The role of ultrasonography in the assessment of ulnar collateral ligament injury of the thumb - a diagnostic test accuracy meta-analysis.

Abstract:

:The accurate diagnosis of ulnar collateral ligament (UCL) injuries of the thumb is important in identifying patients requiring surgery. Stener lesion, the most severe form of such injuries, is debilitating and leads to chronic instability if misdiagnosed. We evaluated the diagnostic accuracy of ultrasonography (USS) in UCL injuries. A systematic review of existing literature was performed with a meta-analysis using a bivariate mixed-effects model to estimate summary sensitivity and specificity. All observational studies were assessed, with participants of any age, who sustained UCL injuries of the thumb. A hierarchical model was used to generate a hierarchical summary receiver operating characteristic (HSROC) curves. We identified 17 studies reporting a total of 593 UCL injuries. Pooled estimates for sensitivity and specificity were 0.96 (95% CI 0.89-0.99) and 0.90 (95% CI 0.81-0.94), respectively for the diagnosis of Stener lesions; 0.81 (95% CI 0.66-0.93) and 0.87 (95% CI 0.67-0.96), respectively for non-displaced complete ruptures and 0.82 (95% CI 0.66-0.92) and 0.94 (95% CI 0.85-0.98), respectively for complete ruptures without Stener lesion. The area under the curve (AUC) for Stener diagnosis using USS was 0.98, suggesting excellent diagnostic accuracy. Our meta-analysis suggests that USS is a reliable and accurate method of diagnosis for UCL injuries. Moreover, it has excellent diagnostic accuracy for Stener lesions and may be used in the diagnostic work-up of UCL injuries with magnetic resonance imaging being reserved for ambiguous cases.

journal_name

J Plast Surg Hand Surg

authors

Raheman FJ,Rojoa DM,Dhingra M,Siddiqui S,Macdonald CR

doi

10.1080/2000656X.2020.1838295

subject

Has Abstract

pub_date

2020-11-06 00:00:00

pages

1-13

eissn

2000-656X

issn

2000-6764

pub_type

杂志文章
  • The effect of chemical hemodynamic regulation on the survival of arterialized venous flaps.

    abstract::The role of nitric oxide (NO) on the microcirculation of arterialized venous flaps (AVFs) remains controversial. We aimed to investigate the effect of hemodynamic regulation using nitric oxide synthase (NOS) inhibitor and its agonist as a chemical intervention on the survival of AVF. A 10 × 8 cm arterialized venous fl...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2018.1550418

    authors: Zhao B,Poonit K,Zhou X,Yao C,Sun C,Yan H

    更新日期:2019-04-01 00:00:00

  • Electrical stimulation to the trigeminal proprioceptive fibres that innervate the mechanoreceptors in Müller's muscle induces involuntary reflex contraction of the frontalis muscles.

    abstract::The levator and frontalis muscles lack interior muscle spindles, despite consisting of slow-twitch fibres that involuntarily sustain eyelid-opening and eyebrow-raising against gravity. To compensate for this anatomical defect, this study hypothetically proposes that initial voluntary contraction of the levator fast-tw...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.718282

    authors: Matsuo K,Osada Y,Ban R

    更新日期:2013-02-01 00:00:00

  • Venous thromboembolism prophylaxis in plastic surgery: a survey of the practice in Denmark.

    abstract:BACKGROUND:Venous thromboembolism is a well-documented complication of surgery, including plastic surgery. However, few consensus guidelines on thromboembolism prophylaxis exist in plastic surgery and, thus, the different approaches in the public as well as the private clinics in Denmark were investigated using a web-b...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2016.1195745

    authors: Nielsen LJ,Matzen SH

    更新日期:2017-04-01 00:00:00

  • Post-traumatic osteonecrosis of the lunate after fracture of the distal radius.

    abstract::We present a case of post-traumatic osteonecrosis of the lunate after fracture of the distal radius. Post-traumatic osteonecrosis of the carpal lunate after a fracture of the distal radius has, to our knowledge, not been reported previously. We treated the patient with vascularised bone graft from the distal radius, w...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.812763

    authors: Nakanishi A,Yajima H,Kisanuki O

    更新日期:2014-12-01 00:00:00

  • Free flap reconstruction of sarcoma defects in the setting of radiation: a ten-year experience.

    abstract::Neoadjuvant treatment and surgical resection for sarcoma patients can often leave devastating wounds necessitating soft-tissue coverage in the form of free flaps. There is still debate as to the optimal flap for reconstruction of defects in irradiated fields. We aim to describe our experiences with free fasciocutaneou...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2020.1791893

    authors: Othman S,Azoury SC,Weber KL,Kovach SJ

    更新日期:2020-12-01 00:00:00

  • Suprathel(®) causes less bleeding and scarring than Mepilex(®) Transfer in the treatment of donor sites of split-thickness skin grafts.

    abstract::Split-thickness skin grafts are routine in the treatment of deep dermal burns and various other wounds. Healing of the donor site of the graft has an impact on the total recovery of the patient. We conducted a prospective clinical study at Tampere University Hospital to compare the effect of two adhesive wound dressin...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2011.583515

    authors: Kaartinen IS,Kuokkanen HO

    更新日期:2011-09-01 00:00:00

  • Results of intra-wound continuous negative pressure irrigation treatment for mediastinitis.

    abstract::Intra-wound continuous negative pressure irrigation treatment (IW-CONPIT) was administered to cases of mediastinitis as the therapy of choice, with satisfactory results being obtained in terms of improved survival rates and quick healing of wounds. Accordingly, these treatment results and efficacy were evaluated. Afte...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.765885

    authors: Morinaga K,Kiyokawa K,Rikimaru H,Aoyagi S,Tayama K,Akashi H

    更新日期:2013-09-01 00:00:00

  • Spring-assisted surgery in the treatment of sagittal synostosis: A systematic review.

    abstract:BACKGROUND:Premature sagittal synostosis (SS) can be surgically corrected using extensive cranioplasties or using less invasive methods, e.g. spring-assisted surgery (SAS). AIM:The aim of the present study was to perform a proper systematic review of springs in the treatment of SS. METHODS:A literature search was per...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2014.981268

    authors: Maltese G,Fischer S,Strandell A,Tarnow P,Kölby L

    更新日期:2015-06-01 00:00:00

  • Efficacy of collagenase in patients who did and did not have previous hand surgery for Dupuytren's contracture.

    abstract::Collagenase Clostridium histolyticum (CCH) is a non-surgical, efficacious therapy for Dupuytren's contracture (DC). This study evaluated the efficacy and safety of CCH in patients with previous DC surgery. Data from 12 CCH clinical trials were pooled. At screening, patients provided details about the type/date of prev...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,meta分析

    doi:10.3109/2000656X.2012.683795

    authors: Bainbridge C,Gerber RA,Szczypa PP,Smith T,Kushner H,Cohen B,Hellio Le Graverand-Gastineau MP

    更新日期:2012-09-01 00:00:00

  • Patient satisfaction with tourniquet application and local anaesthesia infiltration in carpal tunnel decompression and the relationship with overall satisfaction.

    abstract::This was a prospective study designed to determine what effect poor tolerance to tourniquet application and local anaesthesia infiltration in open carpal tunnel decompression has on overall patient satisfaction with the surgical procedure. Fifty patients were recruited into the study. Visual analogue scores (VAS) were...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.787935

    authors: Bidwai AS,Benjamin-Laing HE,Shaw DA,Iqbal S,Jones WA,Brown DJ

    更新日期:2013-12-01 00:00:00

  • Self-citation rate and impact factor in the field of plastic and reconstructive surgery.

    abstract:BACKGROUND:Journal ranking based on the impact factor (IF) can be distorted by self-citation. The aim of this study is to investigate the present status of self-citation in the plastic surgery journals and its effect on the journals' IFs. METHODS:IF, IF without self-citations (corrected IF), self-cited rate, and self-...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2017.1319847

    authors: Miyamoto S

    更新日期:2018-02-01 00:00:00

  • Histologic comparison between the internal mammary artery and the deep inferior epigastric artery and clinical implications for microsurgical breast reconstruction.

    abstract:BACKGROUND:The internal mammary artery (IMA) is one of the most popular recipients for microsurgical breast reconstruction. However, it is often separated into sleeve-like layers when it is handled. This study tried to explain this unique behaviour of the IMA through histologic observation. METHODS:Nine pairs of IMAs ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2015.1021815

    authors: Jeong WS,Yun J,Lee TJ,Eom JS,Kim EK

    更新日期:2015-01-01 00:00:00

  • Upper extremity replantation and revascularization in Finland between 1998 and 2016.

    abstract::Emergency replantation and revascularization operations of upper extremity injuries demand considerable resources, but their actual occurrence is unknown. This study evaluated all emergency replantations and revascularizations in the upper extremity in Finland from 1998 to 2016. A total of 2,434 operations were identi...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2020.1771720

    authors: Pyörny J,Huttunen TT,Mattila VM,Jokihaara J

    更新日期:2020-10-01 00:00:00

  • Anatomical study of medial and lateral sural cutaneous nerve: implications for innervated distally-based superficial sural artery flap.

    abstract::We report about reconstruction of the foot with an innervated distally-based superficial sural artery flap using the lateral sural cutaneous nerve. The sensation of the lateral part of the leg depends on the sural nerve (SN), and the medial part of the leg on the saphenous nerve. The border of the area between the SN ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2011.644720

    authors: Nuri T,Ueda K,Maeda S,Otsuki Y

    更新日期:2012-02-01 00:00:00

  • Small-to-moderate decreases in cold hypersensitivity up to 3 years after severe hand injuries: A prospective cohort study.

    abstract:BACKGROUND:The natural course and predictors for decreased cold hypersensitivity were studied in 85 patients with severe hand injuries involving nerve lesions. METHODS:Questionnaires including the McCabe Cold Sensitivity Severity scale (CSS 0-400) were collected after injury, and at 6-month, 12-month, 2-year, and 3-ye...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2015.1089877

    authors: Vaksvik T,Røkkum M,Haugstvedt JR,Holm I

    更新日期:2016-01-01 00:00:00

  • Coincidence or complication? A systematic review of trigger digit after carpal tunnel release.

    abstract:BACKGROUND:Carpal tunnel syndrome (CTS) and trigger digits are among the most common nontraumatic hand disorders treated by plastic surgeons. The onset of trigger digits after carpal tunnel release (CTR) has been inconsistently reported. This systematic review assessed the prevalence of trigger digits development in pa...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.1080/2000656X.2017.1345751

    authors: Lin FY,Wu CI,Cheng HT

    更新日期:2018-04-01 00:00:00

  • Analysis of satisfaction after breast reduction comparing vertical scar versus inverted T-shaped technique using the Breast-Q questionnaire. Is patient satisfaction influenced by the amount of tissue removed?

    abstract:BACKGROUND:Breast reduction is a procedure with a high rate of patient satisfaction. Many techniques can be used for this type of surgery; patient satisfaction can vary from one technique to another. The main aim of this study was to use Breast-Q for initial evaluation of patient satisfaction after breast reduction by ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2017.1291432

    authors: Menéndez-Cardo A,Guillen-Grima F,Hontanilla B

    更新日期:2017-12-01 00:00:00

  • Not all non-rheumatoid patients are satisfied with thumb metacarpophalangeal joint arthrodesis.

    abstract::Arthrodesis of the thumb metacarpophalangeal (MP) joint exhibits good results in rheumatoid patients but is controversial in post-traumatic conditions. This study evaluated the subjective outcome after thumb MP joint arthrodesis in chronic injuries and non-rheumatoid degenerative disorders. Forty-six patients were eva...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.742020

    authors: Rigó IZ,Røkkum M

    更新日期:2013-04-01 00:00:00

  • A systematic review of outcomes of abdominoplasty.

    abstract::Abdominoplasty is a well-established operation to remove abdominal tissue excess. The patients' benefits and risks of this surgical treatment are, however, incompletely studied. The aim of this study was to evaluate the quality of evidence of benefits and risks for patients having abdominoplasty from massive weight lo...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2012.683794

    authors: Staalesen T,Elander A,Strandell A,Bergh C

    更新日期:2012-09-01 00:00:00

  • Reconstruction of the trapeziometacarpal joint in inflammatory joint disease using interposition of autologous tendon or poly-L-D-lactic acid implants: a prospective clinical trial.

    abstract::Interposition arthroplasty with bioreplaceable poly-L-D-lactic acid (PLDLA) implants has yielded promising results in reconstruction of rheumatoid hands. In this prospective clinical study we compared the PLDLA implant arthroplasty (n = 17) with that of tendon interposition (n = 12) for destruction of the trapeziometa...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/2000656X.2012.669202

    authors: Tiihonen RP,Skyttä ET,Kaarela K,Ikävalko M,Belt EA

    更新日期:2012-04-01 00:00:00

  • Protocol of surgical indications for scar contracture release before childbirth: women with severe abdominal scars after burn injuries.

    abstract::It is difficult to determine if women with severe abdominal burn scar contractures can have uneventful pregnancies and births. There are few reports involving the relationship between severe abdominal scar contractures and pregnancy/childbirth. Furthermore, all of these reports are based on retrospective studies. The ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2014.942314

    authors: Mitsukawa N,Saiga A,Satoh K

    更新日期:2015-02-01 00:00:00

  • Clinical use of a combined grasping and locking core suture technique for flexor tendon repair in zone II.

    abstract::Previous authors have used either a grasping or a locking technique for flexor tendon repair in zone II. A combined (grasping and locking) 10-strand repair was used by the author in 22 adults (n = 28 fingers) with lacerations of both flexor tendons in zone II. The combined repair is known to be strong (mean tensile st...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.776561

    authors: Al-Qattan MM

    更新日期:2013-12-01 00:00:00

  • Characterisation of angiogenetic growth factor production in adipose tissue-derived mesenchymal cells.

    abstract::Optimal vascularisation of the graft site is significant for improving the outcome of fat grafting. Adipose tissue, specifically the stromal vascular fraction (SVF), is known to regulate its own vascular network. In order to assess the production of angiogenetic growth factors, this study investigated the content of i...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2014.903196

    authors: Pallua N,Serin M,Wolter TP

    更新日期:2014-12-01 00:00:00

  • Irradiation of the recipient site does not adversely affect successful free flap transfer in the repair of head and neck defects after salvage surgery for recurrent nasopharyngeal carcinoma originally treated with radiotherapy.

    abstract::Irradiation of the recipient site has been associated with postoperative complications and an increased rate of flap failure in facial reconstruction. The aim of this study was to report the outcomes of our use of four different types of flaps (two free and two pedicled) for the reconstruction of patients with nasopha...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.729510

    authors: Song M,Chen WK,Zhang Q,Chen SW,Zhuang SM,Yang AK

    更新日期:2013-02-01 00:00:00

  • Invasive Mycobacterium marinum infection of the hand.

    abstract::Mycobacterium marinum infection of the hand is rare. We report the case of a 39-year-old man with M marinum infection that resulted in a chronic soft tissue infection, extensor tendon synovitis, and arthritis of the metacarpophalangeal (MCP) joints. The cause was probably tropical freshwater fishes. ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.779801

    authors: Flondell M,Ornstein K,Björkman A

    更新日期:2013-12-01 00:00:00

  • Encephalocraniocutaneous lipomatosis: congenital alopecia treatment in a rare neurocutaneous syndrome.

    abstract::Encephalocraniocutaneous lipomatosis (ECCL) is a rare neurocutaneous syndrome that include skin, ocular, and neurological disorders. This study describes the case of a 16-year-old girl that came to observation for the treatment of a congenital alopecia causing great psychological distress. After two expansion procedur...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.842293

    authors: Borgognoni L,Brandani P,Reali F,Gerlini G,Sestini S,Maio V,Reali UM

    更新日期:2014-12-01 00:00:00

  • Is Swanson prosthesis better than Sutter prosthesis for metacarpophalangeal joint arthroplasty? A meta-analysis.

    abstract::The aim of this meta-analysis is to compare the outcomes of the Swanson and Sutter prostheses (previously the Avanta prosthesis) used for metacarpophalangeal joint arthroplasty, and provide a powerful and rational conclusion regarding the use of prosthesis in MCP joint surgery. The literature search was based on PubMe...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,meta分析

    doi:10.3109/2000656X.2014.942313

    authors: Zhang H,Xue D,Yu J

    更新日期:2015-02-01 00:00:00

  • Rectus abdominis diastasis.

    abstract::Because of the lack of agreement on when rectus diastasis (RD) is pathologic, the aim was to investigate indications for surgical repair. This study presents classifications of RD, current knowledge on the relation to pregnancy, and conservative and surgical management. A systematic search in Pubmed, Embase, Cochrane,...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2013.859145

    authors: Akram J,Matzen SH

    更新日期:2014-06-01 00:00:00

  • Importance of mesenchymal stem cells in autologous fat grafting: a systematic review of existing studies.

    abstract::Autologous fat grafting (lipofilling) enables repair and augmentation of soft tissues and is increasingly used both in aesthetic and reconstructive surgery. Autologous fat has several advantages, including biocompatibility, versatility, natural appearance, and low donor site morbidity. The main limitation is unpredict...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2012.668326

    authors: Trojahn Kølle SF,Oliveri RS,Glovinski PV,Elberg JJ,Fischer-Nielsen A,Drzewiecki KT

    更新日期:2012-04-01 00:00:00

  • Muscle flaps for sternoclavicular joint septic arthritis.

    abstract::Septic arthritis of the sternoclavicular joint (SC) is rare. The most accepted technique for reconstruction of the defect after SC joint resection is the use of muscle flaps. We hypothesized that resection of ribs with the SC joint impacts timing, type and outcomes of reconstruction. This is a retrospective review of ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2020.1856672

    authors: Ali B,Petersen TR,Shetty A,Demas C,Schwartz JD

    更新日期:2020-12-16 00:00:00