Journal of Hand Surgery Global Online最新文献

{"title":"Digital Doses: Virtual Reality Use for Perioperative Pain and Anxiety in Patients Undergoing Hand Surgery","authors":"Angel X. Xiao MD, MSE ,&nbsp;Brian Chen BS ,&nbsp;Christopher Chiong BA ,&nbsp;Nicholas H. Lee ,&nbsp;Igor Immerman MD ,&nbsp;Sakura Kinjo MD","doi":"10.1016/j.jhsg.2025.100830","DOIUrl":"10.1016/j.jhsg.2025.100830","url":null,"abstract":"<div><h3>Purpose</h3><div>Virtual reality (VR) is increasingly recognized as a complementary tool to address pain and anxiety. We conducted a randomized controlled trial to evaluate the effectiveness of VR for the management of pain and anxiety in patients undergoing minor hand surgery.</div></div><div><h3>Methods</h3><div>Patients undergoing outpatient hand surgery were randomized to VR or control groups. In addition to the standard anesthetic protocol, the VR group received a VR experience as part of their preoperative care. Patient anxiety and pain scores were collected using the Numerical Visual Analog Anxiety Scale and Numerical Rating Scale, respectively. In addition, we recorded changes in patient hemodynamics and any additional medication doses required to manage pain or anxiety.</div></div><div><h3>Results</h3><div>Forty-one patients (21 VR and 20 control) were enrolled. There were no differences in reported pain or anxiety scores before, during, or after surgery. There was no difference in vital signs or recovery times. Patients in the VR groups received less additional midazolam (0.4 mg vs 1.2 mg) and fentanyl (10 mcg vs 27.4 mcg) compared with patients in the control group. In a multivariable model, VR use remained the only significant predictor for no required midazolam. Eighty-five percent of patients believed that the use of VR positively impacted their surgical experience. As a result of the VR experience, 78% believed that their anxiety decreased and 61.1% believed that their pain decreased.</div></div><div><h3>Conclusions</h3><div>Although patient pain and anxiety levels between the VR and non-VR groups were similar, the VR group required significantly less midazolam and fentanyl. Moreover, VR use was the only predictor of not requiring midazolam administration during surgery. Patient satisfaction was high with VR usage. VR implementation during minor hand surgery is a viable option to improve patient experience.</div></div><div><h3>Type of study/Level of evidence</h3><div>Therapeutic IIB.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100830"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145105551","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}

{"title":"A Comparison of Artificial Intelligence Platforms in the Utility of Answering Frequently Asked Questions About Carpal Tunnel Syndrome: A Cross-Sectional Study","authors":"Calista Stevens BA ,&nbsp;Mehreen Pasha BS ,&nbsp;Dashun Liu MS ,&nbsp;Andrew Block MD ,&nbsp;Anthony Parrino MD ,&nbsp;Craig Rodner MD","doi":"10.1016/j.jhsg.2025.100831","DOIUrl":"10.1016/j.jhsg.2025.100831","url":null,"abstract":"<div><h3>Purpose</h3><div>The rise of artificial intelligence (AI) in health care comes with increasing concerns about the use and integrity of the information it generates. Chat Generative Pre-Trained Transformer (ChatGPT) 3.5, Google Gemini, and Bing Copilot are free AI chatbot platforms that may be used for answering medical questions and disseminating medical information. Given that carpal tunnel syndrome accounts for 90% of all neuropathies, it is important to understand the accuracy of the information patients may be receiving. The purpose of this study is to determine the use and accuracy of responses generated by ChatGPT, Google Gemini, and Bing Copilot in answering frequently asked questions about carpal tunnel syndrome.</div></div><div><h3>Methods</h3><div>Two independent authors scored responses using the DISCERN tool. DISCERN consists of 15 questions assessing health information on a five-point scale, with total scores ranging from 15 to 75 points. Then, a two-factor analysis of variance was conducted, with scorer and chatbot type as the factors.</div></div><div><h3>Results</h3><div>One-way analysis of variance revealed no significant difference in DISCERN scores among the three chatbots. The chatbots each scored in the “fair” range, with means of 45 for ChatGPT, 48 for Bing Copilot, and 46 for Google Gemini. The average Journal of the American Medical Association score for ChatGPT and Google Gemini surpassed that of Bing Copilot, with averages of 2.3, 2.3, and 1.8, respectively.</div></div><div><h3>Conclusions</h3><div>ChatGPT, Google Gemini, and Bing Copilot platforms generated relatively reliable answers for potential patient questions about carpal tunnel syndrome. However, users should continue to be aware of the shortcomings of the information provided, given the lack of citations, potential for misconstrued information, and perpetuated biases that inherently come with using such platforms. Future studies should explore the response quality for less common orthopedic pathologies and assess patient perceptions of response readability to determine the value of AI as a patient resource across the medical field.</div></div><div><h3>Type of study/level of evidence</h3><div>Cross-sectional study V</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095981","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}

{"title":"Extensor Retinaculum Capsulorrhaphy and Suture Repair for Ulnocarpal and Distal Radioulnar Joint Instability: One-Year Results","authors":"Nicholas I. Pilla MD ,&nbsp;R. Cole Turner MD ,&nbsp;Daniella R. Mora BS ,&nbsp;Alex Mafdali MD ,&nbsp;Fady Attalla BS ,&nbsp;Liannys Capote BS ,&nbsp;Md Ashfaq Ahmed MS, PhD ,&nbsp;E. Anne Ouellette MD, MBA","doi":"10.1016/j.jhsg.2025.100806","DOIUrl":"10.1016/j.jhsg.2025.100806","url":null,"abstract":"<div><h3>Purpose</h3><div>Persistent ulnar-sided wrist pain, often because of triangular fibrocartilage complex (TFCC) tears, can lead to instability of the distal radioulnar joint (DRUJ) and the ulnocarpal joint (UCJ). Although the TFCC's role in stabilizing the DRUJ is well established, its contribution to UCJ stability has gained increasing recognition. This study evaluates the clinical outcomes of combined Herbert Sling and suture repair for (UCJ) instability secondary to TFCC tears.</div></div><div><h3>Methods</h3><div>Eighty-eight patients (91 wrists) with TFCC tears and UCJ instability, unresponsive to nonsurgical management, underwent combined Herbert sling (HS) and suture repair. The HS technique stabilizes both the DRUJ and UCJ by advancing an extensor retinaculum flap to the radius. Suture repair for the TFCC was performed using a commercially available all-inside-repair device. Postoperative care involved immobilization followed by structured rehabilitation. Outcomes were assessed at 6 months and 1 year and included visual analog scale pain scores, range of motion, and supination test results.</div></div><div><h3>Results</h3><div>Visual analog scale pain scores improved considerably from 4.5 before surgery to 1.1 at 6 months, with sustained improvement at 1 year. The flexion-extension arc decreased from 133° before surgery to 113° at 6 months but returned to 135° at 1 year. The pronation-supination arc decreased slightly from 177° to 171° at 6 months, with full recovery by 1 year. Supination testing showed a considerable improvement in UCJ stability, with 92% of wrists stable at 6 months and 87% stable at 1 year. Four wrists experienced recurrent instability between 6 months and 1 year.</div></div><div><h3>Conclusions</h3><div>The combined HS and suture repair effectively restores stability to both the DRUJ and UCJ in patients with TFCC-related ulnocarpal instability, considerably reducing pain and preserving range of motion. This technique provides a promising approach to the treatment of ulnocarpal instability while minimizing tissue disruption.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IV.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100806"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096023","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}

{"title":"Reliability of Provocative Maneuvers for Hand Pathologies: Concordance Between Nonspecialist and Specialist Assessments in a General Clinic Setting","authors":"Clay B. Thames BA ,&nbsp;Evan Bowen BS ,&nbsp;Greg Vance BE ,&nbsp;Bradley Hathaway BA ,&nbsp;Kacy Benedict MD ,&nbsp;Mark Dodson MD ,&nbsp;Marc Walker MD","doi":"10.1016/j.jhsg.2025.100824","DOIUrl":"10.1016/j.jhsg.2025.100824","url":null,"abstract":"<div><h3>Purpose</h3><div>Provocative maneuvers are frequently employed by hand surgeons to evaluate common hand pathologies. Although prior studies have evaluated the efficacy of individual maneuvers independently, to date, no studies have been performed evaluating the concordance between nonsurgeon-administered Tinel, Eichhoff, Finkelstein, and carpometacarpal Grind test and attending hand surgeon diagnoses in a general hand clinic population.</div></div><div><h3>Methods</h3><div>A prospective cohort study was performed on new patients presenting to the hand clinic. All four provocative maneuvers were performed on each patient. Positive versus negative results were recorded by a student and compared with the final clinical diagnoses by fellowship-trained, board-certified hand surgeons retrospectively. Descriptive statistics and χ² analysis were performed.</div></div><div><h3>Results</h3><div>A total of 93 patients were enrolled in the study. The concordance between the nonsurgeon examination and the hand surgeon examination was analyzed. Analyses showed that Tinel test, Grind test, and Eichhoff test were meaningfully associated with their respective hand pathologies, whereas Finkelstein test was not. Among the tests evaluated, the Grind test showed the greatest concordance, and the Tinel test offered high concordance while also limiting false-positive examinations, even between a nonsurgeon and a hand specialist.</div></div><div><h3>Conclusions</h3><div>This prospective study revealed varied concordance among maneuvers. The Grind test, Tinel test, and Eichhoff test demonstrated efficacy in identifying carpometacarpal arthritis, carpal tunnel syndrome, and de Quervain tenosynovitis, respectively. Although these tests were not designed for screening, these maneuvers may support early hypothesis generation when evaluating undifferentiated upper-extremity complaints in the clinic.</div></div><div><h3>Type of study/level of evidence</h3><div>Diagnostic IIb.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100824"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095980","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}

{"title":"More Than Epineurium Deep: Characterizing Peripheral Nerve Damage Using High-Resolution Micro-Computed Tomography for Simulated Peripheral Nerve Lacerations","authors":"Rasa Zhukauskas MD ,&nbsp;Brandon S. Smetana MD ,&nbsp;Adam B. Strohl MD ,&nbsp;Sunishka M. Wimalawansa MD, MBA ,&nbsp;Eitan Melamed MD ,&nbsp;Amy M. Moore MD ,&nbsp;Fraser J. Leversedge MD ,&nbsp;Youssra Marjoua MD ,&nbsp;Bauback Safa MD","doi":"10.1016/j.jhsg.2025.100833","DOIUrl":"10.1016/j.jhsg.2025.100833","url":null,"abstract":"<div><h3>Purpose</h3><div>Nerve damage because of acute traumatic lacerations is challenging to assess and is typically evaluated using loupes or an operating microscope. However, defining the zone of injury clinically is limited to evaluating the epineurium and/or transected nerve ends for visible injury, with tactile changes corresponding with nerve damage not evident in the acute setting. During surgical nerve repair or reconstruction, adequate debridement of the damaged tissue is essential, as fascicular health influences the regenerative potential of the nerve. This study used a novel high-resolution imaging method to characterize the extent of nerve damage resulting from 3 common mechanisms of traumatic lacerations.</div></div><div><h3>Methods</h3><div>Twelve human upper extremity cadaveric specimens were used to simulate common injuries using a knife, broken glass, or table saw in flexor tendon zones II or V. The distance of nerve damage measured from the transected end was visually estimated by experienced peripheral nerve surgeons under loupe magnification. The length of nerve damage was measured radiographically using micro-computed tomography and then compared with visually estimated damage.</div></div><div><h3>Results</h3><div>Radiographic image analysis revealed fascicular disruption extending proximally and distally from the transection, which was underestimated by visual assessment 9.5 mm on average in knife injuries, 7.8 mm in broken glass injuries, and 12.1 mm in table saw injuries. The extent of radiographic damage was similar in proximal and distal nerves, and in knife and broken glass lacerations, but most extensive in table saw lacerations.</div></div><div><h3>Conclusions</h3><div>Nerve damage was greatest in table saw lacerations. Radiographic imaging showed fascicular damage extending beyond the surgeon’s visual assessment of epineural damage, indicating that the internal damage to nerves from traumatic lacerations was underappreciated by surgeons. The impact this underestimated damage has on regenerative potential of an injured nerve requires further investigation.</div></div><div><h3>Type of study/Level of evidence</h3><div>Diagnostic V.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100833"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096027","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}

{"title":"Suture Button Fixation for Regan-Morrey Type II Coronoid Fracture of Anterior and Posterior Monteggia Fracture: A Report of Two Cases","authors":"Shiro Yoshida MD, PhD ,&nbsp;Mitsuhiro Matsuura MD ,&nbsp;Yusuke Ogrura MD, PhD ,&nbsp;Taiki Nishimura MD, PhD ,&nbsp;Koji Hiraoka MD, PhD","doi":"10.1016/j.jhsg.2025.100834","DOIUrl":"10.1016/j.jhsg.2025.100834","url":null,"abstract":"<div><div>This report details two cases of Monteggia fracture-dislocations that were successfully managed using the TightRope suture button technique via the posterior approach. The first case involved a 26-year-old man with type IID posterior Monteggia fracture-dislocation. Treatments included coronoid stabilization, radial head replacement, and variable-angle elbow plate placement. Seventeen months after the injury, his elbow motion ranged from 15° to 115°, with 50° supination and 10° pronation. In the second case, a 50-year-old woman with type IID anterior olecranon fracture-dislocation achieved elbow motion from 10° to 125° at 12 months after injury, with 80° supination and 70° pronation following similar fixation. Both patients underwent surgery using a global posterior approach. TightRope fixation was used for coronoid tip fragments, whereas locking plates were used for proximal ulnar and olecranon fractures. This method eliminates the need for an anterior incision and allows open reduction internal fixation through a single incision.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100834"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096026","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}

{"title":"Surgical Approaches and Outcomes for 69 First Web Space Congenital Syndactyly Cases of the Hand","authors":"Manisha Banala BBA ,&nbsp;Sarah L. Struble MD ,&nbsp;John R. Vaile MD ,&nbsp;Apurva S. Shah MD, MBA ,&nbsp;Shaun D. Mendenhall MD ,&nbsp;Benjamin Chang MD","doi":"10.1016/j.jhsg.2025.100832","DOIUrl":"10.1016/j.jhsg.2025.100832","url":null,"abstract":"<div><h3>Purpose</h3><div>First web space syndactyly presents a considerable reconstructive challenge, and because of the rarity and complexity of the condition, there is no consensus on the optimal approach to its reconstruction. This study therefore describes our experience with congenital first web space syndactyly, providing an overview of reconstructive techniques and outcomes.</div></div><div><h3>Methods</h3><div>Sixty-nine cases (55 simple and 14 complex/complicated), from 2007 to 2022, were analyzed with descriptive statistics.</div></div><div><h3>Results</h3><div>Dorsal commissural flaps were the initial operative approach in 100% of the complex/complicated cases, whereas Z-plasties were used in 64% of the simple cases. Full-thickness skin grafts were required in 12 (86%) of the complex/complicated cases and in 14 (26%) of the simple cases. Additional procedures such as amputation or osteotomy were performed in five complex/complicated (36%) and five simple (9.1%) cases. Range-of-motion deficits were the most common complication (26%), and 20 (29%) cases required revision surgery.</div></div><div><h3>Conclusions</h3><div>Patients with first web syndactyly often require multiple operations and concurrent procedures on the index finger and thumb to optimize hand function. Reconstruction should be personalized to each patient’s unique clinical presentation.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognosis IIb.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100832"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096025","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}

{"title":"Early Removal of Dorsal Spanning Plate With Supplemental Distal Radius Fixation: Safety and Efficacy","authors":"Bishoy N. Saad DO ,&nbsp;Ian S. Hong MD ,&nbsp;Nicole D. Campbell MBS ,&nbsp;Christian G. Zapf BS ,&nbsp;Mallery Zeiman BS ,&nbsp;Frank A. Liporace MD ,&nbsp;Richard S. Yoon MD ,&nbsp;Nicole Montero-Lopez MD","doi":"10.1016/j.jhsg.2025.100825","DOIUrl":"10.1016/j.jhsg.2025.100825","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of the study was to evaluate the safety and efficacy of early dorsal spanning plate (DSP) removal at 6–9 weeks in the management of distal radius fractures.</div></div><div><h3>Methods</h3><div>A retrospective review of adult patients (≥18years) treated with DSP with or without supplemental volar plate fixation for unstable distal radius fractures between January 2019 and December 2022 was conducted. Inclusion criteria included DSP removal 6–9 weeks after surgery and a minimum of the 12-month follow-up. Patients were excluded if they had previous ipsilateral hand, wrist, or forearm surgery or incomplete records. Demographics, perioperative details, and radiographic measurements were collected (before surgery, immediate after surgery, immediately following DSP removal, and at the most recent follow-up). Functional outcomes were assessed using the quick disabilities of the arm, shoulder, and hand questionnaire.</div></div><div><h3>Results</h3><div>Seventeen patients were included (mean age: 53.3 ± 21.7 years, body mass index: 27.1 ± 4.2 kg/m²). The average time to DSP removal was 6.97 ± 1.1weeks. The 2R3C3.2 AO/OTA classification was the most commonly observed fracture pattern (59%). Radiographic assessments indicated sustained anatomic alignment and fracture healing. The mean short-term quick disabilities of the arm, shoulder, and hand score was 18.9, indicating mild disability. Complications within 90 days and at the 1-year follow-up were observed in 18% and 29% of the patients, respectively, predominantly because of paresthesia and superficial wound issues.</div></div><div><h3>Conclusions</h3><div>This study confirmed the safety and efficacy of DSP removal at 6–9 weeks, with clinical outcomes comparable with traditional 12-week to 16-week timelines. Future studies could evaluate whether earlier plate retrieval allows for an accelerated rehabilitation protocol, an earlier return-to-work timeline, as well as its potential in reducing postoperative stiffness.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IV.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096024","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}

{"title":"Surgical Treatments for Scapholunate Ligament Injuries and Development of Arthritis in the Wrist: A Systematic Review","authors":"Eiden Lami MS ,&nbsp;Jack Kramer BA ,&nbsp;Majd Mzeihem MD ,&nbsp;Farid Amirouche PhD","doi":"10.1016/j.jhsg.2025.100827","DOIUrl":"10.1016/j.jhsg.2025.100827","url":null,"abstract":"<div><h3>Purpose</h3><div>The scapholunate ligament (SLL) is the most injured carpal ligament; however, surgeons do not agree on the best management. Several studies have reported on the after surgery functional outcomes of different surgical techniques, with varying results. However, there is little literature on the development of arthritis in the context of a SLL injury. The goal of this review was to examine the current literature to investigate the relationship between an SLL injury and the development of arthritis in the wrist and hand.</div></div><div><h3>Methods</h3><div>We performed a systematic literature review on surgical treatments for SLL injuries. This review included 37 studies that met the inclusion criteria for treatment outcomes and arthritis development. We reported both demographic and radiological results, which included arthritis prevalence and pattern. Methodological quality was assessed using the Downs and Black checklist.</div></div><div><h3>Results</h3><div>In total, 784 injured wrists were analyzed across the 37 studies, and postoperative arthritis occurrences across treatment types were as follows, capsulodesis (10.6%), tenodesis (13.6%), ligamentoplasty (14.6%), bone-ligament-bone (31.5%), and debridement (5.3%), with scapholunate advanced collapse III being the most common arthritic pattern. The mean age of patients was 39.8 years. The delay between injury and treatment averaged 13.2 months.</div></div><div><h3>Conclusions</h3><div>Our systematic review highlights the variability in arthritis patterns following SLL injuries and underscores the lack of consensus regarding management strategies. We observed the highest rates of arthritis using the bone-ligament-bone method and the lowest rates using the debridement technique.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IIA.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100827"},"PeriodicalIF":0.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044848","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}

{"title":"The Impact of Leadership in Gender Diversity of Annual Meeting Speakers in the American Society for Surgery of the Hand","authors":"Mehrdad Farrokhi MD ,&nbsp;Mohammad Amin Nochian MSc","doi":"10.1016/j.jhsg.2025.100823","DOIUrl":"10.1016/j.jhsg.2025.100823","url":null,"abstract":"","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100823"},"PeriodicalIF":0.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044850","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}