{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:43:27Z","timestamp":1785329007943,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,8,17]],"date-time":"2007-08-17T00:00:00Z","timestamp":1187308800000},"content-version":"vor","delay-in-days":228,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A retrospective review of 42 patients with spaghetti wrist lacerations operated on by the author between June 1997 and May 2005 was completed. A total of 31 males and 11 females, average age of 17.1 years (range, 2\u201340 years), sustained spaghetti wrist injuries. The most frequent mechanisms of injury were accidental glass lacerations (55%), knife wounds (24%), and electrical saw injuries (11%). An average of 9.16 structures was injured, including 6.95 tendons, 1.4 nerves, and 0.8 arteries. The most frequently injured structures were median nerve (83%), flexor digitorum superficialis 2\u20104 tendons (81%), flexor digitorum profundus 2\u20104 tendons (66%), ulnar nerve and ulnar artery (57%), and flexor pollicis longus (40%). Combined flexor carpi ulnaris, ulnar nerve, and ulnar artery (ulnar triad) injuries occurred in 31%, while combined median nerve, palmaris longus, and flexor carpi radialis injuries (radial triad) occurred in 43%. Simultaneous injuries of both median and ulnar nerves occurred in 40.5%. Simultaneous injuries of both ulnar and radial arteries occurred in 14%. Neither artery was injured in 30.9%. Follow\u2010up has ranged from 1 to 8 years, with an average of 46 months. Only four patients have been completely lost to follow\u2010up. Range of motion of all involved digits (tendon function) was excellent in 34 patients, good in 3 patients, and poor in only 1 patient. Opposition was excellent in 31 patients, good in 5 patients, and poor in 2 patients. Intrinsic muscle recovery was subjectively reported to be excellent in 29 patients, good in 7, and fair to poor in 2 patients. Minor deformity (partial clawing) was reported in 4 patients and 1 patient has major deformity (total clawing). Sensory recovery was reported, excellent in 32 patients, good in 5 patients, and fair in only 1 patient. \u00a9 2007 Wiley\u2010Liss, Inc. Microsurgery, 2007.<\/jats:p>","DOI":"10.1002\/micr.20400","type":"journal-article","created":{"date-parts":[[2007,8,17]],"date-time":"2007-08-17T22:16:40Z","timestamp":1187389000000},"page":"536-543","source":"Crossref","is-referenced-by-count":39,"title":["Management and functional outcomes of combined injuries of flexor tendons, nerves, and vessels at the wrist"],"prefix":"10.1002","volume":"27","author":[{"given":"Hassan H.","family":"Noaman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,8,17]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198505000-00018"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200211000-00010"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199807000-00015"},{"key":"e_1_2_1_5_2","first-page":"6","article-title":"Full\u2010house\/spaghetti wrist injuries","volume":"28","author":"Widgerow AD","year":"1990","journal-title":"S Afr J Surg"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90030-U"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90098-Z"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198505000-00019"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80019-3"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1962.tb03012.x"},{"key":"e_1_2_1_11_2","doi-asserted-by":"crossref","first-page":"717","DOI":"10.2106\/00004623-196143050-00009","article-title":"Injury of median and ulnar nerves: One hundred and fifty cases with an evaluation of Moberg ninhydrin test","volume":"43","author":"Stromberg WB","year":"1961","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0072-968X(72)90039-3"},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1302\/0301-620X.73B1.1991753","article-title":"Repair of median and ulnar nerve: Primary suture is best","volume":"73","author":"Birch R","year":"1991","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_2_1_14_2","first-page":"1381","volume-title":"Green's Operative Hand Surgery","author":"Brushart TM","year":"1999"},{"key":"e_1_2_1_15_2","doi-asserted-by":"crossref","first-page":"964","DOI":"10.2106\/00004623-196850050-00008","article-title":"Median and ulnar nerve suture: An experimental study comparing primary and secondary repair in monkeys","volume":"50","author":"Grabb WC","year":"1968","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198107000-00018"},{"key":"e_1_2_1_17_2","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1302\/0301-620X.69B4.3301860","article-title":"Does the use of the operating microscope improve the results of peripheral nerve sutures","volume":"69","author":"Marsh D","year":"1987","journal-title":"J Bone Joint Surg Br"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20400","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T04:02:48Z","timestamp":1697169768000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,1]]}},"alternative-id":["10.1002\/micr.20400"],"URL":"https:\/\/doi.org\/10.1002\/micr.20400","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1]]}}}