Abstract Over the past century, many advancements have been made in peripheral nerve repair, yet these reconstructions still remain a challenge. Although sutures historically used for neurorrhaphy, they sometimes fail to provide optimal outcomes. As result, multiple adhesive compounds are currently being investigated their efficacy repair. Recently, fibrin glue has shown utility and body of evidence supporting its use continues grow. Fibrin reduce inflammation, improve axonal regeneration,...

Metacarpal fractures are common and may require operative treatment; however, there is no gold standard fixation technique. K-wires used for simplicity flexibility but immobilization can lead to complications. Dorsal plating provides greater stability than subject its own limitations. Intramedullary threadless nails have reduced time union improved range of motion (ROM) not provide the plating. screws allow rapid return activity increased stability; compression forces shorten metacarpals,...

Peripheral nerve injuries can be difficult to diagnose, treat, and monitor given their highly variable presentation. When the status of nerves is not accurately assessed, treatment may delayed or overlooked result in lasting functional deficits. As our understanding repair generation evolves, so will tools for evaluating both morphological peripheral nerves.There currently no single article which provides a detailed, comprehensive view literature comparing clinical utility various assessment...

Abstract Peripheral nerve injuries in which the is not completely severed often result neuromas‐in‐continuity. These can cause sensory and functional deficits must be resected reconstructed. In defects greater than 5 mm length, graft indicated, suture neurorrhaphy typically used to secure ends. However, sutures may negatively impact regeneration. Fibrin glue has recently been mitigate inflammatory response associated with neurorrhaphy. Most of literature regarding fibrin covers animal models...

Primary malignant tumors of the sternum are rare among bone tumors. Even with radical resection, survival rate for sternal remains low. Resection often results in significant defects chest wall, and reconstruction must provide adequate protection pulmonary respiratory structures. Flexible materials have historically been used reconstructions following failed sternotomies cardiac surgery. Although these had some success, they fail to support patients undergoing secondary tumor who otherwise...

Background: Studies addressing the utility of hemoglobin A1c (HbA1c) levels in predicting surgical complications have reported mixed results. In practice, many surgeons use HbA1c cutoffs to determine a patient’s eligibility for elective surgery. The literature is especially limited evaluating as risk factor hand and upper extremity This study aims evaluate association elevated with postoperative surgeries. Methods: We performed chart review patients who underwent these operations by single...

INTRODUCTION In the United States, there are currently over two million amputees, with experts anticipating that number to double within next 30 yr.1 With this expected increase, optimizing amputee care will become even more essential. Amputee research, including on unusual conditions affecting population, be critical achieving goal. "Jumpy stump syndrome" is defined by dystonic, choreiform, and myoclonic movements of amputated limb.2–4 These patients may also experience associated...

Scar formation is a normal part of the proliferative phase in wound healing where collagen remodelled to better approximate skin. When not effectively redistributed, excessive scarring may occur. Recently, CO2 laser has emerged as an adjunct improving scar quality via remodelling and redistribution dermal fibres. Due paucity literature related its use hands upper extremities, we created study examine effects on hypertrophic scars focused extremities.Patients treated with for hand extremity...

Objective Injuries resulting from trauma or tumor resection may cause length alterations in the bones of upper extremities (UE) requiring reconstruction. Direct contralateral bone is often used to determine appropriate for reconstruction but fails account potential asymmetry. Given paucity data assessing asymmetry living populations and need accurate approximation, we developed a study evaluating UE long using radiographic imaging subjects. Methods Bilateral X-ray images previously obtained...

Bone and soft tissue sarcomas of the upper extremity are relatively uncommon. In many cases, they discovered incidentally during evaluation traumatic injuries or common ailments such as rotator cuff tendonitis tennis elbow. Thus, it is important for all orthopedic surgeons to understand differential diagnosis, workup, treatment lesions. An appreciation clinical radiographic features primary malignant lesions aids in identifying patients that need referral an oncologist a multidisciplinary team.

Seroma formation in a knee arthroplasty surgery is rare complication. When seromas occur, they act as nidus for bacterial growth and create an optimal environment surgical site infections. In this case report, 52-year-old woman presented with seroma after multiple revision operations on the left knee. Owing to failures of standard irrigation drainage procedures resolve seroma, orthoplastic colleague was consulted. Over five-and-a-half months, patient underwent that failed treat seroma....

Treatment of patients with traumatic axonotmesis presents challenges. Processed human umbilical cord membrane has been recently developed improved handling and resorption time compared to other amniotic wraps, may be beneficial in nerve reconstruction. This study evaluates postoperative outcomes after peripheral injury placement commercially available processed membrane.We performed a prospective, single-center pilot undergoing multi-level surgical reconstruction for exposed, non-transected...

Activities that require increased load bearing are known to cause bony hypertrophy. This phenomenon has been documented in the dominant arm of athletes sports requiring significant utilization a single limb. The literature addressing this effect rodeo athletes, however, is minimal. Studies evaluating primarily focused on acute injury management rather than chronic symptoms resulting from changes bone and soft tissue. We designed study evaluate hypertrophy without injury.Rodeo bareback riders...

Spinal epidural abscess (SEA) is a rare condition with complex pathophysiology and highly variable clinical presentation. While it known to cause focal peripheral nerve symptoms such as muscle weakness, paresthesia, or pain, these are typically accompanied by complaints of back spine pain systemic indicative infection. In our case, 53-year-old male initially presented unilateral swelling in his right hand, no fever at presentation pain. Blood culture confirmed methicillin-resistant...

Carpometacarpal (CMC) fracture-dislocations are uncommon hand injuries, with few studies available regarding their treatment. The current operative treatment options include fixation K-wires, mini-screws, or plates, though there is no standardized approach because of varying injury patterns and complications associated each device. INnate™ threaded intramedullary nail a relatively novel option that has shown promise in metacarpal fracture by facilitating faster mobilization recovery enhanced...

Chronic distal radioulnar joint (DRUJ) instability is a complex clinical condition that difficult to treat. Currently, there no gold standard treatment. We present novel technique using Arthrex Mini Tightrope for DRUJ stabilization. In this case series, 1.6 mm K-wire was passed transversely through the ulna and radius. The inserted into end of pulled bone tunnels. Appropriate tension achieved stabilize according individual laxity comparable contralateral side. Five patients (3 males 2...

Traumatic brain injuries have the potential to cause development of long-term complications. We aim show that use flexor tenotomies in treatment flexion contractures following traumatic injury is a viable solution.