The Journal of hand surgery
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Detailed knowledge of the anatomy of the cutaneous innervation to the dorsal surface of the hand is valuable information. Because surgical access to the wrist often is obtained via the dorsal skin it would be helpful particularly to delineate an area where surgical incisions would not injure underlying nerves. ⋯ Two classification systems based on detailed dorsal hand cutaneous innervation patterns can be used to specify the placement of a safe dorsal skin incision away from major nerve branches.
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To evaluate the clinical results of the application of a capsular-based dorsal distal radius vascularized bone graft in scaphoid proximal pole nonunions. ⋯ Therapeutic, Level IV.
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With their intrinsic vascularity vascularized bone grafts provide an alternative solution to the challenging problem of scaphoid nonunions. The union rate (after imaging evaluation including magnetic resonance imaging [MRI]) and functional outcome of using vascularized bone grafts pedicled on the palmar carpal epiphyseal artery for waist nonunions of the scaphoid are reported in this prospective case series. ⋯ Therapeutic, Level IV.
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For chronic dynamic scapholunate (SL) instability (>3 months after injury) open procedures (capsulodesis, limited intercarpal fusions, tenodesis, SL ligament reconstruction) have become popular in recent years but their long-term results have been suboptimal. We evaluated retrospectively the results of aggressive arthroscopic debridement of the SL ligament to bleeding bone in an effort to induce scar formation and closed pinning of the SL joint in patients unwilling to have an open procedure. ⋯ Therapeutic, Level IV.
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To assess the demographic patterns, clinical morbidity, and treatment costs associated with domestic animal bites to the hand. ⋯ Prognostic, Level IV.