1 - 7 of 7 Results

Search Results

The OKOJ Review Process

Peer review is a critical element in the rigorous and efficient evaluation of manuscripts submitted for consideration for publication and contributes significantly to the quality and integrity of articles that appear in OKOJ.

Pisiform Ligament Complex Syndrome

Injuries and disorders of the pisiform and pisotriquetral joint manifest as palmar, ulnar-sided wrist pain. They encompass a wide range of conditions that are grouped under the term pisiform ligament complex syndrome. The diagnosis and treatment of these conditions vary according to the underlying etiology. This review discusses the wide spectrum of pathologies related to the pisiform and pisotriquetral joint and the treatments for these conditions.

Common Acute Hand Infections

Up to 35% of admissions to a clinical hand service is for infections. The patient typically has localized pain, swelling, and erythema over the affected part of the hand. There may be overlying cellulitis or a history of recent trauma. Systemic symptoms are rare and usually seen only in patients with overwhelming infections. The peculiar anatomy of the hand, with its many closed spaces and vital structures in proximity to each other, is a suitable environment for the rapid multiplication and spread of bacteria. The multiplying bacteria release toxins and proteolytic enzymes that destroy cartilage in septic joints and, in pyogenic flexor tenosynovitis, can cause the necrosis of tendons. The damage done by delayed or inappropriate treatment of hand infections can lead to significant morbidity. Thus, for example, inadequately treated felon may lead to suppurative flexor tenosynovitis, septic arthritis, and osteomyelitis, and ultimately to amputation of the distal phalanx. Flexor tenosynovitis often results in loss of full range of motion of the affected digits. Osteomyelitis can lead to chronic pain, stiffness, deformity, and weakness despite eradication of the infection. For such reasons, the prompt diagnosis and treatment of hand infections are necessary to minimize morbidity and provide the best functional outcomes. This article provides an overview of the diagnosis and management of the most common acute infections of the hand.

Complications of Vascular Access Lines in the Hand and Upper Extremity

Vascular access is often necessary in the inpatient and surgical settings. Peripheral intravenous access is the most common type of such access, with arterial access also often used. Although procedures for both peripheral intravenous and arterial access are generally recognized as safe, complications can and do occur with their use. The hand and upper extremity surgeon may be called on to manage some of the more severe complications of vascular access, such as infection, compartment syndrome, neuropathy, ischemia, or extravasation. This review discusses the most common types of vascular access in the upper extremity, their associated complications, and the management of these complications.