2 results match your criteria: "Wrist + Hand Institute.[Affiliation]"

 The integrity of the foveal insertion of the triangular fibrocartilage complex (TFCC) is currently assessed by inference using the hook test. Using dry arthroscopic techniques, the primary author observed that many patients with painful distal radioulnar joint (DRUJ) instability and a positive hook test had an intact foveal insertion. This study was performed to determine whether a positive hook test is a reliable index of a tear of the foveal insertion.

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Article Synopsis
  • The study analyzed the use of a "top-hat flap," which utilizes the finger or thumb tip for reconstructing segmental defects in the distal phalanx, nailbed, or pulp in 28 cases over 7 years with a minimum follow-up of 12 months.
  • All flaps successfully survived, leading to a high rate of functional recovery, with 75% of patients achieving full motion in the distal interphalangeal joint and 92% returning to work within 3 months.
  • The findings suggest that top-hat flaps are effective for treating complex finger injuries, demonstrating a low average digit impairment score of 19%.
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