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  1. Book: Hand surgery in the next millennium

    Teoh, Lam-Chuan

    (Congress Asian Pacific Federation of Societies for Surgery of the Hand ; 2)

    1999  

    Author's details Singapore, February 28 - March 4, 1999. Ed. Lam-Chuan Teoh
    Series title Congress Asian Pacific Federation of Societies for Surgery of the Hand ; 2
    Congress of the Asian Pacific Federation of Societies for Surgery of the Hand
    Collection Congress of the Asian Pacific Federation of Societies for Surgery of the Hand
    Keywords Handchirurgie
    Subject Hand
    Language English
    Size 237 S. : zahlr. Ill., graph. Darst.
    Publisher Monduzzi, Internat. Proceedings Div
    Publishing place Bologna
    Publishing country Italy
    Document type Book
    HBZ-ID HT011086154
    ISBN 88-323-0228-4 ; 978-88-323-0228-8
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Metallosis Following Titanium Implant Use in the Hand: A Case Report and Review of Current Literature.

    Tang, Camelia Qian Ying / Chuah, Khoon Leong / Teoh, Lam Chuan

    Journal of hand and microsurgery

    2022  Volume 15, Issue 4, Page(s) 318–321

    Abstract: Adverse reaction to metal debris (ARMD) consists of a spectrum of changes ranging from pure metallosis to aseptic lymphocytic vasculitis-associated lesion and granulomatous inflammation. Currently described ARMD cases are mainly limited to arthroplasty, ... ...

    Abstract Adverse reaction to metal debris (ARMD) consists of a spectrum of changes ranging from pure metallosis to aseptic lymphocytic vasculitis-associated lesion and granulomatous inflammation. Currently described ARMD cases are mainly limited to arthroplasty, typically total hip and knee arthroplasties in the lower limb and total wrist arthroplasty in the upper limb. Hypersensitivity to a metallic implant in fracture fixation is rare, and a severe form of metallosis has not been reported so far. In this paper, we present a case of ARMD occurring 10 years after the use of titanium implants for fracture fixation in the hand. Intra-operative findings, histopathological results, and a literature review on ARMD are also described.
    Language English
    Publishing date 2022-06-28
    Publishing country United States
    Document type Case Reports
    ISSN 0974-3227
    ISSN 0974-3227
    DOI 10.1055/s-0042-1748762
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book: Reconstructive microsurgery of the hand

    Teoh, Lam-Chuan

    (Annals / Academy of Medicine, Singapore ; 24,4, Suppl.)

    1995  

    Author's details guest ed.: L. C. Teoh
    Series title Annals / Academy of Medicine, Singapore ; 24,4, Suppl.
    Collection
    Keywords Hand / surgery ; Microsurgery
    Language English
    Size 140 S. : zahlr. Ill., graph. Darst.
    Publisher Acad. of Med
    Publishing place Singapore
    Publishing country Singapore
    Document type Book
    HBZ-ID HT007204860
    Database Catalogue ZB MED Medicine, Health

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  4. Article: Open Dislocation of the Lunate and Triquetrum: A Case Report

    Kang, Gavrielle Hui-Ying / Teoh, Lam Chuan

    Journal of Hand and Microsurgery

    2023  

    Abstract: The Mayfield sequence of progressive perilunar instability is commonly encountered. A reverse-perilunate sequence has also been described, where forces are transmitted from the ulnar wrist, resulting in progressive disruption of the ulnocarpal and ... ...

    Abstract The Mayfield sequence of progressive perilunar instability is commonly encountered. A reverse-perilunate sequence has also been described, where forces are transmitted from the ulnar wrist, resulting in progressive disruption of the ulnocarpal and lunotriquetral intervals. A concomitant dislocation of both the lunate and triquetrum together is a rare injury and has not been reproduced in cadaver models nor widely encountered in clinical cases. We report a rare case of an open volar dislocation of the lunate and triquetrum, and outline the management principles and outcomes in our patient. This case highlights that not all perilunar injuries occur in the conventional sequence. Differing paths of force transmission may result in atypical patterns of carpal disruption. Nonetheless, the broad management principles are similar. Achieving carpal reduction and stabilization, soft-tissue coverage, and early rehabilitation results in reasonable patient outcomes.
    Keywords perilunate dislocation ; carpal dislocation ; wrist dislocation
    Language English
    Publishing date 2023-05-22
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 0974-6897 ; 0974-3227
    ISSN (online) 0974-6897
    ISSN 0974-3227
    DOI 10.1055/s-0043-1768481
    Database Thieme publisher's database

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  5. Article: Metallosis Following Titanium Implant Use in the Hand: A Case Report and Review of Current Literature

    Tang, Camelia Qian Ying / Chuah, Khoon Leong / Teoh, Lam Chuan

    Journal of Hand and Microsurgery

    2022  Volume 15, Issue 04, Page(s) 318–321

    Abstract: Adverse reaction to metal debris (ARMD) consists of a spectrum of changes ranging from pure metallosis to aseptic lymphocytic vasculitis-associated lesion and granulomatous inflammation. Currently described ARMD cases are mainly limited to arthroplasty, ... ...

    Abstract Adverse reaction to metal debris (ARMD) consists of a spectrum of changes ranging from pure metallosis to aseptic lymphocytic vasculitis-associated lesion and granulomatous inflammation. Currently described ARMD cases are mainly limited to arthroplasty, typically total hip and knee arthroplasties in the lower limb and total wrist arthroplasty in the upper limb. Hypersensitivity to a metallic implant in fracture fixation is rare, and a severe form of metallosis has not been reported so far. In this paper, we present a case of ARMD occurring 10 years after the use of titanium implants for fracture fixation in the hand. Intra-operative findings, histopathological results, and a literature review on ARMD are also described.
    Keywords Metallosis ; adverse reaction to metal debris ; titanium implants ; fracture fixation ; Metacarpal base fractures
    Language English
    Publishing date 2022-06-28
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 0974-6897 ; 0974-3227
    ISSN (online) 0974-6897
    ISSN 0974-3227
    DOI 10.1055/s-0042-1748762
    Database Thieme publisher's database

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  6. Article ; Online: Scapholunate Ligament Reconstruction With a Novel Technique for Passing Split Extensor Carpi Radialis Brevis Tendon Graft Through Bone Tunnels.

    Tie, Joyce / Koh, Keith / Tang, Camelia Qian Ying / Teoh, Lam Chuan

    Techniques in hand & upper extremity surgery

    2021  Volume 24, Issue 4, Page(s) 182–186

    Abstract: We report 2 patients with acute scapholunate dissociation with static instability and wide scapholunate gapping. They underwent scapholunate reconstruction using a split extensor carpi radialis brevis (ECRB) tendon graft via a dorsal approach. This ... ...

    Abstract We report 2 patients with acute scapholunate dissociation with static instability and wide scapholunate gapping. They underwent scapholunate reconstruction using a split extensor carpi radialis brevis (ECRB) tendon graft via a dorsal approach. This technique is adapted from the modified Brunelli tenodesis, utilizing a portion of the ECRB instead of a flexor carpi radialis tendon graft to reconstruct the scapholunate interosseous ligaments and dorsoradiotriquetral ligaments. The novel aspects of this technique include the use of a trifold plastic sheet of biaxially oriented polypropylene to facilitate the smooth passage of the 2 mm size ECRB tendon graft through the 2 mm bone tunnel. This enables us to avoid drilling larger holes in carpal bones with a relatively poor vascular supply and allows this technique to be utilized in patients with more delicately sized scaphoid and lunate bones. A 2 mm drill bit was used to create the scaphoid and lunate tunnels, which is smaller than that in the published literature. This trifold biaxially oriented polypropylene plastic sheath can be adapted to the use of many other techniques that require passing a tendon graft through a bone tunnel.
    MeSH term(s) Adult ; Carpal Joints/physiopathology ; Humans ; Joint Instability/physiopathology ; Joint Instability/surgery ; Ligaments, Articular/injuries ; Ligaments, Articular/surgery ; Male ; Middle Aged ; Range of Motion, Articular ; Tendons/transplantation
    Language English
    Publishing date 2021-01-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The impact of various simulated arthrodesis angles of the proximal interphalangeal joint of the ring and middle finger on grip strength.

    Xu, Jieying / Yong, Fok Chuan / Lim, Celestine Wenxian / Wong, Kevin Jian Hao / Teoh, Lam Chuan

    Archives of orthopaedic and trauma surgery

    2022  Volume 142, Issue 4, Page(s) 701–705

    Abstract: Introduction: Arthrodesis of the proximal interphalangeal (PIP) joint at 40° angle has been proposed by many authors. A smaller angle of arthrodesis results in weaker grip strength of the hand from the quadriga effect. However, arthrodesis at 40° ... ...

    Abstract Introduction: Arthrodesis of the proximal interphalangeal (PIP) joint at 40° angle has been proposed by many authors. A smaller angle of arthrodesis results in weaker grip strength of the hand from the quadriga effect. However, arthrodesis at 40° compromises other aspects of hand function including poor aesthetic appearance. This paper aims to quantify the decrease in grip strength at 40°, 20°, and 0° of arthrodesis.
    Materials and methods: Grip strengths of the hand were measured using a BASELINE dynamometer at settings II, III, and IV. Baseline grip strength of the subjects were first measured without wearing a splint. Thereafter, subjects wore thermoplastic splints to simulate arthrodesis of the middle and ring finger PIP joint at 40°, 20°, and 0°, and grip strengths were measured again. The grip strength of the hand with simulated arthrodesis was then calculated as a ratio of the baseline.
    Results: There were 50 subjects yielding 100 sets of results. The results show that average grip strength ratio of the hand decreases progressively from 40° and 20° and to 0° of arthrodesis for both the middle and ring finger. However, the difference in grip strength ratio between 40° and 20° of arthrodesis was minimal. Simulated arthrodesis of the middle finger affected the grip strength ratio more than arthrodesis of the ring finger, and compromised gripping of a smaller handle more than a wider one.
    Conclusion: The decrease in grip strength from 40° to 20° simulated fusion of PIP joint was minimal. Therefore, in so far as grip strength loss is concerned, arthrodesis of the PIP joint at an angle less than 40° can be considered for patients with individual functional and aesthetic concerns.
    MeSH term(s) Arthrodesis/methods ; Finger Joint/surgery ; Fingers ; Hand Strength ; Humans ; Range of Motion, Articular
    Language English
    Publishing date 2022-01-27
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80407-1
    ISSN 1434-3916 ; 0003-9330 ; 0344-8444
    ISSN (online) 1434-3916
    ISSN 0003-9330 ; 0344-8444
    DOI 10.1007/s00402-021-04317-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Suture osteosynthesis in the bony reconstruction of thumb duplication.

    Chew, Ee Ming / Wong, Kenneth Pak Leung / Chan, Christopher Mao Sheng / Teoh, Lam Chuan

    The Journal of hand surgery, European volume

    2021  Volume 46, Issue 7, Page(s) 762–767

    Abstract: Metacarpal osteotomies are done to correct deviation deformity in thumb duplication. We describe a suture-only technique of metacarpal osteosynthesis, without using K-wires. Thirteen Flatt Type IV thumbs and five Wassel Type VII thumbs were reconstructed ...

    Abstract Metacarpal osteotomies are done to correct deviation deformity in thumb duplication. We describe a suture-only technique of metacarpal osteosynthesis, without using K-wires. Thirteen Flatt Type IV thumbs and five Wassel Type VII thumbs were reconstructed with this technique. The median follow-up was 23 months. After osteotomy, the metacarpal bone fragments were sutured together with 5-0 polyglactin or 4-0 polydioxanone sutures. Metacarpal fragment displacement was not observed on postoperative radiographs obtained at 1 and 2 weeks. Bony union was achieved at 6 weeks without loss of alignment. The metacarpophalangeal joint alignment was anatomical (≤5° deviation) in eight cases. The mean pre- and postoperative metacarpophalangeal joint alignments were 27° and 9°, respectively. The 11 patients who were available for grading with the Japanese Society for Surgery of the Hand Score were assessed as good. Complete internalization of the bony fixation eliminates infections associated with exposed K-wires without compromising the overall outcome.
    MeSH term(s) Humans ; Metacarpal Bones/diagnostic imaging ; Metacarpal Bones/surgery ; Osteotomy ; Polydactyly ; Sutures ; Thumb/diagnostic imaging ; Thumb/surgery
    Language English
    Publishing date 2021-04-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2272801-6
    ISSN 2043-6289 ; 1753-1934
    ISSN (online) 2043-6289
    ISSN 1753-1934
    DOI 10.1177/17531934211010078
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Revisiting the Elastic Band Tourniquet in Pediatric Upper Limb Surgery.

    Kang, Yong Chiang / Arjandas, Mahadev / Teoh, Lam Chuan

    Techniques in hand & upper extremity surgery

    2018  Volume 22, Issue 2, Page(s) 43–45

    Abstract: Pediatric upper limb surgery requires fine tissue handling in a bloodless surgical field. Standard pneumatic tourniquets are often ineffective in the very young, as they do not fit all limb circumferences. We describe a simple and effective elastic band ... ...

    Abstract Pediatric upper limb surgery requires fine tissue handling in a bloodless surgical field. Standard pneumatic tourniquets are often ineffective in the very young, as they do not fit all limb circumferences. We describe a simple and effective elastic band tourniquet technique and report our experience of safety with 113 cases.
    MeSH term(s) Child ; Humans ; Pressure ; Time Factors ; Tourniquets ; Upper Extremity/surgery
    Language English
    Publishing date 2018-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000193
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Resurfacing a short nail matrix remnant with a de-epithelized V-Y flap.

    Satku, Mala / Sia, Wei Tee / Teoh, Lam Chuan

    The Journal of hand surgery, European volume

    2018  Volume 43, Issue 6, Page(s) 671–673

    MeSH term(s) Adult ; Anesthesia, Local ; Epithelium/surgery ; Female ; Finger Injuries/surgery ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Nails/injuries ; Nails/surgery ; Re-Epithelialization/physiology ; Retrospective Studies ; Surgical Flaps/surgery ; Thumb/injuries
    Language English
    Publishing date 2018-05-09
    Publishing country England
    Document type Letter
    ZDB-ID 2272801-6
    ISSN 2043-6289 ; 1753-1934
    ISSN (online) 2043-6289
    ISSN 1753-1934
    DOI 10.1177/1753193418772805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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