hand Surgery)
Source: Hand Surgery - November 30, 2021 Category: Surgery Authors: Lisa Gfrerer Christian Chartier Jonathan Lans Kyle R Eberlin William Gerald Austen Source Type: research