IF 1.8

HAND Pub Date : 2025-07-01 Epub Date: 2024-11-25 DOI: 10.1177/15589447241293164

Rachel Lefebvre, Sofia Bougioukli, Meghan McCullough, John Kelpin, Ed Detels, Milan Stevanovic

引用次数: 0

Randomized Controlled Trials Evaluating Carpal Tunnel Release Are Statistically Fragile: A Systematic Review. 评价腕管释放的随机对照试验在统计学上是脆弱的：一项系统综述。

IF 1.8

HAND Pub Date : 2025-06-27 DOI: 10.1177/15589447251348505

Julian V Javier, Michaela Corvi, Graham Sabo, Rohit Chari, Avanish Yendluri, John Corvi, Harrison R Ferlauto, Hannah Rhee, Robert L Parisien

{"title":"Randomized Controlled Trials Evaluating Carpal Tunnel Release Are Statistically Fragile: A Systematic Review.","authors":"Julian V Javier, Michaela Corvi, Graham Sabo, Rohit Chari, Avanish Yendluri, John Corvi, Harrison R Ferlauto, Hannah Rhee, Robert L Parisien","doi":"10.1177/15589447251348505","DOIUrl":"10.1177/15589447251348505","url":null,"abstract":"Randomized controlled trials (RCTs) that assess carpal tunnel release (CTR) approaches often only report P-values for data that substantially influence surgical decision-making. This study employs fragility index (FI), reverse fragility index (rFI), and fragility quotient (FQ) metrics to assess the statistical stability of RCTs assessing CTR. Randomized controlled trials from January 1, 2000, to January 31, 2024, were queried from PubMed, Embase, and Medline. Fragility index is defined as the amount of outcomes required to alter significant P-value to nonsignificant P-value; and rFI is the amount necessary to alter nonsignificant to significant P-value. The 12 included studies yielded a total of 43 outcomes that resulted in a pooled median FI of 5 (interquartile range 4-6.5). Thus, the statistical significance of outcomes relating to CTR may be reversed by a median of 5 patients. Overall, statistical outcomes in RCTs analyzing CTR approaches were fragile and should be interpreted cautiously. To allow surgeons to make better-informed decisions, we recommend RCTs co-report FI, rFI, and FQ alongside P-values to provide a comprehensive reliability assessment.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251348505"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505549","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}

引用次数: 0

Telerehabilitation After Zone 1 and 2 Flexor Tendon Repairs: Comparison With In-Person Therapy. 1区和2区屈肌腱修复后的远程康复：与现场治疗的比较。

IF 1.8

HAND Pub Date : 2025-06-17 DOI: 10.1177/15589447251339498

Zeynep Emir, Sedanur Güngör, Kadir Çevik, Egemen Ayhan

{"title":"Telerehabilitation After Zone 1 and 2 Flexor Tendon Repairs: Comparison With In-Person Therapy.","authors":"Zeynep Emir, Sedanur Güngör, Kadir Çevik, Egemen Ayhan","doi":"10.1177/15589447251339498","DOIUrl":"10.1177/15589447251339498","url":null,"abstract":"Background: Telerehabilitation (TR) gained prominence during the COVID-19 pandemic, showing promising outcomes for remote hand therapy tendon repairs. This study compares remote and in-person hand therapy outcomes for flexor tendon repairs.Methods: This prospective, nonrandomized comparative clinical study included 23 patients, 25 fingers with flexor tendon repairs in zones 1 and 2. Participants were divided into 2 groups: telerehabilitation (TR) group, 9 patients (10 fingers), and in-person therapy (IP) group, 14 patients (15 fingers). All surgeries were performed under wide-awake anesthesia, followed by early controlled active motion therapy with a dorsal blocking orthosis. Telerehabilitation sessions were conducted via a smartphone video conferencing app. Total active motion (TAM) and disability levels (the Disabilities of the Arm, Shoulder, and Hand Questionnaire [DASH]) were evaluated at 6, 8, and 12 weeks postoperatively. Groups were compared based on TAM scores, DASH scores, and extension deficit degrees.Results: The TR group included 3 women (33.3%) and the IP group did 6 women (42.9%) while median age was 27 years in TR and 33 years in IP group. Both groups showed significant improvements in TAM and DASH scores over time (P < .001). There were no significant differences between the TR and IP groups at each assessment in DASH scores, TAM scores, and extensor deficit degrees (P > .05).Conclusion: Clinical outcomes indicate that remote and in-person hand therapy provide similar results for patients with flexor tendon repairs in zones 1 and 2. Telerehabilitation is a viable alternative to traditional hand therapy and can be integrated into clinical practice due to its comparable results.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251339498"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316782","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}

引用次数: 0

Mini-Open Partial Fasciotomy for Dupuytren Contracture: Time to Reintervention. 小开口部分筋膜切开术治疗双腹膜挛缩：再干预的时间。

IF 1.8

HAND Pub Date : 2025-06-17 DOI: 10.1177/15589447251339504

Jonathan Lans, Clay Beagles, Anna Luan, Manish Mehta, Julian Gatta, Chaitanya Mudgal

{"title":"Mini-Open Partial Fasciotomy for Dupuytren Contracture: Time to Reintervention.","authors":"Jonathan Lans, Clay Beagles, Anna Luan, Manish Mehta, Julian Gatta, Chaitanya Mudgal","doi":"10.1177/15589447251339504","DOIUrl":"10.1177/15589447251339504","url":null,"abstract":"Background In younger patients with Dupuytren contracture, recurrence is common over time. Mini-open fasciotomy is a surgical approach that maintains virgin tissue at the palmar digital crease. This study's primary aim is to determine time to repeat intervention after mini-open partial fasciotomy for Dupuytren contracture and to report the rate of postoperative complications.MethodsRetrospectively, all patients who underwent minimally invasive open partial fasciotomy for Dupuytren contracture with a pretendinous cord under the care of a single surgeon from 2015 to 2022 were identified. Degree of contracture of the metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints were recorded preoperatively and at each subsequent office visit. Postoperative complications, recurrence of flexion contracture (>20°), and reoperation were recorded.ResultsTwenty-eight patients undergoing procedures on 39 digits with 44 joint contractures were included, consisting of 34 fingers with MP contractures and 5 fingers with both MP and PIP contractures. The median follow-up was 5.0 (interquartile range [IQR] = 3.6-6.9) years. The median preoperative MP contracture was 47.5° (IQR = 35°-62°), which corrected with a median contracture of 15.0° at the final measurement, 2.4 years postoperatively. The median preoperative PIP contracture was 52.5° (IQR = 39°-71°), which corrected with a median 15.0° at the final measurement, 1.5 years postoperatively. Contracture recurrence occurred in 16 (36%) joints (36%) at 3.7 (IQR = 2.7-4.4) years. Younger age (odds ratio [OR] = 0.87, P = .003) and male sex (OR 21.9, P = .014) were independently associated with contracture recurrence. Nine MP joints (20%) underwent reoperation at a median 4.1 (IQR = 3.3-6.0) years.ConclusionsMini-open partial fasciotomy for pretendinous Dupuytren contracture represents a safe and effective treatment for MP and PIP joints with only 1 in 5 joints undergoing repeat intervention within 5 years.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251339504"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in Sagittal Balance of Motion at the Thumb Metacarpophalangeal Joint After Sequential Trapeziectomy, Suspensionplasty, and Extensor Pollicis Brevis Tenodesis: A Cadaveric Study. 序贯梯形切除术、悬吊成形术和拇短伸肌腱固定术后拇指掌指关节矢状面运动平衡的变化：一项尸体研究。

IF 1.8

HAND Pub Date : 2025-06-12 DOI: 10.1177/15589447251339505

Javier de Torres-Urrea, Olga Roda, Alejandro Molina-Molina, Victor M Soto, Clarisa Simón-Pérez, Indalecio Sánchez-Montesinos, Pedro Hernández-Cortés

{"title":"Changes in Sagittal Balance of Motion at the Thumb Metacarpophalangeal Joint After Sequential Trapeziectomy, Suspensionplasty, and Extensor Pollicis Brevis Tenodesis: A Cadaveric Study.","authors":"Javier de Torres-Urrea, Olga Roda, Alejandro Molina-Molina, Victor M Soto, Clarisa Simón-Pérez, Indalecio Sánchez-Montesinos, Pedro Hernández-Cortés","doi":"10.1177/15589447251339505","DOIUrl":"10.1177/15589447251339505","url":null,"abstract":"Background: We hypothesized that hyperextension metacarpophalangeal (MP) thumb deformity may be caused by trapeziectomy alone due to telescoping of the first metacarpal without trapezial support.Objective: To explore the relationship of trapeziectomy with hyperextension thumb MP joint deformity and contribute novel data on the underlying pathomechanics.Methods: This basic anatomical research study examined thumb MP joint kinematics at 6 surgical stages in 10 cadaveric specimens: stage 1, baseline; 2, volar plate of the thumb MP joint division; 3, trapeziectomy; 4, Weilby's ligament reconstruction and tendon interposition (LRTI); 5, extensor pollicis brevis (EPB) tenotomy; and 6, MP volar plate reconstruction by tenodesis with EPB. Six infrared cameras were used in a motion capture system to determine three-dimensional angles of the first MP joint during 10 cycles of thumb flexion-extension, measuring angles in maximum flexion and extension and the complete flexion-extension arc.Results: In comparison to baseline, the angle in extension and MP-ROM were significantly increased after stages 3 (trapezium extraction), 4 (LRTI), and 5 (EPB tenotomy). In comparison to values after stages 3, 4, and 5, the hyperextension was significantly corrected after stage 6 (tenodesis).Conclusions: In a cadaveric model of trapeziectomy, secondary thumb column shortening favors an MP joint hyperextension deformity that is not corrected by LRTI or EPB tenotomy and requires a stabilization procedure.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251339505"},"PeriodicalIF":1.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274739","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}

引用次数: 0

Rethinking Lafontaine Criteria: Second Metacarpal Cortical Percentage as a Reliable Predictor of Distal Radius Fracture Instability. 重新思考拉方丹标准：第二掌骨皮质百分率作为桡骨远端骨折不稳定的可靠预测指标。

IF 1.8

HAND Pub Date : 2025-06-12 DOI: 10.1177/15589447251346859

Clinton J Ulmer, Luke Verlinsky, Chimobi C Emukah, Mallory J Ogburn, Bryan Ubanwa, Brian W Sager

{"title":"Rethinking Lafontaine Criteria: Second Metacarpal Cortical Percentage as a Reliable Predictor of Distal Radius Fracture Instability.","authors":"Clinton J Ulmer, Luke Verlinsky, Chimobi C Emukah, Mallory J Ogburn, Bryan Ubanwa, Brian W Sager","doi":"10.1177/15589447251346859","DOIUrl":"10.1177/15589447251346859","url":null,"abstract":"Background: Distal radius fractures represent a significant cause of morbidity and loss of independence, particularly in older patients. There is no good consensus on which fractures managed nonoperatively will be unstable in a cast or splint other than Lafontaine criteria, the only relevant clinical study to date. Second metacarpal cortical percentage (2MCP) has been shown to be a reliable predictor of osteoporosis and poor bone quality. This study investigates the utility of 2MCP as an independent predictor of fracture displacement in nonoperative fracture management.Methods: A retrospective cohort of distal radius fractures treated conservatively over 7 years (2013-2020) was investigated. Injury, postreduction, and 4-week follow-up radiographs were reviewed for 2MCP, volar tilt, ulnar variance, and other demographic factors. Multivariate regression analysis was used to predict fracture displacement.Results: Only 2MCP and initial fracture displacement were associated with displacement at 4 weeks (P = .008, P = .008). Other than initial fracture displacement, Lafontaine criteria were not associated with radiographic outcomes. A 2MCP threshold of 53.5% optimized sensitivity (67.5%) and specificity (70.2%) in predicting 10° of fracture displacement (P = .003). A 2MCP threshold of 49.5% was 86.7% sensitive and 74.7% specific at detecting dorsal malunion (P = .032).Conclusions: Second metacarpal cortical percentage is a useful clinical tool in predicting distal radius fracture instability. Clinicians can use 2MCP both in guiding decision-making when selecting patients who may benefit from operative management and as a screening tool for osteoporosis and initiation of antiresorptive therapy.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251346859"},"PeriodicalIF":1.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274740","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}

引用次数: 0

Angiotensin Receptor Blockers Are Not Associated With Protective Benefits in Dupuytren's Disease. 血管紧张素受体阻滞剂与Dupuytren病的保护作用无关

IF 1.8

HAND Pub Date : 2025-06-12 DOI: 10.1177/15589447251343237

Daniel A Portney, Jacob M Johnson, Manjot Singh, Alan H Daniels, Joseph A Gil

{"title":"Angiotensin Receptor Blockers Are Not Associated With Protective Benefits in Dupuytren's Disease.","authors":"Daniel A Portney, Jacob M Johnson, Manjot Singh, Alan H Daniels, Joseph A Gil","doi":"10.1177/15589447251343237","DOIUrl":"10.1177/15589447251343237","url":null,"abstract":"Background: Dupuytren's disease (DD) is a progressive fibroproliferative disorder which is, in part, mediated by transforming growth factor beta 1 (TGF-β1). Angiotensin II receptor blockers (ARBs) have been shown to lead to upstream inhibition of TGF-β1 in several disease processes and proposed as a potential pharmacologic treatment in DD. The purpose of this study was to assess the association of ARBs with DD procedures and recurrence.Methods: We queried the PearlDiver national insurance dataset to identify patients with a diagnosis of DD and at least 3 years of follow-up. A 1:1 matched cohort was made of patients who were not taking ARBs, and the primary outcome was the rate of index procedures for DD. A second 1:1 matched-control cohort was made among those with an index procedure, to assess for the rate of subsequent procedures as a correlate for revision procedures. We used multivariable logistic regression to assess specific factors associated with initial and subsequent procedures.Results: The 3-year rate of index procedures was 21.9% in the ARB group and 17.6% in the control group (P < .001). The 3-year rate of subsequent procedures was 22.9% in the ARB group and 18.0% in the control group (P < .001). Angiotensin receptor blockers were independently associated with 1.32 higher odds of an index procedure (95% confidence interval [CI] 1.25-1.40) and 1.35 (95% CI 1.19-1.54) higher odds of a subsequent procedure.Conclusions: Although we hypothesized that ARBs would be protective, our findings do not show an association with protection. Instead, the odds ratios suggest a higher risk of index and subsequent procedures.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251343237"},"PeriodicalIF":1.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274738","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}

引用次数: 0

Hyperlaxity in Hand Surgery: A Cross-sectional Survey. 手部手术中的高血压：一项横断面调查。

IF 1.8

HAND Pub Date : 2025-06-08 DOI: 10.1177/15589447251340081

Nirbhay S Jain, Jeremiah M Taylor, Jose M Chevalier, Timothy P Liu, Kodi K Azari

{"title":"Hyperlaxity in Hand Surgery: A Cross-sectional Survey.","authors":"Nirbhay S Jain, Jeremiah M Taylor, Jose M Chevalier, Timothy P Liu, Kodi K Azari","doi":"10.1177/15589447251340081","DOIUrl":"10.1177/15589447251340081","url":null,"abstract":"Introduction: Joint hypermobility syndrome comprises a spectrum of disorders associated with increased rates of injury and degeneration in all joints. However, there is a paucity of literature on these patients' features within the hand clinic. In this study, we characterize hyperlaxity patients in the hand clinic setting to help inform evaluation and management.Methods: All patients who presented to a single surgeon's clinic over a 10-year period with a diagnosis of joint hypermobility were collected. Retrospective review of demographic data, orthopedic history, presenting symptoms, and diagnoses were collected. The Beighton score was recorded.Results: A total of 210 patients were included-6% of all new patients, or twice the expected rate. The hand clinic provided the first orthopedic evaluation for 46% of patients. Their average age was 37.1 years, with most lacking inciting trauma. The Beighton scores were above 6/9. Most patients had previous diagnoses of wrist pathology but not of hyperlaxity and had multiple, bilateral, and recurrent wrist disorders. Pain was present in 90% of patients. Conditions such as nerve compression and trigger fingers were uncommon.Conclusion: Joint hyperlaxity is prevalent in the hand clinic and is likely underdiagnosed. Hyperlaxity patients are, on average, younger than other hand surgery patients, with multiple complaints and a history of orthopedic injuries. These patients most commonly complain of wrist pathology. Of note, the hand clinic provided the first musculoskeletal specialist evaluation for half the hyperlaxity patients in our cohort, underscoring the importance of early screening, diagnosis, and multidisciplinary therapy in this setting.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251340081"},"PeriodicalIF":1.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247546","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}

引用次数: 0

Maximizing the Value of CTS-6: When Is Additional Testing Most and Least Likely to Change Diagnostic Probability? 最大化CTS-6的价值：什么时候额外的测试最可能和最不可能改变诊断概率？

IF 1.8

HAND Pub Date : 2025-06-04 DOI: 10.1177/15589447251343239

Christopher M Gibbs, John R Fowler

{"title":"Maximizing the Value of CTS-6: When Is Additional Testing Most and Least Likely to Change Diagnostic Probability?","authors":"Christopher M Gibbs, John R Fowler","doi":"10.1177/15589447251343239","DOIUrl":"10.1177/15589447251343239","url":null,"abstract":"Background: Electrodiagnostic studies (EDS) have little diagnostic value when the probability of carpal tunnel syndrome (CTS) is high. Ultrasound (US) is useful for diagnosing CTS, but its effect on the diagnostic probability of CTS has not been well studied. The purpose of this study was to evaluate the change in probability of CTS following EDS and US. It was hypothesized that EDS and US would be of low diagnostic value for patients with a high CTS-6 (6-Item Carpal Tunnel Syndrome Questionnaire) score.Methods: A cohort of patients with 295 extremities being assessed for compressive neuropathies of the upper extremity was prospectively evaluated using CTS-6, EDS, and US. The pretest probability of CTS was calculated using CTS-6. Bayesian analysis was used to calculate the posttest probability following EDS and US. Correlation, change in probability, and between-group differences were calculated.Results: For all patients, there was a mean increased change in probability of CTS following EDS testing. The mean probability of CTS increased with pretest probability <.5; this effect was magnified in patients with diabetes. All patients with CTS-6 of 8 to 12 had a change in probability >10% following EDS and US, but with CTS-6 >17, a change >10% was seen in no patients following EDS and in 15% following US.Conclusions: Adjunct testing is of greatest diagnostic value for patients with CTS-6 of 8 to 12. For patients with CTS-6 >17, adjunct testing is of little diagnostic value, but if additional testing is chosen, US may be of greater value than EDS.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251343239"},"PeriodicalIF":1.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225312","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}

引用次数: 0

Letter to the Editor Regarding "Comparative Performance of Large Language Models on the Hand Surgery Self-Assessment Examination". 关于“大型语言模型在手外科自我评估考试中的比较表现”的致编辑信。

IF 1.8

HAND Pub Date : 2025-06-03 DOI: 10.1177/15589447251343238

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

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