scholarly journals Improvement of tactile roughness discrimination acuity correlates with perception of improved hand function in patients after hand surgery

2016 ◽  
Vol 28 (4) ◽  
pp. 1307-1311 ◽  
Author(s):  
Shuhei Fujimoto ◽  
Noriko Kon
Keyword(s):  
Hand Function ◽  
Hand Surgery ◽  
Tactile Roughness ◽  
Roughness Discrimination

THE RECALL DASH SCORE — A NOVEL RESEARCH TOOL

Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 11-14 ◽  
Author(s):  
Nicholas Reynolds ◽  
Sunil Thirkannad
Keyword(s):  
Statistical Analysis ◽  
Patient Population ◽  
Hand Function ◽  
Hand Surgery ◽  
Clinic Visit ◽  
Research Tool ◽  
Time Interval ◽  
Dash Score ◽  
Pre Treatment

The DASH score is a universally accepted method for assessment of hand function. However, there are occasions when a pre-treatment DASH score is unavailable. This study provides a solution to this situation. An initial DASH score was obtained from all patients at the time of their first clinic visit. A second score was obtained at the time of final follow-up asking the patient to "Recall" their pre-treatment status. The two scores were compared with appropriate statistical analysis. Thirty-eight patients were included in the study and scores were obtained at an average time interval of 32 weeks (6–121 weeks). Excellent agreement was noted for the ability of the patient population to recall their scores with a group correlation of 0.86. This proves that the Recall DASH score is an excellent and useful research tool for use in hand surgery.

Common Congenital Hand Differences

2018 ◽  
Author(s):  
Francisco Soldado ◽  
Scott Kozin
Keyword(s):  
Genetic Counseling ◽  
Global Health ◽  
Upper Limb ◽  
Hand Function ◽  
Treatment Algorithm ◽  
Hand Surgery ◽  
Thumb Hypoplasia ◽  
Thumb Duplication ◽  
Hand Defects ◽  
Reoperation Rates

Congenital differences of the hand are common in a pediatric hand surgery practice. The child’s global health and genetic counseling should be addressed before focusing on the upper limb disorder. Appropriate referral is necessary to facilitate education about the congenital difference and its effect on subsequent generations. The physician must be comfortable and have a sound understanding of the diagnosis and treatment algorithm. Reoperation rates are high for even the most common congenital hand defects treated by experienced surgeons. Syndactyly, polydactyly, thumb hypoplasia, and symbrachydactyly are particularly commonplace and are discussed in this review. The main aim when treating these disorders is improving hand function; however, aesthetics must also be considered when planning surgery. This review contains 36 figures, 3 tables and 50 references  Key words: congenital hand differences, pediatric hand, symbrachydactyly, syndactyly, thumb duplication, thumb hypoplasia

Tactile roughness discrimination of the finger pad relies primarily on vibration sensitive afferents not necessarily located in the hand

2012 ◽  
Vol 229 (1) ◽  
pp. 273-279 ◽  
Author(s):  
Xavier Libouton ◽  
Olivier Barbier ◽  
Yorick Berger ◽  
Leon Plaghki ◽  
Jean-Louis Thonnard
Keyword(s):  
Tactile Roughness ◽  
Roughness Discrimination ◽  
Finger Pad

THE EARLY HISTORY OF HAND SURGERY IN THE PHILIPPINES AND HIGHLIGHTS IN MY EXPERIENCE AT THE NATIONAL ORTHOPAEDIC HOSPITAL MANDALUYONG AND THE OUR LADY OF LOURDES HOSPITAL, MANILA

Hand Surgery ◽  
2006 ◽  
Vol 11 (03) ◽  
pp. 109-133
Author(s):  
Eugenio M. Inocentes
Keyword(s):  
Medical Center ◽  
Hand Function ◽  
Hand Surgery ◽  
Armed Forces ◽  
The Philippines ◽  
Sunday Morning ◽  
Hand Surgeon ◽  
Orthopaedic Hospital ◽  
Foreign Guest ◽  
History Of

Several years ago, while attending a Philippines Orthopaedic Association (PDA) Annual Convention, held at the Westin Philippine Plaza Hotel, Manila in December, I had the opportunity to meet with Professor Yoshikazu Ikuta, a well-known microsurgery and hand surgeon from Japan and one of the foreign guest speakers. I had been invited to work with him at the Armed Forces of the Philippines (AFP) Medical Center on the case of a high ranking general of the AFP, with a hand contracture disability problem. The case was referred to him by Dr. Evaristo Sanchez, Chief of Orthopaedics and the Commanding General of the AFP Medical Center. He had been pre-scheduled for surgery the next day, a Sunday morning, the day before Prof. Ikuta was due to return to Japan. After a brief examination and evaluation of the generals affected hand, in the operating room with Prof. Ikuta, just before he was placed under general anaesthesia, we performed the operation together. The operation did not involve microsurgery. The procedures done were multiple combined Bunnell-Zancolli pulley advancements and MP-joint volar capsulorraphies plus flexor tendon releases in the volar forearm, which although quite extensive, were only palliative, to minimise and improve on the contracture deformities, in preparation for a final re-evaluation for possible later, more definitive tendon transfers for hand function. However, I never received any further information regarding the results of our surgery. Recently, I have been honoured and invited again by Prof. Ikuta, presently the Editor-in-Chief of the Hand Surgery Journal (Asian Volume), this time to write the history of hand surgery in the Philippines and add to it, "Highlights in my experience at the National Orthopaedic Hospital, Mandaluyong, and the Our Lady of Lourdes Hospital, Manila", the last portion of which is on paralytic disabilities of the Hand. I am deeply grateful to Prof. Ikuta for giving me this honour and opportunity to present the total experience, favourable and unfavourable, of a hand surgeon from a developing country, like the Philippines. Furthermore, this would afford me also, the chance to be able to make known to readers of this now prestigious journal, the philosophical thoughts which led me to unwittingly originate or come up with and develop a few of my own "Long Tendon Rerouting Procedures" which may possibly and hopefully merit as this author's title contribution to surgery of the hands.

scholarly journals 82 A Case of Recurrent Calcifying Aponeurotic Fibroma of the Hand: Managing a Rare Hand Tumour in an Evolving Healthcare Landscape

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Gallagher ◽  
L Cooper ◽  
J I Mata
Keyword(s):  
Soft Tissue ◽  
Hand Function ◽  
Hand Surgery ◽  
Middle Finger ◽  
Hub And Spoke ◽  
Paediatric Orthopaedic ◽  
Rare Benign Tumour ◽  
The Uk ◽  
High Index Of Suspicion ◽  
Calcifying Aponeurotic Fibroma

Abstract Introduction Calcifying Aponeurotic Fibroma (CAF) is a rare benign tumour originating from the aponeuroses of tendons and their bony insertions. Our case illustrates the technical challenges and considerations of removing a large, recurrent CAF of the hand. Case Report A 15-year-old student presented to his GP with a one-year history of a progressively enlarging painless swelling on the dorsum of the middle phalanx of the left middle finger. Plain radiographs identified a calcified soft tissue swelling with no bony involvement. The lesion was excised by the local paediatric orthopaedic service and recurred rapidly. Histology confirmed the diagnosis. He was referred to our specialist hand surgery service and the lesion was excised with the overlying skin (which demonstrated histological but not clinical disease). At six months, there was no clinical evidence of recurrence. Conclusions CAF may present atypically, and a high index of suspicion is warranted with calcified soft tissue hand lesions. Excision with conservative margins, and we newly suggest, the overlying skin, is recommended to preserve hand function but minimise recurrence (very common). Hand surgery provision in the UK is changing with adoption of the hub and spoke model and hand tumours may be more appropriately managed at specialist centres.

Metacarpophalangeal Joint Arthroplasty Based on the Osseointegration Concept

1993 ◽  
Vol 18 (6) ◽  
pp. 693-703 ◽  
Author(s):  
G. LUNDBORG ◽  
P.-I. BRÅNEMARK ◽  
I. CARLSSON
Keyword(s):  
Range Of Motion ◽  
Hand Function ◽  
Clinical Signs ◽  
Hand Surgery ◽  
Metacarpophalangeal Joint ◽  
Active Range Of Motion ◽  
Good Cosmetic ◽  
Primary Osteoarthrosis ◽  
Post Traumatic

The osseointegration concept has been used for fixation of 68 MP joint endoprostheses in 31 patients operated on at the Department of Hand Surgery, Malmö General Hospital during the period 1988–1992. The indications were rheumatoid arthritis (50 joints), primary osteoarthrosis (three joints), post-traumatic osteoarthrosis (three joints), post-traumatic osteoarthrosis (five joints), post-infectious osteoarthrosis (seven joints) and joint deformities secondary to spastic conditions (three joints). The average follow-up time was 2.5 years (6–54 months). The surgical procedure included resection of the joint followed by introduction of screw-shaped titanium fixtures into the bone marrow cavities of the metacarpal and the phalangeal base. Rheumatoid cases usually required grafting of cancellous bone and marrow from the iliac crest. At the same time a flexible constrained silicone spacer was connected to the titanium fixtures in such a way as to allow later replacement of the spacer if accessory. The average active range of motion (ROM) was 57° in the rheumatoid cases and 50° in all cases. Radiological and clinical osseointegration occurred in every case, and there were no clinical signs of loosening. In four cases (6%) there was a fracture of the joint mechanism. Patient satisfaction was high, with pain relief, increased range of motion, improved hand function and good cosmetic appearance.

The Use of Thick Split Thickness Grafts from the Instep in Paediatric Hand Surgery

1985 ◽  
Vol 10 (2) ◽  
pp. 185-189
Author(s):  
CHRISTOPHER WARD ◽  
JENNIFER ECCLESTONE
Keyword(s):  
Clinical Study ◽  
Hand Function ◽  
Donor Site ◽  
Skin Grafting ◽  
Hand Surgery ◽  
Donor Site Morbidity ◽  
No Donor ◽  
Recipient Site ◽  
Aesthetic Result ◽  
Good Aesthetic Result

In skin grafting the hand restoration of function must always be the priority, but an acceptable appearance is also important and care should be taken in selecting a skin graft that matches the recipient site. The disadvantages of some traditional donor sites are outlined. A clinical study of thick, split-thickness grafts from the instep is described from which it is concluded that a good aesthetic result can be achieved without compromising hand function—but only in children and adolescents among whom there was no donor site morbidity.

Considerations for Hand Surgery in Patients With Scleroderma

Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Chelsea R. Brown ◽  
Nisha J. Crouser ◽  
Amy L. Speeckaert
Keyword(s):  
Systemic Sclerosis ◽  
Hand Function ◽  
Treatment Strategies ◽  
Hand Surgery ◽  
Multiple Organ ◽  
Surgical Patients ◽  
Raynaud Phenomenon ◽  
Joint Contractures ◽  
Hand Surgeon ◽  
Organ Systems

Systemic sclerosis (scleroderma, SSc) is an autoimmune disease that causes significant dysfunction to multiple organ systems, including the musculoskeletal system. It poses significant challenges to the hand surgeon, including calcinosis, ischemic changes, Raynaud phenomenon, tendinopathies, synovitis, and joint contractures. Patients with SSc also suffer from multiorgan dysfunction, which makes them high-risk surgical patients. The hand surgeon must understand the pathophysiology, treatment strategies, and special operative considerations required in this population to avoid complications and help maintain or improve hand function.

Effects of Sound on the Tactile Perception of Roughness in Peri-Head Space

2011 ◽  
Vol 24 (5) ◽  
pp. 471-483 ◽  
Author(s):  
Jiro Gyoba ◽  
Yuika Suzuki
Keyword(s):  
White Noise ◽  
Sound Source ◽  
Similar Pattern ◽  
Tactile Perception ◽  
Auditory Stimuli ◽  
Auditory Information ◽  
Head Space ◽  
Tactile Stimuli ◽  
Tactile Roughness ◽  
Roughness Discrimination

AbstractThe aim of this study is to investigate whether or not spatial congruency between tactile and auditory stimuli would influence the tactile roughness discrimination of stimuli presented to the fingers or cheeks. In the experiment, when abrasive films were passively presented to the participants, white noise bursts were simultaneously presented from the same or different side, either near or far from the head. The results showed that when white noise was presented from the same side as the tactile stimuli, especially from near the head, the discrimination sensitivity on the cheeks was higher than when sound was absent or presented from a different side. A similar pattern was observed in discrimination by the fingers but it was not significant. The roughness discrimination by the fingers was also influenced by the presentation of sound close to the head, but significant differences between conditions with and without sounds were observed at the decisional level. Thus, the spatial congruency between tactile and auditory information selectively modulated the roughness sensitivity of the skin on the cheek, especially when the sound source was close to the head.

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