Isolated Dorsoradial Capsular Tear of the Thumb Metacarpophalangeal Joint: Missed Diagnosis and the Management of Delayed Presentation.

Abstract:

:Isolated dorsoradial capsule injuries of the thumb metacarpophalangeal joint are different from those associated with collateral ligament disruption. Early suspicion of this rare injury is important because, if overlooked, ulnarward subluxation of extensor pollicis longus tendon can develop. Functionally, active thumb extension becomes impaired, and over the long term, a thumb Boutonniere's deformity becomes established. Joint hypermobility/instability may predispose to this injury. The 2 cases presented illustrate this through anatomic differences. At the time of acute injury, 3 presenting clinical features should raise suspicion of dorsoradial capsular rupture: a history of isolated hyperflexion injury to the thumb, stable collateral ligaments on examination, and x-ray evidence of palmar subluxation of the proximal phalanx on the metacarpal. Ulnarward subluxation of the extensor pollicis longus is a delayed sign. Diagnostic imaging, beyond x-ray studies, may not be helpful in defining the injury. Early exploration and repair of this injury give the best long-term outcome. Postrepair, metacarpophalangeal joint range of motion may not be fully restored, but stability and a preinjury level of hand function can usually be reestablished.

journal_name

Ann Plast Surg

authors

Godwin Y,Ter Horst B,Scerri G

doi

10.1097/SAP.0000000000001202

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

121-124

issue

2

eissn

0148-7043

issn

1536-3708

journal_volume

80

pub_type

杂志文章
  • Accuracy of High-Resolution Ultrasonography in the Detection of Extensor Tendon Lacerations.

    abstract:BACKGROUND:Lacerations to the extensor mechanism are usually diagnosed clinically. Ultrasound (US) has been a growing diagnostic tool for tendon injuries since the 1990s. To date, there has been no publication establishing the accuracy and reliability of US in the evaluation of extensor mechanism lacerations in the han...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000524

    authors: Dezfuli B,Taljanovic MS,Melville DM,Krupinski EA,Sheppard JE

    更新日期:2016-02-01 00:00:00

  • Anthropometric Changes in the Upper Lip Between the Standing Position in the Clinic and Supine Position on the Operative Table in Secondary Cleft Lip Nasal Deformities.

    abstract:BACKGROUND:We evaluated changes in lip height and length by position in cleft lip nasal deformity patients who underwent treatment with Millard technique. METHODS:A retrospective review of the medical records and an anthropometric analysis of photographs were performed in 209 cases of cleft lip nasal deformity. In the...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002487

    authors: Han K,Kim T,Kim J,Choi J,Shin Y,Jeong W

    更新日期:2020-07-27 00:00:00

  • A Prospective Comparative Study of Color Doppler Ultrasound and Infrared Thermography in the Detection of Perforators for Anterolateral Thigh Flaps.

    abstract:BACKGROUND:Preoperative localization of the perforators allows precise planning of the flap design and improves surgical efficiency. Recently, infrared thermography is introduced as a reliable alternative, where the perforator corresponds to the "hot spot" on the thermogram. This study aims to compare the application o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002369

    authors: Xiao W,Li K,Kiu-Huen Ng S,Feng S,Zhou H,Nicoli F,Blondeel P,Zhang Y

    更新日期:2020-05-01 00:00:00

  • A critical review of the literature and an evidence-based approach for life-threatening hemorrhage in maxillofacial surgery.

    abstract:BACKGROUND:Life-threatening facial hemorrhage in Maxillofacial Surgery (MFS) has an approximate incidence of 1% in the trauma patient and in elective surgery. The treatment of acute life-threatening hemorrhage in MFS to prevent hypovolemic shock or airway obstruction forms the basis of emergency care and necessitates t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e31824a2171

    authors: Khanna S,Dagum AB

    更新日期:2012-10-01 00:00:00

  • Anatomical Basis for Lip Reconstruction: The Role of the Modiolus.

    abstract:OBJECTIVE:The aim of this study was to establish the anatomic basis for functional upper and lower lip reconstruction with locoregional flaps. DESIGN, SETTING, AND PARTICIPANTS:This article is an anatomic fresh cadaver study. RESULTS:For lower lip reconstruction, the modified Bernard-Webster and Karapandzic flaps pre...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001642

    authors: Tong CCL,Vandegriend ZP,Lee YH,Lawson W

    更新日期:2019-05-01 00:00:00

  • Primary vein grafting in treatment of ring avulsion injuries: a 5-year prospective study.

    abstract::Out of 262 hands with total finger amputations treated by replantation of finger/fingers from January 2001 until January 2006, there were only 6 cases of type III ring avulsion injuries, all of which were replanted. Radical resection of the damaged part of the artery with primary vein grafting was used in each case; o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000252717.88972.01

    authors: Hyza P,Vesely J,Drazan L,Stupka I,Ranno R,Castagnetti F

    更新日期:2007-08-01 00:00:00

  • Sensate first dorsal metacarpal artery flap for resurfacing extensive pulp defects of the thumb.

    abstract::Finding an appropriate soft-tissue grafting material to close a wound located over the distal phalanx of the thumb, especially the pulp region, can be a difficult task. A sensate first dorsal metacarpal artery flap, mobilized from the dorsum of the adjacent index finger and used as an island pedicle skin flap, can be ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000137134.15728.dd

    authors: Chang SC,Chen SL,Chen TM,Chuang CJ,Cheng TY,Wang HJ

    更新日期:2004-11-01 00:00:00

  • Intraosseous wiring in toe-to-hand transplantation.

    abstract::Although there are many reports on bony fixations in finger replantations, information pertaining to fixation methods in toe-to-hand transplantations is scarce. The results of intraosseous wiring were evaluated in 68 toe-to-hand transplantations in 47 patients. Clinical and radiological evaluation of bony union was co...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199507000-00013

    authors: Yim KK,Wei FC

    更新日期:1995-07-01 00:00:00

  • Vascularized muscle flaps and reoperative approach for complicated, dehisced sternal wounds in children.

    abstract::Vascularized muscle flaps for treatment of mediastinitis and sternal wound dehiscence have become standard treatment practice, but triple-muscle flap reconstruction is reserved for the more complex wounds. The incisional approach for reoperation in such patients is controversial. We report an extremely ill infant, bor...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199805000-00015

    authors: Sung K,Niazi ZB,Salzberg CA,Permut LC

    更新日期:1998-05-01 00:00:00

  • Reconstruction of Extensive Post-Electric Burn Scalp Defects With Exposed Bones: A Study of 12 Cases.

    abstract::The scalp is a unique part of the human body with respect to its shape and position. It is the part of the body that is usually exposed in its original form, with no covering by any means of clothing. In workplaces, especially in the electrical industry in the area of electrical substations and power transmission line...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001458

    authors: Jeyakumar P,Hussain AT,Ahamed AR

    更新日期:2018-07-01 00:00:00

  • The Effect of Intraoperative Radiotherapy on Healing and Complications After Sacrectomy and Immediate Reconstruction.

    abstract:INTRODUCTION:Sacropelvic resection is the treatment of choice for pelvic bone tumors and can be associated with intraoperative electron radiotherapy (IOERT) to optimize local control of the disease. Reconstruction with flaps also is essential to avoid pelvic complications. There is scarcity of publications evaluating o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002571

    authors: Lasso JM,Pinilla C,Vasquez W,Asencio JM

    更新日期:2020-12-15 00:00:00

  • Volume Resuscitation in Patients With High-Voltage Electrical Injuries.

    abstract::Volume resuscitation of patients with high-voltage electrical injuries (>1000 V) is a more complex challenge than standard burn resuscitation. High voltages penetrate deep tissues. These deep injuries are not accounted for in resuscitation formulae dependent on percentage of cutaneous burn. Myonecrosis occurring from ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000001374

    authors: Culnan DM,Farner K,Bitz GH,Capek KD,Tu Y,Jimenez C,Lineaweaver WC

    更新日期:2018-03-01 00:00:00

  • Comparing Muscle and Fasciocutaneous Free Flaps in Lower Extremity Reconstruction--Does It Matter?

    abstract:INTRODUCTION:Plastic surgeons are often asked to assist with the reconstruction of lower extremity wounds. These patients many times require free tissue transfer for coverage given paucity of soft tissue. Anecdotally, many orthopedic surgeons prefer muscle coverage--particularly in the setting of potentially infected b...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000779

    authors: Paro J,Chiou G,Sen SK

    更新日期:2016-05-01 00:00:00

  • Perineal wound complications, risk factors, and outcome after abdominoperineal resections.

    abstract:BACKGROUND:We describe the risk factors for complications and outcome of perineal wounds after abdominoperineal resections (APRs). METHODS:A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected. R...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31823fac2b

    authors: Choudry U,Harris D

    更新日期:2013-08-01 00:00:00

  • Use of buccal mucosal grafts in hypospadia-crippled adult patients.

    abstract::The buccal mucosa has begun to be used as a free graft in complex hypospadias repair gradually and successfully in recent years. However, there are limited experiences regarding use of the buccal mucosa in adult patients. In this study, the authors describe their experience using buccal mucosal grafts in hypospadias-c...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000037274.65665.FF

    authors: Sahin C,Seyhan T

    更新日期:2003-04-01 00:00:00

  • A new technique for correction of simple congenital earlobe clefts: diametric hinge flaps method.

    abstract:BACKGROUND:The earlobe plays an important part in the aesthetic appearance of the auricle. Congenital cleft earlobe may vary considerably in severity from a simple notching to extensive tissue deficiency. Most patients with cleft earlobe require surgical correction because of abnormal appearance. In this article, a new...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31824144a7

    authors: Qing Y,Cen Y,Xu X,Chen J

    更新日期:2013-06-01 00:00:00

  • An Evaluation of Different Bridging Techniques for Short Nerve Gaps.

    abstract:BACKGROUND:In this study, we investigated sensory and motor outcomes for different bridging techniques for short nerve gaps. MATERIAL AND METHODS:This study was conducted in the Postdoctoral Department of Burns, Plastic, and Reconstructive Surgery of our institution from August 2014 to May 2017. All patients with post...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001207

    authors: Ahmad I,Mir MA,Khan AH

    更新日期:2017-11-01 00:00:00

  • Transcatheter Arterial Embolization in the Treatment of Maxillofacial Fractures With Life-Threatening Hemorrhage.

    abstract:INTRODUCTION:Transcatheter arterial embolization (TAE) has gained importance in the management of maxillofacial fractures with life-threating hemorrhage (MFH). However, clinical evidence supporting the use of TAE has not been clearly established in the literature. Therefore, we evaluated the effectiveness of TAE for MF...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001405

    authors: Matsumoto S,Akashi T,Hayashida K,Sekine K,Orita T,Funabiki T,Kitano M

    更新日期:2018-06-01 00:00:00

  • Formation of independently revascularized small-bowel segments using pedicled omental flaps.

    abstract::This represents the initial report of intestinal revascularization with pedicled omental flaps producing bowel segments that are capable of surviving without their native mesenteric perfusion. In 10 mongrel dogs, a pedicled omental flap supplied by the left gastroepiploic arcade was sutured along a seromuscular incisi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199412000-00007

    authors: Rand RP,Jurkiewicz MJ

    更新日期:1994-12-01 00:00:00

  • Study of sensory and motor fascicles in brachial plexus and establishment of a digital three-dimensional graphic model.

    abstract::To investigate a 3-dimensional (3D) model of human brachial plexus including its topography of sensory and motor fascicles with the assistance of the computer technology, 2 brachial plexus were serially horizontally sliced. Each slice was stained by Karnovsky-Roots acetylcholinesterase histochemical method. The staine...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31822f677e

    authors: Chen Z,Zhang J,Chen T,Chen Z,Li H,Zhang EW,Lineaweaver WC,Zhang F

    更新日期:2011-12-01 00:00:00

  • Using Mesh to Reinforce the Abdominal Wall in Abdominal Free Flaps for Breast Reconstruction: Is There a Benefit? What are the Risks?

    abstract:INTRODUCTION:Abdominal wall integrity may be compromised after abdominal flap harvest for breast reconstruction, leading to bulging or herniation due to weakening of the abdominal wall and dissection through the rectus muscle. Mesh can be used to reinforce the abdominal wall to reduce the risk of hernia formation posto...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001468

    authors: Leon DS,Nazerali R,Lee GK

    更新日期:2018-05-01 00:00:00

  • Orofacial Manifestations of Stickler Syndrome: An Analysis of Speech Outcome and Facial Growth After Cleft Palate Repair.

    abstract:PURPOSE:The purpose of this study was to characterize airway problems, speech outcomes, and facial growth in patients with Stickler syndrome undergoing cleft palate repair. METHODS:A retrospective, longitudinal study was performed at the Children's Hospital of Philadelphia on 25 patients with Stickler syndrome and 53 ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002114

    authors: Jackson OA,Kaye AE,Lee A,Minugh-Purvis N,Cohen MA,Solot CB,McDonald-McGinn D,Jawad AF,Zackai EH,Kirschner RE

    更新日期:2020-06-01 00:00:00

  • Fronto-orbito-sphenoidal fibrous dysplasia.

    abstract::Eight patients with fronto-orbito-sphenoidal fibrous dysplasia, aged between 9 and 37 years, half of them male, were radically or nearly radically excised with immediate autogenous bone graft reconstruction. They had had frontal bulging and proptosis on the affected sides for 3 to 20 years. Four had decreased vision o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198509000-00002

    authors: Chen YR,Fairholm D

    更新日期:1985-09-01 00:00:00

  • Infection following cranial bone grafting--a need for caution?

    abstract::A case of delayed infection following the use of split-cranial bone graft is presented. Trauma and bacterial contamination of the donor area six months before harvest were the likely causes. We advise caution and the use of alternate donor sites in cases where a history of previous contaminating trauma exists, even if...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199003000-00014

    authors: Lewis VL Jr,Cook JQ,Bailey MH

    更新日期:1990-03-01 00:00:00

  • Beckwith-Wiedemann syndrome and juvenile fibroadenoma: a case report.

    abstract::Beckwith-Wiedemann syndrome (BWS) is a complex overgrowth disorder usually recognized at birth. Children diagnosed with BWS, particularly those with hemihypertrophy, experience an increased risk of developing benign and malignant tumors. This case report presents a 12-year-old girl with BWS and hemihypertrophy who rap...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/sap.0b013e3181b025f6

    authors: Poh MM,Ballard TN,Wendel JJ

    更新日期:2010-06-01 00:00:00

  • Role of mini- and microplate fixation in fractures of the midface and mandible.

    abstract::Le Fort defined the classic weak points of facial fractures. Fractures of the midface and mandible are believed to require management with standard rigid fixation. Recent work has allowed mini- and microplating of multiple fracture fragments into more manageable larger segments for reduction and subsequent plating wit...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199505000-00001

    authors: Evans GR,Clark N,Manson PN,Leipziger LS

    更新日期:1995-05-01 00:00:00

  • Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol.

    abstract:BACKGROUND:Long-term postoperative splinting plays a role in the prevention of contracture of the grafted skin after a second-stage ear reconstruction. The scar retraction could lead to an unfavorable aesthetic outcome. Splinting could play a role to overcome or prevent the loss of projection and the obliteration of th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001212

    authors: Vercruysse H Jr,Green JIJ,Osman G,Harrison B,Miyagi K,Bulstrode NW

    更新日期:2018-04-01 00:00:00

  • Split sternocleidomastoid muscle repositioning for correction of depressed post-tracheostomy scar and tracheal tug.

    abstract::One important complication of tracheostomy procedure is the depressed scar left after the airway is removed. The problem is more challenging for the surgeon if tracheal tug accompanies. Six male patients with unaesthetic, depressed tracheostomy scars due to late removal of tracheostomy tubes after maxillofacial high-v...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000116246.16674.e5

    authors: Oztürk S,Aksu M,Sengezer M

    更新日期:2004-09-01 00:00:00

  • Efficacy of triamcinolone acetonide following neurorrhaphy-an electroneuromyographic evaluation.

    abstract::A primate model to test the effects of triamcinolone acetonide on reinnervation after neurorrhaphy was developed. Reinnervation was assessed in triamcinolone- and placebo-treated nerves. Twelve months after neurorrhaphy, nerves treated with triamcinolone had a faster conduction velocity; a greater amplitude in the evo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198209000-00007

    authors: Graham WP 3rd,Davis TS,Miller SH,Rusenas I

    更新日期:1982-09-01 00:00:00

  • Assessing Surgical and Medical Complications in Bilateral Abdomen-Based Free Flap Breast Reconstructions Compared With Unilateral Free Flap Breast Reconstructions.

    abstract:BACKGROUND:Prophylactic mastectomy is more common, with many patients seeking reconstruction. Bilateral free flap reconstructions subject patients to 2 flaps and longer operations, potentially increasing their risk for complications. We hypothesized that bilateral abdomen-based free flap reconstruction patients are a u...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000343

    authors: Lin IC,Nelson JA,Wu LC,Kovach SJ 3rd,Serletti JM

    更新日期:2016-01-01 00:00:00