Journal of Hand and Microsurgery 

About: Journal of Hand and Microsurgery is an academic journal published by Georg Thieme Verlag. The journal publishes majorly in the area(s): Medicine & Wrist. It has an ISSN identifier of 0974-3227. Over the lifetime, 605 publications have been published receiving 2964 citations.

Age and Anthropometric Traits Predict Handgrip Strength in Healthy Normals

Abstract: Hand grip strength is an inevitable component in the evaluation of rheumatoid arthritis, neuromuscular, preoperative, post operative patients and community dwelling older adults' functional capacity. Hand grip varies greatly with age, gender and the anthropometric measures when measured by hand dynamometer. The influence of above variables on hand grip when measured by modified sphygmomanometer is unknown. Further, the prediction of hand grip from age and anthropometric traits is unknown. 229 subjects (115 males and 114 females) with age 23 ± 2 and 21 ± 2 respectively were included in the study after informed c nsent. Weight and height were obtained using standard techniques. Hand grip was measured using a modified sphygmomanometer. Information regarding physical activity and health status was obtained by interview, clinical screening and stratified. Stepwise multiple regression analysis was sought out for any influence of age, height, weight and Body Mass Index (BMI) on hand grip strength. Grip strength correlated moderate to high with age (r = 0.44, p = 0.00), height (r = 0.57, p = 0.00), weight (r = 0.57, p = 0.00) and BMI (r = 0.29, p = 0.00). The regression model for handgrip strength is Hand grip = −1790.54 + 4.93557 × Age–11.7429 × Weight + 1083.4 × Height + 34.194 × BMI. Age, height and weight are the i portant determinants of the handgrip evaluation. In clinical setting, the influence of age and anthropo etric traits on handgrip shall be borne in mind when measuring handgrip by modified sphygmomanometer in age group of 20–25 year patients.

Giant Cell Tumor of Tendon Sheath: Case Series and Review of Literature

Abstract: Recurrence of Giant cell tumor of the tendon sheath (GCTTS) is an unresolved issue, though it is a non malignant condition. The authors operated on fourteen cases of GCTTS, after fine needle aspiration cytology confirmation and using a magnifying loupe for complete excision of the lesion including the satellite nodules. In only one case recurrence was noted which was successfully managed by a second wide excision. Preoperative diagnosis and meticulous surgical technique were found the only predictive factor of recurrence. During the 5 year period from 2002, 12 patients [11 females, 1 male, mean age 29.5, ranging from 10–53 years] underwent excision of giant cell tumor of tendon sheath of the hand. The lesions were found over the thumb [n = 7], ring finger [n = 1], index finger [n = 1], and over the hand [n = 2]. The lesions were classified using the Al-Qattan classification. The most common presentation was with a mass over the hand, with a predilection to the thumb [n = 7]. Radiological changes in the form of bony indentation was seen in only 2 cases. FNAC was inconclusive in 2 out of the 12 cases. Due to the high incidence of recurrence, pre-operative planning aided by a tissue diagnosis with fine needle aspiration cytology, wide surgical exposure, and meticulous dissection with help of magnification are imperative for a successful outcome in GCTTS.

A Systematic Review of Distal Interphalangeal Joint Arthrodesis

Abstract: Arthrodesis of the distal interphalangeal joint of the hand is a reliable procedure for creating a painless stable joint. Numerous techniques are described within the literature for varying indications. We undertook a systematic review of all studies published within the English literature to provide a comparison of the different techniques. The published studies were predominantly of Level IV evidence. The most commonly employed techniques were Kirschner wire, headless compression screw and cerclage wires. There was no difference in infection rates. Headless compression screws appear to have increased union rates but are associated with complications not seen with other well-established and cheaper techniques. The screw diameter is often similar to or larger than the joint itself, which can result in penetration. Furthermore, they limit the available angle for achieving fusion. Other than in terms of union, there is insufficient evidence to show the headless compression screw is superior to other techniques.

Intramedullary Fixation of Metacarpal Fractures Using Headless Compression Screws.

Abstract: Introduction The purpose of this study is to examine the clinical results of retrograde intramedullary headless screw (IMHS) fixation for metacarpal fractures. Methods A retrospective review was performed on 16 patients with 18 metacarpal fractures who underwent IMHS fixation at a single institution. The average age was 32 years. The indications for surgery included rotational malalignment (five patients), multiple metacarpal fractures (five patients), angular deformity (four patients), and shortening greater than 5 mm (two patients). The average length of follow-up was 19.4 weeks (median 10.2 weeks). Results Functional outcome was considered excellent in all patients with total active motion in excess of 240 degrees. Active motion was initiated within 1 week of surgery. No secondary surgeries were performed related to a complication of IMHS fixation. Conclusion IMHS fixation of metacarpal fractures is an efficacious treatment modality for patients with comminution, multiple fractures, malrotation, and those who require rapid mobilization. It obviates the need for immobilization or more extensive plate and screw fixation techniques with excellent clinical results.

Nerve Repair with Nerve Conduits: Problems, Solutions, and Future Directions.

Abstract: Nerve conduits are becoming increasingly popular for the repair of peripheral nerve injuries. Their ease of application and lack of donor site morbidity make them an attractive option for nerve repair in many situations. Today, there are many different conduits to choose in different sizes and materials, giving the reconstructive surgeon many options for any given clinical problem. However, to properly utilize these unique reconstructive tools, the peripheral nerve surgeon must be familiar not only with their standard indications but also with their functional limitations. In this review, the authors identify the common applications of nerve conduits, expected results, and shortcomings of current techniques. Furthermore, future directions for nerve conduit use are identified.