•Journal• ISSN: 2458-7834
Hand and Microsurgery
SAGEYA Publishing Company
About: Hand and Microsurgery is an academic journal published by SAGEYA Publishing Company. The journal publishes majorly in the area(s): Medicine & Wrist. It has an ISSN identifier of 2458-7834. It is also open access. Over the lifetime, 118 publications have been published receiving 136 citations.
Topics: Medicine, Wrist, Grip strength, Population, Carpal tunnel syndrome
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Papers
TL;DR: Patients with a preoperatively electrophysiologically diagnosed nerve conduction block or axonal degeneration have higher risk of not being cured or improved after simple decompression in UNE, and older patients, those with a manual profession, and constant symptoms of UNE tend to be less improved after surgery.
Abstract: Objectives: Simple decompression is an accepted surgical treatment of ulnar nerve entrapment at the elbow (UNE) Our purpose was to evaluate the outcome and potential predictors for the outcome after simple decompression in UNE
Methods: All surgically treated UNE cases (from 2004-2008) at our department were studied retrospectively Out of 285 primary surgeries, 242 primary simple ulnar nerve decompressions were included Medical records, including electrophysiologic protocols, were reviewed and postoperative outcome was graded: 1) cured/improved and 2) unchanged/worsened symptoms, based on surgeon-evaluated outcome
Results: Of the 242 simple decompressions (122 males and 120 females; median age 505 years), 101 cases were students, retired, un-employed, or on a long-term sick-leave and 112 had manual, blue-collar type of careers 189 cases were cured or improved, while 53 cases had no change in, or even worsened, symptoms Gender, presence of smoking, or associated diseases did not affect outcome, while a tendency was observed for higher age, a manual occupation and constant symptoms Out of 196 cases electrophysiologically examined,
155 cases showed signs of ulnar nerve affection (56 reduced conduction velocity; 19 conduction block; 80 axonal degeneration; latter two groups significantly worse outcome)
Conclusion: Patients with a preoperatively electrophysiologically diagnosed nerve conduction block or axonal degeneration have higher risk of not being cured or improved after simple decompression in UNE Older patients, those with a manual profession, and constant symptoms of UNE tend to be less improved after surgery
11 citations
TL;DR: A rare case of PIN palsy due to parosteal lipoma of the proximal radius is presented together with a thorough literature review and discusses epidemiology, clinical findings, imaging studies, electrodiagnostic studies, pathology, treatment and prognosis.
Abstract: Several different pathologies may play a role in the etiology of posterior interosseous nerve (PIN) palsy such as trauma, radial tunnel syndrome, tumors, vasculitis, septic arthritis, and rheumatoid synovitis. The most common atraumatic factor is the compression of the nerve through its anatomic path. Parosteal lipoma around the proximal radius is the leading solid tumor seen among the neoplastic lesions. Although it is common, there are only case reports or few case series reported in the current literature and a comprehensive review is missing. Herein a rare case of PIN palsy due to parosteal lipoma of the proximal radius is presented together with a thorough literature review. A 48-year-old woman was presented with elbow pain and wrist drop that lasted for ten months. Electrodiagnostic and imaging findings lead to a diagnosis of PIN palsy due to parosteal lipoma seated over the proximal radius. Total surgical excision was performed, and the patient had been followed up for one year. Removal of the lipoma failed to recover the patient’s symptoms. We reviewed all the reported cases and discussed, epidemiology, clinical findings, imaging studies, electrodiagnostic studies, pathology, treatment and
prognosis of PIN palsy due to parosteal lipoma.
8 citations
TL;DR: The morphometry of the distal radius varies with race, ethnicity, and build of the patient, and this study attempts to publish the results of the study of the radiological parameters in the South Indian population.
Abstract: Background: Distal radius fractures are arguably the most common orthopedic injuries encountered by the treating orthopedic surgeon. Correction of dorsal tilt and radial height is important to restore the normal biomechanics of the wrist joint. The aim of this study is to report the morphometry of the distal radius in a South Indian population and give a comparison to similar studies of other races and populations.
Methods: Three hundred and ten consecutive plain radiographs of the wrist joint were included in all the radiographs. Four radiological parameters were studied in all the radiographs namely radial height, radial inclination, ulnar variance and palmar tilt. Radiographs that were not centered on the wrist joint or rotated were excluded from the study. Only radiographs of the distal radius with fused physis were considered in this study.
Results: The mean value of the radial height was 0.88cm with a standard deviation of 0.26cm. The mean radial height for males was 0.92 ± 0.27cm and in females was 0.81± 0.23cm (p=0, which is significant). The mean radial inclination was 21.58 ± 3.35o. The palmar tilt averaged 11.36 ± 3.16o . The ulnar variance was neutral in 110 males (56.4%) and 66 females (57.4%).
Conclusion: The morphometry of the distal radius varies with race, ethnicity, and build of the patient. Thorough knowledge of the morphometry of the distal radius of the local population becomes critical for the treating surgeon. In this study, we attempt to publish our results of our study of the radiological parameters in the South Indian population.
7 citations
TL;DR: Early recovery occurs and postoperative nail deformity is unaccepted in lateral subperiosteal approach, while in transungual approach since the nail plate is extracted and the nail bed is incised, there is a high risk of postoperative nails deformity and late recovery.
Abstract: Background: Nail bed deformity and tumor recurrence are the major complications of subungual glomus tumor surgery. Therefore, alternative methods to approach glomus tumors in the hand have been proposed in order to avoid further nail bed injury after surgical treatment.
Methods: In this study, we report a series of 32 patients with glomus tumors in the subungual region of the hand, treated surgically with two different types of incisions. The clinical efficacy and safety of the surgical treatment of glomus tumors performed by the lateral subperiosteal or the transungual approaches were analyzed.
Results: In transungual approach since the nail plate is extracted and the nail bed is incised, there is a high risk of postoperative nail deformity and late recovery. However, in lateral subperiosteal approach since only the skin lateral to the nail is incised without extracting nail plate and incising nail bed, the nail bed injury does not occur.
Conclusion: As a result, early recovery occurs and postoperative nail deformity is unaccepted. The main advantages of lateral subperiosteal approach are reducing postoperative nail deformity and early recovery. However, not every glomus tumor is suitable for lateral subperiosteal approach. In peripherally located tumors, the lateral subperiosteal approach provides quick recovery of the cosmetic appearance and less deformation of the nail.
7 citations
TL;DR: The WALANT technique seems like a great innovation to perform a wide variety of hand surgery cases, with increased patient comfort without a tourniquet, cost-effectivity, no preoperative tests, no risks of general anesthesia, no need to stay in the hospital overnight, and intraoperative active motion assessment facility are important advantages.
Abstract: Objectives: Recently, many surgeons started to prefer wide awake local anesthesia no tourniquet (WALANT) approach to provide an almost bloodless field for the vast majority of hand surgery procedures We aimed to present our two-year experience with WALANT technique
Methods: A wide variety of 682 hand surgery operations in 626 patients were performed with WALANT technique For infiltrative local anesthesia, the mixture of 1% lidocaine, 1:100000 epinephrine and 84% bicarbonate was prepared The need for intraoperative sedation and intraoperative patient cooperation were evaluated Patients' fingers were observed in case of postoperative circulatory compromise A simple cost-effectivity analysis for the anesthesia types was performed
Results: Mean age of the patients was 437 None of the patients needed intraoperative sedation, and patients obeyed to orders of surgeon throughout the procedure The postoperative circulatory compromise was observed in two fingers; one finger resolved spontaneously and the other rescued with phentolamine WALANT technique was more cost-effective than Bier block or general anesthesia
Conclusion: The WALANT technique seems like a great innovation to perform a wide variety of hand surgery cases Increased patient comfort without a tourniquet, cost-effectivity, no preoperative tests, no risks of general anesthesia, no need to stay in the hospital overnight, and intraoperative active motion assessment facility are important advantages
7 citations
Performance Metrics
| Year | Papers |
|---|---|
| 2025 | 16 |
| 2024 | 7 |
| 2023 | 17 |
| 2022 | 27 |
| 2021 | 3 |
| 2020 | 3 |