Journal ArticleEuropean Journal of Plastic Surgery · December 1, 2024
Cubital tunnel syndrome can present after massive weight loss due to the loss of protective adipose tissue around the elbow. However, surgical access to the cubital tunnel is challenging in this patient population due to severe upper arm skin excess. We pr ...
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Journal ArticleJ 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 ...
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Journal ArticleHand (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 ...
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Journal ArticleHand (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 ...
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Journal ArticleHand (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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ Hand Surg Am · November 2023
PURPOSE: The purpose of this study was to analyze the quality and readability of the information generated by an online artificial intelligence (AI) platform regarding 4 common hand surgeries and to compare AI-generated responses to those provided in the i ...
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Journal ArticleHand 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. ...
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Journal ArticleJ Hand Surg Glob Online · July 2023
Carpal and cubital tunnel syndrome can cause debilitating pain and weakness in the hand and upper extremities. Although most patients have a resolution of their symptoms after primary decompression, managing those with recalcitrant neuropathies is challeng ...
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Journal ArticleHand (N Y) · May 26, 2023
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 ...
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Journal ArticleJ Am Acad Orthop Surg · April 1, 2023
Management of soft-tissue injuries is a critical principle in the treatment of orthopaedic trauma. Understanding the options for soft-tissue reconstruction is vital for successful patient outcomes. Application of dermal regenerative templates (DRTs) in tra ...
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Journal ArticleHand (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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleHand (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 ...
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Journal ArticleEuropean Journal of Plastic Surgery · December 1, 2024
Cubital tunnel syndrome can present after massive weight loss due to the loss of protective adipose tissue around the elbow. However, surgical access to the cubital tunnel is challenging in this patient population due to severe upper arm skin excess. We pr ...
Full textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleHand (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 textLink to itemCite
Journal ArticleHand (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 textLink to itemCite
Journal ArticleHand (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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ Hand Surg Am · November 2023
PURPOSE: The purpose of this study was to analyze the quality and readability of the information generated by an online artificial intelligence (AI) platform regarding 4 common hand surgeries and to compare AI-generated responses to those provided in the i ...
Full textLink to itemCite
Journal ArticleHand 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 textLink to itemCite
Journal ArticleJ Hand Surg Glob Online · July 2023
Carpal and cubital tunnel syndrome can cause debilitating pain and weakness in the hand and upper extremities. Although most patients have a resolution of their symptoms after primary decompression, managing those with recalcitrant neuropathies is challeng ...
Full textLink to itemCite
Journal ArticleHand (N Y) · May 26, 2023
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 textLink to itemCite
Journal ArticleJ Am Acad Orthop Surg · April 1, 2023
Management of soft-tissue injuries is a critical principle in the treatment of orthopaedic trauma. Understanding the options for soft-tissue reconstruction is vital for successful patient outcomes. Application of dermal regenerative templates (DRTs) in tra ...
Full textLink to itemCite
Journal ArticleHand (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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleHand (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 textLink to itemCite
Journal ArticleJSES 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 ...
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Journal ArticleJ Am Acad Orthop Surg · June 1, 2021
BACKGROUND: The opioid misuse crisis focused attention on opioid overprescribing prompting legislation, limiting prescribing. The purpose of this study was to evaluate of opioid filling surrounding carpal tunnel release (CTR) with the hypothesis that filli ...
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Journal ArticleJ 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 ...
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Journal ArticleJ Hand Surg Am · March 2021
PURPOSE: Attending surgeons must participate in critical and key portions of procedures and otherwise be immediately available. However, surgeon-defined standards of the critical and key portions of surgery have been questioned, potentially affecting train ...
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Journal ArticleJSES 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 ...
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Journal ArticleHand (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 ...
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Journal ArticleJ Pediatr Orthop · August 2020
BACKGROUND: The primary purpose of this study was to compare the number of pitches thrown by youth baseball players under the official league guidelines versus the number of "high-effort" throws recorded by a validated digital sensor worn by the players du ...
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Journal ArticleAm 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) ...
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Journal ArticleJ Shoulder Elbow Surg · April 2020
BACKGROUND: Although previous studies have measured general proximal forearm bone mineral density (BMD), no study has systematically mapped the 3-dimensional trabecular BMD of the proximal ulna. The aim of this study was to describe the 3-dimensional distr ...
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Journal ArticleHand (N Y) · January 2020
Background: Distal radius (DR) fractures demonstrate patterns of predictable fragments. Bone mineral density (BMD) measurements of these regions of interest (ROIs) may guide more precise treatment. Methods: Computed tomography (CT) scans of the DR of 42 he ...
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Journal ArticleJournal of Orthopaedic Trauma · November 2018
Objectives:To determine if mean ultimate strength or failure mechanism differed between comminuted olecranon fractures created at the proximal 25% or 50% of the trochlear notch and fixed ...
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Journal ArticleHAND · January 2018
Background: The deep portion of the distal radioulnar ligaments (DRUL) inserts on the ulnar fovea and is the most important stabilizer of the distal radioulnar joint (DRUJ). Ulnar styloid base fractures that include the ulnar fovea may cause DRUJ ...
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Journal ArticleThe Journal of Hip Surgery · June 2017
AbstractPreoperative hip joint space width (JSW) of ≤2 mm on plain radiography has been shown to be predictive of intraoperative findings of osteoarthritis, worse functional outcomes, and failure to total hip arthroplasty f ...
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Journal ArticlePediatric Emergency Care · May 2017
ObjectivesThe aim of the study was to describe the long leg cast with a pelvic band (LLCPB), a novel alternative to spica casting for treating femur fractures in patients aged 6 months to ...
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