Abstract:
:The rate of failure or recurrence after ulnar nerve release at the elbow is up to 25%. Various biomaterials have been developed to protect nerves from postoperative adhesions. The aim of this study was to review a case series of 40 surgical revision procedures of the ulnar nerve at the elbow, protected by a collagen membrane (Cova™ ORTHO). Forty patients who had this revision surgery between January 2013 and December 2017 were reviewed: 34 were evaluated in person, 6 were evaluated over the phone. The operation consisted in release of the ulnar nerve, anterior subcutaneous transposition and nerve protection using a collagen membrane. We assessed the following parameters with an average follow-up of 4 years and 3 months: paresthesia, night awakening, quality of life (QuickDASH score) and neuropathic pain (DN4 questionnaire). The outcome was determined with the Gabel & Amadio score. The patients' satisfaction was evaluated. A significant decrease in paresthesia and night awakening was found (p < 0.05). The average Gabel & Amadio score improved from 4.4 to 6.7 with 5 excellent, 19 good, 9 fair, and 1 poor result. The average DN4 was 5/10 and the QuickDASH score was 40.1. Eighty percent of patients were satisfied or very satisfied with the outcome. Surgical revision of the ulnar nerve at the elbow remains a delicate operation without a gold standard. This case series found good or excellent results in 70% of patients. Surgical revision of the ulnar nerve with a collagen membrane is a reliable alternative among other possibilities for ulnar nerve release at the elbow.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Nicot C,Césari B,Saint-Cast Y,Raimbeau G,Rabarin Fdoi
10.1016/j.hansur.2020.11.003subject
Has Abstractpub_date
2020-12-10 00:00:00eissn
2468-1229issn
2468-1210pii
S2468-1229(20)30240-1pub_type
杂志文章abstract::Total trapeziometacarpal (TMC) joint replacement is increasingly being performed for the treatment of basal joint arthritis. However, complications such as instability or loosening are also frequent with TMC ball-and-socket joint replacement. Management of these complications lacks consensus. The purpose of this study...
journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2017.02.005
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abstract::Most extra-articular fractures of the proximal phalanges (P1) of the triphalangeal fingers can be treated conservatively with good results. Prerequisites for successful fracture treatment are intact soft tissue without any lesions of the extensor hood and stable initial fracture reduction. The key to functional conser...
journal_title:Hand surgery & rehabilitation
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doi:10.1016/j.hansur.2018.01.003
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.01.005
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.01.002
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.08.003
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.10.009
更新日期:2021-02-01 00:00:00
abstract::The authors describe their experience using silicone infusion tubing in place of Hunter rods for two-stage zone 2 flexor tendon reconstruction in a resource-limited surgical environment. This case report features a 47-year-old, right-handed man who had no active PIP and DIP joint flexion in four fingers of the right h...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.06.004
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.06.004
更新日期:2018-10-01 00:00:00
abstract::Gunshot wounds to the hand often produce complex injuries and large segmental bone defects. Bone reconstruction remains a challenge in this context. The induced membrane technique is a simple and effective procedure for reconstruction of segmental bone defects. The technique is straightforward but must be performed ri...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2019.01.002
更新日期:2019-04-01 00:00:00
abstract::We examined the anatomical and clinical results of a new wrist subphyseal arthrodesis method called chondrodesis, which relies on resorbable suture-bone fixation for children with severe paralytic hand deformities and does not require fixation devices or bone grafting. Four children's wrists underwent the procedure, r...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.02.007
更新日期:2020-09-01 00:00:00
abstract::Hand preference for perineal hygiene is not a commonly recorded data unlike hand dominance. Ability to reach the perineum is essential for a good functional outcome. There is no evidence in orthopaedic literature regarding its variability. The aim of this study was to examine hand preference for perineal hygiene in a ...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hansur.2018.08.001
更新日期:2018-12-01 00:00:00
abstract::Every doctor can be confronted, during his career, with patients presenting symptoms they created themselves. Because it is easily accessible, the hand is a favored target organ for these self-inflicted injuries. The diagnosis of factitious disorder of the hand is very difficult, rarely suggested and widely under-esti...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.10.237
更新日期:2018-04-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.09.011
更新日期:2021-01-16 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2018.03.007
更新日期:2018-10-01 00:00:00
abstract::Surgical management of contaminated hand wounds may seem anecdotal, but such injuries actually account for an appreciable amount of the activity in emergency hand centers, and recommendations put forward by scientific societies differ. Dealing effectively with this public health issue calls for clarifying the usefulne...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.06.001
更新日期:2016-09-01 00:00:00
abstract::We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior t...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.03.001
更新日期:2017-06-01 00:00:00
abstract::The aim of this study was to characterize the change in health-related quality of life following carpal tunnel decompression. Pre- and postoperative Euroqol 5 Dimensions scores were collected prospectively over three years. Outcomes were available for 435 of 563 patients (77%); mean age was 62 years. Comorbid status w...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.12.003
更新日期:2020-12-16 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2019.07.012
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.10.005
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.11.002
更新日期:2018-02-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2019.01.004
更新日期:2019-04-01 00:00:00
abstract::Severe contracture of the little finger due to Dupuytren's disease continues to be a therapeutic problem. Fifth finger amputation, which is sometimes the only solution, has a major negative impact on function and appearance, and exposes the patient to adjacent digital hook aggravation. Middle phalangectomy with finger...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.12.003
更新日期:2019-04-01 00:00:00
abstract::This is a review of the various approaches that can be used for open reduction and internal fixation (ORIF) of distal radius fractures. The main dissection steps are exposed and the specific indications for each approach are described. The anterior approach is discussed extensively as it is now the gold standard for O...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.007
更新日期:2016-12-01 00:00:00
abstract::The goal of wrist denervation is to decrease pain at the wrist, whether caused by an intra- or extra-articular problem or even when the reason for the pain is unknown. It is an alternative to partial or total arthrodesis and proximal row carpectomy. Our hypothesis was that wrist denervation with a two-incision techniq...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.04.003
更新日期:2017-09-01 00:00:00
abstract::The aim of this retrospective study was to analyze the medium-term results of patients treated with a pyrocarbon interposition implant (Pyrocardan®, Wright Medical™) after failed trapeziectomy. Eight female patients with an average age of 63 years were included in this single-center study. The average follow-up was 54...
journal_title:Hand surgery & rehabilitation
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abstract::The goal of this study was to evaluate the outcome of our surgical approach aimed at preventing complications following surgery for De Quervain tendinopathy. Our stepwise surgical procedure is described in detail. We reviewed 56 cases operated by a senior surgeon over 5years, and re-evaluated them with a minimum 15mon...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.03.002
更新日期:2016-06-01 00:00:00
abstract::Although the simultaneous occurrence of arthritis of the wrist and the base of the thumb is rare, it is nonetheless imperative to carry out a preoperative clinical and radiological assessment of the wrist when managing trapeziometacarpal osteoarthritis. The presence of pre-arthritic lesions or established wrist arthri...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.08.013
更新日期:2021-01-19 00:00:00
abstract::Wrapping microsurgical sutures with a vein conduit is a well-described procedure for microsurgical nerve repair. While this has rarely been described in the context of vascular repair, this technique could increase the permeability of the sutured vessels. As part of a University Diploma in Microsurgery, 9 junior surge...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.04.009
更新日期:2020-10-01 00:00:00