The Journal of hand surgery
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Acute scaphoid fractures are commonly fixed with headless cannulated screws positioned in the center of the proximal fragment. Central placement of the screw may be difficult and may violate the scaphotrapezial joint. We hypothesize that placement of the screw through the scaphoid tuberosity will achieve perpendicular fixation of an oblique waist fracture and result in more stable fixation than a screw in the center of the proximal fragment. ⋯ Percutaneous fixation of scaphoid fractures has become popular although it is technically challenging. An easier distal approach through the tuberosity, without violating the scaphotrapezial joint, may not impair the fixation stability of an oblique fracture.
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To investigate the effects of platelet-rich plasma (PRP) with fibrin matrix on the healing of intrasynovial flexor tendons in a rabbit model in vivo. ⋯ Platelet-rich plasma with fibrin matrix might help reduce the risk of repeated rupture after flexor tendon surgery, and lead to early rehabilitation.
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This study tested the null hypothesis that there is no difference between expected improvement and actual improvement of symptoms with carpal tunnel release (CTR). Secondary analyses addressed factors associated with both expected relief and actual relief of symptoms with carpal tunnel syndrome surgical release, predictors of arm-specific disability, and satisfaction with surgery. ⋯ Actual relief of symptoms with CTR matched patients' expectations in an employed population. Satisfaction with treatment correlated with relief of symptoms.