The Journal of hand surgery
-
To investigate the clinical results and patient-reported outcomes following surgical treatment for triangular fibrocartilage complex (TFCC) tears in the pediatric and adolescent population. ⋯ Therapeutic IV.
-
The minimal clinically important difference (MCID) is used in research and clinical settings as a benchmark to gauge improvement following treatment. The purpose of this study was to provide anchor-based MCID estimates for Patient-Reported Outcomes Measurement Information System (PROMIS) and legacy instruments in a nonshoulder hand and upper extremity population. ⋯ This study provides clinicians with a reference for values that may reflect clinically meaningful changes in scores for patient-reported outcome instruments commonly utilized in the current hand surgery literature.
-
To determine the risk for infection in trigger finger release surgery after preoperative corticosteroid injection. ⋯ Therapeutic IV.
-
Volarly displaced distal radius fractures (VD-DRFs) with small thin volar marginal fragments (VMFs) are challenging to treat with conventional volar locking plates (VLPs) alone. Several alternative surgical options have been reported to treat these fractures, including wire-loop fixation, spring-wire fixation, hook plates, headless compression screws, and tension-band wiring, but the optimal method is yet to be determined. ⋯ After a fracture at the volar rim, even if properly reduced, compression stress is continuously generated on the volar cortical side of the fracture site and tension is generated on the articular side, which leads to VMF displacement, articular surface widening, and carpal subluxation. The loop-wiring technique applies compressive pressure securely to the articular side of the fracture site as well as to the whole fracture site and may be advantageous in terms of secure fixation of small thin volar marginal fragments, stability of the carpus, and bone healing.
-
To compare combined ulnar nerve repair with supercharged end-to-side anterior interosseous nerve to ulnar motor nerve transfer (UR+SETS) with conventional isolated ulnar repair techniques in proximal ulnar nerve transection, with respect to intrinsic muscle power recovery and claw hand deformity correction. ⋯ Therapeutic II.