Published in Hand surgery & rehabilitation
Understanding the anatomy of the nail apparatus is a prerequisite for diagnosing and managing various nail disorders. The latter may be associated with systemic pathologies, or accompany infectious, inflammatory, tumoral, toxic or traumatic dermatoses. Before attempting to identify the cause, a rigorous clinical examination should be conducted to s...
Published in Hand surgery & rehabilitation
Complications in nail surgery are not that frequent. Apart from complications that are common to every hand procedure, intense pain is the major issue with nail surgery. To prevent complications, good knowledge of anatomy and physiology is required to avoid misdiagnosis or inappropriate technique. However, some complications, such as postoperative ...
Published in Hand surgery & rehabilitation
Knowledge of nail anatomy is a prerequisite for both diagnostic and therapeutic purposes. The nail apparatus is a highly specialized structure, but is in close relationship to the distal phalanx which supports it and to the pulp which carries the sensory receptors and is involved in pinching. It can be divided by the nail plate into the perionychiu...
Published in Hand surgery & rehabilitation
Scapholunate instability is the most common ligament injury of the wrist. In case of predynamic instability, diagnosis can be difficult, even under arthroscopy. Scapholunate instability is not the result of an isolated injury to the scapholunate interosseous ligament. Scapholunate stability is dependent not only on the scapholunate ligament, but on...
Published in Hand surgery & rehabilitation
Septic arthritis and osteomyelitis are serious infections. Several treatment methods for the small joints and bones of the hands have been reported. We hypothesized that antibiotic-impregnated cement spacers could be useful for purulent finger osteomyelitis with bone and joint destruction. Seven patients with finger osteomyelitis with bone and join...
Published in Hand surgery & rehabilitation
We aimed to evaluate the effect of botulinum neurotoxin type-A (Btx-A) injection into the pronator teres muscle in proximal median nerve entrapment (PMNE). Intramuscular injection of 30 IU Btx-A into the pronator teres muscle was performed in 12 patients (14 extremities) diagnosed with PMNE. The injection was made under nerve stimulator control. On...
Published in Hand surgery & rehabilitation
The aim was to evaluate patient satisfaction with online video consultations in assessing hand disorder. This prospective study included patients who attended a video consultation, either as an initial meeting to assess the need for further evaluation or treatment or as an early postoperative follow-up consultation. After the consultation, they com...
Published in Hand surgery & rehabilitation
The aim of this study was to calculate the stress acting on the trapeziometacarpal joint during an key pinch grip. We used profile X-rays of the thumb to measure the various bony and muscle lever arms. We assessed the angles of action of the muscular elements involved in the thumb column. Based on this data, we established a two-dimensional geometr...
Published in Hand surgery & rehabilitation
We designed a new method using hemi-longitudinal second metacarpal bone to reconstruct grade-3 hypoplastic thumbs. Seven patients were treated in two stages. In the first stage, the second metacarpal was split longitudinally and transferred to reconstruct the first metacarpal. In the second stage, opponensplasty was performed by transferring the FD...
Published in Hand surgery & rehabilitation
Kinesio taping is used as a conservative treatment for carpal tunnel syndrome and the active release technique is also effective. The purpose of the present study was to compare the effects of kinesio taping with and without the active release technique on pain, grip strength, functional disability and range of motion in patients with carpal tunnel...
