Database : MEDLINE
Search on : Hand and Deformities [Words]
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[PMID]: 29512418
[Au] Autor:Bessho Y; Nakamura T; Nishiwaki M; Nagura T; Matsumoto M; Nakamura M; Sato K
[Ad] Address:1 Department of Orthopaedic Surgery, Keio University, Tokyo, Japan.
[Ti] Title:Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability: a biomechanical study.
[So] Source:J Hand Surg Eur Vol;:1753193418761266, 2018 Jan 01.
[Is] ISSN:2043-6289
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:We investigated the relationship between the radial inclination of the distal radius and distal radioulnar joint stability. Six fresh-frozen upper extremities were used. Radial inclination was decreased by 10° and 20° and increased by 10° from the original radial inclination. Distal radioulnar joint stiffness was assessed with an intact radioulnar ligament and after partial and then complete sectioning of the radioulnar ligament. Radial angulation deformities significantly increased distal radioulnar joint stiffness when the radioulnar ligament is totally or partially attached to the ulnar fovea. After complete sectioning of the radioulnar ligament, distal radioulnar joint stiffness decreased significantly; additional radial angulation deformity slightly increased distal radioulnar joint stiffness, but the distal radioulnar joint never recovered to the original stiffness. Based on the results, radial angulation deformities of the distal radius should be corrected within 10° when the radioulnar ligament is intact, to reduce the risk of symptomatic distal radioulnar joint instability. LEVEL OF EVIDENCE: V.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:Publisher
[do] DOI:10.1177/1753193418761266

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[PMID]: 29191846
[Au] Autor:David M; Rangaraju M; Raine A
[Ad] Address:The Royal Orthopaedic Hospital, Birmingham, UK michaeldavid@nhs.net.
[Ti] Title:Acquired triggering of the fingers and thumb in adults.
[So] Source:BMJ;359:j5285, 2017 11 30.
[Is] ISSN:1756-1833
[Cp] Country of publication:England
[La] Language:eng
[Mh] MeSH terms primary: Hand Deformities, Acquired/pathology
Joint Deformities, Acquired/pathology
Tenosynovitis/pathology
Thumb/pathology
Trigger Finger Disorder/pathology
[Mh] MeSH terms secundary: Adult
Aged
England/epidemiology
Female
Hand Deformities, Acquired/etiology
Hand Deformities, Acquired/surgery
Humans
Injections, Subcutaneous
Joint Capsule Release/methods
Joint Deformities, Acquired/etiology
Joint Deformities, Acquired/surgery
Male
Middle Aged
Observational Studies as Topic
Prevalence
Primary Health Care/statistics & numerical data
Steroids/administration & dosage
Steroids/therapeutic use
Tenosynovitis/etiology
Thumb/surgery
Trigger Finger Disorder/drug therapy
Trigger Finger Disorder/etiology
Trigger Finger Disorder/surgery
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Steroids)
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:171202
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5285

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[PMID]: 29499514
[Au] Autor:Ashi M; Assur R; Awan B; Aljaaly H
[Ad] Address:King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia. Electronic address: mhmmd.ashi93@gmail.com.
[Ti] Title:Bilateral split hand foot malformation in siblings: Case series.
[So] Source:Int J Surg Case Rep;44:114-117, 2017 Dec 27.
[Is] ISSN:2210-2612
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Split Hand-Foot malformation (SHFM) is a congenital limb defect that affects the central rays of the hands and/or feet. It is a rare condition that has genetic and environmental etiologies. It ranges in severity depending on the extent of the malformation. We report on two siblings with severe SHFM affecting all limbs. METHODS: We described two cases of siblings with SHFM and discuss the possible causes of the condition. This research did not require ethical approval due to the institute not requiring it for this type of study. RESULTS: Case 1 is a 7-year-old boy, and case 2 is his 4-year-old brother. They are both medically and surgically free. They had normal growth and development and were products of a consanguineous marriage. They both presented with bilateral deformities of the hands and feet, and had no previous family history of congenital anomalies. CONCLUSION: SHFM may occur as a result of consanguineous marriage, genetic mutation, and chemical exposure. Genetic counseling and thorough assessment of associated anomalies is mandatory.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180302
[Lr] Last revision date:180302
[St] Status:Publisher

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[PMID]: 29448870
[Au] Autor:Toyama S; Oda R; Tokunaga D; Taniguchi D; Nakamura S; Asada M; Fujiwara H; Kubo T
[Ad] Address:a Department of Orthopaedics, Graduate School of Medical Science , Kyoto Prefectural University of Medicine , Kyoto , Japan.
[Ti] Title:A new assessment tool for ulnar drift in patients with rheumatoid arthritis using pathophysiological parameters of the metacarpophalangeal joint.
[So] Source:Mod Rheumatol;:1-6, 2018 Mar 02.
[Is] ISSN:1439-7609
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVES: To establish a new assessment tool for ulnar drift (UD) in rheumatoid arthritis (RA). METHODS: We established an observational cohort of 67 patients (134 rheumatoid hands) beginning in 2004. Fifty-two patients (100 hands) had follow-up in 2009 and 37 patients (63 hands) completed follow-up in 2015. UD was evaluated with the Fearnley classification and our scoring method, which assesses four parameters of the metacarpophalangeal joint. Cluster analysis using UD parameters divided hands into groups. Changes in UD over time, correlation of the Fearnley stage and cluster with a functional assessment, and reliability of the parameters were analyzed. RESULTS: UD increased and worsened over time according to the trend test. A dendrogram indicated five clusters would be appropriate. Both the Fearnley classification and cluster were associated with function; however, our method related to function more linearly (R-squared: 0.42). We found one type of hand in which bone destruction precedes the joint dislocation and one type in which joint dislocation progresses with little deviation during UD progression. CONCLUSION: Our UD evaluation appeared to be simple and related to function. Additionally, it enables dividing UD hands into five stages. Thus, our assessment should be beneficial compared to the Fearnley classification in considering treatments of UD.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180302
[Lr] Last revision date:180302
[St] Status:Publisher
[do] DOI:10.1080/14397595.2018.1442171

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[PMID]: 29366421
[Au] Autor:Perez-Lopez LM; Gutierrez-de la Iglesia D; Cabrera-Gonzalez M
[Ad] Address:Sant Joan de Deu Chidlren`s Hospital, Pediatric Orthopaedic Surgery Department Barcelona. Spain.
[Ti] Title:Radial Polydactyly. What's New?.
[So] Source:Curr Pediatr Rev;, 2018 01 23.
[Is] ISSN:1875-6336
[Cp] Country of publication:United Arab Emirates
[La] Language:eng
[Ab] Abstract:Background: Thumb duplication, also called radial or preaxial polydactyly, is classified as an alteration of the radio-ulnar axis in the formation and differentiation of the hand plate, according to the Oberg, Manske and Tonkin classification. Objective: Radial polydactyly is a common upper limb malformation. This paper is a comprehensive analysis of radial polydactyly, its genetic explanation, classification, surgical techniques, functional results, as well as present and future scientific evidence on this congenital pathology. Conclusions: Radial polydactyly occurs most frequently as an isolated defect, but it may also occur in association with other abnormalities, or as part of a syndrome. The Wassel classification is the universal classification for thumb duplication. One of the limitations of it is the misclassification of the immature epiphysis. The Wassel classification not only refers to the pathoanatomy of the polydactyly but also guides the selection of various surgical techniques. Three well-defined surgical objectives should be ensured: thumb alignment, stability, and an acceptable final esthetic appearance. Tada score is a validated functional scale that takes into account the most common and limiting complications, namely clinodactyly and instability. Based on some recent strong research evidence, the JSSH assessment system provides the most reliable outcome of scores. More studies are required to provide evidence-based conclusions regarding the treatment of radial polydactyly.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180302
[Lr] Last revision date:180302
[St] Status:Publisher
[do] DOI:10.2174/1573396314666180124102012

  6 / 8097 MEDLINE  
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[PMID]: 29218364
[Au] Autor:Garcia K; Jaramillo D; Rubesova E
[Ad] Address:Department of Pediatric Radiology, Lucile Packard Children's Hospital, 725 Welch Road, Palo Alto, CA, 94304, USA.
[Ti] Title:Ultrasound evaluation of stress injuries and physiological adaptations in the fingers of adolescent competitive rock climbers.
[So] Source:Pediatr Radiol;48(3):366-373, 2018 Mar.
[Is] ISSN:1432-1998
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: The impact of high-intensity, repetitive training on the fingers of adolescent climbers is relatively unknown. OBJECTIVE: To evaluate this effect by ultrasound (US) and to confirm some findings by magnetic resonance imaging (MRI). MATERIALS AND METHODS: The US study was performed in 20 adolescent rock climbers (ages 10-17 years) and 6 non-climbing controls (ages 11-15 years). US was used to examine the third digit of the right hand for differences in thickness of soft tissue, flexor and extensor tendon, volar plate and bony and growth plate adaptations. In four climbers with finger deformity or pain, 3-T MR images were compared with US findings. Number of hours/week and years of climbing were used to group climbers in three levels (3=most intense training). Mann-Whitney test was used for statistical analysis. RESULTS: Compared with non-climbing controls, climbers demonstrated significantly thicker flexor tendons, volar plates and soft tissues. Joint effusions were found in 13/19 (68%) climbers. Significant phalangeal malalignment was seen in 10/19 (53%) climbers. Growth plate deformities were identified in three level 3 climbers. US findings correlated with MRI for effusions, phalangeal growth plate injury, malalignment and adaptive changes. MRI additional showed capsule rupture (n=1), stress fracture (n=1) and phalangeal physeal stress injury (n=1). CONCLUSION: Competitive rock climbing results in physiological adaptations in the fingers, an example being significant soft-tissue hypertrophy of the flexor. US demonstrated several non-physiological changes in response to repetitive stress in half of the climbers. MRI showed additional stress injuries to the growth plate, joints and bone.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180225
[Lr] Last revision date:180225
[St] Status:In-Data-Review
[do] DOI:10.1007/s00247-017-4033-4

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[PMID]: 28470129
[Au] Autor:Widehammar C; Pettersson I; Janeslätt G; Hermansson L
[Ad] Address:1 Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
[Ti] Title:The influence of environment: Experiences of users of myoelectric arm prosthesis-a qualitative study.
[So] Source:Prosthet Orthot Int;42(1):28-36, 2018 Feb.
[Is] ISSN:1746-1553
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Prostheses are used to varying degrees; however, little is known about how environmental aspects influence this use. OBJECTIVES: To describe users' experiences of how environmental factors influence their use of a myoelectric arm prosthesis. STUDY DESIGN: Qualitative and descriptive. METHODS: A total of 13 patients previously provided with a myoelectric prosthetic hand participated. Their age, sex, deficiency level, etiology, current prosthesis use, and experience varied. Semi-structured interviews were audiotaped, transcribed, and analyzed through inductive content analysis. RESULTS: Four categories were created from the data: "Prosthesis function," "Other people's attitudes," "Support from family and healthcare," and "Individual's attitude and strategies." The overarching theme, "Various degrees of embodiment lead to different experiences of environmental barriers and facilitators," emerged from differences in individual responses depending on whether the individual was a daily or a non-daily prosthesis user. Environmental facilitators such as support from family and healthcare and good function and fit of the prosthesis seemed to help the embodiment of the prosthesis, leading to daily use. This embodiment seemed to reduce the influence of environmental barriers, for example, climate, attitudes, and technical shortcomings. CONCLUSION: Embodiment of prostheses seems to reduce the impact of environmental barriers. Support and training may facilitate the embodiment of myoelectric prosthesis use. Clinical relevance For successful prosthetic rehabilitation, environmental factors such as support and information to the patient and their social network about the benefits of prosthesis use are important. Local access to training in myoelectric control gives more people the opportunity to adapt to prosthesis use and experience less environmental barriers.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 180221
[Lr] Last revision date:180221
[St] Status:In-Process
[do] DOI:10.1177/0309364617704801

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[PMID]: 29234883
[Au] Autor:Pan Y; Lü GH; Kuang L; Wang B
[Ad] Address:Department of Spine Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
[Ti] Title:Accuracy of thoracic pedicle screw placement in adolescent patients with severe spinal deformities: a retrospective study comparing drill guide template with free-hand technique.
[So] Source:Eur Spine J;27(2):319-326, 2018 Feb.
[Is] ISSN:1432-0932
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:PURPOSE: Patients with severe spinal deformities often have small pedicle diameters, and pedicle dimensions vary between segments and individuals. Free-hand pedicle screw placement can be inaccurate. Individualized drill guide templates may be used, but the accuracy of pedicle screw placement in severe scoliosis remains unknown. The accuracy of drill guide templates and free-hand technique for the treatment of adolescent patients with severe idiopathic scoliosis are compared in this study. METHODS: This study included 37 adolescent patients (mean age 16.4 ± 1.3 years) with severe idiopathic scoliosis treated surgically at a single spine center between January 2014 and June 2017. Spinal deformities were corrected using posterior pedicle screw fixation. Patients in group I were treated with rapid prototype drill guide template technique (20 patients; 396 screws) and patients in group II were treated with free-hand technique (17 patients; 312 screws). Outcomes that included operative time, correction rate, and the incidence and distribution of screw misplacement were evaluated. RESULTS: Operative time in group I was 283 ± 22.7 min compared to 285 ± 25.8 min in group II (p = 0.89). The scoliosis correction rate was 55.0% in group I and 52.9% in group II (p = 0.33). Based on both axial and sagittal reconstruction images, the accuracy rate of pedicle screw placement was 96.7% in group I and 86.9% in group II (p = 0.000). CONCLUSION: The drill guide template technique has potential to offer more accurate and thus safer placement of pedicle screws than free-hand technique in the treatment of severe scoliosis in adolescents.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180219
[Lr] Last revision date:180219
[St] Status:In-Data-Review
[do] DOI:10.1007/s00586-017-5410-2

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[PMID]: 29453752
[Au] Autor:van der Lingen MAJ; de Joode SGCJ; Schotanus MGM; Grimm B; van Nie FA; Speth LAWM; Samijo SK
[Ad] Address:Department of Orthopaedic Surgery and Traumatology, Maxima Medical Center, Veldhoven, The Netherlands. juulvanderlingen@hotmail.com.
[Ti] Title:Satisfied patients after shoulder arthrodesis for brachial plexus lesions even after 20 years of follow-up.
[So] Source:Eur J Orthop Surg Traumatol;, 2018 Feb 16.
[Is] ISSN:1633-8065
[Cp] Country of publication:France
[La] Language:eng
[Ab] Abstract:PURPOSE: Patients with an upper brachial plexus lesion can suffer from dysfunction, joint deformities and instability of the shoulder. The goal of this study was to determine pain, shoulder function, patient satisfaction and muscle strength in shoulder arthrodesis in patients with an upper brachial plexus lesion more than 15 years after surgery. METHODS: We retrospectively studied 12 patients with a brachial plexus lesion of mean age 46 years (27-61). At a mean of 19.8 years (15.4-30.3) after shoulder arthrodesis, patient-reported outcome measures (PROMs), range of motion (e.g., active and passive), patient satisfaction, strength of the affected and non-affected side (e.g., maximum isometric strength in Newton in forward and retroflexion, ab- and adduction, internal and external rotation) and position of fusion were obtained. PROMS consisted of the Visual Analogue Scale (VAS; 0-100, 0 being painless) for pain and the Disabilities of the Arm, Shoulder and Hand Score (DASH; 0-100, 0 being the best score) for function. RESULTS: At latest follow-up, the median VAS pain score was 49 (0-96) and 0 for, respectively, the affected and unaffected side. The DASH was 15 (8-46), meaning a reasonable to good function of the upper extremity. Active and passive retroflexion was significantly different (p = 0.028). All subjects stated that in the same situation they would undergo a shoulder arthrodesis again. The unaffected side was significantly stronger in every direction. Arthrodesis showed position of fusion of 31° (12-70) abduction, 20° (10-50) forward flexion and 22° (- 14 to 58) internal rotation. The unaffected side was significantly (p ≤ 0.05) stronger in every movement direction. CONCLUSION: At a mean of 20 years after shoulder arthrodesis, patients with an upper brachial plexus lesion are still satisfied with a good to moderate functional improvement. LEVEL OF EVIDENCE III: A retrospective cohort study.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180217
[Lr] Last revision date:180217
[St] Status:Publisher
[do] DOI:10.1007/s00590-018-2152-8

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[PMID]: 29350502
[Au] Autor:Stepic N; Koncar J; Rajovic M
[Ti] Title:The influence of Dupuytren's disease fingers contracture degree on surgical treatment outcome.
[So] Source:Vojnosanit Pregl;74(1):19-23, 2017 Jan.
[Is] ISSN:0042-8450
[Cp] Country of publication:Serbia
[La] Language:eng
[Ab] Abstract:Background/Aim: Dupuytren's disease is a progressive disease of the palmar and digital fascial structures, with functional limitations. There are no clear recommendations about the optimal time of surgical repair, concerning the hand impairment. The aim of our study was to investigate the relation between finger's contracture degree and success of surgical treatment of the Dupuytren's disease. Methods: This prospective analysis included 60 patients operated on due to Dupuytren's contracture. According to preoperative contracture degree of proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joint, patients were divided into three groups: the group 1: < 15°, the group 2: 15−30° and the group 3: > 30°. All the patients underwent operation of partial palmar fasciectomy. Postoperative improvement was expressed with contracture reduction INDEX. Results: There were 60 patients with 85 fingers affected. The groups 1, 2 and 3 had 22 (37%), 37 (62%) and 26 (43%) fingers with MCP contracture and 32 (37.4%), 24 (28.2%) and 29 (34.1%) fingers with PIP contracture, respectively. Postoperative contractures of MCP joint in these groups were 0, 0.135° and 5°, and of PIP joint 0, 2.08 ° and 16.89°, respectively. After six months all MCP contractures resolved, while PIP joint contracture in the group 3 remained 13.62°. The reduction INDEX was 98.85%, 97.62% and 75.52% in the groups 1, 2 and 3, respectively. There was a statistically significant difference in the INDEX value between the groups (p = 0.0001). Conclusion: The degree of PIP joint contracture is related to the outcome of surgical treatment of Dupuytren's disease. Optimal results are achieved when contracture degree is between 15° and 30°. Surgical treatment of MCP joint contracture is successful regardless of the preoperative joint contracture degree.
[Mh] MeSH terms primary: Dupuytren Contracture/surgery
Fasciotomy
Finger Joint/surgery
Hand Deformities, Acquired/surgery
Metacarpophalangeal Joint/surgery
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Biomechanical Phenomena
Dupuytren Contracture/diagnosis
Dupuytren Contracture/physiopathology
Fasciotomy/adverse effects
Female
Finger Joint/physiopathology
Hand Deformities, Acquired/diagnosis
Hand Deformities, Acquired/physiopathology
Humans
Male
Metacarpophalangeal Joint/physiopathology
Middle Aged
Prospective Studies
Recovery of Function
Severity of Illness Index
Treatment Outcome
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180213
[Lr] Last revision date:180213
[Js] Journal subset:IM
[Da] Date of entry for processing:180120
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150331103S


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