Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 85 articles


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.