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Hand/Wrist News
Surgical fixation not necessary for concomitant distal ulna fracture during ORIF of distal radius fracture
BOSTON — High rates of healing and similar range of motion were seen in cases of distal radius fracture treated with open reduction and internal fixation and concomitant ulna fracture whether the distal ulna was treated either operatively or nonoperatively, according to a presentation at the American Society for Surgery of the Hand Annual Meeting.
Lidocaine injection for trigger finger linked with more pain without delayed benefits of pain relief vs placebo
BOSTON — Patients with trigger finger who received an injection of lidocaine with corticosteroid experienced more pain without significant delayed benefits of pain relief compared to a placebo group, according to results presented here.
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Proximal row carpectomy may yield better results for scapholunate advance collapse, scaphoid non-union advanced collapse wrists
BOSTON — Results presented at the American Society for Surgery of the Hand Annual Meeting showed proximal row carpectomy may yield better outcomes among patients with stage 2 scapholunate advanced collapse or scaphoid non-union advanced collapse patterns of wrist arthritis compared with four-corner arthrodesis.
VIDEO: Consider non-opioid treatment after carpel tunnel release, presenter says
BOSTON — At the American Society for Surgery of the Hand Annual Meeting, Asif M. Ilyas, MD, spoke about a study that compared the use of acetaminophen, ibuprofen and oxycodone after hand surgery. He said surgeons should consider giving patients a non-opioid for pain management after carpel tunnel release.
Arthroscopy added to ORIF for distal radius fractures may not improve function
BOSTON — Patients with displaced intra-articular distal radius fractures who underwent arthroscopy in addition to open reduction and internal fixation did not experience better function compared with open reduction and internal fixation alone, according to results presented here.
Collagenase injections for Dupuytren’s contracture seen as safe with anticoagulation
BOSTON — Results presented at the American Society for Surgery of the Hand Annual Meeting showed collagenase injections for Dupuytren’s contracture were safe in patients who were anticoagulated, regardless of the type of anticoagulation.
Collagenase injection, needle fasciotomy had similar outcomes for Dupuytren’s contracture
BOSTON — Despite more pain and larger skin ruptures directly after treatment among patients who received collagenase injection, investigators found no significant differences between the treatment and percutaneous needle fasciotomy for Dupuytren’s contracture.
Surgical reduction of brachial plexus injuries in children may yield greater abduction contracture
BOSTON — Compared with patients who had no reduction, pediatric patients with brachial plexus injuries who required surgical reduction experienced greater abduction contracture, which may lead to greater overhead motion but showed high risk for loss of midline function and lower perceived outcomes, according to results presented at the American Society for Surgery of the Hand Annual Meeting.
Prolonged need for opioids after surgery unlikely to develop without prior exposure to controlled substances
BOSTON — Results presented at the American Society for Surgery of the Hand Annual Meeting showed patients undergoing upper extremity surgery were unlikely to develop a prolonged need for opioid medication if they were not exposed to controlled substances prior to surgery.
Findings support use of non-opioid analgesia in outpatient hand surgery
BOSTON — Results presented at the American Society for Surgery of the Hand Annual Meeting showed use of non-opioid analgesia may be safe and efficacious after outpatient hand surgery.
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