Scholars@Duke
Warren Hammert

Warren Hammert

Professor of Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications

Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures.

Journal Article Hand (N Y) · November 5, 2024 BACKGROUND: The transition to volar locking plates for the treatment of distal radius fractures has improved patients' range of motion, reduced extensor tendon issues, and hastened return to activity compared to older fixation methods or nonoperative treat ... Full text Link to item Cite

External Fixation Prior to Fasciectomy Leads to Substantial Improvement of Advanced Dupuytren's PIP Contractures at Mean Follow-up 15 Months.

Journal Article Hand (N Y) · November 2024 BACKGROUND: The Digit Widget is an external fixation device that can be used to reverse proximal interphalangeal joint (PIPJ) contractures in the hand. Our hypothesis is that usage of the Digit Widget prior to fasciectomy in patients with severe Dupuytren' ... Full text Link to item Cite

Association between electrodiagnosis and neuromuscular ultrasound in the diagnosis and assessment of severity of carpal tunnel syndrome.

Journal Article PM R · November 2024 BACKGROUND: Neuromuscular ultrasound plays an increasing role in diagnosing carpal tunnel syndrome (CTS). There are limited data supporting the correlation between the electrodiagnostic studies and ultrasound measurements in CTS. OBJECTIVE: To assess the a ... Full text Link to item Cite

Current Concepts in Diagnosis and Management of Hand Infections.

Journal Article J Hand Surg Am · October 4, 2024 Hand and upper-extremity infections span a broad spectrum of presentations for the hand surgeon, primary care provider, and emergency medicine practitioner. As many hand infections arise from penetrating trauma, knowledge of the offending pathogen, locatio ... Full text Link to item Cite

Diagnostic Accuracy of Neuromuscular Ultrasound vs. Electrodiagnostic Studies for Carpal Tunnel Syndrome: Systematic Review and Meta-analysis of Paired Accuracy Studies.

Journal Article Hand (N Y) · September 26, 2024 This systematic review with meta-analysis compared the diagnostic accuracy of neuromuscular ultrasound (NMUS) and electrodiagnostic studies (EDX) as confirmatory tests for carpal tunnel syndrome (CTS) diagnosis. We used bivariate random-effects models to e ... Full text Link to item Cite

Operative treatment of Mason Type III radial head fractures - A comparative analysis using PROMIS.

Journal Article J Orthop · June 2024 OBJECTIVES: The purpose of this study is to evaluate the outcomes of operatively treated Mason Type III radial head fractures. Additionally, this project seeks to assess efficacy of PROMIS in evaluating post-operative outcomes for this patient population. ... Full text Link to item Cite

Predictors and Variation in Steroid Injection Use for Carpal Tunnel Syndrome from a Multicenter Quality Collaborative.

Journal Article Plast Reconstr Surg · May 1, 2024 BACKGROUND: Steroid injections are commonly used as first-line treatment for carpal tunnel syndrome (CTS); however, research has shown that their benefit is generally short term, and many patients go on to receive carpal tunnel release (CTR). The purpose o ... Full text Link to item Cite

Complications and Clinical Outcomes Following Zone I Flexor Tendon Repair Using All-Inside Suture Fixation.

Journal Article J Hand Surg Am · April 2024 PURPOSE: The purpose of this study was to evaluate complications and outcomes of an all-inside repair technique for flexor digitorum profundus (FDP) avulsions. METHODS: A retrospective review of a single institution database identified all FDP avulsions th ... Full text Link to item Cite

Comparison of Low-Dose Computed Tomography Versus Conventional-Dose Computed Tomography in the Evaluation of Distal Radius Fractures.

Journal Article Hand (N Y) · March 7, 2024 BACKGROUND: Distal radius fractures (DRFs) are common upper extremity fractures and often require surgical fixation when they are intraarticular. Preoperative computed tomography (CT) has emerged as a surgical planning tool to evaluate intraarticular DRFs. ... Full text Link to item Cite

Acquired Aquagenic Syringeal Keratoderma Following COVID-19 Infection.

Journal Article Hand (N Y) · March 4, 2024 Aquagenic syringeal keratoderma (ASK), rare in males, is characterized by the rapid onset of edematous palmar wrinkling with small white papules after brief contact with water or sweat. A 24-year-old atopic male presented with a 2-week subacute history of ... Full text Link to item Cite

Clinical and Radiographic Outcomes Following Volar-Locked Plating Versus Dorsal Bridge Plating for Distal Radius Factures.

Journal Article J Hand Surg Glob Online · March 2024 PURPOSE: Distal radius fractures (DRFs) indicated for operative intervention are most commonly treated with volar-locked plating (VLP); however, dorsal bridge plating (DBP) has been used as an alternative fixation method. The purpose of this study was to u ... Full text Link to item Cite

Metacarpal and Phalangeal Malunions-Is It all About the Rotation?

Journal Article Hand Clin · February 2024 Metacarpal and phalanx fractures are common injuries that can often be managed nonoperatively with satisfactory clinical outcomes. However, loss of normal finger alignment including malrotation and severe angulation as well as intra-articular deformities c ... Full text Link to item Cite

Best-Evidence Systematic Review and Meta-Analysis of Mini-Open Carpal Tunnel Release

Journal Article Journal of Hand Surgery Global Online · January 1, 2024 Purpose: This study aimed to evaluate the safety and effectiveness of mini-open carpal tunnel release (mOCTR) using best-evidence synthesis methods. Methods: We systematically searched for prospective studies published from January 2013 to July 2023 that r ... Full text Cite

Implementation of postoperative opioid prescribing guidelines after carpal tunnel release: a quality collaborative study

Journal Article Journal of Hand Surgery: European Volume · January 1, 2024 Opioid prescribing after carpal tunnel release (CTR) is not well understood. We assessed CTR opioid prescribing within a quality collaborative after the dissemination of guidelines. Post guidelines, the odds of receiving a prescription decreased by 67%. Qu ... Full text Cite

SLAC Wrist: Proximal Row Carpectomy

Chapter · January 1, 2024 Proximal row carpectomy (PRC) is performed in the setting of symptomatic wrist arthritis to alleviate pain at the expense of wrist motion and grip strength. By removing the proximal carpal row, a new radiocapitate articulation is created. Traditionally, we ... Full text Cite

Incidence and Risk Factors for Revision Within 1 Year of Primary Carpal Tunnel Release.

Journal Article Hand (N Y) · November 19, 2023 BACKGROUND: The annual volume of carpal tunnel release (CTR) in the United States has been estimated to be 577 000 per year. Our objectives were to evaluate the incidence and risk factors for revision CTR within 1 year of primary CTR. METHODS: We identifie ... Full text Link to item Cite

Best-Evidence Systematic Review and Meta-Analysis of Endoscopic Carpal Tunnel Release Outcomes

Journal Article Journal of Hand Surgery Global Online · November 1, 2023 Purpose: The aim of this systematic review and meta-analysis was to evaluate the safety and effectiveness of endoscopic carpal tunnel release (ECTR) using best-evidence synthesis methods. Methods: A systematic search of multiple databases was conducted for ... Full text Cite

Responsiveness of PROMIS Instruments for Trigger Digit After Corticosteroid Injection or A1 Pulley Release.

Journal Article J Hand Surg Am · October 2023 PURPOSE: The purpose of the study was to determine if the patient-reported outcomes measurement information system (PROMIS) is sufficiently sensitive to detect improvement after 2 common treatments of trigger finger: corticosteroid injection or A1 pulley r ... Full text Link to item Cite

What Factors Are Associated With Revision Cubital Tunnel Release Within 3 Years?

Journal Article Clin Orthop Relat Res · October 1, 2023 BACKGROUND: It has been shown that patient demographics such as age, payer factors such as insurance type, clinical characteristics such as preoperative opioid use, and disease grade but not surgical procedure are associated with revision surgery to treat ... Full text Link to item Cite

Older Patients Demonstrate PROMIS Outcomes Comparable to Younger Cohorts After Carpal Tunnel Release.

Journal Article Hand (N Y) · September 2023 BACKGROUND: The utility of Patient-Reported Outcomes Measurement Information System (PROMIS) in monitoring clinical progress after carpal tunnel release (CTR) in patients of different ages remains unknown. We sought to evaluate early PROMIS scores in elder ... 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

Carpometacarpal Joint Pathology in the Thumb and Hand: Evaluation and Management of Difficult Conditions.

Journal Article Hand Clin · August 2023 Thumb carpometacarpal arthroplasty with complete trapeziectomy with or without suspensionplasty, ligament reconstruction, and/or tendon interposition is largely considered equivalent techniques in providing pain relief and improving function for patients w ... Full text Link to item Cite

Endoscopic Versus Open Carpal Tunnel Surgery: Risk Factors and Rates of Revision Surgery.

Journal Article J Hand Surg Am · August 2023 PURPOSE: The purpose of our study was to compare the 1-year revision surgery rates and outcomes of open versus endoscopic carpal tunnel release. Our hypothesis was that, compared to open release, endoscopic carpal tunnel release was an independent risk fac ... Full text Link to item Cite

An Analysis of Patient-Reported Outcomes Measurement Information System (PROMIS) in Non-operative Posterolateral Elbow Dislocations.

Journal Article Cureus · August 2023 INTRODUCTION: The purpose of our study is to analyze the outcomes of traumatic posterolateral elbow dislocations using patient-reported outcomes measurement information system (PROMIS). We hypothesized that physical function (PF) and upper extremity (UE) s ... Full text Open Access Link to item Cite

Bringing Patient-Reported Outcome Measures (PROMs) Into Practice: A Review of the Latest Developments in PROM Use in the Evaluation and Treatment of Carpal Tunnel Syndrome

Journal Article Journal of Hand Surgery Global Online · July 1, 2023 As health care systems globally shift toward optimizing value, defined as health outcomes achieved per dollar spent across a full cycle of care, there has been increasing focus on using patient-reported outcome measures (PROMs) to gauge success. Patient-re ... Full text Cite

Identification of Clinical and Demographic Predictors for Treatment Modality in Patients With Carpal Tunnel Syndrome.

Journal Article Hand (N Y) · July 2023 BACKGROUND: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. There are multiple treatment modalities for CTS. This study examines both clinical and demographic predictors for initial treatment modality of CTS. METHODS: Patients diagno ... Full text Link to item Cite

Using MaxDiff Analysis to Elicit Patients' Treatment Preferences for Distal Radius Fractures in Patients Aged 60 Years and Older.

Journal Article J Hand Surg Am · June 2023 PURPOSE: The objective of our study was to determine how the attributes of surgical and nonsurgical distal radius fracture (DRF) treatments affect patient treatment preferences. METHODS: Two hundred fifty patients aged 60 years and older were contacted fro ... Full text Link to item Cite

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome.

Journal Article Hand (N Y) · May 2023 BACKGROUND: Assessment of outcomes for cubital tunnel syndrome (CuTS) surgeries has been difficult due to heterogeneity in outcome reporting. Our objective was to evaluate the outcomes for 2 cohorts treated surgically for isolated CuTS and for combined CuT ... Full text Link to item Cite

State of the art review: The management of chronic vascular disorders in the hand and upper limb.

Journal Article J Hand Surg Eur Vol · April 2023 This review article summarizes the basic principles of vascular anatomy, physiology, diagnostic work-up and treatment for patients with nontraumatic upper extremity vascular disorders. Vascular disorders can be considered vasospastic or occlusive. The most ... Full text Link to item Cite

Imposter Syndrome Among Surgeons Is Associated With Intolerance of Uncertainty and Lower Confidence in Problem Solving.

Journal Article Clin Orthop Relat Res · April 1, 2023 BACKGROUND: Feelings of imposter syndrome (inadequacy or incompetence) are common among physicians and are associated with diminished joy in practice. Identification of modifiable factors associated with feelings of imposter syndrome might inform strategie ... Full text Link to item Cite

Protocol of a Multicenter Prospective Trial of Office-Based Carpal Tunnel Release With Ultrasound Guidance (ROBUST).

Journal Article Cureus · April 2023 Background Carpal tunnel release (CTR) is a common surgical procedure for patients with severe or refractory carpal tunnel syndrome (CTS) symptoms. Historically, CTR procedures have been performed in a hospital or an ambulatory surgery center (ASC). Howeve ... Full text Open Access Link to item Cite

Evaluation of Clinical Recovery After Surgical Treatment for Hand Ischemia From Vasospastic and Occlusive Disease Using PROMIS.

Journal Article Hand (N Y) · January 2023 BACKGROUND: There is a paucity of literature describing the recovery trajectory after surgery for upper extremity ischemia. Using Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), Upper Extremity (UE), Pain Interfere ... Full text Link to item Cite

A Quality Collaborative Study of the Concordance of Electrodiagnostic Scores and Clinical Severity in Carpal Tunnel Syndrome.

Journal Article Plast Reconstr Surg · December 1, 2022 BACKGROUND: Electrodiagnostic studies are commonly used to diagnose carpal tunnel syndrome. However, these examinations are prone to false-positive and false-negative values. The authors evaluated the agreement of electrodiagnostic study severity, clinical ... Full text Link to item Cite

The Interobserver Reliability of Grading of Distal Radius Volar Plate Prominence.

Journal Article J Hand Surg Am · November 2022 PURPOSE: The 3-category rating of volar plate prominence in relation to the most volar edge of the distal radius (the watershed line) on lateral radiographs was reliable among a small group of surgeons and associated with the probability of flexor tendon i ... Full text Link to item Cite

Assessing Factors Associated With Altmetric Attention Score: A Preliminary Study of 3 Hand Surgery Journals.

Journal Article Hand (N Y) · November 2022 BACKGROUND: Traditional measures of evaluating scholarly output do not capture the impact social media can provide in disseminating and promoting research. We sought to better understand the level of online attention that high-quality hand research receive ... Full text Link to item Cite

Evaluation of PROMIS Scores 6 Weeks after Conservative Management of Carpometacarpal Thumb Arthritis.

Journal Article Plast Reconstr Surg Glob Open · October 2022 UNLABELLED: Patient-reported outcome measures are being increasingly emphasized to assign value to care' given the current trend toward pay-for-performance healthcare. We sought to determine if the Patient-reported Outcomes Measurement Information System ( ... Full text Open Access Link to item Cite

Value-Based Health Care in Hand Surgery: Where Are We & Where Do We Go From Here?

Journal Article J Hand Surg Am · October 2022 Health care delivery is broken. The cost of care continues to skyrocket and the outcomes most important to patients are often a mystery. Further, care is often delivered via a fee-for-service model where surgeons are rewarded for the quantity, not the qual ... 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

Outcomes following surgical treatment of distal radial fracture: a comparison of older and younger patients using PROMIS.

Journal Article J Hand Surg Eur Vol · June 2022 The purpose of this study was to assess the recovery patterns following surgery for distal radial fracture (DRF) in patients over (n = 99) and under (n = 273) the age of 65 using the Patient-Reported Outcomes Measurement Information System (PROMIS) Physica ... Full text Link to item Cite

How to Shoot and Edit High-Quality Surgical Videos for Hand and Upper Extremity Surgery.

Journal Article J Hand Surg Am · May 2022 A surgical video can improve patient care, surgical education, as well as scientific presentations and publications. Previous authors have outlined a basic understanding of how to produce high-quality surgical videos. With continuous technological improvem ... Full text Link to item Cite

Evaluating the Impact of Patient Social Deprivation on the Level of Symptom Severity at Carpal Tunnel Syndrome Presentation.

Journal Article Hand (N Y) · March 2022 Background: There is a paucity of research examining the impact of social deprivation on the level of symptom severity at presentation, including in common hand conditions like carpal tunnel syndrome. We aimed to determine whether patient deprivation is as ... Full text Link to item Cite

Minimal Clinically Important Difference for PROMIS Physical Function and Pain Interference in Patients Following Surgical Treatment of Distal Radius Fracture.

Journal Article J Hand Surg Am · February 2022 PURPOSE: We estimated the minimal clinically important difference (MCID) for the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) and Pain Interference (PI) computer adaptive tests (CATs) following surgical treatment ... Full text Link to item Cite

Outcomes of Patients with and without Nighttime Awakening Symptoms After Carpal Tunnel Release.

Journal Article Hand (N Y) · January 2022 Background: A common symptom associated with carpal tunnel syndrome (CTS) is nighttime awakening (NTA), which typically resolves quickly following carpal tunnel release (CTR). The early improvement in those who do not wake-up at night is less clear. This s ... Full text Link to item Cite

Proximal Interphalangeal Joint Dislocations

Chapter · January 1, 2022 Review of proximal interphalangeal joint injuries and treatments thereof. ... Full text Cite

Technique Spotlight: ORIF vs. Extension Block Pinning vs. Dynamic External Fixation for Proximal Interphalangeal Joint Dislocations

Chapter · January 1, 2022 This chapter highlights techniques for proximal interphalangeal (PIP) joint dislocations and fracture-dislocations. Techniques discussed include extension block pinning, open reduction internal fixation (ORIF) with hemihamate arthroplasty, and dynamic exte ... Full text Cite

Double Crush Syndrome of the Upper Extremity.

Journal Article JBJS Rev · December 15, 2021 »: The double crush hypothesis originally proposed that compression of a peripheral nerve at a proximal site increases its susceptibility to additional distal lesions. »: The etiology of double crush syndrome is likely multifactorial as mechanical, systemi ... 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

PROMIS Measures in Patients with Ganglion Cysts: Who Chooses Surgical Excision over Non-Operative Management?

Journal Article Journal of Hand Surgery Asian-Pacific Volume · December 1, 2021 Background: Ganglion cysts are common soft tissue masses of the hand and wrist. It is unclear why some patients pursue surgical excision and others do not. The objective of this study is to compare Patient-Reported Outcomes Measurement Information Systems ... Full text 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

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

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Needs an Anchor to Correlate Pain and Satisfactory Function in New Patient Orthopaedic Visits.

Journal Article Arthroscopy · July 2021 In today's health care climate, the patient perspective is becoming increasingly important. As the health care paradigm shifts toward value-based health care, patient-reported outcomes are becoming increasingly important for not only research but for routi ... Full text Link to item Cite

Evaluation of PROMIS' Ability to Detect Immediate Postoperative Symptom Improvement Following Carpal Tunnel Release.

Journal Article J Hand Surg Am · June 2021 PURPOSE: We sought to determine whether subjective clinical improvement immediately after carpal tunnel release (CTR) was captured by Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Physical Function (PF), Pain Inter ... Full text Link to item Cite

Risk Factors for Failed Nonsurgical Treatment Resulting in Surgery on Thumb Carpometacarpal Arthritis.

Journal Article J Hand Surg Am · June 2021 PURPOSE: The thumb carpometacarpal (CMC) joint is the second most common site of osteoarthritis in the hand, yet reported symptoms and ultimate treatment decisions are not simply a function of radiographic appearance. This study aimed to determine the pati ... Full text Link to item Cite

Variation in Use of Electrodiagnostic Testing: Analysis From the Michigan Collaborative Hand Initiative for Quality in Surgery.

Journal Article J Hand Surg Am · March 2021 PURPOSE: To evaluate factors that predict the use of electrodiagnostic testing (EDS) for patients undergoing carpal tunnel release (CTR). METHODS: In this cohort study, we analyzed 553 patients who underwent primary CTR from 8 practices between July 1, 201 ... Full text Link to item Cite

Impact of Insurance Type on Self-Reported Symptom Severity at the Preoperative Visit for Carpal Tunnel Release.

Journal Article J Hand Surg Am · March 2021 PURPOSE: Prior studies evaluated the impact of insurance type on access to hand care. However, there is limited literature quantifying whether patient symptoms are worse at the time of intervention. Our primary null hypothesis was that insurance type would ... Full text Link to item Cite

Examination of the Wrist.

Journal Article Plast Reconstr Surg · February 1, 2021 LEARNING OBJECTIVES: After reading this article and reviewing the supplemental videos, the participant should be able to: 1. Identify common wrist conditions that may be encountered on evaluation. 2. Describe provocative maneuvers used to confirm a diagnos ... Full text Link to item Cite

Rheumatoid Wrist Reconstruction

Chapter · January 1, 2021 This chapter presents a case scenario of a 55-year-old woman with a history of rheumatoid arthritis (RA) who is seen with progressive deformity in her wrists and hands. The distal ulna is commonly dorsally prominent in RA due to incompetent ligamentous sta ... Full text Cite

NF-κB activation persists into the remodeling phase of tendon healing and promotes myofibroblast survival.

Journal Article Sci Signal · November 17, 2020 Although inflammation is necessary during the early phases of tissue repair, persistent inflammation contributes to fibrosis. Acute tendon injuries often heal through a fibrotic mechanism, which impedes regeneration and functional recovery. Because inflamm ... Full text Link to item Cite

ASSH 75 Years: An Update of Progress Over the Past 25 Years.

Journal Article J Hand Surg Am · November 2020 This article chronicles some of the major advancements made by the American Society for Surgery of the Hand over the past 25 years since the publication of William Newmeyer III's monograph, American Society for Surgery of the Hand: The First Fifty Years, i ... Full text Link to item Cite

Trends in the Management of Traumatic Upper Extremity Amputations.

Journal Article J Hand Surg Am · November 2020 PURPOSE: Treatment for upper extremity amputations includes revision amputation or attempted replantation. The rate of digital replantation has been declining in the United States. Prior studies discovered the presence of socioeconomic disparities associat ... Full text Link to item Cite

A Comparison of PROMIS Physical Function and Pain Interference Scores in Patients With Carpal Tunnel Syndrome: Research Collection Versus Routine Clinical Collection.

Journal Article Hand (N Y) · November 2020 Background: There is a concern that patients may answer patient-reported outcome (PRO) questionnaires differently depending on the purpose-clinical care or research (eg, "Hawthorne effect"). We sought to determine whether Patient-Reported Outcomes Manageme ... Full text Link to item Cite

Understanding PROMIS.

Journal Article J Hand Surg Am · July 2020 Patient reported outcomes (PROs) are becoming increasingly emphasized in health care. Some medical and orthopedic specialties have 1 or 2 primary PROs that are used across the discipline, whereas hand surgery has multiple PROs. The multitude of PROs gives ... Full text Link to item Cite

Operative Treatment is Not Associated with More Relief of Depression Symptoms than Nonoperative Treatment in Patients with Common Hand Illness.

Journal Article Clin Orthop Relat Res · June 2020 BACKGROUND: Depression symptoms are prevalent in the general population, and as many as one in eight patients seeing a hand surgeon may have undiagnosed major depression. It is not clear to what degree lower mood is the consequence or cause of greater symp ... Full text Link to item Cite

Hand and Wrist Tendinopathies.

Journal Article Clin Sports Med · April 2020 Tendinopathies in the hand and wrist are common in athletes. This article reviews some of the common hand and wrist conditions, such as trigger digits, first dorsal compartment tendonitis, and extensor carpi ulnaris tendonitis. In addition, it reviews less ... Full text Link to item Cite

Convolutional Neural Network for Second Metacarpal Radiographic Osteoporosis Screening.

Journal Article J Hand Surg Am · March 2020 PURPOSE: Osteoporosis and osteopenia are extremely common and can lead to fragility fractures. The purpose of this study was to determine whether a computer learning system could classify whether a hand radiograph demonstrated osteoporosis based on the sec ... Full text Link to item Cite

Preoperative PROMIS Scores Predict Postoperative PROMIS Score Improvement for Patients Undergoing Hand Surgery.

Journal Article Hand (N Y) · March 2020 Background: Patient-Reported Outcomes Measurement Information System (PROMIS) can be used alongside preoperative patient characteristics to set postsurgery expectations. This study aimed to analyze whether preoperative scores can predict significant postop ... Full text Link to item Cite

The Association Between Symptoms of Depression and Office Visits in Patients With Nontraumatic Upper-Extremity Illness.

Journal Article J Hand Surg Am · February 2020 PURPOSE: Because psychological and social factors increase symptoms and limitations, it is possible that they are also related to higher use of care. METHODS: We used a database of an academic outpatient orthopedic department in which patient-reported outc ... Full text Link to item Cite

Assessment of Anatomic Restoration of Distal Radius Fractures Among Older Adults: A Secondary Analysis of a Randomized Clinical Trial.

Journal Article JAMA Netw Open · January 3, 2020 IMPORTANCE: The value of precise anatomic restoration for distal radius fractures (DRFs) in older adults has been debated for many decades, with conflicting results in the literature. In light of the growing population of adults aged 60 years and older, bo ... 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

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

Bernstein et al reply to Dr Terwee.

Journal Article J Hand Surg Am · December 2019 Full text Link to item Cite

Depression and Pain Interference Correlate With Physical Function in Patients Recovering From Hand Surgery.

Journal Article Hand (N Y) · November 2019 Background: Patient-reported outcome measures vary more than expected based on underlying pathology, in part due to the substantial influence of mood and coping strategies. Methods: This study addressed the primary null hypothesis that the Patient-Reported ... Full text Link to item Cite

Responsiveness of the PROMIS and its Concurrent Validity with Other Region- and Condition-specific PROMs in Patients Undergoing Carpal Tunnel Release.

Journal Article Clin Orthop Relat Res · November 2019 BACKGROUND: The Patient-reported Outcome Measurement Information System (PROMIS) continues to be an important universal patient-reported outcomes measure (PROM) in orthopaedic surgery. However, there is concern about the performance of the PROMIS as a gene ... Full text Link to item Cite

A Comparison of PROMIS UE Versus PF: Correlation to PROMIS PI and Depression, Ceiling and Floor Effects, and Time to Completion.

Journal Article J Hand Surg Am · October 2019 PURPOSE: This study aimed to (1) determine the correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) with PROMIS Upper Extremity (UE) and compare the correlations of PF and UE with PROMIS Pain Interference ... Full text Link to item Cite

Patient Characteristics, Treatment, and Presenting PROMIS Scores Associated with Number of Office Visits for Traumatic Hand and Wrist Conditions.

Journal Article Clin Orthop Relat Res · October 2019 BACKGROUND: Overuse of healthcare resources is burdensome on society. Prior research has demonstrated that many patients with traumatic musculoskeletal injuries continue to seek care long after appropriate healing is well established, suggesting an overuse ... Full text Link to item Cite

Determining the Generalizability of the PROMIS Depression Domain's Floor Effect and Completion Time in Patients Undergoing Orthopaedic Surgery.

Journal Article Clin Orthop Relat Res · October 2019 BACKGROUND: Depression is common and can decrease the likelihood that a patient undergoing an orthopaedic procedure will improve after that intervention. Research at a single institution using the Patient-reported Outcomes Measurement Information System (P ... 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

Minimal Clinically Important Differences for PROMIS Physical Function, Upper Extremity, and Pain Interference in Carpal Tunnel Release Using Region- and Condition-Specific PROM Tools.

Journal Article J Hand Surg Am · August 2019 PURPOSE: Uncertainty exists about what change in Patient-Reported Outcomes Measurement Information System (PROMIS) scores represents a clinically relevant improvement (minimal clinically important difference [MCID]) in hand surgery care. Using a region-spe ... Full text Link to item Cite

Comparison of the Michigan Hand Outcomes Questionnaire, Boston Carpal Tunnel Questionnaire, and PROMIS Instruments in Carpal Tunnel Syndrome.

Journal Article J Hand Surg Am · May 2019 PURPOSE: Patient-reported outcomes are important to assess improvement after surgery. Common instruments for carpal tunnel syndrome include the Michigan Hand Outcomes Questionnaire (MHQ) and Boston Carpal Tunnel Questionnaire (CTQ). The Patient-Reported Ou ... Full text Link to item Cite

Patient-reported outcomes use during orthopaedic surgery clinic visits improves the patient experience.

Journal Article Musculoskeletal Care · March 2019 OBJECTIVES: The Patient-Reported Outcomes Measurement Information System (PROMIS) is growing in popularity as healthcare shifts towards a value-based system. However, it remains unclear if PROMIS use improves the patient experience. The aim of the present ... Full text Link to item Cite

Factors Associated With a Discretionary Upper-Extremity Surgery.

Journal Article J Hand Surg Am · February 2019 PURPOSE: Surgery for nontraumatic upper-extremity problems is largely discretionary and preference-sensitive. Psychological and social determinants of health correlate with greater symptoms and limitations and might be associated with discretionary operati ... Full text Link to item Cite

Safety in Hand Surgery: Eliminating Wrong-Site Surgery.

Journal Article Plast Reconstr Surg · October 2018 LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the definition of wrong-site surgery and what it may encompass. 2. State the causes of wrong-site hand surgery. 3. Give examples of initiatives used to preve ... Full text Link to item Cite

Necrotizing Sweet Syndrome of the Upper Extremity After Elective Hand Surgery.

Journal Article J Hand Surg Am · April 2018 Sweet syndrome, or acute febrile neutrophilic dermatosis, is a systemic disease process mainly characterized by hyperpyrexia and skin lesions. A newly described entity, necrotizing Sweet syndrome, is a severe and locally aggressive dermatological condition ... Full text Link to item Cite

Tenets of flexor and extensor tendon repair

Journal Article Current Orthopaedic Practice · January 1, 2018 Injuries to the flexor and extensor tendons frequently are seen by hand and orthopaedic surgeons. The anatomical differences between flexor and extensor tendons are paramount when considering the diagnosis and treatment options. Treatment is largely dictat ... Full text Cite

Efficacy of PROMIS Pain Interference and Likert Pain Scores to Assess Physical Function.

Journal Article J Hand Surg Am · September 2017 PURPOSE: The Patient Reported Outcome Measurement Information System (PROMIS), developed by the National Institutes of Health, utilizes a health domain related to Pain Interference (PI). We evaluated this domain and its association with physical function ( ... Full text Link to item Cite

Management of Scaphoid Fractures.

Conference Plast Reconstr Surg · August 2017 LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Understand the epidemiology, classification, and anatomy pertinent to the scaphoid. 2. Appropriately evaluate a patient with suspected scaphoid fracture, including appro ... Full text Link to item Cite

Diagnosis of true recurrent carpal tunnel syndrome

Chapter · July 3, 2017 Carpal tunnel syndrome is the most common compression neuropathy in the upper extremity. Fortunately, treatment is usually successful at relieving symptoms. Occasionally, patients will have symptom-free period followed by symptoms similar to those prior to ... Full text Cite

Effectiveness of Corticosteroid Injections for Treatment of de Quervain's Tenosynovitis.

Journal Article Hand (N Y) · July 2017 BACKGROUND: Although surgery can provide definitive treatment for de Quervain's tenosynovitis, nonoperative treatment could be preferable if symptoms are predictably relieved. We sought to determine the effectiveness of corticosteroid injections as treatme ... Full text Link to item Cite

Differences in the Treatment of Distal Radius Fractures by Hand Fellowship Trained Surgeons: A Study of ABOS Candidate Data.

Journal Article J Hand Surg Am · February 2017 PURPOSE: The management of distal radius fractures differs based on the nature of the fracture and the experience of the surgeon. We hypothesized that patients requiring surgical intervention would undergo different procedures when in the care of a surgeon ... 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

Chronic tenosynovitis of the hand caused by Mycobacterium heraklionense.

Journal Article Int J Mycobacteriol · September 2016 Non-tuberculous mycobacteria are increasingly recognized as a cause of infection in both immunocompromised and immunocompetent hosts. Mycobacterium heraklionense is a recently described member of the Mycobacterium terrae complex. Herein we report a case of ... Full text Link to item Cite

Principles of Tendon Transfer.

Journal Article Hand Clin · August 2016 Tendon transfers provide a substitute, either temporary or permanent, when function is lost due to neurologic injury in stroke, cerebral palsy or central nervous system lesions, peripheral nerve injuries, or injuries to the musculotendinous unit itself. Th ... Full text Link to item Cite

Arterialization of the Venous System for Treatment of Chronic Ischemia in the Hand.

Journal Article Plast Reconstr Surg · April 2016 Symptomatic chronic ischemia of the upper extremity is a difficult condition to treat. At a critical level of ischemia, patients suffer from intractable pain and nonhealing ulcerations and potentially necrosis. When no distal vessels are available for vasc ... Full text Link to item Cite

Interobserver Agreement of the Eaton-Glickel Classification for Trapeziometacarpal and Scaphotrapezial Arthrosis.

Journal Article J Hand Surg Am · April 2016 PURPOSE: To determine whether simplification of the Eaton-Glickel (E-G) classification of trapeziometacarpal (TMC) joint arthrosis (eliminating evaluation of the scaphotrapezial [ST] joint) and information about the patient's symptoms and examination influ ... Full text Link to item Cite

Low-Dose and Short-Duration Matrix Metalloproteinase 9 Inhibition Does Not Affect Adhesion Formation during Murine Flexor Tendon Healing.

Journal Article Plast Reconstr Surg · March 2016 BACKGROUND: After flexor tendon injury and repair, adhesion formation is a substantial concern, as it can result in loss of motion and functional disability. Matrix metalloproteinase 9 (Mmp9) is a gelatinase that contributes to degradation of extracellular ... Full text Link to item Cite

Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

Journal Article Archives of Bone and Joint Surgery · January 1, 2016 Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study ... Cite

Assessment of decisional conflict about the treatment of trigger finger, comparing patients and physicians

Journal Article Archives of Bone and Joint Surgery · January 1, 2016 Background: As an early step in the development of a decision aid for idiopathic trigger finger (TF) we were interested in the level of decisional conflict experienced by patients and hand surgeons. This study tested the null hypothesis that there is no di ... Cite

Biological Augmentation of Flexor Tendon Repair: A Challenging Cellular Landscape.

Journal Article J Hand Surg Am · January 2016 Advances in surgical technique and rehabilitation have transformed zone II flexor tendon injuries from an inoperable no-man's land to a standard surgical procedure. Despite these advances, many patients develop substantial range of motion-limiting adhesion ... Full text Link to item Cite

Volar plate/hook pin for volar lunate facet fragment

Chapter · January 1, 2016 Intra-articular fractures of the distal radius that include a separate coronal plane fragment at the volar lunate facet represent a difficult subset of fractures. They are often challenging to identify on initial radiographs. Furthermore, gaining adequate ... Full text Cite

Do Surgeons Treat Their Patients Like They Would Treat Themselves?

Journal Article Clin Orthop Relat Res · November 2015 BACKGROUND: There is substantial unexplained geographical and surgeon-to-surgeon variation in rates of surgery. One would expect surgeons to treat patients and themselves similarly based on best evidence and accounting for patient preferences. QUESTIONS/PU ... Full text Link to item Cite

Hand Sensibility, Strength, and Laxity of High-Level Musicians Compared to Nonmusicians.

Journal Article J Hand Surg Am · October 2015 PURPOSE: To determine whether musicians have more sensitive, stronger, and flexible hands than nonmusicians. METHODS: A total of 100 musicians and 100 control subjects were assessed for 2-point discrimination, Semmes-Weinstein monofilament light touch, gri ... Full text Link to item Cite

Prospective cohort study of symptom resolution outside of the ulnar nerve distribution following cubital tunnel release

Journal Article Hand · June 1, 2015 Background: Resolution of symptoms including pain, numbness, and tingling outside of the median nerve distribution has been shown to occur following carpal tunnel release. We hypothesized that a similar effect would be found after release of the ulnar nerv ... Full text Cite

Metal implant allergy.

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

Evidence-Based Hand and Upper Extremity Surgery

Journal Article Journal of Hand Surgery · February 1, 2015 Full text Cite

Radial nerve injury

Chapter · January 1, 2015 Radial nerve palsy in the child can be attributed to a variety of traumatic causes, including humeral shaft, supracondylar humerus, and Monteggia fractures, as well as congenital and pathologic etiologies. Most pediatric injuries to the radial nerve have a ... Full text Cite

Systemic EP4 Inhibition Increases Adhesion Formation in a Murine Model of Flexor Tendon Repair.

Journal Article PLoS One · 2015 Flexor tendon injuries are a common clinical problem, and repairs are frequently complicated by post-operative adhesions forming between the tendon and surrounding soft tissue. Prostaglandin E2 and the EP4 receptor have been implicated in this process foll ... Full text Open Access Link to item Cite

Options for digital nerve gap.

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

Parathyroid hormone 1-34 enhances extracellular matrix deposition and organization during flexor tendon repair.

Journal Article J Orthop Res · January 2015 Parathyroid hormone (PTH) 1-34 is known to enhance fracture healing. Tendon repair is analogous to bone healing in its dependence on the proliferation and differentiation of mesenchymal stem cells, matrix formation, and tissue remodeling.(1,2,3) We hypothe ... Full text Link to item Cite

Biomechanical studies: science (f)or common sense?

Journal Article Injury · December 2014 INTRODUCTION: It is our impression that many biomechanical studies invest substantial resources studying the obvious: that more and larger metal is stronger. The purpose of this study is to evaluate if a subset of biomechanical studies comparing fixation c ... Full text Link to item Cite

Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials

Journal Article Hand · November 15, 2014 Background: Non-surgical approaches to treatment of lateral epicondylitis are numerous. The aim of this systematic review is to examine randomized, controlled trials of these treatments. ... Full text Cite

Physical examination of the hand.

Journal Article J Hand Surg Am · November 2014 Examination of the hand is an essential piece of a hand surgeon's skill set. This current concepts review presents a systematic process of performing a comprehensive physical examination of the hand including vascular, sensory, and motor assessments. Evalu ... Full text Link to item Cite

Interobserver variability in the treatment of little finger metacarpal neck fractures.

Journal Article J Hand Surg Am · September 2014 PURPOSE: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. METHODS: Members of the Science of ... Full text Link to item Cite

Evidence-based medicine: Metacarpal fractures.

Journal Article Plast Reconstr Surg · May 2014 LEARNING OBJECTIVES: After studying this article, the participant should be able to: (1) Determine the need for operative treatment of metacarpal fractures. (2) Describe the position of immobilization for nonoperative treatment of fifth metacarpal fracture ... Full text Link to item Cite

Adverse effects of common oral antibiotics.

Journal Article J Hand Surg Am · May 2014 Full text Link to item Cite

Predictors of functional outcomes after simple decompression for ulnar neuropathy at the elbow: a multicenter study by the SUN study group.

Journal Article Arch Phys Med Rehabil · April 2014 OBJECTIVE: To identify predictors of surgical outcome for ulnar neuropathy at the elbow (UNE). DESIGN: Prospective cohort followed for 1 year. SETTING: Clinics. PARTICIPANTS: Patients diagnosed with UNE (N=55). INTERVENTION: All subjects had simple decompr ... Full text Link to item Cite

Metacarpal fractures: Treatment and complications

Journal Article Hand · January 1, 2014 Metacarpal fractures comprise between 18-44 % of all hand fractures. Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [19]. The majority of metacarpal fractures are isolated injuries, w ... Full text Cite

Evolution of basal joint arthroplasty and technology in hand surgery.

Journal Article J Hand Ther · 2014 There are many surgical procedures that provide pain relief and improve function for trapeziometacarpal (TM) arthritis. The aim of this article is to review the history of surgical treatment of thumb basal joint arthritis and to discuss some of the recent ... Full text Link to item Cite

Current trends in the management of proximal interphalangeal joint injuries of the hand.

Journal Article Plast Reconstr Surg · November 2013 Injuries to the proximal interphalangeal joint are commonly encountered by the hand surgeon. Proper diagnosis and treatment are vital for optimal outcomes. Proper treatment of these injuries requires a working knowledge of the anatomy of the joint and an a ... Full text Link to item Cite

High-pressure injection injuries in the hand: current treatment concepts.

Journal Article Plast Reconstr Surg · October 2013 BACKGROUND: High-pressure injection injury to the hand and upper extremity is a rare but very serious clinical entity. The objective of this article was to review the current available literature and highlight important topics. METHODS: A PubMed literature ... Full text Link to item Cite

Current concepts in the evaluation and treatment of mallet finger injury.

Journal Article Plast Reconstr Surg · October 2013 The mallet finger is a frequently encountered fingertip injury that leads to extensor lag of the distal phalanx. Classification systems stratify these injuries as ranging from soft-tissue disruption of the extensor mechanism alone to those that have articu ... Full text Link to item Cite

Anesthesia techniques

Chapter · September 26, 2013 Cite

Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability.

Journal Article J Hand Surg Am · September 2013 PURPOSE: To evaluate the reliability and accuracy of diagnosis of scapholunate dissociation (SLD) among AO type C (compression articular) fractures of the distal radius. METHODS: A total of 217 surgeons evaluated 21 sets of radiographs with type C fracture ... Full text Link to item Cite

Ulnar neuropathy at the elbow: an evidence-based algorithm.

Journal Article Hand Clin · August 2013 Ulnar neuropathy at the elbow is the second most common compression neuropathy of the upper extremity and poses a challenge for treating physicians. Lack of a standardized grading system, outcome measures, or surgical indications can make treatment decisio ... Full text Link to item Cite

Preface

Journal Article Hand Clinics · August 1, 2013 Full text Cite

Timing and appropriate use of electrodiagnostic studies.

Journal Article Hand Clin · August 2013 Electrodiagnostic studies are powerful tools used to objectively examine the physiologic status of a nerve. These consist of nerve conduction studies, which directly examine motor and sensory function of the nerve, and electromyography, which examines spon ... Full text Link to item Cite

Rehabilitation following extensor tendon repair.

Journal Article J Hand Surg Am · August 2013 Full text Link to item Cite

An outcome study for ulnar neuropathy at the elbow: a multicenter study by the surgery for ulnar nerve (SUN) study group.

Journal Article Neurosurgery · June 2013 BACKGROUND: Many instruments have been developed to measure upper extremity disability, but few have been applied to ulnar neuropathy at the elbow (UNE). OBJECTIVE: We measured patient outcomes following ulnar nerve decompression to (1) identify the most a ... Full text Link to item Cite

Comparison of an all-inside suture technique with traditional pull-out suture and suture anchor repair techniques for flexor digitorum profundus attachment to bone.

Journal Article J Hand Surg Am · June 2013 PURPOSE: One goal in repairing zone 1 flexor digitorum profundus (FDP) injuries is to create a tendon-bone construct strong enough to allow early rehabilitation while minimizing morbidity. This study compares an all-inside suture repair technique biomechan ... 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

Variation in recommendation for surgical treatment for compressive neuropathy.

Journal Article J Hand Surg Am · May 2013 PURPOSE: It is our impression that there is substantial, unexplained variation in hand surgeon recommendations for treatment of peripheral mononeuropathy. We tested the null hypothesis that specific patient and provider factors do not influence recommendat ... Full text Link to item Cite

Trend of recovery after simple decompression for treatment of ulnar neuropathy at the elbow.

Journal Article Plast Reconstr Surg · April 2013 BACKGROUND: Although numerous studies have investigated long-term outcomes after surgical treatment of ulnar neuropathy at the elbow with simple decompression, no study has evaluated the trend of postoperative recovery. The authors assessed timing of recov ... Full text Link to item Cite

Posttraumatic distal ulnar physeal arrest: A case report and review of the literature

Journal Article Hand · March 1, 2013 We report the case of a 12-year-old male who sustained a Salter-Harris (SH) type IV physeal fracture of the distal ulna and a SH type II fracture of the distal radius. At 34 months later, he presented with activity-related wrist pain and ulnar variance of ... Full text Cite

Measurement scales in clinical research of the upper extremity, part 2: outcome measures in studies of the hand/wrist and shoulder/elbow.

Journal Article J Hand Surg Am · February 2013 Part 1 of this article outlined the basic characteristics of useful clinical measurement instruments and described scales used to measure general health, pain, and patient satisfaction. Part 2 describes the features of some of the scales most commonly used ... Full text Link to item Cite

Measurement scales in clinical research of the upper extremity, part 1: General principles, measures of general health, pain, and patient satisfaction

Journal Article Journal of Hand Surgery · January 1, 2013 Measurement is a fundamental cornerstone in all aspects of scientific discovery, including clinical research. To be useful, measurement instruments must meet several key criteria, the most important of which are satisfactory reliability, validity, and resp ... Full text Cite

Flexor tendon rehabilitation.

Journal Article J Hand Surg Am · November 2012 Full text Link to item Cite

Medical management of acute gout.

Journal Article J Hand Surg Am · October 2012 Full text Link to item Cite

Perioperative management of rheumatoid medications.

Journal Article J Hand Surg Am · September 2012 Full text Link to item Cite

Overview of injectable corticosteroids.

Journal Article J Hand Surg Am · August 2012 Full text Link to item Cite

Distal metaphyseal ulnar-shortening osteotomy: surgical technique.

Journal Article J Hand Surg Am · May 2012 Ulnar impaction is a common condition encountered by hand surgeons. Historically, treatment of this condition has been with wafer resection of the distal ulna, by either open or arthroscopic means, or diaphyseal ulnar shortening osteotomy; however, both of ... Full text Link to item Cite

Biomechanical measurements of forearm pronosupination with common methods of immobilization.

Journal Article J Hand Surg Am · May 2012 PURPOSE: To define the pronosupination arc for various types of forearm immobilization. We hypothesized that these methods of immobilization offer control of forearm pronosupination proportional to the loss of elbow motion, and that the Muenster cast may o ... Full text Link to item Cite

In reply

Journal Article Journal of Hand Surgery · April 1, 2012 Full text Cite

Thumb carpometacarpal joint arthrodesis

Chapter · February 13, 2012 Cite

Cutaneous malignancies of the upper extremity.

Journal Article J Hand Surg Am · February 2012 Cutaneous malignancies are the most common primary malignancies of the hand. The hand surgeon may be the first physician to see these patients or may have the patients referred to them because of expertise in this anatomical region. This article reviews di ... Full text Link to item Cite

In reply

Journal Article Journal of Hand Surgery · January 1, 2012 Full text Cite

Epinephrine and hand surgery

Journal Article Journal of Hand Surgery · January 1, 2012 Full text Cite

Revascularization of the ischemic hand with arterialization of the venous system.

Journal Article J Hand Surg Am · December 2011 Chronic ischemia in the upper extremity is a challenging condition for both patients and surgeons. When ischemia reaches a critical level, tissue loss ensues, which results in necrosis of fingers at various levels. Amputation of necrotic digits, without ad ... Full text Link to item Cite

Dupuytren contracture.

Journal Article J Hand Surg Am · December 2011 Full text Link to item Cite

Rheumatoid Wrist Reconstruction (Arthrodesis and Arthroplasty)

Chapter · October 31, 2011 Rheumatoid arthritis commonly affects the upper limb and causes disabling functional problems. Although hand deformities are more obvious, the proximally involved joints such as the wrist and the elbow require treatments first to provide a stable platform ... Full text Cite

Treatment of nonunion and malunion following hand fractures.

Journal Article Clin Plast Surg · October 2011 Hand fractures account for about 1.5% of all emergency room visits and 40% of upper extremity fractures. Unfortunately, complications occur following these injuries. When the underlying osseous structure is affected with nonunion or malunion, it can furthe ... Full text Link to item Cite

Evaluation of knowledge of common hand surgery problems in internal medicine and emergency medicine residents.

Journal Article Orthopedics · July 7, 2011 Musculoskeletal disorders are the principal reason for primary care outpatient visits and make up 14% of visits to emergency departments, with the upper extremity as the most common site affected. However, formal musculoskeletal education is inconsistent i ... Full text Link to item Cite

Arterial steal syndrome.

Journal Article J Hand Surg Am · June 2011 Full text Link to item Cite

Impact of Smad3 loss of function on scarring and adhesion formation during tendon healing.

Journal Article J Orthop Res · May 2011 Studies were performed evaluating the role of Smad3, a transcription factor mediating canonical TGF-β signaling, on scarring and adhesion formation using an established flexor digitorum longus (FDL) tendon repair model. In unoperated animals the metatarsop ... Full text Link to item Cite

Anticoagulation following digital replantation

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

Arterial grafts for vascular reconstruction in the upper extremity

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

Management of upper limb amputations

Journal Article Journal of Hand Surgery · January 1, 2011 Acquired upper extremity amputations beyond the finger can have substantial physical, psychological, social, and economic consequences for the patient. The hand surgeon is one of a team of specialists in the care of these patients, but the surgeon plays a ... Full text Cite

Update on advances in upper extremity prosthetics

Journal Article Journal of Hand Surgery · January 1, 2011 Upper extremity amputations are common. Fortunately, most of these involve loss of only a finger or portion thereof. Hand and upper limb surgeons are best suited to lead the team and help these patients following these injuries. Proximal amputations can be ... Full text Cite

Upper extremity surgery after lymph node dissection

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

Lessons learned reconstructing complex scalp defects using free flaps and a cranioplasty in one stage.

Journal Article J Craniofac Surg · July 2010 BACKGROUND: The purpose of this study was to review our experience in single-stage reconstruction of skull and scalp defects, aiming to highlight pitfalls in our management. METHODS: We performed a retrospective chart review of all patients who had a singl ... Full text Link to item Cite

Tumoral calcinosis - Or is it? a case report and review

Journal Article Hand · January 1, 2009 Tumoral calcinosis is an uncommon lesion, composed of ectopic calcified tissue, most commonly seen in the large joints of the hips, shoulders, and elbows, but may involve the hand and wrist. Patients will often present with localized swelling and reduced m ... Full text Cite

Methods of scalp revision for deep brain stimulator hardware: case report.

Journal Article Neurosurgery · March 2008 OBJECTIVE: The use of deep brain stimulation (DBS) to treat a variety of disorders has expanded and will result in an increasingly larger number of patients and implanted electrodes. Hardware failure can result from malfunction, lead migration, fracture, a ... Full text Link to item Cite

Dupuytren's Contracture

Chapter · January 1, 2008 Full text Cite

Soft tissue coverage of the hand and wrist

Journal Article Current Opinion in Orthopaedics · July 1, 2007 PURPOSE OF REVIEW: Soft tissue defects in the hand and wrist pose a challenging problem for surgeons involved in their care. A variety of local and regional flaps, as well as free tissue transfer options have been described. All of these are useful, but we ... Full text Cite

Coronal-posterior approach for face/scalp flap harvesting in preparation for face transplantation.

Journal Article J Reconstr Microsurg · August 2006 This report describes the development of a new technique for harvesting facial allograft for facial transplantation. The coronal-posterior surgical approach for facial/scalp flap harvesting from donor cadavers has been developed to allow extended length to ... Full text Link to item Cite

Laparoscopic injury and repair of obturator nerve during radical prostatectomy

Journal Article Urology · January 1, 2004 A 61-year-old man with bilateral Gleason score 7 (3+4) clinical Stage T1c prostate cancer was treated with laparoscopic bilateral pelvic lymphadenectomy and radical prostatectomy. The left obturator nerve was inadvertently transected during left obturator ... Full text Cite

Free-flap reconstruction of traumatic lower extremity wounds.

Journal Article Am J Orthop (Belle Mead NJ) · September 2000 A retrospective review of 20 free-tissue transfers for reconstruction of traumatic lower extremity wounds was undertaken. The wounds consisted of Gustilo type IIIb injuries resulting from motor vehicle accidents, falls, motorcycle and four-wheel, all-terra ... Link to item Cite

Odontogenic infections: management and treatment.

Journal Article J Okla Dent Assoc · 1993 Link to item Cite