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Two Thumbs Down: A 10-Year Analysis of Crossbow-Related Hand and Digit Injuries in the United States. 两个拇指:美国十字弓导致手部和拇指受伤的 10 年分析。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-04-28 DOI: 10.1177/15589447231167579
Nicholas C Oleck, Bryan J Pyfer, Miranda X Morris, Suhail K Mithani

Background: Modern crossbow is a popular weapon used throughout the United States for outdoor recreation. Crossbow mechanics place the hand and digits at significant risk of injury while shooting or handling these weapons; however, injury patterns have been poorly documented. In this study, the authors use a national database to assess patterns of crossbow-related injuries of the hand and digits.

Methods: A retrospective review of the National Electronic Injury Surveillance System database was conducted to identify crossbow-related hand and digit injuries over the past 10 years. Demographic data, injury timing, anatomical injury location, specific injury diagnosis, and disposition data were collected.

Results: A total of 15 460 crossbow-related hand injuries were identified between 2011 and 2021. A strong temporal relationship was identified, with 89% of injuries occurring between the months of August and December. Male patients sustained most injuries (>85%). Body areas injured were the digits (93.2%) and the hand (5.7%). The most common injuries were laceration (n = 7520, 48.6%), fracture (n = 4442, 28.7%), amputation (n = 1341, 8.7%), and contusion/abrasion (n = 957, 6.2%). More than 50% of cases involved injury to the thumb, with approximately 750 thumb amputations recorded during the time period examined.

Conclusions: This study is the first to document the patterns of hand and digit injuries associated with crossbow use on a national scale. These findings have important implications for public health awareness campaigns targeting hunters and support the designation of crossbow "safety wings" as a mandatory feature of crossbow design.

背景:现代弩是一种流行于美国各地的户外娱乐武器。弩的机械结构使手部和手指在射击或操作这些武器时面临很大的受伤风险;然而,受伤模式的记录却很少。在这项研究中,作者利用一个国家数据库来评估与弩有关的手部和手指受伤模式:方法:作者对国家电子伤害监测系统数据库进行了回顾性审查,以确定过去 10 年中与弩有关的手部和手指伤害。收集了人口统计学数据、受伤时间、解剖学受伤部位、具体的受伤诊断和处置数据:结果:2011 年至 2021 年间,共发现 15 460 例与弩相关的手部损伤。结果:2011 年至 2021 年间,共发现 15 460 例弩相关手部损伤,其中 89% 的损伤发生在 8 月至 12 月间。男性患者最多(超过 85%)。受伤部位为手指(93.2%)和手掌(5.7%)。最常见的损伤是撕裂伤(7520 人,占 48.6%)、骨折(4442 人,占 28.7%)、截肢(1341 人,占 8.7%)和挫伤/擦伤(957 人,占 6.2%)。50%以上的病例涉及拇指受伤,在研究期间约有 750 例拇指截肢记录:这项研究首次在全国范围内记录了与使用弩相关的手部和手指损伤模式。这些发现对针对猎人的公共健康宣传活动具有重要意义,并支持将弩的 "安全翼 "指定为弩设计的强制性特征。
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引用次数: 0
Development of de Quervain Tenosynovitis After Distal Radius Fracture. 桡骨远端骨折后出现的de Quervain腱鞘炎
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-05-28 DOI: 10.1177/15589447231174042
Thomas John Carroll, Brianna Caraet, Norman Madsen, Danielle Wilbur

Background: We sought to determine the risk factors for the development of de Quervain tenosynovitis after distal radius fractures. Our hypothesis is that longer periods of immobilization and higher-energy fracture patterns will correlate with the development of de Quervain tenosynovitis.

Methods: This is a 10-year retrospective study of 1451 consecutive patients with distal radius fractures presenting to a large academic institution. The incidence and relative risk of de Quervain tenosynovitis within 1 year of sustaining a distal radius fracture were analyzed.

Results: In total, 41 patients developed posttraumatic de Quervain tenosynovitis at an average time of 6.5 months. In the operative cohort, the incidence was 2.2%, and that of the nonoperative group was 3.8%. Among all affected patients, 78% admitted to strenuous, overuse activities or careers. Compared with the unaffected cohort, the de Quervain tenosynovitis group was more likely to be female and black with similar age and body mass index. The traumatic cohort was less likely to respond to corticosteroid injections. A separate extensor pollicis brevis (EPB) sheath was noted in all patients requiring surgical release.

Conclusions: Patients with a nonoperative distal radius fracture were 4.2 times more likely to develop de Quervain's than the general population, and those treated operatively were 2.4 times more likely. These patients were more likely to be female, black, and engage in strenuous overuse activities or careers. They demonstrated higher-energy fracture patterns and worse response to corticosteroid injections, more frequently requiring surgical decompression. Among those requiring surgery, patients were 2.5 times more likely to have a separate EPB sheath than those with atraumatic Quervain's.

背景:我们试图确定桡骨远端骨折后发生杜氏腱鞘炎的风险因素。我们的假设是,较长时间的固定和较高能量的骨折模式将与发生杜氏腱鞘炎相关:这是一项为期 10 年的回顾性研究,研究对象是在一家大型学术机构就诊的 1451 名连续桡骨远端骨折患者。研究分析了桡骨远端骨折后一年内发生杜氏腱鞘炎的发生率和相对风险:结果:共有 41 名患者在平均 6.5 个月后患上了创伤后德-夸因腱鞘炎。手术组的发病率为 2.2%,非手术组为 3.8%。在所有受影响的患者中,78%的人承认从事过剧烈、过度劳累的活动或职业。与未受影响的人群相比,患上杜氏腱鞘炎的人群更多是女性和黑人,年龄和体重指数相似。外伤人群对皮质类固醇注射的反应较小。所有需要手术松解的患者都有一个独立的伸拇肌(EPB)鞘:结论:非手术治疗的桡骨远端骨折患者患德-夸尔曼氏病的几率是普通人群的4.2倍,而手术治疗的患者患德-夸尔曼氏病的几率是普通人群的2.4倍。这些患者更有可能是女性、黑人、从事剧烈的过度劳损活动或职业。他们的骨折模式能量较高,对皮质类固醇注射的反应较差,更经常需要手术减压。在需要手术治疗的患者中,有独立 EPB 鞘的可能性是无创伤性 Quervain's 患者的 2.5 倍。
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引用次数: 0
Following a Surgical Paradigm Shift Through the Adoption of Nerve Transfers Among Board-Eligible and Practicing Plastic Surgeons. 通过在有资格获得委员会资格的整形外科医生和执业医师中采用神经转移术,实现手术范式的转变。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-05-05 DOI: 10.1177/15589447231167582
Kaamya Varagur, Lauren Jacobson, Robert Teixeira, J Megan M Patterson, Gary B Skolnick, Susan E Mackinnon

Background: Nerve transfers represent a new paradigm in the treatment of nerve injuries. Their current level of adoption among surgeons is unknown. This study evaluates the incidence of nerve transfers on case logs of board-eligible plastic surgeons over the past 14 years and surveys practicing nerve surgeons regarding their use of this technique.

Methods: We queried the American Board of Plastic Surgery case log database for all nerve reconstruction Current Procedural Terminology codes from 2008 to 2021 and assessed trends and relationships between geographic region, examination year, and nerve transfer use. We surveyed nerve surgery professional societies to assess trends in practice, compared with a 2017 survey.

Results: A total of 1959 nerve reconstruction cases were logged by 738 candidates from 2008 to 2021. Twelve percent of cases included nerve transfers. The proportion of nerve transfer codes (Z = -11.57; P < .0001) and the proportion of candidates performing nerve transfers (Z = -9.21, P < .0001) increased over the study period. Nerve transfers were associated with geographic region (χ2 = 25.826, P = .0002), with most cases performed in the Midwest (26.4%). A higher proportion of practicing nerve surgeons reported performing nerve transfers in this survey than in our 2017 survey (χ2 = 16.7, P < .001).

Conclusions: There has been an increase in nerve transfers logged in the past 14 years by board-eligible plastic surgeons, as well as increased use among currently practicing nerve surgeons. Although nerve transfer use is increasing among both plastic and orthopedic surgeons, a greater proportion of nerve reconstructions include nerve transfers in the plastic surgery cohort.

背景:神经转移是治疗神经损伤的一种新模式。目前外科医生对其采用的程度尚不清楚。本研究评估了过去 14 年中符合委员会资格的整形外科医生病例记录中神经转移的发生率,并调查了执业神经外科医生对该技术的使用情况:我们查询了美国整形外科委员会病例日志数据库中 2008 年至 2021 年所有神经重建的当前程序术语代码,并评估了地理区域、考试年份和神经转移使用之间的趋势和关系。我们对神经外科专业协会进行了调查,以评估实践趋势,并与2017年的调查进行了对比:从2008年到2021年,738名候选人共记录了1959例神经重建病例。12%的病例包括神经转移。在研究期间,神经转移代码的比例(Z = -11.57;P < .0001)和进行神经转移的候选人比例(Z = -9.21;P < .0001)均有所上升。神经转移与地理区域有关(χ2 = 25.826,P = .0002),大多数病例在中西部进行(26.4%)。与我们2017年的调查相比,本次调查中报告进行神经转移的执业神经外科医生比例更高(χ2 = 16.7,P < .001):在过去 14 年中,有资格获得委员会认证的整形外科医生记录的神经转移次数有所增加,目前执业的神经外科医生中使用神经转移的人数也有所增加。尽管整形外科医生和矫形外科医生使用神经转移的比例都在增加,但整形外科医生中使用神经转移进行神经重建的比例更高。
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引用次数: 0
Hand and Wrist Amputation: A Demographic Analysis Using the National Inpatient Sample. 手和腕截肢:利用全国住院病人样本进行的人口统计学分析。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-04-28 DOI: 10.1177/15589447231167583
Stephen A Stearns, Allan A Weidman, Toni F Engmann, Lauren Valentine, Angelica Hernandez Alvarez, Jose Foppiani, Samuel J Lin, Sammy Dowlatshahi

Background: Traumatic hand and wrist amputations are rare but debilitating injuries. Surgical replantation of the hand provides a unique alternative to revision surgery but requires appropriate access to necessary medical resources. This study aims to understand the national practice of replantation of traumatic hand amputation and to determine whether disparities exist in accessing surgical treatment.

Methods: International Classification of Diseases, 10th Revision codes for replantation and revision amputation surgeries were used to gather data from the National Inpatient Sample from 2016 to 2019. Summary statistics were calculated on demographic, hospital, and outcome variables, with subanalysis performed for effect on replantation and revision rates.

Results: Seventy-two patients were identified. The average patient was 35 years old with a strong male predominance (90%). The racial distribution of the cohort roughly mirrored the demographic proportions of race in the US population. Fifteen (21%) patients underwent replantation. This rate was similar between sexes, races, and income brackets. Hand replantation was primarily performed at large bed size (87%), private not-for-profit (73%), and urban teaching hospitals (94%). The most common insurance status for these patients was private, followed by Medicaid, Medicare, and self-pay. Forty-seven patients underwent revision amputation (65%) with no association between demographic characteristics. The patients remained hospitalized for significantly longer periods (P = .0188) and paid significantly more (P = .0014) if replanted. The patients were most frequently discharged home (65%), followed by skilled nursing facilities (18%).

Conclusion: This study describes the current state of hand amputation management and finds no evidence of sociodemographic factors influencing the surgical care provided.

背景:外伤性手部和腕部截肢是一种罕见的致残性损伤。手部再植手术为翻修手术提供了一种独特的替代方法,但需要适当获取必要的医疗资源。本研究旨在了解全国创伤性手部截肢再植的实践情况,并确定在获得手术治疗方面是否存在差异:方法:使用《国际疾病分类》第 10 次修订版中有关再植和翻修截肢手术的代码,从全国住院病人样本中收集 2016 年至 2019 年的数据。对人口统计学、医院和结果变量进行了汇总统计,并对再植和翻修率的影响进行了子分析:确定了 72 名患者。患者平均年龄为 35 岁,男性占绝大多数(90%)。队列中的种族分布大致反映了美国人口的种族比例。15名患者(21%)接受了再植手术。这一比例在性别、种族和收入阶层之间相似。手部再植手术主要在大床位(87%)、非营利性私立医院(73%)和城市教学医院(94%)进行。这些患者最常见的保险状况是私人保险,其次是医疗补助、医疗保险和自费保险。47名患者接受了翻修截肢手术(65%),与人口统计学特征之间没有关联。这些患者的住院时间明显更长(P = .0188),如果接受了翻修截肢手术,支付的费用也明显更高(P = .0014)。患者最常出院回家(65%),其次是专业护理机构(18%):本研究描述了手部截肢管理的现状,没有发现社会人口因素影响手术护理的证据。
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引用次数: 0
The Use of a Novel Chimeric Flexor Carpi Ulnaris and Ulnar Artery Flap for Elbow Coverage. 使用新颖的屈侧腕尺动脉和尺动脉嵌合瓣进行肘关节覆盖。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-12-30 DOI: 10.1177/15589447231219713
Mark S Shafarenko, Heather L Baltzer

Elbow defects have a number of etiologies and present a difficult task for the reconstructive surgeon. A number of reconstructive options have been previously reported. We describe a case of a 54-year-old woman with a recurrent elbow defect secondary to prior trauma, surgical fixation, and infection. This was successfully managed with a novel chimeric flexor capri ulnaris and ulnar artery flap for coverage of the defect, which has not been previously described. This may serve as a useful guide for surgeons moving forward.

肘部缺损有多种病因,给整形外科医生带来了困难。以前曾报道过多种重建方案。我们描述了一例 54 岁女性的病例,她的肘部缺损因之前的创伤、手术固定和感染而复发。我们采用了一种新型的尺侧屈肌和尺动脉嵌合皮瓣来覆盖缺损,并取得了成功。这可以为外科医生今后的工作提供有益的指导。
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引用次数: 0
Anterior Interosseus to Ulnar Motor Nerve Transfers: A Canadian Perspective. 骨间前神经到尺侧运动神经的转移:加拿大视角。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-10-01 Epub Date: 2023-06-21 DOI: 10.1177/15589447231174482
Spencer B Chambers, Kitty Y Wu, Douglas C Ross, Joshua A Gillis

Background: The anterior interosseus nerve (AIN) to ulnar motor nerve transfer has been popularized as an adjunct to surgical decompression in patients with severe cubital tunnel syndrome (CuTS) and high ulnar nerve injuries. The factors influencing its implementation in Canada have yet to be described.

Methods: An electronic survey was distributed to all members of the Canadian Society of Plastic Surgery (CSPS) using REDCap software. The survey examined 4 themes: previous training/experience, practice volume of nerve pathologies, experience with nerve transfers, and approach to the treatment of CuTS and high ulnar nerve injuries.

Results: A total of 49 responses were collected (12% response rate). Of all, 62% of surgeons would use an AIN to ulnar motor supercharge end-to-side (SETS) transfer for a high ulnar nerve injury. For patients with CuTS and signs of intrinsic atrophy, 75% of surgeons would add an AIN-SETS transfer to a cubital tunnel decompression. Sixty-five percent would also release Guyon's canal, and the majority (56%) use a perineurial window for their end-to-side repair. Eighteen percent of surgeons did not believe the transfer would improve outcomes, 3% cited lack of training, and 3% would preferentially use tendon transfers. Surgeons with hand fellowship training and those less than 30 years in practice were more likely to use nerve transfers in the treatment of CuTS (P < .05).

Conclusions: Most CSPS members would use an AIN-SETS transfer in the treatment of both a high ulnar nerve injury and severe CuTS with intrinsic atrophy.

背景:骨间前神经(AIN)至尺骨运动神经转移术已被广泛应用于严重肘隧道综合征(CuTS)和高尺神经损伤患者的手术减压辅助治疗。在加拿大,影响该疗法实施的因素尚不清楚:使用 REDCap 软件向加拿大整形外科学会 (CSPS) 的所有会员发放了一份电子调查表。调查研究了 4 个主题:以前的培训/经验、神经病理学的实践量、神经转移的经验以及治疗 CuTS 和高尺神经损伤的方法:结果:共收集到 49 份回复(回复率为 12%)。其中,62%的外科医生会在尺骨神经高位损伤时使用AIN到尺骨运动增压端到侧(SETS)转移术。对于有尺神经损伤和内在萎缩迹象的患者,75% 的外科医生会在肘管减压术中增加 AIN-SETS 转移术。65%的外科医生还会松解Guyon's管,大多数外科医生(56%)会使用会厌窗进行端侧修复。18%的外科医生不认为肌腱转移会改善疗效,3%的外科医生认为缺乏训练,3%的外科医生会优先使用肌腱转移。接受过手部研究培训的外科医生和从业不到30年的外科医生在治疗CuTS时更倾向于使用神经转移术(P < .05):大多数 CSPS 会员在治疗尺神经高位损伤和伴有内在萎缩的严重 CuTS 时都会使用 AIN-SETS 转移术。
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引用次数: 0
Reconsidering the Clinical Efficacy of Wide-Awake Local Anesthesia Without Tourniquet: A Trial Sequential Analysis. 重新考虑无止血带宽醒局部麻醉的临床疗效:试验序列分析。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-09-27 DOI: 10.1177/15589447241284305
Pedro Romeiro, Catarina Rodriguez Silva
{"title":"Reconsidering the Clinical Efficacy of Wide-Awake Local Anesthesia Without Tourniquet: A Trial Sequential Analysis.","authors":"Pedro Romeiro, Catarina Rodriguez Silva","doi":"10.1177/15589447241284305","DOIUrl":"https://doi.org/10.1177/15589447241284305","url":null,"abstract":"","PeriodicalId":12902,"journal":{"name":"HAND","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Impact of Nicotine Dependence on 90-Day Major Complications and 2-Year Hardware Outcomes in Open Reduction and Internal Fixation of the Distal Radius Fracture. 评估尼古丁依赖对桡骨远端骨折切开复位内固定术 90 天主要并发症和 2 年硬件疗效的影响。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-09-27 DOI: 10.1177/15589447241279936
Jad J Lawand, Isabel B Obias, Patrick J Tansey, John J Faillace

Background: This study aims to assess the impact of nicotine dependence on both 90-day major postoperative outcomes and 2-year implant-related outcomes in patients undergoing open reduction internal fixation (ORIF) for distal radius fractures.

Methods: We queried TriNetX, a national research database that provides real-time access to deidentified medical records, for patients of all ages who underwent an ORIF of the distal radius (Current Procedural Technology codes 25607, 25608, 25609) between 2001 and 2021. Patients were categorized by nicotine dependence history (International Classification of Diseases, Tenth Revision code: F17), with groups 1:1 propensity matched for age, sex, race, ethnicity, body mass index, type 2 diabetes, hypertension, cerebrovascular disease, and chronic obstructive pulmonary disease. The primary analysis examined major postoperative complications within 90 days, while the secondary analysis assessed hardware-related issues within 2 years. Risk ratios and 95% confidence intervals were generated for each outcome.

Results: Of 62 137 patients treated with distal radius ORIF, 7764 had nicotine dependence, and 54 373 did not. Each group comprised 7591 patients after 1:1 matching. Nicotine dependence was associated with increased risk of skin infections, sepsis, and wound disruption in the 90-day postoperative period (P < .001). Within the 2-year postoperative period, nicotine dependence was associated with increased risk of mechanical complication of internal fixation device (P < .001), nonunion (P < .01), and surgical intervention for nonunion (P = .009).

Conclusions: Nicotine dependence is associated with increased risk of infection, sepsis, wound disruption within 90 days, and hardware complication, nonunion, and nonunion repair at 2 years. These data emphasize the importance of nicotine counseling by treating surgeons.

背景:本研究旨在评估尼古丁依赖对桡骨远端骨折开放复位内固定术(ORIF)患者90天主要术后结果和2年植入物相关结果的影响:我们查询了TriNetX(一个可实时访问去身份化医疗记录的全国性研究数据库)中2001年至2021年间接受桡骨远端开放复位内固定术(当前手术技术代码为25607、25608和25609)的所有年龄段患者的信息。患者按尼古丁依赖史(《国际疾病分类》第十版代码:F17)分类,各组在年龄、性别、种族、民族、体重指数、2 型糖尿病、高血压、脑血管疾病和慢性阻塞性肺病方面进行 1:1 倾向匹配。主要分析包括 90 天内的主要术后并发症,次要分析包括 2 年内的硬件相关问题。每种结果都得出了风险比和 95% 的置信区间:在62 137名接受桡骨远端ORIF治疗的患者中,7764人有尼古丁依赖,54 373人无尼古丁依赖。经过1:1配对后,每组共有7591名患者。尼古丁依赖与术后90天内皮肤感染、败血症和伤口破坏的风险增加有关(P < .001)。在术后两年内,尼古丁依赖与内固定装置机械并发症(P < .001)、骨不连(P < .01)和骨不连手术干预(P = .009)的风险增加有关:结论:尼古丁依赖与感染、败血症、90 天内伤口破坏、2 年内硬件并发症、不愈合和不愈合修复的风险增加有关。这些数据强调了外科医生提供尼古丁咨询的重要性。
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引用次数: 0
Incidental Triangular Fibrocartilage Complex Changes on Wrist MRI. 腕部核磁共振成像中偶然出现的三角纤维软骨复合体变化。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-09-27 DOI: 10.1177/15589447241277846
Lilah Fones, Alexis Kasper, Molly Milano, Asif M Ilyas

Background: Triangular fibrocartilage complex (TFCC) changes on wrist magnetic resonance imaging (MRI) may occur in patients without corresponding symptoms and examination consistent with TFCC pathology. This study aims to define the rate of asymptomatic TFCC changes in patients undergoing wrist MRI for indications other than ulnar-sided wrist pain and to compare this with the rate in ulnar-sided wrist pain patients.

Methods: Patients who underwent wrist MRI at a single large orthopedic practice over a 2-year period were identified by Current Procedural Terminology (CPT) code 73221. Patients with an associated diagnosis, including "hand," "wrist," "radius," "radial," "scaphoid," "navicular," or "De Quervain," were retrospectively reviewed for demographics, symptoms, examination, trauma, and MRI findings. Patients with ulnar-sided wrist pain were used as the comparison group.

Results: Wrist MRIs were available for 132 patients, with 92 in the primary cohort and 40 forming the comparison group. The MRI indications included wrist pain (other than ulnar-sided; 64%), hand/thumb pain (21%), mass (12%), and numbness/tingling (2%). The TFCC MRI changes were seen in 44% of the patients and abnormal TFCC was positively associated with age. In contrast, 80% of the 40 patients with ulnar-sided wrist pain had abnormal TFCC on MRI.

Conclusions: There is a high rate of abnormal TFCC identified on MRI in patients without corresponding ulnar-sided wrist symptoms. This highlights the importance of not treating MRI imaging in isolation without correlating with the patient's symptoms while also preparing patients for a high likelihood of asymptomatic TFCC changes on routine wrist MRI.

Level of evidence: Retrospective case series; Level IV.

背景:腕部磁共振成像(MRI)上的三角纤维软骨复合体(TFCC)变化可能发生在没有相应症状且检查结果与TFCC病理一致的患者身上。本研究旨在确定因尺侧腕关节疼痛以外的原因接受腕关节磁共振成像检查的患者中无症状TFCC病变的发生率,并将其与尺侧腕关节疼痛患者的发生率进行比较:通过当前程序术语(CPT)代码 73221 识别两年内在一家大型骨科诊所接受腕部 MRI 检查的患者。对相关诊断(包括 "手"、"腕"、"桡骨"、"桡骨"、"肩胛骨"、"舟骨 "或 "De Quervain")的患者进行回顾性研究,了解其人口统计学、症状、检查、外伤和核磁共振成像结果。尺侧腕痛患者作为对比组:132名患者接受了腕部核磁共振成像检查,其中92人属于主要组别,40人属于对比组别。MRI 适应症包括腕痛(尺侧以外;64%)、手/拇指痛(21%)、肿块(12%)和麻木/刺痛(2%)。44% 的患者出现 TFCC MRI 变化,TFCC 异常与年龄呈正相关。相比之下,40 名尺侧腕痛患者中有 80% 的人在核磁共振成像中发现 TFCC 异常:结论:在没有相应尺侧腕部症状的患者中,核磁共振检查发现TFCC异常的比例很高。结论:在没有相应尺侧腕部症状的患者中,MRI 发现 TFCC 异常的比例很高。这强调了在没有与患者症状相关联的情况下,不要孤立地对待 MRI 成像的重要性,同时也要让患者做好准备,在常规腕部 MRI 上发现无症状 TFCC 变化的可能性很高:回顾性病例系列;IV级
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引用次数: 0
Rupture of the Fibro-Osseous Septum of the Second Extensor Compartment as the Cause of True Dorsal Trigger Wrist: Case Report. 导致真性背侧扳机腕的第二伸肌室纤维骨膜破裂:病例报告。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-09-27 DOI: 10.1177/15589447241284303
Fernando Holc, Pedro Bronenberg Victorica, Mariano O Abrego, Guillermo Azulay, Gerardo L Gallucci, Jorge G Boretto

This article presents a case of a dorsal trigger wrist, which was brought on by a rupture of the fibro-osseous septum of the second extensor compartment. This situation is highly uncommon and has not been previously documented. The septum, which divides the extensor carpi radialis brevis and the extensor carpi radialis longus on the second extensor compartment, is present in almost 45% of the population. The patient underwent surgical reconstruction of the septum, and a complete resolution of symptoms was achieved.

本文介绍了一例背侧扳机腕的病例,该病例是由于第二伸肌室的纤维骨隔破裂而引起的。这种情况非常罕见,以前也没有记录。该隔膜将第二伸肌室的桡侧二伸肌和桡侧二长伸肌分开,存在于近45%的人群中。该患者接受了隔膜重建手术,症状得到完全缓解。
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引用次数: 0
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