Simple trapeziectomy for thumb basal joint arthrosis. Forty-four thumbs re-reviewed after 7.5 years.

Background: Due to favorable results in the literature we changed our standard procedure in 2010 from trapeziectomy with LRTI to simple trapeziectomy for thumb basal joint arthrosis. A review of 49 operated hands after two years showed good results, similar to those we had obtained after LRTI.

Objective: We have now re-reviewed these patients to see if the good results persist over time.

Coccygectomy in the Treatment of Chronic Coccydynia.

Study Design: This is a retrospective cohort study.

Objective: The aim of this article was to evaluate the results of patients operated for chronic coccydynia, and determine any factors that could affect outcomes.

Summary Of Background Data: Patients with coccydynia who do not respond to conservative treatment will often profit from coccygectomy.

Resection of the coccyx as an outpatient procedure.

We wished to determine if coccygectomy as an outpatient procedure is a safe alternative to inpatient treatment. 68 patients were treated at our institution with coccygectomy as an outpatient procedure during a seven-year period. Out of these 61 (90%) responded to final follow-up questionnaires after a minimum of one year.

The effect of injection therapy and operation of coccydynia on the schooling and physical activity of adolescent patients.

Pain while sitting is the most common complaint among patients with Coccydynia. In young patients this may seriously affect their schooling which usually involves long periods of sitting. We studied if this improved after either injection therapy or surgery.

Corticosteroid injection for coccydynia: a review of 241 patients.

Aims: We aimed to establish the short- and long-term efficacy of corticosteroid injection for coccydynia, and to determine if betamethasone or triamcinolone has the best effect.

Methods: During 2009 to 2016, we treated 277 patients with chronic coccydynia with either one 6 mg betamethasone or one 20 mg triamcinolone cortisone injection. A susequent injection was given to 62 (26%) of the patients.

The treatment of coccydynia in adolescents: A case-control study.

Aims: To determine if the results of treatment of adolescents with coccydynia are similar to those found in adults. Adult patients with coccydynia may benefit from injection therapy or operative treatment. There is little data evaluating treatment results in adolescents.

Normal Preoperative Images Do Not Indicate a Poor Outcome of Surgery for Coccydynia.

Study Design: This is a retrospective cohort study.

Objective: To evaluate the long-term outcomes after surgery for refractory coccygodynia in patients with normal imaging studies compared with patients where imaging shows an anomaly.

Summary Of Background Data: Patients with coccydynia who do not respond to conservative treatment will often profit from coccygectomy.

The Reliability of Remembered Pretreatment Visual Analog Scale Scores among Hand-Surgery Patients.

 In clinical audits in which preoperative visual analog scale (VAS) scores were not recorded, it would be useful if such scores could be re-created at the time of review.  We recorded VAS score for pain during the past week before surgery for 245 consecutive hand-surgery patients scheduled for planned surgery during a 6-month period. A total of 30 patients who refused to participate or were unable to respond were excluded.

The reliability of remembered pre-operative patient-rated wrist and hand evaluation (PRWHE) scores.

In clinical audits where pre-operative patient-rated wrist and hand evaluation (PRWHE) scores were not recorded, it would be useful if such scores could be recreated at the time of review. We recorded a PRWHE score during the last week before surgery for 143 patients. They were contacted after 21 months and asked to furnish a new PRWHE of the state they were in during the last week before surgery.

The value of remembered pre-operative quick disabilities of the arm, shoulder and hand (QuickDASH) scores.

It would be useful if it were possible for the patients to recreate their pre-operative QuickDASH scores in audits where this score had not been recorded before surgery. We assessed the accuracy of remembered pre-operative QuickDASH scores among 229 consecutive patients and the value of a previously developed algorithm for correcting these scores. Real pre-operative scores and remembered pre-operative scores were compared after a mean of 21 months.

Wide Awake Hand Surgery.

Background: "Wide awake hand surgery", where surgery is performed in local anaesthesia with adrenaline, without sedation or a tourniquet, has become widespread in some countries. It has a number of potential advantages and we wished to evaluate it among our patients.

Methods: All 122 patients treated by this method during one year were evaluated by the surgeons and the patients on a numerical scale from 0 (best/least) to 10 (worst/most).

Reduced pain when injecting lidocaine.

Pain on injection of lidocaine is often considered a necessary evil, but it can be reduced by simple means.

The Influence of Injected Volume on Discomfort During Administration of Digital Block.

Background: Digital nerve block is associated with pain. In a search for methods to reduce the discomfort, we investigated how the volume of anaesthetic fluid influences pain during subcutaneous digital nerve block, and how it affects the success of the anaesthesia.

Methods: A randomized blinded prospective study was performed on 36 healthy volunteers.

Dupuytren's Contracture. The Safety and Efficacy of Collagenase Treatment.

Background: Our main goal was to see if treatment with collagenase injection is safe and effective and to assess patient satisfaction with this new treatment.

Methods: We prospectively followed 77 consecutive patients, treated for contracture in 91 fingers and 142 joints that received total of 109 collagenase injections. The patients were reviewed on the first and second day and at 4 and 12 months.

The influence of Lidocaine temperature on pain during subcutaneous injection.

Background: Injection of local anaesthetics is an uncomfortable procedure. The purpose of this study was to determine the influence of lidocaine temperature on pain during subcutaneous injection.

Methods: A randomised, double blind trial with 36 healthy volunteers was performed.

Abductor pollicis longus tendon interposition for arthrosis of the first carpo-metacarpal joint. Long-term results.

Background: We performed an interposition arthroplasty using the abductor pollicis longus tendon for arthrosis in the basal joint of the thumb that needed surgery from 1995 to 2010. In 2001 47 patients (55 thumbs) were reviewed after 3.5 (1-5) years.

The importance of needle gauge for pain during injection of lidocaine.

Background: Local anaesthetics such as lidocaine are used both in minor and major surgical procedures, and can be painful. Different methods have been investigated to reduce the discomfort of the injections. This study investigated if different needle gauges can influence the pain experienced during injection of lidocaine.

The influence of injection speed on pain during injection of local anaesthetic.

Study Objective: To determine the influence of injection speed on pain during injection of local anaesthetics.

Methods: In a blinded randomised study with 36 healthy volunteers, each volunteer received three injections of 4.5 ml lidocaine subcutaneously on the abdomen.

Simple Trapeziectomy for Arthrosis of the Basal Joint of the Thumb: 49 Thumbs Reviewed After Two Years.

Background: Many different surgical strategies for arthrosis of the carpometacarpal joint of the thumb are described in the literature. In 2010 we changed our routine procedure from an interposition arthroplasty using the abductor pollicis longus (APL) tendon to simple trapeziectomy without suspension or interposition. The purpose of this study was to review the clinical outcome after trapeziectomy and to compare it to those we had achieved with the APL procedure.

Does adjusting the pH of lidocaine reduce pain during injection?

Background: Receiving local anaestethic injection is painful. A double-blinded randomised study with 32 healthy adult volunteers was performed, with the aim of investigating the effect of buffering lidocaine to reduce the pain during injection.

Methods: Each participant received two subcutaneous injections of 4.

The clinical outcome after extra-articular colles fractures with simultaneous moderate scapholunate dissociation.

Background An increased scapholunate gap is sometimes seen in patients with a distal radial fracture. The question remains as to whether this represents a scapholunate ligament injury that requires treatment. Questions/purposes We wished to examine the natural history of an increased scapholunate gap in patients following an extra-articular distal radial fracture.

Surgery for wrist Ganglia: one-hundred and twenty-two patients reviewed 8 years after operation.

Wrist ganglia give few symptoms, but are a common reason for referral to a hand surgeon. We studied patient long-term satisfaction after operation. We reviewed 122 patients, who were operated for dorsal (n=82) and volar (n=40) wrist ganglia 8 years before (range 3-11).

Poor results of radio-scaphoid capsulodesis for scapholunate dissociation.

We reviewed 17 patients 64 (range 29-123) months after dorsal radioscaphoid capsulodesis for scapholunate dissociation. Mean loss of key pinch was 13%, grip strength 18%, wrist flexion 22% (p < 0.001), and total wrist ROM 17% (p < 0.

[Necrosis in fingers and toes following local anaesthesia with adrenaline--an urban legend?].

Background: It is often maintained that a local anaesthetic (usually lidocaine) with adrenaline must not be used in fingers and toes because it may cause necrosis due to vascular spasm in end arteries. This review article is an attempt to find evidence to support this warning.

Method: Relevant literature was found by means of searches in PubMed limited downwards to 1946 and in EMBASE from 1980 to 2012, and in reference lists.