Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 85 articles


Open versus Endoscopic Carpal Tunnel Release: A Meta-analysis of Randomized Controlled Trials

Eli T. Sayegh BS, Robert J. Strauch MD

Carpal tunnel syndrome is a common compressive neuropathy of the median nerve. The efficacy and safety of endoscopic versus open carpal tunnel release remain controversial.

Prevalence of Triangular Fibrocartilage Complex Abnormalities Regardless of Symptoms Rise With Age: Systematic Review and Pooled Analysis

Jimmy J. Chan BSc, Teun Teunis MD, David Ring MD, PhD

Triangular fibrocartilage complex abnormalities seem to be more common with age, but the degree to which this is so, and the degree to which the presence of an abnormality is associated with symptoms, are topics of controversy.

CORR® ORS Richard A. Brand Award for Outstanding Orthopaedic Research: Engineering Flexor Tendon Repair With Lubricant, Cells, and Cytokines in a Canine Model

Chunfeng Zhao MD, Yasuhiro Ozasa MD, PhD, Ramona L. Reisdorf BS, Andrew R. Thoreson MS, Gregory D. Jay MD, PhD, Kai-Nan An PhD, Peter C. Amadio MD

Adhesions and poor healing are complications of flexor tendon repair.

What is the Minimum Clinically Important Difference in Grip Strength?

Jae Kwang Kim MD, PhD, Min Gyue Park MD, Sung Joon Shin MD

Grip strength reflects functional status of the upper extremity and has been used in many of the clinical studies regarding upper extremity disease or fracture. However, the smallest difference in grip strength that a patient would notice as an improvement resulting from treatment (defined as the minimum clinically important difference [MCID]), to our knowledge has not been determined.

Carpal Tunnel Syndrome Impairs Thumb Opposition and Circumduction Motion

Tamara L. Marquardt BS, Raviraj Nataraj PhD, Peter J. Evans MD, PhD, William H. Seitz MD, Zong-Ming Li PhD

Carpal tunnel syndrome is associated with sensory and motor impairments resulting from the compressed and malfunctioning median nerve. The thumb is critical to hand function, yet the pathokinematics of the thumb associated with carpal tunnel syndrome are not well understood.

When Do Patients With Hand Illness Seek Online Health Consultations and What Do They Ask?

Jan Paul Briet MD, Michiel G. Hageman MD, Robin Blok BSc, David Ring MD, PhD

Several websites allow people to post health questions and get answers from doctors. Knowing more about what patients seek from these websites might help in-office educational efforts, but little is known about what occurs on these sites.

Surgical Treatment of Trapeziometacarpal Joint Arthritis: A Historical Perspective

Vincent R. Hentz MD

The trapeziometacarpal (TMC) joint’s unique anatomy and biomechanics render it susceptible to degeneration. For 60 years, treatment of the painful joint has been surgical when nonoperative modalities have failed. Dozens of different operations have been proposed, including total or subtotal resection of the trapezium or resection and implant arthroplasty. Proponents initially report high levels of patient satisfaction, but longer-term reports sometimes fail to support initial good results. To date, no one procedure has been shown to be superior to another.

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Terri Wolfe ORT/LCHT, Jennifer Y. Chu MD, Tammy Woods MD, John D. Lubahn MD

There are a variety of postoperative immobilization and therapy options for patients with basal joint arthritis. Although prior systematic reviews have compared surgical procedures used to treat basal joint arthritis, none to our knowledge compares therapy protocols for this condition, which are considered an important part of the treatment.

Death, Taxes, and Trapeziometacarpal Arthrosis

Stéphanie J. E. Becker MD, Jan Paul Briet MD, Michiel G. J. S. Hageman MD, David Ring MD, PhD

Hand surgeons treat trapeziometacarpal arthrosis as if everyone with the disease presents for treatment despite evidence that suggests that trapeziometacarpal arthrosis is a normal part of human aging for which—it seems safe to assume—most people never seek medical attention.

Abbreviated Psychologic Questionnaires Are Valid in Patients With Hand Conditions

Arjan G. J. Bot MD, Stéphanie J. E. Becker MD, C. Niek Dijk MD, PhD, David Ring MD, PhD, Ana-Maria Vranceanu PhD

The Pain Catastrophizing Scale (PCS) and Short Health Anxiety Inventory (SHAI) can help hand surgeons identify opportunities for psychologic support, but they are time consuming. If easier-to-use tools were available and valid, they might be widely adopted.