DOCSLIB.ORG

Evidence Based Data in Hand Surgery and Therapy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Evidence Based Data in Hand Surgery and Therapy Evidence Based Data In Hand Surgery And Therapy Federation of European Societies for Surgery of the Hand Instructional Courses 2017 XXII. FESSH Congress & XII. EFSHT Congress 21-24 June 2017 | Budapest, Hungary Editors Grey Giddins Gürsel Leblebicioğlu www.irisinteraktif.com [email protected] Phone : +90 (312) 236 28 79 Fax : +90 (312) 236 27 69 ISBN : 978-605-4711-07-9 Graphic Design Ayhan Sağlam Altan Kiraz II Grey Giddins dedication: I dedicate this book to my family Jane, Imogen, Miranda and Hugo who have supported me through many long years of work and to my parents who have supported me for many decades. Gürsel Leblebicioğlu dedication: To my wife Meral and to my son Can; this work has only been realised through the loss of precious time together. III IV CONTENTS 1. GENERAL TOPICS 1.1 Basic Concepts 1 Gürsel LEBLEBİCİOĞLU, Egemen AYHAN 1.2 Hand Outcome Measurements 23 A Systematic Review of Performance-Based Outcome Measures and Patient-Reported Outcome Measures Çiğdem ÖKSÜZ, İlkem Ceren SIĞIRTMAÇ, Gürsel LEBLEBİCİOĞLU 2. CONGENITAL HAND PROBLEMS 2.1 Congenital Hand Surgery 87 Michael A. TONKIN, Jihyeung KIM, Goo Hyun BAEK, Anna WATSON, Konrad MENDE, David A. STEWART, Christianne Van NIEUWENHOVEN, Steven E.R. HOVIUS, Jose A. SUURMEIJER, Konrad MENDE, Pratik RASTOGI, Richard D. LAWSON, George R.F. MURPHY, Branavan SIVAKUMAR, Gill SMITH, Paul SMITH 3. BONE AND JOINT 3.1 Management of Common Hand Fractures: The Evidence 201 David SHEWRING, Robert SAVAGE, Dyfan EDWARDS, Grey GIDDINS, Ryan W. TRICKETT, Jeremy N RODRIGUES, Will COBB, Wing Yum MAN, Ryan W. TRICKETT, Daniel MG WINSON, Anca BREAHNA, Andy LOGAN V Contents 3.2 Scaphoid Fractures- the Evidence 283 David WARWICK, Clare MILLER, Avishek DAS, Tim DAVIS, Joe DIAS, Mark BREWSTER, Richard PINDER, Lindsay MUIR, Shai LURIA, Lizzie PINDER 3.3 Tendon Reconstruction of the Unstable Scapholunate Dissociation. A Systematic Review 355 Marc GARCIA-ELIAS, Diana Marcela ORTEGA HERNÁNDEZ 3.4 Thumb TMC Joint Osteo-Arthritis 369 Massimo CERUSO, Giovanni MUNZ, Christian CARULLI, Gianni VIRGILI, Alessandro VIVIANI, Nadine HOLLEVOET, Grey GIDDINS 3.5 Systematic Review of the Management of Distal Radial Fractures 429 Charles PAILTHORPE, Nick JOHNSON, Joe Dias, Andrew DUCKWORTH, Shivkumar GOPAL, Lisa LEONARD, Adam WATTS, James WHITE, Adam BROOKS, Jamie BROSCH, Joelle CHALMER, Tim CHESSER, Zoe CLIFT, Clare GRANVILLE, Helen HEDLEY, Ian MCNAB, Alexia KARANTANA, Claire PULFORD, Pida RIPLEY 4. SOFT TISSUES 4.1 Systematic Review of Flexor Tendon Rehabilitation Protocols after Acute Flexor Tendon Repair in Zone 2 451 Thomas GIESEN, Maurizio CALCAGNI 4.2 Postoperative Care After Extensor Tendon Repair 459 Jin Bo TANG 4.2.1 Rehabilitation of Extensor Tendons in the Finger Zones I to V 459 Koji MORIYA, Takae YOSHIZU 4.2.2 Rehabilitation of Extensor Tendons in the Hand and Forearm Zones VI to IX and of Extensor Pollicis Longus Tendon 475 Adnan PRSIC, Jonathan L. BASS, Jin Bo TANG VI 4.3 Comparison of Outcomes Following Nerve Transfers versus Nerve Grafting. 491 A Systematic Review of Individual Participant Data for Restoration of Elbow Flexion after Adult Brachial Plexus Injuries. Francisco SOLDADO, Egemen AYHAN, Cesar G. FONTECHA, Jayme A. BERTELLI, Gürsel LEBLEBİCİOĞLU 4.4 Evidence in Compression Neuropathies 537 4.4.1 Evidence in Carpal Tunnel Syndrome 537 Alessandro POZZI, Loris PEGOLI, Giorgio PIVATO 4.4.2 Evidence-Based Approach to the Treatment of Cubital Tunnel Syndrome 547 Krzysztof A. TOMASZEWSKI, Michael Henry BRANDON, Patrick POPIELUSZKO, Przemysław A. PĘKALA, Mariusz BONCZAR 4.5 Injection Therapy in Hand Surgery 564 Balazs LENKEI 5. MISCELLANEOUS 5.1 Complex Regional Pain Syndrome (CRPS) Treatment. A Systematic Review. 573 Andrzej ŻYLUK 5.2 Future for Evidence Based Data in Hand Surgery 595 Miriam MARKS, Daniel B. HERREN VII EDITORS Grey GIDDINS Professor Consultant Orthopaedic and Hand Surgeon Visiting Professor University of Bath Editor-in-Chief Journal of Hand Surgery (European) (2012 -2016) President of the British Society for Surgery of the Hand The Hayes Newton St Loe Bath BA2 9BU 07828 149967 The Hand to Elbow Clinic 29a James St West Bath BA1 2BT 01225 316895 [email protected] Gürsel LEBLEBİCİOĞLU Professor of Orthopaedic Surgery and Traumatology Council Member, Federation of European Society for Surgery of the Hand FESSH Member of the European Board of Hand Surgery Diploma Examination Committee Member of the Management Committee, Journal of Hand Surgery European Willy Brandt Sokak ¾, Çankaya, Ankara, Turkey. 06680 [email protected] IX Contributors Egemen AYHAN Department of Orthopaedics and Traumatology, Division of Hand Surgery University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Şehit Ömer Halisdemir Cad., Altındağ, Ankara, Turkey. 06110 [email protected] Goo Hyun BAEK Professor Department of Orthopedic Surgery Seoul National University Hospital Seoul National University College of Medicine 101 Daehak-ro, Jongno-gu Seoul 03080, Korea. [email protected] Jonathan L. BASS Department of Plastic Surgery, Rhode Island Hospital, Providence RI, USA; Division of Plastic Surgery, The Alpert Medical School, Brown University, Providence RI, USA. Mariusz BONCZAR Intermed Medical Center, Krakow, Poland. [email protected] X Anca BREAHNA Locum Consultant Hand & Plastic Surgeon, Pulvertaft Hand Centre, Derby, UK. [email protected] Mark BREWSTER Consultant Hand Surgeon, University Hospital of Birmingham NHS Foundation Trust, UK. [email protected] Adam BROOKS Consultant Orthopaedic Surgeon, Great Western Hospital, Swindon, BOA Professional Practice Committee representative. Jamie BROSCH General Practitioner; GPwSI Orthopaedics; Medical Director, Medvivo Group, Chippenham, Whiltshire, UK. XI Contributors Maurizio CALCAGNI Plastic Surgery and Hand Surgery Division University Hospital Zurich Raemistrasse 100 8091 Zurich, CH. [email protected] Christian CARULLI Orthopaedic Clinic, Department of Surgery and Translational Medicine, AOUC, University of Florence, Florence, Italy. Massimo CERUSO Direttore S.O.D.C. Chirurgia e Microchirurgia ricostruttiva della Mano Azienda Ospedaliero-Universitaria Careggi. Firenze C.T.O. Largo P.Palagi, 1. 50139 Firenze (I), Italy. [email protected] Joelle CHALMER Therapies Department, St George’s Hospital, London, UK. XII Tim CHESSER Consultant Trauma and Orthopaedic Surgeon, North Bristol NHS Trust, Chairman BOA Trauma Group, UK. Zoe CLIFT Extended Scope Practitioner. The Pulvertaft Hand Unit, Royal Derby Teaching Hospitals, Derby, UK. Will COBB Specialist Registrar in Plastic Surgery, Oxford University Hospitals, UK. [email protected] Avishek DAS ST5 Trauma and Orthopaedics, East Midlands (Nottingham) Rotation, UK. [email protected] XIII Contributors Tim DAVIS Consultant Hand Surgeon, Queens Medical Centre Nottingham, UK. [email protected] Joe DIAS Consultant Hand Surgeon, University of Leicester, UK. [email protected] Andrew DUCKWORTH Specialty Registrar, Department of Orthopaedics and Trauma, Royal Infirmary of Edinburgh, Scotland. Gray A.D. EDWARDS Specialist Registrar in Trauma & Orthopaedic Surgery, Gloucester Royal Hospital, Gloucester, UK. [email protected] XIV César G. FONTECHA Vall d’Hebron Institute of Research (VHIR). Passeig de la Vall d’Hebron, 119-129. 08035 Barcelona, Spain. [email protected] Marc GARCIA-ELIAS Institut Kaplan Passeig de la Bonanova, 9, 2-2 08022 Barcelona, Spain. [email protected] Thomas GIESEN Plastic Surgery and Hand Surgery Division University Hospital Zurich Raemistrasse 100 8091 Zurich, CH. [email protected] Shivkumar GOPAL Consultant Orthopaedic Surgeon Hull and East Yorkshire Hospitals NHS Trust, UK. XV Contributors Clare GRANVILLE Nurse. Plaster room representative. Helen HEDLEY Consultant Hand and Wrist Surgeon University Hospitals Coventry and Warwickshire NHS Trust, UK. Daniel HERREN Hand Surgery Department Schulthess Clinic Lengghalde 2 8008 Zurich, CH. [email protected] Nadine HOLLEVOET Ghent University Hospital, Department of Orthopaedic Surgery and Traumatology since 1995. Associated Professor of Orthopaedic Surgery at the Ghent University. Ghent, Belgium. [email protected] XVI Steven E.R. HOVIUS Professor (emer.) of Plastic and Reconstructive Surgery and Hand Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands and Xpert Clinic, The Netherlands. [email protected] Nick JOHNSON Speciality Registrar, University Hospitals of Leicester, UK. Alexia KARANTANA Speciality Registrar, University Hospitals of Leicester, UK. Jihyeung KIM Department of Orthopaedic Surgery, Seoul National University, College of Medicine, Seoul, Korea. [email protected] XVII Contributors Richard D. LAWSON Department of Hand Surgery & Peripheral Nerve Surgery, Royal North Shore Hospital, The Children’s Hospital at Westmead, University of Sydney, Sydney, Australia. [email protected] Balazs LENKEI B-A-Z County Hospital Traumatology Departement Street: 72-76 Szentpeteri kapu ZIP: 3526 City: Miskolc, Hungary. [email protected] Andy LOGAN Consultant Hand Surgeon, Cardiff, UK. [email protected] Shai LURIA Department of Orthopaedic Surgery, Hadassah-Hebrew University Medical Centre, Kiryat Hadassah, POB 12000, Jerusalem 91120, Israel. [email protected] XVIII Wing Yum MAN Specialist Registrar in Trauma & Orthopaedic Surgery, Cardiff, UK. [email protected] Miriam MARKS Department of Teaching, Research and Development. Schulthess Clinic Lengghalde
Load more

Recommended publications
  • Final Scientific Programme Revised
    SICOT/SIROT 2008 XXIV Triennial World Congress Scientific Programme 24-28 August 2008 Hong Kong Convention and Exhibition Centre Hong Kong, China 1 Programme Colour Key SICOT - Spine SICOT - Joint SICOT - Sports Medicine SICOT - Paediatrics SICOT - Foot & Ankle SICOT - Trauma SICOT - Tumours SICOT - Hand & Wrist SICOT - Shoulder & Elbow SICOT - Basic Science SICOT - General Orthopaedics SIROT Participating Associations and Societies 2 Sunday, 24 August 2008 Theatre 1 Theatre 2 Grand Hall 08:00 Free Papers Free Papers -09:00 SIROT: Biomechanics SIROT: Osteoporosis 09:00 Free Papers Free Papers -10:30 SIROT: Infections SIROT: Joint Replacement Break 11:00 Free Papers Free Papers -12:00 SIROT: Fracture Healing SIROT: Tissue Engineering 12:00 Free Papers Free Papers -13:00 SIROT: Infections / SIROT: Tumours Tissue Engineering Lunch 14:00 SICOT/SIROT -16:45 Research Commission: Stem Cells and Orthopaedics 17:30 SICOT Opening Ceremony -19:00 Sunday, 24 August 2008 Theatre 1 08:00-09:00 Free Papers – SIROT: Biomechanics Moderator : Ping-Chung LEUNG (Hong Kong) 18395 RADIOSTEREOMETRIC ANALYSIS (RSA) OF THREE-DIMENSIONAL MICROMOTION IN A FRACTURE MODEL OF FEMUR Saravana Vail KARUPPIAH, Martin DOWNING, George P. ASHCROFT, Alan J. JOHNSTONE, Blair ASHCROFT (United Kingdom) 18359 SUTURE ANCHORS FOR BANKART REPAIR REVISITED Ilias BISBINAS, Petros MIKALEF, Evangelos MAGNISSALIS, Theodoros BESLIKAS, Ioannis CHRISTOFORIDIS (Greece) 18270 INFLUENCE OF A SINGLE SHAFT ANGLE-STABLE SCREW IN OSTEOPOROTIC DISTAL RADIUS FRACTURES TREATED WITH VOLAR FIXED-ANGLE
    [Show full text]
  • Cause Analysis and Enlightens of Hand Injury During the COVID-19 Outbreak and Work Resumption Period
    Cause analysis and enlightens of hand injury during the COVID-19 outbreak and work resumption period Qianjun Jin Zhejiang University School of Medicine First Aliated Hospital Haiying Zhou Zhejiang University School of Medicine Hui Lu ( [email protected] ) Zhejiang University https://orcid.org/0000-0002-2969-4400 Research Keywords: Hand injuries, COVID-19, Outbreak, Work resumption, Medical supplies, Surgery Posted Date: December 4th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-40035/v3 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/16 Abstract Background: In light of the new circumstances caused by the current COVID-19 pandemic, an enhanced knowledge of hand injury patterns may help with prevention in factories as well as the management of related medical conditions. Methods: A sample of 95 patients were admitted to an orthopedics department with an emergent hand injury within half a year of the COVID-19 outbreak. Data were collected between January 23rd, 2020 and July 23rd, 2020. Information was collected regarding demographics, type of injury, location, side of lesions, mechanism of injuries, place where the injuries occurred, surgical management, and outcomes. Results: The number of total emergency visits due to hand injury during the COVID-19 outbreak decreased 37% when compared to the same period in the previous year. At the same time, work resumption injuries increased 40%. In comparison to the corresponding period in the previous year, most injured patients during the COVID-19 outbreak were women (60%) with a mean age of 56.7, while during the work resumption stage, most were men (82.4%) with a mean age of 44.8.
    [Show full text]
  • Triphalangeal Thumb: Clinical Features and Treatment
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Erasmus University Digital Repository Full Length Article Journal of Hand Surgery (European Volume) Triphalangeal thumb: clinical features 2019, Vol. 44(1) 69–79 and treatment ! The Author(s) 2018 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1753193418797922 1,2,3 1 Steven E. R. Hovius , Jacob W. P. Potuijt and journals.sagepub.com/home/jhs Christianne A. van Nieuwenhoven1 Abstract Triphalangeal thumb is a rare congenital anomaly in which the thumb has three phalanges. Clinical presen- tation of triphalangeal thumb can vary considerably and can be present in both hands or unilateral. The thumb can be long with a Enger-like appearance. The presence of clinodactyly depends on the shape of the extra phalanx varying from wedge-shaped to rectangular. Various joints, ligaments, muscles, and tendons of the Erst ray can be hypoplastic or absent, with varying degrees of stiffness or instability. The aim of surgical treatment is to reconstruct or correct the anatomic anomalies to obtain greater function and a more accept- able appearance. In our series, operations varied from removal of the delta phalanx with ligament recon- struction to multiple osteotomies and rebalancing of soft tissues. Results in these often complex cases can be rewarding if the surgeon has sufEcient knowledge of the underlying anatomic differences. This review sum- marizes our current concepts of presentation and management of the triphalangeal thumb. Keywords Congenital hand, triphalangeal thumb, reconstruction Date received: 16th June 2018; revised: 7th August 2018; accepted: 7th August 2018 Introduction Based on our results, the prevalence of TPT in the Triphalangeal thumb (TPT) is a congenital hand Netherlands is higher than stated in the literature anomaly in which the thumb has an additional phal- (1:16,000).
    [Show full text]
  • Facts Around the Saddle Joint (CMC1 Joint) Instructional Course SGH 17.09.2020
    Facts around the saddle joint (CMC1 joint) Instructional Course SGH 17.09.2020 Esther Vögelin, MD, Prof Hand Surgery and Surgery of Peripheral Nerves Anatomy • Thumb • STT and midcarpal joints • CMC joint • MCP joint • IP joint Anatomy • How many trapezial articulations? • Two more important joints: 2 - Scaphotrapezoidal joint (5) 3 - MCP joint 1 5 4 • Skeletal Radiol 2015;44:165-77 Anatomy • Two opposing saddles à wide range of motion • Skeletal Radiol 2015;44:165-77 Anatomy • Stability à 3 main ligament complexes • Palmar (anterior)[2]: • AOL („beak“), ulnar collateral • Dorsal (posterior)[3]: • POL, DRL • Intermetacarpal [2] • Skeletal Radiol 2015;44:165-77 Radiology • Robert‘s view (pa), oblique, lateral Staging Stages Radiological disease change 1 Slight widening of joint space, < 1/3 subluxation of joint 2 <2mm osteophytes present, 1/3 subluxation of joint 3 >2mm osteophytes present, > 1/3 subluxation of joint, joint space narrowing 4 Erosion of scaphotrapezial joint, significant joint space narrowing, major subluxation of joint Early stage treatment • Stabilization of CMC joint • Synovectomy • CMC joint alignement • CMC joint arthroscopy à debridement, synovectomy, electrothermal shrinkage of ligaments - Normal radiographs, - Restricted painful mobility • J AM Acad Orthop Surg 2008;16(3):140-51 Early stage treatment • Ligament reconstruction for stabilization of the CMC joint - Littler Eaton procedure: ½ FCR à AOL, intermetacarpal, dorsoradial ligaments J Bone Joint Surg Am 1973;55(8):1655-66 J Hand Surg Am 2000;25(2):297-304 - Brunelli procedure: APL Tendon à 1st and 2nd MC J Hand Surg Br Vol 1989;14B:209-212 - Pechlaner technique: ECRL strip through 1st MC and trapezium Pechlaner S.
    [Show full text]
  • Three-Ligament Tenodesis” Procedure Restore Carpal Architecture in Static Chronic Scapholunate Dissociation ?
    Acta Orthop. Belg., 2013, 79, 271-274 ORIGINAL STUDY Does the “three-ligament tenodesis” procedure restore carpal architecture in static chronic scapholunate dissociation ? Luc DE SMET, Sofie GOEMINNE, Ilse DEGREEF From the University Hospitals Leuven, Pellenberg, Belgium The effect of the three-ligament tenodesis on the angle on the lateral view (normally between 45 and scapholunate angle and scapholunate gap was stud- 60°). Both parameters assess the SL malalignment ied. A comparison was made between these angles in patients before surgery. Procedures such as sca- preoperatively and postoperatively in 12 patients. photrapeziotrapezoid (STT) arthrodesis (15) and the There was a significant decrease in the scapholunate original Brunelli procedure (3) concentrate on re- angle from 77 to 68°, and the scapholunate gap was ducing the SL angle without addressing the SL gap. reduced from 4.25 mm to 3.29 mm. We also studied the correlation between scapholunate angle and When rotatory disassociation is seen, some at- scapholunate gap postoperatively in a cohort of 25 pa- tenuation of extrinsic ligaments must have occurred. tients and found a significant correlation. This was the rationale for the flexor carpi radialis This suggests that the principle of the procedure is (FCR) tenodesis described by Brunelli and correct, but the aims are not fully achieved, and that Brunelli (3). A distally based strip of the FCR is the procedure has a similar effect on SL gap and SL passed through a drill hole through the scaphoid and angle. fixed on the dorsal rim of the distal radius. Later Keywords : wrist ; scapholunate ; carpus ; instability ; Van den Abbeele et al (14) and Garcia-Elias et ligamentoplasty ; Brunelli ; DISI.
    [Show full text]
  • Injury-Induced Hand Dominance Transfer
    University of Kentucky UKnowledge University of Kentucky Doctoral Dissertations Graduate School 2010 INJURY-INDUCED HAND DOMINANCE TRANSFER Kathleen E. Yancosek University of Kentucky, [email protected] Right click to open a feedback form in a new tab to let us know how this document benefits ou.y Recommended Citation Yancosek, Kathleen E., "INJURY-INDUCED HAND DOMINANCE TRANSFER" (2010). University of Kentucky Doctoral Dissertations. 18. https://uknowledge.uky.edu/gradschool_diss/18 This Dissertation is brought to you for free and open access by the Graduate School at UKnowledge. It has been accepted for inclusion in University of Kentucky Doctoral Dissertations by an authorized administrator of UKnowledge. For more information, please contact [email protected]. ABSTRACT OF DISSERTATION Kathleen E. Yancosek The Graduate School University of Kentucky 2010 INJURY-INDUCED HAND DOMINANCE TRANSFER _________________________________ ABSTRACT OF DISSERTATION _________________________________ A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Rehabilitation Sciences in the College of Health Sciences at the University of Kentucky By Kathleen E. Yancosek Lexington, Kentucky Director: Carl Mattacola, PhD, ATC Lexington, Kentucky 2010 Copyright © Kathleen E. Yancosek 2010 ABSTRACT OF DISSERTATION INJURY-INDUCED HAND DOMINANCE TRANSFER Hand dominance is the preferential use of one hand over the other for motor tasks. 90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less- dexterous, non-dominant hand. When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer (I-IHDT).
    [Show full text]
  • Radio-Luno-Triquetral Bone-Ligament Transfer As an Additional Stabilizer
    Archives of Orthopaedic and Trauma Surgery https://doi.org/10.1007/s00402-020-03690-2 HANDSURGERY Radio‑luno‑triquetral bone‑ligament transfer as an additional stabilizer in scapholunate‑instability Luzian C. P. Haug1 · Tom Adler1 · Dietmar Bignion1 · Esther Voegelin1 Received: 23 April 2020 / Accepted: 11 November 2020 © The Author(s) 2020 Abstract Introduction Reconstruction of the scapho-lunate (SL) ligament is still challenging. Many diferent techniques, such as capsulodesis, tendon graft and bone-ligament-bone graft have been described to stabilize reducible SL dissociation. If primary ligament repair alone is not possible, an additional stabilizer is needed to achieve scapho-lunate stability. A new local bone-ligament transfer using half of the radio-luno-triquetral ligament is performed. The direction of traction of the transposed ligament is very similar to the original ligament. Ideal tension can be attained by fxation of the bone block at the dorsal ridge of the scaphoid. The biomechanical stability of this bone-ligament transfer shall be examined biomechanically. Material and methods Computed tomography imaging was performed using eight cadaveric forearms with a defned posi- tion of the wrist. Axial load was accomplished with tension springs attached to the extensor and fexor tendons. Three series ([a] native, [b] divided SL ligament and [c]) after reconstruction with bone-ligament transfer] were reconstructed three- dimensionally to determine the angles between radius, scaphoid and lunate. The radial distal part including a bone fragment of the radio-luno-triquetral ligament was transferred from its insertion at the distal edge of the radius to be attached to the dorsal ridge of the scaphoid.
    [Show full text]
  • Combined Tenodesis–Capsulodesis for Scapholunate Instability: Minimum 2-Year Follow-Up
    Scientific Article 11 Combined Tenodesis–Capsulodesis for Scapholunate Instability: Minimum 2-Year Follow-Up Pablo De Carli, MD1 Agustin G. Donndorff, MD1 Miguel Tovar Torres, MD1 Jorge G. Boretto, MD1 Gerardo L. Gallucci, MD1 1 Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Address for correspondence Pablo De Carli, MD, Hospital Italiano de Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Gascón 450, CABA, C1199ACK Buenos Aires, J Wrist Surg 2017;6:11–21. Argentina (e-mail: [email protected]). Abstract Background The aim of this study is to evaluate the clinical and radiological midterm results of a combined dorsal tenodesis–capsulodesis for static and reducible scapho- lunate dissociation (SLD). Patients and Methods We evaluated 20 of 22 consecutive patients with static SLD minimum with follow-up of 2 years operated between 2003 and 2012. The mean age was 40 years (range: 23–65 years). Seventeen were men. Final evaluation included comparative wrist range of motion (ROM) and grip strength, pre- and postoperative pain and function by visual analog scale, and QuickDASH and Wrightington scores. Radio- graphs included preoperative, early postoperative, and final X-rays. Scapholunate space (SLS) and scapholunate and radioscaphoid angles (SLA and RSA) were measured. Statistical significance was evaluated with Student t-test, considered significant when p < 0.05. Results Mean follow-up was 67 months (range: 24–126 months). Mean final ROM was: flexion 55 degrees (73%), extension 62 degrees (90%), radial deviation 19 degrees (82%), and ulnar deviation 44 degrees (90%).
    [Show full text]
  • Athletic Injuries of the Upper Extremity: the Adolescent to the Adult - the Amateur to the Professional Co-Chairs: R
    Precourse 12: Athletic Injuries of the Upper Extremity: The Adolescent to the Adult - The Amateur to the Professional Co-Chairs: R. Glenn Gaston, MD, Gary M. Lourie, MD, Thomas A. Wiedrich, MD Program Syllabus Thursday, September 05, 2019 74TH ANNUAL MEETING OF THE ASSH SEPTEMBER 5 – 7, 2019 LAS VEGAS, NV 822 West Washington Blvd Chicago, IL 60607 Phone: (312) 880-1900 Web: www.assh.org Email: [email protected] All property rights in the material presented, including common-law copyright, are expressly reserved to the speaker or the ASSH. No statement or presentation made is to be regarded as dedicated to the public domain. Precourse 12: Athletic Injuries of the Upper Extremity: The Adolescent to the Adult - The Amateur to the Professional The treatment of the injured athlete remains a continued challenge. The skeletally immature, the weekend warrior, the high-level amateur and the professional athlete all pose specific difficulties for the hand surgeon in treating the injury. Ultimately, however, the surgeon is nearly always faced with the goal of early return to play with minimal risk. This goal must be balanced with the chance of re-injury and lasting damage to the patient. The purpose of this pre-course is to offer an up-to-date review of hand, wrist and forearm injuries in the athlete, emphasizing pertinent anatomy, mechanism of injury, conservative and operative treatment and safe return to play. Lectures given by noted faculty will be divided into anatomic modules with attention to bone, ligament, tendon and miscellaneous topics. Case presentations will initiate each talk followed by a concise presentation on the specific topic emphasizing potential differences between the adolescent and the adult and the amateur versus the pro.
    [Show full text]
  • Unusual Ignition of a Bullet Causing Hand Injury: Case Report
    CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector Injury Extra 45 (2014) 9–11 Contents lists available at ScienceDirect Injury Extra jou rnal homepage: www.elsevier.com/locate/inext Case report Unusual ignition of a bullet causing hand injury: Case report a, b b b Abdul Kerim Yapici *, Salim Kemal Tuncer , Umit Kaldirim , Ibrahim Arziman , c Mehmet Toygar a Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey b Department of Emergency Medicine, Gulhane Military Medical Academy, Ankara, Turkey c Department of Forensic Medicine, Gulhane Military Medical Academy, Ankara, Turkey A R T I C L E I N F O Article history: Accepted 10 November 2013 1. Introduction 2. Case report The incidence of firearm related non-fatal and fatal accidents A 35 year-old man was admitted to emergency department has increased worldwide [1–5]. Most of firearm accidents result with a complaint of injury related to the third web space, third often due to human errors included extreme carelessness while finger pulp and thenar region of right hand. On detailed handling, carrying or storing a loaded firearm [3]. Most of the questioning, he reported that he was cleaning a machine gun unintentional or intentional nonfatal gunshot injuries involve an (type MG-3) after target practice in a shooting range. He did not extremity [6]. Most gunshot injuries to the hand are result of low- check visually and physically whether there were any bullets or velocity handguns [7]. While low-energy firearm injuries are not in the chamber.
    [Show full text]
  • Searching for Information on Occupational Accidents
    SEARCHING FOR INFORMATION ON OCCUPATIONAL ACCIDENTS DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Shih-Kwang Chen, M.S. ***** The Ohio State University 2008 Dissertation Committee: Approved by Professor Philip J. Smith, Adviser Professor Jerald R. Brevick Adviser Professor Steven A. Lavender Industrial and Systems Engineering Graduate Program Copyright by Shih-Kwang Chen 2008 ABSTRACT Effective retrieval of the most relevant documents on the topic of interest from the Internet is difficult due to the large amount of information in all types of formats. Studies have been conducted on ways to improve information retrieval (IR). One approach to improve searches in large collections, such as the Web, is to take advantage of semantic representations in pre-existing relational databases that have been developed for explicit purposes besides supporting Internet searches in general. In an effort to enhance IR on the Internet, a prototype of a topic-oriented search agent, SAOA-1, was developed to use embedded semantics and domain-specific knowledge extracted from such a database. Activated when a set of retrieved keywords appears related to the topic of “occupational accidents”, SAOA-1 constructs an alternative search query and pruned lists of suggested refinements by applying the search engine knowledge and the domain- specific knowledge and semantics extracted from a relational database. Information seekers could then use the alternative search query or refine it further with a modified search query developed by SAOA-1 based on its semantic representation of the topic of occupational accidents to complete context-sensitive pruning of the semantic neighborhood.
    [Show full text]
  • REPORT of INJURY / ILLNESS MEDICAL ALERT State Form 47134 (R2 / 1-20) INDIANA LAW ENFORCEMENT ACADEMY LAW ENFORCEMENT TRAINING BOARD
    REPORT OF INJURY / ILLNESS MEDICAL ALERT State Form 47134 (R2 / 1-20) INDIANA LAW ENFORCEMENT ACADEMY LAW ENFORCEMENT TRAINING BOARD INSTRUCTIONS: 1. Please print legibly in black ink. 2.If the injured / ill student cannot sign this form, indicate "unable to sign" in lieu of the signature. 3. E-mail this forms to [email protected]. INJURED / ILL STUDENT INFORMATIOIN Student's last name Student's first name Student's middle name Suffix Public Safety Identification (PSID) Number ILEA student number Name of department Department telephone number ( ) Name of person to be notified concerning injury / illness Relationship Telephone number ( ) Signature of injured / ill student Date (month, day, year) INJURY / ILLNESS INFORMATION Date of injury / illness (month, day, year) Time of injury / illness (0000 hours) Activity (Check all that apply.) Defensive tactics training Physical conditioning EVOC Training Firearms training During class time During off time Location (Check one.) Media Center North Parking Lot Indoor Pistol Range Cinder Track EVOC Classroom Gymnasium 31A (old) Cafeteria South Parking Lot Outdoor Pistol Range Fitness Center EVOC Road Course Gymnasium 31B (new) Stairway Gun Locker Area Shotgun I Utility Range Fitness Trail EVOC Skill Pad Forensic Laboratory Cottage Dorm room # Pool / Training Tank Lake Area Classroom # Other ______________ Comments Signs of injury/ symptoms of illness – observable / reported / suspected (Check all that apply.) Unconsciousness Chest Pain Numbness / Tingling Pain / Tenderness Bleeding - Oozing
    [Show full text]