Union and Complication Rates After Total Wrist Arthrodesis: A Systematic Review and Meta-Analysis
Total wrist arthrodesis (TWA) has been performed using various techniques. We aimed to provide pooled prevalence estimates of union and complications of TWA by technique. A secondary aim was to provide estimates of union and complication rates by treatment of the carpometacarpal joint (CMCJ) in TWA using plates. Given the widespread adoption of wrist arthrodesis plates (WAP), we hypothesized that these implants would result in higher union and lower complication rates. We also hypothesized that TWA with CMCJ arthrodesis would improve these outcomes. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - December 1, 2023 Category: Surgery Authors: David H. Owen, Joshua W. Booth, Paul A. Agius, Diana M. Perriman, Paul N. Smith, Chris J. Roberts Tags: Scientific Article Source Type: research
The Green Transfer —Long-Term Results
The purpose of this study was to determine the long-term results of the Green transfer (flexor carpi ulnaris to extensor carpi radialis brevis) for patient-reported outcomes, wrist position, and range of motion. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 30, 2023 Category: Surgery Authors: Douglas T. Hutchinson, Michelle A. James, Wendy A. Tomhave, Ann Van E. Heest Tags: Scientific Article Source Type: research
Rate of Complications After Capitellum Fracture Fixation: A Systematic Review and Meta-Analysis
This systematic review aimed to determine the incidence of complications following surgical fixation of an acute capitellum fracture. We secondarily aimed to compare the complication rate between anterior-to-posterior (A-P) versus posterior-to-anterior (P-A) screw insertion. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 30, 2023 Category: Surgery Authors: Mike Heller, Mohammad S. Abdelaal, Alexander Adams, Asif M. Ilyas, Amir R. Kachooei Tags: Scientific Article Source Type: research
Time-Dependent Change in Carpal Tunnel Cross-Sectional Area and Transverse Carpal Ligament Thickness Using Serial Magnetic Resonance Imaging Studies —An Anatomical Study
Idiopathic carpal tunnel syndrome (CTS) is a common compressive neuropathy. Aging and female sex are risk factors, but the reasons are unclear. The purpose of this study was to evaluate whether identifiable radiographic changes resulting in a decrease in carpal tunnel area (CTA) over time exist. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 27, 2023 Category: Surgery Authors: Nathaniel B. Hinckley, Jordan Pollock, Laura Beckman, Nan Zhang, Michael G. Fox, Samuel J. Fahrenholtz, Kevin J. Renfree Tags: Scientific Article Source Type: research
Changes in Management at the Postoperative Visit After In-Office Wide Awake Local Anesthetic No Tourniquet Carpal Tunnel Release
Patients are commonly seen for two postoperative visits following carpal tunnel release (CTR), the first visit being at 1 –2 weeks and the second at approximately 6 weeks. Our study aimed to determine if these visits led to changes in postoperative medical management. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 26, 2023 Category: Surgery Authors: Jadon H. Beck, Evan P. Sandefur, Maxwell O. Vest, Andrea A. Yu-Shan, Nicholas Peterman, Peter J. Apel Tags: Scientific Article Source Type: research
Postoperative Elbow Instability: Options for Revision Stabilization
Persistent and recurrent postoperative elbow instability includes a spectrum of pathologies ranging from joint incongruity and subluxation to dislocation. Restoration of osseous anatomy, particularly the coronoid, is a priority in restoring elbow alignment and maintaining ulnohumeral joint stability. After managing bony deficiencies, soft-tissue and ligamentous structures are typically addressed. When required, both static and dynamic adjunctive stabilization procedures have been described, which aid in maintaining a concentric reduction. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 23, 2023 Category: Surgery Authors: Brian K. Foster, Omri Ayalon, Reed Hoyer, Harry A. Hoyen, Louis C. Grandizio Tags: Current Concepts Source Type: research
Reliability and Validity Analysis of the Distal Radioulnar Joint Ballottement Test
This study aimed to analyze the reliability and validity of the test using a tracking device on healthy participants and patients with triangular fibrocartilage complex injuries. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 22, 2023 Category: Surgery Authors: Mitsuyuki Nagashima, Shohei Omokawa, Hideo Hasegawa, Yasuaki Nakanishi, Kenji Kawamura, Yasuhito Tanaka Tags: Editor's Choice Source Type: research
Trapezium Tunnel Syndrome
The trapezium tunnel is situated on the lateral side of the carpal tunnel, lined with synovial tissue, and accommodates the flexor carpi radialis tendon. Trapezium tunnel syndrome is characterized by flexor carpi radialis tendinitis/peritendinitis and may lead to complicated clinical scenarios, such as flexor carpi radialis tendon rupture and the formation of primary or recurrent ganglion cysts on the volar radial side of the wrist and thenar area. Notably, the simultaneous presence of trapezium tunnel syndrome might contribute to unsuccessful outcomes in carpal tunnel surgeries. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 22, 2023 Category: Surgery Authors: Ahmadreza Afshar, Ali Tabrizi, Mohammad Javad Shariyate Tags: The Hand Surgery Landscape Source Type: research
Key Considerations for Nerve Transfer Rehabilitation After Surgical Reconstruction for Brachial Plexus and Peripheral Nerve Injuries
Nerve transfer surgery is commonly used to treat patients with brachial plexus injuries. However, guidelines on postoperative rehabilitation are not clearly established. Nerve transfers require the patient to relearn how to recruit newly innervated muscle(s), which may not occur naturally or intuitively. Supervised therapy is a valuable resource to guide patients through their lengthy recovery (often>12 months) because target muscle strength is both obtained and functionally used in daily life. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 21, 2023 Category: Surgery Authors: Lorna C. Kahn, Macyn M. Stonner, Christopher J. Dy Tags: Current Concepts Source Type: research
Key Concepts for Nerve Transfer Rehabilitation After Surgical Reconstruction for Brachial Plexus and Peripheral Nerve Injuries
Nerve transfer surgery is commonly used to treat patients with brachial plexus injuries. However, guidelines on postoperative rehabilitation are not clearly established. Nerve transfers require the patient to relearn how to recruit newly innervated muscle(s), which may not occur naturally or intuitively. Supervised therapy is a valuable resource to guide patients through their lengthy recovery (often>12 months) because target muscle strength is both obtained and functionally used in daily life. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 21, 2023 Category: Surgery Authors: Lorna C. Kahn, Macyn M. Stonner, Christopher J. Dy Tags: Current Concepts Source Type: research
Wide-Awake Local Anesthesia No Tourniquet Surgery for Zone VII Extensor Tendon Reconstruction: Stages in Active Range of Motion From Intraoperative to Final Recovery
We investigated chronological changes in active range of motion (ROM) of the metacarpophalangeal (MCP) joint after zone VII extensor tendon reconstruction with wide-awake local anesthesia no tourniquet (WALANT) surgery. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 18, 2023 Category: Surgery Authors: Ryusuke Osada, Mineyuki Zukawa, Tatsurou Hirokawa, Miku Inagaki, Yoshiharu Kawaguchi Tags: Scientific Article Source Type: research
Thumb Metacarpophalangeal Joint Kinematics and Elongation of the Ulnar Collateral Ligament
The purpose of the study was to determine if the sphericity of the thumb metacarpophalangeal (MCP) joint influences the joint ’s rotational axis (RA) and elongation patterns of the ulnar collateral ligament (UCL). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 17, 2023 Category: Surgery Authors: Krishnan Sircar, Constanze H ägermann, Martin Scaal, Lars-Peter Müller, Jens Dargel, Kilian Wegmann Tags: Editor's Choice Source Type: research
Gap Resistance and Tensile Strength of a Q Suture Technique During Curved Loading: An Ex Vivo Porcine Flexor Tendon Study
This study aimed to determine the mechanical properties of the double Q suture technique in angular motion and to compare the gap formation associated with tendon repairs during curved and linear loading. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 16, 2023 Category: Surgery Authors: Si Wei Xu, Wei Feng Mao, Ya Fang Wu Tags: Scientific Article Source Type: research
Radiographic Comparison of Forearm Symmetry in Healthy Individuals and its Importance in the Diagnosis of Longitudinal Radioulnar Dissociation
Longitudinal radioulnar dissociation (LRD) is an injury often missed upon initial presentation. A recent study examined a radiographic screening test in cadavers that showed increased interosseous distance when the interosseous ligament (IOL) was divided. For this test to be clinically useful, it is necessary for uninjured forearms to have similar interosseous spaces. The purpose of this study was to determine the typical differences between right and left interosseous spaces of healthy individuals. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 14, 2023 Category: Surgery Authors: Christopher M. Jones, Genoveffa R. Morway, Christina J. Gutowski, Kurosh Darvish Tags: Scientific Article Source Type: research
Altered Ulnar Variance With Full-Body Weight-bearing During Handstands With Upper Extremity Weight-bearing CT
Ulnar variance (UV) is a radiographic measurement relating the articular surface heights of the distal radius and ulna. Abnormal UV increases the risk for wrist pathology; however, it only provides a static measurement of an inherently dynamic bony relationship that changes with wrist position and loading. The purpose of this study was to investigate how full-body weight-bearing affects UV using weight-bearing computed tomography (WBCT). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 11, 2023 Category: Surgery Authors: Joseph A. Buckwalter V, Noah M. Scigliano, Ignacio Garcia Fleury, Nicole A.D. Watson, Kevin N. Dibbern, Natalie A. Glass, Jessica E. Goetz Tags: Scientific Article Source Type: research
