Journal Detail Information

1

Cite

Share

Distal Intersection Syndrome of the Wrist: Three Cases Report.

Seung Oh NAM ; Dong Ju SHIN ; Tae Eun KIM ; Sung Wook KIM ; Hun Sik CHO

Journal of the Korean Society for Surgery of the Hand.2011;16(4):259-263.

Distal intersection syndrome indicates simultaneous tenosynovitis or tendinosis of the second and third extensor compartment where extensor pollicis longus cross with the tendons of the second extensor compartment. We report three cases of distal intersection syndrome which differ from usual intersection syndrome.
Tendinopathy ; Tendons ; Tenosynovitis

2

Cite

Share

Compartment Syndrome Following an Olecranon Fracture in a Stroke Patient Taking Ticlopidine and Aspirin.

Sanglim LEE ; Su Chan OH ; Su Young BAE

Journal of the Korean Society for Surgery of the Hand.2011;16(4):255-258.

We report a case of compartment syndrome following an olecranon fracture in the stroke patient with quadriparesis taking ticlopidine and aspirin. Antithrombic and antiaggregating ability of the medications could increase the bleeding tendency. Intraoperatively, the deep fascia of the forearm was found to be thick and tight due to long-standing spasticity, which made it difficult to minimize increased intra-compartmental pressure due to the hemorrhage from the fracture site. The chronically spastic limb of the stroke patients taking ticlopidine and aspirin should be observed carefully for the occurrence of compartment syndrome even after a low energy injury.
Aspirin ; Compartment Syndromes ; Extremities ; Fascia ; Forearm ; Hemorrhage ; Humans ; Muscle Spasticity ; Olecranon Process ; Quadriplegia ; Stroke ; Ticlopidine

3

Cite

Share

Cryptococcal Tenosynovitis of the Hand in a Patient with Rheumatiod Arthritis: A Case Report.

Ji Hwan KIM ; Dong Ju SHIN ; Young Soo BYUN ; Sung Wook KIM ; Tae Eun KIM

Journal of the Korean Society for Surgery of the Hand.2011;16(4):251-254.

Cryptococcosis is a fungal infection caused by Cryptococcus neoformans which is frequently occurred in the immunosuppressed host. Any organ or tissue may become infected, however, tendon sheath infection is extremely rare. We report a case of primary cryptococcal tenosynovitis after direct skin injury in a patient with rheumatoid arthritis who has been treated with methotrexate and leflunomide.
Arthritis, Rheumatoid ; Cryptococcosis ; Cryptococcus neoformans ; Hand ; Humans ; Immunocompromised Host ; Isoxazoles ; Methotrexate ; Skin ; Tendons ; Tenosynovitis

4

Cite

Share

Multiple Epidermal Inclusion Cysts in Previous Bone Graft Site of the Thumb: A Case Report.

So Min HWANG ; Hong Il KIM ; Sung Min AHN ; Kwang Ryeol LIM ; Yong Hui JUNG ; Jennifer K SONG

Journal of the Korean Society for Surgery of the Hand.2011;16(4):247-250.

We report a 71-year-old male presenting with painful growing mass on his left thumb. The patient had received iliac bone graft on his left thumb 20 years ago, and removed all the grafted bone 8 years ago due to recurrent ulcer. Biopsy revealed multiple eidermal inclusion cysts on the dorsal surface of the bone graft site. Surgeon should be aware of epidermal inclusion cyst occurred at the previous bone graft site of the finger.
Aged ; Biopsy ; Fingers ; Humans ; Male ; Thumb ; Transplants ; Ulcer

5

Cite

Share

Extracorporeal Shock Wave Therapy versus Platelet-rich Plasma Injection for the Treatment of Lateral Epicondylitis: A Prospective Randomized Clinical Trial.

Jeong Hwan OH ; Sang Hoon LHEE ; Jin Young PARK ; Hyeuk Woo CHOI ; Seung Hyub JEON ; Joon Sang EOM

Journal of the Korean Society for Surgery of the Hand.2011;16(4):241-246.

PURPOSE: To compare clinical outcomes of extracorporeal shockwave therapy and platelet-rich plasma injection for the treatment of lateral epicondylitis of the elbow. MATERIALS AND METHODS: Consecutive patients with a lateral epicondylitis who had refractory elbow pain more than 6 months and no response to treatment more than 3 months were recruited for this study. Diagnosis was made on the basis of physical examination and ultrasound imaging study. Prospective randomized trial was performed between two treatment groups; extracorporeal shockwave therapy versus platelet-rich plasma injection. Fifty patients for each group were allocated based on the results of power analysis. Disabilities of arm, shoulder and hand (DASH) scores obtained before treatment and at 1 year after the last treatment were compared between two groups. RESULTS: Both groups showed significant improvement of DASH scores after treatment. The patients who had platelet-rich plasma injection showed significantly greater improvement of DASH scores (from 37.0 to 11.1) than the patients who had extracorporeal shockwave therapy (from 41.9 to 29.9). CONCLUSION: Better subjective outcomes can be expected after platelet-rich plasma injection compared with extracorporeal shockwave therapy in patients with a refractory lateral epicondylitis.
Arm ; Elbow ; Hand ; Humans ; Physical Examination ; Platelet-Rich Plasma ; Prospective Studies ; Shock ; Shoulder

6

Cite

Share

Efficiency of the Boston Questionnaire in Carpal Tunnel Syndrome: Comparing Scores with Provocation Tests and Electrophysiological Studies.

Taewon JEONG ; Duck Sun AHN

Journal of the Korean Society for Surgery of the Hand.2011;16(4):232-240.

PURPOSE: We aimed to make a comparison of Boston Questionnaire scores with provocation tests and findings of electrophysiological studies in patients with a carpal tunnel syndrome. MATERIALS AND METHODS: The Boston Questionnaire was applied preoperatively for 248 hands in 142 patients with an idiopathic carpal tunnel syndrome. Boston Questionnaire scores were compared with provocation tests (Phalen's test, Tinel's sign, compression test and hand elevation test) and electrophysiological findings. RESULTS: Correlation study between the Boston Questionnaire scores and electrophysiological findings showed that the electrophysiological findings correlated more with symptom severity score (Spearman coefficient, 0.545; p<0.01) than with functional status score (Spearman coefficient, 0.307; p<0.01). Symptom severity score and functional status scores of the Boston Questionnaire correlated more linearly with the hand elevation test than with other provocation tests. CONCLUSION: This study demonstrates a high correlation of Boston Questionnaire scores with the electrophysiological findings and the hand elevation test.
Boston ; Carpal Tunnel Syndrome ; Hand ; Humans ; Surveys and Questionnaires ; Statistics as Topic

7

Cite

Share

Repetitive Microtrauma as a Cause of Thoracic Outlet Syndrome.

Ji Youn KIM ; Young Ho KWON

Journal of the Korean Society for Surgery of the Hand.2011;16(4):225-231.

PURPOSE: The aim of this study was to analyze the repetitive stress of neck and shoulder area as a cause of thoracic outlet syndrome which is relatively common but frequently underestimated. MATERIALS AND METHODS: We analyzed 110 patients (114 cases) diagnosed as thoracic outlet syndrome. We designed diagnostic criteria of thoracic outlet syndrome involving symptom, tenderness, Tinel's sign and provocation tests. We reviewed the clinical, radiologic records and questionnaire about repetitive job related microtrauma. The questionnaire was established to investigate the relation between work history and thoracic outlet syndrome based on Labor Standards by Ministry of Employment and Labor. RESULTS: Accumulated repetitive stress on the neck and shoulder associated with work as a presumed cause of thoracic outlet syndrome were found in 88 cases (77.2%). The most common stress related to the development of thoracic outlet syndrome was occupation that requires repetitive shoulder action (more than 2.5 times per a minute) and the most common duration they exposed to the labor per day was more than 4 hours a day. CONCLUSION: Repetitive microtrauma of neck and shoulder can be a cause of thoracic outlet syndrome. In patients with a history of work related microtrauma, accurate physical examination and clinical history are important for diagnosing thoracic outlet syndrome.
Employment ; Humans ; Neck ; Occupations ; Physical Examination ; Surveys and Questionnaires ; Shoulder ; Thoracic Outlet Syndrome

8

Cite

Share

Clinical Analysis of Zone 5 Wrist Lacerations.

Ja Hea GU ; Seong Ho JEONG ; Seung Kyu HAN ; Woo Kyung KIM

Journal of the Korean Society for Surgery of the Hand.2011;16(4):218-224.

PURPOSE: We conduct a comprehensive review of demography, vector and cause of injury and results of zone 5 volar wrist lacerations. MATERIALS AND METHODS: From July 2001 and June 2010, a total of 170 patients with zone 5 wrist lacerations were reviewed retrospectively. Sex, age, vector and cause of injury, injured structures and results were investigated. The correlations between the wound length, vector, cause of injury and number of injured structures were analyzed statistically. RESULTS: The most common cause of injury is self-inflicted wrist injury followed by incidental accident, industrial accident, and the glass is the most common vector. Thirty six patients underwent primary repair only and 134 patients explored then underwent teno-neuro-arteriorraphy. Error rate between the preoperative and intraoperative evaluations was 30.6%, particularly greater than 50% in cases of flexor digitorum profundus and radial artery injuries. The most common injured structure was palmaris longus followed by flexor carpi radialis, flexor carpi ulnaris and median nerve. The cause and vector of injury did not correlate with the number of injured structures. Relationship between the mean length of wounds and the number of injured structures showed weak positive correlation. CONCLUSION: In zone 5 wrist lacerations, exploration should be performed if the laceration involved over dermis layer. In addition to the surgical treatment, psychological care of these injuries is necessary.
Accidents, Occupational ; Demography ; Dermis ; Glass ; Humans ; Lacerations ; Median Nerve ; Radial Artery ; Retrospective Studies ; Wrist ; Wrist Injuries

9

Cite

Share

Surgical Treatment of Chronic Flexor Carpi Ulnaris Tendinopathy.

Ho Youn PARK ; Jun O YOON ; Won Joon CHO

Journal of the Korean Society for Surgery of the Hand.2011;16(4):211-217.

PURPOSE: The purpose of this study was to evaluate the results of surgical treatment in patients with chronic flexor carpi ulnaris tendinopathy. MATERIALS AND METHODS: Five patients with 7 wrists underwent surgical treatment for chronic flexor carpi ulnaris tendinopathy. The degenerative tissue inside the tendon over the pisiform was debrided and partial release of the tendon was performed. The clinical outcome was evaluated using pre and postoperative visual analogue scale (VAS) pain score and modified Mayo wrist score at the final follow-up. RESULTS: The mean VAS score was 7.3 preoperatively, which was significantly improved to 3.6 at postoperative 2 weeks, 1.9 at 6 weeks, 1.1 at 3 months, 0.7 at 6 months, and 0.7 at the final visit. Modified Mayo wrist score showed 3 excellent, 3 good, and one fair result. Biopsy showed degenerative tissue findings in all cases. CONCLUSION: Chronic flexor carpi ulnaris tendinopathy is a degenerative disease and surgical treatment of refractory cases can decrease clinical symptoms in the early postoperative period and enable patients to return to activities of daily-living.
Biopsy ; Debridement ; Humans ; Postoperative Period ; Tendinopathy ; Tendons ; Wrist

10

Cite

Share

Current Concept of Surgical Management for Rheumatoid Arthritis of the Wrist.

Sung Jong WOO ; Min Jong PARK

Journal of the Korean Society for Surgery of the Hand.2013;18(4):196-205. doi:10.12790/jkssh.2013.18.4.196

Rheumatoid arthritis is a systemic inflammatory disorder inducing multiple joint destruction. The wrist joint is frequently involved in early stage and proper management can preserve the ability to maintain a daily living and to work. Advances in medical treatment modalities can halt most joint destruction, however, not in all instances of joint inflammation and deformities. Most patients want to improve their own functional disability, pain, aesthetic problems in addition to medication. We review the current concept of rheumatoid wrist surgery and discuss the surgical treatment strategies for optimizing outcomes for patients with rheumatoid wrist.
Arthritis, Rheumatoid* ; Congenital Abnormalities ; Humans ; Inflammation ; Joints ; Wrist Joint ; Wrist*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share