Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 89 articles


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.

Growth Diagrams for Individual Finger Strength in Children Measured with the RIHM

H. M. Molenaar PhD, Ruud W. Selles PhD, Sten P. Willemsen MSc, Steven E. R. Hovius MD, PhD, Henk J. Stam MD, PhD

Although grip and pinch strength provide a more global measure of a large number of digits and muscles, measuring strength of individual fingers or the thumb can provide additional and more detailed information regarding hand strength.

The Sensitivity and Specificity of Ultrasound for the Diagnosis of Carpal Tunnel Syndrome: A Meta-analysis

John R. Fowler MD, John P. Gaughan PhD, Asif M. Ilyas MD

Carpal tunnel syndrome (CTS) is the most commonly diagnosed compression neuropathy of the upper extremity. Current AAOS recommendations are to obtain a confirmatory electrodiagnostic test in patients for whom surgery is being considered. Ultrasound has emerged as an alternative confirmatory test for CTS; however, its potential role is limited by lack of adequate data for sensitivity and specificity relative to electrodiagnostic testing.

Determinants of Pain in Patients with Carpal Tunnel Syndrome

Fiesky Nunez MD, Ana-Maria Vranceanu PhD, David Ring MD, PhD

Carpal tunnel syndrome causes numbness, weakness, and atrophy. Pain without numbness is not characteristic of this disease.

Delayed Foreign-body Reaction to Absorbable Implants in Metacarpal Fracture Treatment

Panagiotis K. Givissis MD, PhD, Stavros I. Stavridis MD, PhD, Panayiotis J. Papagelopoulos MD, PhD, Petros D. Antonarakos MD, PhD, Anastasios G. Christodoulou MD, PhD

First-generation bioabsorbable implants have been associated with a high complication rate attributable to weak mechanical properties and rapid degradation. This has led to the development of stronger devices with improved durability. However, the modern implants have raised concerns about potential late-occurring adverse reactions.