Assessment of Hand Rehabilitation after Hand Surgery by Means of a Sensory Glove

2016 ◽  
Author(s):  
Giovanni Saggio ◽  
Laura Sbernini ◽  
Anna De Leo ◽  
Mostafa Awaid ◽  
Nicola Di Lorenzo ◽  
...  
Keyword(s):  
Hand Surgery ◽  
Hand Rehabilitation

Hand Assessment in a Swedish Hand Rehabilitation Unit

1998 ◽  
Vol 3 (2) ◽  
pp. 9-10 ◽  
Author(s):  
Ragnhild Cederlund
Keyword(s):  
Hand Surgery ◽  
Assessment Instruments ◽  
Hand Rehabilitation ◽  
Rehabilitation Unit

This paper gives a presentation of the most frequently used hand assessment instruments in the Rehabilitation Unit in the Department of Hand Surgery in Malmo, Sweden.

scholarly journals Lietuvos chirurgų asociacijos suvažiavimas 2019 10 11–12 Klaipėda

2019 ◽  
Vol 18 (3) ◽  
pp. 127-206
Author(s):  
Artūras Razbadauskas
Keyword(s):  
Wound Care ◽  
Hand Surgery ◽  
Scientific Publication ◽  
Theory And Practice ◽  
Paediatric Surgery ◽  
Highly Qualified ◽  
Hand Rehabilitation ◽  
Orthopedic Surgeons ◽  
Selection Of

Statement of purpose“Lietuvos chirurgija” (“Lithuanian Surgery”) is a peer-reviewed journal of the Association of Lithuanian Surgeons, the Lithuanian Association for Wound Care, the Lithuanian Association for Ambulatory Surgery,the Lithuanian Society of Endoscopists, the Lithuanian Society of Cardiothoracic Surgeons, the LithuanianSociety of Coloproctologists, the Lithuanian Society of Vascular Surgeons, the Lithuanian Society for MinimalInvasine Surgery, the Lithuanian Society of Neurosurgeons, the Lithuanian Society of Oncologists, the Lithuanian Society of Pathologists, the Lithuanian Society for Hand Surgery and Hand Rehabilitation, the Lithuanian Society of Traumatologists and Orthopedic Surgeons, the Lithuanian Society of Urologists,the Lithuanian Society of Paediatric Surgery, the Lithuanian Society of Maxillofacial Surgeons, the Lithuanian Society of Vertebrologists, Vilnius Surgical Society, Kaunas Region Surgical Society, Klaipėda Region SurgicalSociety, Šiauliai Region Surgical Society, Panevėžys Region Surgical Society.It has been designed to meet the needfor a rapid spreading of new and important information on the theory and practice of surgery and related sciences. The journal provides a rapid publication of original papers that contribute to knowledge in the fields of clinical surgery, experimental surgery and related sciences.The contributions are accepted in Lithuanian and English. The journal “Lietuvos chirurgija” is an officialperiodical (quarterly) scientific publication of the Lithuanian Republic. Selection of papers for publicationis based on the opinion of highly qualified reviewers who are supporters, consultants or members of the Editorial Board and the International Advisory Board. 

Residency Training and Hand Surgery Practice Patterns: A National Surgical Quality Improvement Program Database Analysis

2020 ◽  
Author(s):  
James J. Drinane ◽  
Brian Drolet ◽  
Ashit Patel ◽  
Joseph A. Ricci
Keyword(s):  
Quality Improvement ◽  
Residency Training ◽  
Practice Patterns ◽  
Hand Surgery ◽  
Soft Tissue Coverage ◽  
Improvement Program ◽  
Surgical Quality ◽  
Orthopedic Surgeons ◽  
Procedural Volume ◽  
General Surgeons

Abstract Introduction Fellowship-trained hand surgeons may have residency training in either orthopedic, plastic, or general surgery, generating significant variability in education background. To study the effect of different training backgrounds on practice pattern variations, we utilized the NSQIP (National Surgical Quality Improvement Database) database to assess hand surgery volumes and case variety by specialty. Materials and Methods NSQIP years 2008 to 2017 was queried with hand surgery current procedural terminology codes defined by the American Board of Orthopedic Surgery. Procedures were grouped according to type and specialty, and relative rates calculated. Hand society membership data were used to determine if procedural volume for each specialty in each category and overall contribution to the volume of hand surgery performed nationally was distributed in accordance with membership data. Results A total of 145,015 hand surgeries were performed; 13,267 (9.1%) by general surgeons, 28,402 (19.6%) by plastic surgeons, and 103,346 (71.3%) by orthopedic surgeons. Orthopedic surgeons performed significantly more bone, fracture, joint, and tendon cases. General surgeons and plastic surgeons performed higher than expected numbers of soft tissue coverage and cases overall with respective excesses of 183 and 22%. Conclusion Hand surgery is an available fellowship pathway from multiple residencies. Fellowship training does not level the field of real-world practice patterns. Residency training experiences significantly impact practice.

scholarly journals Verification of Finger Joint Stiffness Estimation Method With Soft Robotic Actuator

2020 ◽  
Vol 8 ◽  
Author(s):  
Xiang Qian Shi ◽  
Ho Lam Heung ◽  
Zhi Qiang Tang ◽  
Kai Yu Tong ◽  
Zheng Li
Keyword(s):  
Estimation Method ◽  
Joint Stiffness ◽  
Ground Truth ◽  
Clinical Score ◽  
Metacarpophalangeal Joint ◽  
Finger Joint ◽  
Joint Torque ◽  
Hand Rehabilitation ◽  
Stiffness Characteristic ◽  
Modified Ashworth Scale

Stroke has been the leading cause of disability due to the induced spasticity in the upper extremity. The constant flexion of spastic fingers following stroke has not been well described. Accurate measurements for joint stiffness help clinicians have a better access to the level of impairment after stroke. Previously, we conducted a method for quantifying the passive finger joint stiffness based on the pressure-angle relationship between the spastic fingers and the soft-elastic composite actuator (SECA). However, it lacks a ground-truth to demonstrate the compatibility between the SECA-facilitated stiffness estimation and standard joint stiffness quantification procedure. In this study, we compare the passive metacarpophalangeal (MCP) joint stiffness measured using the SECA with the results from our designed standalone mechatronics device, which measures the passive metacarpophalangeal joint torque and angle during passive finger rotation. Results obtained from the fitting model that concludes the stiffness characteristic are further compared with the results obtained from SECA-Finger model, as well as the clinical score of Modified Ashworth Scale (MAS) for grading spasticity. These findings suggest the possibility of passive MCP joint stiffness quantification using the soft robotic actuator during the performance of different tasks in hand rehabilitation.

Preoperative Opioid Use in Patients Undergoing Common Hand Surgeries

Hand ◽  
2021 ◽  
pp. 155894472097412
Author(s):  
Ali Aneizi ◽  
Dominique Gelmann ◽  
Dominic J. Ventimiglia ◽  
Patrick M. J. Sajak ◽  
Vidushan Nadarajah ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Hand Surgery ◽  
Patient Characteristics ◽  
Patient Reported Outcome Measures ◽  
Pain Scale ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Opioid Use ◽  
Patient Reported ◽  
Opioid Users

Background: The objectives of this study were to determine the baseline patient characteristics associated with preoperative opioid use and to establish whether preoperative opioid use is associated with baseline patient-reported outcome measures in patients undergoing common hand surgeries. Methods: Patients undergoing common hand surgeries from 2015 to 2018 were retrospectively reviewed from a prospective orthopedic registry at a single academic institution. Medical records were reviewed to determine whether patients were opioid users versus nonusers. On enrollment in the registry, patients completed 6 Patient-Reported Outcomes Measurement Information System (PROMIS) domains (Physical Function, Pain Interference, Fatigue, Social Satisfaction, Anxiety, and Depression), the Brief Michigan Hand Questionnaire (BMHQ), a surgical expectations questionnaire, and Numeric Pain Scale (NPS). Statistical analysis included multivariable regression to determine whether preoperative opioid use was associated with patient characteristics and preoperative scores on patient-reported outcome measures. Results: After controlling for covariates, an analysis of 353 patients (opioid users, n = 122; nonusers, n = 231) showed that preoperative opioid use was associated with higher American Society of Anesthesiologists class (odds ratio [OR], 2.88), current smoking (OR, 1.91), and lower body mass index (OR, 0.95). Preoperative opioid use was also associated with significantly worse baseline PROMIS scores across 6 domains, lower BMHQ scores, and NPS hand scores. Conclusions: Preoperative opioid use is common in hand surgery patients with a rate of 35%. Preoperative opioid use is associated with multiple baseline patient characteristics and is predictive of worse baseline scores on patient-reported outcome measures. Future studies should determine whether such associations persist in the postoperative setting between opioid users and nonusers.

Analysis of Gender Diversity Within Hand Surgery Fellowship Programs

2021 ◽  
Author(s):  
Louis C. Grandizio ◽  
Elizabeth J. Pavis ◽  
Daniel S. Hayes ◽  
Amanda Young ◽  
Joel C. Klena
Keyword(s):  
Gender Diversity ◽  
Hand Surgery ◽  
Fellowship Programs
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