The Journal of hand surgery
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The management of distal radius fractures differs based on the nature of the fracture and the experience of the surgeon. We hypothesized that patients requiring surgical intervention would undergo different procedures when in the care of a surgeon with subspecialty training in hand surgery as compared with surgeons with no subspecialty training in hand surgery. ⋯ This study describes the association of hand surgery fellowship training on the choice of intervention for distal radius fractures and associated conditions.
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The forearm unit consists of the radius and ulna, a complex and interrelated set of joints (distal radioulnar joint, proximal radioulnar joint) and the soft tissue stabilizers between the 3 bones. Distally, this is represented by the triangular fibrocartilage complex at the wrist, proximally by the annular ligament at the elbow, and in the forearm by the interosseous membrane. Disruptions in any of these structures may lead to forearm instability, with consequences at each of the remaining structures.
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Traumatic nail bed injuries to the hand are a common problem for hand surgeons. Whereas the majority of those are treated with primary repair, the remainder present significant surgical challenges to address residual soft tissue defects. In this article, we present our approach to treating injuries to the fingertips utilizing single-layer bovine acellular dermal matrix grafts.
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To test the biomechanical properties of the dorsoradial capsulodesis procedure. ⋯ The DR capsulodesis procedure may improve rotational stability to the TMC joint.
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Loss of active shoulder abduction after brachial plexus or isolated axillary nerve injury is associated with a severe functional deficit. The purpose of this 2-center study was to retrospectively evaluate restoration of shoulder abduction after transfer of a radial nerve branch to the axillary nerve for patients after brachial plexus or axillary nerve injury. ⋯ Therapeutic IV.