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 to relocation was 17 (range 7-44) months. Adequate treatment involved relocation of 35 nerves at a first operation for each of the 22 patients, with six patients requiring further surgery to relocate 9 nerves. At a minimum follow-up of 6 months, nerve relocation resulted in complete resolution of all forms of pain at the primary site in 21/22 (95%) patients and no pain or hypersensitivity at the final relocation site in 19 of the 22 patients (86%).
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Laing TA,Sierakowski A,Elliot Ddoi
10.1016/j.hansur.2017.03.001subject
Has Abstractpub_date
2017-06-01 00:00:00pages
208-214issue
3eissn
2468-1229issn
2468-1210pii
S2468-1229(17)30042-7journal_volume
36pub_type
杂志文章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::Pyogenic flexor tenosynovitis (PFT) is a functional emergency in hand surgery; however, its diagnosis can be difficult to make. It should always be considered when a patient presents with an inflamed finger. The goal of this study was to investigate the usefulness of ultrasound in the diagnosis of early PFT. Seventy-t...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.12.004
更新日期:2018-04-01 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::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
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 m...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.11.003
更新日期:2020-12-10 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::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::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::Several techniques have been described for fusion of the distal interphalangeal joint. The intramedullary Lync® implant (Novastep™) may be superior to other options as it is available in straight or bent configurations, does not need to be removed and does not require fingertip incisions. The objective of our prospect...
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::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::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::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::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::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 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::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
更新日期:2018-05-17 00:00:00
abstract::The aim of this study was to assess the value of using a Canaletto® implant in combination with a gel composed of carboxymethylcellulose and polyethylene oxide in the surgical treatment of recurrent carpal tunnel syndrome (CTS). The case series included 31 patients with 32 hands operated for the second time for recurr...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.10.005
更新日期:2021-02-01 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::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::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
pub_type: 杂志文章
doi:10.1016/j.hansur.2015.09.002
更新日期:2016-02-01 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
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::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::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::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 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::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::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::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::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