PURPOSE A new spacer for the trapeziometacarpal joint (TMC) based on a biological and tissue-preserving concept for the treatment of TMC osteoarthritis (OA) has been evaluated. The purpose was to combine a spacing effect with stabilization of the TMC joint. METHODS Artelon (Artimplant AB, Sweden) TMC Spacer is synthesized of a degradable polyurethaneurea (Artelon), which has been shown to be ...

BACKGROUND We performed an interposition arthroplasty using the abductor pollicis longus tendon for arthrosis in the basal joint of the thumb that needed surgery from 1995 to 2010. In 2001 47 patients (55 thumbs) were reviewed after 3.5 (1-5) years. The pain relief was excellent in 32 thumbs, and 25 patients improved their ability to perform daily tasks. Mobility was well preserved. Key pinch a...

To investigate whether sensorimotor control of the hand could be an outcome indicator after carpal tunnel release (CTR), this work examined changes in the results of patients' manual tactile test (MTT), pinch-holding-up activity (PHUA), two-point discrimination (2PD) and Semmes-Weinstein monofilament (SWM) tests. Participants included 30 predominantly sensory neuropathy CTS patients, as confirm...

Abstract Background The use of smartphones has become widely popular, especially among young people, for multiple purposes other than communication, including gaming and internet browsing. hand wrist weakness is one the main complications associated with increased smartphones. This occurs due to repetitive flexion extension wrist, thumb, fingers, leading a significant musculoskeletal pathology....

OBJECTIVE To report preliminary experience on the Camitz operation for elderly Chinese patients in a Hong Kong public hospital. DESIGN Retrospective study. SETTING Tertiary referral hospital with hand surgery service in Hong Kong. PATIENTS Between January 2000 and January 2004, patients with carpal tunnel syndrome having the Camitz operation were recruited. They were assessed using the me...

BACKGROUND Chronic lateral epicondylitis has been treated with various surgical procedures with varying and often less-than-satisfactory outcomes. HYPOTHESIS The use of suture anchor repair of the extensor carpi radialis brevis to the lateral epicondyle in the treatment of chronic lateral epicondylitis will result in a more anatomical repair, with resultant improvements in strength, pain, and...

OBJECTIVE Rheumatoid arthritis (RA) often results in deformities at the metacarpophalangeal (MCP) joints. Patients with severe deformities can be treated by silicone metacarpophalangeal joint arthroplasty (SMPA). The objective of the study is to prospectively compare long-term outcomes for an SMPA surgical and a nonsurgical cohort of RA patients. METHODS A total of 67 surgical and 95 nonsurgi...

Background and purpose: There is lack of definite evidence indicating an effective treatment for carpal tunnel syndrome (CTS). Low level laser therapy (LLLT) has long been used as one of the conservative treatments for CTS. On contrast, nerve gliding exercises have been introduced recently as a physical modality in treating patients with entrapment neuropathies. The purpse of this study was to ...

BACKGROUND The purpose of the present study is to evaluate a single surgeon's short, intermediate, and long-term clinical, functional, and radiographic outcomes with a trapeziectomy with flexor carpi radialis (FCR) suspension arthroplasty without tendon interposition (LRSA). METHODS Twenty-one patients underwent 26 FCR suspension arthroplasties without tendon interposition by a single senior ...

The purpose of this study was to compare the effects of two 6-week splint and exercise regimens for patients with trapeziometacarpal osteoarthritis. Forty participants were enrolled in a randomised, controlled clinical trial. The experimental group received a newly designed thumb strap splint and an abduction exercise regimen, whereas the control group received current clinical practice consist...