Performance of Near-Infrared Spectroscopy in Detecting Acute Tourniquet-Induced Upper-Extremity Ischemia Across Different Skin Phenotypes
Diagnosing acute tissue ischemia is challenging, particularly in patients with higher skin melanin content. We investigated whether near-infrared spectroscopy (NIRS) is effective and consistent in detecting upper extremity ischemia across various skin phenotypes. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 26, 2023 Category: Surgery Authors: Cyril S. Gary, Aygul Iskandarova, Andrew I. Abadeer, Gabriel J. Yohe, Aviram M. Giladi Tags: Scientific Article Source Type: research
Optimal Distal Tendon Insertion Point for Elbow Flexion in Free-Functioning Gracilis Muscle Transfer for Panbrachial Plexus Injuries: A Cadaveric Study
Following pan-brachial plexus injuries, restoration of elbow flexion is widely accepted as the reconstructive priority. A gracilis free functioning muscle transfer (FFMT) can be used to restore elbow flexion alone with insertion into the biceps brachii (BIC) or brachioradialis (BRD) tendons or restore combined elbow and finger flexion with a more distal insertion into the flexor digitorum profundus (FDP) tendons. Using cadaveric experiments, we determined the peak instantaneous moment arm for each insertion option. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 21, 2023 Category: Surgery Authors: Lomas S. Persad, Kitty Y. Wu, Alexander W. Hooke, Richard L. Lieber, Alexander Y. Shin, Kenton R. Kaufman Tags: Scientific Article Source Type: research
Base of the Third Metacarpal as a Palpable and Reliable Landmark for Identifying the Median Nerve ’s Thenar Branch
The objective of this study was to investigate whether the base of the third metacarpal can predict the location of the thenar branch (TB) of the median nerve and the accuracy of palpating the base of the third metacarpal. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 20, 2023 Category: Surgery Authors: Jayme A. Bertelli, Edna R. Buitrago, Harsh R. Shah Tags: Scientific Article Source Type: research
Catastrophic Health Expenditures Associated With Open Reduction Internal Fixation of Distal Radius Fractures
Distal radius fracture is one of the most common upper-extremity traumatic injuries. These injuries result in time off work and potential financial consequences for patients. Therefore, we aimed to understand the risk of catastrophic health expenditures (CHEs) after open reduction and internal fixation of distal radius fractures and examine the association between patient characteristics and the risk of CHE. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 20, 2023 Category: Surgery Authors: Jessica I. Billig, Jody M. Law, Madison Brody, Katherine E. Cavanaugh, Christopher J. Dy Tags: Editor's Choice Source Type: research
Anatomic Relationship of Hand Intrinsic Tendons at the Metacarpal Head as It Relates to the Diagnosis of Saddle Syndrome: A Cadaveric Study
The purpose of this cadaveric study was to investigate the intrinsic anatomy surrounding the metacarpal head and the relationship between the interosseous-lumbrical junction (ILJ) and transverse metacarpal ligament (TML) as it pertains to saddle deformity —posttraumatic adhesions at the ILJ that cause impingement during intrinsic activation. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 19, 2023 Category: Surgery Authors: Benjamin R. Campbell, Meagan Wu, Justin M. Kistler, Bryan A. Hozack, Michael Rivlin, Christopher M. Jones Tags: Scientific Article Source Type: research
Targeting Myofibroblasts as a Treatment Modality for Dupuytren Disease
Currently, no treatment corrects the contractile nature of Dupuytren myofibroblasts (DMFs) or prevents recurrence following surgery. Antifibrotic and proadipogenic growth factors are released when adipose-derived stem cells (ASCs) are cultured with platelet-rich plasma (PRP), a platelet concentration from whole blood. Reprograming myofibroblasts into adipocytes via growth factors is proposed as a powerful potential tool to target fibrosis. We aimed to assess whether the combination of ASCs and PRP reprograms DMFs into adipocytes in vitro and alters their contractile nature in vivo. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 19, 2023 Category: Surgery Authors: Mary E. Ziegler, Andres Staben, Melinda Lem, Jason Pham, Leonardo Alaniz, Faris F. Halaseh, Sabine Obagi, Amber Leis, Alan D. Widgerow Tags: Editor's Choice Source Type: research
Accreditation Council for Graduate Medical Education Hand Surgery Milestones V2.0 Development and Implementation: What Fellowship Directors, Faculty, and Fellows Need to Know
This article looks at the process used for hand surgery, makes comparisons between the two versions, and discusses the resulting changes. A representative group of hand surgery faculty and fellows worked together to review the milestones data and identify necessary changes. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 18, 2023 Category: Surgery Authors: Jeffrey G. Stepan, Ashish Majahan, Adam Dann, Laura Edgar Tags: The Hand Surgery Landscape Source Type: research
Prevalence and Associated Factors for Primary Osteoarthritis of the Scaphotrapeziotrapezoid, Radiocarpal, and Distal Radioulnar Joints in the Japanese General Elderly Population
The incidence and etiology of primary osteoarthritis (OA) of the scaphotrapeziotrapezoid joint (STTJ), radiocarpal joint (RCJ), and distal radioulnar joint (DRUJ) remains unknown. The purpose of this study was to evaluate the prevalence and factors associated with primary wrist OA in a cross-sectional study of a basic resident registry. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 17, 2023 Category: Surgery Authors: Yo Kitamura, Hiroyuki Kato, Masanori Hayashi, Shota Ikegami, Fumihiro Isobe, Jun Takahashi Tags: Scientific Article Source Type: research
Scapholunate Instability: Diagnosis and Management – Anatomy, Kinematics, and Clinical Assessment – Part I
Injuries to the scapholunate joint are the most frequent cause of carpal instability. The sequelae of these injuries account for considerable morbidity, and if left untreated, may lead to scapholunate advanced collapse and progressive deterioration of the carpus. Rupture of the scapholunate interosseous ligament and its critical stabilizers causes dyssynchronous motion between the scaphoid and lunate. Additional ligament injury or attenuation leads to rotary subluxation of the scaphoid and increased scapholunate gap. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 14, 2023 Category: Surgery Authors: Lauren E. Wessel, Scott W. Wolfe Tags: Current Concepts Source Type: research
Scapholunate Instability: Current Concepts in Diagnosis and Management —Anatomy, Kinematics, and Clinical Assessment
Injuries to the scapholunate joint are the most frequent cause of carpal instability. The sequelae of these injuries account for considerable morbidity, and if left untreated, may lead to scapholunate advanced collapse and progressive deterioration of the carpus. Rupture of the scapholunate interosseous ligament and its critical stabilizers causes dyssynchronous motion between the scaphoid and lunate. Additional ligament injury or attenuation leads to rotary subluxation of the scaphoid and increased scapholunate gap. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 14, 2023 Category: Surgery Authors: Lauren E. Wessel, Scott W. Wolfe Tags: Current Concepts Source Type: research
Selective Thumb Carpometacarpal Joint Denervation Versus Trapeziectomy and Ligament Reconstruction With Tendon Interposition for Painful Arthritis: A Prospective Study With 2 Years of Follow-up
This study compared functional/patient-reported outcomes after CMC denervation with those after trapeziectomy and ligament reconstruction with tendon interposition (T + LRTI) over a 2-year follow-up period. We hypothesized that the outcomes of denervation and T + LRTI would be similar over the course of the study and at the final 2-year follow-up. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 14, 2023 Category: Surgery Authors: Chris M. Frost, Visakha Suresh, William Padovano, John D. Luck, Amy Quan, Pathik Aravind, John V. Ingari, Dawn M. Laporte, Jaimie T. Shores, Scott D. Lifchez Tags: Editor's Choice Source Type: research
Risk Factors for Complications in Ulnar Shortening Osteotomies: A Multicenter Retrospective Review
Ulnar shortening osteotomy (USO) is commonly performed to alleviate pathologies causing ulnar-sided wrist pain. Surgical complications include nonunion and hardware removal, with rates up to 18% and 45%, respectively. The primary objective of the study was to report the overall complication rate of USO. The secondary objective was to identify risk factors for complications. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 12, 2023 Category: Surgery Authors: Yiyang Zhang, Ruby Grewal, Martina Vergouwen, Steve Lu, Neil White, WECan Tags: Scientific Article Source Type: research
Upper Extremity Prosthetics: Current Options and Future Innovations
Major upper extremity amputations can have a considerable impact on patients ’ lives, altering their ability to independently perform activities of daily living and leading to changes in occupations and hobbies. Although upper extremity prosthetics have existed for millennia, recent advances have improved prosthetic motor control and sensory feedback, leading to increased overall satisfaction. The goal of this article was to describe the current options that exist for upper extremity prosthetics and explore the recent advances and future directions in prosthetic technology and surgical techniques. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 12, 2023 Category: Surgery Authors: Wen Xu, Yoshiko Toyoda, Ines C. Lin Tags: Current Concepts Source Type: research
The Influence of Out-of-Pocket Cost on Wrist Fracture Treatment Selection
Patient-centered care prioritizes patients ’ specific health needs and desired outcomes based on their preferences, values, and goals. The aim of this study was to evaluate nonclinical factors that affect decision-making related to wrist fracture treatment options. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 7, 2023 Category: Surgery Authors: Meena Ravi, Rachel Safeek, Thompson Zhuang, Lauren Shapiro, Dan Neal, Ellen Satteson Tags: Editor's Choice Source Type: research
Cubital Tunnel Syndrome: Does a Consensus Exist for Diagnosis?
Cubital tunnel syndrome (CuTS) is the second most common compressive neuropathy of the upper extremity. We aimed to determine a consensus among experts using the Delphi method for clinical criteria that could be validated further for the diagnosis of CuTS. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 7, 2023 Category: Surgery Authors: Devin W. Collins, David Rehak, Alex Dawes, Dylon P. Collins, Charles Daly, Eric R. Wagner, Michael B. Gottschalk Tags: Scientific Article Source Type: research
