HAND最新文献

{"title":"The Effect of Scaphoid Overstuffing on Radiocarpal Contact Pressures.","authors":"Charles T Tuggle, Keith T Aziz, Sierra Lindsey, Brent G Parks, Pooyan Abbasi, Aviram M Giladi, James P Higgins","doi":"10.1177/15589447251395094","DOIUrl":"10.1177/15589447251395094","url":null,"abstract":"<p><strong>Background: </strong>The medial femoral trochlea flap is used for treating recalcitrant scaphoid proximal pole nonunions. Although this requires resecting a substantial portion of the scapholunate interosseous ligament, the intercarpal angular relationships are preserved. Studies have demonstrated that lunate alignment is preserved despite loss of the scapholunate ligament because the scaphoid is reconstructed with an osteochondral flap that is larger than the resected nonunited proximal scaphoid. The technique of purposeful expansion of the scaphoid height has been termed <i>scaphoid overstuffing</i>. The purpose of this study is to characterize the effect of scaphoid overstuffing on force transmission across the scaphoid and lunate facets of the radius.</p><p><strong>Methods: </strong>Eleven fresh frozen cadaveric upper extremities without ligament instability were selected. The radiocarpal joint was exposed via a dorsal approach, and electronic pressure sensors were introduced. Three different states of the wrist were evaluated: native, scapholunate dissociation (SLD), and overstuffed (OS). Pressures were measured in 4 positions: 30° flexion, full wrist extension, 30° extension, and clenched fist. Pressures were measured in kPa and contact areas in mm².</p><p><strong>Results: </strong>In all functional positions, the OS state had higher peak pressures across the scaphoid facet. This included 30° wrist flexion (OS 383 ± 221 kPa, <i>P</i> = .033), full wrist extension (OS 1068 ± 767 kPa, <i>P</i> = .022), 30° wrist extension (OS 880 ± 518 kPa, <i>P</i> < .001), and clenched fist (OS 1040 ± 736 kPa, <i>P</i> = .02).</p><p><strong>Conclusions: </strong>In functional wrist positions, overstuffing the scaphoid increases scaphoid facet peak contact pressures. Further study is needed to examine the long-term clinical consequences of these changes and the potential for accelerated cartilage degeneration.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251395094"},"PeriodicalIF":1.8,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574067","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":"The Risk of Lymphedema in Elective Hand Surgery After Axillary Lymph Node Sampling: A Prospective, Cohort Study.","authors":"Susan M Odum, Casey Sabbag, Warren Hammert, Daniel R Lewis, Bryan J Loeffler, Christopher Chadderdon, Kevin C Chung, Thomas Lehman, R Glenn Gaston","doi":"10.1177/15589447261428585","DOIUrl":"10.1177/15589447261428585","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this prospective cohort study was to evaluate the risk of lymphedema and perioperative complications in patients undergoing elective upper-extremity surgery with a history of breast cancer and ipsilateral lumpectomy/mastectomy with axillary lymph node sampling.</p><p><strong>Methods: </strong>Validated volumetric measurements of the limb were obtained presurgery and postsurgery. All complications were recorded. A total of 104 patients enrolled prospectively, and 78 met inclusion criteria with 30 patients in the no tourniquet group and 48 in the tourniquet group. Patients were followed up at 2-week, 6-week, 3-month, 6-month and 12-month intervals. The median number of lymph nodes dissected was 8 (no tourniquet), compared to 7 (tourniquet). Sixty-six percent (no tourniquet) and 58% (tourniquet) had previous radiation. Twenty-eight percent (no tourniquet) and 31% (tourniquet) had previous history of lymphedema. Eight patients (9%) had been previously advised to never have surgery on the involved limb.</p><p><strong>Results: </strong>There were 3 cases of lymphedema at 2 weeks: 2 patients (no tourniquet) and 1 patient (tourniquet). One patient (no tourniquet) had lymphedema at 2 weeks; only that resolved at 6 weeks. Additional complications include 1 patient (no tourniquet) had pin displacement after distal radius fixation at 2 weeks, 1 patient (tourniquet) had postoperative hematoma after a mass excision, and 1 patient (tourniquet) had hand stiffness following carpal tunnel release. Patient satisfaction between the two groups was high and not statistically different at any time point.</p><p><strong>Conclusions: </strong>Surgery in patients with a history of breast cancer with lymph node sampling appears to be equally safe with or without the use of a tourniquet and carries a low rate of overall complications, including exacerbation of their lymphedema.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261428585"},"PeriodicalIF":1.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527988","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":"Contemporary Analysis of Diagnosis, Treatment, and Outcomes in Pisiform Fractures at a Level 1 Trauma Center.","authors":"Michael G Flood, Ambar Garcia-Owusu, Hieu Tran, Samuel W Rice, Gregory Iovanel, Rachel Lister, Jan Sjoquist, Matthew W DeFazio, Anselm Wong, Marci D Jones","doi":"10.1177/15589447261433076","DOIUrl":"10.1177/15589447261433076","url":null,"abstract":"<p><strong>Background: </strong>Pisiform fractures are rarely occurring carpal injuries and often are undetected due to more obvious associated injuries and subtle radiographic findings. While nondisplaced fractures are typically treated conservatively, significantly displaced fractures can be treated operatively; however, there is a lack of consensus given the injury's rarity and limited research. This study offers an extensive analysis of pisiform fractures, associated fractures, treatment methods, and long-term outcomes.</p><p><strong>Methods: </strong>A retrospective review of patients with diagnosed pisiform fractures from 2017 to 2025 at a level 1 trauma center was performed. Thirty-four patients, treated by the orthopaedic or plastic surgery departments, were ultimately included. Patient demographics, injury pattern and mechanism, treatment method, and outcomes at final follow-up were collected. Data analysis was completed using Fisher exact test and unpaired <i>t</i> test to compare patients with and without additional fractures of the carpus, distal radius/ulna, and metacarpals.</p><p><strong>Results: </strong>Of 34 patients, 21 had additional fractures, most frequently the distal radius, triquetrum, and distal ulna. Advanced imaging (computed tomography or magnetic resonance imaging) was required for diagnosis in 7 patients, 6 of whom had additional injuries. Thirty-two patients were treated nonoperatively. Persistent pain and decreased range of motion at final follow-up is associated with the presence of associated fractures.</p><p><strong>Conclusion: </strong>Pisiform fractures are a rare, likely underdiagnosed injury. Conservative treatment is indicated in most patients. Associated injuries, rather than the pisiform fracture itself, are likely more predictive of long-term dysfunction. Larger studies are required, especially to characterize outcomes in patients treated operatively.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261433076"},"PeriodicalIF":1.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520924","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":"Digital Artery Pseudoaneurysm After Collagenase Injection for Dupuytren Contracture: A Case Report.","authors":"Nolan Schwarz, Anne Marie Griebie, Umar Choudry","doi":"10.1177/15589447261430938","DOIUrl":"10.1177/15589447261430938","url":null,"abstract":"<p><p>Collagenase <i>Clostridium histolyticum</i> (CCH; Xiaflex) is an established nonsurgical therapy for Dupuytren contracture. Although adverse effects such as edema, ecchymosis, and skin tears are common, vascular injury is rare and pseudoaneurysm formation has not been previously described. Clinical evaluation and operative management of a patient who developed a digital artery pseudoaneurysm after CCH injection and manipulation were reviewed. A 66-year-old man developed a pulsatile swelling on the volar-radial aspect of the small finger 1 week after manipulation. Duplex ultrasound demonstrated a 1.8 × 1.5 × 1.9 cm partially thrombosed pseudoaneurysm with a 1.2 × 0.5 × 1.0 cm patent lumen arising from the radial digital artery. Surgical exploration revealed the artery entering the pseudoaneurysm with the digital nerve displaced centrally. The diseased arterial segment was excised and clipped proximally and distally. Digital perfusion remained intact and recovery was uneventful. Digital artery pseudoaneurysm is a potential, previously unreported complication of CCH injection for Dupuytren contracture. New or pulsatile swelling after manipulation should prompt vascular imaging to exclude this diagnosis.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261430938"},"PeriodicalIF":1.8,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498697","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":"Distal Phalanx Depth Variation and Implications for Zone I Flexor Tendon Anchor Repairs: A CT and X-Ray Comparative Study.","authors":"Madhusudhanarao Geddada, Bradley Gilpin, David Gao, Luke McCarron, Ian Hughes, Randy Bindra","doi":"10.1177/15589447261426479","DOIUrl":"10.1177/15589447261426479","url":null,"abstract":"<p><strong>Background: </strong>Suture anchors in Zone I flexor tendon repairs risk dorsal cortex penetration and nail bed disruption. Preoperative measurements guide safe anchor-drill selection, yet the accuracy of radiograph-based measurements and optimal safety thresholds remain unclear. This study quantified distal phalanx depths, verified radiograph measurements with computed tomography (CT) scans, and assessed compatibility with commercially available anchor systems.</p><p><strong>Methods: </strong>Thirty adult subjects (120 digits) with paired lateral radiographs and CT scans of the same hand were retrospectively reviewed. Oblique and perpendicular depths at the distal phalanx base were measured independently by 2 reviewers on both imaging modalities and statistically analyzed. Safe depth thresholds were calculated and compared with specifications for 5 commercially available anchor systems. Male and female digits were compared.</p><p><strong>Results: </strong>Radiographs slightly overestimated CT (mean bias ≤ 0.6 mm) but showed a largely linear and predictable relationship. Maximum safe depths ranged from 3.8 mm in the little finger to 4.9 mm in the index, increasing to 4.6 to 5.9 mm with oblique drilling. Several anchor systems exceeded these limits, particularly in ring and little fingers.</p><p><strong>Conclusions: </strong>Digital radiographs provide sufficiently accurate measurements for most clinical scenarios with the use of a modest safety margin. Distal phalanx size varies by digit and gender, warranting added caution in female patients and in ring and little fingers. Our findings support routine consideration of retrograde oblique drilling techniques to optimize bone purchase and reduce the risk of dorsal cortex penetration.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261426479"},"PeriodicalIF":1.8,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491162","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":"Impact of Cervical Radiculopathy on the Risk of Cubital Tunnel Syndrome Following Distal Humerus Fracture: A Retrospective Cohort Analysis of 165 Million Patients.","authors":"Nirav K Mungalpara, Logan Van Poucke, Seth Roge, Alfonso Mejia, Benjamin Goldberg, Mark H Gonzalez","doi":"10.1177/15589447261422500","DOIUrl":"10.1177/15589447261422500","url":null,"abstract":"<p><strong>Background: </strong>Cubital tunnel syndrome (CuTS) is a common peripheral neuropathy often exacerbated by trauma or anatomical disruption. Cervical radiculopathy has been proposed as a proximal risk factor via the double crush mechanism, but its role in post-traumatic CuTS following distal humerus fracture (DHF) remains underexplored.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using the PearlDiver database (165 million patients). Patients with DHF were stratified by the presence of pre-existing cervical radiculopathy. Incidence rates of cubital tunnel syndrome diagnosis (CuTSD) and cubital tunnel release surgery (CuTRS) were compared using bivariate and multivariate logistic regression, adjusting for demographics, comorbidities, fracture type, and management approach.</p><p><strong>Results: </strong>Patients with cervical radiculopathy had a significantly higher incidence of CuTSD after DHF (9.6% vs 5.14%; odds ratio, 1.95, 95% confidence interval, 1.71-2.23) and modestly elevated CuTRS rates (3.75% vs 3.18%). Cervical radiculopathy remained an independent predictor of both outcomes after adjusting for confounders. Predictors such as rheumatoid arthritis and prior nerve injury were significant, whereas fibromyalgia, diabetic neuropathy, and systemic lupus erythematosus were not. The predictive effect was stronger for diagnosis than for surgical intervention.</p><p><strong>Conclusion: </strong>Cervical radiculopathy is an independent risk factor for developing CuTSD following DHF and may influence symptom perception more than surgical decision-making. These findings support the double crush hypothesis and highlight the need for heightened vigilance in managing DHF in patients with cervical radiculopathy. Prospective studies are warranted to validate these associations and refine treatment algorithms.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261422500"},"PeriodicalIF":1.8,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480500","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":"Predictive Modeling of Sensory Recovery Following Peripheral Nerve Injury: Evaluating the Combined Influence of Surgical, Biological, and Social Factors.","authors":"Bryce F Rizvanović, Danna Jenkins, Madeline K Mueller, Alexandra M Ferguson, Julia A V Nuelle","doi":"10.1177/15589447261422498","DOIUrl":"10.1177/15589447261422498","url":null,"abstract":"<p><strong>Background: </strong>Recovery from peripheral nerve injuries (PNI) is influenced by a range of biological, social, and clinical factors. However, the relative contributions of these domains to sensory recovery remain unclear. <i>The objective of this study is to evaluate the predictive value of biological, social, and injury/surgical factors on sensory recovery after PNI, using logistic regression models</i>Methods:A retrospective review of 169 patients who underwent upper extremity peripheral nerve reconstruction between May 2013 and May 2023 was conducted. Functional sensory recovery was measured using static 2-point discrimination (2pD) at 6 months postsurgery. Predictor variables were categorized into 3 domains: biological (eg, age and comorbidities), social (eg, insurance status and formal rehabilitation participation), and surgical (eg, nerve injured, gap length, and timing to surgery). Separate logistic regression models were developed for each domain, followed by a combined model incorporating all variables. Model performance was assessed using accuracy, area under the receiver operating characteristic (ROC) curve (AUC), and confusion matrix analysis.</p><p><strong>Results: </strong>The Injury/Surgical model yielded the highest standalone accuracy (82.4%) and ROC AUC (0.85) among domain-specific models. The Combined model demonstrated superior overall performance with an ROC AUC of 0.92 and accuracy of 85.3%. Key predictive features included age, gap length, injury-to-evaluation interval, formal occupational therapy participation, Area Deprivation Index, current smoker, and history of alcohol use.</p><p><strong>Conclusions: </strong>Recovery from PNI is most strongly influenced by injury-specific and surgical characteristics. However, the integration of social and biological factors can enhance predictive performance. Multidimensional modeling frameworks may inform preoperative counseling, surgical planning, and postoperative care.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261422498"},"PeriodicalIF":1.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467869","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 16-Year Longitudinal Study of Long-term Clinical and Radiographic Outcomes in Dorsal Proximal Interphalangeal Joint Fracture-Dislocations.","authors":"Panu H Nordback, Marjut Westman, Eero Waris","doi":"10.1177/15589447261424449","DOIUrl":"10.1177/15589447261424449","url":null,"abstract":"<p><strong>Background: </strong>Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint often lead to stiffness, pain, and post-traumatic osteoarthritis (PTOA). This study evaluated long-term clinical outcomes and radiographic PTOA following surgical treatment of unstable PIP fracture-dislocations.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of 25 patients (27 fingers) treated with extension block pinning for unstable dorsal PIP fracture-dislocations between 2000 and 2009. Follow-ups in 2010 and 2021 assessed active range of motion (AROM) in PIP and distal interphalangeal (DIP) joints, grip strength, and pain. Postoperative radiographs were analyzed for articular surface involvement and step-off. Post-traumatic osteoarthritis was graded using Kellgren-Lawrence, Kallman, and Osteoarthritis Research Society International scales by 3 blinded hand surgeons, with intraobserver and interobserver reliability assessed.</p><p><strong>Results: </strong>Over a follow-up of up to 16 years, PIP AROM remained stable. Patients aged ≥45 had reduced PIP AROM and more frequent pain. Greater pain was also seen in those with >0.5 mm articular step-off or advanced radiographic osteoarthritis (OA). Osteoarthritis progression was associated with reduced PIP AROM and residual step-off. The Kallman scale showed the most significant OA progression, especially with ≥50% joint surface involvement. Osteoarthritis grading showed substantial intraobserver and interobserver reliability.</p><p><strong>Conclusion: </strong>Long-term function after extension block pinning of dorsal PIP joint fracture-dislocations remained, though age over 45 years and residual step-off predicted reduced AROM, pain, and OA progression.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261424449"},"PeriodicalIF":1.8,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467798","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":"HbA1c Levels Do Not Affect Long-Term Outcome After Open Trigger Finger Release in Individuals With Diabetes Mellitus.","authors":"Mattias Rydberg, Katarina Eeg-Olofsson, Marianne Arner","doi":"10.1177/15589447261424448","DOIUrl":"10.1177/15589447261424448","url":null,"abstract":"<p><strong>Background: </strong>Trigger finger surgery typically has a successful outcome, also in patients with diabetes mellitus (DM). However, the impact of glycemic control on long-term outcomes after open trigger finger release (OTFR) remains unclear. This study examines whether high hemoglobin A1c (HbA1c) levels affect patient-reported outcome (PRO) following OTFR in individuals with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>Data from 2010 to 2020 were sourced from the Swedish national quality register for hand surgery (HAKIR) and cross-linked with the Swedish National Diabetes Register. Adults ≥18 years undergoing OTFR were included. Patient-reported outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and HAKIR Questionnaire-8 (HQ-8) questionnaires (evaluating stiffness, pain, and satisfaction) preoperatively and at 3 and 12 months postsurgery. Participants were stratified into tertiles based on mean HbA1c: \"optimal control\" (≤48 mmol/mol), \"acceptable control\" (48.1-64 mmol/mol), and \"poor control\" (>64 mmol/mol). Linear mixed model regression, adjusted for sex, age, DM duration, smoking, mean arterial pressure, body mass index, and physical activity, analyzed outcomes over time, using \"acceptable control\" group as reference. To adjust for multiple comparisons, a Bonferroni correction was used.</p><p><strong>Results: </strong>In total, 496 individuals with T1DM and 869 individuals with T2DM underwent OTFR and were registered in HAKIR. Of these, 53% (n = 710) answered at least 1 questionnaire. There was no difference in QuickDASH nor the studied HQ-8 between the different HbA1c groups at 12 months, neither in individuals with T1DM nor T2DM.</p><p><strong>Conclusion: </strong>Poor glycemic control was not associated with worse PRO 12 months after OTFR. Thus, for long-term outcome, preoperative HbA1c testing does not seem to be necessary.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261424448"},"PeriodicalIF":1.8,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467836","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":"Case Report: A Rare Presentation of Giant Multicompartmental Lipoma of Hand in a 3-Year-Old Child.","authors":"Shreyas Gadgil, Rohit Babu Mula, Sreechand Yenuganti, Seetu Palo","doi":"10.1177/15589447261422487","DOIUrl":"10.1177/15589447261422487","url":null,"abstract":"<p><p>Lipomas of the hand are uncommon accounting for only 1% to 3.8% of benign tumors of the hand. Moreover, in children, lipomas of the hand are extremely rare. A giant lipoma, ie, measuring greater than 5 cm, of the hand in the pediatric population is exceptionally uncommon. Lipomas of the hand can often be intermuscular, involving multiple compartments of the hand, presenting as an \"infiltrating lipoma.\" Lipoma of the hand presents as a swelling with variable accompanying symptoms such as restricted movements and neurological complaints depending upon their size and site. Here, we discuss the presentation of a rare case of a giant, infiltrating lipoma in the hand of a 3-year-old child, its diagnosis and management.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261422487"},"PeriodicalIF":1.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432559","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}