HAND最新文献

{"title":"Biomechanical Comparison of FiberLock Suspensionplasty and Flexor Carpi Radialis Ligament Reconstruction for Treatment of Thumb Carpometacarpal Osteoarthritis.","authors":"Andrew P Nakla, Steven S Shin, Daniel Kwak, Min-Shik Chung, Michelle H McGarry, Thay Q Lee","doi":"10.1177/15589447231222565","DOIUrl":"10.1177/15589447231222565","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to compare the cyclic and load to failure characteristics of post-trapeziectomy suspensionplasty with the FiberLock Suspension System (FLSS; Arthrex Inc., Naples, Florida) to flexor carpi radialis ligament reconstruction (FCRLR). We hypothesized that the FLSS will have increased stiffness, yield, and ultimate load compared with FCRLR.</p><p><strong>Methods: </strong>Ten matched pairs of cadaveric hands were used. One side of each pair was randomly assigned to receive the FCRLR or FLSS and the contralateral side received the other suspensionplasty. A complete trapeziectomy was performed followed by FLSS or FCRLR. Cyclic and load to failure characteristics were measured with loading in the distal to proximal direction. A preload of 1 N with 30 cycles of 1 N to 10 N was applied, followed by load to failure. A paired <i>t</i> test was used for statistical analysis (<i>P</i> < .05).</p><p><strong>Results: </strong>The FLSS had significantly decreased nonrecoverable deformation and deformation at peak load during cyclic loading (<i>P</i> < .04). The FLSS also had significantly increased stiffness, yield load, ultimate load, and load and energy absorbed at 10 mm displacement compared with FCRLR (<i>P</i> < .04). All 10 FCRLR specimens failed with suture tearing through the tendon. Nine FLSS specimens failed due to suture slipping from the SwiveLock anchor (Arthrex Inc., Naples, Florida) and 1 failed due to the FiberTak anchor (Arthrex Inc., Naples, Florida) pulling through the index metacarpal.</p><p><strong>Conclusion: </strong>Suspensionplasty with the FLSS demonstrated greater structural integrity compared with FCRLR following trapeziectomy. The FLSS procedure may result in decreased thumb subsidence and decreased construct failure.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"931-937"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485260","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":"High-Pressure Injection Injuries of the Hand in Community and Industrial Settings: Incidence and Trends.","authors":"Charles Johnson, William Newton, Luke LaRochelle, John Allen, Charles Daly","doi":"10.1177/15589447231218404","DOIUrl":"10.1177/15589447231218404","url":null,"abstract":"<p><strong>Background: </strong>High-pressure injection injuries to the hand have been reported in both the community and industrial setting with varying levels of severity. However, there are little epidemiologic data regarding the prevalence of pressure-injection injuries. The purpose of this study is thus to describe trends in emergency department (ED) encounters associated with pressure injection injuries, thereby informing potential investments in research and education for these injuries.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS), a nationally representative database of all ED encounters, was queried for all high-pressure injection injuries from 2012 to 2021. Patient demographic and injury data were collected and analyzed to describe trends in incidence, patient demographics, and sequelae of hand injury associated with an ED encounter for a pressure injection-related injury.</p><p><strong>Results: </strong>There were an estimated 15 307 (95% confidence interval: 15 051-15 562) high-pressure injection hand injuries from 2012 to 2021. Injuries were more frequent on weekends with the highest incidence on Sundays (18.9%) and Saturdays (18.0%) and during late spring and summer months (58.6%), with peak incidence occurring in May (16.8%). High-pressure paint injuries demonstrated a significantly higher rate of infection (23.7% of injuries) than pressure washer injuries (3.7%); however, pressure washer injuries were much more common overall (90% vs 10%).</p><p><strong>Conclusion: </strong>High-pressure injection injuries to the hand and upper extremity represent a particularly concerning injury mechanism. Prompt recognition and proper management are crucial for improving outcomes. People that utilize pressure washers for household projects should be aware of the risks associated with these machines and utilize proper safety techniques.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"917-922"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073931","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":"Caution Regarding ChatGPT's Appropriateness and Reliability Regarding Surgery for Wrist Arthritis.","authors":"Keegan Hones, Emily Krisanda, Harvey Chim","doi":"10.1177/15589447241265519","DOIUrl":"10.1177/15589447241265519","url":null,"abstract":"<p><strong>Background: </strong>Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) program, is widely used for information compilation. This study sought to analyze the quality and consistency of the information generated by ChatGPT regarding common procedures for wrist arthritis.</p><p><strong>Methods: </strong>32 standardized questions regarding wrist osteoarthritis and related procedures (4-corner-fusion [4CF], proximal row carpectomy [PRC], resurfacing capitate pyrocarbon implant, wrist denervation, and total wrist arthrodesis and arthroplasty) were presented to the ChatGPT-3.5 interface 3 separate times, without feedback. ChatGPT's answers were evaluated for medical accuracy by 3 reviewers and rated as \"appropriate,\" \"appropriate but incomplete,\" or \"inappropriate.\" Ratings were then converted to numerical values to calculate an intraclass correlation coefficient (ICC). A DISCERN score was used to assess quality, and Flesch-Kincade Grade Level and Flesch Reading Ease Score for readability.</p><p><strong>Results: </strong>75% of the responses were deemed \"appropriate,\" with 23 questions receiving unanimous appropriate ratings across all responses. The ICC was 0.97 (95% CI [0.46, 0.98]), indicating excellent reliability. DISCERN score was 60 (good). The Flesch-Kincaid Grade Level was 14.6 ± 1.9, and the Flesch Reading Ease Score was 25.3 ± 6.7, implying a college reading level. The information that ChatGPT provided for PRC and total wrist arthrodesis and arthroplasty, appeared to be more reliable than for 4CF and denervation.</p><p><strong>Conclusion: </strong>ChatGPT's reliability and accuracy of information varied across procedures, possibly due to unknown and diverse sources. Furthermore, while some answers were factually correct, many provided generic information across differing questions, limiting usefulness. ChatGPT must be used cautiously, and the limitations understood.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"910-916"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751572","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":"A Systematic Review of Anti-Adhesion Agents in Hand Trauma.","authors":"Kirstie E Forbes, Davina Cavallaro, Dominic Power","doi":"10.1177/15589447241238374","DOIUrl":"10.1177/15589447241238374","url":null,"abstract":"<p><p>Adhesions following hand surgery are common, leading to stiffness, which compromises the functional outcomes for the patient. The objective of this study was to conduct a systematic review to analyze the role of antiadhesive barriers in surgery for hand trauma. A comprehensive literature search was conducted using PubMed/MEDLINE, Embase and the Cochrane Central Register of Controlled Trials, in line with the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. The inclusion criteria included both randomized and non-randomized control studies in patients aged 18 or over, with the intervention of an anti-adhesive barrier compared against traditional repair without a barrier in patients with hand trauma, including nerve, fracture, and tendon injury. The primary outcome measure of interest was range of movement (ROM) after operative surgery. Secondary outcomes of interest included further surgery, reported stiffness, complications, quality of life, and time to return to work. A total of 8450 records were identified; 7 studies fulfilled the eligibility criteria and were included. Seven anti-adhesive barriers were included in the review. Three agents (amnion, MASTBiosurgery Surgiwrap antiadhesive film, and acellular dermal matrix [ADM]) demonstrated statistically significant improvements in ROM postoperatively; however, all 3 studies demonstrated a risk of bias. This review highlights the paucity of high-quality studies demonstrating any clear advantage of using anti-adhesive barriers in hand surgery; however, there is some evidence to suggest that amnion, the MAST adhesion barrier film and ADM may have favorable results as an antiadhesive barrier in hand surgery, but further high-quality research is required to quantify this effect.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"831-839"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305411","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":"Upper Extremity Fractures in the Emergency Department: A Database Analysis of National Trends in the United States.","authors":"Anthony L Karzon, Ehab M Nazzal, Hayden L Cooke, Kevin Heo, Onyinye Okonma, Jacob Worden, Zaamin Hussain, Kevin C Chung, Michael B Gottschalk, Eric R Wagner","doi":"10.1177/15589447231219286","DOIUrl":"10.1177/15589447231219286","url":null,"abstract":"<p><strong>Background: </strong>Upper extremity (UE) fractures are a common reason for emergency department (ED) visits, but recent data on their epidemiology are lacking. This study aimed to describe the incidence, demographics, patient characteristics, and associated health care factors of UE fractures, hypothesizing that they would remain prevalent in the ED setting.</p><p><strong>Methods: </strong>Using the Nationwide ED Sample database, patients presenting to the ED with UE fractures in 2016 were identified, and population estimates were used to calculate incidence rates. Data on insurance status, trauma designation, cost, and teaching status were analyzed.</p><p><strong>Results: </strong>The study identified 2 118 568 patients with UE fractures, representing 1.5% of all ED visits in 2016. Men accounted for 54.2% of UE fractures, with phalangeal fractures being most common. Distal radius and/or ulna fractures were most common in women (30.4%). The greatest proportion of UE fractures (23.2%) occurred in patients aged 5 to 14 years (1195.5 per 100 000). Nontrauma centers were the most common treating institutions (50.4%), followed by level I (19.5%), II (15.3%), and III (12.8%) centers. The greatest proportion of fractures (38.3%) occurred in the southern United States. Emergency department cost of treatment was almost 2-fold in patients with open UE fractures compared with closed.</p><p><strong>Conclusion: </strong>This study provides important epidemiological information on UE fractures in 2016. The incidence rate of UE fractures in the ED has remained high, with most occurring in the distal radius, phalanges, and clavicle. In addition, UE fractures were most common in younger patients, men, and those in the southern United States during the summer. These findings can be useful for health care providers and policymakers when evaluating and treating patients with UE fractures.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"861-870"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542212","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":"Poly-l/d-Lactide Implant (RegJoint) Versus Tendon Interposition for Trapeziometacarpal Inflammatory Arthritis: A 15-Year Follow-up of a Randomized Controlled Clinical Trial.","authors":"Raine Tiihonen, Thomas Hackenberg, Eero Waris","doi":"10.1177/15589447251364572","DOIUrl":"https://doi.org/10.1177/15589447251364572","url":null,"abstract":"<p><strong>Background: </strong>Traditional surgical management of trapeziometacarpal (TMC) joint destruction in rheumatoid arthritis involves trapezial resection with tendon interposition. The poly-l-d-lactide RegJoint (Scaffdex, Tampere, Finland) implant offers an alternative with promising short-term results in rheumatoid patients.</p><p><strong>Methods: </strong>This study reports long-term outcomes from a randomized controlled trial comparing partial trapeziectomy with the RegJoint versus tendon interposition TMC arthroplasties in patients with inflammatory arthritis, including seropositive and juvenile rheumatoid arthritis, as well as a few cases of other inflammatory arthritis. A total of 13 patients with the RegJoint implant and 8 with tendon interposition completed a mean follow-up of 14.9 years.</p><p><strong>Results: </strong>At final follow-up, no significant differences were found between the groups in pain, function (measured by visual analog scores), strength, or overall functional ability. However, both groups experienced a significant decrease in grip strength compared with preoperative and 2-year follow-up data, with the RegJoint group also reporting increased pain.</p><p><strong>Conclusions: </strong>Both RegJoint implant and tendon interposition provided comparable long-term outcomes for TMC arthroplasty in this small cohort of patients with inflammatory arthritis. Further studies are needed to confirm these findings.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251364572"},"PeriodicalIF":1.8,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951712","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":"Trends in Thumb Carpometacarpal Arthroplasty: A Decade in Review.","authors":"Michelle A Richardson, Lawrence J Lin, Andrew S Bi, Eric Mai, Benjamin W Padon, Sophia Jacobi, Samara Moll, Jadie De Tolla","doi":"10.1177/15589447251360266","DOIUrl":"https://doi.org/10.1177/15589447251360266","url":null,"abstract":"<p><strong>Background: </strong>Carpometacarpal (CMC) arthroplasty can provide symptomatic relief and improvement in function in patients with CMC osteoarthritis. The study purpose was to identify demographic, 30-day outcome, and reimbursement trends in CMC arthroplasty between 2012 and 2021.</p><p><strong>Methods: </strong>This was a retrospective cohort study of adult patients undergoing CMC arthroplasty from January 1, 2012, to December 31, 2021, using the National Surgical Quality Improvement Program database. Patients were stratified based on year of index surgery: 2012-2015, 2016-2018, and 2019-2021. Baseline characteristics were collected and compared using the appropriate statistical test. Multivariable logistic regressions controlling for age and sex were performed to identify independent risk factors for 30-day morbidity, readmissions, and reoperations. Economic analyses assessed changes in reimbursement rates over the span of 10 years.</p><p><strong>Results: </strong>A total of 9046 patients were included in the analysis with mean age of 62.7 ± 9.2 and women comprising 74.9% of the total population. Between 2012 and 2021, the annual volume increased from 433 to 1043. The average body mass index (BMI) and proportion of patients with congestive heart failure (CHF) increased in 2019-2021. Increasing age, BMI, smoking, and length of stay ≥ 1 day were independent risk factors for 30-day readmissions. The Medicare reimbursement fee decreased by an average of 1.15% annually, for a total of 9.90% across 10 years.</p><p><strong>Conclusions: </strong>The volume of CMC arthroplasty has risen from 2012 to 2021. However, conditions such as obesity and CHF have become more prevalent. Despite the growing patient complexity, Medicare reimbursement fees have markedly decreased.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251360266"},"PeriodicalIF":1.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951857","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":"Increased Surgical Costs Do Not Result in Improved Patient-Reported Outcomes: A Study of 173 Patients Who Underwent Thumb Carpometacarpal Joint Arthroplasty.","authors":"Grace E Guerin, Stephen A Doxey, Rebekah M Kleinsmith, Lily J Qian, Haley D Puckett, Jeffrey B Husband, Brian P Cunningham","doi":"10.1177/15589447251366453","DOIUrl":"https://doi.org/10.1177/15589447251366453","url":null,"abstract":"<p><p><b>Background:</b> The purpose of this study is to evaluate the relationship of surgical cost and patient-reported outcomes (PROs) in thumb carpometacarpal (CMC) arthroplasty. We hypothesize that increasing costs are not positively correlated with PROs. <b>Methods:</b> A prospectively collected PRO registry was retrospectively reviewed for patients who underwent surgery for CMC arthritis treatment. A total of 288 patients in a single health care system were identified with a completed Patient-Rated Wrist and Hand Evaluation (PRWHE) survey at all timepoints. Patients were excluded based on nonoperative treatment, revision, concomitant procedures, and if they lacked PRWHE scores at any timepoint. A total of 173 patients met criteria. Time-driven activity-based costing was used to calculate day-of-surgery (DOS) costs. <b>Results:</b> The most common CMC arthroplasty technique used suture suspensionplasty (n = 142, 82.1%). The average surgical cost was $2830.36 ± $619.41. The average PRWHE scores preoperatively, at 6 weeks, 3 months, and 6 months were 62.1 ± 18.4, 44.9 ± 19.2, 31.5 ± 18.4, and 18.0 ± 17.1, respectively. There were no statistically significant correlations between cost and PROs at 6 weeks, 3 months, or 6 months (<i>r</i> = -0.02, <i>r</i> = -0.03, <i>r</i> = 0.04, respectively). There were no statistically significant correlations between total cost and the change in PRWHE scores from baseline to 6 weeks, baseline to 3 months, or baseline to 6 months (<i>r</i> = 0.09, <i>r</i> = 0.10, <i>r</i> = 0.15, respectively). <b>Conclusions:</b> This study demonstrates that when surgical management is pursued in CMC arthritis, patients do not receive additional benefit with higher DOS costs. Surgeons should implement strategies to minimize variability and drive the value of care within their institution.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251366453"},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951775","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":"Functional Outcomes of Zancolli Lasso Versus Modified Stiles-Bunnell Techniques for Post-Leprosy Ulnar Claw Hand Correction: A Prospective Randomized Comparative Study.","authors":"Gaurab Ranjan Chaudhuri, Sourabh Shankar Chakraborty, Abhishek Kumar Rai, Prasenjit Chattopadhyay, Akhilesh Humnekar","doi":"10.1177/15589447251364568","DOIUrl":"https://doi.org/10.1177/15589447251364568","url":null,"abstract":"<p><strong>Background: </strong>Leprosy, caused by <i>Mycobacterium leprae</i>, leads to peripheral neuropathy, commonly affecting the ulnar nerve, resulting in claw hand deformity. Various tendon transfer techniques, such as the Modified Stiles-Bunnell (flexor digitorum superficialis 4-tail [FDS-4T]) transfer and Zancolli lasso procedure (ZLP), are used for surgical correction. However, comparative studies assessing their functional outcomes are scarce. This prospective, randomized comparative study aimed to evaluate improvements in hand function, grip strength, and range of motion (ROM) between the 2 techniques.</p><p><strong>Methods: </strong>Fifty patients with post-leprosy ulnar claw hand were randomly assigned to undergo either FDS-4T (n = 25) or ZLP (n = 25). Preoperative and postoperative assessments included active metacarpophalangeal (MCP) joint ROM, grip strength, patient-reported outcome measures, and photographic grading of claw correction. Statistical analyses were performed using paired <i>t</i> tests and Pearson correlation, with significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>Both groups showed significant postoperative improvement in MCP joint ROM (<i>P</i> = .0001) and grip strength (<i>P</i> = .0001). Grip strength recovery was higher in ZLP (129%) than in FDS-4T (117%; <i>P</i> = .013). Claw correction was rated excellent in 12 patients (FDS-4T) versus 7 patients (ZLP), although not statistically significant. Zancolli lasso procedure had shorter operating time and faster return to daily activities (<i>P</i> = .02).</p><p><strong>Conclusion: </strong>Both procedures significantly improved hand function without a clear superiority of one over the other. While ZLP offered faster recovery and grip strength, FDS-4T showed slightly better claw correction. The choice of procedure should be tailored to patient needs.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251364568"},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951722","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":"Incidence of DeQuervain Tenosynovitis After Distal Radius Fractures.","authors":"Christopher M Dussik, Amy Phan, Andrew Jae-Min Park, Jeffrey Coombs, Thomas Carroll, Danielle Wilbur","doi":"10.1177/15589447251366456","DOIUrl":"https://doi.org/10.1177/15589447251366456","url":null,"abstract":"<p><strong>Background: </strong>The incidence of distal radius fractures is increasing alongside an aging international demographic. Understanding the sequelae of these injuries is important for guiding treatment and counseling patients. One area of study is posttraumatic DeQuervain tenosynovitis following distal radius fracture. However, existing literature is limited to single-institution retrospective studies. A large, multicenter, database-driven study would more adequately represent the true incidence of posttraumatic DeQuervain tenosynovitis.</p><p><strong>Methods: </strong>The TriNetX database was queried to determine the incidence of DeQuervain tenosynovitis after distal radius fractures. The 1-year odds of DeQuervain tenosynovitis was compared with that of the general population. Risk was stratified based on treatment modality. Odds ratios were calculated to assess statistical significance.</p><p><strong>Results: </strong>A total of 481 399 nonoperative distal radius fractures and 71 424 operative distal radius fractures were included. Compared with the general population, patients with a previous distal radius fracture had increased odds ratios for developing DeQuervain tenosynovitis ranging from 7.4 to 14.5. Among nonoperative patients, 1540 (0.35%) developed DeQuervain tenosynovitis compared with 438 (0.69%) in the operative group. First dorsal compartment release was performed in 213 patients (0.04%) in the nonoperative cohort, compared with 121 patients (0.17%) in the operative cohort. Matched analyses demonstrated increased risk for both DeQuervain tenosynovitis and first dorsal compartment release in operatively treated patients versus nonoperatively treated patients, with odds ratios of 1.3 (95% confidence interval: 1.2-1.5) and 2.43 (1.72-3.41), respectively.</p><p><strong>Conclusions: </strong>Patients with nonoperative and operative distal radius fractures develop DeQuervain tenosynovitis at greater rates than the general population. Operative treatment for distal radius fractures confers a slightly greater risk of developing DeQuervain tenosynovitis within 1 year of injury or surgery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251366456"},"PeriodicalIF":1.8,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951781","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}