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Fat Grafting into Younger Recipients Improves Volume Retention in an Animal Model.

Authors: Oranges CM, di Summa PG, Madduri S, Haug M, Kalbermatten DF, Schaefer DJ
PMID: 32097350 [PubMed - in process] (Source: Hand Surgery)

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Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a  prospective cohort evaluation.

CONCLUSIONS: The development of subscapularis and LHB pathology is significantly related to the size of the PS cuff tear. Subscapularis involvement is associated with greater risk of pain development in degenerative rotator cuff disease.
PMID: 32067709 [PubMed - in process] (Source: Hand Surgery)

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Reliability of focal identification of motor fascicles of the ulnar nerve proximal to the wrist: an anatomical study.

Authors: Barrett JE, Farooq H, Merrell GA
We investigated whether motor fascicles of the ulnar nerve can be reliably identified proximal to the wrist. In 17 cadaveric upper limbs, the anterior interosseous nerve was transected at its arborization in the pronator quadratus and transposed to the palmar aspect of the ulnar nerve. The motor fascicular bundle was identified at this level after distinguishing the intraneural epineural involution by microsurgical probing. The motor branch was identified in Guyon's canal and traced retrograde via intraneural dissection to assess accuracy of the original identification. The motor fascicular bundle was found to have been correctly identified in all specimens. We conclude that local anatomic landmarks allow for the motor fascicular g...

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A Paradigm Shift in Managing Acute and Chronic Boutonniere Deformity: Anatomic Rationale and Early Clinical Results for the Relative Motion Concept Permitting Immediate Active Motion and Hand Use.

CONCLUSIONS: Relative motion flexion splinting affords early active motion and hand use with excellent range of motion achieved following acute open boutonniere repair or closed boutonniere rupture with less morbidity than conventional management. Chronic boutonniere deformity will respond to relative motion flexion splinting if serial casting can place the proximal interphalangeal joint in less than -20° extension, and the patient actively uses the hand in a relative motion flexion orthosis for 3 months, recovering flexion. No further therapy was needed in our cases. We believe this management technique should be attempted for chronic boutonniere deformity as a preferable alternative to surgery, which remains an option if needed.
PMID: 32028337 [PubMed - in process] (Source: Hand Sur...

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Trends in Proximal Interphalangeal and Metacarpophalangeal Joint Arthroplasty Utilization Using Statewide Databases.

Conclusions: PIP and MCP arthroplasty are safe procedures with an overall low complication rate. The increased risk of device related complications observed in patients with rheumatoid arthritis can be used to appropriately counsel this patient population regarding post-operative expectations and prognosis.
PMID: 32000595 [PubMed - in process] (Source: Hand Surgery)

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Eosinophilic Fasciitis - Beware of the Rare Form of Hand Contracture.

We present a case report of EF and a literature review to raise awareness of this unusual condition and also highlight key features in its management.
PMID: 32000611 [PubMed - in process] (Source: Hand Surgery)

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Radiographic Characteristics of the Hand in Apert Syndrome.

Conclusions: Consistent findings of delayed ossification of the capitate and failure of normal distal migration of the third metacarpal add support to the initial hypothesis, however, we cannot fully conclude that an earlier release of the third web is recommended, further research is still needed.
PMID: 32000596 [PubMed - in process] (Source: Hand Surgery)

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The surgical strategy of Purpura fulminans triggered by pyothorax associated with lung cancer.

Authors: Matsuura Y, Kawai K
Purpura fulminans is a rare disease that usually causes sepsis and is accompanied by disseminated intravascular coagulation and symmetric gangrene of distal extremities. We had to consider the most appropriate surgery approach. The most important point was attempting to rescue the patient's ability to walk under his own power.
PMID: 32002466 [PubMed] (Source: Hand Surgery)

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