Scalp Reconstruction after Malignant Tumor Resection: An Analysis and Algorithm.
Conclusion  Microsurgical reconstruction of moderate-to-extensive scalp defects remains a reliable method with overall low risks and satisfactory aesthetic results, while, according to our experience, muscle flaps show the best functional and aesthetic results. However, in cases of central scalp defects and in situations when a long vascular pedicle of the flap is important, the ALT flap seems to be the best solution. PMID: 32206533 [PubMed] (Source: Hand Surgery)
Source: Hand Surgery - March 25, 2020 Category: Surgery Authors: Ehrl D, Brueggemann A, Broer PN, Koban K, Giunta R, Thon N Tags: J Neurol Surg B Skull Base Source Type: research

Low incidence of maxillary hypoplasia in isolated cleft palate.
Conclusions: There was a low incidence of MH despite complications after initial palate closure. Our results seem to suggest that age at palate closure, type of cleft palate, and type of surgical technique may not be associated with MH. Additionally, subsequent procedures and complications after primary palatoplasty such as VPI and palatal fistula may not restrict maxillary growth. PMID: 32206667 [PubMed] (Source: Hand Surgery)
Source: Hand Surgery - March 25, 2020 Category: Surgery Authors: Azouz V, Ng M, Patel N, Murthy AS Tags: Maxillofac Plast Reconstr Surg Source Type: research

Chronic complex persistent elbow instability: a consecutive and prospective case series and review of recent literature.
CONCLUSIONS: CCPEI is a challenging condition with an uncertain prognosis. The variability in patients' pathoanatomic conditions requires customized surgical treatment aimed at elbow stabilizer reconstruction when the ulnohumeral joint is preserved or aimed at joint replacement in case of severe articular degeneration. The time interval between the initial trauma and index surgical procedure significantly affects the feasibility of reconstructive procedures. PMID: 32197771 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 23, 2020 Category: Surgery Authors: Giannicola G, Sessa P, Calella P, Gumina S, Cinotti G Tags: J Shoulder Elbow Surg Source Type: research

New Technique for Correcting Bony Deformity in Racquet Thumb.
CONCLUSIONS: This technique is simple, safe, and both cost- and time-effective and is a good option for the repair of racquet thumb. PMID: 32149855 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - March 11, 2020 Category: Surgery Authors: Du Z, Cui Y, Hao J, Cao Y, Han J, Du C, Han D Tags: Ann Plast Surg Source Type: research

Migraine Treatment.
Abstract Migraine headaches affect more than 35 million Americans and are ranked the third-highest cause of disability worldwide, resulting in decreased quality of life and serious economic consequences. There are 4 types of migraine headaches: frontal, temporal, occipital, and rhinogenic. Each type has a well-described trigger site. Migraines headaches often are refractory to medical therapy and may respond well to botulinum toxin type A. Migraine surgery is another option to release trigger sites. A systematic review of the migraine surgery literature found an average success rate of 90%, with elimination or gre...
Source: Hand Surgery - March 4, 2020 Category: Surgery Authors: Olla D, Sawyer J, Sommer N, Moore JB Tags: Clin Plast Surg Source Type: research

Perioperative Pain Management in Hand and Upper Extremity Surgery.
Abstract Perioperative pain management in surgery of the hand and upper extremity relies on a multimodal approach involving systemic, local, and presurgical considerations. A pain management plan should be tailored to each patient. Management of pain of patients undergoing upper extremity surgery begins before surgical intervention and continues postoperatively. Patient education, setting expectations, psychological interventions, and addressing risk factors associated with postoperative pain are critical to successful pain management. Intraoperative anesthesia is accomplished via a variety of means. Cryotherapy, ...
Source: Hand Surgery - March 4, 2020 Category: Surgery Authors: Neumeister EL, Beason AM, Thayer JA, El Bitar Y Tags: Clin Plast Surg Source Type: research

Detecting scaphoid fractures in wrist injury: a clinical decision rule.
CONCLUSIONS: This dataset provided a simple clinical decision rule for scaphoid fractures following acute wrist injury that limits unnecessary immobilization and imaging with a decreased risk of missing a fracture compared to current clinical practice. CLINICAL PREDICTION RULE: 1/(1 + EXP (-(0.649662618 × if man) + (0.51353467826 × if swelling anatomic snuffbox) + (-0.79038263985 × if painful palpation anatomic snuffbox) + (0.57681198857 × if painful ulnar deviation) + (...
Source: Hand Surgery - March 3, 2020 Category: Surgery Authors: Mallee WH, Walenkamp MMJ, Mulders MAM, Goslings JC, Schep NWL Tags: Arch Orthop Trauma Surg Source Type: research

Ossification of the superficial radial nerve causing pain: an unusual case of progressive osseous heteroplasia.
PMID: 32125757 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 3, 2020 Category: Surgery Authors: Miles O, Cabalag M, McCombe D Tags: ANZ J Surg Source Type: research

Unethical science: be mindful about it and avoid it.
PMID: 32122236 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: Dumontier C Tags: J Hand Surg Eur Vol Source Type: research

Computed tomography osteoabsorptiometry changes following ulnar shortening osteotomy: observations in nine patients.
PMID: 32122237 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: Hasegawa Y, Matsui Y, Iwasaki N Tags: J Hand Surg Eur Vol Source Type: research

A minimally invasive, 3D-fluoroscopy-navigation-guided, 3D-controlled pedicle approach in spine surgery: first reliable results and impact on patient safety.
CONCLUSION: Our study shows the feasibility and reliability of a navigation-guided, minimally invasive pedicle approach in the clinical setting. Therefore, reduced morbidity due to minimized approaches can be combined with higher accuracy of navigated pedicle screw/kyphoplasty cannula placement improving patient safety. PMID: 32123950 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: El Saman A, Meier SL, Marzi I Tags: Eur J Trauma Emerg Surg Source Type: research

Modified Anterior Tibial Artery Perforator-Pedicled Propeller Flap for Soft-Tissue Coverage of the Ankle and Heel.
CONCLUSION: Our modified anterior tibial artery free-style perforator-pedicled propeller flap provides a novel option for functional ankle and heel reconstruction. LEVEL OF EVIDENCE: Level IV. PMID: 32123981 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: Lin J, Zhou F, Sun YD, Gao YS, Li HZ, Zheng HP, Zhang YF, Li QF, Ward PJ, Yang YL, Liu CY Tags: World J Surg Source Type: research

Incidence of incisional hernia after laparoscopic liver resection.
CONCLUSION: Advantages of laparoscopic surgery with regard to low rates of IH can be translated to minimally invasive liver surgery. Even though there are low rates of IH, patients with poor performance status at the time of operation should be monitored closely. While patients' characteristics are hard to influence, it might be worth focusing on surgical factors such as the approach and the closure of the umbilical site to further minimize the rate of IH. PMID: 32124059 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: Wabitsch S, Schulz P, Fröschle F, Kästner A, Fehrenbach U, Benzing C, Haber PK, Denecke T, Pratschke J, Fikatas P, Schmelzle M Tags: Surg Endosc Source Type: research

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium- and Long-Term Functional Follow-Up.
CONCLUSION: Arthroscopic anatomical repair of ATFL for CLAI is precise, with less surgical trauma and reliable medium- and long-term effect. PMID: 32124530 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 2, 2020 Category: Surgery Authors: Feng SM, Sun QQ, Wang AG, Chang BQ, Cheng J Tags: Orthop Surg Source Type: research

Injury characteristics of the Pulse Nightclub shooting: Lessons for mass casualty incident preparation.
Abstract BACKGROUND: On the morning of June 12, 2016, an armed assailant entered the Pulse Nightclub in Orlando, Florida, and initiated an assault that killed 49 people and injured 53. The regional Level I trauma center and two community hospitals responded to this mass casualty incident. A detailed analysis was performed to guide hospitals who strive to prepare for future similar events. METHODS: A retrospective review of all victim charts and/or autopsy reports was performed to identify victim presentation patterns, injuries sustained, and surgical resources required. Patients were stratified into three gro...
Source: Hand Surgery - March 1, 2020 Category: Surgery Authors: Smith CP, Cheatham ML, Safcsak K, Emrani H, Ibrahim JA, Gregg M, Eubanks WS, Lube MW, Havron WS, Levy MS Tags: J Trauma Acute Care Surg Source Type: research

Hospital Infection Control: Clostridioides difficile.
Abstract Clostridioides difficile remains a leading cause of healthcare-associated infection. Efforts at C. difficile prevention have been hampered by an increasingly complex understanding of transmission patterns and a high degree of heterogeneity among existing studies. Effective prevention of C. difficile infection requires multimodal interventions, including contact precautions, hand hygiene with soap and water, effective environmental cleaning, use of sporicidal cleaning agents, and antimicrobial stewardship. Roles for probiotics, avoidance of proton pump inhibitors, and isolation of asymptomatic carriers rem...
Source: Hand Surgery - February 29, 2020 Category: Surgery Authors: Turner NA, Anderson DJ Tags: Clin Colon Rectal Surg Source Type: research

Geometric Measurements of Nipple Position in Breasts Reconstructed with Transverse Rectus Abdominis Musculocutaneous Flap: A 5-Year Prospective Study.
Abstract BACKGROUND: After breast reconstruction, nipple position and other long-term changes in the reconstructed breast relative to the contralateral breast remain poorly understood. In this prospective cohort study, the authors performed serial nipple position measurements over 5 years in patients who had undergone breast reconstruction with a transverse rectus abdominis musculocutaneous (TRAM) flap. The effects of adjuvant radiotherapy on nipple position over time were also investigated. METHODS: The authors studied 150 patients who had undergone nipple-sparing mastectomy, using radial incision followed b...
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Cha HG, Kim HB, Yun JY, Lee TJ, Ahn M, Maldonado AA, Kim EK Tags: Plast Reconstr Surg Source Type: research

Comparison of the Wide-Awake Approach and Conventional Approach in Extensor Indicis Proprius-to-Extensor Pollicis Longus Tendon Transfer for Chronic Extensor Pollicis Longus Rupture.
CONCLUSION: Compared with the conventional approach, the wide-awake approach showed significantly better results in the thumb's range of motion and functional outcomes, especially in the early postoperative periods. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. PMID: 32097314 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Hong J, Kang HJ, Whang JI, Sung SY, Kim SH, Shin SC, Kim SN, Kim JS Tags: Plast Reconstr Surg Source Type: research

Patient-Reported Outcomes following Surgical Treatment of Symptomatic Digital Neuromas.
CONCLUSIONS: Neuroma excision followed by nerve repair/reconstruction resulted in better outcomes compared with neuroma excision alone with or without implantation. Patient age and psychosocial factors influenced patient-reported outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III. PMID: 32097316 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Lans J, Baker DJ, Castelein RM, Sood RF, Chen NC, Eberlin KR Tags: Plast Reconstr Surg Source Type: research

Recent Developments Are Changing Extensor Tendon Management.
This article focuses on surgery and rehabilitation of extensor tendon injuries from the proximal interphalangeal joint (boutonniere) to the wrist. Relative motion flexion and extension splinting and wide awake, local anesthesia, no tourniquet surgery have revolutionized the management of these lesions, with early protected movement, sooner return to regular activities, and improved rehabilitation. This article explains and illustrates these new advances in extensor tendon management. PMID: 32097332 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Merritt WH, Wong AL, Lalonde DH Tags: Plast Reconstr Surg Source Type: research

Fat Grafting into Younger Recipients Improves Volume Retention in an Animal Model.
PMID: 32097350 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Oranges CM, di Summa PG, Madduri S, Haug M, Kalbermatten DF, Schaefer DJ Tags: Plast Reconstr Surg Source Type: research

Reply: Surgery for Symptomatic Neuroma: Anatomic Distribution and Predictors of Secondary Surgery.
PMID: 32097356 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 27, 2020 Category: Surgery Authors: Lans J, Eberlin KR Tags: Plast Reconstr Surg Source Type: research

Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a  prospective cohort evaluation.
Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a prospective cohort evaluation. J Shoulder Elbow Surg. 2020 Mar;29(3):451-458 Authors: Mehta SK, Teefey SA, Middleton W, Steger-May K, Sefko JA, Keener JD Abstract BACKGROUND: The prevalence of subscapularis and long head of biceps (LHB) in relation to the presence and severity of posterosuperior (PS) rotator cuff disease is not known. METHODS: Subjects with asymptomatic rotator cuff tears were enrolled for this prospective longitudinal study (n = 354) and f...
Source: Hand Surgery - February 20, 2020 Category: Surgery Authors: Mehta SK, Teefey SA, Middleton W, Steger-May K, Sefko JA, Keener JD Tags: J Shoulder Elbow Surg Source Type: research

Reliability of focal identification of motor fascicles of the ulnar nerve proximal to the wrist: an anatomical study.
Abstract We investigated whether motor fascicles of the ulnar nerve can be reliably identified proximal to the wrist. In 17 cadaveric upper limbs, the anterior interosseous nerve was transected at its arborization in the pronator quadratus and transposed to the palmar aspect of the ulnar nerve. The motor fascicular bundle was identified at this level after distinguishing the intraneural epineural involution by microsurgical probing. The motor branch was identified in Guyon's canal and traced retrograde via intraneural dissection to assess accuracy of the original identification. The motor fascicular bundle was fou...
Source: Hand Surgery - February 15, 2020 Category: Surgery Authors: Barrett JE, Farooq H, Merrell GA Tags: J Hand Surg Eur Vol Source Type: research

Attitudes of Hand Surgeons and Hand Reconstruction Patients Toward Hand Allotransplantation in Taiwan: Erratum.
Authors: PMID: 32032106 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 9, 2020 Category: Surgery Tags: Ann Plast Surg Source Type: research

A Paradigm Shift in Managing Acute and Chronic Boutonniere Deformity: Anatomic Rationale and Early Clinical Results for the Relative Motion Concept Permitting Immediate Active Motion and Hand Use.
CONCLUSIONS: Relative motion flexion splinting affords early active motion and hand use with excellent range of motion achieved following acute open boutonniere repair or closed boutonniere rupture with less morbidity than conventional management. Chronic boutonniere deformity will respond to relative motion flexion splinting if serial casting can place the proximal interphalangeal joint in less than -20° extension, and the patient actively uses the hand in a relative motion flexion orthosis for 3 months, recovering flexion. No further therapy was needed in our cases. We believe this management technique should be atte...
Source: Hand Surgery - February 7, 2020 Category: Surgery Authors: Merritt WH, Jarrell K Tags: Ann Plast Surg Source Type: research

Radial Reference Points for Measuring Palmar Tilt and Ulnar Variance on Lateral Wrist Radiographs.
Conclusions: Palmar tilt can be determined accurately with a good understanding of the radiographic landmarks on lateral radiographs, and by addressing the problems caused by ulnar inclination of the articular surface of the distal radius. Lateral wrist radiographs can provide a complete picture of the ulnar border of the radius for measuring ulnar variance. PMID: 32000593 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Arik A, Tanrikulu S, Demiray T, Leblebicioglu G Tags: J Hand Surg Asian Pac Vol Source Type: research

Electrophysiological Evaluation and Clinical Implication of Martin-Gruber Anastomosis in Healthy Subjects.
Conclusions: The prevalence of MGA in the studied sample of the Egyptian population is 20%. It is important for Hand, Orthopaedic and Neurosurgeons to be aware of this anatomic variation in order to explain paradoxical motor and sensory loss in patients. PMID: 32000594 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Hefny M, Sallam A, Abdellatif M, Okasha S, Orabi M Tags: J Hand Surg Asian Pac Vol Source Type: research

Trends in Proximal Interphalangeal and Metacarpophalangeal Joint Arthroplasty Utilization Using Statewide Databases.
Abstract Background: Arthritis can have profound debilitating effects on the hand secondary to finger deformities and pain. Arthroplasty of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) can be performed to reduce pain while maintaining joint range of motion. Methods: We used outpatient surgery registries from the states of California and Florida to assess the trends of arthroplasty across several recent years and to determine if the outcomes differ based on disease etiology. Results: We found that there has been a steady decline in number of MCP arthroplasty procedures performed annually between...
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Vranis NM, Marascalchi B, Melamed E Tags: J Hand Surg Asian Pac Vol Source Type: research

Radiographic Characteristics of the Hand in Apert Syndrome.
Conclusions: Consistent findings of delayed ossification of the capitate and failure of normal distal migration of the third metacarpal add support to the initial hypothesis, however, we cannot fully conclude that an earlier release of the third web is recommended, further research is still needed. PMID: 32000596 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Kracoff SL Tags: J Hand Surg Asian Pac Vol Source Type: research

Analysis of Self-Inflicted Lacerations to the Wrist: A Multi-Disciplinary Approach to Treating.
Conclusions: In order to minimize catastrophic disability and repeated suicide attempts, a balanced multidisciplinary approach is one of the best methods to obtain excellent functional outcomes and prevent repeated injuries in patients with self-inflicted wrist lacerations. PMID: 32000597 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Jeong SH, Gu JH, Kim WK Tags: J Hand Surg Asian Pac Vol Source Type: research

Efficacy Comparison of Hyaluronic Acid and Corticosteroid Injection in Treatment of Trigger Digits: A Randomized Controlled Trial.
Abstract Background: Although the current nonsurgical treatment for trigger digits is corticosteroid (CS) injection, it often comes with adverse effects that may cause some limitations. Currently, Hyaluronic acid (HA) has been successfully used in tendinopathy and may be used in stenosing tenosynovitis. The aim of this study is to compare the efficacy of ultrasound-guided injection between the HA and CS in trigger digits treatment. Methods: Double-blind randomized controlled trial was conducted. Fifty patients with 66 trigger digits were randomly assigned into an intervention group (1 ml of low-molecular weight HA...
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Kanchanathepsak T, Pichyangkul P, Suppaphol S, Watcharananan I, Tuntiyatorn P, Tawonsawatruk T Tags: J Hand Surg Asian Pac Vol Source Type: research

Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation.
Conclusions: Thumb UCL repair with suture tape augmentation demonstrates short-term outcomes comparable to what has been reported for other methods of repair. It may potentially allow for an expedited recovery and rehabilitation process. PMID: 32000599 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Lee SJ, Rabinovich RV, Kim A Tags: J Hand Surg Asian Pac Vol Source Type: research

Epidemiology of Distal Radius Fixations and Functional Outcomes in the Superelderly Population.
Conclusions: Surgical fixation of distal radius fractures in appropriately selected patients in the superelderly population yields good functional outcomes. PMID: 32000600 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Heng BQH, Kang YC, Lim JXY, Chee KG Tags: J Hand Surg Asian Pac Vol Source Type: research

An Unusual Case of Aneurysmal Bone Cyst of Proximal Phalanx in a 2 Year Old Child.
We report a case of aneurysmal bone cyst of proximal phalanx of middle finger in a 2 year old child treated at our tertiary care hospital. The diagnosis was confirmed with pre-operative MRI, FNAC and post-operative histopathology. Curettage of the lesion and autologous bone grafting was performed. The hand was immobilized in a short below elbow slab for 4 weeks followed by physiotherapy. Excellent radiological and functional outcomes were obtained with no recurrence at a 5 year of follow up. PMID: 32000601 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Dhamangaonkar AC, Sathe A, Banerjee S Tags: J Hand Surg Asian Pac Vol Source Type: research

Use of Distal Hypothenar Perforator Free Flaps for Pulp Defects.
Conclusions: We consider that a distal hypothenar perforator free flap has a high degree of usability for a medium-sized defect such as the whole finger pulp. In the future, whether sensory nerve branches of this flap should be sutured will need to be clarified. PMID: 32000602 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Kodaira S, Fukumoto K Tags: J Hand Surg Asian Pac Vol Source Type: research

Osteosynthesis of Postosteomyelitic Forearm Defects in Children Using a Modified Bone Grafting Technique: The Fibular Intramedullary Bridging Bone and Additional Grafting (FIBBAG).
Conclusions: Fibular strut and additional bone grafting (FIBBAG) is one of the viable options for reconstruction of post osteomyelitic forearm defects in children with low procedural complication rate. PMID: 32000603 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Agarwal A, Raj RY, Gupta S, Shanker M Tags: J Hand Surg Asian Pac Vol Source Type: research

Use of the Bridge Plate Technique for the Treatment of Hamatometacarpal Fracture-Dislocations.
Conclusions: The use of the bridge plate technique may be an effective alternative treatment for patients with comminuted hamatometacarpal fracture-dislocations. PMID: 32000604 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Jung HS, Song MK, Lee JS Tags: J Hand Surg Asian Pac Vol Source Type: research

Unidirectional Porous β-Tricalcium Phosphate: A New Bone Filling Substitute for Treatment of Distal Radius Fracture in the Elderly Population.
Conclusions: Block UDPTCP is a safe and convenient material for the treatment of distal radius fracture and is replaced within a suitable time period after grafting into the fracture site. UDPTCP and stable internal fixation is therefore a reliable strategy for restoring and preserving anatomical position, especially in the elderly population. PMID: 32000605 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Muramatsu K, Gandionco JA, Suguitan AA, Tani Y, Iwanaga R, Hashimoto T, Sakai T Tags: J Hand Surg Asian Pac Vol Source Type: research

Comparative Study of Dorsal and Volar Plating for Ulnar Shortening Osteotomy.
Conclusions: There were no differences in the imaging and clinical results depending on the plate position. It is preferable to avoid implant removal by placing the lower profile plate on the dorsal side. PMID: 32000606 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Ozasa Y, Iba K, Takahashi N, Wada T, Yamashita T Tags: J Hand Surg Asian Pac Vol Source Type: research

Extensor Tendon Rupture Due to Advanced Kienb öck's Disease: Two Case Reports and a Review of Literature.
We report two elderly patients diagnosed with advanced Kienböck's disease after non-traumatic rupture of extensor tendon of the fingers. Since the extensor tendon rupture in Kienböck's disease present as a loss of active extension of metacarpophalangeal joint in the central fingers, these patients should undergo imaging of the wrist joints to ascertain concomitant Kienböck's disease. PMID: 32000607 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Kim TG, Heo YM, Min YK Tags: J Hand Surg Asian Pac Vol Source Type: research

Fivefold Fracture in a Perilunate Fracture Dislocation Involving Scaphoid, Capitate, Hamate, Triquetrum and Lunate: A Case Report.
Abstract This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed. PMID: 32000608 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Boesch CE, Dejdovic G, Beutler K, Daigeler A, Medved F Tags: J Hand Surg Asian Pac Vol Source Type: research

Surgical Treatment and Outcomes of Syndactyly: A Systematic Review.
Conclusions: Although recommendations in favour of any particular surgical technique cannot be given based on evidence, a number of conclusions can be drawn out of the existing literature with regards to the design of the incisions for finger separation, use of pulp flaps and grafts. PMID: 32000609 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Mende K, Watson A, Stewart DA Tags: J Hand Surg Asian Pac Vol Source Type: research

Olecranon Fracture through Persistent Olecranon Apophysis in a 21-Year-Old Male: A Case Report and Systematic Review of the Literature.
We present the case of a 21-year-old male wrestler with an elbow injury after a fall. Imaging revealed an acute fracture of the olecranon with sclerotic rounded edges indicating an injury through a persistent olecranon apophysis. Open reduction and internal fixation was performed with plate fixation and bone grafting with radiographic and clinical healing at 6 weeks. Review of the literature revealed 5 case reports showing high rates of non-union with tension band constructs while plate and screw fixation had no incidence of nonunion. Fractures through an ununited olecranon apophysis are successfully treated with plate and...
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Twu J, Landy DC, Wolf JM Tags: J Hand Surg Asian Pac Vol Source Type: research

Eosinophilic Fasciitis - Beware of the Rare Form of Hand Contracture.
We present a case report of EF and a literature review to raise awareness of this unusual condition and also highlight key features in its management. PMID: 32000611 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Ou Yang O, Crepaldi BE, Berger A Tags: J Hand Surg Asian Pac Vol Source Type: research

The surgical strategy of Purpura fulminans triggered by pyothorax associated with lung cancer.
Abstract Purpura fulminans is a rare disease that usually causes sepsis and is accompanied by disseminated intravascular coagulation and symmetric gangrene of distal extremities. We had to consider the most appropriate surgery approach. The most important point was attempting to rescue the patient's ability to walk under his own power. PMID: 32002466 [PubMed] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Matsuura Y, Kawai K Tags: Case Reports Plast Surg Hand Surg Source Type: research

A case of total scaphoid titanium custom-made 3D-printed prostheses with one-year follow-up.
Abstract A 34-year-old male patient developed scaphoid nonunion with necrosis in both fragments. A scaphoid replacement was performed using a titanium custom-made 3D-printed implant. At 1-year follow-up, good clinical and radiographic outcome was obtained. Titanium custom-made 3D-printed implants may offer a good surgical solution for patients requiring total scaphoid replacement. PMID: 32002467 [PubMed] (Source: Hand Surgery)
Source: Hand Surgery - February 2, 2020 Category: Surgery Authors: Rossello MI Tags: Case Reports Plast Surg Hand Surg Source Type: research

Proximal Interphalangeal Joint Adipofascial Flap Resurfacing Improves the Active Motion of the Proximal Interphalangeal Joint after Contracture Release.
This article presents a novel treatment strategy with a PIP joint adipofascial flap to resurface the joint after release, and compares patients with similar joint contracture release who did and did not undergo resurfacing with a PIP joint adipofascial flap. METHODS: From January of 2010 to January of 2018, 10 patients received single-digit PIP joint flexion contracture release and PIP joint adipofascial flap resurfacing; 20 patients received a stepwise release as a control group. Thirty joints were compared, and the degree of extension lag improvement over time was measured during an average follow-up period of 292.4...
Source: Hand Surgery - January 28, 2020 Category: Surgery Authors: Lee CH, Loh CYY, Chen YH, Lin YT Tags: Plast Reconstr Surg Source Type: research

The Risk of Complications after Carpal Tunnel Release in Patients Taking Acetylsalicylic Acid as Platelet Inhibition: A Multicenter Propensity Score-Matched Study.
CONCLUSION:: Carpal tunnel release under platelet inhibition with acetylsalicylic acid is safe and can be performed without interruption of such medication. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. PMID: 31985640 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - January 28, 2020 Category: Surgery Authors: Kaltenborn A, Frey-Wille S, Hoffmann S, Wille J, Schulze C, Settje A, Vogt PM, Gutcke A, Ruettermann M Tags: Plast Reconstr Surg Source Type: research

An Evaluation of Safety and Patient Outcomes for Hand Surgery following Prior Breast Cancer Treatment: Establishing New Recommendations in Lymphedema.
CONCLUSIONS: Based on the available evidence, there is no increased risk of complications for elective hand surgery in patients with prior breast cancer treatment. Breast cancer patients with preexisting ipsilateral lymphedema carry slightly increased risk of postoperative infection and worsening lymphedema. It is the authors' opinion and recommendation that elective hand surgery with a tourniquet is not a contradiction in patients who have received previous breast cancer treatments. PMID: 31985641 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - January 28, 2020 Category: Surgery Authors: Paton M, Kovar A, Iorio ML Tags: Plast Reconstr Surg Source Type: research