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 if the index finger retained the ability to extend independently after the transfer and to evaluate second metacarpophalangeal (MCP) joint mobility. Our study consisted of 19 patients in whom the EIP tendon had been divided proximally to the extensor hood. The EIP tendon was retrieved through a proximal approach at the distal radius level and rerouted towards a recipient tendon. At an average follow-up of 41 months, the average independent extension strength was 5.6N versus 11N on the contralateral side and the dependent strength was 10.9N versus 20N. No patient complained of a loss of extension strength and all had retained independent active extension on the operated index finger. The second MCP joint on the operated side had an independent extension lag of 15.3° compared to the contralateral healthy side and a dependent extension lag of 0.2°. Two patients were impaired in their daily activities when moving the operated index finger. Our results show that EIP harvesting for tendon transfer leads to decreased independent and dependent strength as well as decreased active extension of the second MCP joint. However, the functional impact was negligible and should not compromise the use of the EIP as a tendon transfer. LEVEL OF EVIDENCE:III.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Matter-Parrat V,Prunières G,Collon S,Facca S,Liverneaux P,Hidalgo Diaz JJdoi
10.1016/j.hansur.2016.09.013subject
Has Abstractpub_date
2017-02-01 00:00:00pages
36-40issue
1eissn
2468-1229issn
2468-1210pii
S2468-1229(16)30160-8journal_volume
36pub_type
杂志文章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::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::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::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::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::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
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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::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::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::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::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::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::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::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 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::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::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::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 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::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::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::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::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::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::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::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::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::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::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