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David Simms Ruch

Virginia Flowers Baker Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
5601 Arringdon Park Dr., Suite 300, Morrisville, NC 27560
5601 Arringdon Park Dr., Suite 300, Morrisville, NC 27560

Selected Publications


The Use and Downstream Associations of Magnetic Resonance Imaging for Lateral Epicondylitis.

Journal Article J Hand Surg Am · December 2024 PURPOSE: Low-value imaging is associated with wasteful health care spending and patient harm. The routine use of magnetic resonance imaging (MRI) for the work-up of lateral epicondylitis is an example of low-value imaging. As such, our aim was to investiga ... Full text Link to item Cite

Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures.

Journal Article Hand (N Y) · November 2024 BACKGROUND: The incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would ... Full text Link to item Cite

Variation in Interpretation of Provocative Tests for Carpal Tunnel Syndrome.

Journal Article J Hand Surg Am · August 14, 2024 PURPOSE: We studied variation in interpretation of specific symptoms during clinical tests for carpal tunnel syndrome to estimate the degree to which surgeons consider pain without paresthesia characteristic of median neuropathy. METHODS: We invited all up ... Full text Link to item Cite

Efficacy of Intra-Articular Corticosteroid Injection for Nonsurgical Management of Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Journal Article J Hand Surg Am · June 2024 PURPOSE: As osteoarthritis (OA) of the trapeziometacarpal (TMC) joint leads to a high degree of disease burden with compromises in rudimentary and fine movements of the hand, intra-articular injections may be a desirable treatment option. However, because ... Full text Link to item Cite

Cost-Effectiveness Analysis of Early versus Late Debridement of Superficial Triangular Fibrocartilage Complex Tears.

Journal Article J Hand Microsurg · March 2024 BACKGROUND: While initial nonoperative management is the conventional approach for superficial triangular fibrocartilage complex (TFCC) tears, a substantial portion of these cases go on to require surgery, and the optimal duration of nonoperative treatment ... Full text Link to item Cite

Comparison Between Intramedullary Nail and Percutaneous Pin Fixation in Proximal Phalanx Fractures.

Journal Article Hand (N Y) · February 27, 2024 BACKGROUND: Percutaneous pinning has been the predominant technique for fixation of proximal phalanx fractures, but stiffness is a reported complication. The introduction of intramedullary (IM) nail fixation of proximal phalanx fractures provides a stronge ... Full text Link to item Cite

Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Markov Cost-Effectiveness Decision Analysis.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Platelet-rich plasma (PRP) or corticosteroid injections may be used to conservatively treat mild-to-moderate carpal tunnel syndrome (CTS). We evaluated the cost-effectiveness of PRP injections versus corticosteroid injections for the treatment ... Full text Link to item Cite

Ulnar Resection Length: A Risk Factor for Nonunion in Ulnar Shortening Osteotomy.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Nonunion rates following ulnar shortening osteotomy (USO) are reported up to 18% with few known risk factors. While resection length is variable in practice, little is known about the prognostic implications on healing. The purpose of this stud ... Full text Link to item Cite

MRI for Scaphoid Nonunion: Utilization Rates, Factors Associated with Utilization, and Subsequent Vascularized Bone Graft Use

Journal Article Journal of Hand Surgery · January 1, 2024 Purpose: The use of magnetic resonance imaging (MRI) for evaluation of scaphoid nonunion may be an example of low-value imaging for the treatment of scaphoid nonunion. The purpose of this study was to investigate variation in MRI use for scaphoid nonunion, ... Full text Cite

Variations in Treatment and Costs for Distal Radius Fractures in Patients Over 55 Years of Age: A Population-Based Study.

Journal Article J Hand Microsurg · December 2023 Objective  To evaluate the rate of surgery for symptomatic malunion after nonoperatively treated distal radius fractures in patients aged 55 and above, and to secondarily report differences in demographics, geographical variation, and utilization costs of ... Full text Link to item Cite

Key drivers of 90-day costs in primary total elbow arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2023 Background: A comprehensive understanding of both surgical care costs and the factors influencing these costs is critical to make progress toward value-based care in orthopedics. Therefore, the purpose of this study was to assess 90-day health system costs ... Full text Cite

Do Patients Want to Be Involved in Their Carpal Tunnel Surgery Decisions? A Multicenter Study.

Journal Article J Hand Surg Am · November 2023 PURPOSE: Carpal tunnel syndrome requires multiple decisions during its management, including regarding preoperative studies, surgical technique, and postoperative wound management. Whether patients have varying preferences for the degree to which they shar ... Full text Link to item Cite

AOA Critical Issues Symposium: Leadership and Education During and After COVID-19: Back to the Future or a New Normal.

Journal Article J Bone Joint Surg Am · October 4, 2023 The devastating impact of COVID-19 has reshaped how we lead and train our future surgeons in the field of orthopaedics. Overnight, leaders in our field had to dramatically shift their mindset to continue to lead a hospital, department, journal, or residenc ... Full text Link to item Cite

Complications Following Volar Locking Plate Fixation of Distal Radius Fractures in Adults: A Systematic Review of Randomized Control Trials.

Journal Article J Hand Surg Am · September 2023 PURPOSE: The purpose of this study was to assess the incidence of postoperative complications following volar locking plate (VLP) fixation of distal radius fractures (DRFs). METHODS: A search using keywords and subject headings to represent the concepts of ... Full text Link to item Cite

A Multicenter Prospective Randomized Comparison of Conduits Versus Decellularized Nerve Allograft for Digital Nerve Repairs.

Journal Article J Hand Surg Am · September 2023 PURPOSE: While there are advantages and disadvantages to both processed nerve allografts (PNA) and conduits, a large, well-controlled prospective study is needed to compare the efficacy and to delineate how each of these repair tools can be best applied to ... Full text Link to item Cite

Management of Complex Hand and Wrist Ligament Injuries.

Journal Article Hand Clin · August 2023 Ligamentous injuries in the hand and wrist are often underdiagnosed and can present with significant functional limitations if there is untimely recognition of injury. Adequate repair or reconstruction is critical in restoring joint stability and mobility. ... Full text Link to item Cite

Lunate Revascularization With Temporary Internal Radiocarpal Spanning Fixation for Kienböck Disease.

Journal Article Hand (N Y) · January 2023 BACKGROUND: The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis. METHODS: We report the outcomes for patients with stages II and III Kienböck disease treated with f ... Full text Link to item Cite

Time to publication for orthopaedic surgery peer-reviewed journals: A cross-sectional bibliometric analysis.

Journal Article J Clin Orthop Trauma · December 2022 BACKGROUND: The dissemination of research and evidence-based medicine is critical to advancing science and improving clinical practice. The purpose of this study was to evaluate the timing and associated factors of the publication process for the most infl ... Full text Link to item Cite

Patient-Derived Framework for Quality in Hand Surgery: A Qualitative Analysis.

Journal Article J Hand Surg Am · November 2022 PURPOSE: Despite the growing attention to evaluating care from the patient perspective, the most common definitions and measurements of quality are currently defined by physicians and health systems. Studies have demonstrated how a lack of patient input ca ... Full text Link to item Cite

Arthroscopic TFCC Ulnar Bone Tunnel Foveal Repair in Adult Patients.

Journal Article Arthrosc Tech · October 2022 Triangular fibrocartilage complex (TFCC) tears may cause persistent ulnar-sided wrist pain, loss of grip strength, and associated loss of function. Although the majority of TFCC tears can be treated nonoperatively, surgical repair is considered when conser ... Full text Link to item Cite

Influence of medical comorbidity and surgical indication on total elbow arthroplasty cost of care.

Journal Article J Shoulder Elbow Surg · September 2022 BACKGROUND: Movement toward providing value-based musculoskeletal care requires understanding the cost associated with surgical care as well as the drivers of these costs. The aim of this study was to investigate the effect of common medical comorbidities ... Full text Link to item Cite

Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.

Journal Article Plast Reconstr Surg · September 1, 2022 SUMMARY: Several surgical procedures have been described to treat thumb carpometacarpal osteoarthritis, including suture button suspensionplasty and ligament reconstruction and tendon interposition. To date, no single procedure has demonstrated clinical su ... Full text Link to item Cite

Outcomes associated with proton pump inhibitors and distal radius fractures: A post-hoc comparative analysis.

Journal Article J Plast Reconstr Aesthet Surg · August 2022 UNLABELLED: Long-term, high-dose, daily proton pump inhibitors (PPI) may impact outcomes associated with distal radius fractures (DRF). The hypothesis was that differences existed in patient demographics, but there existed no differences in injury patterns ... Full text Link to item Cite

Surgeons' Recommendations for Neurodiagnostic Testing With High Pretest Probability of Idiopathic Median Neuropathy at the Carpal Tunnel.

Journal Article J Hand Surg Am · August 2022 PURPOSE: The utility of electrodiagnostic tests (EDx) for patients with a high pretest probability of idiopathic median neuropathy at the carpal tunnel (IMNCT) based on characteristic symptoms and signs is debated. Decision-making and care strategies could ... Full text Link to item Cite

Return to Activities After Simultaneous Bilateral Endoscopic Carpal Tunnel Release.

Journal Article Hand (N Y) · July 2022 BACKGROUND: Approximately 56% of patients diagnosed with carpal tunnel syndrome present with bilateral symptoms; however, few studies have investigated bilateral simultaneous endoscopic carpal tunnel release (ECTR) and postoperative effect on return to act ... Full text Link to item Cite

Association of Lunate Morphology With Progression to Scaphoid Fracture Nonunion.

Journal Article Hand (N Y) · May 2022 Background: The purpose of our study was to review a series of patients with scaphoid fractures to determine whether there was an association between lunate morphology and progression to delayed union or nonunion when treated operatively or nonoperatively. ... Full text Link to item Cite

Platelet-rich plasma vs. corticosteroid injections for the treatment of recalcitrant lateral epicondylitis: a cost-effectiveness Markov decision analysis.

Journal Article J Shoulder Elbow Surg · May 2022 BACKGROUND: Both platelet-rich plasma (PRP) and corticosteroid injections may be used to treat lateral epicondylitis. We evaluated the cost-effectiveness of PRP injections vs. corticosteroid injections for the treatment of recalcitrant lateral epicondyliti ... Full text Link to item Cite

Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates.

Journal Article J Hand Surg Am · March 2022 Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the l ... Full text Link to item Cite

The Value Added of Advanced Imaging in the Diagnosis and Treatment of Triangular Fibrocartilage Complex Pathology.

Journal Article J Hand Surg Am · January 2022 PURPOSE: Pathology of the triangular fibrocartilage complex is a prevalent cause of ulnar-sided wrist pain that presents a diagnostic challenge. We hypothesized that a history and physical examination (H&P) would be more cost-effective alone or with diagno ... Full text Link to item Cite

Technique Spotlight

Chapter · January 1, 2022 Multiple fixation strategies are available for the treatment of fractures of the distal radius. The appropriate fixation construct should be determined based on multiple factors including fracture pattern, associated injuries, and patient factors such as a ... Full text Cite

Surgical Technique: Free Vascularized Fibular Graft for Avascular Necrosis

Chapter · January 1, 2022 Avascular necrosis (AVN) or osteonecrosis of the femoral head (ONFH) is a common cause of hip pain and disability affecting a young patient demographic with an average age of mid-30s. If left untreated, approximately 80% of cases of ONFH will result in fem ... Full text Cite

Surgical Technique: Bone Graft for Avascular Necrosis of the Hip

Chapter · January 1, 2022 Avascular necrosis of the hip is a debilitating disease process that results from a compromise of blood supply to the femoral head. The progression of this disease has been extensively studied, yet improper treatment and failed recognition of the disease c ... Full text Cite

How Should We Use Patient-Reported Outcome Measures at the Point of Care in Hand Surgery?

Journal Article J Hand Surg Am · December 2021 PURPOSE: Despite the importance of collecting patient-reported outcome measures (PROMs), there are few process guidelines for physicians on how to collect and communicate individualized PROMs in patients at the point of care. The purpose of this study was ... Full text Link to item Cite

What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model.

Journal Article Clin Orthop Relat Res · December 1, 2021 BACKGROUND: Distal radius fractures (DRFs) are one of the most common major fractures. Despite their frequency, the tradeoffs in different outcomes after casting or surgery for closed extraarticular DRFs in older adults are unknown. QUESTIONS/PURPOSES: (1) ... Full text Link to item Cite

Patient Perspectives on the Cost of Hand Surgery.

Journal Article J Bone Joint Surg Am · November 17, 2021 BACKGROUND: Health-care expenditures in the U.S. are continually rising, prompting providers, patients, and payers to search for solutions to reduce costs while maintaining quality. The present study seeks to define the out-of-pocket price that patients un ... Full text Link to item Cite

Dorsal Wrist Spanning Plate Fixation for Treatment of Radiocarpal Fracture-Dislocations.

Journal Article Hand (N Y) · November 2021 Background: Radiocarpal dislocations are rare injuries that result from high-energy forces across the wrist with the hallmark finding of radiocarpal ligament disruption. Published treatment methods are comprehensive with moderate-to-good outcomes. The purp ... Full text Link to item Cite

Factors associated with surgeon recommendation for additional cast immobilization of a CT-verified nondisplaced scaphoid waist fracture.

Journal Article Arch Orthop Trauma Surg · November 2021 INTRODUCTION: Data from clinical trials suggest that CT-confirmed nondisplaced scaphoid waist fractures heal with less than the conventional 8-12 weeks of immobilization. Barriers to adopting shorter immobilization times in clinical practice may include a ... Full text Open Access Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of distal humerus fractures.

Journal Article JSES Int · November 2021 INTRODUCTION: We hypothesized that the modified Fragility Index (mFI), which predicts surgical complications, would be applicable to surgical complications in patients older than 50 years with distal humerus fractures (DHF). METHODS: We retrospectively rev ... Full text Link to item Cite

An Analysis of the Impact of Timing and Technique on Outcomes after Surgery for Distal Radius Fractures: The Wrist and Radius Injury Surgical Trial Collaborative Study.

Journal Article Plast Reconstr Surg · November 1, 2021 BACKGROUND: Surgical treatment of closed distal radius fractures varies based on treatment, surgeon schedule, and patient preferences. The authors examined how timing and technique impact surgeon-perceived procedural difficulty and quality of reduction, ou ... Full text Link to item Cite

Heterotopic ossification formation after fractures about the elbow.

Journal Article Eur J Orthop Surg Traumatol · August 2021 INTRODUCTION: Heterotopic ossification (HO) is a well-known sequela after an elbow injury and is widely studied given the associated morbidity. The anatomic location of HO development for specific elbow injuries has not been reported. The purpose of this s ... Full text Link to item Cite

Fracture location impacts opioid demand in upper extremity fracture surgery.

Journal Article Injury · August 2021 INTRODUCTION: Opioid sparing protocols should be formulated with appropriate demand. Specific fracture location has been hypothesized as an important predictor of post-operative pain. The purpose of this study is to evaluate the impact of fracture location ... Full text Link to item Cite

Impact of centre volume, surgeon volume, surgeon experience and geographic location on reoperation after intramedullary nailing of tibial shaft fractures.

Journal Article Can J Surg · July 5, 2021 BACKGROUND: Tibial shaft fractures are the most common long-bone injury, with a reported annual incidence of more than 75 000 in the United States. This study aimed to determine whether patients with tibial fractures managed with intramedullary nails exper ... Full text Link to item Cite

Open and Arthroscopic Triangular Fibrocartilage Complex (TFCC) Repair.

Journal Article J Am Acad Orthop Surg · June 15, 2021 Triangular fibrocartilage complex (TFCC) tears, whether acute or chronic, can result in persistent ulnar-sided wrist pain. Although diagnosis and nonsurgical management of TFCC tears is well described, there remains ongoing discussion about the optimal sur ... Full text Link to item Cite

Revision total elbow arthroplasty with the ulnar component implanted into the radius for management of large ulna defects.

Journal Article J Shoulder Elbow Surg · April 2021 BACKGROUND: Total elbow arthroplasty (TEA) has a higher rate of revision and complications than other total joint arthroplasties. Salvage options for failed TEAs are limited, especially when patients have poor ulna bone stock. The purpose of this study is ... Full text Link to item Cite

Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2021 PURPOSE: The purpose of this study was to evaluate a series of intra-articular distal radius fractures (DRFs) to determine whether patients without radiographic evidence of scapholunate (SL) ligament injury have a difference in outcomes in comparison with ... Full text Link to item Cite

Complications of Low-Profile Plate Fixation of Phalanx Fractures.

Journal Article Hand (N Y) · March 2021 Background: Phalanx fractures are common, and plate fixation can be used to treat difficult fractures. Major complications have been reported in up to 64% of phalanx fractures treated with plate fixation, with stiffness being the most common. Low-profile a ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.

Journal Article JSES Int · March 2021 HYPOTHESIS: We hypothesized that the modified Fragility Index (mFI) would predict complications in patients older than 50 years who underwent operative intervention for a proximal humerus fracture. METHODS: We retrospectively reviewed the American College ... Full text Open Access Link to item Cite

Trends in reimbursement for primary and revision total elbow arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2021 BACKGROUND: Relative value units (RVUs) are an essential component of reimbursement calculations from the Centers for Medicare & Medicaid Services. RVUs are calculated based on physician work, practice expense, and professional liability insurance. Procedu ... Full text Link to item Cite

Complications of Low-Profile Plate Fixation in Metacarpal Fractures.

Journal Article Orthopedics · January 1, 2021 High complication rates have been reported using conventional plating systems to treat metacarpal fractures. This study investigated complication rates in metacarpal fractures treated with low-profile anatomic plates. A retrospective chart review was perfo ... Full text Link to item Cite

Triangular Fibrocartilage Complex Injury

Chapter · January 1, 2021 Injuries to the triangular fibrocartilage complex are a common source of ulnar-sided wrist pain in amateur and professional baseball players. Early diagnosis and intervention are essential to minimizing time away from play. The choice of treatment is depen ... Full text Cite

Bridge Plating of Distal Radius Fractures

Chapter · January 1, 2021 Distal radius fractures are among the most commonly treated fractures of the upper extremity. A multitude of surgical treatment options for these injuries have been described in the literature. The treatment of choice for these fractures is multifactorial ... Full text Cite

Management of Type 1A TFCC Tears

Chapter · January 1, 2021 Triangular fibrocartilage complex (TFCC) injuries are a common cause of ulnar-sided wrist pain occurring after compression or shear injuries to the wrist, such as a fall onto outstretched hands. Clinical exam should focus on distinguishing pain from the TF ... Full text Cite

Risk Factors Associated With Infection in Open Fractures of the Upper and Lower Extremities.

Journal Article J Am Acad Orthop Surg Glob Res Rev · December 8, 2020 INTRODUCTION: Open fractures are associated with a high risk of infection. The prevention of infection is the single most important goal, influencing perioperative care of patients with open fractures. Using data from 2,500 participants with open fracture ... Full text Link to item Cite

Determination of the Optimal Location for Bone Graft Harvest in the Distal Radius.

Journal Article Hand (N Y) · November 2020 Background: The distal radius is commonly used as a bone graft donor site for surgery in the hand and wrist. The aim of this study was to evaluate the volume and relative density of cancellous bone in the distal radius. Methods: Thirty-four consecutive com ... Full text Link to item Cite

Safety of Releasing the Volar Capsule During Open Treatment of Distal Radius Fractures: An Analysis of the Extrinsic Radiocarpal Ligaments' Contribution to Radiocarpal Stability.

Journal Article J Hand Surg Am · November 2020 PURPOSE: The contribution of the extrinsic radiocarpal ligaments to carpal stability continues to be studied. Clinically, there is a concern for carpal instability from release of the volar extrinsic ligaments during volar plating of distal radius fracture ... Full text Link to item Cite

In Vivo Mechanical Function of the Distal Radial Ulnar Ligaments During Rotation of the Wrist.

Journal Article J Hand Surg Am · November 2020 PURPOSE: The purpose of this study was to investigate changes in length of the volar and dorsal radioulnar ligaments (VRULs and DRULs), and the distal radioulnar joint (DRUJ) space during unweighted and weighted rotation of the wrist using magnetic resonan ... Full text Link to item Cite

Complications of Volar Locked Plating of Distal Radius Fractures: A Prospective Investigation of Modern Techniques.

Journal Article Hand (N Y) · September 2020 Although volar locked plating (VLP) of distal radius fractures is common, complications remain a considerable concern for upper extremity specialists using modern techniques. Complications following VLP of DR fractures were recorded prospectively from Janu ... Full text Link to item Cite

Editorial Commentary: Ulnar Variance Is Not the Sole Determinant of Arthroscopic Wrist Triangular Fibrocartilage Complex Repair Outcome: Considering the Forest From the Ulnar-Positive Tree.

Journal Article Arthroscopy · September 2020 When choosing the best treatment option for patients with tears of the triangular fibrocartilage complex, there are multiple patient factors that should be carefully considered. The role of ulnar variance is often overemphasized when attempting to predict ... Full text Link to item Cite

Which Decisions For Management of Carpal Tunnel Syndrome and Distal Radius Fractures Should Be Shared?

Journal Article Journal of Hand Surgery · August 1, 2020 Purpose: To evaluate, from the surgeon's perspective, the importance, feasibility, and appropriateness of sharing decisions during an episode of care of carpal tunnel syndrome (CTS) or distal radius fracture in patients aged greater than 65 years. Methods: ... Full text Cite

Quality Measures to Reduce Opioid Use After Common Soft Tissue Hand and Wrist Procedures.

Journal Article J Hand Surg Am · July 2020 PURPOSE: To develop quality measures that are clinically important, feasible, usable, and scientifically acceptable for reducing opioid use after soft tissue procedures of the hand and wrist, and which can be used to evaluate quality in hand surgery. METHO ... Full text Link to item Cite

Hand transplantation in the United States: A review of the Organ Procurement and Transplantation Network/United Network for Organ Sharing Database.

Journal Article Am J Transplant · May 2020 Hand transplantation is the most common application of vascularized composite allotransplantation (VCA). Since July 3, 2014, VCAs were added to the definition of organs covered by federal regulation (the Organ Procurement and Transplantation Network (OPTN) ... Full text Link to item Cite

Integrated Compression Screw Stabilization of the Dorsal Lunate Facet in Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2020 PURPOSE: To evaluate outcomes of intra-articular distal radius fractures with displaced dorsal lunate facet fragments treated with a combination of volar plating and the use of a dorsal screw that integrates into the plate. METHODS: We reviewed a retrospec ... Full text Link to item Cite

Metacarpal Position and Lunate Facet Screw Fixation in Dorsal Wrist-Spanning Bridge Plates for Intra-Articular Distal Radial Fracture: A Biomechanical Analysis.

Journal Article J Bone Joint Surg Am · March 4, 2020 BACKGROUND: A dorsal wrist-spanning plate (DWSP) can be affixed to the second or third metacarpal, depending on the morphology of the distal radial fracture (DRF) and on surgeon preference, but comparative biomechanical analyses between these methods are l ... Full text Link to item Cite

Open Reduction Internal Fixation With Transverse Volar Plating for Unstable Proximal Interphalangeal Fracture-Dislocation: The Seatbelt Procedure.

Journal Article Hand (N Y) · March 2020 Background: Unstable intra-articular proximal interphalangeal (PIP) joint fracture-dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involve ... Full text Link to item Cite

Patient satisfaction after treatment of distal radial fractures in older adults.

Journal Article J Hand Surg Eur Vol · January 2020 The Wrist and Radius Injury Surgical Trial (WRIST) collaboration is the largest clinical trial ever conducted in hand surgery. We applied data from this study to examine the relationship between functional outcomes and patient satisfaction after treatment ... Full text Link to item Cite

Ulnohumeral Bridge Plating for Massive Distal Humerus Bone Loss: A Case Report.

Journal Article JBJS Case Connect · 2020 CASE: Massive bone loss around the elbow is a challenging clinical condition. Short periarticular osseous segments present few reconstructive options in the setting of distal humerus bone loss. We report the case of a 20-year-old man who sustained an open, ... Full text Link to item Cite

Bipolar Disruption of the Lateral Ulnar Collateral Ligament of the Elbow: A Case Report.

Journal Article JBJS Case Connect · 2020 CASE: The lateral ulnar collateral ligament (LUCL) is one of the primary stabilizers of the elbow. Disruption typically occurs from the humeral origin and may be because of an elbow dislocation or fracture/dislocation. If not identified and properly manage ... Full text Link to item Cite

The Complexity of Conducting a Multicenter Clinical Trial: Taking It to the Next Level Stipulated by the Federal Agencies.

Journal Article Plast Reconstr Surg · December 2019 Randomized controlled trials are becoming increasingly difficult to organize and conduct efficiently. This, in turn, hinders the ability to derive the highest level of evidence. Often, investigators forget or remain unaware of essential practices that will ... Full text Link to item Cite

Predicting Outcomes After Distal Radius Fracture: A 24-Center International Clinical Trial of Older Adults.

Journal Article J Hand Surg Am · September 2019 PURPOSE: Current evidence on predictors of outcomes after distal radius fracture is often based on retrospective analyses or may be confounded by fracture type. Using data from the Wrist and Radius Injury Surgical Trial (WRIST), a 24-site randomized study ... Full text Link to item Cite

The Relationship between Hand Therapy and Long-Term Outcomes after Distal Radius Fracture in Older Adults: Evidence from the Randomized Wrist and Radius Injury Surgical Trial.

Journal Article Plast Reconstr Surg · August 2019 BACKGROUND: Older patients are frequently referred to hand therapy after distal radius fracture. Supervised therapy sessions place a transportation burden on patients and are costly on both the individual and systematic levels. Furthermore, there is little ... Full text Link to item Cite

Neural Perforasomes of the Upper Extremity.

Journal Article Plast Reconstr Surg · December 2018 BACKGROUND: In the setting of the rapid advancement of integumentary vascular knowledge, the authors hypothesized that the extrinsic blood supply to the major peripheral nerves of the upper extremity could be categorized into discrete neural "perforasomes. ... Full text Link to item Cite

The Sigmoid Notch View for Distal Radius Fractures.

Journal Article J Hand Surg Am · November 2018 PURPOSE: This study defines the sigmoid notch view of the distal radius. Specifically, we tested the null hypothesis that there is no relationship between the subchondral stripe of bone seen on a sigmoid notch view of the distal radius and the articular su ... Full text Link to item Cite

Forearm-Based Turnover Muscle Flaps for Elbow Soft-Tissue Reconstruction: A Comparison of Regional Coverage Based on Distal Flap Perfusion.

Journal Article Plast Reconstr Surg · July 2018 BACKGROUND: Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis and flexor carpi ulnaris muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor ca ... Full text Link to item Cite

De novo belatacept in clinical vascularized composite allotransplantation.

Journal Article Am J Transplant · July 2018 Most immunosuppressive regimens used in clinical vascularized composite allotransplantation (VCA) have been calcineurin inhibitor (CNI)-based. As such, most recipients have experienced CNI-related side effects. Costimulation blockade, specifically CD28/B7 ... Full text Link to item Cite

Are large clinical trials in orthopaedic trauma justified?

Journal Article BMC Musculoskelet Disord · April 20, 2018 BACKGROUND: The objective of this analysis is to evaluate the necessity of large clinical trials using FLOW trial data. METHODS: The FLOW pilot study and definitive trial were factorial trials evaluating the effect of different irrigation solutions and pre ... Full text Link to item Cite

The success of return to sport after ulnar collateral ligament injury in baseball: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · March 2018 BACKGROUND: Ulnar collateral ligament injury (UCLI) has significantly increased in overhead sports during the past 2 decades. Differences in return to sport (RTS) and RTS at previous level (RTSP) after UCLI have not been differentiated. METHODS: A computer ... Full text Link to item Cite

Cadaveric Biomechanical Analysis of 3 Lateral Ulnar Collateral Ligament Reconstructions.

Journal Article J Orthop Trauma · March 2018 OBJECTIVE: To biomechanically assess the angular stability provided by 3 techniques for reconstruction of the lateral ulnar collateral ligament. METHODS: Eight cadaveric elbows were tested with the lateral collateral ligament complex intact, disrupted from ... Full text Link to item Cite

Ultrasound Imaging of Median Nerve Conduit in a Patient With Persistent Median Nerve Symptoms.

Journal Article J Clin Neurophysiol · January 2018 Peripheral nerve injury can be reconstructed using composite polymer nerve autografts, but the sonographic appearance of nerve wraps and conduits have not been well documented. This case report describes the sonographic findings in a 42-year-old woman with ... Full text Link to item Cite

Total Elbow Arthroplasty

Chapter · January 1, 2018 Total elbow arthroplasty with a semiconstrained, linked system has evolved as a reliable and predictable treatment for rheumatoid arthritis, posttraumatic arthritis, osteoarthritis, and comminuted, unreconstructable distal humerus fractures of the elbow. T ... Full text Cite

Volar Capsular Release After Distal Radius Fractures.

Journal Article J Hand Surg Am · December 2017 PURPOSE: Loss of full wrist range of motion is common after treatment of distal radius fractures. Loss of wrist extension limiting functional activities, although uncommon, can occur after volar plating of distal radius fractures. Unlike other joints in wh ... Full text Link to item Cite

Candidate Quality Measures for Hand Surgery.

Journal Article J Hand Surg Am · November 2017 PURPOSE: Quality measures are tools used by physicians, health care systems, and payers to evaluate performance, monitor the outcomes of interventions, and inform quality improvement efforts. A paucity of quality measures exist that address hand surgery ca ... Full text Link to item Cite

Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders.

Journal Article J Hand Surg Eur Vol · October 2017 UNLABELLED: All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995-2013 were reviewed. The durable resolution of ulcers was ... Full text Link to item Cite

The Effect of Price on Surgeons' Choice of Implants: A Randomized Controlled Survey.

Journal Article J Hand Surg Am · August 2017 PURPOSE: Surgical costs are under scrutiny and surgeons are being held increasingly responsible for cost containment. In some instances, implants are the largest component of total procedure cost, yet previous studies reveal that surgeons' knowledge of imp ... Full text Link to item Cite

Percutaneous Treatment of Unstable Scaphoid Waist Fractures.

Journal Article Hand (N Y) · July 2017 BACKGROUND: Percutaneous techniques have been described for the treatment of nondisplaced scaphoid fractures, although less information has been reported about outcomes for unstable, displaced fractures. The aim of this study was to evaluate the union and ... Full text Link to item Cite

Heterotopic Ossification After the Arthroscopic Treatment of Lateral Epicondylitis.

Journal Article Hand (N Y) · May 2017 BACKGROUND: Heterotopic ossification (HO) is a well-known complication following the surgical treatment of fractures and dislocations about the elbow but it is not commonly discussed as a complication following arthroscopy. We present a case of a young ath ... Full text Link to item Cite

Diagnosis and Arthroscopic Management of Dorsal Wrist Capsular Impingement.

Journal Article J Hand Surg Am · March 2017 PURPOSE: Dorsal wrist capsular impingement (DWCI) is characterized by pain attributable to impingement of dorsal capsular tissue during wrist extension. The diagnostic criteria and management algorithm for this condition have not been well established. The ... Full text Link to item Cite

Perioperative Glucocorticoid Administration Improves Elbow Motion in Terrible Triad Injuries.

Journal Article J Hand Surg Am · January 2017 PURPOSE: Among patients who undergo surgical treatment of terrible triad elbow injuries (TTEI), we hypothesized that those who received perioperative glucocorticoid (GC) therapy would have improved postoperative pain and range of motion (ROM) and a similar ... Full text Link to item Cite

Radial to Axillary Nerve Transfers: A Combined Case Series.

Journal Article J Hand Surg Am · December 2016 PURPOSE: Loss of active shoulder abduction after brachial plexus or isolated axillary nerve injury is associated with a severe functional deficit. The purpose of this 2-center study was to retrospectively evaluate restoration of shoulder abduction after tr ... Full text Link to item Cite

Median Nerve Compression by Radial Head Osteophyte.

Journal Article J Hand Surg Am · December 2016 Congenital radial head dislocations are rare, and presentation with late complications is even less common. We present a case of a patient who presented with symptoms and findings of proximal median nerve compression secondary to large osteophytes associat ... Full text Link to item Cite

Biomechanical Comparison of Suture-Button Suspensionplasty and LRTI for Basilar Thumb Arthritis.

Journal Article Hand (N Y) · December 2016 Background: The purpose of this study was to compare the initial biomechanical strength of trapeziectomy and suture-button suspensionplasty (SBS) with ligament reconstruction and tendon interposition (LRTI) for thumb carpometacarpal (CMC) arthritis in a ca ... Full text Link to item Cite

Quality Measures That Address the Upper Limb.

Journal Article J Hand Surg Am · November 2016 PURPOSE: Physicians, health care systems, and payers use quality measures to judge performance and monitor the outcomes of interventions. Practicing upper-limb surgeons desire quality measures that are important to patients and feasible to use, and for whi ... Full text Link to item Cite

Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation.

Journal Article J Hand Surg Am · October 2016 PURPOSE: Stable fixation of distal humerus fracture fragments is necessary for adequate healing and maintenance of reduction. The purpose of this study was to measure the reliability and accuracy of interpretation of postoperative radiographs to predict wh ... Full text Link to item Cite

Free Flap Functional Muscle Transfers.

Journal Article Hand Clin · August 2016 Free functional muscle transfers remain a powerful reconstructive tool to restore upper extremity function when other options such as tendon or nerve transfers are not available. This reconstructive technique is commonly used for patients following trauma, ... Full text Link to item Cite

Management of the Essex-Lopresti Injury.

Journal Article J Wrist Surg · August 2016 Essex-Lopresti injuries (ELIs) are characterized by fracture of the radial head, disruption of the forearm interosseous membrane, and dislocation of the distal radioulnar joint. This injury pattern results in axial and longitudinal instability of the forea ... Full text Link to item Cite

Major Peripheral Nerve Injuries After Elbow Arthroscopy.

Journal Article Arthroscopy · June 2016 PURPOSE: To survey the American Society for Surgery of the Hand membership to determine the nature and distribution of nerve injuries treated after elbow arthroscopy. METHODS: An online survey was sent to all members of the American Society for Surgery of ... Full text Link to item Cite

Quality Measurement: A Primer for Hand Surgeons.

Journal Article J Hand Surg Am · May 2016 As the government and payers place increasing emphasis on measuring and reporting quality and meeting-specific benchmarks, physicians and health care systems will continue to adapt to meet regulatory requirements. Hand surgeons' involvement in quality meas ... Full text Link to item Cite

Quality Measures in Upper Limb Surgery.

Journal Article J Bone Joint Surg Am · March 16, 2016 BACKGROUND: Quality measures are now commonplace and are increasingly tied to financial incentives. We reviewed the existing quality measures that address the upper limb and tested the null hypothesis that structure (capacity to deliver care), process (app ... Full text Link to item Cite

Does Participation in a Randomized Clinical Trial Change Outcomes? An Evaluation of Patients Not Enrolled in the SPRINT Trial.

Conference J Orthop Trauma · March 2016 OBJECTIVES: To determine the extent to which knowledge from clinical trial protocols is transferred to nonparticipating patients. DESIGN: Retrospective review of prospectively collected data from a large clinical trial. SETTING: Six level-1 international t ... Full text Link to item Cite

Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture.

Conference J Orthop Trauma · March 2016 OBJECTIVE: To study the activity and incidence of knee pain after sustaining an isolated tibia fracture treated with an infrapatellar intramedullary nail at 1 year. DESIGN: Retrospective review of prospective cohort. SETTING: Multicenter Academic and Commu ... Full text Link to item Cite

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds.

Journal Article N Engl J Med · December 31, 2015 BACKGROUND: The management of open fractures requires wound irrigation and débridement to remove contaminants, but the effectiveness of various pressures and solutions for irrigation remains controversial. We investigated the effects of castile soap versus ... Full text Link to item Cite

Clinical Outcomes of the Flexor Carpi Ulnaris Turnover Flap for Posterior Elbow Soft Tissue Defects.

Journal Article J Hand Surg Am · December 2015 PURPOSE: To report the clinical outcomes from 2 academic centers of the flexor carpi ulnaris (FCU) flap for coverage of posterior elbow soft tissue defects. METHODS: We retrospectively reviewed 17 patients who underwent an FCU flap for posterior elbow woun ... Full text Link to item Cite

Aligned multilayered electrospun scaffolds for rotator cuff tendon tissue engineering.

Journal Article Acta Biomater · September 2015 UNLABELLED: The rotator cuff consists of several tendons and muscles that provide stability and force transmission in the shoulder joint. Whereas most rotator cuff tears are amenable to suture repair, the overall success rate of repair is low, and massive ... Full text Link to item Cite

Management of Severely Comminuted Distal Radius Fractures.

Journal Article J Hand Surg Am · September 2015 Distal radius fractures are among the most common fractures of the upper extremity. Indications for operative and nonsurgical management have evolved over time, as have fixation techniques. Volar locking plates are commonly used in the treatment of selecte ... Full text Link to item Cite

Distal radius fractures in the elderly.

Journal Article J Hand Surg Am · June 2015 Full text Link to item Cite

Olecranon fractures with sagittal splits treated with dual fixation.

Journal Article J Hand Surg Am · April 2015 PURPOSE: To assess the results of olecranon fractures with an intra-articular sagittal plane fracture managed by orthogonal fixation constructs. METHODS: A retrospective chart review was performed and 14 proximal ulna fractures with intra-articular comminu ... Full text Link to item Cite

A comparison of débridement with and without anconeus muscle flap for treatment of refractory lateral epicondylitis.

Journal Article J Shoulder Elbow Surg · February 2015 BACKGROUND: Lateral epicondylitis is a common condition encountered by orthopedic surgeons. Whereas the majority of patients improve with conservative management, a small percentage will require surgery. The purpose of this study was to compare the clinica ... Full text Link to item Cite

Surgical technique: Free vascularized fibula graft for avascular necrosis

Chapter · January 1, 2015 Avascular necrosis (AVN) or osteonecrosis of the femoral head (ONFH) is a commoncause of hip pain and disability in a young patient demographic with an average age of mid-30s.If left untreated, approximately 80 % of cases of ONFH will result in femoral hea ... Full text Cite

Surgical technique: Bone graft for avascular necrosis of the hip

Chapter · January 1, 2015 Avascular necrosis of the hip is a debilitating disease process leading to end-stage hip degeneration and eventual total hip arthroplasty.Early recognition allows for salvage treatment options that may delay joint degeneration.Core decompression with bone ... Full text Cite

Micro-scale and meso-scale architectural cues cooperate and compete to direct aligned tissue formation.

Journal Article Biomaterials · December 2014 Tissue and biomaterial microenvironments provide architectural cues that direct important cell behaviors including cell shape, alignment, migration, and resulting tissue formation. These architectural features may be presented to cells across multiple leng ... Full text Link to item Cite

Electrospun cartilage-derived matrix scaffolds for cartilage tissue engineering.

Journal Article J Biomed Mater Res A · November 2014 Macroscale scaffolds created from cartilage-derived matrix (CDM) demonstrate chondroinductive or chondro-inductive properties, but many fabrication methods do not allow for control of nanoscale architecture. In this regard, electrospun scaffolds have shown ... Full text Link to item Cite

Anatomic findings and complications after surgical treatment of chronic, partial distal biceps tendon tears: a case cohort comparison study.

Journal Article J Hand Surg Am · August 2014 PURPOSE: To describe pertinent anatomic findings during repair of chronic, partial distal biceps tendon tears and to compare the complications of surgery with a similar cohort of acute, complete tears. METHODS: Group 1 included 14 patients (15 elbows) with ... Full text Link to item Cite

Scaphoid nonunions treated with 2 headless compression screws and bone grafting.

Journal Article J Hand Surg Am · July 2014 PURPOSE: To evaluate union and complication rates associated with the use of 2 headless compression screws and bone grafting for the treatment of scaphoid nonunions. METHODS: A total of 19 patients (18 male and 1 female) at an average age of 21 years were ... Full text Link to item Cite

Fixation versus replacement of radial head in terrible triad: is there a difference in elbow stability and prognosis?

Journal Article Clin Orthop Relat Res · July 2014 BACKGROUND: Surgical treatment for terrible triad injuries of the elbow (defined as elbow dislocations with concomitant fractures of the radial head and coronoid) remains a challenging clinical problem. Specifically, the question of whether to repair or re ... Full text Link to item Cite

Salvage of distal radius nonunion with a dorsal spanning distraction plate.

Journal Article J Hand Surg Am · May 2014 Treatment of nonunion after previous instrumentation of distal radius fractures represents a reconstructive challenge. Resultant osteopenia provides a poor substrate for fixation, often necessitating wrist fusion for salvage. A spanning dorsal distraction ... Full text Link to item Cite

Factors associated with transfer of hand injuries to a level 1 trauma center: a descriptive analysis of 1147 cases.

Journal Article Plast Reconstr Surg · April 2014 BACKGROUND: The transfer of patients with hand injuries involves a commitment of substantial resources, emphasizing the importance of understanding factors that may influence referral patterns. Anecdotal experience suggests that the likelihood of transfer ... Full text Link to item Cite

The influence of thumb metacarpophalangeal joint rotation on the evaluation of ulnar collateral ligament injuries: a biomechanical study in a cadaver model.

Journal Article J Hand Surg Am · March 2014 PURPOSE: To determine whether variation in thumb metacarpophalangeal (MCP) joint pronosupination influences perceived ulnar collateral ligament (UCL) stability during clinical stress testing. METHODS: Twelve fresh-frozen specimens underwent sequential eval ... Full text Link to item Cite

Hand and wrist injuries in sports medicine.

Journal Article Sports Med Arthrosc Rev · March 2014 Full text Link to item Cite

Management of scaphoid fractures in the athlete: open and percutaneous fixation.

Journal Article Sports Med Arthrosc Rev · March 2014 Scaphoid fractures occur commonly in the athlete and should be treated with urgency to avoid undesired late complications. Magnetic resonance imaging may be helpful to make a prompt diagnosis so that an appropriate early treatment plan can be initiated. Ca ... Full text Link to item Cite

Proteomic differences between male and female anterior cruciate ligament and patellar tendon.

Journal Article PLoS One · 2014 The risk of anterior cruciate ligament (ACL) injury and re-injury is greater for women than men. Among other factors, compositional differences may play a role in this differential risk. Patellar tendon (PT) autografts are commonly used during reconstructi ... Full text Link to item Cite

Distal radius fractures: strategic alternatives to volar plate fixation.

Journal Article Instr Course Lect · 2014 Volar locking plates have provided surgeons with enhanced capability to reliably repair both simple and complex fractures and avoid the hardware-related complications associated with dorsal plating. However, there have been an increasing number of publishe ... Link to item Cite

Nano-scale and micro-scale substrate architectures direct collagen alignment in tendon neo-tissue formation

Journal Article ASME 2013 Summer Bioengineering Conference, SBC 2013 · December 1, 2013 Biomaterial scaffolds that present defined microenvironmental cues (e.g., nano-topography) to cells have shown promise for a variety of tissue engineering applications. However, the specific cues best suited for promoting the formation of aligned, fibrous ... Full text Cite

Multilayered electrospun scaffolds for tendon tissue engineering.

Journal Article Tissue Eng Part A · December 2013 Full-thickness rotator cuff tears are one of the most common causes of shoulder pain in people over the age of 65. High retear rates and poor functional outcomes are common after surgical repair, and currently available extracellular matrix scaffold patche ... Full text Link to item Cite

Isolated ulnar shortening osteotomy for the treatment of extra-articular distal radius malunion.

Journal Article J Hand Surg Am · June 2013 PURPOSE: To report the clinical outcomes and complications for a cohort of patients who had extra-articular distal radius malunions treated with isolated ulnar-shortening osteotomy (USO). A second purpose was to define the dorsal angulation limit that woul ... Full text Link to item Cite

Reflections 1 year into the 21-Center National Institutes of Health--funded WRIST study: a primer on conducting a multicenter clinical trial.

Journal Article J Hand Surg Am · June 2013 The Wrist and Radius Injury Surgery Trial (WRIST) study group is a collaboration of 21 hand surgery centers in the United States, Canada, and Singapore, to showcase the interest and capability of hand surgeons to conduct a multicenter clinical trial. The W ... Full text Link to item Cite

The vascularized fibular graft in precollapse osteonecrosis: is long-term hip preservation possible?

Journal Article Clin Orthop Relat Res · October 2012 BACKGROUND: Osteonecrosis of the femoral head (ONFH) is a debilitating condition affecting primarily young patients. Free vascularized fibular grafting (FVFG) may provide a durable means to preserve the femoral head. When used in the precollapse stages of ... Full text Link to item Cite

Paecilomyces lilacinus septic olecranon bursitis in an immunocompetent host.

Journal Article Am J Orthop (Belle Mead NJ) · May 2012 Paecilomyces lilacinus is a filamentous fungus that is a rare cause of infection in immunocompromised human hosts. We present a case of lilacinus septic olecranon bursitis in an otherwise healthy 78-year-old male. This patient's case was complicated by wou ... Link to item Cite

Differences in wrist mechanics during the golf swing based on golf handicap.

Journal Article J Sci Med Sport · May 2012 OBJECTIVES: Variation in swing mechanics between golfers of different skill levels has been previously reported. To investigate if differences in three-dimensional wrist kinematics and the angle of golf club descent between low and high handicap golfers. D ... Full text Link to item Cite

Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients.

Journal Article J Hand Surg Am · May 2012 PURPOSE: To evaluate internal distraction plating for the management of comminuted, intra-articular distal radius fractures in patients greater than 60 years of age at two level 1 trauma centers. We specifically desired to determine whether patients would ... Full text Link to item Cite

Diagnosis and operative treatment

Chapter · March 28, 2012 Cite

Arthroscopic treatment of peripheral triangular fibrocartilage complex tears with the deep fibers intact.

Journal Article J Hand Surg Am · March 2012 PURPOSE: We describe a variant of triangular fibrocartilage complex (TFCC) tears in which the superficial fibers attaching to the ulnar capsule are torn, with preservation of deep fibers inserting on the fovea. We present the clinical and magnetic resonanc ... Full text Link to item Cite

Fixation of the coronoid process in elbow fracture-dislocations.

Journal Article J Bone Joint Surg Am · October 19, 2011 BACKGROUND: Terrible triad injuries consist of a posterior dislocation of the elbow, a coronoid fracture, and a radial head fracture. The coronoid plays a pivotal role as an anterior buttress, yet the optimal management of the coronoid fracture remains unk ... Full text Link to item Cite

Locking and Non-locking Constructs Achieve Similar Radiographic and Clinical Outcomes for Internal Fixation of Intra-articular Distal Humerus Fractures.

Journal Article HSS J · October 2011 BACKGROUND: Locking plates have been used increasingly for the management of distal humerus fractures. Studies that compare patient-centered outcomes between locking and non-locking fixation for distal humerus fractures are lacking. QUESTIONS/PURPOSES: The ... Full text Link to item Cite

A knotless flexor tendon repair technique using a bidirectional barbed suture: an ex vivo comparison of three methods.

Journal Article Plast Reconstr Surg · October 2011 BACKGROUND: Flexor tendon repairs using conventional suture require knots that enlarge the cross-sectional area at the repair site. This enlargement increases the force of finger flexion and jeopardizes the integrity of a nascent tendon repair during rehab ... Full text Link to item Cite

Analysis of the complications of palmar plating versus external fixation for fractures of the distal radius.

Journal Article J Hand Surg Am · October 2011 PURPOSE: To evaluate whether there was a difference in complication rates in our patients treated with external fixation versus volar plating of distal radius fractures. We also looked for a difference in radiographic results; in the clinical outcomes of f ... Full text Link to item Cite

Can locking screws allow smaller, low-profile plates to achieve comparable stability to larger, standard plates?

Journal Article J Orthop Trauma · June 2011 OBJECTIVE: The open reduction and internal fixation of radial shaft fractures and osteotomies with standard 3.5-mm plates can be complicated by tendon irritation, hardware prominence, and fracture through the screw holes. With the advent of locking plate t ... Full text Link to item Cite

Outcome of intramedullary fixation of clavicular fractures.

Journal Article Am J Orthop (Belle Mead NJ) · June 2011 We conducted a retrospective, single-center (tertiary referral center with associated level I trauma center) review to evaluate the outcome of open reduction and internal fixation (ORIF) with intramedullary (IM) clavicle pin of displaced clavicular fractur ... Link to item Cite

In reply

Journal Article Journal of Hand Surgery · April 1, 2011 Full text Cite

Vascular perfusion of a flexor carpi ulnaris muscle turnover pedicle flap for posterior elbow soft tissue reconstruction: a cadaveric study.

Journal Article J Hand Surg Am · February 2011 PURPOSE: The use of a pedicled flexor carpi ulnaris (FCU) muscle proximal turnover flap has been described previously for soft tissue reconstruction at the posterior elbow. Whereas consistent arterial supply to the FCU has been reported, the reliability of ... Full text Link to item Cite

Corrective osteotomy for isolated malunion of the palmar lunate facet in distal radius fractures.

Journal Article J Hand Surg Am · November 2010 PURPOSE: Malunion of the palmar lunate facet fragment of distal radius fractures is associated with both early functional impairment and late degenerative changes. The goal of this study was to describe the clinical and radiographic outcomes after correcti ... Full text Link to item Cite

Management of peripheral triangular fibrocartilage complex tears in the ulnar positive patient: arthroscopic repair versus ulnar shortening osteotomy.

Journal Article J Hand Surg Am · October 2010 PURPOSE: One pattern of injury to the triangular fibrocartilage complex (TFCC) is a traumatic peripheral tear located at the ulnar end of the TFCC. Since 1989, this specific injury has been classified as a Palmer type 1B lesion. Various treatment options h ... Full text Link to item Cite

Management of subluxating ulnar nerve at the elbow.

Journal Article Orthopedics · September 7, 2010 Musculotendinous variations around the medial epicondyle can contribute to subluxation of the ulnar nerve at the elbow. This article reviews the presenting symptoms, operative findings, and results of surgery for subluxation of the ulnar nerve at the elbow ... Full text Link to item Cite

Outside-in repair of peripheral triangular fibrocartilage complex tears

Journal Article Operative Techniques in Sports Medicine · September 1, 2010 Tears of the triangular fibrocartilage complex (TFCC) are common sources of ulnar-sided wrist pain within athletics that frequently go unrecognized or are diagnosed simply as wrist "sprains." TFCC injuries vary along a wide spectrum based on acuity and loc ... Full text Cite

Triangular fibrocartilage complex tears associated with symptomatic ulnar styloid nonunions.

Journal Article J Hand Surg Am · August 2010 PURPOSE: Tear of the triangular fibrocartilage complex (TFCC) and nonunion of the ulnar styloid are common lesions resulting from upper extremity injuries such as distal radius fractures. Whereas ulnar styloid fractures are a common feature of the distal r ... Full text Link to item Cite

Ligament-derived matrix stimulates a ligamentous phenotype in human adipose-derived stem cells.

Journal Article Tissue Eng Part A · July 2010 Human adipose stem cells (hASCs) can differentiate into a variety of phenotypes. Native extracellular matrix (e.g., demineralized bone matrix or small intestinal submucosa) can influence the growth and differentiation of stem cells. The hypothesis of this ... Full text Open Access Link to item Cite

Wound botulism complicating internal fixation of a complex radial fracture.

Journal Article J Clin Microbiol · February 2010 Botulism developed in a patient following surgical repair of an open radial fracture. Symptoms resolved after treatment with antitoxin and antibiotics, and hardware excision was deferred. Subsequent osteomyelitis necessitated hardware exchange, and wound c ... Full text Link to item Cite

New concepts in the treatment of distal radius fractures.

Journal Article Instr Course Lect · 2010 Fracture of the distal radius is the type of fracture most commonly seen in emergency departments. The understanding of nonsurgical and surgical care of distal radius fractures is evolving with recently developed methods of fixation. It is worthwhile to re ... Link to item Cite

Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair. Surgical technique.

Journal Article J Bone Joint Surg Am · October 1, 2009 BACKGROUND: The medial collateral ligament provides valgus stability to the elbow. The purpose of the present study was to describe the pathoanatomy of acute traumatic medial collateral ligament ruptures and to report the rationale and results of direct re ... Full text Link to item Cite

Repair of arthroscopic triangular fibrocartilage complex tears in athletes.

Journal Article Hand Clin · August 2009 Triangular fibrocartilage complex (TFCC) injuries are a common source of wrist pain in athletes. These injuries constitute a unique orthopedic challenge because of the particular physical demands on these patients. A specialized management approach is ofte ... Full text Link to item Cite

M.J. Richard and D.S. Ruch reply

Journal Article Journal of Bone and Joint Surgery · May 1, 2009 Cite

Traumatic Valgus Instability of the Elbow reply

Journal Article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · May 1, 2009 Link to item Cite

Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures.

Journal Article J Hand Surg Am · March 2009 Lateral and medial epicondylitis are common causes of elbow pain in the general population, with the lateral variety being more common than the medial by a ratio reportedly ranging from 4:1 to 7:1. Initially thought to be an inflammatory condition, epicond ... Full text Link to item Cite

Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair.

Journal Article J Bone Joint Surg Am · November 2008 BACKGROUND: The medial collateral ligament provides valgus stability to the elbow. The purpose of the present study was to describe the pathoanatomy of acute traumatic medial collateral ligament ruptures and to report the rationale and results of direct re ... Full text Link to item Cite

Release of the medial collateral ligament to improve flexion in post-traumatic elbow stiffness.

Journal Article J Bone Joint Surg Br · May 2008 Contracture of the collateral ligaments is considered to be an important factor in post-traumatic stiffness of the elbow. We reviewed the results of isolated release of the medial collateral ligament in a series of 14 patients with post-traumatic loss of e ... Full text Link to item Cite

Differences in Wrist Kinematics between Low and High Handicap Golfers

Journal Article Medicine & Science in Sports & Exercise · May 2008 Full text Cite

Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.

Journal Article J Hand Ther · 2008 The purpose of this study was to describe changes in range of motion, grip strength, and function in subjects treated with static progressive splinting for stiffness after distal radius fracture. A retrospective review was conducted on 25 patients; outcome ... Full text Link to item Cite

Volar approach to distal radius fractures.

Journal Article J Hand Surg Am · 2008 The volar approach to the distal radius fracture is an important exposure in the treatment of these fractures, particularly with the growing enthusiasm for fixed-angle volar plating. With reports in the literature documenting complications associated with ... Full text Link to item Cite

Reconstruction of essex-lopresti injury of the forearm: technical note.

Journal Article J Hand Surg Am · January 2008 Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the dist ... Full text Link to item Cite

Malunions and nonunions of the forearm.

Journal Article Hand Clin · May 2007 Modern techniques allow for high rates of union in the treatment of diaphyseal forearm fractures. In the case of nonunion, addressing the biology and stability of the fracture will similarly yield high union rates, but slightly decreased functional outcome ... Full text Link to item Cite

Volar collapse after dorsal plating of comminuted distal radius fractures.

Journal Article Am J Orthop (Belle Mead NJ) · May 2007 Between 1997 and 2001, 58 patients received dorsal plating for comminuted distal radius fractures. In 8 of these patients, subsequent collapse led to palmar flexion deformity, loss of rotation, and hardware prominence. In retrospectively reviewing this sub ... Link to item Cite

Current practice of microsurgery by members of the American Society for Surgery of the Hand.

Journal Article J Hand Surg Am · April 2007 PURPOSE: First, to determine the percentage of members of the American Society for Surgery of the Hand (ASSH) that use microsurgical techniques as part of their surgery practice, and second, to identify factors limiting their use of these techniques. METHO ... Full text Link to item Cite

Spanning Plating for Distal Radius Fractures

Chapter · January 1, 2007 Initially, as described by Colles in 1814, distal radius fractures were considered entities that had universally good outcomes, deserving only benign neglect as treatment (1). Although this may occur for nondisplaced distal radius fractures that heal uneve ... Full text Cite

Resection of the scaphoid distal pole for symptomatic scaphoid nonunion after failed previous surgical treatment.

Journal Article J Hand Surg Am · April 2006 PURPOSE: To evaluate the results of resection of the scaphoid distal pole for symptomatic scaphoid nonunion after failed prior surgical treatment. METHODS: Thirteen patients who were treated with resection of the scaphoid distal pole for persistent nonunio ... Full text Link to item Cite

Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution. Surgical technique.

Journal Article J Bone Joint Surg Am · March 2006 BACKGROUND: Distal radial fractures with extensive comminution involving the metaphyseal-diaphyseal junction present a major treatment dilemma. Of particular difficulty are those fractures involving the articular surface. One approach is to apply a dorsal ... Full text Link to item Cite

Distal radioulnar joint instability in distal radius fractures: the role of sigmoid notch and triangular fibrocartilage complex revisited.

Journal Article Injury · March 2006 The stabilising effects of various structures of the distal radioulnar joint (DRUJ) have been heavily debated. This biomechanical cadaveric study examined the effects of the volar and dorsal lips of the sigmoid notch and the volar and dorsal aspects of the ... Full text Link to item Cite

The posterolateral plica: a cause of refractory lateral elbow pain.

Journal Article J Shoulder Elbow Surg · 2006 Lateral epicondylitis is one of the most common upper extremity pain syndromes. We report the results of patients in whom conservative treatment was unsuccessful and who were finally treated arthroscopically for symptomatic plicae. Ten patients (mean age, ... Full text Link to item Cite

Volar versus dorsal plating in the management of intra-articular distal radius fractures.

Journal Article J Hand Surg Am · January 2006 PURPOSE: To compare the complications and functional and radiographic outcomes of volar and dorsal plating of intra-articular distal radius fractures. METHODS: This retrospective review included 34 patients found by searching a database of 350 patients tre ... Full text Link to item Cite

Ulnar-positive variance as a predictor of distal radioulnar joint ligament disruption.

Journal Article J Hand Surg Am · November 2005 PURPOSE: Previous cadaveric data show that disruption of the triangular fibrocartilage complex (TFCC) at the wrist allows 0.5 to 3.0 mm of proximal radius migration. Anatomic studies have documented the presence of superficial and deep fibers of both the p ... Full text Link to item Cite

Arthroscopically assisted repair of peripheral triangular fibrocartilage complex tears: factors affecting outcome.

Journal Article Arthroscopy · September 2005 PURPOSE: The purpose of our study was to identify factors affecting the outcome after arthroscopically assisted repair of peripheral triangular fibrocartilage complex (TFCC) tears. TYPE OF STUDY: Retrospective case series. METHODS: Thirty-five patients who ... Full text Link to item Cite

Distal radius fractures: a comparison of tension band wiring versus ulnar outrigger external fixation for the management of distal radioulnar instability.

Journal Article J Hand Surg Am · September 2005 PURPOSE: To retrospectively compare the results of immobilization of the forearm in supination with the results of tension band fixation of the ulnar styloid in 35 patients with distal radius fractures, fracture of the base of the ulnar styloid, and distal ... Full text Link to item Cite

The effect of increasing distraction on digital motion after external fixation of the wrist.

Journal Article J Hand Surg Am · July 2005 PURPOSE: Although several factors have been related to the development of digital stiffness after external fixation of distal radius fractures, distraction can be considered one of the most important. This study determined a threshold for distraction durin ... Full text Link to item Cite

Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution.

Journal Article J Bone Joint Surg Am · May 2005 BACKGROUND: Distal radial fractures with extensive comminution involving the metaphyseal-diaphyseal junction present a major treatment dilemma. Of particular difficulty are those fractures involving the articular surface. One approach is to apply a dorsal ... Full text Link to item Cite

Internal distraction plating of distal radius fractures.

Journal Article Tech Hand Up Extrem Surg · March 2005 Internal distraction plating can be used for the treatment of highly comminuted distal radius fractures especially in elderly patients. The technique involves the use of 3.5, 2.7, or 2.5 dynamic compression plates. The instrumentation is applied in distrac ... Full text Link to item Cite

Complications associated with traction on the hip during arthroscopy.

Journal Article J Bone Joint Surg Br · August 2004 We studied 16 hips (eight cadaver specimens) using arthrography, arthroscopy and anatomical dissection, under incremental traction of up to a maximum of 64 kg, to determine the relationship of the portals to nearby neurovascular structures. The distance of ... Full text Link to item Cite

Dorsal wrist ligament insertions stabilize the scapholunate interval: cadaver study.

Journal Article Clin Orthop Relat Res · August 2004 This study examined sequential arthroscopic sectioning of volar, interosseous, and dorsal ligaments about the scapholunate complex in cadaver wrists. We attempted to clarify the contributions of the dorsal ligamentous complex to scapholunate instability an ... Full text Link to item Cite

Management of peripheral nerve defects: external fixator-assisted primary neurorrhaphy.

Journal Article J Bone Joint Surg Am · July 2004 BACKGROUND: Controlled joint extension followed by gradual distraction with use of an external fixator may facilitate primary repair of peripheral nerve defects by permitting end-to-end repair without tension. The hypothesis of the present study was that g ... Link to item Cite

Arthroscopic reduction versus fluoroscopic reduction in the management of intra-articular distal radius fractures.

Journal Article Arthroscopy · March 2004 PURPOSE: Although arthroscopy offers an unparalleled view of intra-articular pathology, its use in the treatment of intra-articular distal radius fractures remains controversial. This study was designed to compare functional and radiologic outcomes of arth ... Full text Link to item Cite

Disorders of the lunotriquetral joint

Journal Article Atlas of Hand Clinics · January 1, 2004 Full text Cite

Loss of flexion after radial head replacement.

Journal Article J Shoulder Elbow Surg · 2004 Prosthetic radial head replacement is a well-documented procedure; however, loss of elbow flexion after radial head arthroplasty has only recently been reported. This study reviews 6 patients who received modular prosthetic radial heads and had a clinicall ... Full text Link to item Cite

Current concepts in the treatment of distal radial fractures.

Journal Article Instr Course Lect · 2004 Surgical indications for the treatment of distal radial fractures are evolving. It is important to identify the various articular fragments and their significance to facilitate optimal surgical treatment of these fragments from the standpoint of both inter ... Link to item Cite

Results of palmar plating of the lunate facet combined with external fixation for the treatment of high-energy compression fractures of the distal radius.

Journal Article J Orthop Trauma · January 2004 OBJECTIVES: The study evaluated the outcome of the treatment of patients who sustained high-energy, compression-type injuries of the distal radius. DESIGN: The retrospective study evaluated the outcome of reduction and plating of the lunate facet in conjun ... Full text Link to item Cite

The acute effect of peripheral nerve transection on digital thermoregulatory function.

Journal Article J Hand Surg Am · May 2003 PURPOSE: This study tests the hypothesis that major peripheral nerves serve as important routes for adrenergic neural fibers and therefore peripheral nerve injury affects cutaneous perfusion within the nerve's sensory innervation territory. The specific ai ... Full text Link to item Cite

Articulating external fixation to overcome nerve gaps in lower extremity trauma.

Journal Article J Orthop Trauma · April 2003 This report describes the use of articulating external fixation in patients with lower extremity trauma with segmental nerve defects. Four patients who would otherwise require nerve grafting underwent application of an articulated external fixator, allowin ... Full text Link to item Cite

Biomechanical comparison of transosseous and capsular repair of peripheral triangular fibrocartilage tears.

Journal Article Arthroscopy · April 2003 PURPOSE: The purpose of this study was to biomechanically compare the repair strength of peripheral triangular fibrocartilage complex (TFCC) repairs to the distal ulna using transosseous sutures (group I) versus TFCC repairs to the extensor carpi ulnaris t ... Full text Link to item Cite

Open reduction and internal fixation of scapholunate ligament injuries

Journal Article Atlas of Hand Clinics · January 1, 2003 Scapholunate dissociation is the most common cause of carpal instability. When patients demonstrate gross instability, open repair of the scapholunate interval with repair of the DIC and DRC ligaments can provide pain relief and good functional outcomes. T ... Full text Cite

Arthroscopic resection of the common extensor origin: anatomic considerations.

Journal Article J Shoulder Elbow Surg · 2003 This study examines the intra-articular anatomy and safe zones for arthroscopic resection of the common extensor origin for the treatment of lateral epicondylitis. The extensor complex was arthroscopically debrided in 7 cadaveric elbows to determine the pe ... Full text Link to item Cite

Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures.

Journal Article Arthroscopy · 2003 PURPOSE: This study reviews the results of acute repair of peripheral ulnar-sided triangular fibrocartilage complex (TFCC) detachment associated with intra-articular distal radius fractures. TYPE OF STUDY: Two-year follow-up of patients who had undergone a ... Full text Link to item Cite

Open reduction and internal fixation of the distal radius

Journal Article Operative Techniques in Orthopaedics · January 1, 2003 Fractures of the distal radius are one of the most common problems treated by orthopaedic surgeons. The management of unstable fractures is now almost routinely surgical, and multiple techniques have been developed to accomplish this including pins and pla ... Full text Cite

Radius pull test: predictor of longitudinal forearm instability.

Journal Article J Bone Joint Surg Am · November 2002 BACKGROUND: Longitudinal instability of the forearm (the Essex-Lopresti lesion) following radial head excision may be difficult to detect. This cadaveric study examines a stress test that can be performed in the operating room to identify injury to the lig ... Link to item Cite

Periarterial sympathectomy in scleroderma patients: intermediate-term follow-up.

Journal Article J Hand Surg Am · March 2002 The use of periarterial sympathectomy (PAS) to manage chronic digital ischemia caused by scleroderma remains controversial. The duration of efficacy of PAS in managing scleroderma symptoms was evaluated by examining microvascular physiology, health-related ... Full text Link to item Cite

The pink pulseless hand.

Journal Article J South Orthop Assoc · 2002 The management of a child with a perfused, pink, but pulseless upper extremity following reduction and pinning of a type III supracondylar humerus fracture remains controversial. The authors present the initial treatment, evaluation, operative findings, an ... Link to item Cite

Carpal tunnel release: efficacy and recurrence rate after a limited incision release.

Journal Article J South Orthop Assoc · 2002 We retrospectively studied the postoperative outcomes of 51 patients treated for idiopathic carpal tunnel syndrome by method of a limited incision carpal tunnel release. Patients were assessed to determine: 1) palmar tenderness, 2) scar tenderness, 3) reli ... Link to item Cite

Repair of peripheral triangular fibrocartilage complex tears

Journal Article Atlas of Hand Clinics · December 1, 2001 Arthroscopic repair of peripheral triangular fibrocartilage complex tears results in relief of pain and improvement of distal radioulnar joint stability in patients with ulnar-neutral or ulnar-negative variance. The addition of ulnar shortening can provide ... Cite

Hinged elbow fixation for recurrent instability following fracture dislocation.

Journal Article Injury · December 2001 The purpose of this study was to evaluate the use of an articulated external fixator of the elbow in the management of instability after fracture dislocation. We retrospectively reviewed results of eight patients treated with an articulated external fixato ... Full text Link to item Cite

Arthroscopic evaluation and treatment of scaphoid nonunion.

Journal Article Hand Clin · November 2001 Scaphoid fractures are one of the most common carpal fractures and heal without complication in a majority of cases. Nonunion of the scaphoid, unfortunately, can occur secondarily to several reasons; namely, delay in treatment, delay in diagnosis, the intr ... Link to item Cite

The role of hip arthroscopy in the evaluation of avascular necrosis.

Journal Article Orthopedics · April 2001 This prospective study evaluated the correlation between plain radiographs, magnetic resonance imaging (MRI), and diagnostic arthroscopy in the staging of avascular necrosis of the femoral head. Fifty-two hips in 46 patients were prospectively staged using ... Full text Link to item Cite

Arthroscopic and open management of dynamic scaphoid instability.

Journal Article Orthop Clin North Am · April 2001 This article focuses on the pathophysiology and treatment of dynamic scaphoid instability. Cadaver studies suggest that dynamic instability results from isolated injury to the scapholunate interosseous ligament without damage to the dorsal intercarpal and ... Full text Link to item Cite

Arthroscopic excision of the radial head: Clinical outcome in 12 patients with post-traumatic arthritis after fracture of the radial head or rheumatoid arthritis.

Journal Article Arthroscopy · 2001 PURPOSE: We performed arthroscopic radial head excision in a series of patients with either post-traumatic arthritis after a radial head fracture or rheumatoid arthritis of the elbow as an expanded indication for elbow arthroscopy. The purpose of the study ... Full text Link to item Cite

Chronic vascular disorders of the upper extremity

Journal Article Journal of the American Society for Surgery of the Hand · January 1, 2001 This article details the presentation and evaluation of occlusive, vasospastic, and mixed vascular disorders. Indications and techniques of nonoperative management and surgical techniques of vascular reconstruction and periarterial sympathectomy are presen ... Full text Cite

Arterial reconstruction for radial artery occlusion.

Journal Article J Hand Surg Am · September 2000 Full text Link to item Cite

Arterial reconstruction for radial artery occlusion.

Journal Article J Hand Surg Am · March 2000 This study was designed to detail the history and symptoms of symptomatic radial artery vaso-occlusive disease and to evaluate the results of radial artery reconstruction. Thirteen patients with symptomatic vaso-occlusive disease of the radial artery unres ... Full text Link to item Cite

Fixation of three-part proximal humeral fractures: a biomechanical evaluation.

Journal Article J Orthop Trauma · January 2000 OBJECTIVES: To examine the biomechanical stability of three constructs currently used for the management of three-part proximal humerus fractures. Tension band wires (TBW) with supplemental Enders nails, modified cloverleaf plate and screws, and intramedul ... Full text Link to item Cite

Hip arthroscopy in staging avascular necrosis of the femoral head.

Journal Article J South Orthop Assoc · 2000 The purposes of this study were to evaluate how accurately current imaging modalities predict the quality of the articular surface in avascular necrosis (AVN) of the femoral head and to provide arthroscopic correlation to current staging modalities. An art ... Link to item Cite

The role of arthroscopy in the treatment of lunotriquetral ligament injuries.

Journal Article Hand Clin · August 1999 The treatment of lunotriquetral interosseous (LTIO) ligament injuries is controversial. It is part of a spectrum of injuries involving the ulnar side of the wrist. Associated injuries may play a greater role in the outcome of treatment than does the LTIO i ... Link to item Cite

Innervation density of the base of the palm.

Journal Article J Hand Surg Am · March 1999 Cutaneous nerves of the palm were localized and quantitated by longitudinal axis, proximity to the distal palmar crease, and tissue layer to identify an incision that would avoid injury to the palmar branches of cutaneous nerves. Cadaveric palms (n = 10) h ... Full text Link to item Cite

Arthroscopic resection of the radial head.

Journal Article Arthroscopy · March 1999 The authors describe arthroscopic radial head resection in patients with post-traumatic arthritis after fractures of the radial head or in patients with rheumatoid arthritis of the elbow joint, as an expanded indication for elbow arthroscopy. Arthroscopic ... Full text Link to item Cite

Anatomic and physiologic evaluation of upper extremity ischemia.

Journal Article Microsurgery · 1999 This study assessed the accuracy of arteriography and laser Doppler perfusion imaging (LDPI) as predictors of digital ischemia and correlated upper extremity symptoms, function, and nutritional flow with arteriographic and laser Doppler assessments. Multip ... Full text Link to item Cite

Reconstruction of longitudinal stability of the forearm after disruption of interosseous ligament and radial head excision (Essex-Lopresti lesion).

Journal Article J South Orthop Assoc · 1999 We have presented a technique for reconstruction of the central band of the interosseous membrane in conjunction with surgical repair of the distal radial joint and radial head prosthesis. With this technique, we address all three anatomic structures that ... Link to item Cite

Volar intercalated segment instability after scapholunate ligament reconstruction.

Journal Article J South Orthop Assoc · 1999 We describe an 18-year-old man with an acute lunate dislocation treated with open reduction, ligament repair, capsulodesis, and percutaneous pinning. After pin removal and mobilization, the patient was found to have midcarpal collapse; the lateral radiogra ... Link to item Cite

Arthroscopic debridement for the treatment of Kienbock's disease.

Journal Article Arthroscopy · 1999 The treatment results of seven patients (age range, 37 to 74 years, male:female ratio, 1:6) with Kienbock's disease (Lichtman stage IIIA-IIIB) who underwent arthroscopic debridement of the necrotic lunate bone and degenerative intrinsic ligaments were stud ... Full text Link to item Cite

The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion.

Journal Article Arthroscopy · October 1998 The authors describe a technique of treating scaphoid nonunions with associated avascular necrosis consisting of arthroscopic resection of the distal pole of the scaphoid combined with radial styloidectomy. The results at 2-year follow-up showed all three ... Full text Link to item Cite

Arthroscopic assessment of carpal instability.

Journal Article Arthroscopy · October 1998 The evaluation, classification, and treatment of carpal instability continues to be one of the most controversial topics in hand surgery. One explanation is the lack of standardized findings and radiographic criteria. No good modality to date has been prop ... Full text Link to item Cite

Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life.

Journal Article J Hand Surg Am · September 1998 Patients were evaluated before and after arterial reconstruction surgery (1) to define the physiology of the digital microcirculation in chronic subcritical ischemia, (2) to demonstrate the short-term effects of successful arterial reconstruction on microv ... Full text Link to item Cite

Arthroscopic removal of a .44 caliber bullet from the hip.

Journal Article Arthroscopy · September 1998 Hip arthroscopy is far less invasive than standard open arthrotomy and offers unparalleled visualization of the acetabulum and femoral head. Diagnostic arthroscopy is becoming increasingly accepted as therapeutic options are still evolving. We report the c ... Full text Link to item Cite

The use of arthroscopy to document accurate position of core decompression of the hip.

Journal Article Arthroscopy · September 1998 The use of hip arthroscopy is documented as a means of determining accurate placement for core decompression of the femoral head. The authors describe the technique whereby the patient is placed on the fracture table in the supine position and the guide wi ... Full text Link to item Cite

Significance of cold intolerance in upper extremity disorders.

Journal Article J South Orthop Assoc · 1998 After upper extremity injury, pain on exposure to cold (cold sensitivity) is a significant problem. This cross-sectional observational study (1) assesses the incidence and prevalence of cold intolerance, (2) evaluates the relationship between functional st ... Link to item Cite

Local warming induced vasodilatation in the rabbit ear

Journal Article FASEB Journal · 1998 The human digit and forearm skin have different responsive patterns following thermal stress. The underlying mechanisms are not well studied. The present study examined the role of the peripheral sensory nerve and adrenergic fibers in the local warming-ind ... Cite

The arthroscopic management of osteochondritis dissecans of the adolescent elbow.

Journal Article Arthroscopy · 1998 The management of avascular necrosis of the capitellum of the adolescent elbow continues to be a dilemma. This article is a critical retrospective analysis of 12 pediatric patients (mean age at surgery 14.5 years) who underwent arthroscopic debridement alo ... Full text Link to item Cite

Anterior interosseus nerve injury following elbow arthroscopy.

Journal Article Arthroscopy · December 1997 Elbow arthroscopy is becoming an increasingly invaluable tool for both evaluation of and treatment of a variety of interarticular disease processes. Case reports have documented radial and posterior interosseus injuries following anterior capsular release. ... Full text Link to item Cite

The fibula-flexor hallucis longus osteomuscular flap.

Journal Article J Bone Joint Surg Br · November 1997 Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage. The f ... Full text Link to item Cite

Intraosseous ganglion of the lunate.

Journal Article J South Orthop Assoc · 1997 Link to item Cite

Management of vasospastic disorders of the hand.

Journal Article Clin Plast Surg · January 1997 Vasospastic disorders of the upper extremity are common and often difficult to treat. Using the proposed classification system (Table 2) allows management based upon pathologic condition, physiologic staging, and response to treatment. Identifying patients ... Link to item Cite

The histological effect of barrier vein wrapping of peripheral nerves.

Journal Article J Reconstr Microsurg · July 1996 Twenty-four Sprague-Dawley rats underwent exploration and exposure of the sciatic nerve, followed by sham isolation, irrigation, and subsequent wound closure (Group 1); barrier vein wrapping of the nerve using glutaraldehyde-preserved allograft inferior ve ... Full text Link to item Cite

Endoscopic carpal tunnel release. The Agee technique.

Journal Article Hand Clin · May 1996 The authors describe their technique for endoscopic carpal tunnel release using the Agree device. Technical points, illustrations, and postoperative regimen are provided. ... Link to item Cite

Arthroscopic management of partial scapholunate and lunotriquetral injuries of the wrist.

Journal Article J Hand Surg Am · May 1996 Outcome was studied in 14 patients with chronic mechanical (crepitant) wrist pain (symptomatic for more than 6 months) who had undergone arthroscopic debridement and early mobilization for the treatment of isolated partial scapholunate and lunotriquetral l ... Full text Link to item Cite

Hip arthroscopy.

Journal Article J South Orthop Assoc · 1996 Link to item Cite

The restoration of elbow flexion with intercostal nerve transfers.

Journal Article Clin Orthop Relat Res · May 1995 Seventeen patients with absent elbow flexion secondary to brachial plexus avulsion injury underwent intercostal neurotization of the biceps muscle. Followup was performed at an average of 5 years. The average age in this series was 21.8 years; the mean tim ... Link to item Cite

Arthroscopic categorization of intercarpal ligamentous injuries of the wrist.

Journal Article Orthopedics · September 1993 Recent advances in our knowledge of wrist ligamentous anatomy, as well as improvements in arthroscopic techniques, permit the diagnosis and treatment of a wide variety of wrist injuries. The authors review current concepts in wrist ligamentous anatomy, pat ... Full text Link to item Cite

The role of arthroscopy in the treatment of scapholunate dissociation

Journal Article Techniques in Orthopaedics · January 1, 1992 This article describes a technique of treating acute and subacute scapholunate dissociations using arthroscopic techniques. The physical findings and radiographic abnormalities associated with scapholunate disruption, as well as the portal anatomy in wrist ... Full text Cite

Arthroscopic treatment of Panner's disease.

Journal Article Clin Sports Med · July 1991 Panner's disease, or osteochondrosis of the capitellum, may actually be a continuum of disorders. In the past, such lesions were treated conservatively with surgery as a final option. With the advent of arthroscopy, a diagnosis can be made, and treatment w ... Link to item Cite

The landscape of meniscal injuries.

Journal Article Clin Sports Med · July 1990 This article analyzes meniscal injuries seen in 10,117 knee arthroscopies. The information was compiled by a centralized data base at Surgical Data Management. The study suggests two patterns of meniscal injuries, degenerative and traumatic. Injuries to th ... Link to item Cite