Publications by authors named "I Degreef"
Article Synopsis
- The study examines whether adding the anti-inflammatory drug celecoxib can enhance treatment outcomes for patients with Dupuytren contracture (DC) who are at high risk of recurrence after collagenase therapy.
- A randomized trial with 32 patients showed that celecoxib resulted in significantly better improvements in Total Passive Extension Deficit (TPED) and joint contractures compared to the control group.
- Although celecoxib improved pain and satisfaction scores, the other assessed measures showed no significant differences between the treatment and control groups, suggesting potential benefits of celecoxib for certain outcomes related to DC.
Wide-awake local anesthesia no tourniquet is named the WALANT technique. WALANT has had a major positive impact on cost, convenience, ecology, patient satisfaction, access to surgical care, and outcomes in hand surgery in the last 20 years. Safe and efficient application of the technique is based on two principles.
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- Collagenase clostridium histolyticum (CCH) is a non-surgical treatment for Dupuytren Disease, but recurrence rates are high and predictors of these outcomes are not well understood.
- A study of 74 patients over 5 years showed a 67% recurrence rate after CCH treatment, with no correlation found between the Dupuytren Diathesis Score (DDS) and recurrence.
- However, the presence of knuckle pads was linked to a lower risk of recurrence, and overall patient satisfaction with CCH treatment was reported as high.
Objectives: Non-inflammatory thickening of the subsynovial connective tissue (SSCT) in the carpal tunnel is commonly found in subjects with carpal tunnel syndrome (CTS), and quantification may shed light on CTS pathogenesis. To date, information on the reliability of ultrasound quantification of SSCT is scarce. Therefore, we investigated intrarater and interrater reliability/agreement for ultrasound quantification of SSCT thickness in subjects with and without CTS, and predictors for tissue thickness.
View Article and Find Full Text PDFCase: We present the case of a 25-year-old male sports climber treated with in situ ulnar nerve stabilization for ulnar nerve instability (UNI) by using 2 fascial flaps.
Conclusion: Symptomatic UNI has traditionally been managed with subcutaneous or submuscular ulnar nerve transposition. Transposition is relatively invasive and when performed subcutaneously, embeds the ulnar nerve in an exposed location, which may render it prone to mechanical injury in physically active patients.