Extensor indicis proprius tendon transfer using shear wave elastography

Economic impact of anaesthesia methods used in hand surgery: Global costs and operating room's throughput

“…In recent years, local anaesthesia has become popular and gained acceptance among hand surgeons from many countries (Gong and Xing, 2017;Kasmers et al, 2018;Lalonde, 2014;Lalonde and Martin, 2014; Roberti del Vecchio et al, 2015) for procedures reaching from trigger finger release (Codding et al, 2017) to more complex procedures such as nerve transposition, tendon transfers (Lamouille et al, 2017) or trapeziometacarpal joint replacements (Müller et al, 2018). One of those techniques, also referred to as ''wide awake local anaesthesia no tourniquet'' (WALANT) (Lalonde, 2017), implies that the patient's anaesthesia is achieved by local injections by the surgeon, thus removing the need for an anaesthesiologist.…”

Shear Wave Elastography in the Diagnosis of Hand Tumours

“…Ultrasound imaging has been evolving towards multiparameter assessment of soft tissue tumours and different techniques have now been developed to allow their more detailed analysis. SWE has been shown to have potential as a diagnostic and therapeutic tool not only for diseases of the breast, liver, thyroid, and prostate but also for musculoskeletal pathologies and in particular those of the hand [9, 17–19].…”

“…Shear wave elastography (SWE) is a recent quantitative technique for assessing the elasticity of soft tissues. It uses an acoustic radiation force impulse (ARFI) generated by a focused ultrasound beam and quantifies the shear wave velocity (in meters per second) and stiffness (Young's modulus in kilopascal) of tissues [9]. Initially used in the early nineties in vitro [10], its use has since then progressively increased within clinical exploration as a diagnosis and sometimes prognostic tool examining breast, liver, thyroid, prostate, and musculoskeletal pathologies [7, 11–13].…”

“…Elastography has been used to assess upper limb musculoskeletal tissue and seems to be interesting in the diagnosis of many pathologies: lateral epicondylitis [15], rotator cuff tendon pathology [16], trigger finger [17], carpal tunnel syndrome [18], upper limb tendon transfer [9], and finger pulp reconstruction [19]. The aim of this case is to demonstrate the technical feasibility of SWE for evaluating Young's modulus of infracentimetric tumours of the hand, which commonly occurs in hand surgery.…”

Wide awake surgery for Linburg–Comstock syndrome

“…Wide awake local anaesthesia no tourniquet (WALANT) was initially used for procedures such as carpal tunnel or trigger finger release. It is currently gaining in popularity for a wider spectrum of surgery, especially if intraoperative testing of active mobility is desirable (Lamouille et al., 2017).…”