The Journal of hand surgery
-
Randomized Controlled Trial
Dose effectiveness of transthecal digital block.
The optimal volume of local anesthetic for transthecal digital block has not yet been identified. The goal of this study was to understand the effect of different volumes of local anesthetic using a modified transthecal digital block. ⋯ The effectiveness of the 3-mL modified transthecal digital block is greater than the 1- and 2-mL blocks in terms of rapidity of onset, completeness, and duration of anesthesia.
-
Radial nerve damage results in substantial functional limitations of the upper extremity. No detailed data exist regarding long-term results, patient satisfaction, and professional and social reintegration after tendon transfer for irreparable damage to the radial nerve. In this retrospective study, we investigated these data through the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. ⋯ Functional results, adequate patient satisfaction, and sufficient professional and social reintegration can be achieved after modified Brooks and d'Aubigne tendon transfer. Accordingly, the tendon transfer offers an important alternative-possibly the procedure of choice-to microsurgical nerve reconstruction, particularly when early professional and social reintegration is important.
-
To estimate the prevalence of posttraumatic stress disorder (PTSD) and depression among hand-injured patients and assess the impact of these disorders on general health status. ⋯ In this study, nearly one third of hand-injured patients met diagnostic criteria for PTSD, depression, or both, according to the thresholds of the instruments used to measure these psychological aspects of illness. PTSD and depression had a negative effect on general health status after hand injury. It may be important to consider psychological status when caring for patients with hand injuries.
-
Case Reports
Dorsal displacement of the ulnar nerve after a displaced distal radius fracture: case report.
We report on a patient in whom ulnar nerve palsy developed after a closed distal radius fracture due to displacement of the ulnar nerve dorsal to the ulnar styloid. After delayed exploration and decompression of the ulnar nerve, the patient had recovery of both motor and sensory function of the ulnar nerve.