Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency
We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was d...
Gespeichert in:
| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2012-02, Vol.37 (2), p.161-169 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 169 |
|---|---|
| container_issue | 2 |
| container_start_page | 161 |
| container_title | The Journal of hand surgery, European volume |
| container_volume | 37 |
| creator | Kotwal, P. P. Varshney, M. K. Soral, A. |
| description | We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was done in 446 type 3 and 4 hands (modified Bayne classification) over 20 years comparing the subjective assessment, objective and functional scores in nonoperatively managed hands (Group 1; n = 137) to hands managed with centralization or radialization (Group 2; n = 309). The subjective, objective and functional measures were significantly better in Group 2. Improved alignment, finger and wrist range of motion and grip strength were related to improvement in functional score. Surgical treatment of radial longitudinal deficiency provides improvement in cosmesis, function and ease of performance of activities when compared with nonoperatively managed hands. |
| doi_str_mv | 10.1177/1753193411413070 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_918578742</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1753193411413070</sage_id><sourcerecordid>918578742</sourcerecordid><originalsourceid>FETCH-LOGICAL-c366t-de1e7c3e8c7efd2c249b76c934f1315fda8dde7c6efd2bec26e5596be74845b23</originalsourceid><addsrcrecordid>eNp1kE1LxDAURYMozji6dyXdiKtq0jRNupTBLxhwo-uSJi9DhjYZk1bw35s6o4Lg6hHuue-Fg9A5wdeEcH5DOKOkpiUhJaGY4wM0L3BJ86oQ9SGaT3E-5TN0EuMGYyZqUh2jWUE4FqIkc9Qsfb-VwUbvMm-yOIa1VbLLhgBy6MENmXQ6c975LQQ52HfIeunkGr4y40MWpLap0Hm3tsOorUsPDcYqC059nKIjI7sIZ_u5QK_3dy_Lx3z1_PC0vF3lilbVkGsgwBUFoTgYXaiirFteqfR1QyhhRkuhdSKqKW1BFRUwVlct8FKUrC3oAl3t9m6DfxshDk1vo4Kukw78GJuaCMYFLycS70gVfIwBTLMNtpfhoyG4maw2f62mysV--dj2oH8K3xoTcLkHZEz2TJBO2fjLMVozTicu33ExGWw2fgzJVvz_8Cdba45W</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>918578742</pqid></control><display><type>article</type><title>Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Kotwal, P. P. ; Varshney, M. K. ; Soral, A.</creator><creatorcontrib>Kotwal, P. P. ; Varshney, M. K. ; Soral, A.</creatorcontrib><description>We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was done in 446 type 3 and 4 hands (modified Bayne classification) over 20 years comparing the subjective assessment, objective and functional scores in nonoperatively managed hands (Group 1; n = 137) to hands managed with centralization or radialization (Group 2; n = 309). The subjective, objective and functional measures were significantly better in Group 2. Improved alignment, finger and wrist range of motion and grip strength were related to improvement in functional score. Surgical treatment of radial longitudinal deficiency provides improvement in cosmesis, function and ease of performance of activities when compared with nonoperatively managed hands.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193411413070</identifier><identifier>PMID: 21708841</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Biological and medical sciences ; Braces ; Carpal Bones - abnormalities ; Casts, Surgical ; Child ; Child, Preschool ; Combined Modality Therapy ; Diseases of the osteoarticular system ; Ectromelia - diagnosis ; Ectromelia - surgery ; Female ; Follow-Up Studies ; Hand Deformities - diagnosis ; Hand Deformities - surgery ; Humans ; Infant ; Male ; Medical sciences ; Patient Satisfaction ; Physical Therapy Modalities ; Postoperative Care ; Postoperative Complications - diagnosis ; Postoperative Complications - surgery ; Radius - abnormalities ; Reoperation ; Retrospective Studies ; Statistics, Nonparametric ; Thumb - abnormalities ; Thumb - surgery ; Young Adult</subject><ispartof>The Journal of hand surgery, European volume, 2012-02, Vol.37 (2), p.161-169</ispartof><rights>The British Society for Surgery of the Hand 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-de1e7c3e8c7efd2c249b76c934f1315fda8dde7c6efd2bec26e5596be74845b23</citedby><cites>FETCH-LOGICAL-c366t-de1e7c3e8c7efd2c249b76c934f1315fda8dde7c6efd2bec26e5596be74845b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1753193411413070$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1753193411413070$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25395731$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21708841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kotwal, P. P.</creatorcontrib><creatorcontrib>Varshney, M. K.</creatorcontrib><creatorcontrib>Soral, A.</creatorcontrib><title>Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was done in 446 type 3 and 4 hands (modified Bayne classification) over 20 years comparing the subjective assessment, objective and functional scores in nonoperatively managed hands (Group 1; n = 137) to hands managed with centralization or radialization (Group 2; n = 309). The subjective, objective and functional measures were significantly better in Group 2. Improved alignment, finger and wrist range of motion and grip strength were related to improvement in functional score. Surgical treatment of radial longitudinal deficiency provides improvement in cosmesis, function and ease of performance of activities when compared with nonoperatively managed hands.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Braces</subject><subject>Carpal Bones - abnormalities</subject><subject>Casts, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>Diseases of the osteoarticular system</subject><subject>Ectromelia - diagnosis</subject><subject>Ectromelia - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hand Deformities - diagnosis</subject><subject>Hand Deformities - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Satisfaction</subject><subject>Physical Therapy Modalities</subject><subject>Postoperative Care</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - surgery</subject><subject>Radius - abnormalities</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Thumb - abnormalities</subject><subject>Thumb - surgery</subject><subject>Young Adult</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAURYMozji6dyXdiKtq0jRNupTBLxhwo-uSJi9DhjYZk1bw35s6o4Lg6hHuue-Fg9A5wdeEcH5DOKOkpiUhJaGY4wM0L3BJ86oQ9SGaT3E-5TN0EuMGYyZqUh2jWUE4FqIkc9Qsfb-VwUbvMm-yOIa1VbLLhgBy6MENmXQ6c975LQQ52HfIeunkGr4y40MWpLap0Hm3tsOorUsPDcYqC059nKIjI7sIZ_u5QK_3dy_Lx3z1_PC0vF3lilbVkGsgwBUFoTgYXaiirFteqfR1QyhhRkuhdSKqKW1BFRUwVlct8FKUrC3oAl3t9m6DfxshDk1vo4Kukw78GJuaCMYFLycS70gVfIwBTLMNtpfhoyG4maw2f62mysV--dj2oH8K3xoTcLkHZEz2TJBO2fjLMVozTicu33ExGWw2fgzJVvz_8Cdba45W</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Kotwal, P. P.</creator><creator>Varshney, M. K.</creator><creator>Soral, A.</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency</title><author>Kotwal, P. P. ; Varshney, M. K. ; Soral, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-de1e7c3e8c7efd2c249b76c934f1315fda8dde7c6efd2bec26e5596be74845b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Braces</topic><topic>Carpal Bones - abnormalities</topic><topic>Casts, Surgical</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Combined Modality Therapy</topic><topic>Diseases of the osteoarticular system</topic><topic>Ectromelia - diagnosis</topic><topic>Ectromelia - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hand Deformities - diagnosis</topic><topic>Hand Deformities - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Satisfaction</topic><topic>Physical Therapy Modalities</topic><topic>Postoperative Care</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - surgery</topic><topic>Radius - abnormalities</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Thumb - abnormalities</topic><topic>Thumb - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kotwal, P. P.</creatorcontrib><creatorcontrib>Varshney, M. K.</creatorcontrib><creatorcontrib>Soral, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kotwal, P. P.</au><au>Varshney, M. K.</au><au>Soral, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>37</volume><issue>2</issue><spage>161</spage><epage>169</epage><pages>161-169</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was done in 446 type 3 and 4 hands (modified Bayne classification) over 20 years comparing the subjective assessment, objective and functional scores in nonoperatively managed hands (Group 1; n = 137) to hands managed with centralization or radialization (Group 2; n = 309). The subjective, objective and functional measures were significantly better in Group 2. Improved alignment, finger and wrist range of motion and grip strength were related to improvement in functional score. Surgical treatment of radial longitudinal deficiency provides improvement in cosmesis, function and ease of performance of activities when compared with nonoperatively managed hands.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21708841</pmid><doi>10.1177/1753193411413070</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1753-1934 |
| ispartof | The Journal of hand surgery, European volume, 2012-02, Vol.37 (2), p.161-169 |
| issn | 1753-1934 2043-6289 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_918578742 |
| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Adolescent Biological and medical sciences Braces Carpal Bones - abnormalities Casts, Surgical Child Child, Preschool Combined Modality Therapy Diseases of the osteoarticular system Ectromelia - diagnosis Ectromelia - surgery Female Follow-Up Studies Hand Deformities - diagnosis Hand Deformities - surgery Humans Infant Male Medical sciences Patient Satisfaction Physical Therapy Modalities Postoperative Care Postoperative Complications - diagnosis Postoperative Complications - surgery Radius - abnormalities Reoperation Retrospective Studies Statistics, Nonparametric Thumb - abnormalities Thumb - surgery Young Adult |
| title | Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T13%3A47%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20surgical%20treatment%20and%20nonoperative%20management%20for%20radial%20longitudinal%20deficiency&rft.jtitle=The%20Journal%20of%20hand%20surgery,%20European%20volume&rft.au=Kotwal,%20P.%20P.&rft.date=2012-02-01&rft.volume=37&rft.issue=2&rft.spage=161&rft.epage=169&rft.pages=161-169&rft.issn=1753-1934&rft.eissn=2043-6289&rft_id=info:doi/10.1177/1753193411413070&rft_dat=%3Cproquest_cross%3E918578742%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=918578742&rft_id=info:pmid/21708841&rft_sage_id=10.1177_1753193411413070&rfr_iscdi=true |