HAND最新文献

{"title":"The Volar Central Approach for Distal Radius Fracture: A Prospective Nerve Conduction Study of 38 Patients.","authors":"Hugo Jakobsson, Eva Lundqvist, Sara Nordkvist, Kathe Dahlbom, Marcus Sagerfors","doi":"10.1177/15589447251366459","DOIUrl":"10.1177/15589447251366459","url":null,"abstract":"<p><strong>Background: </strong>In distal radius fracture (DRF) surgery with volar locking plates, the flexor carpi radialis approach is commonly used. However, the volar central approach (VCA), between the median nerve and the finger flexors, may improve visualization of the volar ulnar corner. A similar approach has been linked with a higher risk of iatrogenic median neuropathy. This study evaluated the risk of median neuropathy after operative treatment using the VCA.</p><p><strong>Methods: </strong>Thirty-eight patients with Arbeitsgemeinschaft für Osteosynthesefragen (AO) type C DRF were assessed prospectively with sensory nerve conduction studies preoperatively and at 6 weeks, 3 months, and 12 months postoperatively.</p><p><strong>Results: </strong>At 6 weeks, 30 of the 38 patients exhibited median neuropathy, decreasing to 12 of the 35 at 12 months. Subjective sensory deficit was reported by 12 of the 38 patients at 6 weeks and 8 of the 37 at 12 months. Patients with median neuropathy (MN) had significantly higher frequency of subjective sensory deficit of the median nerve 12 months postoperatively, but did not have significantly worse patient-reported outcome.</p><p><strong>Conclusions: </strong>Our results suggest that the VCA should be reserved for cases needing optimal exposure of the volar ulnar corner.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1265-1272"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Comparison of Dorsal Wrist Spanning Plates Versus External Fixation in Distal Radius Fractures With a Simultaneous Axial and Bending Load.","authors":"Umar Ghilzai, Aaron Singh, Jamie Alexander, Scott Mitchell, David T J Netscher","doi":"10.1177/15589447251376587","DOIUrl":"10.1177/15589447251376587","url":null,"abstract":"<p><strong>Introduction: </strong>External fixators have traditionally been used for comminuted distal radius fractures not amenable to plate fixation but are associated with complications. Dorsal spanning plates have emerged as an alternative. Prior biomechanical studies comparing these constructs typically assess forces in a single vector. This study compares dorsal spanning plates and external fixators under combined axial loading with simultaneous flexion, extension, radial, and ulnar bending to better replicate physiologic wrist forces.</p><p><strong>Methods: </strong>Twenty-four identical laser-sintered bone models were created, with 12 assigned to the dorsal spanning plate group and 12 to the external fixator group. Constructs were tested using a servohydraulic test machine under combined axial and bending loads. Stiffness, maximum load, and yield load were recorded. Statistical analysis was performed using the Mann-Whitney U test with Monte Carlo exact testing.</p><p><strong>Results: </strong>The dorsal spanning plate group demonstrated significantly greater stiffness than the external fixator group in radial and ulnar deviation. No significant differences in stiffness, maximum load, or yield load were observed between groups during flexion. In extension, the plate group exhibited significantly higher maximum load, while stiffness and yield load were not statistically different.</p><p><strong>Conclusion: </strong>Dorsal spanning plates demonstrate increased stiffness compared with external fixators under physiologic multivector loading. These findings may support their use in patients expected to load the wrist postoperatively, such as individuals with polytrauma or elderly patients reliant on assistive walking devices.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1280-1285"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12534833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual-Plate Allograft Reconstruction for Expansile Lytic Lesions of the Metacarpal May Allow for Immediate Postoperative Weightbearing in a Biomechanical Setting.","authors":"Mathangi Sridharan, Alyssa Tomkinson, Mikayla Mefford, Kasra Rahmati, Tyler Clites, Lauren E Wessel","doi":"10.1177/15589447261479354","DOIUrl":"10.1177/15589447261479354","url":null,"abstract":"<p><strong>Background: </strong>This biomechanical study investigates whether reconstruction of expansile lesions of the metacarpal with fibular allograft and a dual-plate construct is strong enough for immediate postoperative weightbearing.</p><p><strong>Methods: </strong>Twelve cadaveric middle finger metacarpals (6 matched pairs) from adult donors were used. One side of each pair was randomly assigned to undergo allograft reconstruction with dual plating (experimental construct). The matched contralateral side was assigned to the control construct, a transverse fracture with standard, 8-hole dorsal plating. In the experimental construct, an expansile bone lesion was simulated in the native metacarpal by resecting 1.5 cm from the proximal carpometacarpal joint to 1.5 cm from the distal articular surface and was reconstructed with fibular allograft. Biomechanical testing was performed by a 6-degree-of-freedom robotic KUKA manipulator. The distal portion of each specimen was clamped in place, and a cantilever bending force was applied by the KUKA to test the load to failure. Failure was defined as periprosthetic fracture, fracture displacement, or screw pullout. Paired <i>t</i> tests were used to compare load to failure between matched pairs (R studio). Significance was set at <i>P</i> < .05.</p><p><strong>Results: </strong>The load to failure of dual-plate allograft constructs did not significantly differ from that of the control construct, 494.7 ± 239.07 N (95% CI, 243.81-745.59 N) versus 342.2 ± 99.9 N (95% CI, 237.45-447.04 N), <i>P</i> = .19. Experimental constructs failed at the proximal allograft-native bone interface. Control constructs failed via fracture displacement.</p><p><strong>Conclusions: </strong>Dual-plate fixation constructs for allograft reconstruction of the metacarpal are comparable in mechanical stability to standard metacarpal fracture fixation that allow for immediate postoperative range of motion.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261479354"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Reduction and Association of the Scaphoid, Capitate, and Lunate Procedure: A Biomechanical Analysis.","authors":"C Edmond Awah, Pierce J Ferriter, Philip Nasser, Christoph A Schroen, Amanda Walsh, Michael R Hausman","doi":"10.1177/15589447251387286","DOIUrl":"10.1177/15589447251387286","url":null,"abstract":"<p><strong>Background: </strong>This study evaluates whether augmentation of the reduction and association of the scaphoid and lunate (RASL) procedure with a temporary scaphocapitate (SC) screw will improve the stability of the carpus and scapholunate (SL) joint. Primary endpoint was SL joint diastasis with simulated clenched fist grip.</p><p><strong>Methods: </strong>Twelve cadaveric wrists were subjected to repeated cycles at a range of physiologic transcarpal axial forces simulating clenched-fist loading. We measured SL joint motion in scapholunate interosseous ligament (SLIL)-intact wrists and after transecting the SLIL. Outcomes measured included static diastasis and cyclic motion diastasis, defined as the change in SL diastasis from zero newtons to peak force during clenched-fist loading. The RASL procedure was tested with and without the addition of the SC screw. Repeated-measures analysis of variance and Sidak's tests were used to analyze results.</p><p><strong>Results: </strong>No failures were observed in either group when examined manually and radiographically. Static diastasis results showed reduction and association of the scaphoid, capitate, and lunate (RASCL) reduced the scaphoid and lunate more anatomically, resembling SLIL-intact wrists, while RASL over-reduced the scaphoid and lunate. RASCL had less cyclic motion diastasis than the RASL. The RASCL cyclic motion mimicked the SLIL-intact model while RASL cyclic motion was not significantly different from the SLIL injury modelConclusions:The addition of the SC screw decreased SL joint diastasis under simulated clenched-fist loading. Reduction and association of the scaphoid, capitate, and lunate is a biomechanically stronger construct allowing for more robust healing of secondary carpal stabilizers; however, it requires SC screw removal prior to weight bearing.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1312-1319"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12662771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financial Impacts of Unnecessary Transfers of Patients With Hand Injuries at a Level 1 Trauma Center.","authors":"James Rex, Eric Taleghani, Jonas Keller, Henry Keuchley, Kagan Ozer","doi":"10.1177/15589447251378680","DOIUrl":"10.1177/15589447251378680","url":null,"abstract":"<p><strong>Background: </strong>Unnecessary transfers for hand surgery evaluation result in significant costs to patients and consume valuable resources at trauma centers. The financial ramifications of these transfers on the receiving institution is largely unknown. This study was constructed to determine the impact of nonindicated transfers at our level 1 trauma center.</p><p><strong>Methods: </strong>We reviewed the records of 505 patients transferred from another facility to our emergency department between 2018 and 2023. Demographics and transfer specific information were collected. The American Society for Surgery of the Hand ER Hand Care Committee transfer guidelines were used to stratify patients into necessary and unnecessary transfers. The direct and indirect costs and total reimbursement for each unnecessary transfer were reviewed to determine the net operating margin over the 5-year period.</p><p><strong>Results: </strong>Three hundred and nine patients (61%) did not need an urgent transfer to a higher level of care. Patients transferred unnecessarily were more likely to be uninsured (23% vs 15%). Most of these patients were discharged from the emergency department (73%). The payer mix for this analysis was 27% commercial, 25% Medicare, 22% Medicaid, 12% self pay, and 14% other. The net operating margin over 5 years was -$2628. Commercial insurance accounted for most of the financial gains.</p><p><strong>Conclusions: </strong>The financial impact of unnecessary transfers to our tertiary referral center for hand surgery consultation is not significant. The added benefits of lowering costs to patients and improving the use of emergency care resources by mitigating these transfers likely outweighs any financial impacts that may be experienced by receiving institutions.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1366-1371"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12534820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Mid-term PROMIS Upper Extremity Scores in Conservatively and Operatively Treated Distal Radius Fractures.","authors":"Walter D Sobba, Peter Ren, Daniel De Souza, Chloe Fong, Michael Fitzgerald, Jacques H Hacquebord","doi":"10.1177/15589447251376588","DOIUrl":"10.1177/15589447251376588","url":null,"abstract":"<p><strong>Background: </strong>While radiographic outcomes after distal radius fractures (DRFs) are emphasized in clinical guidelines, several studies demonstrated that radiographic measures do not correlate with patient-reported outcomes (PROs), especially in patients aged ≥65 years. This study aims to determine whether fracture severity and radiographic parameters following fracture healing are prognostic of PROs, hypothesizing no strong association exists between these factors.</p><p><strong>Methods: </strong>This study retrospectively reviewed prospectively collected Patient-Reported Outcomes Measurement Information System Upper Extremity Function (PROMIS UE) scores in patients sustaining acute DRF between January 2016 and January 2023 with a 6-month minimum follow-up. Independent variables were patient demographics, comorbidities, Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) fracture classification, and radiographic parameters following treatment. Multivariate linear regression analyzed associations between nonradiographic and radiographic parameters and PROMIS UE score. We performed subanalyses of patients treated operatively and nonoperatively and patients above and below the cohort's median age.</p><p><strong>Results: </strong>In total, 385 patients were included, of which 193 were treated conservatively and 192 operatively. Multivariate analysis demonstrated no association of PROMIS UE score with AO/OTA fracture classification, ulnar variance, volar tilt, or radial inclination at 6 months. A subanalysis of patients aged ≤62 years showed that every degree increase in radial inclination was associated with 0.3-point decrease in PROMIS UE.</p><p><strong>Conclusions: </strong>This study found no robust relationship between patient-reported function and radiographic outcomes following DRF. Initial fracture severity, similarly, did not predict mid-term patient-reported function. Our findings support prior evidence that achieving reduction within the established range of radiographic parameters is sufficient for patient function.</p><p><strong>Level of evidence: </strong>3, prognostic retrospective cohort study.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1250-1258"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12597794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term Complication Rate in Single- Versus Dual-Mobility Thumb Carpometacarpal Joint Arthroplasty.","authors":"Pieter Reyniers, Dries Verrewaere, Antoon Houben, Frederik Verstreken","doi":"10.1177/15589447251371091","DOIUrl":"10.1177/15589447251371091","url":null,"abstract":"<p><strong>Background: </strong>Single-mobility carpometacarpal (CMC) joint arthroplasty shows good long-term outcomes but has a dislocation risk of 5% to 8%. Newer dual-mobility designs aim to reduce this risk. This study compares the early outcomes and complications of single-mobility Arpe (Zimmer Biomet) versus dual-mobility Touch (Kerimedical) CMC joint prostheses.</p><p><strong>Methods: </strong>We retrospectively reviewed patients who underwent CMC joint arthroplasty at our hospital from August 2018 to December 2022 by a single surgeon. We were able to obtain follow-up information on all included patients. The Arpe prosthesis was used between August 2018 and December 2020 (168 prostheses in 150 patients), while the Touch prosthesis was used from January 2021 onward (184 prostheses in 168 patients).</p><p><strong>Results: </strong>Mean age was 64 years in both groups. Mean follow-up was 26 months for the Arpe group and 31 months for the Touch group. The Arpe group had a 6.5% complication rate, including 7 dislocations (4.2%), 2 trapezial fractures (1.2%), 1 cup loosening (0.6%), and 1 revision for heterotopic ossification (0.6%). In the Touch group, the complication rate was 2.7%, with 1 dislocation (0.5%), 1 impingement on heterotopic ossification (0.5%), 2 cases of cup loosening (1.1%), and 1 symptomatic scaphotrapeziotrapezoid osteoarthritis (0.5%). All complications occurred within the first postoperative year. Implant survival rates were 96% for the Arpe group at 26 months and 97% for the Touch group at 31 months. Dual-mobility prostheses demonstrated significantly fewer dislocations (<i>P</i> = .02).</p><p><strong>Conclusion: </strong>These findings support the use of dual-mobility prostheses to reduce dislocation rate in CMC joint arthroplasty.</p><p><strong>Level of evidence: </strong>3.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1326-1330"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Axial Instability of Bennett Fractures and Direct Comparison of Two K-wire Fixation Constructs: A Paired Cadaveric Biomechanical Analysis.","authors":"Taylor J Willenbring, Mark A Miller, Kenneth A Mann, Frederick W Werner, Saeed D Mohammad","doi":"10.1177/15589447251397015","DOIUrl":"10.1177/15589447251397015","url":null,"abstract":"<p><strong>Background: </strong>There is no clear consensus regarding optimal surgical management of Bennett fractures of the thumb carpometacarpal joint. We aimed to assess the initial displacement of such fractures and directly compare the stability of 2 different Kirschner-wire (K-wire) fixation constructs, hypothesizing that both constructs would confer substantial stability and that a pin crossing the fracture site would be more resistant to subsidence at the joint than suspensory fixation alone.</p><p><strong>Methods: </strong>Bennett fractures were recreated using a sagittal saw in 8 paired fresh-frozen cadaveric specimens. Axial subsidence was then measured under a 100 N load of applied force. Specimens were then assigned to one of two 0.064\" K-wire fixation methods: (1) an intermetacarpal suspensory method with 2 parallel K-wires between the diaphyses of the first and second metacarpals; and (2) an interfragmentary pin directly spanning the fracture site at the base of the first metacarpal with a second suspensory intermetacarpal pin. Specimens were then tested with cyclic loading to 25 N, 50 N, and 100 N. Axial subsidence between the two fragments was measured followed by paired statistical analysis.</p><p><strong>Results: </strong>The average axial subsidence of the fractures prior to fixation was 3.1 mm. There was less subsidence for the fracture-spanning fixation at 25 N and 50 N compared to suspensory fixation (<i>P</i> = .0156 and <i>P</i> = .0078, respectively) but no difference at 100 N (<i>P</i> = .37).</p><p><strong>Conclusion: </strong>Bennett fractures without fixation demonstrate clinically significant step off greater than 2 mm indicating a benefit from operative fixation. Both percutaneous K-wire fixation methods conferred acceptable stability, with interfragmentary fixation providing increased stability at lower loads.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1338-1344"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12668974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145648339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Non-thumb Volar Metacarpophalangeal Joint Dislocations: Case Series and Review of Literature.","authors":"Kiera Vrindten, Connor J O'Leary, Hannah Lee, Nishita Amancharla, David Kirschenbaum, Brian M Katt","doi":"10.1177/15589447251339499","DOIUrl":"10.1177/15589447251339499","url":null,"abstract":"<p><p>Volar metacarpophalangeal (MCP) joint dislocations are uncommon yet clinically significant injuries that pose diagnostic and therapeutic challenges. This review synthesizes current knowledge regarding the mechanisms of injury, classification, treatment modalities, outcomes, and complications associated with volar MCP joint dislocations. Insights from 2 case studies, along with previously published case reports, literature reviews, and clinical experiences, are incorporated to provide a holistic understanding of these complex injuries. The review also highlights areas for future research to enhance clinical outcomes and optimize patient care.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1345-1352"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Most Common Consumer Products Associated With Hand and Wrist Injuries Presenting to US Emergency Departments: An NEISS Database Analysis.","authors":"Matthew Aceto, Jemual Shaylor, Justin Zumsteg","doi":"10.1177/15589447251392939","DOIUrl":"10.1177/15589447251392939","url":null,"abstract":"<p><strong>Background: </strong>Hand and wrist injuries place a large burden on US emergency departments, and the injury mechanism is often related to consumer products. The purpose of this study is to identify the consumer products most frequently associated with injuries of the hand and wrist that present to US emergency departments and analyze demographic variables and disposition status.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System database was queried for hand and wrist injuries in patients of all ages from 2018 to 2022. Consumer product codes, demographics, injury sustained, diagnosis, and disposition were analyzed using descriptive statistics and multivariate logistic regression analysis.</p><p><strong>Results: </strong>Knives accounted for 11% of all injuries, and doors were the next most common consumer product identified (n = 15 827; 5.8%). The highest proportion of injuries occurred in patients ages 15 through 24 (n = 51 900; 19%). The consumer product varied significantly by age group: doors were most common for ages 1 through 9, sports equipment for ages 10 through 14, knives for ages 15 through 80, and floors or stairs for patients older than 80. Discharge disposition was primarily outpatient (n = 257 895; 94%). Age, male sex, stairs, floors, and windows were associated with significantly higher odds of admission.</p><p><strong>Conclusions: </strong>The most common consumer product codes involved in injuries varied significantly between age groups, likely reflecting different common injury mechanisms. Knives were the most common consumer product identified. Patients were more likely to be admitted if older than 65, male, or injured with floor, stairs, or windows.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1380-1386"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12660121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}