Publications by authors named "R E Matthias"

Case: We present a 67-year-old woman with long finger extrinsic extensor tightness and a 56-year-old man with limited index finger flexion due to extrinsic extensor tightness secondary to tendon transfers for radial nerve palsy. Both patients underwent prior surgical procedures that led to limited range of motion (ROM). Subsequently, they elected for central tendon tenotomy (CTT), which demonstrated postoperative ROM improvement and satisfactory patient outcomes.

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Article Synopsis
  • A Division I baseball pitcher experienced chronic forearm pain in his throwing arm, specifically with tenderness in the radial tunnel area.
  • An MRI after pitching showed swelling around the posterior interosseous nerve, leading to a diagnosis of radial tunnel syndrome.
  • The pitcher had surgery to relieve nerve pressure, which completely resolved his symptoms and allowed him to return to playing baseball.
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Purpose: The opioid epidemic has changed practice, though there remains a paucity of data regarding prescribing habits and pain control following outpatient hand surgery. We sought to evaluate patient-related predictors of adequate postoperative pain control.

Methods: A retrospective review was performed of a single-center prospectively collected database of elective outpatient surgery on the elbow, forearm, wrist, and/or hand.

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 Carpal bone tumors are rare in the literature, making it difficult to identify their clinical presentation.  This systematic review analyzes the characteristics of published carpal bone tumor cases to identify the most frequent patterns in diagnoses. Attention is paid to the carpal bone involved and type, and patient demographics was performed to summarize published findings.

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Purpose: Carpal angles traditionally are measured on the lateral projection of a standard wrist series; however, this often necessitates obtaining additional radiographic views resulting in additional radiation exposure and increased cost. We aimed to determine whether carpal angles could be measured accurately on a standard series of hand radiographs when compared to wrist radiographs.

Methods: Carpal indices were measured on lateral wrist and hand radiographs of 40 patients by three orthopedic upper extremity surgeons.

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