Treatment of Proximal Interphalangeal Joint Flexion Contracture: Combined Static and Dynamic Orthotic Intervention Compared With Other Therapy Intervention: A Randomized Controlled Trial

Cantero‐Téllez, Raquel; Cuesta‐Vargas, Antonio; Cuadros-Romero, Miguel

doi:10.1016/j.jhsa.2015.01.005

Cited by 13 publications

(3 citation statements)

References 11 publications

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“…In the studies that report radiation has supported improvements in PIP contracture, the radiation has been as an adjunct to other treatments or procedures and not a standalone therapy. 14 , 15 , 16 , 17 …”

Section: Resultsmentioning

confidence: 99%

Report on the Evidence-Based Practice Committee’s Survey on Dupuytren Disease

Ahmad

Raizman

Giladi

et al. 2021

Journal of Hand Surgery Global Online

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The Evidence-Based Practice Committee of the American Society for Surgery of the Hand (ASSH) set out to assess the membership's practice patterns (PPs) and knowledge of evidence-based principles for Dupuytren disease (DD). Methods: A 21-item multiple-choice survey was distributed to all ASSH members via email in June 2020. Questions were divided into 2 types: evidence-based practice (EBP) and PPs. The survey addressed the following subtopics: nonsurgical, percutaneous, and open surgical management of DD. Results: The response rate was 18% (n ¼ 419). Of 13 EBP questions, 5 were answered with the preferred response by >75% of surgeons. The remaining 8 EBP questions had greater frequencies of less preferred responses, which concerned the current evidence for percutaneous management, as well as nonsurgical and postoperative management of DD. Of the PP questions, there were differences in opinion on how to manage a painful nodule, the percutaneous technique (eg, collagenase injection vs percutaneous needle aponeurotomy), and the choice of surgical incision for open fasciectomy (eg, Bruner incision with Zplasties, partial closure with an open transverse palmar component, or longitudinal incision with Zplasties). Conclusions: Hand surgeons continue to be well informed about current evidence-based practices for treating DD and can improve their knowledge by familiarizing themselves with current data on percutaneous and nonsurgical methods. There exist differences in PPs for DD in the ASSH membership, specifically with less invasive management; and knowledge of peer practices can help navigate differences, critically interpret the evidence, and optimize patient care. Type of study/level of evidence: Economic/Decision Analyses V.

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Section: Resultsmentioning

confidence: 99%

Report on the Evidence-Based Practice Committee’s Survey on Dupuytren Disease

Ahmad

Raizman

Giladi

et al. 2021

Journal of Hand Surgery Global Online

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“…Use of casting for 8 weeks, to manage crush injuries significantly improved the range of motion and decreased flexion contracture [17]. The benefit of using casting instead of dynamic orthosis was also reported [18]. This theory claims that the increased range of passive motion in a stiff joint is proportional to the amount of time the joint is held at its end range position, or total end range time.…”

Section: Discussionmentioning

confidence: 97%

Proximal Interphalangeal Joint Flexion Contracture Treatment by Serial Casting Method and the Use of Thermoplastic Tape

et al. 2019

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Flexion contractures of the Proximal Interphalangeal joint are the most frequent complications resulting from surgical procedures and traumatic events. Orthotic interventions for the treatment of contractures may include serial splinting, serial casting, dynamic or static progressive orthoses, or a combination of these orthoses. This study aimed to determine the effects of serial casting methods using thermoplastic tape in the Proximal Interphalangeal (PIP) joint flexion contracture treatment. Methods: Thirty-one patients with flexion contracture of the PIP joint (mean: 32.5°, range: 10-65°) were treated by serial casting method using thermoplastic tape. Flexion contracture, total active motion, extension lag and flexion gap were evaluated in the first session. The affected joint was casted after hand therapy interventions. Patients were requested to visit the clinic every other day for recasting and receiving exercises. Results: After one month, the mean range of flexion contracture decreased from 32.5° to 10.7°. The mean range of flexion gap decreased from 3.2 cm to 1.8 cm. The mean range of extension lag decreased from 2.04 cm to 0.86 cm, and the mean range of total active motion increased from 81.67° to 128.81°. All of the aforementioned changes were statically significant (P<0.05). Discussion: The use of thermoplastic tape for serial casting is an effective and reliable method for the treatment of PIP joint flexion contracture.

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“…Bashir et al 39 2015 Pakistan X X Boriani et al 40 2017 Italy X X Cantero-Téllez et al 41 2015 Spain X X…”

Section: Conflict Of Interestmentioning

confidence: 99%

Low Rates of Reporting and Analyzing Race and Ethnicity in Hand Surgery Randomized Controlled Trials: A Systematic Review

Patankar¹,

Sudah²,

Michel³

et al. 2022

J Orthopedics & Orthopedic Surg

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Purpose: Sociodemographic factors have been shown to influence musculoskeletal health. However, little is known regarding the frequency of reporting and analysis of certain sociodemographic variables (e.g., age, sex, height, weight, body mass index (BMI), race, and ethnicity) in randomized clinical trials (RCTs) pertaining to hand surgery. The purpose of this study was to assess the rate of reporting and analysis of these variables in RCTs published in the Journal of Hand Surgery (JHS). Methods: A systematic review was conducted of RCTs published in JHS between 2015 and 2021. For each study, we determined whether the following sociodemographic variables were reported and/or analyzed: age, sex, height, weight, BMI, race, and ethnicity. Frequencies were reported by year and as a cumulative total. Studies were evaluated using the Cochrane risk-of-bias tool. Results: A total of 45 RCTs met inclusion criteria, with about half (53.3%) originating from the United States. Age (97.8%) and sex (91.1%) were the most frequently reported sociodemographic variables, followed by race (17.8%), BMI (11.1%), and ethnicity (8.9%). Age (17.8%) was the most frequently analyzed variable, followed by sex (13.3%), and race (4.4%); the remaining variables were not analyzed in any study. Conclusions: While age and sex are reported at a high rate, only about 1 in 4 RCTs published in JHS report either race or ethnicity. All sociodemographic variables were infrequently included as part of statistical analysis. The significance of these findings should be recognized and used to interpret and enhance the methodology of future RCTs.

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Treatment of Proximal Interphalangeal Joint Flexion Contracture: Combined Static and Dynamic Orthotic Intervention Compared With Other Therapy Intervention: A Randomized Controlled Trial

Cited by 13 publications

References 11 publications

Report on the Evidence-Based Practice Committee’s Survey on Dupuytren Disease

Report on the Evidence-Based Practice Committee’s Survey on Dupuytren Disease

Proximal Interphalangeal Joint Flexion Contracture Treatment by Serial Casting Method and the Use of Thermoplastic Tape

Low Rates of Reporting and Analyzing Race and Ethnicity in Hand Surgery Randomized Controlled Trials: A Systematic Review

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