Hand, Upper Extremity, and Microvascular Surgery

Brunton, Lance M.; Chhabra, Arvind

doi:10.1016/b978-1-4160-4093-4.10007-7

Cited by 4 publications

(3 citation statements)

References 218 publications

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“…In Grade-IV, fixed locked digits are present. 6,7 The goal of treatment for trigger digits is to eliminate the locking and allow full movement of the finger or thumb without discomfort. Trigger finger treated with steroid injection and splint, open and percutaneous release.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Percutenous Trigger Finger Release

Ali

Sheikh

Sahito

et al. 2022

PAFMJ

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Objective: To determine the efficacy of trigger finger release with the percutaneous technique. Study Design: Cross-sectional study. Place and Duration of Study: Department of Orthopedic Surgery, Jinnah Post Graduate Medical Center, Karachi Pakistan, from Mar 2017 to Mar 2018. Methodology: One hundred and three patients were selected through the outpatient department after they meet the inclusion criteria with one or more trigger fingers in whom percutaneous release was indicated. Patients with previously open release, carpel tunnel syndrome, osteoarthritis of the hand and Dupuytren's contracture were excluded. Results: The mean age of patients was 34.79 ± 14.08 years with a range of 17-62 years. More patients were male (56.3%), and females were 43.7% with a male to female ratio of 1.27:1. Accordingly, 95 (92.2%) out of 103 had complete relief of symptoms and the procedure was thus efficacious in these patients. Among the remaining 7.8% of patients in whom it was not efficacious, about 2.2% had partial relief while 5.6% had either no benefit or worsening of symptoms as assessed on the 8th week post-operatively. Age was a significant effect modifier (p<0.05). Conclusion: Overall, the percutaneous technique of trigger finger release is an effective method of treatment

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Section: Introductionmentioning

confidence: 99%

Efficacy of Percutenous Trigger Finger Release

Ali

Sheikh

Sahito

et al. 2022

PAFMJ

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“…1 In this disease process, normal fascial structures become thickened cords, type I collagen is replaced with type III, and myofibroblasts proliferate and contract. 2 Spiral cords, in particular, can distort the anatomy and increase the risk of neurovascular injury.…”

Section: Introductionmentioning

confidence: 99%

“The Serpentine Zone”: A Surgeon's Guide to the Surface Anatomy of the Digital Neurovascular Spiral in Dupuytren's Contracture

Macey

Thomas

2017

J Hand Microsurg

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The anatomy of the cords that form in Dupuytren's disease is complicated and a spiral cord is the most challenging variant to address. It displaces the neurovascular bundle toward or beyond the midline and closer to the skin. This article illustrates the surface anatomy of the neurovascular spiral to help surgeons identify this zone of danger that the authors term "the serpentine zone." Careful dissection in this zone will help avoid iatrogenic digital neurovascular injury.

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“…Hand deformities in leprosy can manifest as swan neck deformity [ 5 ] or claw hand [ 6 , 7 , 8 ]. Swan neck deformity is a condition characterized by hyperextension of the proximal interphalangeal (PIP) joints and flexion of the distal interphalangeal (DIP) joints [ 9 ]. It is frequently reported to be caused by rheumatoid arthritis (RA) [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Swan Neck Deformity Mimicking Claw Hand Caused by Arthritis in Leprosy

Gunawan¹,

Haryati²,

Suwarsa³

2017

Case Rep Dermatol

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Swan neck deformity is a hyperextension of the proximal interphalangeal (PIP) joints and flexion of the distal interphalangeal (DIP) joints. Claw hand is a hyperextension of the metacarpal joints and flexion of the PIP joints, accompanied by reduced motor strength. A 23-year-old female, who was released from leprosy treatment, presented with a bend of the second to fifth fingers of both hands. There was hyperextension of the PIP joints and flexion of the DIP joints from the second to fifth fingers of both hands, thickening of the ulnar nerves, and hypoesthesia without motor impairment of the fourth and fifth fingers of both hands. Radiograph examination revealed cupping of the base of the proximal phalangeal joints of the second, third, and fifth fingers of the left hand and of the second and fifth fingers of the right hand. Additionally, narrowing of the metacarpophalangeal joints of the second, third, and fifth fingers of the right hand and sclerosis of the second and fifth fingers of the right hand were also observed. Claw hand is frequently reported in leprosy, while swan neck deformity is frequently reported in rheumatoid arthritis. To our knowledge, this is the first reported case with swan neck deformity caused by arthritis in leprosy.

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Hand, Upper Extremity, and Microvascular Surgery

Cited by 4 publications

References 218 publications

Efficacy of Percutenous Trigger Finger Release

Efficacy of Percutenous Trigger Finger Release

“The Serpentine Zone”: A Surgeon's Guide to the Surface Anatomy of the Digital Neurovascular Spiral in Dupuytren's Contracture

Swan Neck Deformity Mimicking Claw Hand Caused by Arthritis in Leprosy

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