quick dash
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2022 ◽  
Vol 30 (1) ◽  
pp. 230949902110670
Author(s):  
Young-Keun Lee

Purpose To report the arthroscopic and clinical findings of patients with extensor carpi ulnaris (ECU) tendinopathy treated with wrist arthroscopy and open surgical repair. Methods We retrospectively reviewed the medical records of seven patients with chronic ECU tendinopathy who were treated with diagnostic wrist arthroscopy and open surgical repair between 2010 and 2017. Seven cases diagnosed with ECU tendinopathy had undergone open procedure for the ECU tendinopathy, as well as wrist arthroscopy in the same session. Any pathology of the triangular fibrocartilage complex (TFCC) diagnosed by wrist arthroscopy were treated simultaneously with open procedure for the ECU tendinopathy. The functional outcome was evaluated by comparing the preoperative and final follow-up values of range of motion (ROM), grip strength, visual analog scale (VAS) for pain, modified Mayo wrist score and quick disabilities of the arm, shoulder, and hand (DASH) score. Results TFCC tears were identified in four patients of which repair was performed concomitantly. The average follow-up period was 39 months (range, 25–49 months). At the final follow-up, all the outcomes including average VAS score (6.4→1), the ROM (173→192°), quick DASH score (42.5→18.2), and modified Mayo wrist score (48.6→79.3) improved significantly. Conclusion When treating patients with ECU tendinopathy, the possibility of TFCC combined injury should always be considered. If surgical treatment is planned, we suggest a wrist arthroscopy for more accurate diagnosis an intra-articular pathology, particularly for patients whose MRI findings suggest a degenerative tear or degeneration at the periphery of the TFCC. Additionally, if ECU and DRUJ stability is obtained by repair or reconstruction of the concurrent pathologies in the ECU subsheath, TFCC and other intra-articular structures, the results will be favorable.


2021 ◽  
Vol 71 (6) ◽  
pp. 2037-40
Author(s):  
Faiza Sethi ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain

Objective: To determine the quality of life among users of upper extremity prosthesis. Study Design: Cross sectional study. Place and Duration of Study: Day’s Medical Engineering and Artificial Limbs Center Multan and Pakistan Institute of Prosthetic and Orthotic Sciences, Peshawar, Pakistan, from Jul to Dec 2018. Methodology: A sample population of 276 users of upper extremity prosthesis was recruited employing convenience sampling including both genders aged 20-50 years. Demographic sheet, 36- Item Short Form Health Survey (SF-36) and Quick Disabilities of the Arm, Shoulder and Hand questionnaire (Quick-DASH) were used to collect data followed by analysis using SPSS-22. Results: Mean score on Quick Disabilities of the Arm, Shoulder and Hand questionnaire was 49.2+25.4. The mean scores of 36- Item Short Form Health Survey revealed highest values in the domains of emotional wellbeing (55.8 ± 17.7) and energy/ fatigue (54.0 ± 14.3) while lowest values were noted in the role limitation due to emotional problems (38.9 ± 33.5) and General Health (43.8 ± 19.6) domains. Conclusion: The study findings concluded that the overall quality of life of upper limb prosthetic user was low along with significant association of demographic features with SF-36 and Quick DASH.


Author(s):  
Arsanto Triwidodo ◽  
Hendar Nugrahadi Priambodo ◽  
Yogi Ismail Gani
Keyword(s):  

ResumoAs lesões esqueléticas mais frequentes são as fraturas que ocorrem nas mãos, que representam aproximadamente 20% de todas as fraturas. As mais comuns são as fraturas falangeanas, que abrangem 6% de todas as fraturas. As fraturas da falange proximal aparecem com mais frequência. O principal objetivo do atendimento é corrigir a anatomia, reduzir os danos aos tecidos moles, e mobilizar os dedos atingidos assim que a estabilização da fratura permitir. Este relato tem como objetivo examinar os efeitos clínicos e da radiação nas fraturas da falange proximal, em pacientes infectados com a fixação de parafuso intramedular que foram submetidos a redução fechada. Este é o relato de três casos consecutivos de fratura da falange: duas fraturas da base e uma fratura simples da diáfise. Todos foram submetidos a redução fechada com parafuso intramedular de compressão sem cabeça. A magnitude pré-operatória da angulação da falange proximal foi em média 30,3° (variação de 13° a 42°). Dois pacientes apresentaram deformidade rotacional. Os achados clínicos foram medidos com a versão abreviada do questionário de Disfunções do Braço, Ombro e Mão (Quick Disabilities of the Arm, Shoulder and Hand, QuickDash, em inglês), em que foram avaliados a amplitude de movimento e os resultados funcionais. Complicações foram observadas em um período mínimo de 3 meses. Os pacientes apresentavam flexo-extensão ativa total na articulação interfalangiana proximal e na articulação metacarpofalangiana de flexo-extensão sem deformidade rotacional. A pontuação no Quick-DASH foi satisfatória (média: 2,3; variação: 0 a 4,5). Não houve cirurgias secundárias, e não se observaram complicações. A fixação intramedular das fraturas da falange proximal com o parafuso de tensão canulado tem se mostrado uma cirurgia segura, com excelente desempenho funcional e recuperação precoce. A fratura é minimizada e consolidada adequadamente pelos pacientes.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Fabrizio Mocini ◽  
Giuseppe Rovere ◽  
Domenico De Mauro ◽  
Edoardo Giovannetti De Sanctis ◽  
Amarildo Smakaj ◽  
...  

Abstract Purpose Although proximal and diaphyseal humerus fractures are frequent, the optimal management remains controversial. Antegrade nailing prevents further damage to the soft tissues and to the vascularization, but it has been associated with postoperative shoulder pain and dysfunction. During the latest years a straight nail design was developed to minimize these problems. Methods A total of 243 patients who had undergone surgery for antegrade intramedullary humeral nailing between January 2013 and July 2018 in A. Gemelli Trauma Center were divided into two groups according to the nail design used: straight nail group (S-group) and curvilinear nail group (C-group). Clinical data were collected using assessment forms (SF12-v2, Quick-DASH, ASES and Constant-Murley). Radiographic bone healing was assessed with RUST score at 30, 90 and 180 days after surgery. Results The S-group was made up of 128 patients with a mean age of 59 ± 19 (range 18–97) and a mean follow-up of 46 ± 9 months. The C-group was made up of 115 patients with a mean age of 53 ± 16 (range 18–88) and a mean follow-up of 51 ± 8 months. The S-group had a mental component summary (MCS) score of 54.3 ± 7.7 and a physical component summary (PCS) score of 46 ± 10.2, the C-group had a MCS score of 50.9 ± 8.4 and a PCS score of 44.1 ± 7.4. Quick-DASH and ASES were respectively 18.8 ± 4.3 and 78.6 ± 8.2 in the S-group, 28.3 ± 11.6 and 72.1 ± 13.5 in the C-group with statistical significance. Constant-Murley score was 73.9 ± 9.1 in the S-group (76% of the contralateral healthy side) and 69.4 ± 10.4 in the C-group (73% of the contralateral healthy side). The radiographic union score in the S-group was 4.1 ± 0.3 at 30 days after surgery, 7 ± 0.8 at 90 days and 10 ± 1.2 at 180 days, while in the C-group it was 4.2 ± 0.4 at 30 days, 6.4 ± 0.7 at 90 days and 9 ± 0.9 at 180 days. Conclusion Newer generation straight nails allow a faster bone healing and better functional outcome at mid-term follow up. Level of evidence III.


2021 ◽  
Vol 15 (9) ◽  
pp. 2323-2324
Author(s):  
Umer Ilyas ◽  
Shoaib Waqas ◽  
Zahid Mehmood Bhatti ◽  
Wajida Perveen ◽  
Misbah Amanat Ali

Aim: To find out correlation between heavy school bags and upper limb disabilities among school going children. Methods: This descriptive cross-sectional survey, using non-probability convenience sampling, was conducted on 396 students of 11 to 15 years after ethical approval in 6 months. Height (in cm) and weight (in Kg) were noted and BMI was calculated. Students with the normal BMI were included in the study. Weigh of the students were recorded with their shoes off while the weight of the bags was calculated with all the stationary included. Quick DASH scale score was calculated and correlated with the weight of the bag by applying Chi-Square test. Results: The mean age of the participants was13.49±1.12 years. The mean weight of the school bag was 6.10±2.1Kgs while the students were carrying more than one-quarter of their body weight. The disability calculated from the quick DASH scale was as high as 40%. Chi-square showed a significant correlation between the upper limb disabilities and the weight of the bag. Conclusion: The study showed that there is a significant correlation that the use of heavy school bags can cause upper limb disabilities in children. Keywords: Heavy School Bags, Upper Limb Disabilities, Children, Disabilities of Arm Shoulder and Hand


KYAMC Journal ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 88-91
Author(s):  
Taufiq Morshed ◽  
Mohammed Emran ◽  
Md Israt Hasan ◽  
Md Zahid Ferdous ◽  
Dibakar Sarkar ◽  
...  

Background: de Quervain’s tenosynovitis may be caused by thickened extensor retinaculum which holds the tendon in position in wrist. There are both operative and non-operative treatments for the condition. Corticosteroid injection is a very good conservative treatment option. Objective: To see the outcome of corticosteroid Injection in the de Quervain’s Tenosynovitis. Materials and Methods: This was prospective interventional study conducted at the outpatient department of Kurmitola General Hospital during the period from January 2018 to December 2019. Total 71 patients with de Quervain’s tenosynovitis were analyzed. Secondary outcomes were measured by Visual Analogue Scale (VAS) and Quick Disabilities of Arm, Shoulder and Hand (DASH) score. Results: Among the 71 affected hands, 11 (16.22%) patients had recurred. Sixty (83.78%) patients had no positive sign or symptom after 6 months of follow-up. Average VAS before injection was 8.27±1.23. Post injection VAS was 0.82±1.49 at 1 month follow-up and 1.46±2.34 at 6 month follow-up which was improved significantly. Pre-injection average Quick DASH score was 77.33±13.59 which was reduced to 18.34±12.37 after 1 month and 22.97±17.28 after 6 months of follow-up. Conclusion: Single injection of triamcinolone with local anesthetic for the treatment of de Quervain’s disease was proved significant conservative treatment option though there were few complications and failed cases. We should pay more attention to long-term follow-up and proper injection technique. KYAMC Journal.2021;12(02): 88-91


2021 ◽  
Vol 53 (05) ◽  
pp. 462-466
Author(s):  
Jun-Ku Lee ◽  
Soonchul Lee ◽  
SeongJu Choi ◽  
Dong Hun Han ◽  
Jongbeom Oh ◽  
...  

Abstract Purpose To report the clinical and radiographic results of arthrodesis of relatively small-sized distal interphalangeal joints (DIPJs) using only K-wire fixation. Patients and methods Between January 2000 and December 2018 28 arthrodesis in 21 patients (9 males and 12 females with an average age of 52.1 years) with relatively small-sized DIPJs were performed using only K-wires. Data on patient’s characteristics, such as age, sex, affected finger, and the number and size of the used k-wires were collected from the medical database. The narrowest diameter of the cortex and medulla of the distal phalanx was measured on preoperative plain radiographs. The time to union and the arthrodesis angle was determined using serial X-ray radiography follow-up. Preoperatively and at the latest follow-up examination, pain using the visual analogue scale (VAS) and the quick DASH score was registered. In addition, complications were investigated. Results Average follow-up period was 11.4 months. The small finger was mostly affected (n = 12; 42.9 %). The narrowest diameters of the distal phalanx cortex and the medulla measured on preoperative X-ray images were 2.8 mm (SD 0.5) and 1.2 mm (SD 0.4), respectively. Seven fusions were done with use of 1 K-wire, 20 with 2 (71.4 %), and 1 with 3 K-wires. The most common K-wire sizes were 1.1-inch (24 K-wires = 48 %), and 0.9 inch (21 K-wires = 42 %) The preoperative VAS score and quick DASH score improved from 6.1 (range: 0–9) and 25.8 (range: 2–38) to 0.4 (range: 0–2) and 3.4 (range: 0–10.2), respectively. 25 (89.3 %) out of 28 fingers achieved bony union in an average of 96.1 days (range: 58–114) with three non-union. Conclusion Arthrodesis of small DIPJs with K-wire fixation has a high success rate. Therefore, we suggest K-wire fixation as an acceptable alternative for patients with a small phalanx which may be at risk of mismatch with bigger implants. However, concerns remain in terms of fusion delay with K-wire only fixation.


2021 ◽  
Vol 53 (05) ◽  
pp. 441-446
Author(s):  
Nadine Suffa ◽  
Pauline Merkel ◽  
Raymund E. Horch ◽  
Andreas Arkudas ◽  
Ingo Ludolph ◽  
...  

Zusammenfassung Ziel Diese retrospektive, unizentrische Kohortenstudie untersucht die klinischen und subjektiven Ergebnisse nach temporärer K-Drahttransfixation in leichter Überstreckung des distalen Interphalangealgelenkes bei Strecksehnenabrissen. Patienten und Methoden Die demografischen Daten der Patienten, der Bewegungsumfang des Endgelenkes, der Quick-DASH-Score sowie die Patientenzufriedenheit (0 = unzufrieden, 10 = sehr zufrieden), fortbestehende Schmerzen (ja/nein) und postoperative Komplikationen wurden anhand eines eigens entworfenen Fragebogens und einer zur Bestimmung des Bewegungsausmaßes des Fingerendgelenkes durch die Patienten selbst entwickelten Schablone ermittelt. Fragebogen und Schablone wurden 132 Patienten zugesandt, bei denen im Zeitraum von Januar 2009 bis Dezember 2019 ein Strecksehnenabriss am Fingerendgelenk mittels temporärer K-Drahttransfixation behandelt wurde. 65 Patienten (49,2 %) – 40 Männer und 25 Frauen mit einem durchschnittlichen Alter von 53,3 Jahren – sandten Fragebogen und Schablone vollständig ausgefüllt zurück. 40-mal lag eine akute, 25-mal eine chronische Verletzung vor. 35-mal (54 %) war der Mittel-, 19-mal (29 %) der Klein-, 10-mal (15 %) der Ring- und nur einmal (2 %) der Zeigefinger betroffen. Das Gesamtergebnis wurde unter Berücksichtigung des Streckdefizits entsprechend der Crawford-Klassifikation und dem Vorhandensein von persistierenden Schmerzen bewertet. Ergebnisse Entsprechend der modifizierten Crawford-Klassifikation fanden sich 75 % exzellente, 14 % gute und 11 % befriedigende Ergebnisse. Die Patienten waren subjektiv im Durchschnitt mit 7,9 von 10 Punkten sehr zufrieden. 15 Patienten berichteten über Komplikationen, 6 davon beklagten anhaltend Schmerzen. Der Quick-DASH-Score lag durchschnittlich bei 5,4 Punkten. Schlussfolgerung Die temporäre Transfixation des distalen Interphalangealgelenkes in Hyperextensionsstellung stellt ein effektives Verfahren zur Behandlung subkutaner Strecksehnenabrisse mit hoher Patientenzufriedenheit dar.


Author(s):  
Takashi Ajiki ◽  
Akira Murayama ◽  
Yukinori Hayashi ◽  
Katsushi Takeshita

Abstract Objective We have developed a handprint-based method for visualizing and quantifying the palmar contact of patients with Dupuytren’s contracture. The purpose of this study was to examine whether the generated handprint was useful for assessing the severity of flexion contracture of the fingers and for evaluating the therapeutic effects of collagenase clostridium histolyticum (CCH) injection for Dupuytren’s contracture. Methods The handprint was created by applying medical-grade ethanol-containing hand sanitizer over the entire palmar surface of the affected hand and then pressing it on thermal paper for word processors. The reliability of the handprint was evaluated through test–retest of 10 healthy volunteers at an interval of 10 days, and the validity of the handprint was assessed using a flexion contracture model in which the little finger was fixed in an Alfence splint. In addition, we obtained handprints of the affected hand in 33 patients with unilateral Dupuytren’s contracture both before CCH injection and at the final observation after injection to investigate the contact area of the hand (CAH) and the length of the hand (LH). The relationships between CAH, LH, total extension deficit angle (TEDA), and patient-reported outcome measures (Japanese Society for Surgery of the Hand Version of the Quick Disability of Arm, Shoulder, and Hand Questionnaire [Quick DASH-JSSH] and Hand20) were examined. Results The test–retest correlation coefficient was 0.9187 (p < 0.001) for CAH and 0.9052 (p < 0.001) for LH, indicating high reliability of the handprint. The ratios of CAH and LH decreased gradually as the contracture angle of the splinted finger increased. The handprint revealed a marked improvement of palmar contact after CCH injection for Dupuytren’s contracture. Furthermore, the ratios of CAH and LH were strongly correlated with TEDA, Quick DASH-JSSH, and Hand20 before treatment. Conclusion Our handprint-based assessment method was extremely useful for clinical evaluation of CCH treatment for Dupuytren’s contracture. Type of Study/Level of Evidence Therapeutic.


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