J Hand Surg Eur Vol. 2021 Feb 27:1753193421998252. doi: 10.1177/1753193421998252. Online ahead of print.ABSTRACTThis retrospective study evaluates outcomes after treatment of upper-extremity soft tissue sarcoma in 44 patients. We re-resected 19 tumours that had been resected elsewhere without adequate preoperative planning, and we made 25 well-planned primary resections. Four patients in the unplanned group and five in the planned group eventually received amputations. Thirty-three patients were alive at a median follow-up time of 33 months (IQR 18 to 57). Tumour size > 7 cm, tumour Grade 3 and the presence of distant organ metastases were the main factors affecting the oncological outcomes. We found no statistical differences between the planning groups. Functional outcomes and quality...
CONCLUSIONS: The hand is a common location of exostoses development for MHE patients. Although some exostoses in the hands regress with skeletal maturity, hand involvement by exostoses can result in angular deformity.TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic IV.PMID:33642092 | DOI:10.1016/j.jhsa.2020.12.011 (Source: Hand Surgery)
CONCLUSION: NLR is a predictive marker of cAD, with a cut-off point of 4.2 being the best diagnostic approach.PMID:33643646 | PMC:PMC7895691 | DOI:10.1016/j.amsu.2021.01.076 (Source: Hand Surgery)
DISCUSSION: Out of 9 ilioinguinal flaps mild, marginal necrosis was the only complication in 2 patients without flap loss. Mean hospital stay was 26.44 days (range, 18-41 days), with return to full weight-bearing after a mean of 12 weeks (range 9-25 weeks) after discharge. Functional thumb opposition to allow pencil prehension was achieved in all three cases of resection of first carpal row resection without postoperative complications.PMID:33645421 | DOI:10.1080/2000656X.2021.1884083 (Source: Hand Surgery)
CONCLUSIONS: Laser systems, and specifically the fractional ablative lasers CO2 and Er:YAG, improved various characteristics of excessive scarring. An overview of preferred laser modality per scar characteristic is presented. Accounting for the methodological quality and the level of evidence of the data, future research in the form of randomized trials with comparable standardized scar scales is needed to confirm these results.PMID:33645505 | DOI:10.1016/j.bjps.2020.08.108 (Source: Hand Surgery)
Authors: Chen J, Zhong Chen Q
PMID: 33601970 [PubMed - in process] (Source: Hand Surgery)
Authors: Hems T
PMID: 33601971 [PubMed - in process] (Source: Hand Surgery)
Conclusion: White-eyed orbital blowout fracture in kids though uncommon need prompt diagnosis and management for complete recovery. The initial clinical presentation mimics that of head injury and hence can be missed, leading to a delay in diagnosis resulting in incomplete recovery.
PMID: 33584039 [PubMed] (Source: Hand Surgery)
Authors: Park I, Shim JC, Kim C, Lee JK
Carpal tunnel syndrome (CTS) is the most common type of entrapment neuropathy. The majority of CTS cases are idiopathic and affect females between 40 and 60 years old. Conversely, this report describes two female patients in their mid-30's diagnosed with CTS caused by a median artery in the carpal tunnel using ultrasonography. We visualized the median artery which emerged from the radial artery and common interosseous artery in the proximal forearm of each patient by magnetic resonance angiography (MRA) before surgery. After the vertical incision of the transverse carpal ligament, the anomalous vessel was encountered, which ran over the median nerve at the radial aspect, and a simple mini-open procedure was performed for carpal tunne...
Conclusions: This study demonstrated that the use of a simple scoring system was able to improve parental understanding of the severity and prognosis of CHD. The system demonstrated a good correlation between surgeon and parents. Such a scoring system can be easily utilised in the outpatient department to manage expectations and reduce anxiety.
PMID: 33559574 [PubMed - in process] (Source: Hand Surgery)