Background After traumatic brachial plexus injuries, despite treatment with appropriate medications, some patients experience uncontrollable pain, which can be devastating. Cannabis-based medicine is considered to have pain-relieving benefits in this situation, but the evidence limited. Questions/purposes Is cannabis-based effective compared placebo (1) reducing pain (measured by VAS for pain) and neuropathic DN4 questionnaire), (2) improving sleep quality quality) injury? Methods This...

Refracture after both bone forearm fracture fixation may vary with or without plate removal. We tested the null hypothesis that there is no difference in rate of refracture patients who have undergone open reduction and internal a diaphyseal retained implants versus removed implants. also studied factors associated removal.We retrospectively identified 645 adult total 925 primary fractures underwent an ulnar radial shaft between 2002 2015 at single institutional system. Patients nonunion,...

Background The objectives of this study are to: (1) describe the demographics, injury patterns, and treatment characteristics patients who sustained a gunshot (GSI) hand; (2) examine utilization healthcare resources in with GSI hand. Methods We retrospectively identified 148 adult were treated for hand between January 2000 to December 2017 using multiple International Classification Diseases Ninth Tenth Edition (ICD-9 ICD-10) codes. used bivariate multivariable analysis identify which...

To report the results of restoring elbow flexion and extension in patients with total brachial root avulsion injuries by simultaneous transfer phrenic nerve to biceps three intercostal nerves long head triceps.Ten underwent spinal accessory suprascapular for shoulder reconstruction. Simultaneous via sural graft triceps was done restoration extension. Trunk exercise program used all postoperatively. The mean follow up period 36 months.For flexion, there were two M4, seven M3, one M1. For...

Purpose: Medial epicondyle fractures are common elbow injuries in pediatric and adolescent population. However, this condition is extremely rare adults, with only a few cases reported the literatures. This report presents case of an adult patient irreducible fracture dislocation due to intra-articular entrapment medial associated median nerve palsy. Methods: A 36-year-old man presented posterolateral left displaced Closed reduction was attempted, resulting grossly unstable elbow....

Extensor indicis proprius (EIP) opponensplasty is one of the commonly used techniques to restore thumb abduction and opposition in patients with thenar muscle dysfunction from various causes median nerve palsy. However, its subcutaneous route around distal ulna may not represent a straight line pull, part extensor hood sometimes has be harvested along EIP tendon gain adequate length reach insertion. The purpose study present alternative method report clinical outcomes. modified was performed...

Background: Flexor pollicis longus (FPL) tendon injury is a significant complication following distal radius fractures treated with volar locking plate fixation. We were unable to find any studies investigating the FPL in relation various functional hand positions. The aim of this study comprehensively evaluate location essential positions commonly encountered daily life, including pulp pinch, key chuck grip, power cylindrical grasp and spherical grasp. Methods: assess position finger flexor...

Osteochondroma is the most common benign bone tumor. Lesions occurring at carpal bones are extremely rare. There very few cases of osteochondroma trapezium had been reported in English literature. We a 47-year-old patient with an left presented painful snapping abductor pollicis longus tendon.

Traumatic bone defect is a challenging problem for both patient and doctor. The goal of treatment the restoration hand function with acceptable appearance an injured hand. Especially in injury thumb, length stability are very important to achieve good holding pinching functions. We reported 23-year-old traumatic first metacarpal loss after motor vehicle accident treated vascularized radial half second dorsal interosseous muscle composite flap.

Background: Upper arm type brachial plexus palsy results in decreased shoulder and elbow function. Reanimation of function is beneficial these patients. The aim this study to report the restoring abduction extension patients with C5,6,7 root avulsion injury by simultaneous transfer spinal accessory nerve for supraspinatus muscle combined transferring sixth seventh intercostal nerves serratus anterior along third fifth triceps muscle. Methods: All who underwent above set transfers had at...

Background: Hemi-hamate arthroplasty is one of the treatment options for dorsal proximal interphalangeal joint fracture dislocation. Many studies reported favorable outcomes. However, some long term demonstrated degenerative change PIP joint. The articular mismatch hemi-hamate autograft might play an important role this complication. Methods: We studied anatomy distal surface hamate bone in embalmed bones. and dimensions were measured recorded. Results: Seventy bones dissected out from...

Background The main purpose of the study is to present alternative novel surgical technique in treating patients with trapeziometacarpal (TMC) joint arthritis using dorsoradial ligament (DRL) reconstruction and report clinical outcomes. Methods Patients who were diagnosed TMC underwent DRL evaluated. Visual analog pain score; Quick Disabilities Arm, Shoulder, Hand (QuickDASH) grip, tip pinch, tripod key pinch strengths along range motion thumb; Kapandji score recorded preoperative period at...

Purpose: This study aimed to determine the appropriate number of turns required for an Esmarch tourniquet, using commonly sized bandages, achieve a pressure target at least 150 mm Hg during pediatric upper extremity surgery. Methods: Twenty participants who underwent surgery were included in study. Two surgeons used 2- and 3-inch-sized bandages apply tourniquet each participant’s arm. The recorded from second fifth turns. was measured sensor device. Results: At third turn both achieved all...