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Current concepts and new trends in management of isolated triangular fibrocartilage complex injuries J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Rebecca Q. R. Lim, Lincoln J. R. Lim, Andrea Atzei, Bo Liu
The triangular fibrocartilaginous complex is made of multiple components, of which the palmar and dorsal radioulnar ligaments play an important role in distal radioulnar joint stability. The ulnar wrist ligaments may be injured during forearm and wrist trauma. There are several aspects of triangular fibrocartilaginous complex management that are still open to debate. The aim of the present study was
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Brachial plexus birth injuries: a multi-speciality approach. Commentary and opinions J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Dan A. Zlotolow
The management of brachial plexus birth injuries (BPBI) remains controversial and ever evolving. In this article, studies are examined to provide further insight into the ongoing controversies and debates surrounding BPBI. The articles are diverse and examine the topics of aetiology, demographics, reliability versus accuracy of measurements and surgical management. The management of BPBI may differ
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Mortality in patients with Dupuytren’s disease in the first 5 years after diagnosis: a population-based survival analysis J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Bente A. van den Berge, Feikje Groenhof, Paul M. N. Werker, Dominic Furniss, Rachel Kuo, Edwin R. van den Heuvel, Dieuwke C. Broekstra
Previous studies suggest that Dupuytren’s disease is associated with increased mortality, but most studies failed to account for important confounders. In this population-based cohort study, general practitioners’ (GP) data were linked to Statistics Netherlands to register all-cause and disease-specific mortality. Patients with Dupuytren’s disease were identified using the corresponding diagnosis code
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The research question: the What, Why and How in hand surgery J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Simon Farnebo, Leila Harhaus
Identifying a good research question is one of the most important steps when laying the foundation of a research project. A good research question can aim to answer a hotly debated clinical issue, challenge a pre-existing dogma or make a contribution to specific aspects of a broader field of study. The difficulty in defining the question lies with pinpointing an important research topic or an area
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The impact of rising NHS waiting list times on elective surgery for Dupuytren’s disease J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Angus T. McMillan, Richard M. Pinder
Waiting lists for elective surgery are increasing in the United Kingdom. We report a single-centre experience of disease progression of Dupuytren’s disease while on the waiting list for surgery and its effect on the type of operative treatment required.
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State of the art review. Upper extremity revision nerve compression surgery J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 E. P. A. Van Der Heijden, Z. H. Dailiana, H. P. Giele
Although surgical release of upper extremity nerve compression syndromes is highly effective, persistence or recurrence of symptoms and signs may occur. Thorough investigation is necessary in this situation before treatment is recommended. If the symptoms cannot be explained by other pathology than compression of the affected nerve and if conservative management has not provided improvement, reoperation
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Clinical outcomes after primary repair for thumb ulnar collateral ligament ruptures: a systematic review and meta-analysis J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Ingmar W. F. Legerstee, Bas M. Derksen, Mark J. W. van der Oest, Caroline A. Hundepool, Liron S. Duraku, Ruud. W. Selles, J. Michiel Zuidam
There is no consensus on the best surgical technique for treating thumb ulnar collateral ligament (UCL) ruptures. This systematic review and meta-analysis investigates which primary repair technique and postoperative immobilization protocol result in the best clinical outcomes. A literature search was conducted in Embase, Medline ALL Ovid, Web of Science Core Selection and Cochrane Central Register
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Retrieval of broken K-wires by overdrilling using hypodermic needle J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Hui Li, Zhibo Liu
Breakage of K-wires within the metacarpals and phalanges due to metal fatigue and overly aggressive joint movements are encountered occasionally. We established a simple and feasible technique for K-wire retrieval by overdrilling using a hypodermic needle.Level of evidence: IV
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Re: Kolovich GP, Heifner JJ. Proximal interphalangeal joint dislocations and fracture-dislocations. J Hand Surg Eur. 2023, 48: 27S–34S J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Philippe Liverneaux
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Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms? J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Abigael Cohen, Max Reijman, Ruud W. Selles, Steven E. R. Hovius, Joost W. Colaris
The objective of this study was to assess the downsides of surgical treatment of scaphoid fracture nonunion in patients with minor preoperative symptoms. Patients were classified with minor symptoms based on the Patient-Rated Hand/Wrist Evaluation questionnaire. Of the 35 included patients, most patients encountered problems with patient-specific activities; 9% reported worse postoperative functional
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Biomechanical analysis of tendon turnover tenorrhaphy compared to direct repair and Pulvertaft weave J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Anthony Barabas, Manal I. A. Patel, Michael Sutcliffe
The aim of the present study was to evaluate biomechanical properties of tendon turnover repair in comparison to direct repair and Pulvertaft weave. A total of 48 sheep flexor tendons were assigned to eight groups comprising single or double tendon turnover repair, tendon turnover segment (without tenorrhaphy), direct repair or Pulvertaft weave. Tensile strength, stiffness and failure mechanisms were
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Letter to the Editor-in-Chief J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Camelia Qian Ying Tang, Andrew Kean Tuck Yam, Ee Ming Chew
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The aetiology of fracture and nonunion in the hook of the hamate J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-03-15 Fiona C. Campbell, Stuart W. Jones, Doug A. Campbell
Fractures of the hook of the hamate are traditionally thought to be caused by direct trauma. A review of the anatomy and function of the hamate hook suggests that fracture is more likely as a result of a fatigue response that develops in the hook from repetitive load applied by the adjacent deep flexor tendons. Additional vascular compromise, from direct pressure of the tendons on critical local vessels
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Global trends and outcomes of nerve transfers for treatment of adult brachial plexus injuries J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-19 Christopher S. Crowe, Robert J. Spinner, Alexander Y. Shin
The presentation, management and outcomes of brachial plexus injuries are likely to be subject to regional differences across the globe. A comprehensive literature search was performed to identify relevant articles related to spinal accessory to suprascapular, intercostal to musculocutaneous, and ulnar and/or median nerve fascicle to biceps and/or brachialis motor branch nerve transfers for treatment
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Adult traumatic brachial plexus injuries: advances and current updates J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Jean-Noel Goubier, Bruno Battiston, Joaquim Casanas, Tom Quick
Nerve grafting, tendon transfer and joint fusion are routinely used to improve the upper limb function in patients with brachial plexus palsies. Newer techniques have been developed that provide additional options for reconstruction. Nerve transfer is a tool for restoring upper limb function in total root avulsions where nerve grafting is not possible. In partial brachial plexus injuries, nerve transfers
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Extension block pinning for chronic volar base fractures of the middle phalanges J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Mehran Razavipour, Salman Ghaffari, Mojtaba Dehghan
Due to the simplicity, low cost and benefit of avoiding long-term joint immobilization, extension block pinning could be a suitable option for treating the volar base fractures of the middle phalanges. The aim of the present study was to evaluate the outcomes of using extension block pinning in chronic volar base fractures of the middle phalanges. In total, 26 patients with chronic closed volar base
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Targeted muscle reinnervation in bionic upper limb reconstruction: current status and future directions J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Clemens Gstoettner, Gregor Laengle, Leopold Harnoncourt, Paolo Sassu, Oskar C. Aszmann
Selective nerve transfers are used in the setting of upper limb amputation to improve myoelectric prosthesis control. This surgical concept is referred to as targeted muscle reinnervation (TMR) and describes the rerouting of the major nerves of the arm onto the motor branches of the residual limb musculature. Aside from providing additional myosignals for prosthetic control, TMR can treat and prevent
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Brachial plexus birth injury: advances and controversies J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Gürsel Leblebicioğlu, Willem Pondaag
While there is considerable spontaneous recovery in most cases of brachial plexus birth injury, many children are left with significant problems that may lead to lifelong functional limitations, loss of work and social isolation. Detailed treatment with the right strategy can provide very valuable improvement in function. Over the past few years, the clinical approach to brachial plexus birth palsy
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Periprosthetic radiolucency in total wrist arthroplasty: a radiographic study J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Matthias Holzbauer, Wolfgang Raher, Erich Kobler, Stefan M. Froschauer
This retrospective study investigates the incidences of periprosthetic radiolucency and the position of the prosthesis in patients who underwent total wrist arthroplasty. A total of 50 patients with a mean age of 58 years (SD 11) were included. The available dorsopalmar and lateral radiographs were categorized into the following groups: immediately postoperative and 1, 2, 3, 5 and beyond 6 years postoperatively
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Combined home and clinic-based therapy versus home-based exercise programme after distal radial fracture: a randomized controlled study J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-17 Toshiyasu Sakurai, Hiroshi Yamazaki, Keita Tomii, Yuji Takahashi, Yukiho Abe, Yuya Kobayashi
We investigated outcomes of clinic-based hand therapy combined with a home-based exercise programme after anterior plating for distal radial fractures. A total of 102 patients were randomly assigned to one of three groups: a home-based exercise programme alone; a home-based exercise programme combined with four hand therapy sessions in the clinic; and a home-based exercise programme with seven sessions
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Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Michael Chu Kay Mak, Pak Cheong Ho
Wrist arthroscopy is a valuable and widely utilized tool in the treatment of triangular fibrocartilage complex (TFCC) injuries. These procedures include synovectomy alone, peri-capsular or transosseous repair, and arthroscopic-assisted reconstruction, and each are associated with specific complications. This review describes the types of complications and their rates in different types of arthroscopic
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State of the art review. Complications after carpal tunnel release J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Philippe N. Sprangers, Ritsaart Frederik Westenberg, Martin F. Langer, Kamilcan Oflazoglu, Egberta P. A. van der Heijden
Carpal tunnel release (CTR) is the most performed surgery of the upper extremity. It is effective but not without complications. This state-of-the-art review covers most common intra- and postoperative complications after CTR. As endoscopic carpal tunnel release (ECTR) has developed over time, severe complications, such as nerve lesions, have diminished. ECTR still has a higher risk on transient nerve
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Overview and management of complications after digital replantations J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Chao Chen, Jing Chen, Wen-Chih Liu, Krystle R. Tuaño
The main complications after digital replantation are discussed in this review article. These complications include vascular compromise, infection, partial necrosis, delayed union or nonunion, atrophy and so on. The countermeasures for these complications are reviewed and the authors’ methods are also introduced and discussed.
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Complications of flexor tendon repair J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Jing Chen, Jin Bo Tang
This article reviews and highlights complications of flexor tendon repairs. Although the outcomes of flexor tendon repairs have improved over the years, fair or poor functional outcomes are seen, especially in patients whose trauma involves multiple structures of the hand and in zone 5 with multiple tendon lacerations. Rupture of the flexor tendon after repair is no longer a major problem if current
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Complications of operatively treated distal radial fractures J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Sarah H. Townsley, Nicholas Pulos, Alexander Y. Shin
Distal radial fractures represent the most common fractures of the upper extremity. Operative treatment is performed for approximately one-third of distal radial fractures in the adult population. Complications following operative treatment of distal radial fractures vary depending on the treatment modality and can be stratified into preoperative and postoperative complications. Complications can occur
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Surgical complications: errors and adverse events J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Grey Giddins
Complications are a recognized hazard of surgery. The term is confusing; it has multiple meanings, including surgical error and adverse surgical outcomes. I propose the latter two terms are used. Grading of ‘complications’ is difficult but made easier by grading errors and outcomes separately, though they are not always linked. The exact grades are not established.Error avoidance requires efforts at
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Basal thumb arthritis surgery: complications and its management J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Daniel B. Herren
The management of complications after surgery for basal thumb arthritis is sometimes challenging, and there are no clear recommendations on how to evaluate and manage patients with residual symptoms. The aim of the present article was to review the most common complications after surgery for basal thumb arthritis, with an emphasis on resection arthroplasty, joint replacement and joint fusion. In addition
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Complications after total wrist arthroplasty J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-02-05 Michel E. H. Boeckstyns, Guillaume Herzberg
We reviewed the incidence and management of complications after total wrist arthroplasty, as reported in the literature, with so-called fourth-generation implants and other recent designs. While early intraoperative and postoperative complications, including fractures, tendon lacerations, infection, nerve compression, tendonitis, stiffness and chronic regional pain syndrome, had an acceptable incidence
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Supercharging of the ulnar nerve: clinical and neurophysiological assessment at 2 years for nine proximal injuries J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-01-18 Rasmus Dehli Thorkildsen, Inge Petter Kleggetveit, Frode Thu, Lise Maurstad Madsen, Bjørg Johanna Bolstad, Magne Røkkum
The aim of this study was to use detailed clinical and neurophysiological examinations to strengthen outcome assessment after supercharged end-to-side nerve transfer for ulnar nerve injury. The transfer was performed in nine adult patients with complete ulnar nerve injuries at or proximal to the elbow who also underwent primary nerve repair ( n = 7) or grafting ( n = 2) either concomitantly or within
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The effect of surgical factors on recurrence of tendon sheath giant cell tumours J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-01-09 Hakan Ertem, Sefa Selük, Osman Orman, Kahraman Öztürk, Mehmet Baydar
In this retrospective study, we evaluated the impact of tumour-related and surgical factors on the recurrence of giant cell tumours of tendon sheath. A total of 95 patients were treated at our institution between February 2012 and March 2021. We identified the factors most likely to be associated with recurrence from evaluation of classification, neurovascular invasion, bone erosion and joint invasion
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Wrist extensor pathomechanics: implications for tendon and nerve transfer J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-01-09 Jan Fridén, Richard L. Lieber
Central and peripheral nervous system lesions may disrupt the intricate balance of the prime movers of the wrist. In spasticity, hyperactive wrist flexors create a flexion moment and, if untreated, can lead to flexion contractures. In patients with C6 spinal cord injury and tetraplegia, the posterior interosseus nerve is typically affected by a complex pattern of upper and/or lower motoneuron lesions
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Revision of residual deformities after primary surgery for Wassel-Flatt IV-D thumb duplication using a microsurgical free lateral great toe flap J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-01-05 Wentao Yu, Chunhua Yin, Wei Liu, Song Wei, Guang Yang, Xiaofang Shen
We report the application and results of skin defect coverage using the free lateral great toe flap in revision surgery for residual postoperative deformities in Wassel-Flatt type IV-D thumb duplications. This retrospective study included five patients treated between June 2020 and September 2021 to correct angular deformity and repair the secondary skin defect. All the flaps survived. The patients
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Non-vascularized metatarsal transfer for thumb hypoplasia: a medium- to long-term retrospective study of 41 patients J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2024-01-05 Ruriko Iigaya, Takehiko Takagi, Atsuhito Seki, Shinichiro Takayama
We retrospectively reviewed 41 Manske type IIIB and IV hypoplastic thumbs reconstructed with non-vascularized fourth metatarsal transfers with a mean age of 3.1 years (range 2–7) at the time of operation. These patients were observed for at least 5 years postoperatively. Of the 41 hands, 13 developed complications: type IV patients had significantly more complications ( p = 0.014) although using an
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Factors influencing study outcomes in recent literature on distal radial fracture treatment. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-30 Ahmet Hamdi Akgülle,Dilara Uysal,Gülnaz Nural Bekiroğlu
The main tools used by an orthopaedic surgeon for managing distal radial fracture treatment are recent literature and treatment guidelines. The aim of the present study was to find which factors within the study design influence study outcomes the most. Trials in three major databases (PubMed, Scopus, Embase) comparing surgical and non-surgical treatment options for adolescent and adult distal radial
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The use of digital tomosynthesis in suspected scaphoid fractures. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-24 Joaquim Stanislas Olivier Goffin,Iain A Rankin,Juan De Dios Robinson
We report a retrospective observational series of patients undergoing digital tomosynthesis (DTS) for suspected scaphoid fractures. With a specificity and sensitivity of 100%, DTS demonstrates the potential to be an excellent tool in the diagnosis of occult scaphoid fractures.
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Simultaneous anterograde screw arthrodesis of distal interphalangeal joint and silastic proximal interphalangeal joint replacement for osteoarthritis. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-24 Vanessa Barth,Maria Ferrando Fons,Sandra Vossen
We treated six patients with the combination of anterograde distal interphalangeal joint arthrodesis and Swanson prothesis proximal interphalangeal joint arthroplasty on the same finger. The results showed both bony union and flexibility, without cases of nail deformity, wound complications, tip hypersensitivity or malalignment.
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Comparison of pulley plasty, pulley venting and resection of flexor digitorum superficialis slip after zone II flexor tendon repair: a cadaver study. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-24 Omar Aljasim,Can Yener,Mesut Demirkoparan,Okan Bilge,Levent Küçük,Hüseyin Günay
V.
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Patient-reported significant disability after major traumatic upper extremity amputation. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-22 Joonas Pyörny,Margit Karelson,Ida Neergård Sletten,Anniina Ukkola,Jarkko Jokihaara
The aims of this study were to record patient-reported outcomes of treatment of proximal upper extremity amputation injuries and subsequent return to work. A consecutive cohort of 38 patients with a traumatic amputation at or proximal to the carpus had been treated with a replantation or revision (completion) amputation in Tampere University Hospital between 2009 and 2019, and 31 of them participated
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Diagnosis of carpal tunnel syndrome using a 10-s grip-and-release test with video and machine learning analysis. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-22 Kazuya Tsukamoto,Ryota Matsui,Yuta Sugiura,Koji Fujita
We developed a finger motion-based diagnostic system for carpal tunnel syndrome by analysing 10 second grip-and-release test videos. Using machine learning, it estimated presence of carpal tunnel syndrome (89% sensitivity and 83% specificity) and correlated with severity on nerve conduction studies (coefficient 0.68). LEVEL OF EVIDENCE III.
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Prediction of an intracompartmental septum and its effect on outcomes of endoscopic release for de Quervain's syndrome. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-22 Jae-Yong Cho,Jin-Chul Oh,Won-Taek Oh,Il-Hyun Koh,Yong-Min Chun,Yun-Rak Choi
IV.
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Mental health and psychosocial support for children with upper limb musculoskeletal conditions. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Deanna Persaud,Tamsen Hutchison,Samantha J Anthony,Kristen M Davidge,Howard M Clarke,Emily S Ho
This study describes mental health and psychosocial screening processes, access to care and interventions provided to children with upper limb musculoskeletal conditions. A cross-sectional e-survey study was conducted of 107 healthcare professionals who work with children with congenital hand and upper limb differences and brachial plexus birth injuries. Of them, 41 (38%) reported that they routinely
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Development of a core outcome set for traumatic brachial plexus injury. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Caroline Miller,Jane Cross,Dominic M Power,Christina Jerosch-Herold
The aim of the present study was to reach international consensus on the minimum set of outcomes to measure and report in adult traumatic brachial plexus injury care and research. This would facilitate comparison of outcomes from different centres and meta-analysis in research. A list of outcomes was developed from a systematic review (n = 54) and patient interviews (n = 12). The outcomes were rated
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Clinical and operative risk factors for complications after Apert hand syndactyly reconstruction. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Holly Cordray,Emily M Graham,Anchith Kota,Apurva S Shah,Benjamin Chang,Shaun D Mendenhall
This study evaluated how Apert hand syndactyly presentations and reconstructive techniques influence reconstruction outcomes. All cases at a major paediatric hospital between 2007 and 2022 were analysed, including 98 web space reconstructions in 17 patients. Overall, 62% of hands developed complications and 15% required revision surgery. Upton hand type was significantly associated with postoperative
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Preoperative evaluation of nerve transfer recipients after spinal cord injury using stimulated manual muscle testing. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Christopher Cheng,Blake Perkins,Michael Keith,Anne Bryden,Kyle J Chepla
Nerve transfer after spinal cord injury has become increasingly popular. Accurate preoperative identification of lower motor neuron involvement in potential recipient nerves is critical. Electrodiagnostic testing has been shown to correlate with intraoperative findings; however, it is time-consuming, costly and may not be readily available. Stimulated manual muscle testing is an alternative diagnostic
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Sensory nerve transfers in the upper limb after peripheral nerve injury: a scoping review. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Liron S Duraku,Caroline A Hundepool,Amy M Moore,Kyle R Eberlin,J Michiel Zuidam,Samuel George,Dominic M Power
Nerve transfer for motor nerve paralysis is an established technique for treating complex nerve injuries. However, nerve transfer for sensory reconstruction has not been widely used, and published research on this topic is limited compared to motor nerve transfer. The indications and outcomes of nerve transfer for the restoration of sensory function remain unproven. This scoping review examines the
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A comparison of 3-D CT and 2-D plain radiograph measurements of the wrist in extra-articular malunited fractures of the distal radius. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Camiel J Smees,Eline M van Es,Gabriëlle J M Tuijthof,Joost W Colaris,Feike de Graaff,Anne J H Vochteloo
Two-dimensional (2-D) plain radiographs may be insufficient for the evaluation of distal radial malunion, as it is a three-dimensional (3-D) deformity. This study introduced a 3-D measuring method that outputs radial inclination, ulnar variance, palmar tilt and axial rotation. To this end, a standardized and clearly defined coordinate system was constructed that allowed 3-D measurements closely resembling
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Thumb pronation efficacy of Camitz tendon transfer with insertion on the ulnar capsule of the metacarpophalangeal joint: a cadaver study. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Kenichi Takashima,Kousuke Iba,Makoto Emori,Atsushi Teramoto,Mitsuhiro Aoki
Several studies have indicated that Camitz transfer for severe carpal tunnel does not adequately restore thumb opposition. The aim of this study was to determine whether modification of the distal insertion of the transferred palmaris longus tendon could provide more effective opposition. We used 12 fresh-frozen upper extremity specimens. For spatial analysis, we used a three-dimensional motion-tracking
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Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Sitanshu Barik,Ida Matic,Sebastian Farr
This systematic review analyses the literature for long-term outcomes of index finger pollicization. This review includes all seven studies that reported outcomes of index finger pollicization for congenital thumb aplasia or hypoplasia for qualitative review. The seven studies included 108 index finger pollicizations with 54% male children. The studies did not describe the preoperative quality and
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Paediatric trigger fingers: a 47-year experience. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Rou Wan,Aida K Sarcon,Paula Pino Pommer,Benjamin F Mundell,Chunfeng Zhao,Steven L Moran
Paediatric trigger finger is rare compared to adult trigger finger or paediatric trigger thumb, and the aetiology is unclear. Proposed causes include local trauma, anatomical anomalies and systemic conditions. The aim of the present study was to detail the anatomical causes of surgically treated paediatric trigger fingers and provide an operative algorithm based on the anatomical findings. A total
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Does correction of carpal malalignment influence the union rate of scaphoid nonunion surgery? J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Kealan McLaughlin,Faizan A A Jabbar,Luke J Kelly,Iva Jovanovic,Matthew P Gray,Charalambos P Charalambous,John W K Harrison
The aim of this retrospective study was to assess the relation between carpal malalignment correction and radiological union rates in surgery for scaphoid nonunions. A total of 59 scaphoid waist fracture nonunions treated with open reduction and palmar tricortical autograft were divided according to their pre- and postoperative scapholunate (SL) and radiolunate (RL) angles. We found that carpal malalignment
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Hemi-hamate arthroplasty outcomes: a single-centre experience. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-21 Christie Brennan,Dallan Dargan,James Haeney
This retrospective observational study evaluated outcomes after hemi-hamate arthroplasty. A palmar cortical step caused by the osteochondral graft was associated with reduced proximal interphalangeal joint range of motion compared to a flush palmar cortex at early follow-up (62° vs. 83°; p = 0.006).
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Should 6- or 12-month outcomes be used after carpal tunnel decompression? J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-17 Paul H C Stirling,Liam Z Yapp,Jane E McEachan
Preoperative and 6- and 12-month postoperative Quick version of the Disablities of the Arm, Shoulder and Hand (QuickDASH) scores for 336 patients undergoing carpal tunnel decompression were 43.2, 18.2 and 15.9, respectively. There was no significant improvement in QuickDASH between 6 and 12 months. Postoperative scores should not be collected at both end points.
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Recommendations for radiographic assessment of hand wounds. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-16 Thibault Druel,Thomas Jalaguier,Christophe Gaillard,Aram Gazarian
A retrospective study of 945 hand patients was conducted to determine the relevance of systematic radiographic assessment. An osteoarticular lesion or a radiopaque foreign body was found in 34% of cases. The indications for radiographic assessment should be related to the mechanism of injury.
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Long-term donor site outcome after second toe transfer for congenital hand differences. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-16 Camilla Hellevuo,Jarkko Jokihaara,Tiina Kaistila,Olli V Leppänen,Simo K Vilkki
This study evaluates the long-term donor site outcomes after second toe transfers for congenital hand differences performed during childhood. In total, 25 toe transfers in 18 patients were followed up for a mean period of 17.4 years. We examined the patients clinically, radiologically and with a gait analysis system. Patient-reported outcome measures were collected. The patients were asymptomatic and
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A three-dimensional computed tomography study of the palmar ulnar corner fragment in distal radial fractures. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-16 James Hubbard,David Berry,Aakash Chauhan,Chris Casstevens,Alexander Y Shin,Reid A Abrams
Fixing palmar ulnar corner fragments of distal radial fractures can be challenging. We described the palmar ulnar corner fragment morphology in a retrospective cohort study of 40 patients who underwent preoperative wrist computed tomography scans. Palmar ulnar corner fractures were categorized based on articular cross-sectional area, sagittal angulation relative to the radius long axis, palmar cortical
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Distal radioulnar joint translation evaluated by maximum intensity projection images of computed tomography. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-07 Satish Annabhau Mane,Yuji Saeki,Sotetsu Sakamoto
This study compared distal radioulnar joint (DRUJ) translation measured using the subluxation ratio (SR) method between maximum intensity projection (MIP) and conventional CT images on 30 wrists with ulnar positive variance. The results show that DRUJ translation can be reliably evaluated with MIP.
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Effect of extension of the ulnar fingers on force control and muscle activity of the hand during a precision pinch. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-07 Shota Date,Hiroshi Kurumadani,Kazuya Kurauchi,Toshiyuki Fukushima,Naoya Goto,Toru Sunagawa
Some individuals extend the three ulnar fingers when performing a precision pinch. The aim of the present study was to investigate the mechanisms and effect of the extension of the ulnar fingers during a pinch. When performing a pulp pinch task with the ulnar fingers in two positions (extension and flexion), 27 participants maintained 5% of their maximum force. The mean pinch force, force variability
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Complications after radial polydactyly surgery: analysis, prevention and management. J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-02 Steven E R Hovius,Anne Sophie Kruit
Long-term follow-up after surgical correction of patients with radial polydactyly might reveal unexpected or undesired outcomes that are accentuated by growth. It should be stressed that assessment of outcomes differs considerably by the system used. Preoperative examination can elucidate the underlying pathological anatomy of these anomalies and consequently, these anatomical differences should be
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Tendon transfers in cerebral palsy: art or science? J. Hand Surg. (Eur. Vol.) (IF 1.8) Pub Date : 2023-11-02 Michael Tonkin
Tendon transfers in cerebral palsy are commonly described as a method to improve function in the upper limb. The field can be considered by some to be more of an art than science due to the unique challenges involved, which include poor volitional control and spasticity. Surgical outcomes can be uncertain and, in certain circumstances, worsened. This presentation looks at the rationale behind tendon