{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T01:03:09Z","timestamp":1785200589419,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to determine the clinical outcomes of mucous cystectomy and osteophytectomy using a random nonadvancement flap technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a therapeutic outcomes study of patients who underwent mucous cystectomy under local anesthesia by 1 of 2 hand fellowship-trained surgeons between 2012 and 2022. The key features of the surgical technique include designing a random nonadvancement flap with the cyst at its base; transecting the cyst pedicle as the flap is elevated; resecting the cyst wall from the undersurface of the reflected flap; decompressing the distal joint by removing marginal osteophytes; and insetting the flap without advancement. Patient demographic and disease-specific data were extracted from medical records and compiled in an electronic database. At minimum 1-year follow-up, patients were queried by telephone regarding wound complications, cyst recurrence, and satisfaction with outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study cohort included 64 cysts in 61 patients, mean age 63 \u00b1 10 years. The index or middle finger was affected in 63% of cases. At early postoperative follow-up, digital pain improved or resolved in 97% of cases. There were no complications of wound dehiscence or infection. At median 5-year follow-up in 34 cases, all patients except 1 were satisfied with the surgical outcome. There were 2 cyst recurrences in the study cohort (3%) and only 1 secondary procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study demonstrated that mucous cystectomy and distal joint osteophytectomy using a random nonadvancement flap is an effective surgical technique with low procedure complication and cyst recurrence rates and high patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241288257","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:31:35Z","timestamp":1731371495000},"page":"230-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Mucous Cystectomy and Osteophytectomy Using a Random Nonadvancement Flap Technique"],"prefix":"10.1177","volume":"21","author":[{"given":"Vafa","family":"Behzadpour","sequence":"first","affiliation":[{"name":"The University of Kansas School of Medicine\u2013Wichita, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3505-9171","authenticated-orcid":false,"given":"Austin M.","family":"Gartner","sequence":"additional","affiliation":[{"name":"The University of Kansas School of Medicine, Kansas City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry A.","family":"Morris","sequence":"additional","affiliation":[{"name":"The University of Kansas School of Medicine\u2013Wichita, USA"},{"name":"Advanced Orthopaedic Associates, Wichita, KS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9514-4231","authenticated-orcid":false,"given":"Bernard F.","family":"Hearon","sequence":"additional","affiliation":[{"name":"The University of Kansas School of Medicine\u2013Wichita, USA"},{"name":"Advanced Orthopaedic Associates, Wichita, KS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.13583"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197254070-00008"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197403000-00011"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_90_90064-B"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199104000-00017"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80118-2"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196903000-00004"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80152-5"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199907000-00003"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80076-3"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50088"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717744336"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.23.00068"},{"issue":"2","key":"e_1_3_3_17_2","first-page":"242","article-title":"Comparison of pressures applied by digital tourniquets in the emergency department","volume":"12","author":"Lahham S","year":"2011","unstructured":"Lahham S, Tu K, Ni M, et al Comparison of pressures applied by digital tourniquets in the emergency department. 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