Publications by authors named "S Z Glickel"
Background: Corticosteroid injections are widely used for treating thumb carpometacarpal (CMC) arthritis, yet the accuracy of non-image-guided injections in expert hands is uncertain, with prior studies reporting intraarticular placement in about 60% of thumbs when performed by physicians with different levels of training. Despite their common use, there is a need to assess both the accuracy and the short-term clinical efficacy of these injections, particularly when performed without image guidance by fellowship-trained hand surgeons.
Questions/purposes: (1) What is the accuracy of thumb CMC injections performed without image guidance by fellowship-trained hand surgeons in an office setting? (2) What is the short-term efficacy of thumb CMC injections performed without image guidance?
Methods: We prospectively enrolled 33 patients with a mean ± SD age of 63 ± 12 years, 76% (25) of whom were female, with symptoms of basal joint arthritis that persisted despite conservative treatment, and we administered 1.
The Evolution of the Treatment of Distal Radius Fractures How We Got to Now.
Bull Hosp Jt Dis (2013)
March 2024
Distal radius fractures are one of the most common fractures in adults and historically have frequently led to significant disability. Originally described over 5,000 years ago, until recently these fractures were almost exclusively treated by closed methods. Since the introduction of osteosynthesis in 1907, followed by the founding of the AO in 1958, and more recently the development of the volar locked plate in the early 2000s, over the past century the surgical treatment of these fractures has evolved greatly.
View Article and Find Full Text PDFBackground: Corticosteroid injection is the mainstay of nonoperative treatment for trigger finger (stenosing tenosynovitis), but despite substantial experience with this treatment, there is minimal available evidence as to the optimal corticosteroid dosing. The purpose of this study is to compare the efficacy of 3 different injection dosages of triamcinolone acetonide for the treatment of trigger finger.
Methods: Patients diagnosed with a trigger finger were prospectively enrolled and treated with an initial triamcinolone acetonide (Kenalog) injection of 5 mg, 10 mg, or 20 mg.
Article Synopsis
- * Diagnosis typically relies on physical examinations, but can also include imaging techniques like stress radiographs or MRIs to identify the severity of the injury, including potential "Stener lesions" from complete ruptures.
- * Surgical treatments, including new methods like suture tape augmentation, provide good results with minimal complications, although there's limited research on long-term success compared to traditional methods.
Article Synopsis
- This study aimed to compare demographic differences among common upper extremity peripheral nerve compressions such as carpal tunnel syndrome (CTS), ulnar nerve compression (UNC), and others to better understand their causes.
- Researchers conducted a retrospective review of 7,448 patients over 18 years old, analyzing demographic information and comorbidities using specific ICD codes, with statistical tests to compare their data with a control group.
- Findings indicated distinct demographic patterns: CTS was predominantly seen in women with higher BMI, while UNC was more common in younger men; combined CTS/UNC patients were mainly men and smokers, and those with radial tunnel syndrome/posterior interosseous nerve syndrome were largely men, diabetic, and current smokers.