We compared the outcomes of 23 partial ulnar nerve and 15 intercostal transfers for elbow flexion reconstruction in patients with C56 or C567 brachial plexus injuries using manual muscle power, dynamometric measurements strength electromyography. The range recovery to Grade 3 4 were comparable between two groups. had significantly stronger eccentric contraction after transfer than ( p < 0.05). Electromyography individual muscles demonstrated that unable voluntarily isolate biceps...

Malunions of forearm fractures in adults can present with limitation rotation, or as distal radioulnar joint instability functional impairment. This contrasts paediatric patients whom malunions similar severities are often better tolerated. We did a retrospective review six adult after corrective osteotomy for symptomatic malunited shaft fractures. The operations were done between 7 and 168 months initial injury, using oblique wedge osteotomies. Median follow-up was 22.5 months. recovered...

Background: The purpose of this study was to evaluate the long-term outcome successful fingertip replantations with more than 10 years follow-up after surgery. Methods: A total 34 successfully replanted digits in 31 patients a mean period 16.5 were included study. main measures time return work, pain, cold intolerance, sensory recovery, nail deformity, grip strength, range motion thumb interphalangeal or finger distal joint, atrophy, nonunion, bone shortening, use activities daily living,...

Background: Various studies have examined occlusive dressings in fingertip amputations and reported good outcomes. Occlusive dressing preserves appropriate pH, cell accumulation moisture for healing, thereby limiting scar formation deformity. To our knowledge, no study was performed tropical Asia. This aims to demonstrate the viability of healing through secondary intention using an effective technique, even warm climates. Methods: All patients who presented institution with from 1 July 2020...

The aim of this study was to report the natural history paediatric trigger thumbs, determining rate and factors predictive spontaneous resolution. A total 62 patients presenting with 79 thumbs locked in flexion were observed for a mean 4.2 years. median age at presentation 20.5 months. resolution 37% 5 years 50% 8 follow-up. Of 27% had undergone surgery 48% Thumbs that spontaneously resolved did so 3.4 an interphalangeal joint angle less than 30° likely resolve spontaneously, sensitivity...

The upper limb single-joint hybrid assistive (HAL), a wearable robot that can support elbow flexion and extension motions, was originally used to rehabilitate patients with stroke. We report the preliminary outcomes of serial HAL use for rehabilitation following nerve transfer (NT) reconstruction in brachial plexus injuries.Hybrid training consisted virtual power courses. Virtual started before picked up motor unit potentials (MUPs) from target muscle through electrodes attached skin...

Background: There is recent renewed interest in the effect of hand dominance on distal radius fractures. Current studies focus functional or patient-reported outcomes, with lack pertaining to radiological outcomes. The primary aim this study examine time fracture healing following surgical fixation fracture. We also looked at age, gender, comminution and American Society Anaesthesiologists (ASA) status healing. Methods: Patients who underwent surgery our department from 1 January 2015 31...

Intratendinous ganglions of the hand are rare. We report an unusual case a ganglion arising within flexor tendon in hand. The intratendinous arose from digitorium profundus little finger, causing flexion deformity finger.

Background: The purpose of this study was to evaluate the results arthrodesis with multiple Kirschner (K)-wires and tension band wire for primary osteoarthritis trapeziometacarpal (TM) joint in female patients aged 40 years or older. Methods: We retrospectively obtained data regarding all older who underwent TM K-wires over a 10-year period from 2009 till 2019. Thumb length, active range motion (ROM) at metacarpophalangeal (MCP) joint, ROM radial volar adduction abduction key pinch strength...

Distal radius fractures are amongst the most common forearm in children and can often be managed with closed reduction casting for majority of patients. While thick periosteum sleeve used to guide reduction, it also make traction an adult patient counterproductive attempts. We report two unusual cases distal displaced volar fragments that required urgent surgical intervention following manipulation due concern skin neurovascular compromise. one developed post-operative superficial necrosis...

Background: Flexor tendon rehabilitation protocols minimize repair tension by limiting range of movement to prevent rupture. The resultant muscle contracture inhibits finger extension, increases resistance in gliding distally, and progress proximal interphalangeal (PIP) joint flexion contracture. This study describes our new protocol, the Tension Reducing Muscle Stretch (TRMS), designed flexor obtain full distal excursion. Methods: We reviewed retrospectively 14 fingers 13 consecutive...