Explanipedia

Hyperselective neurectomy for spastic equinovarus in pediatric patients with hypertonia Open

Lainey G Bukowiec, Kitty Y. Wu, Joline E. Brandenburg, Peter C. Rhee · 2025

Purpose Lower extremity spasticity can cause pain and limit function. This study examined the safety and efficacy of hyperselective neurectomy (HSN) of the gastrocnemius-soleus complex (GSC) in addressing spastic equinus deformities in ped…

Minimal changes in excitation-contraction coupling in spastic human muscle Open

Zheng Wang, E. Matthew Hoffman, William J. Litchy, Alexander Y. Shin, Peter C. Rhee , et al. · 2025

This study presents the first in vivo intraoperative measurement of the kinetic properties of spastic human muscle. Despite slower relaxation in spastic biceps, the force-frequency relationship was similar to that of the healthy gracilis m…

The potential of preoperative dynamic electromyography in guiding targeted surgical procedures for elbow spasticity Open

Zheng Wang, Ray M. Lunasin, E. Matthew Hoffman, Peter C. Rhee, Richard L. Lieber , et al. · 2025

Six patients treated by hyperselective neurectomy were assessed using preoperative dynamic electromyography and intraoperative force measurements. Patients with lower preoperative biceps dynamic electromyography activation had significantl…

Combined Surgical Technique of Hyperselective and Partial Motor Neurectomies for Spastic Equinus, Equinovarus, and Claw Toe Deformities Open

Kitty Y. Wu, Paula A. Pino, Daniel B. Ryssman, Peter C. Rhee · 2024

Background: Patients with spastic equinus, equinovarus, and claw toe deformities can experience marked pain and functional limitations in the ability to weight-bear comfortably, ambulate efficiently, or mobilize independently. Seen in 80% …

Primary 3-Month Outcomes of a Double-Blind Randomized Prospective Study (The QUEST Study) Assessing Effectiveness and Safety of Novel High-Frequency Electric Nerve Block System for Treatment of Post-Amputation Pain Open

Leonardo Kapural, Jim Melton, Billy I. Kim, Priyesh Mehta, Abindra Sigdel , et al. · 2024

The primary outcomes of the study were met, and the majority of Treatment patients experienced a substantial improvement in PAP (regardless of meeting the study definition of a responder). The significant in PAP was associated with signifi…

Limb spasticity and telemedicine consultation for reconstructive surgery: patient perspectives of surgical assessment Open

Abigail Bardwell, Christopher S. Crowe, Peter C. Rhee · 2024

Context Spasticity is characterized by increased muscle tone and stretch reflexes, often caused by an upper motor neuron (UMN) syndrome. Many patients live with their dysfunction of their upper or lower limbs for many years and are managed…

Safety of Cubital Tunnel Release Under General versus Regional Anesthesia Open

Courtney R. Carlson Strother, Lauren E. Dittman, Marco Rizzo, Steven L. Moran, Peter C. Rhee · 2023

PURPOSE: The aim of this study was to evaluate the occurrence of early (<6 weeks) post-operative complications following ulnar nerve decompressions at the cubital tunnel performed under regional anesthesia compared to those performed under…

Optimal hand surgery fellowship interview format Open

Lauren E. Dittman, Nicholas Munaretto, Peter C. Rhee · 2023

Context The ideal format for residency and fellowship interviews has been consistently debated. Secondary to the COVID-19 pandemic, many institutions, including all hand surgery fellowship programs, transitioned interviews to an all-virtua…

Toto, we’re not in Kansas anymore: First reported case of M. persicum septic arthritis Open

Mitchell Dumais, Nancy L. Wengenack, Andrew P. Norgan, Shreyasee Amin, Irene G. Sia , et al. · 2023

Radiographic Outcomes for Comminuted, Intra-articular Distal Radius Fractures Treated with Primary Distraction Bridge Plate Fixation Open

Genevieve M. Rambau, Nicole M. Sgromolo, Peter C. Rhee · 2023

Outcome of Preoperative Asymptomatic or Minimally Symptomatic DRUJ Arthritis after Total Wrist Arthrodesis: A Single-Institution Case Series Open

Lauren E. Dittman, Alexander Y. Shin, Peter C. Rhee · 2022

Background Concomitant severe radiocarpal (RC) arthritis with asymptomatic or minimally symptomatic distal radioulnar joint (DRUJ) arthritis can be debilitating for patients. Surgical management of these combined arthritides can pose a dil…

Comparison of Complications after Revision Ulnar Nerve Surgery Performed under Regional versus General Anesthesia Open

Lauren E. Dittman, Courtney R. Carlson Strother, Peter C. Rhee · 2022

Nonoperative Management of Humerus Fractures in Patients With Ispilateral Hemiparesis or Hemiplegia Open

Raahil Patel, John J. Bartoletta, Nicholas Munaretto, Adam J. Tagliero, Peter C. Rhee · 2022

Background: Patients with upper limb dysfunction from a brain injury often have different goals of treatment and expectations following a fracture of the upper extremity. This study retrospectively reviewed outcomes of nonoperative managem…

Reimbursement for Complex Carpal Trauma Open

John M. Dunn, John P. Scanaliato, Clare Green, Peter C. Rhee, Leon J. Nesti · 2022

Objectives: To compare Relative Value Unit (RVU)-based reimbursement of operative fixation of complex carpal trauma versus primary operative fixation of distal radius fractures. Design: Database review. Setting: National Surgical Quality I…

Does Proximal Row Carpectomy Improve Union in Wrist Arthrodesis? A Retrospective Cohort Study Open

John J. Bartoletta, Dana Rioux-Forker, Raahil Patel, Katharine M. Hinchcliff, Alexander Y. Shin , et al. · 2021

Background Some surgeons advocate for concomitant proximal row carpectomy (PRC) with total wrist arthrodesis (TWA), though there are limited data to support or oppose this view. Questions/Purposes Does concomitant PRC improve rates of unio…

Learner Preferences and Perceptions of Virtual Hand Surgery Education During the COVID-19 Pandemic Open

John J. Bartoletta, Katherine Hinchcliff, Peter C. Rhee · 2021

The Proximal Tibia Loses Bone Mineral Density After Anterior Cruciate Ligament Injury: Measurement Technique and Validation of a Quantitative Computed Tomography Method Open

Erick M. Marigi, David R. Holmes, Naveen S. Murthy, Bruce A. Levy, Michael J. Stuart , et al. · 2021

Wound Complications with Multiple Wrist Incisions in Distal Radius Reconstruction Open

Joshua J. Meaike, Christian M. Athens, Nicole M. Sgromolo, Alexander Y. Shin, Peter C. Rhee · 2021

Background Placement and spacing of skin incisions are important for maintaining soft tissue perfusion and viability, particularly in the setting of local trauma. Question/Purpose The aim of this article is to determine if multiple skin in…

Comparison of Patient Perception and Satisfaction of Face-to-Face Versus Telemedicine Encounters in Hand Surgery Open

John J. Bartoletta, Katharine M. Hinchcliff, Peter C. Rhee · 2021

Background: The coronavirus disease 2019 (COVID-19) surge has enabled the widespread usage of telemedicine (TM) and presents a unique opportunity to determine the hand surgery patients’ perception of care using validated patient satisfacti…

Hand surgery during the COVID-19 pandemic: Clinical care best practices Open

John J. Bartoletta, Peter C. Rhee · 2021

Distal Radius Fracture Treatment Outcomes in Patients With Ipsilateral Hemiplegia or Hemiparesis Open

Nicholas Munaretto, Adam J. Tagliero, Raahil Patel, Peter C. Rhee · 2021

Background Little information exists to guide decision-making with regard to distal radius fractures in the setting of ipsilateral hemiparesis or hemiplegia. Methods Patients who sustained a distal radius fracture in the setting of ipsilat…

Correction to: Combating an invisible enemy: the American military response to global pandemics Open

Lauren K. Dutton, Peter C. Rhee, Alexander Y. Shin, Richard J. Ehrlichman, Richard J. Shemin · 2021

An amendment to this paper has been published and can be accessed via the original article.

Combating an invisible enemy: the American military response to global pandemics Open

Lauren K. Dutton, Peter C. Rhee, Alexander Y. Shin, Richard J. Ehrlichman, Richard J. Shemin · 2021

The present moment is not the first time that America has found itself at war with a pathogen during a time of international conflict. Between crowded barracks at home and trenches abroad, wartime conditions helped enable the spread of inf…

Assessment of 30-Day Adverse Events in Single-Event, Multilevel Upper Extremity Surgery in Adult Patients with Upper Motor Neuron Syndrome Open

Raahil Patel, Peter C. Rhee · 2020

Background: Upper motor neuron (UMN) syndrome consists of muscle spasticity, weakness, and dyssynergy due to a brain or spinal cord injury. The purpose of this study is to describe the perioperative adverse events for adult patients underg…

Effect of Trapeziectomy on Carpal Stability Open

Aaron Paul, Christian M. Athens, Raahil Patel, Marco Rizzo, Peter C. Rhee · 2020

Background: The scaphoid-trapezoid-trapezium (STT) articulation stabilizes the scaphoid and links the proximal and distal carpal rows. The purpose of the study was to determine whether trapezium excision in the treatment of trapeziometacar…

Safety and Efficacy of Blood Flow Restriction Therapy after Operative Management of Distal Radius Fractures: A Randomized Controlled Study Open

Nicole M. Sgromolo, Jill M. Cancio, Peter C. Rhee · 2020

Background Blood flow restriction (BFR) therapy is an emerging addition to rehabilitative programs that allows patients to increase strength at lower loads over shorter time periods. Therefore, we conducted a study to evaluate the safety a…

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant” Open

Nicole M. Sgromolo, Ian Mullikin, Peter C. Rhee · 2020

Background In the classic description of perilunate injuries, the short radiolunate ligament (SRL) remains intact. Objective This study was aimed to determine the occurrence of SRL disruptions with perilunate injuries and review the clinic…

Open tracheostomy for COVID-19–positive patients: A method to minimize aerosolization and reduce risk of exposure Open

Kartik Prabhakaran, Ryan Malcom, James W. Choi, Alexandra Chudner, Augustine Moscatello , et al. · 2020

BACKGROUND The COVID-19 virus is highly contagious, and thus there is a potential of infecting operating staff when operating on these patients. This case series describes a method of performing open tracheostomy for COVID-19 patients whil…

Epidemiology and Impact of Hand and Wrist Injuries in Major and Minor League Baseball Open

Peter C. Rhee, Christopher L. Camp, John D’Angelo, Vishal Desai, Steven S. Shin , et al. · 2019

Background: Professional baseball players are at risk of acute and chronic injuries to their upper extremities. Methods: Major League Baseball’s Health and Injury Tracking System, a prospective injury surveillance system, was used to ident…

Blood Flow Restriction Therapy after Closed Treatment of Distal Radius Fractures Open

Jill M. Cancio, Nicole M. Sgromolo, Peter C. Rhee · 2019

Background Blood flow restriction (BFR) therapy is an innovative rehabilitative program that enables patients to increase strength at a fraction of the weight typically necessary in endurance exercises. Therefore, we conducted a pilot stud…

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