The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Aug 2009
Randomized Controlled Trial Comparative StudyThe effect of miniscalpel-needle versus steroid injection for trigger thumb release.
This study compared the result of percutaneous release using a miniscalpel-needle and steroid injection in 93 trigger thumbs in 83 patients. The patients were randomly assigned to either miniscalpel-needle percutaneous release (group A) or steroid injection (group B). Visual analogue pain scales and patients' satisfaction were evaluated at baseline, 1 and 12 months. ⋯ Forty-four of the 46 trigger thumbs in group A and 12 of 47 trigger thumbs in group B had satisfactory results at 12 months. No digital nerve injury occurred in either group. Percutaneous release with a miniscalpel-needle had a higher success rate than steroid injection.
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J Hand Surg Eur Vol · Aug 2009
Comparative StudyFlexor pollicis longus tendon ruptures after palmar plate fixation of fractures of the distal radius.
Palmar plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. ⋯ This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested.
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We retrospectively defined the rate and clinical features of tendon entrapment in 693 consecutive patients with 701 distal radius fractures treated in a single hospital. Eight extensor tendons and one flexor tendon were entrapped. ⋯ The rate of tendon entrapment in acute distal radius fractures was 1.3%. Extensor tendon entrapment in palmarly displaced fractures is more common.
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J Hand Surg Eur Vol · Aug 2009
Elbow flexion after primary reconstruction in obstetric brachial plexus palsy.
Fifty-two children (54 upper extremities) with obstetric brachial plexus palsy who underwent primary reconstruction for elbow flexion restoration were studied. The outcomes were analysed in relation to the type of brachial plexus lesion, timing of surgery, and the type of reconstruction. Overall, 42 of 54 extremities (78%) achieved good and excellent results (> or =M3+). ⋯ The best results were seen in early cases (< or =3 months), where the lateral cord was reconstructed from intraplexus donors. In this group, minimal flexion contracture deformity was observed. Late reconstruction (> or =7 months) of the musculocutaneous nerve resulted in inferior results.
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J Hand Surg Eur Vol · Aug 2009
Letter Case ReportsPrimary pyomyositis (bacterial myositis) of the pronator quadratus.