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  • Hand Function in Adults with Radial Longitudinal Deficiency

    Source: The Journal of Bone & Joint Surgery


    Functional impairment in individuals with radial longitudinal deficiency can be influenced by several factors, including a short and bowed forearm, radial deviation of the wrist, a non-functional or absent thumb, limited finger motion, and impaired grip strength, but their relationship with activity and participation in adults with radial deficiency is not known.

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  • Lack of Benefit of Physical Therapy on Function Following Supracondylar Humeral Fracture

    Source: The Journal of Bone & Joint Surgery

    The goal of the study was to evaluate the efficacy of physical therapy in restoring function and mobility after a pediatric supracondylar humeral fracture.

    The study included sixty-one patients from five to twelve years of age with a supracondylar humeral fracture that was treated with casting or with closed reduction and pinning followed by casting. Patients were randomized to receive either no further treatment (no-PT group) or six sessions of a standardized hospital-based physical therapy program (PT group). The ASK-p (Activities Scale for Kids-performance version) and self-assessments of activity were used to assess function at one, nine, fifteen, and twenty-seven weeks after injury.

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  • Comparison of Compression Screw and Perpendicular Clamp in Ulnar Shortening Osteotomy

    Source: Journal of Hand Surgery

    Methods

    Fourteen fresh-frozen cadaveric human forearms were randomly assigned to 1 of 2 groups. Group I (n = 7) underwent USO according to the traditional AO plate fixation technique using a screw placed eccentrically in an oblong hole to generate compression at the osteotomy site. Group II (n = 7) underwent USO with a commercially available USO plating system using a clamp placed perpendicular to the osteotomy site to generate compression. Both techniques involved a 2-mm resection osteotomy performed with cutting jigs to minimize variability and an interfragmentary lag screw to augment compression.

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  • Radial Collateral Ligament Injury of the Little Finger Proximal Interphalangeal Joint in Young Pianists

    Source: Journal of Hand Surgery

    Methods

    Between 2005 and 2012, we treated 6 cases of radial collateral ligament injury of the little finger proximal interphalangeal joint in young piano players at a single referral center. We conducted a retrospective review of charts and radiographs and telephone-interviewed all patients at a mean follow-up of 33 months (range, 12–66 mo) to evaluate features of this injury.

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  • Driving With Upper Extremity Immobilization: A Comprehensive Review

    Source: Journal of Hand Surgery

    Driving with upper extremity immobilization can be potentially dangerous. The aim of this article is to review current medical literature, state laws, and guidelines on driving with upper extremity immobilization and appraise the available evidence. A literature search was conducted to identify citations related to driving with upper extremity immobilization and included a law literature search.

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