Abstract：
:The aim of the study was to assess the natural history of untreated flexor pollicis longus (FPL) tendon rupture in patients with rheumatoid arthritis (RA). We reviewed a cohort of patients to assess the long-term effect of conservative management. We reviewed nine of 11 consecutive patients. We assessed objective outcomes including ranges of motion and strength and subjective outcomes including pain and function scores. We assessed seven women and two men. They had a mean age of 67 (range 48-82) years. Six of the nine patients had no more symptoms on the side of their FPL rupture than in the other thumb. Two were mildly more symptomatic and one much more symptomatic. Late thumb hyperextension did not appear to be a symptomatic problem. We recommend waiting at least 6 weeks before considering surgical reconstruction in patients who have an FPL rupture secondary to RA. The majority will recover so well that they may not choose reconstructive surgery. Level of evidence: IV.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Giddins G,Jefferson Ldoi
10.1016/j.hansur.2020.08.002subject
Has Abstractpub_date
2020-12-01 00:00:00pages
508-510issue
6eissn
2468-1229issn
2468-1210pii
S2468-1229(20)30154-7journal_volume
39pub_type
杂志文章abstract：:The purpose of the study was to evaluate the reliability of the dorsal tangential view (DTV) of the wrist using direct visualization of the extensor compartments in vivo. Twelve patients with extensor tendon complications [nine patients with extensor synovitis, two patients with isolated extensor pollicis longus (EPL)...
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
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
abstract：:The Allieu classification takes into consideration the distal and proximal joints of the trapezium. Trapeziometacarpal (TMC) joint arthritis, TMC joint instability (TMI) and scapho-trapezio-trapezoid (STT) joint arthritis are considered independently, which better corresponds to the anatomical examinations. The aim of...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.06.008
更新日期：2017-10-01 00:00:00
abstract：:The applications of robotic surgery have quickly spread into a variety of surgical fields. Interest in robotic endoscopic surgery is high because of the small size of the incisions, cosmetic advantages, less invasive surgical techniques, decreased scar tissue, shorter duration of hospitalization and increased cost-eff...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.01.002
更新日期：2016-04-01 00:00:00
abstract：:Distal radioulnar joint (DRUJ) instabilities are common and often combined with other injuries of the interosseous membrane and/or the proximal radioulnar joint. Once they are diagnosed and the treatment is chosen, physiotherapists have limited choices due to the lack of validated protocols. The benefits of propriocep...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2017.02.005
更新日期：2017-10-01 00:00:00
abstract：:A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Hand function was excellent following wire removal and mobilizati...
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：:Malunions of the distal radius are associated most of the time with disturbances of the distal radioulnar (DRU) joint. While a corrective osteotomy of the distal radius is a well-known procedure in younger patients, manual workers and active patients, is it justified in independent elderly patients above 70 years of a...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.013
更新日期：2016-12-01 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：:One year follow-up results after hypothenar fat pad flap surgery for recurrent and end stage carpal tunnel syndrome (CTS) are reported. Before surgery, the patients' complaints with a recurrent CTS were mainly pain and return of pathological symptoms (tingling, nocturnal pain, etc.) whereas the patients with end stage...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.08.003
更新日期：2016-10-01 00:00:00
abstract：:Exertional compartment syndrome of the forearm is a rare pathology, occurring almost exclusively in motorcycle racers. The results of endoscopic techniques are similar to those of open fasciotomies, but they are less invasive and leave smaller scars. The aim of our study was to present a new endoscopic technique for s...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.01.011
更新日期：2020-05-01 00:00:00
abstract：:This article aims to provide hand surgeons with current knowledge on the developmental biology of the upper limb. It will review positioning, limb bud emergence and formation of the apical ectodermal ridge. The development of the limb bud is analyzed in its three axes: proximal-distal, anteroposterior and dorsoventral...
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：: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
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：:The use of a "bank finger" by its very nature is almost exclusively reserved for the management of traumatic hand injuries. Here, we described one case of thumb reconstruction using the patient's index finger as a "bank finger" after the excision of a grade II malignant fibrous histiocytoma. ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2015.12.006
更新日期：2016-04-01 00:00:00
abstract：:This case series determines the clinical outcomes of relative motion extensor splints (RMES) in extensor mechanism repairs. Nine patients who underwent extensor tendon repair, juncturae tendinum or sagittal band repair were included. A forearm-based volar blocking wrist splint was applied after surgery. The RMES was c...
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 goal of this study was to develop a minimally-invasive, ultrasound-guided percutaneous flexor tendon sheath lavage technique on cadaver model. Two catheters were inserted using ultrasound guidance at the proximal and distal ends of the tendon sheath in 20 fingers from cadaveric forearms. Percutaneous injection of ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.12.001
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 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
更新日期：2017-10-01 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：:Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that can take many clinical forms. Its diagnosis is difficult and often delayed. We report the case of a 36-year-old man with PG complicating a chemical burn of the wrist. This mode of atypical onset delayed the diagnosis and the initiation of appropriate tre...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2019.07.012
更新日期：2019-10-01 00:00:00
abstract：:Surgical denervation of the thumb carpometacarpal (CMC) joint is a theoretical surgical option for thumb CMC arthritis. Some authors have described the nerve branches of thumb CMC joint. We present the innervation of the thumb CMC joint (thenar - recurrent - branch of median nerve, palmar branch of median nerve, super...
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
abstract：:Some very poor results after carpal tunnel syndrome (CTS) surgery are difficult to explain. The main hypothesis of this study was that a relationship exists between self-efficiency toward pain and the difference between pre-operative and post-operative pain. The secondary hypothesis was that a relationship exists betw...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.08.008
更新日期：2016-12-01 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
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.09.005
更新日期：2021-02-01 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
abstract：:We sought to investigate the reliability, validity, responsiveness, and interpretability of the German version of the Unité Rhumatologique des Affections de la Main (URAM) scale in patients with Dupuytren's disease. Patients with Dupuytren's disease were evaluated before receiving an injection of collagenase Clostridi...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.05.008
更新日期：2020-12-01 00:00:00
abstract：:Intramuscular hemangiomas are benign vascular tumors. They develop in striated muscles. Various sites have been reported in the literature but only rarely in the hand. We report on a case of an intramuscular hemangioma located within the hypothenar eminence, diagnosed by a biopsy. Treatment options are limited in the ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.09.001
更新日期：2017-12-01 00:00:00
abstract：:Complications following extensor indicis proprius (EIP) tendon transfer are loss of strength, independence and mobility in the index finger in extension. The main goal of this study was to measure the index finger's independent and dependent extension strength after a tendon transfer. Secondary goals were to determine...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.09.013
更新日期：2017-02-01 00:00:00
abstract：:About 10 years after volar locking plates were introduced to treat acute distal radius fractures, several papers have reported short-term complications. The aim of this paper was to report our complication rate over a 2-year period and to compare it to the literature. We found similar complication rates despite differ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.003
更新日期：2016-12-01 00:00:00
abstract：:Osteoarthritis of the first carpometacarpal joint (CMCJ1) is a common, painful condition with positive radiological findings in up to 32% of people over 50 years of age and up to 91% of people over 80 years of age. Currently, there is insufficient evidence to recommend one surgical treatment option over the others. We...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.10.235
更新日期：2018-02-01 00:00:00
abstract：:Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint of the long fingers are in most cases unstable. They require surgery, whose primary aim is to restore and maintain articular congruency. While numerous techniques exist to treat these injuries, none have been shown to be superior to any of the ot...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.01.005
更新日期：2018-06-01 00:00:00
