HAND最新文献

{"title":"Flexor Pollicis Longus Palsy Following Both-Bone Forearm Fracture Fixation: A Case-Based and Cadaveric Evaluation.","authors":"Courtney R Carlson Strother, Chelsea C Boe, Nicholas Pulos, Taylor P Trentadue, Marco Rizzo","doi":"10.1177/15589447251366455","DOIUrl":"https://doi.org/10.1177/15589447251366455","url":null,"abstract":"<p><strong>Background: </strong>Flexor pollicis longus (FPL) palsy following both-bone forearm fracture (BBFF) is a rare complication.</p><p><strong>Methods: </strong>A retrospective review of acute BBFF treated with open reduction internal fixation by a single surgeon from 2005 to 2023 was performed. Injury and surgical characteristics of patients with documented FPL palsy were reviewed. In addition, 10 cadaveric dissections were performed to evaluate the anatomy of the anterior interosseous nerve (AIN) and its branches. The distance of these branches from palpable elbow landmarks and variability in branching pattern were evaluated.</p><p><strong>Results: </strong>Twenty-nine patients underwent surgery for acute BBFF. Of these, 5 (17%) had evidence of an FPL palsy either at the time of injury presentation (n = 2) or immediately following surgery (n = 3). All patients with FPL palsy sustained fractures in the middle one-third of the radius. All palsies resolved after an average of 33 days of observation. In cadaveric dissections, the average distance from the lateral epicondyle to the AIN takeoff and branch to the FPL was 5.5 and 7.6 cm, respectively. The AIN takeoff and branch to the FPL were never less than 4 and 7 cm from the lateral epicondyle, respectively.</p><p><strong>Conclusion: </strong>Flexor pollicis longus palsy following BBFF can occur at the time of injury or following surgery. All FPL palsies involved midshaft radial fractures and were likely neurapraxia. The etiology of FPL palsy remains unclear, but cadaveric dissection suggests the FPL motor branch may be at risk from mid-to-proximal radius fracture fragments or excessive traction during surgery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251366455"},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951685","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":"Effect of Handedness on Patient-Reported Outcomes After Operative Treatment of CMC Arthritis.","authors":"Cole E Bothun, Rebekah M Kleinsmith, Haley D Puckett, Stephen A Doxey, Andrew Sibley, Jeffrey B Husband, Brian P Cunningham","doi":"10.1177/15589447251364569","DOIUrl":"https://doi.org/10.1177/15589447251364569","url":null,"abstract":"<p><p><b>Background:</b> The purpose of this study is to determine the relationship between hand dominance and patient-reported outcomes (PROs) after operative treatment for carpometacarpal (CMC) arthritis. We hypothesized that hand dominance is not correlated with PROs. <b>Methods:</b> All patients who underwent primary operative treatment for end-stage CMC arthritis at a single healthcare system between April 2018 and December 2022 were eligible for this study. Our exclusion criteria included concomitant procedures, revision operations, and patients without PROs at baseline or any postoperative timepoint. Retrospective review of each patient's chart for demographics, surgical characteristics, and PROs was conducted. <b>Results:</b> A total of 174 patients were included in this study; of those, 123 (70.7%) were women and 88 (50.6%) had operations on their dominant hand. There was no difference in age, tourniquet time, surgical procedure, primary surgeon, type of anesthetic, or sex distribution between the 2 cohorts. There were no significant differences in baseline patient-rated wrist/hand evaluation (PRWHE) or single assessment numeric evaluation (SANE) between the 2 cohorts. The average 6-month change in PRWHE was -44.5 ± 22.6 for those with operations on their dominant hand versus -43.8 ± 23.4 for the cohort that received operations on their nondominant hand (<i>P</i> = .854). Average change in SANE score did not differ significantly between groups, with dominant-operative patients averaging an increase of 37.5 ± 30.6 versus 33.1 ± 32.9 in their nondominant-operative counterparts. <b>Conclusions:</b> This study reveals no significant difference in PROs at any time point between patients who received CMC arthroplasty on their dominant versus nondominant hand. Surgeons should counsel patients to expect similar outcomes regardless of hand dominance after operation.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251364569"},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951716","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":"Wound Irrigation Prior to Closure During Routine Upper-Extremity Surgery: Is There a Difference in Wound Complications?","authors":"Marco Foreman, Isabella Amador, Arman Tabarestani, Kevin A Hao, Jonathan Benjamin, Jed Casauay, Oluwaferanmi Dada, Persis Desai, Aaron Jennings, Adrienne Orriols, Reed Popp, Supreeya A Saengchote, Anton Khlopas, Keegan Hones, Richard Hutchison, Jongmin Kim, Thomas W Wright, Morad Chughtai","doi":"10.1177/15589447251357042","DOIUrl":"10.1177/15589447251357042","url":null,"abstract":"<p><strong>Background: </strong>Presently, there is no consensus within the field of orthopedics on whether irrigation prior to wound closure in routine upper-extremity surgery reduces wound complications. Therefore, preclosure wound irrigation could provide time and cost savings. The aim of this study was to evaluate the effectiveness of wound irrigation in routine upper-extremity procedures.</p><p><strong>Methods: </strong>We conducted a retrospective review of adult patients undergoing routine upper-extremity surgery at a single institution from 2013 to 2022. Patients were included if they underwent soft tissue upper extremity surgery. Patients were excluded for having concomitant lacerations, penetrating injuries, open fractures, or unknown irrigation technique. Our primary outcome was comparison of the rate of wound complications based on whether irrigation was used. Multivariable logistic regression was additionally used to determine whether irrigation prior to closure was associated with a lower incidence of postoperative wound complications independent of potential confounders.</p><p><strong>Results: </strong>We included 1425 patients. The mean age was 55.2 ± 16 years and 65% were female. The incision was irrigated prior to closure in 65% of surgeries. Wound complications occurred in 2.9% of patients (n = 41). On bivariable analysis, irrigation prior to closure was not associated with a decreased incidence of wound complications (3.5% vs 1.8%, <i>P</i> = .070). When adjusting for age, sex, BMI, operative time, history of prior surgery, diabetes, tobacco use, corticosteroid use, and immunosuppressant use, the employment of irrigation prior to wound closure was not associated with lower odds of wound complications in either bivariable (OR: 1.99, 95% CI 0.94-4.19, <i>P</i> = .07) or multivariable (OR: 1.88, 95% CI 0.88-4.04, <i>P</i> = .08) analysis.</p><p><strong>Conclusion: </strong>Use of irrigation prior to wound closure was not associated with a difference in the odds of postoperative wound complications. Surgeons should consider forgoing irrigation prior to closure to increase operating room efficiency and provide cost savings to the patients and payers.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251357042"},"PeriodicalIF":1.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882787","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":"Side-to-Side Tendon Coaptation Yields Greater Load to Failure and Stiffness Than Pulvertaft Weave: A Systematic Review and Meta-Analysis of Biomechanical Studies.","authors":"Casey Imbergamo, Calvin Wang, Daniel Devine, Aviram M Giladi, Kenneth R Means","doi":"10.1177/15589447251360264","DOIUrl":"https://doi.org/10.1177/15589447251360264","url":null,"abstract":"<p><strong>Background: </strong>Two of the most prevalent techniques for tendon transfer are Pulvertaft weave (PTW) and side-to-side (STS) constructs. Our purpose was to compare pooled results from reported biomechanical properties of these approaches by a meta-analysis. Our null hypothesis was there are no significant differences in load to failure (LTF), initial construct stiffness, or cross-sectional area (CSA) between these techniques.</p><p><strong>Methods: </strong>We performed a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify candidate studies. We included studies with direct LTF comparisons of PTW and STS constructs. We performed a meta-analysis of pooled data comparing the 2 techniques for initial construct LTF (N), stiffness (N/mm), and CSA (mm²).</p><p><strong>Results: </strong>Eight studies with a total of 235 tested human or porcine tendon reconstruction constructs (107 PTW, 128 STS) met our inclusion criteria. Eight studies reported initial construct LTF, with weighted mean values of 103 (±36) and 198 (±61) N for the PTW and STS groups, respectively (<i>P</i> < .05). Four studies reported initial construct stiffness, with weighted mean values of 16 (±4) and 34 (±16) N/mm for the PTW and STS groups, respectively (<i>P</i> < .05). Five studies evaluated initial transfer bulk as measured by CSA, with weighted mean values of 28 (±14) and 29 (±13) mm² for the PTW and STS groups, respectively (<i>P</i> > .05).</p><p><strong>Conclusions: </strong>Our meta-analysis demonstrated significant increased initial construct LTF and stiffness with STS tendon coaptation as compared with PTW. We found no difference for initial CSA between the 2 techniques.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251360264"},"PeriodicalIF":1.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951703","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":"Three-Dimensional Preoperative Planning of Corrective Osteotomies for Distal Radius Malunions: A Systematic Review of Clinical and Radiographic Outcomes.","authors":"Khaled Skaik, Abdulrahman Khizindar, Qasim Mughal, Marie Gdalevitch, Jennifer Mutch","doi":"10.1177/15589447251352001","DOIUrl":"10.1177/15589447251352001","url":null,"abstract":"<p><p>Distal radius malunions (DRMs) are painful and functionally impairing, often necessitating surgical intervention to restore wrist anatomy and function. Traditional corrective osteotomies, which rely on orthogonal radiographs, may overlook complex deformities. This study aims to evaluate the techniques and effectiveness of 3-dimensional (3D)-planned corrective osteotomies, along with their clinical and radiographic outcomes. We conducted a systematic review of literature across PubMed, Ovid, EMBASE, and Web of Science for studies that implemented 3D planning in corrective osteotomies for DRM. We identified 792 articles, of which 24 met the inclusion criteria with a total of 199 corrective osteotomies of symptomatic DRM, of which 127 (64%) were extra-articular and 39 (19.5%) intra-articular, with the remaining being a combination of intra-articular and extra-articular or unspecified. To transfer 3D preoperative plan to patient, 18 out of 24 used 3D-printed patient-specific cutting guides for intraoperative guidance. Two studies implemented the transfer of the preoperative plan using simulated osteotomies on 3D-printed models, while one study used a dynamic referencing body to match real-time surgical actions with the virtual plan. The majority (98.5%, n = 196) demonstrated statistical significance in achieving the acceptable limits of radial inclination (21°-25°), ulnar variance (<3 mm), and volar tilt (≤15° dorsal and ≤20° volar). Functional outcomes significantly improved in all studies (<i>P</i> < .05). Complications were reported in 22 cases (11%) and included partial laceration of the extensor pollicis longus tendon, hardware problems requiring removal, and screw loosening. Future research should focus on balancing the technique's additional costs and logistical demands with its potential long-term benefits.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251352001"},"PeriodicalIF":1.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821189","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":"Four-Dimensional Computed Tomography-Derived Radiolunate Arthrokinematics With a Case Study in Four-Corner Arthrodesis.","authors":"Taylor P Trentadue, Andrew R Thoreson, Cesar Lopez, Shuai Leng, Peter Amadio, Sanjeev Kakar, Kristin D Zhao","doi":"10.1177/15589447251352124","DOIUrl":"10.1177/15589447251352124","url":null,"abstract":"<p><strong>Background: </strong>The radiolunate joint is conventionally thought to be spared from radiocarpal osteoarthritis, but proximal lunate degenerative changes have been noted. An investigation of radiolunate arthrokinematics in ostensibly healthy wrists may improve understanding of posttraumatic and postoperative outcomes. We hypothesize that four-dimensional computed tomography (4DCT)-derived radiolunate arthrokinematics during motion will differ between wrists with type 1 and type 2 lunates. The clinical-translational relevance of this analysis is highlighted using a 4DCT case study of scaphoid excision with 4-corner arthrodesis (SEFCA).</p><p><strong>Methods: </strong>Four-dimensional computed tomography data were collected during flexion-extension and radioulnar deviation in 19 healthy wrists (mean [SD] age: 43.6 [11.7] years, 21.1% female) and 1 wrist 3 years after SEFCA (male, 52 years). Carpal osteokinematics and joint arthrokinematics were calculated to derive median radiolunate interosseous proximities at each 4DCT-captured timepoint.</p><p><strong>Results: </strong>Median radiolunate interosseous proximities during motion are well approximated by second-order regressions in uninjured wrists. In the arthrodesed wrist, closest proximities occurred at the extremes of motion except maximum radial deviation.</p><p><strong>Conclusions: </strong>This study quantifies a normative range of median radiolunate interosseous proximities during wrist motion. The normative 4DCT datasets provide a reference range for evaluating postoperative arthrokinematics, suggesting the clinical-translational potential of dynamic imaging. The case study highlights applications for patient-level postoperative evaluation, which can be expanded to other pathologies, surgeries, or conditions in the future.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251352124"},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794222","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":"Parsonage-Turner Syndrome Following COVID-19 Exposures: A Systematic Review.","authors":"James A Butterfield, Kiernan J Gunn, Keith Sweitzer, Michael Catanzaro, Linda McHenry, Constantinos Ketonis","doi":"10.1177/15589447251352003","DOIUrl":"10.1177/15589447251352003","url":null,"abstract":"<p><strong>Background: </strong>Parsonage-Turner syndrome (PTS) is an uncommon neuropathy classically characterized by acute onset shoulder pain followed by muscle weakness and usually eventual resolution. In the post-COVID-19 era with large portions of the population experiencing viral infection and vaccination, multiple case reports of PTS surfaced in medical literature, with only 1 case report in hand literature.</p><p><strong>Methods: </strong>A systematic review was performed using PubMed, Embase, Scopus, Web of Science, and Google Scholar to identify all reported cases of PTS related to COVID-19 infection or vaccination. Trends in diagnostic modalities and treatment options were recorded.</p><p><strong>Results: </strong>Thirty-two reports on 54 patients were identified detailing PTS cases following COVID-19 vaccination, and 21 reports on 26 patients following COVID-19 infection. Patients presented an average of 9.5 days following vaccination versus 18.8 days postinfection. Magnetic resonance imaging (MRI) was performed on 82.5% of patients, with the most common findings being normal, hourglass-like constrictions, intramuscular edema on T2-weighted images, and enlargement of regional lymph nodes. Seventy-nine percent (79%) of patients had nerve conductive study (NCS) and electromyography (EMG) performed an average of 6.6 weeks following musculoskeletal symptom onset.</p><p><strong>Conclusions: </strong>As more patients are routinely vaccinated against and/or contract COVID-19, an increase of these patients presenting to hand clinics is possible. Electrodiagnostic studies and MRI may best be obtained 2 and 3 weeks, respectively, after symptom onset. In addition, repeat EMG/NCX should be obtained 9 to 12 months after symptom onset to assess if surgical interventions are indicated. Hand surgeons should be prepared to diagnose and institute therapies to optimize recovery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251352003"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775306","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":"Objective Improvements, Subjective Uncertainty: Surgical Outcomes and the Role of PROMIS in Severe PIP Contractures.","authors":"Gerardo E Sanchez-Navarro, Archie Spindler, Victoria Comunale, Nadia Linton, Sophia Jacobi, Jacques H Hacquebord","doi":"10.1177/15589447251357043","DOIUrl":"10.1177/15589447251357043","url":null,"abstract":"<p><strong>Background: </strong>Severe proximal interphalangeal (PIP) contractures in Dupuytren disease significantly impair hand function and quality of life. Surgical correction is common, but the relationship between improved joint mobility and patient-reported outcomes remains unclear. This study evaluated surgical outcomes for severe PIP contractures and assessed patient-reported function using Patient-Reported Outcomes Measurement Information System (PROMIS).</p><p><strong>Methods: </strong>A retrospective chart review included patients with severe PIP contractures treated surgically. Contractures were categorized by severity: group 1 (<29°), group 2 (30°-59°), group 3 (60°-89°), and group 4 (>90°). Objective outcomes were measured as contracture reduction at multiple time points (preoperative, immediate postoperative, and final follow-up) using a goniometer. The PROMIS scores for pain intensity, daily activity interference, and upper extremity function were collected preoperatively and at final follow-up. Statistical analyses included descriptive statistics, paired <i>t</i> tests, and analysis of variance with post hoc Tukey tests (<i>P</i> < .05).</p><p><strong>Results: </strong>The study included 60 digits from 48 patients. Significant contracture reductions were observed across all groups, averaging more than 60%. However, PROMIS scores did not consistently reflect improvements in pain, activity interference, or upper extremity function. A significant decrease in upper extremity function was noted in group 3 (60°-89°). No operative complications or reoperations occurred.</p><p><strong>Conclusions: </strong>Surgical correction markedly improves joint contracture but does not consistently enhance PROMIS-reported outcomes. These results question PROMIS applicability in this context and highlight the need for alternative assessment tools to better address functional recovery in patients with severe PIP contractures.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251357043"},"PeriodicalIF":1.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759964","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 Critical Appraisal of the Statistical Approaches Used in Within-Individual Observations in Hand Surgery.","authors":"Rawan ElAbd, Natasha Barone, Yasmina Richa, Uyen Do, Stephanie Thibaudeau, Osama Samargandi","doi":"10.1177/15589447251352123","DOIUrl":"10.1177/15589447251352123","url":null,"abstract":"<p><p>Hand surgery studies often include data from multiple hands, digits, or joints from 1 individual without using appropriate statistical approaches to assess within-individual observations, allowing for potential bias regarding treatment effects. We critically appraised the statistical methods used among studies, including dependent observations in hand surgery literature. All publications from the year 2020 to 2022 were retrieved from PubMed for 5 hand surgery journals. Studies containing ≥5 participants who performed a hand intervention in the operating theater were included. The proportion of patients with nonindependent observations and the proportion of nonindependent observations were calculated. A total of 10 128 articles were screened, of which a total of 465 studies were identified. Of these, 124 studies (27%) included multiple hands, joints, or digits from 1 individual. Only 79 (64%) studies provided data on the number of the digits, hands, and joints from a given patient. Of these, the proportion of patients with nonindependent observations was 14%. The proportion of nonindependent observations was 26%. Sixty-seven percent of articles did statistical comparisons between groups, but only 14.5% used methodological adjustments for within-patient relationships. Of the 71 studies that did not do proper statistical adjustments, 63 (88.7%) reported at least one significant result. In conclusion, there is a significant amount of nonindependent observations from single individuals and limited studies accounting for multiple observations in hand surgery literature. Most studies that did not do statistical adjustments for nonindependent observations still reported a significant finding, which raises the risk of bias.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251352123"},"PeriodicalIF":1.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753218","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":"Breaking the Ice: Patterns and Prevalence of Upper Extremity Injuries in Youth Ice Hockey Players Over a 20-Year Study Period.","authors":"Peter V Dinh, Timothy A Reiad, Margaret R Wang, Jacob M Johnson, David Bruni, Reena A Bhatt, Joseph A Gil","doi":"10.1177/15589447251357040","DOIUrl":"10.1177/15589447251357040","url":null,"abstract":"<p><strong>Background: </strong>Upper extremity (UE) injuries, ranging from the clavicle to the fingertips, are prevalent in ice hockey. Despite hockey's growing popularity, comprehensive epidemiological data on UE injuries are limited. This study analyzes patterns of acute hockey-related UE injuries among young players in the United States, focusing on age-specific and sex-specific injury distributions.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System was analyzed for ice hockey-related injuries among patients aged 5 to 24 years from 2006 to 2023. Injuries were classified by patient demographics and anatomical region. Logistic regression models analyzed the association between injury patterns and predictive variables of interest (<i>P</i> < .05).</p><p><strong>Results: </strong>Of 258 302 estimated ice hockey-related injuries, 91 889 (35.57%) involved the UE. The shoulder (clavicle, scapula, proximal humerus) was the most common site of UE injuries (40.73%), followed by the wrist (19.55%) and then digits (11.23%). Fractures were the predominant injury type (35.85%). Youth players (5-13 years) had higher odds of fractures (odds ratio [OR] = 1.78) compared with other age groups. College-aged players (19-24 years) were more prone to dislocations (OR = 3.52). Males had higher odds of shoulder dislocations (OR = 6.55) and shoulder injuries overall (OR = 1.70), whereas females had higher odds of wrist injuries (OR = 1.92) and wrist strains or sprains (OR = 2.92).</p><p><strong>Conclusions: </strong>This comprehensive analysis of UE injuries in ice hockey athletes highlights the significant burden of these injuries and identifies important patterns related to injury types, anatomical locations, and demographic factors. These findings provide a foundation for developing targeted injury prevention strategies and improving player safety in ice hockey.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251357040"},"PeriodicalIF":1.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753161","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}