The Journal of hand surgery
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A task force for the American Society for Surgery of the Hand (ASSH) recently investigated the practice patterns, board certification, subspecialty certification status, and ASSH membership of hand surgeons after completion of fellowship training. A total of 37% of the fellowship graduates from 2000 to 2006 had not attained subspecialty certification for a variety of reasons. A smaller group of fellowship graduates obtained the subspecialty certification but had not become Active Members of the ASSH. Efforts to strengthen the hand surgeon community and best serve our patients should focus on evolving patterns in post fellowship choices that reflect practice type choices and generational changes.
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Observational Study
One-per-mil tumescent technique for upper extremity surgeries: broadening the indication.
We studied the effect of 1:1,000,000 epinephrine concentration (1 per mil) to attain a bloodless operative field in hand and upper extremity surgery and to explore its effectiveness and safety profile. ⋯ Therapeutic IV.
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Randomized Controlled Trial Comparative Study
Corticosteroid injection with or without thumb spica cast for de Quervain tenosynovitis.
To compare the corticosteroid injection (CSI) with or without thumb spica cast (TSC) for de Quervain tendinitis. ⋯ Therapeutic II.
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Forearm instability results from trauma, which disrupts the radial head, the interosseous membrane, and the triangular fibrocartilage complex. Inadequate treatment of injuries to these forearm stabilizers may result in the complex problem of chronic longitudinal forearm instability. Delayed recognition and/or treatment of injuries producing forearm dissociation has led to poor patient outcomes, which makes timely recognition of the injury pattern imperative. This article discusses relevant aspects of forearm anatomy and current concepts in the diagnosis and treatment options for this complex injury pattern.
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Comparative Study
The efficiency of a dedicated staff on operating room turnover time in hand surgery.
To evaluate the effect of orthopedic and nonorthopedic operating room (OR) staff on the efficiency of turnover time in a hand surgery practice. ⋯ Economic/Decision Analysis III.