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Article ; Online: Demystifying the Radial Nerve The Management of Radial Nerve Palsy in the Setting of Humeral Shaft Fracture.

Pflug, Emily M / Paksima, Nader / Ayalon, Omri

Bulletin of the Hospital for Joint Disease (2013)

2024 Volume 82, Issue 1, Page(s) 85–90

Abstract: The association of radial nerve palsy and humeral shaft fracture is well known. Primary exploration and fracture fixation is recommended for open fractures and vascular injury while expectant management remains the standard of care for closed injuries. ... ...

Abstract	The association of radial nerve palsy and humeral shaft fracture is well known. Primary exploration and fracture fixation is recommended for open fractures and vascular injury while expectant management remains the standard of care for closed injuries. In the absence of nerve recovery, exploration and reconstruction is recommended 3 to 5 months following injury. When direct repair or nerve grafting is unlikely to achieve a suitable outcome, nerve and tendon transfers are potential options for the restoration of wrist and finger extension.
MeSH term(s)	Humans ; Radial Neuropathy/diagnosis ; Radial Neuropathy/etiology ; Radial Neuropathy/surgery ; Radial Nerve ; Fingers ; Humeral Fractures/complications ; Humeral Fractures/diagnostic imaging ; Humeral Fractures/surgery ; Humerus
Language	English
Publishing date	2024-01-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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Article ; Online: Rapidly Growing Solitary Osteochondroma in the Adult Finger A Case Report.

Niemeier, Julia K / Guzzetta, Melissa B / Paksima, Nader

Bulletin of the Hospital for Joint Disease (2013)

2022 Volume 80, Issue 2, Page(s) 171–174

Abstract: Osteochondromas are common benign bone tumors that are most commonly found in children and adolescents. They are usually slow-growing and located at the metaphysis of the long bones. When present in adults in atypical locations or with concerning ... ...

Abstract	Osteochondromas are common benign bone tumors that are most commonly found in children and adolescents. They are usually slow-growing and located at the metaphysis of the long bones. When present in adults in atypical locations or with concerning features, such as thickened cartilage cap and rapid growth, osteochondromas warrant imaging to assess the risk of malignant transformation into chondrosar- coma and may require surgical excision. Here, we describe the unusual case of an adult male with a rapidly growing osteochondroma of the proximal phalanx that subsequently underwent surgical excision.
MeSH term(s)	Adolescent ; Adult ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/pathology ; Bone Neoplasms/surgery ; Child ; Diagnostic Imaging ; Fingers ; Humans ; Male ; Osteochondroma/diagnostic imaging ; Osteochondroma/pathology ; Osteochondroma/surgery
Language	English
Publishing date	2022-05-28
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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Article: Reducing Tourniquet Pressures in Hand Surgery: Are Lower Pressures as Effective?

Azad, Ali / Sager, Brian / Gupta, Salil / Ayalon, Omri / Paksima, Nader

Journal of wrist surgery

2022 Volume 12, Issue 3, Page(s) 205–210

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2022-09-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2678060-4
ISSN	2163-3924 ; 2163-3916
ISSN (online)	2163-3924
ISSN	2163-3916
DOI	10.1055/s-0042-1753543
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Article: Accuracy of Wrist MRI in Detecting Synovitis and Correlation with Arthroscopy

Mahmood, Bilal / Diamond, Keith / Ayalon, Omri / Paksima, Nader / Glickel, Steven

Journal of Wrist Surgery

2024

Abstract: Hypothesis: Wrist magnetic resonance imaging (MRI) has shown excellent diagnostic accuracy in evaluating soft-tissue pathology of the wrist including ganglion cysts, ligament tears, and triangular fibrocartilage complex (TFCC) pathology. However, it is ... ...

Abstract	Hypothesis: Wrist magnetic resonance imaging (MRI) has shown excellent diagnostic accuracy in evaluating soft-tissue pathology of the wrist including ganglion cysts, ligament tears, and triangular fibrocartilage complex (TFCC) pathology. However, it is unclear how often MRI detects synovitis that is subsequently encountered during wrist arthroscopy and may be a source of pain for patients with symptoms unresponsive to conservative treatment. The aim of this study is to assess the diagnostic accuracy of conventional MRI in the detection of wrist synovitis observed intraoperatively with wrist arthroscopy. Materials and Methods: A retrospective chart review was performed on 51 patients who underwent arthroscopy for chronic wrist pain and MRI confirmed wrist pathology that did not resolve with nonoperative treatment. Wrist arthroscopy was performed by three fellowship-trained hand surgeons. While the primary pathology like TFCC or scapholunate ligament tear was identified and treated arthroscopically, it was noted that many of the patients had concomitant synovitis observed arthroscopically that was not identified preoperatively on MRI. Therefore, the diagnosis of wrist synovitis on MRI scan was compared with the observed presence of synovitis at the time of wrist arthroscopy. Results of preoperative MRI without contrast were categorized as true positive, false positive, true negative, and false negative, based upon intraoperative arthroscopic findings. Results: In total, 45/51 patients were confirmed to have dorsal and ulnar synovitis on wrist arthroscopy. MRI identified 16/51 patients as having synovitis. Of those 16 patients, 2 were false positives. Conclusion: The results demonstrate that conventional MRI without contrast has poor diagnostic accuracy in detecting wrist synovitis. Patients with ligament or chondral pathology or no clearly identifiable pathology on MRI whose clinical symptoms persist despite conservative treatment may have underlying dorsal and ulnar wrist synovitis that is not detected on MRI. Wrist arthroscopy facilitates the identification and treatment of synovitis in patients with concomitant wrist pathology and pain refractory to nonoperative treatment. This study suggests that MRI may have a low sensitivity for identifying wrist synovitis when compared with wrist arthroscopy during the evaluation of patients presenting with wrist pain.
Keywords	wrist arthroscopy ; synovitis ; MRI
Language	English
Publishing date	2024-02-20
Publisher	Thieme Medical Publishers, Inc.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2678060-4
ISSN	2163-3924 ; 2163-3916 ; 2163-3924
ISSN (online)	2163-3924
ISSN	2163-3916 ; 2163-3924
DOI	10.1055/s-0044-1779742
Database	Thieme publisher's database

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Article ; Online: Progressive Extensor Tendon Ruptures Following Distal Ulna Resection and Extensor Tendon Transfer in a Non-Rheumatoid Patient.

Sarokhan, Alison K / Paksima, Nader / O'Connell, April / Yang, S Steven

Bulletin of the Hospital for Joint Disease (2013)

2022 Volume 80, Issue 2, Page(s) 190–194

MeSH term(s)	Humans ; Rupture ; Tendon Transfer/adverse effects ; Tendons/surgery ; Ulna/diagnostic imaging ; Ulna/surgery ; Wrist
Language	English
Publishing date	2022-05-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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Article ; Online: Osteolysis Following the Use of Polyetheretherketone Suture Anchors in Hand and Wrist Surgery: A Preliminary Study.

Chen, Jeffrey S / Paksima, Nader / Rocks, Madeline C / Lin, Charles C / Catalano, Louis W

The Journal of hand surgery

2023

Abstract: Purpose: The objective of this study was to investigate and describe the presence of osteolysis after implantation of polyetheretherketone (PEEK) suture anchors in the hand and wrist.: Methods: Patients who underwent hand or wrist surgery using PEEK ... ...

Abstract	Purpose: The objective of this study was to investigate and describe the presence of osteolysis after implantation of polyetheretherketone (PEEK) suture anchors in the hand and wrist. Methods: Patients who underwent hand or wrist surgery using PEEK suture anchor(s) at a large academic institution from January 2019 to January 2021 were identified. Patients without accessible intraoperative fluoroscopic imaging were excluded. Patient demographics, type of procedure, and suture anchor material were recorded. The suture anchor tunnel size was measured on sequential radiographs and recorded as percentage change. Descriptive statistics were used to summarize findings. Results: A total of 26 PEEK suture anchors in 14 patients were included, with an average follow-up of 12.0 months (range, 1.5-24.1 months). Twenty-seven percent of the anchors (7/26) demonstrated osteolysis at final follow-up, as defined by enlargement of tunnel size by >30%. In all anchors, the tunnel size increased by 19.1% on average (range, -7.7% to 56.1%) by final follow-up. Conclusions: Polyetheretherketone suture anchors may be associated with the development of osteolysis in hand and wrist surgery. The clinical implications of osteolysis in the smaller bones of the hand and wrist remain unclear. Type of study/level of evidence: Prognostic IV.
Language	English
Publishing date	2023-08-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	605716-0
ISSN	1531-6564 ; 0363-5023
ISSN (online)	1531-6564
ISSN	0363-5023
DOI	10.1016/j.jhsa.2023.05.024
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Article ; Online: What a Waste! The Impact of Unused Surgical Supplies in Hand Surgery and How We Can Improve.

Bravo, Dalibel / Thiel, Cassandra / Bello, Ricardo / Moses, Akini / Paksima, Nader / Melamed, Eitan

Hand (New York, N.Y.)

2022 Volume 18, Issue 7, Page(s) 1215–1221

Abstract: Background: The US health care system is the second largest contributor of trash. Approximately 20% to 70% of waste is produced by operating rooms, and very few of this waste is recycled. The purpose of this study is to quantify the opened but unused ... ...

Abstract	Background: The US health care system is the second largest contributor of trash. Approximately 20% to 70% of waste is produced by operating rooms, and very few of this waste is recycled. The purpose of this study is to quantify the opened but unused disposable supplies and generate strategies to reduce disposable waste. Methods: A single-center prospective study to evaluate the cost of opened but unused single-use operating room supplies was completed by counting the number of wasted disposable products at the end of hand surgery cases. We used χ Results: Surgical and dressing items that were disposed of and not used during each case were recorded. We included 85 consecutive cases in the analysis from a single surgeon's practice. Higher cost from wasted items was associated with shorter operative time ( Conclusions: This study highlights the excessive waste of unused disposable products during hand surgery cases and identifies ways of improvement.
MeSH term(s)	Humans ; Prospective Studies ; Hand/surgery ; Carbon Dioxide ; Disposable Equipment ; Operating Rooms
Chemical Substances	Carbon Dioxide (142M471B3J)
Language	English
Publishing date	2022-04-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277325-3
ISSN	1558-9455 ; 1558-9447
ISSN (online)	1558-9455
ISSN	1558-9447
DOI	10.1177/15589447221084011
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Article ; Online: Assessing the Adequacy and Readability of Surgical Consents in Orthopedic Surgery.

Pflug, Emily M / Giordano, Sebastian A / Hutzler, Lorraine / Bosco, Joseph A / Howard, Jordan / Paksima, Nader

Bulletin of the Hospital for Joint Disease (2013)

2022 Volume 80, Issue 4, Page(s) 207–209

Abstract: Background: Handwritten consent forms for medical treatment are commonly used despite the associated risk of documentation errors. We performed an internal audit of handwritten surgical consent forms to assess the quality of consenting practices within ... ...

Abstract	Background: Handwritten consent forms for medical treatment are commonly used despite the associated risk of documentation errors. We performed an internal audit of handwritten surgical consent forms to assess the quality of consenting practices within the department of hand surgery at our orthopedic specialty hospital. Methods: A sample of 1,800 charts was selected. Con- sents were assessed for procedure type, physician details, abbreviations, consistency, and legibility. Results: A total of 1,309 charts met the inclusion crite- ria. Two hundred and eight consents contained at least one illegible word. The name of the consenting physician was not listed or illegible on 114 forms. Medical abbreviations were found on 1.8% of all included forms, and 19 consent forms contained a crossed-out word or correction. Conclusions: Although the majority of the handwrit- ten consent forms were complete, accurate, and legible, there were notable errors in the consenting process at our institution. Documentation errors have medical and ethical ramifications. Further research into consenting practices is necessary to improve the quality of consent forms and the process of informed consent.
MeSH term(s)	Humans ; Comprehension ; Consent Forms ; Orthopedic Procedures ; Informed Consent ; Documentation
Language	English
Publishing date	2022-11-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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Article ; Online: Total Wrist Arthroplasty.

Lin, Edward / Paksima, Nader

Bulletin of the Hospital for Joint Disease (2013)

2017 Volume 75, Issue 1, Page(s) 9–14

Abstract: Total wrist arthroplasty (TWA), first performed in the late 19th Century, is still an infrequently used operation. It is most commonly indicated in patients with rheumatoid arthritis who have pan-carpal wrist involvement. It is an alternative to total ... ...

Abstract	Total wrist arthroplasty (TWA), first performed in the late 19th Century, is still an infrequently used operation. It is most commonly indicated in patients with rheumatoid arthritis who have pan-carpal wrist involvement. It is an alternative to total wrist arthrodesis in patients who wish to preserve joint motion. Patients must lead a low-demand lifestyle and have failed non-operative measures. Complications are not insignificant and have been reported to be as high as 43%. Modern generation implants most often fail due to dislocation or loosening. Because wrist arthrodesis remains the gold standard treatment, particularly in patients with higher physical demands, it remains to be seen whether TWA will gain greater acceptance as prosthetic designs evolve.
MeSH term(s)	Arthrodesis ; Arthroplasty, Replacement/adverse effects ; Arthroplasty, Replacement/instrumentation ; Biomechanical Phenomena ; Hemiarthroplasty ; Humans ; Joint Prosthesis ; Prosthesis Design ; Prosthesis Failure ; Range of Motion, Articular ; Recovery of Function ; Risk Factors ; Treatment Outcome ; Wrist Joint/diagnostic imaging ; Wrist Joint/physiopathology ; Wrist Joint/surgery
Language	English
Publishing date	2017-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Dorsal Plating of Distal Radius Fractures Historical Context and Appropriate Use.

Ayalon, Omri / Paksima, Nader

Bulletin of the Hospital for Joint Disease (2013)

2017 Volume 75, Issue 1, Page(s) 4–8

Abstract: The management of distal radius fractures has evolved over time from a largely nonoperative paradigm to a more commonly performed operative procedures today. Surgical trends have similarly developed, with dorsal plating falling out of favor due to ... ...

Abstract	The management of distal radius fractures has evolved over time from a largely nonoperative paradigm to a more commonly performed operative procedures today. Surgical trends have similarly developed, with dorsal plating falling out of favor due to complications involving extensor tendon pathology as well as due to the ubiquity of the volar plate along with the advent of locking plate technology. However, with the improvement in design of newer generation dorsal plates, this technique should be used in the appropriate clinical situation, including dorsal comminution and angulation with concomitant carpal pathology. Outcome data supports dorsal plating and has been shown to be comparable to that of volar plating, with some unique advantages. As such, the technique of dorsal plating should have a role in surgical management of these injuries.
MeSH term(s)	Biomechanical Phenomena ; Bone Plates/history ; Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/history ; Fracture Fixation, Internal/instrumentation ; Fracture Healing ; History, 20th Century ; Humans ; Prosthesis Design ; Radius/diagnostic imaging ; Radius/physiopathology ; Radius/surgery ; Radius Fractures/diagnostic imaging ; Radius Fractures/history ; Radius Fractures/physiopathology ; Radius Fractures/surgery ; Recovery of Function ; Treatment Outcome
Language	English
Publishing date	2017-01
Publishing country	United States
Document type	Historical Article ; Journal Article ; Review
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
Database	MEDical Literature Analysis and Retrieval System OnLINE

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