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 technique was a reliable and efficient way to treat painful degenerative wrists. Thirty-three patients, 48years old on average, were included in this study. Indications were scapholunate advanced collapse (SLAC) in 18 cases, scaphoid nonunion advanced collapse (SNAC) in 10, distal radius fracture sequelae with advanced radiocarpal osteoarthritis in 4, and post-traumatic ulnocarpal impingement in 1 case. At 41 months' follow-up (12-161), there was a 75% reduction in pain levels, decreasing from 7.1 to 1.8 on a visual analog scale (VAS). There were no modifications related to wrist range of motion or grip strength. The QuickDASH averaged 23 points (5 to 70). Radiographic evaluation showed progression of intracarpal degeneration in 6 patients. All but 2 patients returned to their previous work. Persistent dysesthesia was observed in 7 patients; it resolved in 3 cases and persisted in 4. One patient developed complex regional pain syndrome (CRPS). A midcarpal arthrodesis with scaphoidectomy was performed in one patient because of disabling pain 5months after surgery. Wrist denervation with a two-incision technique for post-traumatic osteoarthritis led to satisfactory results in 75% of cases with reduction in pain, preservation of range of motion and grip strength. However, this technique does not stop the progression of osteoarthritis. It can be discussed as a therapeutic alternative to proximal row carpectomy or intracarpal arthrodesis to treat degenerative painful wrists. TYPE OF STUDY/LEVEL OF EVIDENCE:Therapeutic IV.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Delclaux S,Elia F,Bouvet C,Aprédoaei C,Rongières M,Mansat Pdoi
10.1016/j.hansur.2017.04.003subject
Has Abstractpub_date
2017-09-01 00:00:00pages
281-285issue
4eissn
2468-1229issn
2468-1210pii
S2468-1229(17)30096-8journal_volume
36pub_type
杂志文章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
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abstract::Damage to the hand in patients suffering from gout is rare and is often detected at an advanced stage. The main clinical manifestations are the appearance of subcutaneous tophi at the finger joints. Other clinical manifestations of osteoarticular, tendinous or neurological lesions have been described in the hand and a...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.02.005
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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...
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hansur.2018.08.001
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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::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
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.013
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2015.09.002
更新日期:2016-02-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.10.009
更新日期:2021-02-01 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.2016.03.007
更新日期:2016-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.01.011
更新日期:2020-05-01 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::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::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
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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::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::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
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.01.003
更新日期:2018-04-01 00:00:00
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 outc...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.08.002
更新日期:2020-12-01 00:00:00
abstract::We sought to report on the use of wide-awake local anesthesia and no tourniquet (WALANT) for internal fixation of metacarpal fractures. We retrospectively examined 10 patients with metacarpal fractures that required either closed reduction and internal fixation (CRIF) or open reduction and internal fixation (ORIF). WA...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.01.003
更新日期:2020-05-01 00:00:00
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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
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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.2016.08.008
更新日期:2016-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
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更新日期:2021-02-01 00:00:00
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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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
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