MARC details
| 000 -LEADER |
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| fixed length control field |
04190nam a22005897a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
220124s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0363-5023 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.jhsa.2021.05.013 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S0363-5023(21)00307-5 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
34176709 |
| 245 ## - TITLE STATEMENT |
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| Title |
The Impact of Dividing the Flexor Tendon Pulleys on Tendon Excursion and Work of Flexion in a Cadaveric Model. |
| 251 ## - Source |
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| Source |
Journal of Hand Surgery - American Volume. 46(12):1064-1070, 2021 12. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Hand Surg [Am]. 46(12):1064-1070, 2021 12. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
J Hand Surg [Am]. 46(12):1064-1070, 2021 Dec. |
| 253 ## - Journal Name |
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| Journal name |
The Journal of hand surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2021 Dec |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-07-19 |
| 268 ## - Previous citation |
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| -- |
Journal of Hand Surgery - American Volume. 46(12):1064-1070, 2021 Dec. |
| 269 ## - Original dates |
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| Original fiscal year |
FY2022 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CLINICAL RELEVANCE: During flexor tendon repair, the length of contiguous pulley release may have more impact on final tendon excursion than which specific pulleys are released. Copyright (c) 2021 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: A1 release was clinically significant when added to A2 release but not when added to A4 release. Sacrifice of the A2 and A4 pulleys resulted in a statistically significant, but clinically negligible, difference in flexor tendon excursion. These data suggest that the A1 pulley should be preserved when other proximal pulley components are likely to be compromised. These data also add further support to the concept that the A2 pulley or the A4 pulley can be released as needed for optimal tenorrhaphy. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: Combinations of A1, A2, and A4 pulleys were released on the index, middle, ring, and little fingers of fresh, cadaveric hands. The excursion was measured as the distance the tendon was pulled by the motor to achieve palm touchdown. The force applied by the motor was constant (25 N); work was derived from the product of force and excursion (distance). The change in excursion and work needed to achieve palm touchdown before and after pulley release was measured. Excursion varies among digits and specimens at baseline; therefore, the percentage change from the intact state was used to compare groups. We compared A2 versus A1, A4 versus A1, A4 versus A2, A1 + A2 versus A2, and A1 + A4 versus A4. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
PURPOSE: The A2 and A4 pulleys of the flexor tendon system have traditionally been considered critical components of efficient digital flexion. This dogma has recently been challenged. Using fresh human cadaveric hands and a model to measure force and excursion, we sought to clarify the clinical importance of releasing different pulleys. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Isolated A2 or A4 release had the greatest individual impact on the excursion (4.77% +/- 1.52% and 3.88% +/- 1.93%, respectively). When A1 was released with A2 (9.90% +/- 2.52%), the additional impact on the excursion was significant; however, when A1 was released with A4 (2.63% +/- 2.81%), the impact was marginal. No clinically or statistically significant change in the work of flexion was detected. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Hand |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Tendons |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Biomechanical Phenomena |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Cadaver |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Fingers |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Range of Motion, Articular |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Tendons/su [Surgery] |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
Curtis National Hand Center |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Plastic Surgery Residency |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Abbasi, Pooyan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Colon, Anthony F |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Cox, Hatcher |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giladi, Aviram M |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hill, J Bradford |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Katz, Ryan D |
| 790 ## - Authors |
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| All authors |
Abbasi P, Colon AF, Cox HG, Giladi AM, Hill JB, Katz RD |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.jhsa.2021.05.013">https://dx.doi.org/10.1016/j.jhsa.2021.05.013</a> |
| Public note |
https://dx.doi.org/10.1016/j.jhsa.2021.05.013 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
