Publications by authors named "Chloe Krasnoff"
Predicting thenar motor branch anatomy for a safer carpal tunnel release.
Clin Neurol Neurosurg
November 2024
Article Synopsis
- The study investigates how anatomical variations of the thenar motor branch of the median nerve (TMB) can increase the risk of nerve injury during carpal tunnel surgery.
- Researchers looked at patients undergoing surgery to observe the TMB's origin and the presence of intrinsic muscles that could obscure the nerve.
- Findings showed that when transverse carpal muscle is present, the TMB is more likely to originate ulnarly, prompting surgeons to identify the TMB before cutting the ligament to avoid injury.
Article Synopsis
- Ulnar nerve injury causes an imbalance in the muscles of the ring and small fingers, leading to a claw hand appearance characterized by hyperextension at the MP joints and flexion at the proximal interphalangeal joints.
- Additionally, this condition significantly affects hand function, particularly limiting the ability to grasp due to reduced MP joint flexion.
- A modified Zancolli lasso procedure has been developed to effectively address both the claw deformity and Wartenberg's sign, improving motor function in patients with ulnar neuropathy.
Unlabelled: A key component of success of a nerve transfer is the innervation density, which is directly affected by the donor nerve axonal density and donor-to-recipient (D:R) axon ratio. Optimal D:R axon ratio for a nerve transfer is quoted at 0.7:1 or greater.
View Article and Find Full Text PDFPurpose: Damage control laparotomy (DCL) is used for both traumatic and non-traumatic indications. Failure to achieve primary fascial closure (PFC) in a timely fashion has been associated with complications including sepsis, fistula, and mortality. We sought to identify factors associated with time to PFC in a multicenter retrospective cohort.
View Article and Find Full Text PDFBackground: Female patients with pelvic/adnexal masses often undergo gynecologic operations due to presumed ovarian origin. The diagnosis of an appendiceal tumor is often only made postoperatively after suboptimal cytoreduction has been performed. We hypothesized that an index gynecological procedure increases the morbidity of definitive cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) in patients with appendiceal mucinous tumors.
View Article and Find Full Text PDFBackground: Damage-control laparotomy (DCL) has been used for traumatic and nontraumatic indications. We studied factors associated with delirium and outcome in this population.
Methods: We reviewed DCL patients at 15 centers for 2 years, including demographics, Charlson Comorbidity Index (CCI), diagnosis, operations, and outcomes.
Article Synopsis
- Pediatric burn-trauma (BT) patients experience a significantly longer hospital stay compared to trauma-only (T) patients, with a median length of stay of 4 days versus 2 days.
- Both groups showed no difference in mortality rates (1.1% for both) or complications such as infections or ulcers.
- It’s important to consider burn injuries when assessing hospital stay metrics, as they can impact the length of stay in pediatric trauma care.
Background: The impact of preoperative chemotherapy/radiation on esophageal anastomotic leaks (ALs) and the correlation between AL severity and mortality risk have not been fully elucidated. We hypothesized that lower severity ALs have a similar risk of mortality compared to those without ALs, and preoperative chemotherapy/radiation increases AL risk.
Methods: The 2016-2017 American College of Surgeons National Surgical Quality Improvement Program's procedure-targeted esophagectomy database was queried for patients undergoing any esophagectomy for cancer.
Patient satisfaction is an important clinical marker for hand/upper extremity patients. Few studies have investigated the predictors of patient satisfaction in the clinic setting. Our objective was to analyze patient satisfaction surveys to explore factors that influence patient satisfaction.
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