Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?

Zhang, Rui; ruan, hongjiang; Kang, Qinglin; Xu, Jia; Liu, Shenghe; Wang, Feiyan

doi:10.52312/jdrs.2022.652

Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?

Feiyan Wang, (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

Rui Zhang, (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

Shenghe Liu, (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

hongjiang ruan, (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

Jia Xu, (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

Qinglin Kang (Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China)

Joint diseases and related surgery

3 1

Yıl: 2022 Cilt: 33 Sayı: 2 Sayfa Aralığı: 273 - 284 Metin Dili: İngilizce DOI: 10.52312/jdrs.2022.652 İndeks Tarihi: 21-09-2022

Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?

Öz:

Objectives: This study aims to point out the key principles for the management of multicomponent soft tissue injuries of the wrist and forearm to discuss whether we should expand the term “spaghetti” from the wrist to forearm in such terrifying cases. Patients and methods: Data from a total of 50 patients (44 males, 6 females; mean age: 48.5±25.7 years; range, 10 to 70 years) who were treated for multicomponent soft tissue injuries of the wrist and forearm, including at least one major artery and one major nerve, between February 2020 and December 2021 were retrospectively analyzed. The patients were divided into the wrist injury group (n=30) and forearm injury group (n=20) according to the location of laceration. Demographic characteristics, including age, sex ratio and mechanism and side of injury, total lacerated structures, and outcomes, including tendon function, opposition, intrinsic muscle function, deformities, sensation and grip strength were evaluated. Results: In the wrist injury group, a mean of 12.27±3.53 structures at the volar side were injured. It took a mean time of 1.8±0.4 h for emergency surgical repair and, after a mean of 16.6±5.3 month follow-up, most patients received excellent/good outcomes in the six aspects. In the forearm injury group, a mean of 12.95±2.96 structures at the volar side were injured. It took an average time of 2.1±0.4 h for emergency surgical repair and, after a mean of 15.4±6.4 month follow-up, most patients received excellent/good outcomes and were satisfied with the functional recovery. Only surgical time (p=0.018) and final grip strength (p=0.023) between the two groups showed a statistically significant difference. Conclusion: We propose to merge the severe wrist and proximal forearm laceration of multiple tendons/muscles with at least one major artery and one major nerve as a whole, namely the spaghetti- ketchup injury, since the laceration of wrist and that of proximal forearm in this study share similar mechanisms and outcomes after primary repair or reconstruction.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Wang F, Zhang R, Liu S, ruan h, Xu J, Kang Q (2022). Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. , 273 - 284. 10.52312/jdrs.2022.652
Chicago	Wang Feiyan,Zhang Rui,Liu Shenghe,ruan hongjiang,Xu Jia,Kang Qinglin Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. (2022): 273 - 284. 10.52312/jdrs.2022.652
MLA	Wang Feiyan,Zhang Rui,Liu Shenghe,ruan hongjiang,Xu Jia,Kang Qinglin Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. , 2022, ss.273 - 284. 10.52312/jdrs.2022.652
AMA	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. . 2022; 273 - 284. 10.52312/jdrs.2022.652
Vancouver	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. . 2022; 273 - 284. 10.52312/jdrs.2022.652
IEEE	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q "Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?." , ss.273 - 284, 2022. 10.52312/jdrs.2022.652
ISNAD	Wang, Feiyan vd. "Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?". (2022), 273-284. https://doi.org/10.52312/jdrs.2022.652

APA	Wang F, Zhang R, Liu S, ruan h, Xu J, Kang Q (2022). Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. Joint diseases and related surgery, 33(2), 273 - 284. 10.52312/jdrs.2022.652
Chicago	Wang Feiyan,Zhang Rui,Liu Shenghe,ruan hongjiang,Xu Jia,Kang Qinglin Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. Joint diseases and related surgery 33, no.2 (2022): 273 - 284. 10.52312/jdrs.2022.652
MLA	Wang Feiyan,Zhang Rui,Liu Shenghe,ruan hongjiang,Xu Jia,Kang Qinglin Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. Joint diseases and related surgery, vol.33, no.2, 2022, ss.273 - 284. 10.52312/jdrs.2022.652
AMA	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. Joint diseases and related surgery. 2022; 33(2): 273 - 284. 10.52312/jdrs.2022.652
Vancouver	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?. Joint diseases and related surgery. 2022; 33(2): 273 - 284. 10.52312/jdrs.2022.652
IEEE	Wang F,Zhang R,Liu S,ruan h,Xu J,Kang Q "Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?." Joint diseases and related surgery, 33, ss.273 - 284, 2022. 10.52312/jdrs.2022.652
ISNAD	Wang, Feiyan vd. "Severe spaghetti wrist injury: Should we expand the terminology from wrist to proximal forearm?". Joint diseases and related surgery 33/2 (2022), 273-284. https://doi.org/10.52312/jdrs.2022.652