Journal of Hand, Upper Limb, and Microsurgery

Comparison Of Clinical Function Based on The Boston Carpal Tunnel Syndrome Questionnaire In Carpal Tunnel Syndrome With Carpal Tunnel Injections

Didi Nasution — 2024-11-20

Introduction: Carpal tunnel syndrome (CTS) is the most common compressive neuropathy. The definitive therapy for carpal tunnel syndrome is surgical decompression. Steroid injections have advantages for treating CTS because of their rapid effect. Steroid injections can reduce the inflammatory effects that occur in CTS by inhibiting the production of proinflammatory cytokines. Symptoms of carpal tunnel syndrome can be measured using the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). This study aims to analyze differences in clinical function based on the BCTQ in carpal tunnel syndrome patients with carpal tunnel injection.

Methods: This research is analytical experimental research with a quasi-experimental pretest posttest one group only design, conducted at H. Adam Malik General Hospital in May - December 2023. Patient data was obtained from medical records of patients undergoing injection procedures. Patients who met the inclusion criteria were interviewed and calculated by the BCTQ. Data is collected, then sorted systematically and analyzed through a computer-based statistical analysis program. Limitation of significance if p ≤ 0.05.

Results: Based on symptom severity scale and functional status scale, 20 mg and 40 mg Triamcinolone acetonide injection are significant between before and after injection at one, three, and six months monitoring with a p-value of 0.001 (p<0.05).

Conclusions: Carpal tunnel injection with Triamcinolone acetonide 20 mg and 40 mg can provide good clinical outcomes in cases of carpal tunnel syndrome and can reduce the severity of symptoms and provide a good scale of hand functional status.

Level of Evidence: This study is level 2 retrospective cohort study.

Forearm contracture complicated by Malunion of Distal Radius Ulna Managd by DerotationalOsteotomy Combined with Pronator Teres Lengthening and Pronator Quadratus Release

I Gusti Agung Wiksa Astrayana — 2024-11-20

Forearm region has complex anatomical and functional unit with unique osseous, soft tissue, articular composition, and adjacent structure. Trauma and injury of this complex biologic forearm may impact functional system significantly leading to pain, instability either proximal or distal radioulnar articulation, and impair or limit the range of motion. Corrective osteotomy for malunion fracture or other posttraumatic deformities of the forearm region are challenging procedure caused by unique anatomy especially three main nerves down the forearm to the wrist hand. This case present 48-year-old male patient who was referred to Sanglah Hospital with left forearm contracture, malunion in left distal os. Radius, and malunion lest distal os. Ulna. Patient was treated with pronator teres lengthening, pronator quadratus release, DRUJ release, deretational osteotomy, ORIF PS, Transfixing wire, and immobilization with backslab. Improvement of clinical manifestation was successfully achieved with minimal surgery complication.

MORPHOMETRY RADIOLOGY OF DISTAL RADIUS IN ADAM MALIK GENERAL HOSPITAL

Aga Shahri Putera Ketaren — 2024-11-20

Backgrounds

Distal radius fractures are among the most frequently encountered fracture case and its management can be either conservative or operative. Where morphometry of the distal radius can be one of the factors that influence the considerations in management and the clinical outcomes in patients with distal radius fractures.

Methods and Results

This is a descriptive observational study of 100 patients aged 18 to 64 years with two-position x-ray examinations of the wrist. The morphometry of the distal radius, including radial height, radial inclination, ulnar variance, radiocarpal interval, volar tilt, and AP distance, was measured from plain x-ray. The mean measurement results were as follows: radial height (mm) 11.51 (±2.31); Radial Inclination (°) 24.50 (±3.43), Ulnar Variance (mm) 0.51 (± 1.33), Radiocarpal Interval (mm) 2.23 (±0.71), Volar Tilt (°) 9.07 (± 6.1), AP Distance (mm) 16.71 (± 3.4) with variation when compared between genders and race.

Discussion

The morphometry of the distal radius is essential to understand because it will affect management considerations such as reconstruction considerations and therapy evaluations. The morphometry of the distal radius can be influenced by various factors such as gender, race, and ethnicity.

Conclusion

This study provides an overview of the morphometry of the distal radius in the population at RSUP Haji Adam Malik Medan, Indonesia. There are variations in the normal anatomy of the distal radius morphometry influenced by gender, ethnicity, and race that can be considered in the management of pathologies related to the distal radius.

Review of the 2024 INASHUM Biennial Meeting in Conjunction with 4th ASEAN Hand Meeting

Realita Malik — 2024-11-20

The 2024 INASHUM Biennial Meeting in Conjunction with 4th ASEAN Hand Meeting was held from July 24-27 at the Grand Ballroom El Hotel in Bandung, Indonesia. Organized by the Indonesian Society of Hand, Upper limb and Microsurgery (INASHUM), this three-day event brought together over 500 healthcare professionals from around the South east Asia. The symposium aimed to showcase the latest management in patient care, and healthcare management in every South East Asia country. fostering collaboration and knowledge exchange to address current challenges in the Hand, Upper limb and Microsurgery.

Thinking Outside the Scalpel: Inovative, Low-Cost Solutions for Hand Surgery Challenges in Resource-Limited Settings

Made Bramantya Karna — 2024-11-20

Indonesia, with its vast archipelago and populous nation encompassing different culture, has its own set of unique healthcare needs, particularly concerning trauma cases and a large variety of hand conditions. Indonesia presents unique challenges in the field of hand surgery, especially in resource-limited areas that often restrict access to advanced medical technology and facilities. In these environments, healthcare professionals deliver essential surgical care without the conventional standard tools and resources available in high-income countries. In the words of the great philosopher Plato, necessity is the mother of innovation. As such, it is imperative that we continue to find ways and explore some innovative and low-cost solutions to address the challenges of hand surgery in these regions.