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Hand/Wrist News
High wrist scores seen with shuttle technique for TFCC repair
Using the shuttle relay technique provided excellent, long-term modified Mayo wrist scores in patients undergoing arthroscopic repair of peripheral triangular fibrocartilage complex tears, according to the results of a recently presented study.
Collagenase injections improved function in patients with Dupuytren’s contractures
COPENHAGEN — Patients at 20 European and Australian centers treated with one or more collagenase injections for correction of Dupuytren’s contracture of the metacarpophalangeal or proximal interphalangeal joints had a 76% chance of improved hand function, according to a study presented at the 12th EFORT Congress 2011.
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Fixation type, time to debridement have no impact on infection rate for grade I, II open distal radius fractures
Time to debridement and type of fracture fixation do not appear to have an impact on infection rate for grade I and II open distal radius fractures, according to researchers in Boston.
Wrist denervation yielded improved pain scores long term
Six-year results showed that wrist denervation yielded pain score improvements in 39 patients despite radiological deterioration in some patients over time, according to these retrospective study results.
Traumatic clavicle fractures linked with doubled mortality rate for elderly patients
The results of a recently presented study highlight clavicle fractures as indicators of increased mortality in patients older than 65 years who sustain traumatic injuries.
Tendon transfer can aid active wrist extension after birth-related brachial plexus injury
Absent active wrist extension following a brachial plexus injury that occurs during birth can be countered via tendon transfer, according to researchers in the United States.
Study shows no advantage to augmenting volar plate fixation with cement in elderly patients
A 1-year follow-up revealed no significant differences in clinical and radiographic outcomes between elderly patients with unstable distal radial fractures who underwent volar plate fixation with calcium phosphate bone cement compared with plate fixation alone.
Disability better correlates with subjective measures among patients with both radial and ulnar fractures
A long-term follow-up of patients who fractured both bones of the forearm shows a stronger link between disability and psychosocial aspects of impairment, rather than disability and objective measures.
Percutaneous carpal tunnel release using nerve conduction monitoring requires no incisions
The treatment of carpal tunnel syndrome has changed from previous extensile incisions under general anesthesia. Both open and endoscopic techniques have evolved to minimize incision length and recovery time and allow patients to return to work more quickly.
No significant benefit seen with sodium hyaluronate for thumb joint arthritis
SAN DIEGO — Sodium hyaluronate injected into arthritic first carpal metacarpal joints resulted in no improvement in pain during a 12-month minimum follow-up and produced limited improvement in other clinical measures at 1 and 3 months compared with placebo, according to the results of a level 1 study.
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