IF 1.8

HAND Pub Date : 2025-01-08 DOI: 10.1177/15589447241306149

Anshumi Desai, Yujie Wang, Cheng-Bang Chen, Mehmet Akcin, Kyle Y Xu, Kashyap Komarraju Tadisina

{"title":"Correlation Between Relative Value Units and Operative Time for Peripheral Nerve Surgeries.","authors":"Anshumi Desai, Yujie Wang, Cheng-Bang Chen, Mehmet Akcin, Kyle Y Xu, Kashyap Komarraju Tadisina","doi":"10.1177/15589447241306149","DOIUrl":"10.1177/15589447241306149","url":null,"abstract":"Background: The work relative value unit (wRVU) system quantifies surgeons' effort and resources for procedures. Studies have shown its inaccuracy in capturing the complexity of certain plastic and upper extremity surgeries. Analysis for peripheral nerve surgery (PNS), a growing niche within hand and plastic surgery, has not been performed. The authors aim to evaluate the PNS wRVUs by correlation to their operative time.Methods: A retrospective analysis with current procedure terminology (CPT) codes for PNS (2005-2021) from the American College of Surgeons National Surgical Quality Improvement Program database was performed. Efficiency was determined by wRVU per operative time. Correlation was performed between operative time with wRVU and wRVU/minute.Results: A total of 2402 procedures across 21 CPT Codes were included and categorized into neuroplasty, nerve repair, and nerve grafting/transfers with the median operative time being 63.75, 100, and 153.78 minutes respectively. Nerve graft/transfer generated the maximum wRVU (mean 16.35). Neuroplasty generated the minimum wRVU (mean 7.24). Nerve grafts/transfers generated the least wRVUs per minute (0.09). Longer operative times were associated with higher wRVUs. Neuroplasty (R = .86) and nerve repairs (R = .84) had a strong correlation to the operative time. Nerve grafts/transfer had a positive but moderate correlation with the operative time (R = .67). All procedures had a negative correlation between operative time and wRVU/minute.Conclusions: Nerve grafts/transfers had reduced compensation compared to neuroplasty or nerve repairs. Compensation did not reflect the procedure efficiency. This disparity in wRVU allocation for complex PNS underscores the need for remuneration reform.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447241306149"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947793","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

Cost Comparison of Intramedullary Screw Fixation Versus Open Reduction and Internal Fixation With Plate and Screw Technique for Metacarpal Fractures. 掌骨骨折髓内螺钉固定与开放复位钢板螺钉内固定的成本比较。

IF 1.8

HAND Pub Date : 2025-01-06 DOI: 10.1177/15589447241306147

Stephanie Choo, Amanda Faust, Luke Troyer, Rachel Philips, Daniel A London, Julia A V Nuelle

{"title":"Cost Comparison of Intramedullary Screw Fixation Versus Open Reduction and Internal Fixation With Plate and Screw Technique for Metacarpal Fractures.","authors":"Stephanie Choo, Amanda Faust, Luke Troyer, Rachel Philips, Daniel A London, Julia A V Nuelle","doi":"10.1177/15589447241306147","DOIUrl":"https://doi.org/10.1177/15589447241306147","url":null,"abstract":"Background: Intramedullary screw (IMS) fixation for metacarpal fractures is a relatively new fixation technique in comparison to plate and screw constructs. Our hypothesis evaluated whether IMS fixation for metacarpal fractures results in lower overall health care-associated costs in comparison to open reduction and internal fixation (ORIF).Methods: A retrospective review of patients undergoing IMS fixation for metacarpal fractures at a single center during 2018 to 2022 was conducted. Health care-associated costs included primary operative costs (surgical time and implant(s)) and postoperative costs (therapy, splinting, and radiology). Costs were compared with age-matched and fracture pattern-matched controls who underwent ORIF with plate and screw construct. Subgroup analysis of cost outcomes excluding outliers was completed.Results: Eight subjects met the inclusion criteria and matched with an ORIF group. Primary operative costs were significantly higher in the ORIF group (mean difference of $1830, 95% CI: $1006 to $2653) The cost of an IMS at our institution was $584, whereas the average cost for plate and screw construct was $2538 (mean difference of $1953, 95% CI: $1665 to $2243). Total surgical costs were on average $3784 more for the ORIF group (95% CI: $2869 to $4700). There was no significant difference in outpatient follow-up costs (95% CI: -$441 to $3180). Total overall costs were significantly lower for the IMS group (95% CI: $2693 to $6513).Conclusions: Total primary operative costs and overall health care-associated costs for IMS fixation of metacarpal fractures is significantly lower than ORIF. There was no statistical difference in follow-up care costs. To better determine the indirect costs for patients, high-powered prospective studies will be required.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447241306147"},"PeriodicalIF":1.8,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931421","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

Snapping Wrist From Bowstringing of the Digital Flexors After Carpal Tunnel Release: A Case Report. 腕管松解术后数字屈肌弓弦引起的手腕折断：病例报告。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2024-02-27 DOI: 10.1177/15589447241232014

Justin A Cline, Joshua T Rogers, Christopher H Merritt, Vafa Behzadpour, Bernard F Hearon

{"title":"Snapping Wrist From Bowstringing of the Digital Flexors After Carpal Tunnel Release: A Case Report.","authors":"Justin A Cline, Joshua T Rogers, Christopher H Merritt, Vafa Behzadpour, Bernard F Hearon","doi":"10.1177/15589447241232014","DOIUrl":"10.1177/15589447241232014","url":null,"abstract":"Symptomatic bowstringing of digital flexor tendons is a rare complication of carpal tunnel release (CTR). Two weeks after open CTR, a 47-year-old man with severe carpal tunnel syndrome had relief of his preoperative median paresthesia but complained of new-onset painful snapping of the wrist and transient ulnar paresthesia occurring with wrist dorsiflexion and concomitant digital flexion. Physical examination localized the audible snapping to the hook of hamate (HOH) where manual pressure eliminated the wrist motion-induced snapping and the associated ulnar paresthesia. Wrist radiographs showed stage III scapholunate advanced collapse (SLAC) with marked palmar subluxation of the lunate. Wrist magnetic resonance imaging revealed palmar and ulnar subluxation of the digital flexors over the HOH due to the mass effect of the palmarly displaced lunate and the chronic carpal malalignment. The snapping wrist and accompanying ulnar paresthesia resolved after HOH excision, and no additional treatment for the asymptomatic SLAC wrist deformity was required. Satisfactory clinical outcome was observed at 5-year follow-up.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"NP7-NP11"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971698","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

Acquired Aquagenic Syringeal Keratoderma Following COVID-19 Infection. COVID-19感染后获得性水疱性角化病

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2024-03-04 DOI: 10.1177/15589447241233371

Bryce W Polascik, Samantha P Karklins, Matthew C Johnson, Warren C Hammert, Amy J McMichael

{"title":"Acquired Aquagenic Syringeal Keratoderma Following COVID-19 Infection.","authors":"Bryce W Polascik, Samantha P Karklins, Matthew C Johnson, Warren C Hammert, Amy J McMichael","doi":"10.1177/15589447241233371","DOIUrl":"10.1177/15589447241233371","url":null,"abstract":"Aquagenic syringeal keratoderma (ASK), rare in males, is characterized by the rapid onset of edematous palmar wrinkling with small white papules after brief contact with water or sweat. A 24-year-old atopic male presented with a 2-week subacute history of bilateral palmar edema with whitish-colored papules after exposure to water, 3 months after having had COVID-19 infection treated with a full course of ritonavir-boosted nirmatrelvir (PAXLOVIDTM). He had received 3 COVID-19 vaccines (Pfizer, New York, NY) about 12 months prior. Workup was negative. Initial spontaneous near-resolution 2 months after onset was temporary, with recurrence 1 month later. Treatment with 12% topical aluminum chloride was ineffective. Botulinum toxin injection to both palms led to resolution of symptoms that has been sustained for 7 months. The association between atopy and ASK remains weak. We present a case of new-onset ASK in an adult male 3 months following COVID-19 infection without a history of excessive handwashing. Our patient may have had a predisposition to recurrent ASK due to his history of atopy including atopic dermatitis and food allergy anaphylaxis combined with prior COVID-19 infection. It is possible that ASK is a novel manifestation of post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PASC) infection or long COVID.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"NP12-NP19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030003","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

Intraosseous Nontraumatic Median Nerve Entrapment at the Elbow: A Case Report. 肘部骨内非创伤性正中神经卡压：病例报告。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2024-01-24 DOI: 10.1177/15589447231222319

Francesca Teodonno, Jacopo Maffeis, Francesca Latini, Benedicte Chevrier, Frédéric Teboul

引用次数: 0

The Cost Does Not Outweigh the Benefit: Pathologic Evaluation of Wrist Ganglion Cysts Should Not Be Routine. 成本不大于收益：手腕神经节囊肿的病理评估不应成为常规。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2023-06-04 DOI: 10.1177/15589447231177099

Caroline M McLaughlin, Darren LePere, Xavier Candela, John M Ingraham

{"title":"The Cost Does Not Outweigh the Benefit: Pathologic Evaluation of Wrist Ganglion Cysts Should Not Be Routine.","authors":"Caroline M McLaughlin, Darren LePere, Xavier Candela, John M Ingraham","doi":"10.1177/15589447231177099","DOIUrl":"10.1177/15589447231177099","url":null,"abstract":"Background: As health care costs in the United States continue to rise, there is increasing attention on cost-saving measures. One area of investigation is the utility of pathologic examination of specimens from routine procedures with a suspected benign pathology. We assessed the utility and cost of routine pathologic analysis for wrist ganglion cyst excision.Methods: A retrospective cohort study of all wrist ganglion cyst excisions performed by seven hand surgeons was conducted from 2015 to 2019 at Penn State Hershey Medical Center. Preoperative and intraoperative diagnoses, pathologic diagnosis, and pathology cost were assessed.Results: A total of 407 patients underwent ganglion cyst excision, with 318 (78.1%) specimens sent for pathologic review. Of the 318, 317 (99.6%) specimens were concordant with the preoperative or intraoperative diagnosis of ganglion cyst. One specimen (0.3%) resulted as a benign cystic vascular malformation. The charge per specimen was $258, totaling $81,786 spent confirming benign pathology that was clinically correctly diagnosed by the operating surgeon in 99.6% of cases.Conclusions: Routine pathologic analysis is not indicated in cases in which surgeons have a high clinical suspicion for ganglion cyst based on preoperative and intraoperative findings. Pathologic review should be reserved for cases with atypical presentations or intraoperative findings.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"112-115"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577538","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

Psychosocial Risk Stratification in Upper Extremity Transplantation Candidates. 上肢移植候选者的社会心理风险分层。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2023-07-06 DOI: 10.1177/15589447231184895

Sarah E Kinsley, Shuang Song, Elena Losina, Simon G Talbot

{"title":"Psychosocial Risk Stratification in Upper Extremity Transplantation Candidates.","authors":"Sarah E Kinsley, Shuang Song, Elena Losina, Simon G Talbot","doi":"10.1177/15589447231184895","DOIUrl":"10.1177/15589447231184895","url":null,"abstract":"Background: Candidate selection for upper extremity transplantation remains an inherently subjective process. This work evaluated the effect that psychosocial factors have on outcomes, both to standardize evaluation of potential candidates and in optimizing these factors prior to transplantation. Our goal was to measure and quantify the risk that various psychosocial factors have on transplant outcomes.Methods: Given that we do not have sufficient post-transplant patients to examine specific factors, we chose to have experts in the field evaluate hypothetical patients based on their experience. We used a Generalized Estimating Equation to estimate and compare surgical candidacy scores using patient scenario vignettes based on the presence or absence of permutations of the following: (1) depression; (2) participation in occupational therapy (OT); (3) expectation of post-transplant function; (4) punctuality; and (5) family support were given to experts in the field.Results: This work suggests there is a decrease in predicted success with increasing numbers of negative factors with participation in OT and realistic expectations of outcomes being most important. An increase in the summarizing risk score from 0 to 1.7 was associated with a decrease in the outcome surgical candidacy score from 8.6 to 5.3, meaning candidates with 2 risk factors would often observe a large drop in surgical candidacy score.Conclusions: Focusing on optimizing psychosocial variables in transplant candidates may help improve hand transplant success.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"116-121"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758702","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

Do Computerized Tomography Scans Change Management in Carpometacarpal Dislocations and Fracture-Dislocations? 计算机断层扫描改变腕掌关节脱位和骨折脱位的管理吗？

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2023-10-04 DOI: 10.1177/15589447231200604

Gabriela Sendek, Meera Reghunathan, Summer Beeson, Emily Ewing, Katharine M Hinchcliff

{"title":"Do Computerized Tomography Scans Change Management in Carpometacarpal Dislocations and Fracture-Dislocations?","authors":"Gabriela Sendek, Meera Reghunathan, Summer Beeson, Emily Ewing, Katharine M Hinchcliff","doi":"10.1177/15589447231200604","DOIUrl":"10.1177/15589447231200604","url":null,"abstract":"Background: Concomitant carpal injuries with dislocations and fracture-dislocations of the carpometacarpal joints (CMCD/FD) are often hard to see on plain radiographs, making advanced imaging a useful diagnostic adjunct. We aim to: (1) characterize bony injury patterns with CMCD/FD; and (2) determine the frequency that preoperative computed tomography (CT) scans change surgical management.Methods: A retrospective review was performed of patients who underwent operative fixation of CMCD/FD from 2006 to 2021. X-ray and CT scan diagnoses were reviewed and correlated to intraoperative findings and procedures performed. Statistical analyses were performed to evaluate the frequency in which CT scans changed management and the frequency of new intraoperative diagnoses.Results: Seventy-five patients were identified. All patients had a preoperative x-ray, and 27 patients (36%) additionally had a CT scan. Patients who sustained high-velocity trauma were significantly more likely to obtain a CT scan than patients with low-velocity trauma (P = .019); however, the number of additional diagnoses was not significantly associated with trauma velocity (P = .35). Computed tomography scans significantly increased the number of diagnoses (P < .001) and changed operative management in 58% of cases. Six of the 48 patients (12.5%) that did not receive a CT scan had new intraoperative diagnoses, which changed the procedure for five of these patients. New intraoperative diagnoses were identified significantly more when patients did not have a CT scan (P = .04).Conclusions: Obtaining a CT scan in CMCD/FD patients changed the patient's diagnosis at a significant rate and changed operative management roughly half of the time. The authors recommend routine CT scans be obtained in patients with CMCD/FD.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"27-31"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41129124","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

Reducing Opioid Exposure Following Common Ambulatory Hand Surgery: A Systematic Review. 减少普通门诊手部手术后阿片类药物暴露：一项系统综述。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2023-05-09 DOI: 10.1177/15589447231168909

Mason J Horne, Vasanth S Kotamarti, Ashit Patel

{"title":"Reducing Opioid Exposure Following Common Ambulatory Hand Surgery: A Systematic Review.","authors":"Mason J Horne, Vasanth S Kotamarti, Ashit Patel","doi":"10.1177/15589447231168909","DOIUrl":"10.1177/15589447231168909","url":null,"abstract":"Background: The opioid epidemic is a health crisis in the United States. Physicians contribute to this problem by overprescribing opioids. Ambulatory hand surgery (AHS) is common in the United States and associated with overprescribing of opioids. Education and guidance regarding the effectiveness of nonopioid compared with opioid interventions for pain management following ambulatory hand procedures are lacking. We assessed the current literature to suggest evidence-based protocols for postoperative analgesia.Methods: A systematic review was performed using PubMed, Web of Science, and Cochrane Library. Studies comparing nonopioid with opioid treatments for pain management following AHS were identified. Studies investigating opioid-sparing strategies after AHS were also identified. Evidence was examined to determine efficacy of nonopioid interventions and to provide recommendations for optimal nonopioid protocols and opioid-sparing strategies.Results: A total of 510 studies were identified in the search with 18 meeting inclusion criteria. High-level evidence demonstrated efficacy of nonopioid interventions for pain management following AHS (levels I and II evidence). Results provided evidence-based guidelines for recommendations of nonopioid treatment protocols and opioid-sparing strategies (levels I and II evidence).Conclusions: Our review demonstrated nonopioid interventions are adequate in multiple aspects of pain management compared with opioid treatments. Recommendations were established for two nonopioid treatment protocols, and for an opioid-sparing intervention (levels I and II evidence). The evidence provided in this review should be strongly considered for pain management guidance following AHS and provides a means to decrease opioid overprescribing in the United States.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"49-57"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9432908","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

A Simple and Versatile Test for Elbow Posterolateral Rotatory Instability. 肘关节后外侧旋转不稳定的简单通用测试。

IF 1.8

HAND Pub Date : 2025-01-01 Epub Date: 2023-07-25 DOI: 10.1177/15589447231185585

Amanda N Goldin, Kathryn D Dwight, Eric R Hentzen, Bryan T Leek, Jan M Hughes-Austin, Samuel R Ward, Reid A Abrams

{"title":"A Simple and Versatile Test for Elbow Posterolateral Rotatory Instability.","authors":"Amanda N Goldin, Kathryn D Dwight, Eric R Hentzen, Bryan T Leek, Jan M Hughes-Austin, Samuel R Ward, Reid A Abrams","doi":"10.1177/15589447231185585","DOIUrl":"10.1177/15589447231185585","url":null,"abstract":"Background: Posterolateral rotatory instability (PLRI) results from lateral ulnar collateral ligament (LCL) deficiency. The lateral pivot shift test is used to diagnose PLRI but can be difficult to perform and is poorly tolerated. We present a new maneuver, the Posterior Radiocapitellar Subluxation Test (PRST), that we believe is easier to perform. The purpose of this study was to compare the efficacy and reproducibility of the PRST with the lateral pivot shift test.Methods: We obtained 10 cadaveric upper extremity specimens, performed a Kocher approach on each, released the LCL origin in 5, then closed. The specimens were randomized, and 3 attending orthopedic surgeons and 1 resident blindly performed the PRST then the lateral pivot shift test after re-randomization and assessed presence or absence of PLRI. This process was repeated the following day. The data for each test were analyzed for sensitivity, specificity, and accuracy.Results: For the blinded testing when comparing PRST with the pivot shift test, overall accuracy was 77.5%, compared with 67.5% (P = .03), sensitivity was 75.0%, compared with 50.0% (P = .003), and specificity was 80.0%, compared with 85.0% (P = .55). Conclusions: The PRST appears to be at least as accurate as the lateral pivot shift test, with comparable intraobserver and interobserver reliability.","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"37-42"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223697","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

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