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Publisher: Elsevier   (Total: 3031 journals)

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Showing 1 - 200 of 3031 Journals sorted alphabetically
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 20, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 16, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 79, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 22, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 27, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 302, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription  
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 195, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 9, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 2)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 21, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 5, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 5)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 20)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 119, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 16, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 8, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 24, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 10, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 21, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 26, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 24, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 8, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 4)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 39, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 25, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 38, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 41, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 14)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 18, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 22)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 33, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 4)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 8)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 5, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 21)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 6, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 20, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 14)
Advances in Pharmacology     Full-text available via subscription   (Followers: 13, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 7, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 18)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 17, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 56)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 1, SJR: 0.1, h-index: 2)
Advances in Space Research     Full-text available via subscription   (Followers: 332, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 7)
Advances in Surgery     Full-text available via subscription   (Followers: 6, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 28, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 14)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 12)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 42, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 303, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 4, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 7, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 389, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 15, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 29, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 36, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 1)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 48, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 3, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 9, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 5)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access  
Algal Research     Partially Free   (Followers: 7, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 5, SJR: 0.776, h-index: 35)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 6, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 45, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 5)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 3)
American Heart J.     Hybrid Journal   (Followers: 45, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 47, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 34, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 6, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 25, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 31, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 48, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 173, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 51, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 2)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 22, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 23, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 21, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 32, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 13, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 5)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 52, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 3)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 38, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 152, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 7, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 10)
Anesthésie & Réanimation     Full-text available via subscription  
Anesthesiology Clinics     Full-text available via subscription   (Followers: 21, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  
Animal Behaviour     Hybrid Journal   (Followers: 141, SJR: 1.907, h-index: 126)
Animal Feed Science and Technology     Hybrid Journal   (Followers: 5, SJR: 1.151, h-index: 83)
Animal Reproduction Science     Hybrid Journal   (Followers: 5, SJR: 0.711, h-index: 78)
Annales d'Endocrinologie     Full-text available via subscription   (SJR: 0.394, h-index: 30)
Annales d'Urologie     Full-text available via subscription  
Annales de Cardiologie et d'Angéiologie     Full-text available via subscription   (SJR: 0.177, h-index: 13)
Annales de Chirurgie de la Main et du Membre Supérieur     Full-text available via subscription  
Annales de Chirurgie Plastique Esthétique     Full-text available via subscription   (Followers: 2, SJR: 0.354, h-index: 22)
Annales de Chirurgie Vasculaire     Full-text available via subscription   (Followers: 1)

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Journal Cover Annales de Chirurgie de la Main et du Membre Supérieur
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   ISSN (Print) 1153-2424
   Published by Elsevier Homepage  [3031 journals]
  • Morphometric study of the upper intercostal nerves: Practical application
           for neurotisations in traumatic brachial plexus palsies
    • Authors: H. Asfazadourian; B. Tramond; M.C. Dauge; C. Oberlin
      Pages: 243 - 253
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): H. Asfazadourian, B. Tramond, M.C. Dauge, C. Oberlin
      The aim of the study was a morphometric evaluation of the intercostal nerves at different levels along their course in order to determine their adequacy in neurotising the recipient nerves. The intercostal nerves were harvested from 5 cadavers. A biopsy of the nerve was obtained at 2 levels for each nerve in the parasternal region and at the level of the mid-axillary line. The musculocutaneous nerve was isolated at its origin from the lateral cord. Each harvested specimen was embedded in paraffin and sections were made using a microtome. These sections were then stained histochemmically using HPS (Hematein, Phloxine, Safran). Real-time digitalisation of the video image under the microscoppe was performed. The sum of the different fascicular zones is the effective sensorimotor surface of the nerve at the level being studied. Results : direct suture of the upper three intercostal nerves to the musculocutaneous nerve is always possible upto the axillary fossa. The sixth intercostal nerve can be delivered upto this level in only 50% of cases without dissection of the musculocutaneous nerve upto its entry into the coracobrachialis. The musculocutaneous nerve presents a mean surface area of 2.64 mm2 while the nerve to the biceps has a mean surface area of 0.34 mm2 i.e. a ration of 1/8. The mean surface area of the intercostal nerves at the parasternal level is 0.23 mm2 while that at the axillary level is 0.34 mm2. Thus a loss of 33% in surface area occurs between the axillary and the parasternal levels. Our study confirms the insufficiency between the surface area of the intercostal nerves and the different nerve trunks to be neurotised. The relationship between the surface area of the musculocutaneous nerve and the three intercostal nerves is 26.72% with a minimum of 17.2%. If a fourth intercostal nerve is added, this ratio nerves appears to be a superior technique. We were able to deliver the sixth intercostal nerve for a direct suture to the musculocutaneous nerve in only half the cases.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80037-4
       
  • A biomechanical study of Tang's multiple locking techniques for flexor
           tendon repair
    • Authors: J.B. Tang; C.Z. Pan; R.G. Xie; F. Chen
      Pages: 254 - 260
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): J.B. Tang, C.Z. Pan, R.G. Xie, F. Chen
      This study was designed to biomechanically compare Tang's multiple looped locking techniques with various suture techniques for flexor tendon repair in the hand. Fifty flexor digitorum profondus tendons taken from pig toes were used as models; The tendons were transected in the middle part of zone 2 defined as the area beneath bifurcation of the flexor digitorum superficialis tendons, and were repaired by five different suture methods: (1) modified Kessler, (2) Tsuge's suture, (3) double Kessler, (4) modified Kessler plus Tsuge, and (5) Tang's suture. The repaired tendons were placed in an Instron tensile testing machine to determine the tensile properties of the repair. 2 mm gap formation force and ultimate tensile strength were measured during the test. Maximal work to failure were calulated according to area under the load-displacement curve of the test. 2 mm gap formation force was 21.5 N for the Kessler, 20.6 N for the Tsuge, 31.6 N for double Kessler, 30.9 N for the Kessler plus Tsuge and 41.4 N for the Tang. Ultimate tensile strength was 23.5 N for the Kessler, 22.9 N for the Tsuge, 34.5 N for the Kessler plus Tsuge and 45.6 N for the Tang. Statistically, Tang's suture had the greatest gap formation force, ultimate strength and energy for failure among the five techniques (p < 0.01 or p < 0.001). Gap formation force, ultimate strangth and energy to failure for double Kessler or the Kessler plus Tsuge were significantly greater than those for the Kessler or the Tsuge (p < 0.05 or < 0.01). The tendons repaired by Tang's method tolerated a significantly higher tensile load (133 to 198% of the other techniques) than the other methods. Among the methods tested, Tang's multiple looped locking suture provides sufficient gap resistance and tensile strength that may be able to withstand early active mobilization after primary flexor tendon repair.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80038-6
       
  • Hyperostotic macrodactyly and lipofibromatous hamartoma of the median
           nerve associated with carpal tunnel syndrome
    • Authors: A. Nogueira; C. Pena; M.J. Martinez; J.G. Sarasua; B. Madrigal
      Pages: 261 - 271
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): A. Nogueira, C. Pena, M.J. Martinez, J.G. Sarasua, B. Madrigal
      A new case with 14-year follow-up of an extremely rare variety of congenital hand macrodactyly is presented. The disease characteristically presents a diffuse proliferation of fibrofatty tissue, but in this special type, osteocartilaginous deposits around the joints can also be found. The case presented included the troublesome feature of a lipofibromatous hamartoma in the median nerve at the wrist and its branches producing carpal tunnel syndrome. The patient obtained benefit from carpal tunnel release and epineurolysis. The hyperostotic development was managed with conservative resection of the periarticular osteochondromas. The literature reviewed suggests that the hyperostotic cases of macrodactyly do not differ from general cases of this congenital condition, except for the osteochondral deposits. These tumours develop during adulthood or after previous trauma, before epiphyseal closure.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80039-8
       
  • Luxation postérieure pure du coude chez l'adulte : Immobilisation ou
           mobilisation précoce
    • Authors: M. Rafai; A. Largab; D. Cohen; M. Trafeh
      Pages: 272 - 278
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): M. Rafai, A. Largab, D. Cohen, M. Trafeh
      Introduction: Pure posterior dislocation of the elbow is frequent in young subjects. The objective of treatment must be to reduce the dislocation and avoid complications, the most frequent being stiffness, but also elbow instability. The objective of this prospective study was to evaluate the functional and anatomical characteristics of two treatment modalities: plaster immobilization and early mobilization. Material and methods: 50 cases of pure posterior dislocation of the elbow were included in a prospective study and randomized to two groups: Group I: twenty six cases were treated by reduction under general anaesthesia and plaster immobilization for three weeks, followed by rehabilitation. Group II: twenty four cases were treated by reduction under general anaesthesia, followed by early mobilization. Results: We evaluated our results in terms of loss of amplitude of elbow movement (particularly extension), stiffness, instability, relapses, pain and ossification. This study demonstrated better recovery of elbow function in patients treated by early mobilization: 96% of good results with recovery of normal extension in group II versus 81% of cases in group I. Stiffness was observed in 19% of patients in group I versus 4% in group II; this difference was very significant. Comparison of pain revealed no significant difference and no relapses, instability or ossifications were observed in either of the two groups. Discussion and conclusion: Early mobilization is superior to plaster immobilization, as it allows recovery of better quality elbow function without inducing instability or recurrence.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80040-4
       
  • Fibrose périneurale du médian au poignet Traitement par neurolyse et
           greffon dermo-hypodermique
    • Authors: E. Guillemot; D. Le Nen; D. Colin; E. Stindel; W. Hu; G. L'Heveder
      Pages: 279 - 289
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): E. Guillemot, D. Le Nen, D. Colin, E. Stindel, W. Hu, G. L'Heveder
      In the treatment of multiple recurrences of carpal tunnel syndrome due to fibrosis, following repeated nerve release, the authors propose interposition of a composite dermal fat graft raised from the inguinal region, and report four clinical cases using this technique. The objective of this study was to evaluate the efficacy of the graft in terms of clinical and electromyographic results and determine the course of the graft by a postoperative MRI study and a longer follow-up. Clinical results: Nocturnal paraesthesiae resolved in 2 patients, was improved in one patient and remained unchanged in another patient. Objectively, neurological examination showed improvement in 3 cases and no change in 1 case. Electromyographic results: At last follow-up, EMG was improved in only one case. Magnetic resonance imaging: MRI visualized the graft with a fat signal on T1-weighted sequences in every case, with an increase in size over time in 3 cases. The efficacy of the dermal fat graft may seem disappointing, as none of the patients were cured. However, with a mean follow-up of more than two years, we have not observed any deterioration of the clinical features, and no surgical revision for carpal tunnel syndrome. This technique appears to increase graft survival, as the blood supply to the subdermis is restored more rapidly via the dermis, which is anatomically a very vascular tissue. There is nevertheless a discrepancy between the clinical results, and EMG and MRI findings, which could be explained by the anatomical lesion of the median nerve, surgically released several times, and by alterations of the perineurium.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80041-6
       
  • Rupture à la paume d'un tendon fléchisseur chez un homme jeune atteint
           d'ostéogenèse imparfaite
    • Authors: P. Imbert; S. Loy
      Pages: 290 - 294
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): P. Imbert, S. Loy
      Flexor tendon rupture in the palm of the hand is very infrequent. It usually occurs in association with an underlying pathological condition. We report a case of hand tendon rupture in a patient with osteogenesis imperfecta (OI). This disease is typically characterised by brittle bones but other tissues rich in collagen, such as tendons, may also be involved. The ruptured tendon was diagnosed one month post-injury and was treated by tendon graft. Six months later, tenolysis was performed and one year post-injury flexion was still limited at the distal interphalangeal joint. Few cases of tendon lesions and OI have been reported in the literature. Rupture occurs at the bony insertion and the outcome is good the poor outcome in our case could be due to alteration of the collagen tissue of the tendon.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80042-8
       
  • Congenital malformations of the hand and forearm
    • Authors: Christophe Oberlin
      First page: 294
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): Christophe Oberlin


      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80043-x
       
  • Luxation trans-scapho-lunaire antérieure du carpe
    • Authors: Ph. Ragois; O. Kadji; P. Leclerc
      Pages: 304 - 308
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): Ph. Ragois, O. Kadji, P. Leclerc
      About one uncommon case of anterior perilunate fracture-dislocation, the authors show the interest of posterior approach of the wrist to treat all the lesions. The scaphoïd is screwing proximally to distally and a pin is used to stabilise the pyramidolunare articulation. The clinical results are good on motion, on strength; the lunate doesn't present necrosis on radiology at 4 years.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80047-7
       
  • Accident de travail inhabituel: ténosynovite tuberculeuse des tendons
           extenseurs de la main
    • Authors: S. Fnini; M. Ouarab; M. Rafai; D. Cohen; A. Largab; M. Trafeh
      Pages: 309 - 312
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): S. Fnini, M. Ouarab, M. Rafai, D. Cohen, A. Largab, M. Trafeh
      We present a case of tuberculous tenosynovitis of the extensor tendons of the hand. Our patient was a young doctor working in the respiratory medicine department. He was injured on the dorsal aspect of the hand with a needle used for pleural aspiration. The clinical features consisted of gradually swelling, mild pain and stiffness of the metacarpophalangeal joint. The diagnosis was made after synovectomy. Histological and bacteriological examinations revealed tuberculosis. Treatment consisted of synovectomy and appropriate antibiotics. The clinical course was excellent after one year follow-up. Tuberculous tenosynovitis of the hand is a rare manifestation of extrapulmonary tuberculosis occurring in fewer than 5% of all cases of skeletal tuberculosis. Thickening of the tendon or synovial sheath and local accumulation of fluid are the characteristic manifestations. The diagnosis must be confirmed by surgical biopsy. Antibiotics and synovectomy achieve a good functional result.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80048-9
       
  • Proceeding
    • Authors: C. Oberlin; Z. Accioli
      Pages: 313 - 316
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): C. Oberlin, Z. Accioli


      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80049-0
       
  • Restoration of sensation over the contact surfaces of the thumb-index
           pinch grip using the terminal branches of the superficial branch of the
           radial nerve
    • Authors: E. Rapp; S. Lallemand; S. Ehrler; N. Buch; G. Foucher
      Pages: 179 - 183
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): E. Rapp, S. Lallemand, S. Ehrler, N. Buch, G. Foucher
      In huge median nerve losses and in some brachial plexus lesions, absence of sensation over the pulps of the index finger and the thumb preclude their use without visual control. Currently, end-to-side anastomosis is a new option available (when the ulnar nerve is intact) but we have reviewed the results of 7 cases of nerve anastomosis between the sensory branches of the radial nerve and the collateral nerves of the thumb (ulnar) and index finger (radial). Palmar translocation of the donor nerve, as classically performed, was used in two cases and the technique was subsequently modified to provide a better nerve suture by dorsal transfer of the collateral nerves of the thumb and index. Two sequellae of brachial plexus lesions and 5 cases of extensive defects of the median nerve were reviewed at a mean follow up of 5 years. With the classical technique the two point discrimination was 15 mm in one case and more in the other; with the modified technique, 4 patients achieved a thumb discriminaTion of 9 mm, 12 mm (2 cases) and 13 mm.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80001-6
       
  • Fractures of the base of the first metacarpal in children
    • Authors: P. Jehanno; F. Iselin; J.M. Frajman; G.F. Penneçot; J. Glicenstein
      Pages: 184 - 190
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): P. Jehanno, F. Iselin, J.M. Frajman, G.F. Penneçot, J. Glicenstein
      In order to define the factors of instability of fractures of the base of the first metacarpal in children, the authors reviewed 30 children presenting this lesion with a follow-up greater than 10 months. Patients in whom the growth cartilage of the base of the first metacarpal was still open and presenting a fracture with angular displacement greater than 30° or metaphyso-epiphyseal sliding greater than 1 mm were included. Three groups were defined on the basis of radiographic findings : Group A : pure metaphyseal fractures (14 cases : 10 pinnings and 4 orthopaedic treatments) ; Group B : Salter II epiphyseal detachment fractures with a medial metaphyso-epiphyseal corner (10 cases : 1 pinning and 9 orthopaedic treatments) ; group C : Salter II epiphyseal detachment fractures with a lateral metaphyso-epiphyseal corner (6 cases : 2 pinnings and 4 orthopaedic treatments). The authors studied early secondary displacements as a function of the emergency treatment modality. No secondary displacement was observed for group B lesions regardless of treatment and for lesions stabilized immediately by intermetacarpal pinning. In contrast, one half of group A and C lesions treated orthopaedically subsequently became displaced, requiring surgical revision with stabilization by pinning. The authors recommend orthopaedic treatment for group B lesions and immediate surgical stabilization for group A and C lesions.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80002-8
       
  • La chirurgie reconstructive dans les hypoplasies du pouce type III de
           Blauth
    • Authors: G. Foucher; A. Gazarian; G. Pajardi
      Pages: 191 - 196
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): G. Foucher, A. Gazarian, G. Pajardi
      Thumb hypoplasia type III according to Blauth remains a rare congenital malformation. Recently Manske has promoted reconstruction versus pollicisation in the sub-type IIIA where a first carpometacarpal joint is present. However we felt that pollicisation is the solution for sub-type IIB where the basal joint is absent. We have reviewed 14 cases of thumb hypoplasia type III, four of them being type IIIB. After performing a first step with a free vascularized second metatarso-phalangeal joint transfer, the secondary steps were identical in both sub-groups. After a mean follow up of five years, no great difference was found in the two sub-groups and basal stability was even better in type IIIB. However the results were functionally and cosmetically inferior to the ones observed after pollicisation. When the relatives refuse pollicisation or the patient consults late for functional improvement, reconstruction remains worthwhile.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80004-1
       
  • Fracture of the distal part of the radius associated with severed ulnar
           nerve
    • Authors: F. Pazart; E. Stindel; D. Le Nen
      Pages: 197 - 201
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): F. Pazart, E. Stindel, D. Le Nen
      We report a case of a severed ulnar nerve after fracture of the distal part of the radius. The most likely hypothesis is stretching of the ulnar nerve fixed by Guyon's canal and severed on the sharp edge of the proximal radius. Although very rare, this lesion must be investigated particularly in cases with marked displacement especially ulnar and/or volar.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80005-3
       
  • Trapezo-metacarpal and metacarpo-phalangeal dislocation of the thumb
           associated with a carpo-metacarpal dislocation of the four fingers
    • Authors: F. Gerard; Y. Tropet; L. Obert
      Pages: 205 - 208
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): F. Gerard, Y. Tropet, L. Obert
      The authors report a case of combined dorsal fracture-dislocations of all 4 fingers, palmar trapezometacarpal dislocation and metacarpophalangeal dislocation of the thumb following a motorbike accident. These exceptional lesions were treated as an emergency by reduction and pinning. With a follow-up of 13 years, the patient still worked as an electrician

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80007-7
       
  • Traitement des sections du tendon long fléchisseur du pouce par la
           technique de rouhier. A propos de 25 cas
    • Authors: F. Herradón Jiménez; M. Del Cerro Gutiérrez; J.R. Fernãndez Mariño
      Pages: 209 - 215
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): F. Herradón Jiménez, M. Del Cerro Gutiérrez, J.R. Fernãndez Mariño
      We treated 28 cases of Flexor Pollicis Longus tendon injury by Rouhier's technique between 1989 and 1996 and reviewed 25 cases, with a minimum follow-up of 6 months and maximum of 8 years. Nine patients presented an associated collateral nerve section. We used the International Federation of Hand Surgery Societies (IFSSH) topographic classification. The surgical technique consisted of Flexor Pollicis Longus lengthening and transosseous pull-out in 16 cases and distal suture in 9. The immobilization time ranged from 4 to 7 weeks. The results were evaluated according to Tubiana's classification, with 2 very good, 14 good, 9 fair and no poor results. Flexor Pollicis Longus simple suture in T2 zone may produce suture blockade, tendon shortening and adherences. Suture through the digital canal must be avoided to decrease these complications. In the absence of bone injuries, better functional results can be obtained with Rouhier's technique than with simple suture.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80008-9
       
  • Angiomyome de la main : une tumeur post-traumatique '
    • Authors: E. Jougla; J.L. Grolleau; J.P. Chavoin
      Pages: 216 - 219
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): E. Jougla, J.L. Grolleau, J.P. Chavoin
      A 69-year-old woman presented with a tumor of the lateral aspect of the proximal phalanx of the little finger of the right hand. The finger was injured by a ring during a handshake. Excision and histopathological examination revealed the diagnosis of angiomyoma, a benign vascular tumor originating from the smooth muscle cells of arterial or venous walls. Angiomyomas belong to the family of leiomyomas and rare, small tumors (less than one centimeter), preferentially occurring in women between the ages of 40 and 60 years. They may be painful. Only one case of sarcomatous degeneration has been described in the literature. Trauma has never been previously reported as a cause of angiomyoma, but in this case the traumatic origin of the tumor was not in doubt.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80009-0
       
  • Tenorrhaphy and tendinous venous envelope (TVE)
    • Authors: J. Bins Ely; D. Fagundes; P.O. Gomes; O.J. Pereira Filho; S. Goldenberg
      Pages: 226 - 235
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): J. Bins Ely, D. Fagundes, P.O. Gomes, O.J. Pereira Filho, S. Goldenberg
      A morphofunctional study was undertaken in 24 Beagle dogs subjected to a a tenorrhaphy, in order to evaluate the results obtained with 3 different surgical procedures (16 hands each) — « traditional(TRAD); the « tendinous venous envelope(TVE), and the « simulated procedure(SHAM). The surgical tissue (n=48) was the extensor digitorum communis muscle of the hand (forepaw) bilaterally. For TRAD procedure, the Bunnell suture technique was applied. For the TVE procedure, the tenorrhaphy site was wrapped in a segment of autologous femoral vein and for the SHAM procedure, the tendon was exposed over 3 cm without sectioning it and the wound was closed. In each case, the limb was immobilised for 21 days in a cast. Functional data (288 X-rays) was obtained on angle variations of the radio-carpal joint in 2 different positions — passive (physiological), and forced (with an additional weight of 150 g). For each position, the angle variation obtained for each one of the surgical procedures were compared at 3 different times : day zero (surgical intervention), day 21 (cast removal), and day 35 (surgical tissue removal). Morphological data (144 sections) was obtained by analyzing the surgical tissue (tendinous fibrosis; fusion of the tendon clusters with the epimysium and the neighboring tissues; synovitis and the virtual space between the tendon and the neosheath). Tests of variance analysis by posts (critical H=5.99), showed that the TVE procedure produced better results as compared to TRAD (SHAM ≅ TVE > TRAD) on day 21 (H=22.58) as well as on day 35 (H=8.08).

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s1153-2424(99)80011-9
       
  • Results of excision of heterotopic new bone around the elbow in patients
           with head injuries A series of 25 cases
    • Authors: P. Denormandie; G. Viguie; P. Denys; O. Dizien; R. Carlier
      Pages: 99 - 107
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): P. Denormandie, G. Viguie, P. Denys, O. Dizien, R. Carlier
      Twenty patients were operated upon for heterotopic ossification around the elbow of neurogenic origin following intra-cranial trauma between 1993 and 1997. They did not receive any diphosphonates or radiotherapy. Pre-operative evaluation included a CT scan with enhancement using a dye injected intravenously and 3D reconstruction. Surgery was indicated in the presence of a clinical deficit in mobility or signs (clinical or electrical) of nerve compression. The average delay between the accident and the surgery was 34 months (5 months to 9 years). Associated procedures included lengthening of the brachialis (4 cases), lengthening of the triceps tendon (4 cases) and an anterior capsulotomy in 3 cases. 24 elbows were reviewed with an average follow-up period of 18 months (6 months to 4 years). In 58% of the cases, the result was very good (gain in mobility > 70%) while in the remaining 42% of cases, the improvement was between 40% and 70%. This study confirms the possibility of obtaining good results by excision of the masses of heterotopic ossification of neurogenic origin around the elbow before 1 year after the accident without the necessity of complementary treatment.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80062-3
       
  • Synovial osteochondromatosis at the elbow producing ulnar and median nerve
           palsy
    • Authors: A. Nogueira; O. Alcelay; C Pena; J.G. Sarasua; B. Madrigal
      Pages: 108 - 114
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): A. Nogueira, O. Alcelay, C Pena, J.G. Sarasua, B. Madrigal
      The authors present the case of a 53-year-old woman suffering from synovial osteochondromatosis of her right elbow responsible for ulnar and median nerve entrapment neuropathy. This condition is characterised by the formation of multiple cartilaginous nodules in the metaplastic synovium of otherwise normal joints, bursae or tendon sheaths. Treatment consisted of partial synovectomy, removal of loose bodies and microscopic nerve release. Synovial osteochondromatosis complicated by nerve compression syndromes has been rarely reported, usually with ulnar tunnel syndrome at the elbow. The literature on this subject is reviewed.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80063-5
       
  • Complications and outcome in open carpal tunnel release
    • Authors: T. Lindau; M.K. Karlsson
      Pages: 115 - 121
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): T. Lindau, M.K. Karlsson
      In this retrospective study, 92 patients (83% attendance rate) were examined 6 years after open carpal tunnel release. A questionnaire was answered by the patient and a physical examination was made by an independent observer. Five complications were found, of which 4 were early postoperative problems and one was a major complication with long-term disability. In one third of the patients numerous complaints were noted even after six years. Recurrences were found in 9 cases. No lacerations of nerves, tendons or vessels were seen and no patient developed reflex sympathetic dystrophy. The overall subjective outcome showed that 91% of the patients were free of symptoms or improved. The grip strength at follow-up was reduced, if the symptoms had been present for more than 12 months, as compared to less than 12 months, (p=0.009) and when associated, unspecific brachialgia had been present (p=0.02). No differences were found in conjunction with the operating surgeon being either an orthopaedic resident or a specialist in hand surgery. In conclusion, open carpal tunnel release had a subjectively favourable outcome, but due to complications and postoperative complaints, further investigations into alternative techniques seem necessary.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80064-7
       
  • Cross-chest radial nerve transfer in brachial plexus injuries
    • Authors: J.A. Bertelli; M.F. Guizoni; A.R.S. Dos Santos; J.B. Calixto; H.E. Duarte
      Pages: 122 - 130
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): J.A. Bertelli, M.F. Guizoni, A.R.S. Dos Santos, J.B. Calixto, H.E. Duarte
      Brachial plexus avulsion injuries are devastating injuries to the upper limb, and nerve transfer remains the only option in reconstruction. Despite the encouraging results concerning recovery of shoulder and elbow function, no option is available for treatment of the paralytic hand. In rats, we sectioned the radial nerve in the elbow region and transferred it across the chest to reinnervate the lesioned contralateral medial cord of the brachial plexus. Rats were then evaluated for motor and sensory recovery, electrophysiologically, behaviorally and morphologically. Forepaw functional recovery was estimated to be 90%. In cadavers, the radial nerve and profunda brachii artery were dissected. It was observed that the radial nerve vascularized by the profunda brachii artery was able to reach the contralateral brachial plexus distal to the shoulder region without nerve grafts. After sectioning the radial nerve, sensory loss is minimal and motor palsy can be easily restored by tendon transfers. The results of tendon transfer for radial nerve palsy are better than for any other nerve. Cross-chest radial nerve transfer might be of clinical interest in the reconstruction of hand function in entire injury to the brachial plexus.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80065-9
       
  • Lésions de Monteggia anciennes chez l'enfant A propos de 14
           observations
    • Authors: L. Wattincourt; A. Seguin; R. Seringe
      Pages: 137 - 148
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): L. Wattincourt, A. Seguin, R. Seringe
      Fourteen patients between the ages of 3.5 years and 11 years, with an old Monteggia lesion were managed in the Orthopaedics department between 1968 and 1997. Dislocation of the radial head was not diagnosed at the time of the initial trauma in 9 out of 14 cases and the diagnosis was made an average of 14 months after the trauma (range : 5 weeks to 84 months). Twelve of the 14 patients underwent surgical reduction of chronic dislocation of the radial head, mostly associated with proximal ulnar osteotomy and/or a procedure on the extensor retinaculum. The mean follow-up is 4 years 9 months. There were 66 % excellent and good results, 25 % of moderate results and 9 % of poor results. Due to the difficulty of surgery of neglected lesions, the authors report their experience and emphasize the importance of the initial diagnosis.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80069-6
       
  • Complication rare d'une réimplantation de main : le faux
           anévrysme de l'anastomose radiale
    • Authors: F. Gérard; L. Obert; P. Garbuio; Y. Tropet
      Pages: 149 - 152
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): F. Gérard, L. Obert, P. Garbuio, Y. Tropet
      The authors report a case of arterial pseudoaneurysm occurring 3 months after reimplantation of the hand in contact with the radial anastomosis. This complication, related to the initial mechanism of avulsion, although nonspecific, required rapid surgical revision as only one patent artery was present.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80070-2
       
  • Replantation digitale après 60 ans
    • Authors: G. Meyer Zu Reckendorf; B. Coulet; Y. Allieu; M. Chammas; P. Desbonnet
      Pages: 153 - 159
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): G. Meyer Zu Reckendorf, B. Coulet, Y. Allieu, M. Chammas, P. Desbonnet
      The authors analysed retrospectively 7 cases of digital replantation in 7 men aged from 60 to 71 years, performed between 1985 and 1996. There were 2 amputations of the thumb, 1 of the index, 2 of the middle finger, 1 of the fourth and 1 of the fifth finger. 4 failures of replantation were noted. These 4 failures always concerned amputations of long digits by a circular saw with associated complex multidigital injurys of bad prognosis and in combination with a poor vascular status. We had 3 successful results: the 2 amputations of the thumb and the ring finger of the auricular. All these 3 patients recovered a good hand function. We found some commun characteristics in this group of patients: excellent general condition, non smoker, good motivation and cooperation, injury of one digit, clear amputation (except the ring finger), correct conservation of the amputated part. The advanced patient's age does not represent a contraindication for digital replantation. The injury mechanism and the general condition of the patient represent major criteriae of prognosis. In favourable circumstances, a good functional result can be expected.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80071-4
       
  • La fasciite nécrosante du membre supérieur
    • Authors: R. Rifai; A. El Yazidi; L. Ameziane; M.S. Berrada; A. El Bardouni; M. El Yaacoubi; M. El Manouar
      Pages: 160 - 164
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): R. Rifai, A. El Yazidi, L. Ameziane, M.S. Berrada, A. El Bardouni, M. El Yaacoubi, M. El Manouar
      This article is based on the retrospective study of 4 cases of necrotic fasciitis of the upper extremity, in adult patients with a mean age of 57 years (range: 36 to 78 years) and with a male predominance (3 M/1 F). Presenting signs were variable : pain, febrile and inflammatory oedema, ecchymoses with inflammatory masses containing clear or haemorrhagic fluid. Treatment with antibiotics and anti-inflammatory drugs did not prevent progression to painless, necrotic ulcers. Rapid medical and surgical treatment constitutes an element essential of the prognosis and must include wide large debridement, antibiotics and intensive care.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80072-6
       
  • Restoration of wrist extension by tendon transfer in cases of obstetrical
           brachial plexus palsy
    • Authors: L. Duclos; A. Gilbert
      Pages: 7 - 12
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): L. Duclos, A. Gilbert
      Sequelae from obstetrical brachial plexus palsy are sometimes severe even after early microsurgical repair. Tendon transfer may improve hand function but to date, there is no large series that has been published on the results. Fifty-six children with obstetrical brachial plexus palsies were operated on for lack of wrist extension. A functional assessment scale was developped. Postoperatively, 42.5 % of patients achieved an active wrist extension, 32.5 % a static wrist extension. The extent of paralysis seems to influence the results. Some tendon transfert seems to give better results. The age at the time of transfert has no influence on the out come.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80051-9
       
  • Syndactyly in apert syndrome utility of a prognostic classification
    • Authors: P. Journeau; E. Lajeunie; D Rénier; A Salon; S Guéro; J.C. Pouliquen
      Pages: 13 - 19
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): P. Journeau, E. Lajeunie, D Rénier, A Salon, S Guéro, J.C. Pouliquen
      The authors report a series of 36 patients of Apert's Syndrome in whom a genetic analysis was performed. 2 major types of mutation were found (S252W and P253R). The correlation between the type of mutation and certain clinical abnormalities allowed validation of Upton's modification of Blauth's classification and also helped add a prognostic indicator for the intellectual development of the child. Thus, global treatment of the child should take into account not just the clinical abnormalities but also its intellectual prospects.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80052-0
       
  • Les cicatrices rétractiles de la main brûlée chez l'enfant
    • Authors: A.A. Sankale-Diouf; A. Wandaogo; H. Tekou; I. Fall; M. Ndoye
      Pages: 21 - 27
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): A.A. Sankale-Diouf, A. Wandaogo, H. Tekou, I. Fall, M. Ndoye
      Post-burn flexion contractures of the hands are evaluated in this retrospective study concerning eighty six hands of seventy nine children in the pediatric surgery unit of the University hospital of Dakar from 1971 to 1995. A peak frequency was found among 2-months-old males. Fire (flames or embers) is the most frequent etiology (49.5%). The initial treatment of these burns is more often inadequate because it is performed in dispensaries (small clinics) or at home and then causes severe sequelae. Among the methods of treatment, excision with graft gives the best results in short flexion contractures. Isolated Z plasty can be used successfully. Our follow-up is short (6 months) but the results are relatively good. Among the factors influencing the results, the seriousness of the lesions, the type of surgical treatment, immobilization and physiotherapy are the most significant.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80053-2
       
  • Assessment of hand after brain damage with the aim of functional surgery
    • Authors: M. Romain; C. Benaim; Y. Allieu; J. Pelissier; M. Chammas
      Pages: 28 - 37
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): M. Romain, C. Benaim, Y. Allieu, J. Pelissier, M. Chammas
      The semiology of the hand after brain damage is really rich. Its clinical evaluation remains quite difficult and must be integrated in the neuroorthopedic and cognitiv context. Deficiency, neuropsychological, analytic and functionnal status, must be assessed before any surgical decision aiming the improvment of prehension. Neuropsychological evaluation precises the hemispheric specialization : right hemisphere lesions conduct to unilateral spatial neglect while left hemispherical lesions determine language troubles and gesture impairment (apraxia). The analytical evaluation describes motor and sensitive function and assesses spasticity and pain. Concerning the functional assessment, the Enjalbert's score seems to be the most adapted to the upper limb. The assessment of hand deficiency and its origin is necessary to orientate the surgical decision and includes the Zancolli classification for the fingers and wrist and the House classification for the thumb. These classifications used for cerebral palsy seems to be insufficient for all the different situations occuring after brain damage. A new classification is proposed based on 3 parameters : fingers extension, thumb abduction and supination. Surgical decision should be examined only after an adapted rehabilitation program.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80054-4
       
  • The herbert screw for delayed union and non-union of scaphoid fractures
    • Authors: H. Casteur; L. De Smet
      Pages: 54 - 60
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): H. Casteur, L. De Smet
      We retrospectively reviewed 22 patients with delayed or non-union of scaphoid fractures treated with the Herbert screw. In 15 cases, we used an additional bone graft, taken from the iliac crest in all but two cases. The mean follow-up was 18 months (range : 6 – 40 months). Twelve of the 14 non-unions and 7 of the 8 delayed unions healed. Eleven patients were pain-free, 7 had minor symptoms, one had major symptoms but still considered his situation to be improved and two did not obtain any clinical improvement.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80056-8
       
  • A trans STT, trans capitate perilunate dislocation of the carpus A case
           report
    • Authors: C. Chantelot; B. Peltier; X. Demondion; G. Gueguen; H. Migaud; C. Fontaine
      Pages: 61 - 65
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): C. Chantelot, B. Peltier, X. Demondion, G. Gueguen, H. Migaud, C. Fontaine
      We report a case of carpal injury not previously described, associating three lesions of the carpus secondary to a hyperextension mechanism: fracture of the capitate, scapho-trapezio-trapezoid sprain and lunotriquetral ligament rupture. The patient was operated by percutaneous pinning after closed reduction. The capitate fracture was not fixed. At follow-up, the patient had no restriction of his everyday activities and was very satisfied.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80057-x
       
  • Analysis of two bone-prosthesis interfaces and membranes from non-cemented
           trapeziometacarpal prostheses
    • Authors: S.W. Wachtl; G.R. Sennwald; P.E. Ochsner; A.R. Von Hochstetter; M.A. Spycher
      Pages: 66 - 72
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): S.W. Wachtl, G.R. Sennwald, P.E. Ochsner, A.R. Von Hochstetter, M.A. Spycher
      The non-cemented Ledoux trapeziometacarpal prosthesis has a high failure rate. In order to better understand the mechanism responsible for pain and loosening, we thoroughly analysed the membranes surrounding the prosthesis and the bone-prosthesis interface in two trapezia, each containing a Ledoux cup, which were resected after unsuccessful implantation. Serial sections, perpendicular to the longitudinal axis of the implanted cup, allowed histological examination of the interface and were used to quantify bone apposition. The tissues surrounding the prosthesis showed a foreign-body reaction to particles identified as titanium. The interface showed bony integration of the cup, mainly on the radial side and on the proximal part of the cup, with an appositional index of 28%. Our findings suggest that bony apposition might not be sufficient to ensure successful anchoring of the Ledoux cup in the trapezium in the presence of an intense foreign body reaction to titanium. Moreover, the presence of metal might be secondary to micromotion of the wings of the metallic part of the cup, induced by axial movement of the underlying polyethylene during pinch grip. The combination of polyethylene as an expander and titanium may need to be reviewed.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80058-1
       
  • Experimental median nerve repair by fresh or frozen nerve autografts and
           xenografts
    • Authors: Z.A. Accioli De Vaconcellos; Y. Duchossoy; L. Kassar-Duchossoy; J.Cl. Mira
      Pages: 74 - 84
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): Z.A. Accioli De Vaconcellos, Y. Duchossoy, L. Kassar-Duchossoy, J.Cl. Mira
      The uathors described the reconstruction of a terminal branch of the brachial plexus (the median nerve) by different kinds of peripheral nerve grafts, in rats. Fresh or frozen autografts from Sprague-Dawley rats and fresh or frozen xenografts from Beagle dogs were used. Three, six, nine and twelve months after grafting, rats underwent histological assessment (muscle, nerve and spinal cord) and simple functional assessment by the grasping test. The immune reaction was prevented by the freezing and thawing method that had rendered xenografts acellular. This process allowed a satisfactory reinnervation of the flexor carpi radialis muscle (FCR) and a function recovery about 75% of control value. Nevertheless, the force recovery in rats that received frozen grafts was slower than those received fresh autografts. Probably, the destruction of cellular elements by freezing produced a deficient environment for nerve regeneration. However, this gap was partially compensated at twelve months after surgery by the maturation and the secondary adaptation of regenerated nerve fibers. Theses results showed that the force recovery is directly correlated to the capability of the nerve fibers to reproduce, histologically, a next to normal nerve pattern.

      PubDate: 2016-01-09T22:21:05Z
      DOI: 10.1016/s0753-9053(99)80059-3
       
  • La défaillance du crochet ulnaire
    • Authors: Kapandji
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): A. Kapandji
      Besides the well known signs of the ulnar palsy, there is a new sign, unknown till now: the “failing ulnar hook”. It could be named the “nail file sign”, because it was discovered from a woman who could not file the nail of her little finger. Practically, the patient is asked, in a first time, to roll his little and ring fingers around the index of the same hand of the examinator. As the patient is resisting, the other index of the examinator tries to extend these two fingers. If they cannot resist, there is an ulnar palsy at an upper level. The explanation is that the flexor profundus of the ring and the little figers are commanded by the ulnar nerf, whereas those of the index and the middle finger are by the median nerve. So, when this sign is present, the block is located from the elbow to the brachial plexus. When it is absent, whereas other signs of ulnar palsy are present, it evoques a lower palsy. This sign is of great interest because it confirms the diagnosis of ulnar palsy and allows the localization of the block. It is very useful to search it in every neurologic examination of the hand. In a carpal tunnel syndrom, it allows to eliminate or not an ulnar participation without using of electrical tests.

      PubDate: 2016-01-09T22:21:05Z
       
  • Technique de correction par ostéotomie-greffe de l'enfoncement
           invétéré de la glène radiale, dit « die punch
    • Authors: Kapandji
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): A. Kapandji
      The central crush of the radial glena, so-called «Die-Punch, may be relatively easy to fix, when it is initially recognized. Unfortunately, it is often ignored, which compromises the future of the radio-carpal joint. When this «die-punch is at the stage of malunion, the cartilage depression is very difficult to reach to. It is the goal of this described technique: through an antero-lateral way, making a sagittal osteotomy guided on a K-wire, aiming at the lateral limit of the crush; the lateral fragment comprising the radial styloide process is then turned like a door around a posterior hinge, opening the access to the medial bony cut, at the lower part of it, the depressed fragment is clearly visible. This fragment is lowered with a chisel of appropriate width, until it joins its proper level; then a fragment of cancellous bone taken in the upper part of the cut is crammed in the room above the «die-punch. The «door is then closed and fixed with a screw, without any problem of consolidation, so as the rehabilitation may be initiated immediately. The practice of this procedure is till now limited to a few cases (two), but the results are very encouraging. This technique is worthy to be tried by other hand surgeons.

      PubDate: 2016-01-09T22:21:05Z
       
  • Homme, société, évolution
    • Authors: Christophe Oberlin
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 4
      Author(s): Christophe Oberlin


      PubDate: 2016-01-09T22:21:05Z
       
  • Finger bone and joint injuries
    • Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): Rémy Bléton


      PubDate: 2016-01-09T22:21:05Z
       
  • Avascular necrosis of multiple carpal bones
    • Authors: Smet
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): L. De Smet
      A case of a 66-year-old female patient with hyperlipaemia, corticosteroid osteoporosis and chronic obstructive lung disease with avascular necrosis of the proximal row of the carpus and hamate is described. No other sites of avascular bone necrosis were found. A proximal row carpectomy was performed with an excellent outcome.

      PubDate: 2016-01-09T22:21:05Z
       
  • La voie d'abord antérieure transbrachiale de l'apophyse
           coronoïde
    • Authors: N.E. Ameur; Rebouh Ch. Oberlin
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3
      Author(s): N.E. Ameur, M. Rebouh, Ch. Oberlin
      Fractures of the coronoid process of the ulna can cause elbow instability. Treatment of these fractures, sometimes surgical, raises a problem of the incision. The incisions described to date do not provide specific exposure, or require sometimes dangerous nerve and vascular dissections. The authors propose a strictly brachial midline anterior incision. The biceps tendon is retracted laterally and the brachialis muscle is then dissociated longitudinally providing direct exposure of the coronoid process, with no risk of nerve lesions, and allowing direct screwing of the fracture.

      PubDate: 2016-01-09T22:21:05Z
       
  • La Lettre
    • Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 3


      PubDate: 2016-01-09T22:21:05Z
       
  • Commentaire 1
    • Authors: Bonnard
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): C. Bonnard


      PubDate: 2016-01-09T22:21:05Z
       
  • Commentaire 2
    • Authors: Chammas
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): M. Chammas


      PubDate: 2016-01-09T22:21:05Z
       
  • Are there still indications for the Krukenberg kineplasty' Report of
           two patients
    • Authors: Smet
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): L. De Smet
      Krukenberg's operation was actually described by Vanghetti in 1989. Three cases, including one bilateral case, are reported. The first case was a 36-year-old patient from a developing country. At the sixth postoperative week, the patient had regained his independence and gained 1.5 kg. The second case was a child with multiple malformations, who presented, in addition to amputation of both legs, a high amputation of the left forearm and distal fold of the right forearm. Krukenberg's operation was performed at the age of 8 months. At the age of 2 years, the child was able to eat and drink independently.

      PubDate: 2016-01-09T22:21:05Z
       
  • Evolution of our indications for neurotization
    • Authors: Allieu
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2
      Author(s): Y. Allieu


      PubDate: 2016-01-09T22:21:05Z
       
  • Proceeding
    • Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2


      PubDate: 2016-01-09T22:21:05Z
       
  • La lettre
    • Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 2


      PubDate: 2016-01-09T22:21:05Z
       
  • Osteoligamentoplasty and limited dorsal capsulodesis for chronic
           scapholunate dissociation
    • Authors: Ph.
      Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1
      Author(s): Ph. Cuénod
      Treatment of chronic scapholunate dissociation remains unsatisfactory. As the dorsal part of scapholunate interosseous ligament (SLIL) seems to be the «critical corner of the scapholunate stability, its replacement by an analogous structure could restore scapholunate stability. A procedure is described which combines reconstruction of the dorsal region of the SLIL by means of an osteoligamentous autograft, harvested at the carpus (dorsal trapezoidometacarpal II ligament) and limited dorsal capsulodesis. The limited dorsal capsulodesis is performed using the scaphotriquetral head of the dorsal intercarpal ligament left attached to the distal pole of the scaphoid and fixed with a bone anchor on the dorsal aspect of the lunate. The osteoligamentous autograft prevents scapholunate dissociation and dorsal scaphoid subluxation. The dorsal capsulodesis limits scaphoid flexion and allows synergistic scapholunate mobility. This combination should stabilize the scaphoid in the horizontal as well as sagittal planes. The advantages of this technique are: 1) a single incision; 2) replacement of a ligament by an analogous autograft; 3) faster healing by bone-to-bone apposition; 4) more anatomic and physiologic reconstruction. Three patients are presented to illustrate the technique.

      PubDate: 2016-01-09T22:21:05Z
       
  • La lettre
    • Abstract: Publication date: 1999
      Source:Annales de Chirurgie de la Main et du Membre Supérieur, Volume 18, Issue 1


      PubDate: 2016-01-09T22:21:05Z
       
 
 
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