Subjects -> MEDICAL SCIENCES (Total: 8677 journals)
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PHYSICAL MEDICINE AND REHABILITATION (158 journals)                     

Showing 1 - 158 of 158 Journals sorted alphabetically
Acta Fisiátrica     Open Access  
Advances in Clinical Neuroscience and Rehabilitation     Free   (Followers: 31)
Advances in Physiotherapy     Hybrid Journal   (Followers: 69)
Advances in Rehabilitation     Open Access   (Followers: 48)
African Journal of Physiotherapy and Rehabilitation Sciences     Open Access   (Followers: 10)
American Journal of Dance Therapy     Hybrid Journal   (Followers: 9)
American Journal of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 59)
Anatomy & Physiology : Current Research     Open Access   (Followers: 9)
Annals of Physical and Rehabilitation Medicine     Full-text available via subscription   (Followers: 32)
Archives of Physiotherapy     Open Access   (Followers: 15)
Archives of Rehabilitation Research and Clinical Translation     Open Access   (Followers: 1)
Arthritis Care & Research     Hybrid Journal   (Followers: 43)
ASEAN Journal of Rehabilitation Medicine     Open Access  
Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology     Open Access   (Followers: 8)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 4)
Autism in Adulthood     Hybrid Journal   (Followers: 6)
Biochimica et Biophysica Acta (BBA) - Gene Regulatory Mechanisms     Hybrid Journal   (Followers: 4)
Biochimica et Biophysica Acta (BBA) - Reviews on Cancer     Hybrid Journal   (Followers: 3)
BIRDEM Medical Journal     Open Access   (Followers: 1)
BMC Medical Physics     Open Access   (Followers: 7)
BMC Musculoskeletal Disorders     Open Access   (Followers: 27)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 2)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cardiopulmonary Physical Therapy Journal     Hybrid Journal   (Followers: 9)
Clinical Medicine     Full-text available via subscription   (Followers: 4)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3)
Clinical Rehabilitation     Hybrid Journal   (Followers: 75)
Current Obesity Reports     Partially Free   (Followers: 5)
Current Physical Medicine and Rehabilitation Reports     Hybrid Journal   (Followers: 12)
Current Reviews in Musculoskeletal Medicine     Open Access   (Followers: 13)
Developmental Neurorehabilitation     Hybrid Journal   (Followers: 10)
Die Rehabilitation     Hybrid Journal   (Followers: 2)
Distúrbios da Comunicação     Open Access  
EMC - Medicina Riabilitativa     Full-text available via subscription  
Enfermería Clínica (English Edition)     Hybrid Journal   (Followers: 1)
ergopraxis     Hybrid Journal   (Followers: 2)
Ergoterapi ve Rehabilitasyon Dergisi / Journal of Occupational Therapy and Rehabilitation     Open Access   (Followers: 5)
European Journal of Physiotherapy     Hybrid Journal   (Followers: 29)
European Journal of Podiatry / Revista Europea de Podología     Open Access   (Followers: 2)
European Review of Aging and Physical Activity     Open Access   (Followers: 11)
Fisioterapia & Saúde Funcional     Open Access   (Followers: 2)
Formosan Journal of Musculoskeletal Disorders     Partially Free   (Followers: 2)
Global Spine Journal     Open Access   (Followers: 10)
Gruppenpsychotherapie und Gruppendynamik : Zeitschrift für Theorie und Praxis der Gruppenanalyse     Hybrid Journal  
Hand Surgery and Rehabilitation     Full-text available via subscription   (Followers: 5)
Hong Kong Physiotherapy Journal     Open Access   (Followers: 15)
Hospital     Open Access   (Followers: 2)
Indian Spine Journal     Open Access  
International Journal of Orthodontic Rehabilitation     Open Access   (Followers: 2)
International Journal of Pedodontic Rehabilitation     Open Access  
International Journal of Physical Medicine & Rehabilitation     Open Access   (Followers: 3)
International Journal of Physiotherapy & Rehabilitation     Open Access   (Followers: 53)
International Journal of Physiotherapy and Research     Open Access   (Followers: 32)
International Journal of Rehabilitation and Health     Hybrid Journal   (Followers: 19)
International Journal of Rehabilitation Research     Hybrid Journal   (Followers: 20)
International Journal of Therapy and Rehabilitation     Full-text available via subscription   (Followers: 42)
International Musculoskeletal Medicine     Hybrid Journal   (Followers: 7)
Joints     Open Access   (Followers: 1)
Journal of Acute Care Physical Therapy     Hybrid Journal   (Followers: 1)
Journal of Back and Musculoskeletal Rehabilitation     Hybrid Journal   (Followers: 15)
Journal of Bangladesh Society of Physiologist     Open Access  
Journal of Brachial Plexus and Peripheral Nerve Injury     Open Access   (Followers: 6)
Journal of Cachexia, Sarcopenia and Muscle     Open Access   (Followers: 3)
Journal of Integrative Medicine & Therapy     Open Access   (Followers: 2)
Journal of Laboratory Physicians     Open Access   (Followers: 1)
Journal of Medical Physics     Open Access   (Followers: 5)
Journal of Musculoskeletal Research     Hybrid Journal   (Followers: 9)
Journal of NeuroEngineering and Rehabilitation     Open Access   (Followers: 15)
Journal of Novel Physiotherapy and Physical Rehabilitation     Open Access   (Followers: 3)
Journal of Novel Physiotherapy and Rehabilitation     Open Access   (Followers: 1)
Journal of Occupational Rehabilitation     Hybrid Journal   (Followers: 19)
Journal of Occupational Therapy Education     Open Access   (Followers: 11)
Journal of Oral Rehabilitation     Hybrid Journal   (Followers: 4)
Journal of Orthopaedics, Trauma and Rehabilitation     Open Access   (Followers: 5)
Journal of Orthopedics, Traumatology and Rehabilitation     Open Access   (Followers: 7)
Journal of Paramedical Sciences & Rehabilitation     Open Access  
Journal of Pastoral Care & Counseling     Full-text available via subscription   (Followers: 7)
Journal of Physical Therapy Education     Hybrid Journal   (Followers: 15)
Journal of Physiotherapy     Open Access   (Followers: 77)
Journal of Prosthetics and Orthotics     Hybrid Journal   (Followers: 13)
Journal of Recovery in Mental Health     Open Access   (Followers: 1)
Journal of Rehabilitation and Assistive Technologies Engineering     Hybrid Journal   (Followers: 3)
Journal of Rehabilitation Medicine     Full-text available via subscription   (Followers: 31)
Journal of Rehabilitation Sciences and Research     Open Access   (Followers: 2)
Journal of Respiratory and CardioVascular Physical Therapy     Open Access   (Followers: 3)
Journal of Scleroderma and Related Disorders     Hybrid Journal  
Journal of the Australasian Rehabilitation Nurses Association     Full-text available via subscription   (Followers: 5)
Journal of the International Association of Providers of AIDS Care (JIAPAC)     Open Access   (Followers: 2)
Journal of Vocational Rehabilitation     Hybrid Journal   (Followers: 17)
Knie Journal     Hybrid Journal   (Followers: 2)
Magnetic Resonance Materials in Physics, Biology and Medicine     Hybrid Journal   (Followers: 3)
Manual Therapy     Hybrid Journal   (Followers: 28)
Middle East Journal of Rehabilitation and Health     Open Access   (Followers: 1)
Modern Rehabilitation     Open Access   (Followers: 8)
Movement Disorders Clinical Practice     Full-text available via subscription   (Followers: 1)
Muscle & Nerve     Hybrid Journal   (Followers: 19)
Musculoskeletal Care     Hybrid Journal   (Followers: 19)
Musikterapi i Psykiatrien Online     Open Access   (Followers: 1)
MYOPAIN. A journal of myofascial pain and fibromyalgia     Hybrid Journal   (Followers: 18)
Neuropsychological Rehabilitation: An International Journal     Hybrid Journal   (Followers: 21)
NeuroRehabilitation     Hybrid Journal   (Followers: 24)
Neurorehabilitation and Neural Repair     Hybrid Journal   (Followers: 19)
Open Journal of Occupational Therapy     Open Access   (Followers: 63)
Open Journal of Pain Medicine     Open Access   (Followers: 2)
Open Journal of Therapy and Rehabilitation     Open Access   (Followers: 3)
Osteopathic Family Physician     Hybrid Journal   (Followers: 4)
OTJR : Occupation, Participation, and Health     Full-text available via subscription   (Followers: 10)
Pain and Rehabilitation - the Journal of Physiotherapy Pain Association     Full-text available via subscription   (Followers: 19)
Pain Management in General Practice     Full-text available via subscription   (Followers: 12)
Personalized Medicine Universe     Full-text available via subscription  
Physical & Occupational Therapy in Geriatrics     Hybrid Journal   (Followers: 48)
Physical Medicine and Rehabilitation Clinics of North America     Full-text available via subscription   (Followers: 16)
Physical Techniques in the Study of Art, Archaeology and Cultural Heritage     Full-text available via subscription   (Followers: 3)
Physical Therapy     Full-text available via subscription   (Followers: 74)
Physical Therapy in Sport     Hybrid Journal   (Followers: 43)
Physical Therapy Reviews     Hybrid Journal   (Followers: 24)
Physics in Medicine & Biology     Full-text available via subscription   (Followers: 16)
Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin     Hybrid Journal  
physiopraxis     Hybrid Journal  
Physiotherapy     Open Access   (Followers: 41)
Physiotherapy     Hybrid Journal   (Followers: 78)
Physiotherapy : The Journal of Indian Association of Physiotherapists     Open Access  
Physiotherapy and Health Activity     Open Access   (Followers: 3)
Physiotherapy Canada     Full-text available via subscription   (Followers: 46)
Physiotherapy Practice and Research     Hybrid Journal   (Followers: 4)
Physiotherapy Research International     Hybrid Journal   (Followers: 26)
Physiotherapy Theory and Practice: An International Journal of Physiotherapy     Hybrid Journal   (Followers: 36)
PM&R (Physical Medicine and Rehabilitation)     Hybrid Journal   (Followers: 18)
Podiatry Today     Free   (Followers: 2)
Polish Journal of Medical Physics and Engineering     Open Access   (Followers: 1)
Prosthesis     Open Access  
Psychiatric Rehabilitation Journal     Full-text available via subscription   (Followers: 17)
Quality of Life Research     Hybrid Journal   (Followers: 20)
Rehabilitación     Full-text available via subscription   (Followers: 5)
Rehabilitation Counseling Bulletin     Hybrid Journal   (Followers: 3)
Rehabilitation Process and Outcome     Open Access   (Followers: 6)
Rehabilitation Research and Practice     Open Access   (Followers: 8)
Revista Brasileira de Cineantropometria & Desempenho Humano     Open Access   (Followers: 1)
Revista Chilena de Terapia Ocupacional     Open Access   (Followers: 2)
Revista de Investigación en Musicoterapia     Open Access  
Revista de Osteoporosis y Metabolismo Mineral     Open Access   (Followers: 2)
Revista de Terapia Ocupacional da Universidade de São Paulo     Open Access  
Revista del Pie y Tobillo     Open Access  
Revista Pesquisa em Fisioterapia     Open Access  
Scientific Journal of Rehabilitation Medicine     Open Access   (Followers: 3)
South African Journal of Occupational Therapy     Open Access   (Followers: 43)
South African Journal of Physiotherapy     Open Access   (Followers: 6)
Spinal Cord     Hybrid Journal   (Followers: 11)
Spine     Hybrid Journal   (Followers: 75)
Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology     Open Access   (Followers: 17)
Substance Abuse and Rehabilitation     Open Access   (Followers: 5)
The Spine Journal     Hybrid Journal   (Followers: 23)
Therapeutic Advances in Musculoskeletal Disease     Hybrid Journal   (Followers: 6)
Topics in Geriatric Rehabilitation     Hybrid Journal   (Followers: 8)
Topics in Spinal Cord Injury Rehabilitation     Full-text available via subscription   (Followers: 13)
Topics in Stroke Rehabilitation     Full-text available via subscription   (Followers: 40)
Türk Fizyoterapi ve Rehabilitasyon Dergisi / Turkish Journal of Physiotherapy and Rehabilitation     Open Access   (Followers: 3)
World Federation of Occupational Therapists Bulletin     Hybrid Journal   (Followers: 3)

           

Similar Journals
Journal Cover
Hand Surgery and Rehabilitation
Journal Prestige (SJR): 0.358
Citation Impact (citeScore): 1
Number of Followers: 5  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 2468-1229
Published by Elsevier Homepage  [3203 journals]
  • BCGitis of the wrist after intravesical BCG therapy: a case report
    • Abstract: Publication date: Available online 10 July 2020Source: Hand Surgery and RehabilitationAuthor(s): E. Lupon, G. Martin-Blondel, T. Pollon, C. Berthier, G.-A. Lellouch, P. Mansat
       
  • Partial wrist denervation versus total wrist denervation: a systematic
           review of the literature
    • Abstract: Publication date: Available online 10 July 2020Source: Hand Surgery and RehabilitationAuthor(s): F. Smeraglia, M A Basso, G. Famiglietti, R. Eckersley, A. Bernasconi, G. Balato
       
  • Measurement properties of the German Unité Rhumatologique des Affections
           de la Main (URAM) scale in patients treated for Dupuytren’s disease
    • Abstract: Publication date: Available online 8 July 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Hensler, M. Wehrli, D.B. Herren, M. Marks
       
  • Analyzing the functional effects of dynamic and static splints after
           radial nerve injury
    • Abstract: Publication date: Available online 8 July 2020Source: Hand Surgery and RehabilitationAuthor(s): R. Cantero-Téllez, J H Villafañe, S G Orza, K. Valdes
       
  • An overview of the situation of hand surgery in Spain during the peak of
           COVID-19 pandemic
    • Abstract: Publication date: Available online 30 June 2020Source: Hand Surgery and RehabilitationAuthor(s): P. Martin-Playa, P. Calzacorta-Muñoz, L. Aparicio Elizalde, O. Carrera-Casal, J J García Gutiérrez
       
  • Recent advances in the surgical treatment of malunions in hand and forearm
           using three-dimensional planning and patient-specific instruments
    • Abstract: Publication date: Available online 13 June 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Singh, O. Andronic, P. Kaiser, L. Jud, L. Nagy, A. Schweizer
       
  • RhBMP7 use for treating scaphoid nonunion: 5 cases assessed at 10
           years’ follow-up
    • Abstract: Publication date: Available online 12 June 2020Source: Hand Surgery and RehabilitationAuthor(s): A. Chevet-Noël, M. Delord, D. Bertrand, L. Obert, D. Lepage, I. Pluvy, F. Loisel
       
  • Functionalized nerve conduits for peripheral nerve regeneration: a
           literature review
    • Abstract: Publication date: Available online 30 May 2020Source: Hand Surgery and RehabilitationAuthor(s): Inès Regas, François Loisel, Harrison Haight, Gauthier Menu, Laurent Obert, Isabelle Pluvy
       
  • COVID-19 and hand surgery
    • Abstract: Publication date: Available online 28 May 2020Source: Hand Surgery and RehabilitationAuthor(s): Sora Yasri, Viroj Wiwanitkit
       
  • Biomechanical analysis of a new 8-strand technique for flexor tendon
           repair
    • Abstract: Publication date: Available online 23 May 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Christen, P. Larsson, J. Hainich, J. Gruenert, M. Brodbeck
       
  • Multiple digit camptodactyly caused by anomalous ulnar sided flexor
           digitorum superficialis insertions
    • Abstract: Publication date: Available online 21 May 2020Source: Hand Surgery and RehabilitationAuthor(s): ACD Smith, PR Loughenbury, CA Hernon, SPJ Kay
       
  • Functional evaluation following emergency arthroplasty of the proximal
           interphalangeal joint for complex fractures with silicone implant
    • Abstract: Publication date: Available online 19 May 2020Source: Hand Surgery and RehabilitationAuthor(s): R. Laurent, S. El Rifai, F. Loisel, D. Lepage, L. Obert, I. Pluvy
       
  • The effect of mirror therapy after carpal tunnel syndrome surgery: a
           randomized controlled study
    • Abstract: Publication date: Available online 19 May 2020Source: Hand Surgery and RehabilitationAuthor(s): T Civi Karaaslan, O Berkoz, E Tarakci
       
  • Radioscapholunate fusion for posttraumatic osteoarthritis with consecutive
           excision of the distal scaphoid and the triquetrum: a comparative study
    • Abstract: Publication date: Available online 18 May 2020Source: Hand Surgery and RehabilitationAuthor(s): B Degeorge, L Dagneaux, D Montoya-Faivre, G Dautel, F Dap, B Coulet, C Lazerges, M Chammas
       
  • Wrist ROM measurements using smartphone photography: A common mistake in
           reliability analysis
    • Abstract: Publication date: Available online 17 May 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Sabour
       
  • Pedicled flap from the first dorsal branch of the proper palmar digital
           artery of the fingers: an anatomy study
    • Abstract: Publication date: Available online 11 May 2020Source: Hand Surgery and RehabilitationAuthor(s): A Wolf-Mandroux, R Detammaecker, Y K De Almeida, M Krebs, G Dautel, L Athlani
       
  • Re: Correspondence – COVID-19: Initial experience of hand surgeons
           in Northern Italy
    • Abstract: Publication date: Available online 7 May 2020Source: Hand Surgery and RehabilitationAuthor(s): F. Ducournau, S. Gouzou, S. Facca, P.A. Liverneaux
       
  • Molten metal high pressure injection injury of the hand
    • Abstract: Publication date: Available online 7 May 2020Source: Hand Surgery and RehabilitationAuthor(s): G. Feldman, S. Hitti, N. Rozen, G. Rubin
       
  • Trapeziometacarpal total joint arthroplasty: the effect of capsular
           release on range of motion
    • Abstract: Publication date: Available online 6 May 2020Source: Hand Surgery and RehabilitationAuthor(s): B. Van Hove, J. Vantilt, A. Bruijnes, P. Caekebeke, K. Corten, I. Degreef, J. Duerinckx
       
  • Thumb lengthening using a three-dimensional half-ring distraction frame
    • Abstract: Publication date: Available online 6 May 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Jia, H. Zhu, X. Zhang, J. Li, X. Zhai, X. Song, X. Shao
       
  • Vein conduits used to enhance arterial microsurgical end-to-end suture
           repair: a randomized comparative study
    • Abstract: Publication date: Available online 6 May 2020Source: Hand Surgery and RehabilitationAuthor(s): U. Lancien, A. Delaveau, M. Pouedras, E. Fortier, K. Bin, S. Ghersallah, J. Jeudy, Y. Saint Cast, HD Fournier
       
  • Dupuytren's disease: a reality in Black Africa
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): N.F. Coulibaly, M.M. Doumbia, B. Dembele, R. Dia, K. Fall, A.D. Sane, C.B. Dieme
       
  • A comparison of the early outcomes of surgery in patients with unilateral
           and bilateral carpal tunnel syndrome using standard outcome measures
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): A. Zyluk, P. Dec, Z. Szlosser
       
  • Xiapex™ will no longer be distributed in Europe: our concerns and our
           hopes relative to collagenase
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): M. Passiatore, R. De Vitis, G. Taccardo
       
  • Prospective study of 80 volar wounds of the hand and wrist: correlations
           between clinical examination and intraoperative findings
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): T Baron-Trocellier, M Rongières, O Mericq, E Lupon, P Mansat
       
  • Lateral stability in healthy proximal interphalangeal joints versus
           surface replacement and silicone arthroplasty: Results of a
           three-dimensional motion analysis study
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): S. Hensler, P. Behm, M. Wehrli, Miriam Marks, S.J. Ferguson, D.B. Herren, S. Schindele
       
  • COVID-19: Initial experience of hand surgeons in Northern Italy
    • Abstract: Publication date: Available online 4 May 2020Source: Hand Surgery and RehabilitationAuthor(s): Federico Facchin, Francesco Messana, Regina Sonda, Diego Faccio, Cesare Tiengo, Franco Bassetto
       
  • Calendar
    • Abstract: Publication date: May 2020Source: Hand Surgery and Rehabilitation, Volume 39, Issue 3Author(s):
       
  • Arthroscopic-assisted 6U approach for foveal reattachment of triangular
           fibrocartilage complex with an anchor: Clinical and radiographic outcomes
           at 4 years’ mean follow-up
    • Abstract: Publication date: May 2020Source: Hand Surgery and Rehabilitation, Volume 39, Issue 3Author(s): P. Auzias, E.J. Camus, F. Moungondo, L. Van Overstraeten
       
  • Management of forearm bone loss with induced membrane technique
    • Abstract: Publication date: May 2020Source: Hand Surgery and Rehabilitation, Volume 39, Issue 3Author(s): M. Bourgeois, F. Loisel, D. Bertrand, J. Nallet, F. Gindraux, A. Adam, D. Lepage, P. Sergent, G. Leclerc, T. Rondot, P. Garbuio, L. Obert, I. Pluvy
       
  • Radioscapholunate arthrodesis versus radiolunate arthrodesis in rheumatoid
           wrist surgery: clinical and radiographic outcomes
    • Abstract: Publication date: Available online 22 April 2020Source: Hand Surgery and RehabilitationAuthor(s): M Arboucalot, M Rongières, N Bonnevialle, S Delclaux, P Mansat
       
  • COVID-19: Initial experience of an international group of hand surgeons
    • Abstract: Publication date: Available online 9 April 2020Source: Hand Surgery and RehabilitationAuthor(s): F. Ducournau, M. Arianni, S. Awwad, E.-M. Baur, J.-Y. Beaulieu, M. Bouloudhnine, M. Caloia, K. Chagar, Z. Chen, A.Y. Chin, E.C. Chow, T. Cobb, Y. David, P.J. Delgado, M. Woon Man Fok, R. French, I. Golubev, J.R. Haugstvedt, E. Ichihara, R.A. Jorquera
       
  • Reconstruction and repair of atraumatic extensor tendon ruptures in
           rheumatoid wrists: less extension lag after direct repair than
           interposition tendon grafting
    • Abstract: Publication date: Available online 7 April 2020Source: Hand Surgery and RehabilitationAuthor(s): S-H Shin, K H Kang, Y-S Lee, J-W Lee, Y-G Chung
       
  • Does the DISI matter after distal scaphoidectomy with tendon interposition
           for STT osteoarthritis'
    • Abstract: Publication date: Available online 6 April 2020Source: Hand Surgery and RehabilitationAuthor(s): D Brouwers, A Decramer, P Cornu, D Le Viet
       
  • Calendar
    • Abstract: Publication date: April 2020Source: Hand Surgery and Rehabilitation, Volume 39, Issue 2Author(s):
       
  • Treatment of congenital syndactyly
    • Abstract: Publication date: Available online 3 March 2020Source: Hand Surgery and RehabilitationAuthor(s): M Le Hanneur, A Cambon-Binder, M. Bachy, F. Fitoussi
       
  • Endoscopic fasciotomy for chronic exertional compartment syndrome of the
           forearm: Clinical results of a new technique using an endoscopic carpal
           tunnel release device
    • Abstract: Publication date: Available online 29 February 2020Source: Hand Surgery and RehabilitationAuthor(s): J. Ruyer, V. Rutka, J. Garret, C. Rizzo, V. Guigal
       
  • Long-term results after semiconstrained distal radioulnar joint
           arthroplasty: A focus on complications
    • Abstract: Publication date: Available online 29 February 2020Source: Hand Surgery and RehabilitationAuthor(s): N Fuchs, L.A Meier, T Giesen, M Calcagni, L Reissner
       
  • Predictors of return to work in patients with occupational hand injury
    • Abstract: Publication date: Available online 26 February 2020Source: Hand Surgery and RehabilitationAuthor(s): N. Izadi, S. Jamshidi, R. Mehrdad, E. Nasibi
       
  • Scaphocapitate fusion for the treatment of Lichtman stage III
           Kienböck’s disease. Results of a single center study with literature
           review
    • Abstract: Publication date: Available online 15 February 2020Source: Hand Surgery and RehabilitationAuthor(s): Sylvie Collon, Stephen K Y Tham, David McCombe, Guillaume Bacle
       
  • Trapeziometacarpal total joint replacement as an alternative to
           trapeziectomy depends on trapezium height: Retrospective study of
           67 patients
    • Abstract: Publication date: Available online 30 January 2020Source: Hand Surgery and RehabilitationAuthor(s): B. Decot, J. Manon, G. Lambeaux, D. Mathieu, O. Barbier, X. Libouton
       
  • Functional outcomes after surgical treatment of isolated
           scaphotrapeziotrapezoid osteoarthritis: Retrospective single-center
           24-case series
    • Abstract: Publication date: Available online 16 December 2019Source: Hand Surgery and RehabilitationAuthor(s): G. Lafaye, M. Rongières, P. Mansat, J.-L. Grolleau, S. Riot
       
  • A new technique for metacarpophalangeal joint replantation after
           four-finger amputation
    • Abstract: Publication date: Available online 20 February 2020Source: Hand Surgery and RehabilitationAuthor(s): H Y Tuzun, S Turkkan, A Arsenishvili, M KurkluAbstractAlthough finger amputations are not life-threatening, they are functionally and psychologically problematic for the patient. Successful replantation of amputated fingers results in better appearance and functional outcome. Therefore, the patient’s satisfaction and psychological status improve. Usually, the first step of replantation involves bone and joint fixation. Various fixation methods can be used. Rapid and rigid fixation allows the surgeon to focus on repairing the soft tissues. In this report, we describe four-finger metacarpophalangeal (MCP) joint replantation with a new technique where no fixation device is used for the MCP joints. All four fingers survived and the total active motion of the four fingers ranged from 220 to 250 degree. Grip strength was 40 kg and pinch strength was 5 kg. Two-point discrimination was ranged from 4 to 8 mm. We achieved a successful outcome comparable to previous reports. In conclusion, when amputation occurs at the MCP joint level, the fixation stage can be omitted to allow early repair of soft tissues.RésuméBien que les amputations digitales ne menacent pas la vie, elles conduisent à des problèmes fonctionnels et psychologiques pour le patient. La replantation réussie des doigts amputés permet une meilleure apparence cosmétique et de meilleurs résultats fonctionnels. De ce fait, la satisfaction et l'état psychologique du patient sont améliorés. Habituellement, la fixation de l'os et des articulations est la première étape de la replantation et il existe diverses méthodes d’ostéosynthèse. Pour permettre une réparation précoce des parties molles, les chirurgiens font de leur mieux pour obtenir une fixation rapide et rigide. Dans cet article, nous présentons la replantation des quatre doigts longs au niveau des articulations métacarpo-phalangiennes (MCP) avec une nouvelle technique de fixation. Dans cette technique, nous n'avons pas utilisé de dispositif de fixation pour les MCP. Les quatre doigts ont survécu et la mobilité active totale des quatre doigts variait de 220° à 250°. La force de poigne était de 40 kg, et la force de pince de 5 kg. La discrimination entre deux points variait de 4 à 8 mm. Nous avons obtenu un résultat positif comparable aux rapports précédents. En conclusion, lorsque l'amputation est au niveau des articulation, l’étape de la fixation peut être passée pour permettre la réparation précoce des parties molles.
       
  • Ultrasound-guided transection of the interosseous membrane of the forearm
    • Abstract: Publication date: Available online 20 February 2020Source: Hand Surgery and RehabilitationAuthor(s): J. Descamps, V. Costil, T. ApardAbstractWe sought to evaluate the feasibility of ultrasound-guided transection of the interosseous membrane of the forearm. The study involved ten forearms from five fresh cadavers. An ultrasound scanner (Toshiba™ Aplio V ®, Toshigi, Japan) with a linear probe (Toshiba™ PLT-805AT 8Mhz) and a 25-cm long Kemis® knife (NewClip Technics™, Cholet, France), which was specially created for this study, were used. An approach to the distal and proximal radioulnar joint was made before the transection. The induced muscle hernia sign and the radius joystick test were performed to confirm the effectiveness of the ultrasound-guided transection. Complete dissection of the posterior surface of the forearm was done to check for complications and evaluate the quality of the transection. We registered nine complete transections of the interosseous membrane. The muscular hernia sign was present in all the cases performed. The joystick test was positive in eight cases. One forearm had a vascular complication. This ultrasound-guided interosseous membrane transection technique is feasible and effective with limited vascular and nerve risks. A prospective clinical study is required to validate this anatomical work.RésuméNotre but était d’évaluer la faisabilité de la section échoguidée de la membrane interosseuse antébrachiale. Le protocole de l'étude était basé sur dix avant-bras de cinq sujets anatomiques frais. Un échographe (Toshiba™ Aplio V ®, Toshigi, Japon) avec une sonde linéaire (Toshiba™ PLT-805AT 8Mhz) et un couteau Kemis® de 25 cm de long (NewClip Technics™, Cholet, France), spécialement conçu pour cette étude, ont été utilisés. Un abord de l'articulation radio-ulnaire distale et de l'articulation radio-ulnaire proximale a été effectué avant la section. Le signe de la hernie musculaire et le test du joystick du radius ont été effectués pour vérifier l'efficacité de la section échoguidée. Une dissection complète de la face postérieure de l'avant-bras a permis de contrôler les complications et la qualité de la section. Nous avons constaté 9 sections complètes de la membrane interosseuse. Le signe de la hernie musculaire provoquée était présent dans tous les cas pratiqués. Le test du joystick était positif dans 8 cas. Un cas avait une complication vasculaire. Cette technique de coupe guidée par échographie de la membrane interosseuse est réalisable et efficace avec des risques vasculaires et nerveux limités. Une étude clinique prospective est nécessaire pour valider ce travail anatomique.
       
  • Effects of early manual therapy on functional outcomes after volar plating
           of distal radius fractures: A randomized controlled trial
    • Abstract: Publication date: Available online 15 February 2020Source: Hand Surgery and RehabilitationAuthor(s): M Tomruk, N Gelecek, O Basçi, M H ÖzkanAbstractWe sought to investigate the effects of early manual therapy on functional outcomes in patients treated with volar plating of a distal radius fracture (DRF). This was a prospective, single-blinded, randomized controlled trial. Patients treated with volar plating of a DRF were randomly assigned to either Early Manual Therapy Group (EMTG, n=19) or Standard Physiotherapy Group (SPG, n=20). While SPG received standard physiotherapy, EMTG received standard physiotherapy plus Mulligan's Mobilization with Movement technique two sessions a week, through 12 weeks. Function, pain intensity, range of motion, grip strength and the level of disability were assessed using the Patient Rated Wrist Evaluation (PRWE), Visual Analog Scale (VAS), goniometer, hand dynamometer and Disabilities of Arm, Shoulder and Hand (DASH) Questionnaire, respectively. Measurements were made at 3, 6, and 12 weeks postoperatively. Of the 54-screened patients, 39 met the inclusion criteria and were randomized. In total, 32 patients (EMTG, n = 15; SPG, n = 17) were analyzed. EMTG had significantly better DASH score and wrist flexion at 12 weeks, less pain and better PRWE total score, wrist extension, ulnar/radial deviation, supination and grip strength at all time points. Moreover, wrist flexion increased more with the addition of early manual therapy than standard physiotherapy alone (26.50 ± 13.19 versus 16.21 ± 16.06). The addition of early manual therapy to standard physiotherapy may contribute to better functional outcomes and be more effective in increasing wrist flexion in patients treated with volar plating of a DRF.RésuméNous voulions étudier les effets d’une thérapie manuelle précoce sur les résultats fonctionnels chez les patients traités avec une plaque antérieure verrouillée pour une fracture de l’extrémité distale du radius (EDR). C’était un essai prospectif, à simple insu, contrôlé aléatoire. Les patients traités avec une plaque antérieure verrouillée d’une fracture de l’EDR, étaient aléatoirement assignés soit à un Groupe de Thérapie Manuelle Précoce (GTMP, n= 19) soit à un Groupe de Kinésithérapie Standard (GKS, n=20). Tandis que le GPS recevait une physiothérapie standard, le GPMP recevait une physiothérapie standard additionnée d’une mobilisation de Mulligan avec une technique de mouvement sur deux sessions par semaine pendant 12 semaines. La fonctionnalité, l’intensité de la douleur, la liberté de mouvement, la force de poigne et le niveau d’handicap ont été évalués en utilisant respectivement le Patient Rated Wrist Evaluation (PRWE) score, l’Echelle Visuelle Analogique (EVA), un goniomètre, un dynamomètre manuel et le Disabilities of Arm, Shoulder and Hand (DASH) Questionnaire. Les mesures furent prises à trois semaines, six semaines, et douze semaines post-opératoires. Sur 54 patients sélectionnés, 39 correspondaient aux critères d’inclusion et furent randomisés. Au total, 32 patients (GTMP, n=15 ; GKS, n=17) ont été analysés. Le GTMP avait des scores significativement meilleurs sur le DASH score, au, une flexion du poignet à 12 semaines, et un meilleur score PRWE, l’EFA, l’extension du poignet, la déviation radio-ulnaire, la supination et la force de poigne à toutes les échéances de mesure. De plus la flexion du poignet avait plus augmenté avec l’addition d’une thérapie manuelle précoce qu’avec une physiothérapie standard seule (26,50 ± 13,19 versus 16,21 ± 16,06). L’addition d’une thérapie manuelle précoce à une physiothérapie standard peut être bénéfique pour obtenir de meilleurs résultats fonctionnels et être plus efficaces pour augmenter la flexion du poignet chez les patients traités avec une plaque antérieure verrouillé pour une fracture de l’EDR.
       
  • Use of 4+5 extensor compartmental vascularized bone graft and K-wire
           fixation for treating stage II-IIIA Kienböck’s disease
    • Abstract: Publication date: Available online 15 February 2020Source: Hand Surgery and RehabilitationAuthor(s): X. Ye, J-T Feng, H-W Yin, Y-Q Qiu, Y-D Shen, W-D XuAbstractVascularized bone grafts have shown favorable outcomes in Kienböck’s disease, preventing the progression of lunate collapse and avascular necrosis. Here we describe our experience using a 4+5 extensor compartmental artery (ECA) vascularized bone graft combined with K-wire fixation. Between September 2010 and June 2013, 9 patients with Lichtman stage II-IIIA disease underwent arthroscopy prior to 4+5 ECA graft placement combined with temporary fixation (scaphocapitate and triquetrum-capitate joints). The average follow-up was 69 months (range, 51–92 months). Changes in pain, range of motion, grip strength, and pinch strength were analyzed. All patients had satisfactory recovery, especially pain relief and grip strength improvement (both p 
       
  • Internal fixation of metacarpal fractures using wide awake local
           anesthesia and no tourniquet
    • Abstract: Publication date: Available online 15 February 2020Source: Hand Surgery and RehabilitationAuthor(s): G. Feldman, H. Orbach, B. Rinat, N. Rozen, G. RubinAbstractWe sought to report on the use of wide-awake local anesthesia and no tourniquet (WALANT) for internal fixation of metacarpal fractures. We retrospectively examined 10 patients with metacarpal fractures that required either closed reduction and internal fixation (CRIF) or open reduction and internal fixation (ORIF). WALANT was administered 20 minutes before the surgery outside the operating room. Once the area was numb, an open or closed reduction was made followed by internal fixation of the fracture using plating, intramedullary screws or Kirshner wires (K-wires). We used intraoperative X-ray to confirm anatomic reduction and correct internal fixation. After proper reduction and fixation, the active range of motion (AROM) was assessed while the patient was awake. Patients were discharged the next day after evaluating their neurovascular status and establishing pain control. Follow-up evaluations were carried out at 2, 6 and 12 weeks postoperatively. All individuals underwent uneventful operations. No significant pain or bleeding was recorded during the operation. Nine out of ten patients regained full AROM at the 12-week follow-up visit in the outpatient clinic. One patient still had slight reduction of range of motion (ROM) of the 5th metacarpophalangeal joint. No neurovascular damage or surgical site morbidity was recorded. CRIF and ORIF of simple metacarpal fractures can be executed successfully using WALANT with good functional results without increased morbidity compared to monitored anesthesia care.RésuméNous rapportons l'utilisation de la technique WALANT (anesthésie locale sur sujet complètement éveillé et sans garrot) pour l’ostéosynthèse interne des fractures de métacarpiens sur une de série de cas. Nous avons examiné rétrospectivement 10 patients ayant présenté des fractures de métacarpiens qui avaient nécessité une réduction à foyer fermé et une fixation interne (CRIF) ou une réduction à foyer ouvert et une fixation interne (ORIF). La technique WALANT était administrée 20 minutes avant l'opération en dehors de la salle d'opération. Une fois que la zone à opérer était anesthésiée, une réduction à foyer ouvert ou fermée était faite, suivie de l’ostéosynthèse interne de la fracture à l'aide de plaques vissée, vis intramédullaires ou broches de Kirschner. Des radiographies peropératoires étaient utilisées pour confirmer la réduction anatomique et une ostéosynthèse interne correcte. Après la réduction et la fixation appropriées, l'évaluation des amplitudes actives des mouvements (AROM) était effectuée, le patient toujours éveillé. Les patients quittaient l’hôpital le lendemain après évaluation du statut neurovasculaire et le contrôle de douleur. Le suivi était effectué à 2 et 6 et 12 semaines postopératoires. Tous les patients ont subi les opérations sans incident. Aucune douleur ou saignement significatif n'a été enregistré pendant l'opération. Neuf patients sur dix ont retrouvé une mobilité active complète à la consultation de 12 semaines. Chez un patient persistait une légère réduction de l'amplitude des mouvements (ROM) de la 5ème articulation métacarpo-phalangienne. Aucune lésion neurovasculaire ou morbidité chirurgicale de site n'a été enregistrée. CRIF et ORIF des fractures simples de métacarpiens peuvent être réalisées avec succès sous WALANT avesc de bons résultats fonctionnels sans morbidité en comparaison avec l’anesthésie monitorisée.
       
  • Does the number of trials affect the reliability of handgrip strength
           measurement in individuals with intellectual disabilities'
    • Abstract: Publication date: Available online 15 February 2020Source: Hand Surgery and RehabilitationAuthor(s): K. Karatrantou, A. Xagorari, T. Vasilopoulou, V. GerodimosAbstractThe main objectives of this study were to examine which testing protocol (one/two/three trials) and method (best/average value) used for determining maximal handgrip strength are more reliable for individuals with intellectual disabilities (ID) and to compare the reliability and variability of maximal handgrip strength measurement between individuals with ID and healthy individuals. Twenty individuals with ID (18.7 ± 3.3 years) and 20 healthy individuals (18.5 ± 3.4 years) performed six separate sessions. During these sessions, the participants’ maximal handgrip strength was evaluated using three protocols with different number of trials (one/two/three). In individuals with ID, the protocols with one and two trials were less reliable (ICC=0.78–0.95; SEM%=9–21) than the protocol with three trials (ICC=0.94–0.96; SEM%=8–10) whereas in healthy individuals all protocols were equally reliable (ICC=0.95–0.99; SEM%=1.9–4.9). In individuals with ID, the mean of three trials (ICC=0.96, SEM=1.19–1.35 kg, SEM%=8.2–8.7) had slightly higher reliability than the best of three trials (ICC=0.94, SEM=1.47–1.75 kg, SEM%=9.2–10.1). Furthermore, the variability of maximal handgrip strength measurement was about twofold higher in individuals with ID (CV=37–45%) vs. healthy individuals (CV=21–23%). Maximal handgrip strength can be measured reliably in young individuals with ID using the mean of three trials as the most reliable approach for the determination of maximal handgrip strength.RésuméLes objectifs principaux de cette étude étaient: a) d’examiner le protocole d’essai (un, deux, trois essais) et la méthode (meilleure valeur / valeur moyenne) utilisés pour déterminer la force maximale de poigne qui sont plus fiables pour les personnes ayant une déficience intellectuelle (DI) et b) de comparer la fiabilité et la variabilité de la mesure de la force maximale de poigne chez les personnes ayant une DI et chez des personnes en bonne santé. Vingt jeunes individus présentant une DI légère à modérée (18,7±3,3 ans) et vingt personnes en bonne santé (18,5±3,4 ans) appariées selon l'âge ont réalisé trois protocoles d'évaluation de la force maximale de poigne avec un nombre différent d'essais (un, deux, trois). Chez les personnes ayant une DI, les protocoles à un et deux essais étaient moins fiables (ICC=0,78-0,95; SEM%=9-21) que le protocole de trois essais (ICC=0,94-0,96; SEM%=8-10), alors que chez les individus en bonne santé, tous les protocoles et méthodes utilisés étaient également fiables (ICC=0,95-0,99; SEM%=1,9-4,9). Chez les individus avec une DI, la moyenne de trois essais (ICC=0,96, SEM=1,19-1,35 kg, SEM%=8,2-8,7) a révélé une fiabilité légèrement plus élevée que le meilleur des trois essais (ICC=0,94, SEM=1,47- 1,75 kg, SEM%=9,2-10,1). De plus, la variabilité de la mesure de la force de poigne était environ deux fois plus élevée chez les personnes ayant une DI (CV=37-45%) par rapport aux individus en bonne santé (CV=21-23%). La force de poigne peut être mesurée de manière fiable chez les personnes ayant une DI en utilisant la moyenne de trois essais comme approche la plus fiable pour la détermination de la force maximale de poigne.
       
  • Predictive factors of postoperative deficit and functional outcome after
           surgery for upper limb schwannomas: Retrospective study of 21 patients
    • Abstract: Publication date: Available online 12 February 2020Source: Hand Surgery and RehabilitationAuthor(s): C. Raj, C. Chantelot, M. SaabAbstractSchwannomas are the most frequent benign tumors of the peripheral nerves. Tumor enucleation is the traditional surgical treatment. The incidence of neurological complications after surgery varies and predictive factors for these complications are not clearly defined. The aim of this study was to find predictive factors of postoperative neurological deficit after surgical treatment of schwannomas of the upper limb. Twenty-four schwannomas removed from 21 patients were analyzed retrospectively. The patients’ mean age was 45.4 years and the mean follow-up was 64.4 months. Clinical parameters studied were age, gender, nature of preoperative symptoms, duration of symptoms, type of surgery performed, tumor location and size, nerve involved, QuickDASH and DN4 scores. Postoperative neurological deficits occurred in 14 patients (67%), with 11 having a sensory deficit and 7 a motor weakness. Eleven did not exist before surgery (6 sensory, 5 motor). In the postoperative deficit subgroup, 6 schwannomas involved the brachial plexus, 4 the ulnar nerve, and 4 the median nerve. All patients who had a fascicular resection because tumor enucleation was not feasible were in the postoperative deficit subgroup. Ten patients had either unchanged or worse QuickDASH and/or DN4 scores after surgery. Surgical treatment of schwannomas can lead to postoperative complications. Although none of our findings were statistically significant, advanced age, large tumor size, more than 16 months between the first symptoms and surgery, and brachial plexus location seem to be more frequently observed in those with a postoperative neurological deficit.RésuméLes schwannomes sont les tumeurs bénignes les plus fréquentes des nerfs périphériques. Le traitement chirurgical classique de ces tumeurs est l’énucléation. L’incidence des complications neurologiques après chirurgie varie et il n’y a pas de consensus concernant des facteurs prédictifs de complications postopératoires. L’objectif de cette étude était de chercher des facteurs prédictifs de déficit après chirurgie de schwannomes du membre supérieur. Vingt-quatre schwannomes du membre supérieur opérés chez 21 patients ont été analysés de façon rétrospective, avec un âge moyen de 45,4 ans, et un recul moyen de 64,4 mois. Les critères étudiés étaient : âge, sexe, symptômes préopératoires, durée d’évolution, type de chirurgie, localisation tumorale, nerf atteint, diamètre tumoral, et les scores QuickDASH et DN4. Quatorze patients (66,6%) ont présenté un déficit postopératoire, avec 11 déficits sensitifs (6 postopératoire) et 7 déficits moteurs (5 postopératoires). Le plexus brachial était impliqué chez 6 des 14 patients avec un déficit postopératoire, les nerfs ulnaire et médian dans 4 cas chacun. Les 7 cas de résection fasciculaire appartenaient au groupe de patients déficitaires après chirurgie. Dix patients avaient un score QuickDASH et DN4 identique ou aggravé après chirurgie. La chirurgie des schwannomes n’est pas dénuée de risques. Malgré l’absence de résultats statistiquement significatifs, un âge élevé, un diamètre tumoral élevé, une durée supérieure à 16 mois entre le début des symptômes et la chirurgie, ainsi que la localisation au plexus brachial semblent être plus fréquents chez les patients déficitaires après chirurgie.
       
  • What are the advantages of occlusive dressings for treating fingertip
           amputations'
    • Abstract: Publication date: Available online 23 January 2020Source: Hand Surgery and RehabilitationAuthor(s): Y.G. Hu, Q. Zeng, G.Q. Wan, X.L. Li
       
  • Our surgical technique to treat premature growth plate closure 7 years
           after toe-to-thumb transfer. A case report
    • Abstract: Publication date: Available online 23 January 2020Source: Hand Surgery and RehabilitationAuthor(s): J Lombard, C Steiger, G DautelAbstractIn children, traumatic distal amputations of the thumb can be treated by partial first toe transfer. Growth is preserved by conserving a portion of the growth plate in the hallux distal phalanx. In the patient featured here, 7 years after such a distal thumb reconstruction, bone bridge resection was needed to restart growth and correct clinodactyly. When this patient was reviewed 4 years later, the thumb’s longitudinal growth had been restored and continued.RésuméLes amputations traumatiques de la phalange distale du pouce de l’enfant peuvent être traitées par transfert partiel sur mesure au dépend du premier orteil, emmenant une partie de la plaque de croissance de la phalange distale de l’hallux. Sept ans après une telle reconstruction, une épiphysiodèse partielle de cette plaque de croissance transplantée a été traitée efficacement par désépiphysiodèse et interposition de ciment. Le contrôle à quatre ans de ce dernier geste montrait le rétablissement d’une croissance longitudinale harmonieuse.
       
  • Radiological evaluation of ulnar thumb metacarpophalangeal ligament
           reconstruction for chronic thumb instability in cadavers
    • Abstract: Publication date: Available online 23 December 2019Source: Hand Surgery and RehabilitationAuthor(s): J. Granero, L. Athlani, G. DautelAbstractVarious techniques have been described to restore metacarpal stability in the thumb. Ligament reconstruction techniques that position the bone tunnels in a triangular configuration, with the apex proximally, are optimal for stabilizing the metacarpophalangeal (MCP) joint, while preserving the thumb's range of motion. Using an interference screw ensures this reconstruction is as strong as the native ligament. Our purpose was to evaluate a new technique designed to treat cases of chronic thumb instability. We created metacarpal instability in 10 fresh cadaver forearms by sectioning the ulnar collateral ligament (UCL). Ulnar thumb MCP ligament reconstruction (UTMP) was performed in five thumbs and Littler reconstruction in the other five. Radiographic analysis was performed after ligament transection and after ligament reconstruction to compare MCP angles on posterior-anterior (MCPFA) and lateral views (MCPLA), and to evaluate MCP congruence and sesamoid bone parallelism. After UCL transection, thumb instability was present in all cadaver specimens. A significative increase in the MCPFA value was found: Littler (P = 0.01) and UTMP (P = 0.01). The MCPFA with thumb loading was not significantly changed with the Littler (P = 0.83) or UTMP (P = 0.46) relative to pre-transection. All parameters were significantly improved, reflecting a return to normal values. There was no significant difference between the two reconstruction techniques. Based on the findings in this cadaver study, UTMP reconstruction appears to correct the radiologic features of lateral thumb instability. It is a simple technique that restores MCP stability without limiting MCP flexion.Type of study/level of evidenceTherapeutic IV.RésuméDiverses techniques chirurgicales ont été décrites pour restaurer la stabilité du premier métacarpien. Les ligamentoplasties à configuration triangulaire et sommet proximal sont optimales pour stabiliser l’articulation métacarpo-phalangienne (MCP) tout en conservant l’arc de mobilité. L’utilisation d’une vis d’interférence peut les rendre aussi résistantes qu’un ligament natif. Notre objectif était d’évaluer une nouvelle technique conçue pour traiter les cas d’instabilité chronique du pouce. Nous avons mené une étude cadavérique sur 10 avant-bras frais. L’instabilité métacarpienne était créée en sectionnant le ligament collatéral ulnaire (LCU). Dans cinq cas, une ligamentoplastie ulnaire métacarpo-phalangienne du pouce (UTMP) était réalisée et dans cinq cas une ligamentoplastie de Littler. Une évaluation radiographique des angles MCP de face (MCPFA) et de profil, de la congruence articulaire et du parallélisme des os sésamoïdes était réalisée après section du ligament natif et après ligamentoplastie. Après section ligamentaire, une instabilité était présente sur toutes les pièces cadavériques. Une augmentation significative des valeurs MCPFA était observée dans les deux groupes : Littler (p = 0,01) et UTMP (p = 0,01). Après chaque reconstruction aucune modification significative des valeurs MCPFA en charge n’était observée après la ligamentoplastie de Littler (p = 0,83) ou UTMP (p = 0,46) par rapport à l’état natif. Tous les paramètres étaient significativement améliorés, reflétant un retour aux valeurs normales. Il n’y avait pas de différence significative entre les deux techniques de ligamentoplastie. D’après les résultats de cette étude cadavérique, la ligamentoplastie UTMP semble corriger les caractéristiques radiographiques de l’instabilité latéro-ulnaire de la MCP du pouce. C’est une technique simple qui permet de restaurer la stabilité sans limiter la flexion.Type d’étude/niveau de preuveThérapeutique IV.
       
  • Where are the limits of tips and tricks'
    • Abstract: Publication date: Available online 23 December 2019Source: Hand Surgery and RehabilitationAuthor(s): P. Liverneaux
       
  • Comments about the article: “Yamamoto Y, Ichihara S, Suzuki M, Hara A,
           Hidalgo Díaz JJ, Maruyama Y, Kaneko K. Treatment of finger phalangeal
           fractures using the Ichi-Fixator system: A prospective study of 12 cases.
           Hand Surg Rehabil. 2019;38:302-306”
    • Abstract: Publication date: Available online 23 December 2019Source: Hand Surgery and RehabilitationAuthor(s): P. Liverneaux
       
  • Scapholunate, lunotriquetral and TFCC ligament injuries associated with
           intraarticular distal radius fractures: Arthroscopic assessment and
           correlation with fracture types
    • Abstract: Publication date: Available online 23 December 2019Source: Hand Surgery and RehabilitationAuthor(s): S. Roulet, L. Ardouin, P. Bellemère, M. LeroyAbstractThe aim of this study was to evaluate the prevalence of arthroscopic scapholunate (SL) and/or lunotriquetral (LQ) laxity and triangular fibrocartilaginous complex (TFCC) injuries in patients who have an intraarticular fracture of the distal radius and to correlate these lesions with fracture type. Fifty-seven intraarticular radius fractures, whether or not they were associated with an ulnar styloid fracture, were evaluated and treated by arthroscopy. Scapholunate and lunotriquetral ligament injuries were classified according to the EWAS classification. TFCC lesions were assessed according to Palmer's classification. Each injury was documented through preoperative X-rays and a CT scan. Fracture type and soft tissue injury were not significantly associated one to another. Arthroscopic examination revealed at least one soft tissue injury in 39 intraarticular fractures of the distal radius (68.4%). Twenty-five percent of arthroscopic SL laxities (including severe EWAS 3 injuries) were not detected on standard radiographs. Arthroscopic SL laxity was present in 8 of 11 cases (72.7%) of radial styloid fracture and in 15 of 25 cases (60%) of fractures with at least one radial styloid component. There was no association between LQ integrity and fracture type. Ulnar styloid fractures (base or tip) and TFCC lesions were significantly correlated (P 
       
  • Indications, functional results and patient satisfaction after isolated
           second ray resection following traumatic injury: A retrospective review of
           25 patients
    • Abstract: Publication date: Available online 19 December 2019Source: Hand Surgery and RehabilitationAuthor(s): H. Choughri, N. Berthe il, B. Chaput, P. Pelissier, A. Dama, M. Alabdulkareem, H. Chasseuil, F.-M. LeclèreAbstractAmputation of the second ray is a surgical treatment option when reconstruction and/or reimplantation fail. The aim of our study was to review the outcomes after transmetacarpal resection of the second ray following a post-traumatic injury and to assess indications, functional outcomes, and patient satisfaction. Between January 2003 and December 2013, 25 patients (6 women and 19 men with a mean age of 51 years) underwent transmetacarpal resection of their second ray after a post-traumatic injury. Sixteen patients were right-handed and 9 were left-handed. Injuries involved the dominant hand in 14 cases (60%). In order to differentiate patients with preserved index finger length preoperatively from those with a shorter, amputated index finger stump, patients were divided into 2 groups. Group 1 included those with an “intact finger” and Group 2 included patients with an “amputated stump”. Data collection, including patient satisfaction and functional outcomes, was performed at 83 months postoperative on average. Average length of follow-up was 7.0 ± 1.0 years (range 5–12 years). Group 1 (intact finger) and 2 (amputated stump) included 15 and 10 patients, respectively. Six patients (24%) had primary ray amputation and 19 (76%) had secondary ray amputation. No surgical revision was necessary. In Group 1, the indications were purely functional in all but two cases, whereas aesthetic indications played a role in all patients in Group 2. The average total time off work was 3 months. There was no difference between Group 1 and 2 (p > 0.05). However, patients with primary ray resection averaged 10 weeks of lost work compared to 17 weeks for secondary amputation. There was no functional difference between Groups 1 and 2. Scores for cosmetic appearance and patient satisfaction were higher in Group 2. In certain specific situations after complex hand trauma, transmetacarpal amputation of the second ray is indicated as soon as possible, in order to reduce the time off work. Patient satisfaction following this surgical procedure is high, especially in groups with amputated stumps. A 30% decrease in pinch and grip strength is the rule. No secondary surgery is normally required.RésuméL’amputation du deuxième rayon est une option chirurgicale en cas d’échec de reconstruction et/ou de réimplantation. L’objectif de cet article était de réévaluer les patients ayant subi une résection transmétacarpienne du deuxième rayon post-traumatique, afin d'évaluer les indications, les résultats fonctionnels et la satisfaction du patient. Entre janvier 2003 et décembre 2013, 25 patients (6 femmes et 19 hommes, d’un âge moyen de 51 ans) ont subi une résection transmétacarpienne du deuxième rayon dans les suites d’un accident traumatique. Seize patients étaient droitiers et 9 gauchers. La main dominante était touchée dans 14 cas (60%). Afin de différencier les patients qui avaient une longueur d’index préservée en préopératoire de ceux qui présentaient un segment plus court amputé, ils ont été divisés en 2 groupes. Le groupe 1 comprenait les patients ayant un « doigt intact » et le groupe 2 les patients ayant un « moignon amputé ». La collecte de données, y compris la satisfaction du patient et les résultats fonctionnels, a été réalisée en moyenne 83 mois après l’opération. Le recul moyen était de de 7,0 ± 1,0 (extrêmes 5-12 ans). Le groupe 1 (doigt intact) et le groupe 2 (moignon amputé) comprenaient respectivement 15 et 10 patients. Six patients (24%) avaient eu une résection primaire et 19 (76%) une amputation secondaire de leur deuxième rayon. Aucune révision chirurgicale n’avait été nécessaire. Dans le groupe 1, les indications chirurgicales étaient purement fonctionnelles dans tous les cas sauf deux, alors que les indications esthétiques ont joué un rôle chez tous les patients du groupe 2. La durée totale moyenne d’arrêt de travail était de 3 mois. Il n’y avait pas de différence entre les groupes 1 et 2 (p>0.05). Cependant, les patients ayant subi une résection primaire avaient perdu en moyenne 10 semaines de travail contre 17 semaines pour une amputation secondaire. Il n'y avait pas de différence fonctionnelle entre les groupes 1 et 2. Les scores pour l'aspect esthétique et la satisfaction du patient étaient plus élevés dans le groupe 2. Dans certaines situations spécifiques, après un traumatisme complexe isolé de l’index, l'amputation transmétacarpienne du deuxième rayon est indiquée le plus tôt possible, afin de réduire les périodes d'arrêt de travail prolongées. La satisfaction des patients à la suite de cette intervention chirurgicale est élevée, en particulier dans les groupes présentant en préopératoire des moignons amputés. Une diminution de 30% de la pince et de la force de serrage est constante. Aucune intervention secondaire n'est normalement requise.
       
  • Finger and thumb replantation: From biomechanics to practical surgical
           applications
    • Abstract: Publication date: Available online 16 December 2019Source: Hand Surgery and RehabilitationAuthor(s): B. Barbato, A.-V. SalsacAbstractFinger and thumb amputations, which are always dramatic injuries with major functional and psychological repercussions, remain a surgical challenge. This review on digit replantation develops the underlying biomechanical and surgical aspects as well as practical indications. The different stages from trauma to postoperative monitoring are described. We describe the steps to follow from theory to practice in order to optimize the surgical acts that must as effective possible in terms of management and decision-making efficiency. Indications recognized as standards such as thumb amputation, multi-digit amputations and distal amputations are detailed, as well as the more controversial ring finger replantations. The challenge of successful finger and thumb replantation lies in searching for the best functional and cosmetic outcome and not performing irrelevant microsurgical manipulations.RésuméLes amputations digitales, qui sont des accidents toujours dramatiques et aux répercussions fonctionnelles et psychologiques majeures, restent un challenge chirurgical. Dans cet article dédié aux replantations digitales, sont développés les aspects biomécaniques et opératoires sous-jacents, ainsi que des conduites pratiques. Nous décrivons les différentes étapes du traumatisme à la surveillance postopératoire. Nous proposons des conduites à tenir partant de la théorie à la pratique dans le but d’optimiser le geste opératoire qui se doit d’être le plus efficace en termes de gestion du temps et d’efficacité décisionnelle. Les indications reconnues comme des standards telles que l’amputation du pouce, les amputations pluridigitales et les amputations distales sont détaillées, ainsi que les réimplantations plus controversées comme les doigts de bague. Nous voyons que le challenge pour réussir une replantation digitale doit être celui de la recherche du meilleur résultat fonctionnel et cosmétique et non de l’exploit microchirurgical non pertinent.
       
  • Similar effects of two different external supports on wrist joint position
           sense in healthy subjects: A randomized clinical trial
    • Abstract: Publication date: Available online 14 December 2019Source: Hand Surgery and RehabilitationAuthor(s): M.E. Ucuzoglu, B. Unver, D.C. Sarac, G. CilgaAbstractThe hand is one of the most injured organs. Proprioceptive rehabilitation decreases the incidence of injury while using external supports can increase proprioception. The aim of this study was to investigate the effects of taping and elastic bandaging on wrist joint position sense (proprioception) in healthy individuals. Sixty-eight healthy students were included in our study and randomized into two groups. External supports were to apply to the dominant hand for 24 hours in both groups. Joint position sense was evaluated with an angle reproduction test before applying the external support and 20 minutes after and then 24 hours later with the external support and after removing it. There were significant improvements in joint position sense 20 minutes after applying the external support and 24 hours later (P 
       
  • Microvascular anastomosis using loupes and smartphone magnification:
           Experimental study for application to limited-resource environments
    • Abstract: Publication date: Available online 11 December 2019Source: Hand Surgery and RehabilitationAuthor(s): A. Ghabi, S. Amar, M. Harion, J. Legagneux, J.-L. Vignes, L. MathieuAbstractFinger revascularization has been performed without a microscope in limited-resource environments only when absolutely necessary. This experimental study sought to assess the feasibility of microvascular anastomosis in rats performed using loupes or smartphone magnification. Thirty rats were divided into three groups of 10 individuals according to the magnification method used: operating microscope (control group M), surgical loupes (group L) and smartphone (group S). The infrarenal aorta was dissected under a microscope, then anastomosed by interrupted sutures using the group-specific magnifying device. The main analytical criteria were vessel diameter, anastomosis duration, immediate flow patency (T0), patency after one hour (T1) and anastomosis quality. Anastomosis duration was comparable between groups M and L, but was twice as long in group S. The number of leaks at clamp removal was higher in group S. Patency rates at T0 and T1 were 100% in groups M and L, but were significantly lower in group S. The anastomosis quality was low in group L and poor in group S. Anastomosis of digital arteries using loupes is possible, but the resulting quality is lower than with a microscope. Current smartphones are not adequate for performslt ing microvascular repairs in a living model.RésuméDes revascularisations digitales ont été effectuées de façon exceptionnelle en situation sanitaire dégradée sans microscope. Cette étude expérimentale se proposait d’évaluer la faisabilité d’anastomoses microvasculaires chez le rat en utilisant des loupes grossissantes ou un smartphone. Trente rats ont été répartis en trois groupes de 10 individus selon le moyen grossissant utilisé : microscope (groupe contrôle M), loupes (groupe L) et smartphone (groupe S). L’aorte abdominale infrarénale a été disséquée sous microscope, puis anastomosée par des points séparés en utilisant l’instrument grossissant spécifique à chaque groupe. Les principaux critères d’analyse étaient : le diamètre des vaisseaux, la durée de l’anastomose, la perméabilité immédiate (T0) et après une heure (T1), ainsi que la qualité de l’anastomose. La durée de l’anastomose était comparable entre les groupes M et L, mais elle était doublée dans le groupe S. Le nombre de fuites au retrait du clamp était plus important dans le groupe S. Les taux de perméabilité aux T0 et T1 étaient de 100 % dans les groupes M et L, mais étaient très inférieurs dans le groupe S. La qualité de l’anastomose était diminuée dans le groupe L et mauvaise dans le groupe S. La réalisation d’anastomoses d’artères digitales est possible sous loupes, mais avec une qualité inférieure à celle obtenue sous microscope. En revanche, les smartphones actuels ne permettent pas les réparations microvasculaires chez un modèle vivant.
       
 
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