Arterial Perfusion of the Proximal Phalanx Revisited: New Insights Based on Micro-Computed Tomography. (Record no. 30)

MARC details
000 -LEADER
fixed length control field 03819nam a22004937a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5023
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jhsa.2022.09.014 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0363-5023(22)00573-1 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36333245
245 ## - TITLE STATEMENT
Title Arterial Perfusion of the Proximal Phalanx Revisited: New Insights Based on Micro-Computed Tomography.
251 ## - Source
Source Journal of Hand Surgery - American Volume. 2022 Nov 01
252 ## - Abbreviated Source
Abbreviated source J Hand Surg [Am]. 2022 Nov 01
253 ## - Journal Name
Journal name The Journal of hand surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Nov 01
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-12-13
501 ## - WITH NOTE
Local holdings Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract CLINICAL RELEVANCE: An understanding of the patterns of perfusion of the proximal phalanx provides some insight into clinically observed pathology, as well as guidance for operative management. Copyright © 2022 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Periosteal contributions to the perfusion of the proximal phalanx appear to diminish distally. The endosteal arterial anatomy remains consistent, with a single nutrient vessel entering the intramedullary canal with reliable laterality on each digit. This is often the only vessel supplying the head of the proximal phalanx, making this area particularly susceptible to vascular compromise.
520 ## - SUMMARY, ETC.
Abstract METHODS: Cadaveric upper extremities were injected with a barium sulfate/gelatin suspension. Phalanges were imaged using micro-CTA and analyzed with a focus on osseous arterial anatomy. Periosteal and endosteal perfusion was characterized by number of vessels, length, anatomic course, and caliber.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: To characterize the periosteal and endosteal arterial perfusion of the proximal phalanx using micro-computed tomography angiography (micro-CTA).
520 ## - SUMMARY, ETC.
Abstract RESULTS: The base of the proximal phalanx had a significantly greater number (8.0 +/- 3.5) of periosteal vessels than those of the shaft (4.1 +/- 1.6) and head (1.3 +/- 1.1). One-third (34.4%) of the specimens demonstrated a complete absence of periosteal vessels in the head. A nutrient endosteal vessel was noted in 100% of the specimens. Entering at the junction of the middle and distal third of the bone (25.8 +/- 3.9 mm from base), the nutrient vessel entered the proximal phalanx of the index finger along its ulnar aspect (8 of 8 specimens), the middle finger along its radial aspect (6 of 8), the ring finger along its ulnar aspect (5 of 8), and the little finger along its radial aspect (7 of 8). The nutrient vessel branched into proximal and distal extensions toward the shaft and head, respectively, with an average endosteal length of 10.7 +/- 5.2 mm and average diameter of 0.36 +/- 0.11 mm.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Orthopaedic Surgery
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Department Plastic Surgery Residency
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Abadeer, Andrew
Institution Code MGUH
Program Plastic Surgery Residency
Degree MD
Resident year Resident PGY 5
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Local Authors Brooks, Daina M
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giladi, Aviram M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Higgins, James P
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shubinets, Valeriy
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Wu, Caroline M
Institution Code CURT
790 ## - Authors
All authors Abadeer AI, Brooks DM, Giladi AM, Higgins JP, Shubinets V, Wu CM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jhsa.2022.09.014">https://dx.doi.org/10.1016/j.jhsa.2022.09.014</a>
Public note https://dx.doi.org/10.1016/j.jhsa.2022.09.014
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/13/2022   36333245 36333245 12/13/2022 12/13/2022 Journal Article

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