Hand and Wrist

Latest journal articles about hand and wrist from Journal of Hand Surgery, Journal of Hand Therapy, Hand Clinics, Hand, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics

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Ray resection, which was pioneered by Bunnell in the 1920s, was initially performed as a salvage procedure for dysfunction of the proximal interphalangeal joint. Successful ray resection with or without an adjacent ray transfer can be useful for treating vascular insufficiency, tumors, infection, trauma, recurrent Dupuytren contracture, and congenital abnormalities of the hand. Indications, techniques, and outcomes vary based on the digit and the number of digits resected. Compared with amputation at the proximal phalangeal level, a single ray resection has better cosmesis and similar function, resulting in improved patient satisfaction. However, a 15% to 30% loss in grip and pinch strength has been reported.

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Related Articles Creating a custom fabricated neoprene orthosis for optimal thumb positioning. J Hand Ther. 2013 Jul 29; Authors: Trujillo LG, Amini D Abstract Neoprene orthoses are used extensively in treating conditions of the hand when flexibility and support are sought. Devices such as these may be prefabricated from Neoprene alone or may include a thermoplastic or metal stay. Neoprene devices can also be custom fabricated by a practitioner in a time effective manner and at low cost. The custom fabricated orthosis described in this article is designed to support the thumb in a position of palmar abduction and opposition while maintaining CMC extension and an adequately open web space to prevent soft tissue contracture. PMID: 23906412 [PubMed - as supplied by publisher]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23906412?dopt=Abstract

Related Articles Preface. Hand Clin. 2013 Aug;29(3):ix Authors: Hammert WC PMID: 23895726 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23895726?dopt=Abstract

Related Articles Uncommon upper extremity compression neuropathies. Hand Clin. 2013 Aug;29(3):443-53 Authors: Knutsen EJ, Calfee RP Abstract Hand surgeons routinely treat carpal and cubital tunnel syndromes, which are the most common upper extremity nerve compression syndromes. However, more infrequent nerve compression syndromes of the upper extremity may be encountered. Because they are unusual, the diagnosis of these nerve compression syndromes is often missed or delayed. This article reviews the causes, proposed treatments, and surgical outcomes for syndromes involving compression of the posterior interosseous nerve, the superficial branch of the radial nerve, the ulnar nerve at the wrist, and the median nerve proximal to the wrist. PMID: 23895725 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23895725?dopt=Abstract

Related Articles Ulnar Neuropathy at the Elbow: An Evidence-based Algorithm. Hand Clin. 2013 Aug;29(3):435-42 Authors: Chimenti PC, Hammert WC Abstract Ulnar neuropathy at the elbow is the second most common compression neuropathy of the upper extremity and poses a challenge for treating physicians. Lack of a standardized grading system, outcome measures, or surgical indications can make treatment decisions difficult to justify. Conclusions drawn from the available literature include similar rates of good to excellent outcomes for in situ decompression; transposition in the subcutaneous, submuscular, or intramuscular planes; and endoscopic decompression. Outcomes for revision surgery are generally less favorable. Development of standardized outcomes measures will be important in improving the quality and comparability of the literature on this subject. PMID: 23895724 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23895724?dopt=Abstract