Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 85 articles


Does Carpal Tunnel Release Provide Long-Term Relief in Patients with Hemodialysis-Associated Carpal Tunnel Syndrome?

Ho Jung Kang MD, Il Hyun Koh MD, Won Yong Lee MD, Yun Rak Choi MD, Soo Bong Hahn MD

Carpal tunnel syndrome (CTS) is a common complication in patients receiving long-term hemodialysis. In the short-term however, these patients are less likely to have pain relief and restoration of function after carpal tunnel release. However, it is unclear whether patients who have release for hemodialysis-associated CTS have differing persisting relief of symptoms compared with patients with idiopathic CTS.

Training Improves Interobserver Reliability for the Diagnosis of Scaphoid Fracture Displacement

Geert A. Buijze MD, Thierry G. Guitton PhD, C. Niek Dijk MD, PhD, David Ring MD, PhD

The diagnosis of displacement in scaphoid fractures is notorious for poor interobserver reliability.

The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Hyuk Jin Lee MD, Nam-Jong Paik MD, Jae-Young Lim MD, Ki Woong Kim MD, Hyun Sik Gong MD

Interpreting the impact of hand osteoarthritis (OA) on hand function is complicated owing to the multiple digits and joints in the hand.

Influence of Screw Design, Sex, and Approach in Scaphoid Fracture Fixation

Geert Meermans MD, Frederik Verstreken MD

Screw fixation of scaphoid fractures has gained popularity. A long central screw has been shown to be biomechanically advantageous.

Allogenic Serum Improves Cold Preservation of Osteochondral Allografts

Kenji Onuma MD, PhD, Ken Urabe MD, PhD, Kouji Naruse MD, PhD, Kentaro Uchida PhD, Moritoshi Itoman MD, PhD

Although several types of culture medium have been used for preservation of osteochondral allografts, the viability of chondrocytes decreases with increasing storage duration. We previously showed the University of Wisconsin solution is more suitable for graft preservation than culture medium.

Diagnostic Performance Tests for Suspected Scaphoid Fractures Differ with Conventional and Latent Class Analysis

Geert A. Buijze MD, Wouter H. Mallee MD, Frank J. P. Beeres MD, PhD, Timothy E. Hanson PhD, Wesley O. Johnson PhD, David Ring MD, PhD

Evaluation of the diagnostic performance characteristics of radiographic tests for diagnosing a true fracture among suspected scaphoid fractures is hindered by the lack of a consensus reference standard. Latent class analysis is a statistical method that takes advantage of unobserved, or latent, classes in the data that can be used to determine diagnostic performance characteristics when there is no consensus reference (gold) standard.

Higher Expression of Myosin Heavy Chain IIx in Wrist Flexors in Cerebral Palsy

Stefan Gantelius MD, Yvette Hedström BS, Eva Pontén MD, PhD

Children with cerebral palsy (CP) use their paretic arm less than normal but have a relative overactivity of wrist flexors, causing an impairing flexed position of the wrist. Voluntary use of a muscle downregulates myosin heavy chain (MyHC) IIx, but it is unclear whether the relative overactivity of wrist flexors and extensors in children with CP affects MyHC expression compared to normal subjects.

Arthroscopic Scapholunate Joint Reduction. Is an Effective Treatment for Irreparable Scapholunate Ligament Tears?

Martín Caloia MD, Hugo Caloia MD, Enrique Pereira MD

Irreparable tears to the scapholunate (SL) interosseous ligament area are common causes of mechanical wrist pain and yet treatment of this condition remains challenging. The reduction association of the SL joint (RASL) technique alleviates pain while preserving wrist function by creating a fibrous pseudarthrosis stabilized by a cannulated screw placed through the SL joint. Although arthroscopic RASL (ARASL) is a minimally invasive alternative to the open procedure, its effectiveness in controlling pain and preserving wrist function has not been established.

Case Report: Pseudotendon Formation after a Type III Flexor Digitorum Profundus Avulsion

Nick Pappas MD, A. Nicolas Gay MD, Nancy Major MD, David Bozentka MD

Avulsion of the flexor digitorum profundus tendon is a common injury to the hand that virtually always requires surgical repair for restoration of normal finger function.

Distal Radius Osteotomy with Volar Locking Plates Based on Computer Simulation

Junichi Miyake MD, Tsuyoshi Murase MD, PhD, Hisao Moritomo MD, PhD, Kazuomi Sugamoto MD, PhD, Hideki Yoshikawa MD, PhD

Corrective osteotomy using dorsal plates and structural bone graft usually has been used for treating symptomatic distal radius malunions. However, the procedure is technically demanding and requires an extensive dorsal approach. Residual deformity is a relatively frequent complication of this technique.