Journal of Hand Surgery Global Online最新文献

{"title":"Isolated Lunate Fracture in a Child: A Case Report","authors":"Lydian Aliene Huisman MD ,&nbsp;Mike Rüttermann MD, PhD","doi":"10.1016/j.jhsg.2025.03.003","DOIUrl":"10.1016/j.jhsg.2025.03.003","url":null,"abstract":"<div><div>Isolated lunate fractures in children are exceptionally uncommon. We present a case of a 6-year-old girl with an isolated, displaced lunate fracture after a fall who was treated with semi-open reduction with K-wires, resulting in complete functional recovery. This approach may reduce the risk of avascular necrosis (Kienböck’s disease) of the lunate.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100722"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106276","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":"Comparison of Patient-Reported Outcome Instruments in the Preoperative Evaluation of Cubital Tunnel Syndrome","authors":"Thomas John Carroll MD ,&nbsp;Alexander Chirokikh BS ,&nbsp;Courtney Marie Cora Jones PhD ,&nbsp;David Speach MD ,&nbsp;Constantinos Ketonis MD, PhD","doi":"10.1016/j.jhsg.2025.02.017","DOIUrl":"10.1016/j.jhsg.2025.02.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Patient-reported outcomes are used routinely to assess disease severity in patients with cubital tunnel syndrome (CuTS). This study aimed to compare the relationships of patient-reported outcomes with clinical examination, electrodiagnostic (EDX), and ultrasound (US) measures.</div></div><div><h3>Methods</h3><div>Twenty-four patients presenting to an academic center with symptoms consistent with isolated CuTS were prospectively enrolled. Clinical examination measures were collected, including grip strength, key pinch, 2-point discrimination, presence of Tinel sign, and elbow flexion test result. Patients underwent EDX evaluation, and US was used to measure the cross-sectional area of the ulnar nerve around the elbow. Patients completed 3 questionnaires: Patient-Rated Ulnar Nerve Evaluation (PRUNE), Patient-Reported Outcomes Measurement Information System (PROMIS), and Disabilities of the Arm, Shoulder, and Hand (DASH). Questionnaire scores and clinical examination measurements were stratified based on EDX and US status. Pearson’s correlations were used to assess the associations of questionnaire scores with objective measures.</div></div><div><h3>Results</h3><div>Significant correlation in PROMIS-Physical Function (PROMIS-PF), PROMIS-Pain Interference (PROMIS-PI), PROMIS-Depression (PROMIS-D), PROMIS-Upper Extremity (PROMIS-UE), and DASH scores were observed between EDX−positive and -negative groups, while no significant correlation was seen between US- positive and -negative groups. Two-point discrimination significantly correlated with PRUNE, PROMIS-PF, PROMIS-UE, and DASH scores. All patient-reported outcome measures significantly correlated with sensory amplitude. PROMIS-D weakly correlated with maximum ulnar nerve cross-sectional area. No significant correlations between patient-reported outcome measures and motor EDX outcomes were observed.</div></div><div><h3>Conclusions</h3><div>Patient-reported symptom severity is more closely associated with EDX diagnosis than US status. PROMIS-PF and DASH displayed stronger correlations to objective measures than other patient-reported outcome measures. Sensory amplitude was the strongest predictor of subjective symptom severity relative to other measures.</div></div><div><h3>Type of study/level of evidence</h3><div>Diagnostic II.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100727"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106279","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 Intraoperative Dorsal Tangential and the Radial Groove View of the Distal Radius to Detect Dorsal Screw Protrusion in Volar Plating: Teaching Effect and Value in Clinical Practice","authors":"David Faessler MD ,&nbsp;Lara Pozzi MD ,&nbsp;Aleksis Doert MD ,&nbsp;Michel Schlaeppi MSc ,&nbsp;Christoph Meier MD","doi":"10.1016/j.jhsg.2025.100734","DOIUrl":"10.1016/j.jhsg.2025.100734","url":null,"abstract":"<div><h3>Purpose</h3><div>Dorsal screw tip protrusion (DSTP) with extensor tendon injury is a well-known complication after volar plating of the distal radius. Specific fluoroscopic views such as the dorsal tangential view (DTV) and the radial groove view (RGV) have been recommended to detect DSTP. The aim of this study was to investigate the accuracy of these views before and after standardized teaching of the involved surgeons.</div></div><div><h3>Methods</h3><div>All adult patients treated with volar plating of the distal radius between 10/2019 and 09/2020 were included. All involved surgeons were instructed on how to perform accurate DTV and RGV. Patients from an earlier period (07/2018–09/2019) before teaching served as controls. The impact of teaching was assessed. Intraoperative detection of DSTP based on fluoroscopy was documented. DTV and RGV were further evaluated as a set of fluoroscopic investigations and not as individual views. The accuracy of DTV and RGV to detect DSTP was compared with that of postoperative ultrasound.</div></div><div><h3>Results</h3><div>A total of 124 patients were included in the study group and compared with the control group (n = 125). Interobserver agreement for the image accuracy was 97% for DTV and 98% for RGV, respectively. Correct images were observed for DTV in 81% after standardized teaching versus 58% for the control group and 81% versus 53% for RGV, respectively (<em>P</em> &lt; .001). Intraoperative fluoroscopy detected 24 DSTP in 571 evaluated screws (4.2%) in the study group, most of them affecting the second (n = 11) and fourth (n = 10) extensor compartments. Sensitivity to detect DSTP was 85.7% for DTV and RGV combined. Postoperative ultrasound revealed four DSTP (0.8–1.2 mm; 0.7%) in four patients (3.2%).</div></div><div><h3>Conclusions</h3><div>Standardized teaching leads to a significant improvement of appropriate views. DTV and RGV are reliable tools to detect DSTP. However, some minor dorsal cortex penetrations may be missed.</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 4","pages":"Article 100734"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106219","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":"An Anatomical Study of Median Nerve Branches for Distal Nerve Transfer in Isolated Anterior Interosseous Nerve Syndrome","authors":"Krit Utrapat MD ,&nbsp;Nuttapat Khusritheppratan MD ,&nbsp;Parunyu Vilai MD ,&nbsp;Vichununt Kerdput PhD ,&nbsp;Wisuit Pradidarcheep PhD","doi":"10.1016/j.jhsg.2025.100739","DOIUrl":"10.1016/j.jhsg.2025.100739","url":null,"abstract":"<div><h3>Purpose</h3><div>Isolated anterior interosseous nerve (AIN) syndrome is a forearm compression neuropathy. A viable treatment for the syndrome is distal nerve transfer. However, the option of a donor nerve branch from the median nerve remains debated. This study aimed to identify the most suitable median nerve branch for distal nerve transfer in AIN syndrome patients by evaluating nerve diameter, fascicle and axon count, and distance between donor and recipient nerves.</div></div><div><h3>Methods</h3><div>Twenty cadaveric arms were dissected to examine the AIN as the recipient nerve. Candidate donor nerves included branches to the palmaris longus (PL), flexor carpi radialis (FCR), and first and second branches of the flexor digitorum superficialis (FDS1 and FDS2). Each nerve length and the distance between donor and recipient nerves were measured. Histochemical staining was used to measure cross-sectional diameter and axon count.</div></div><div><h3>Results</h3><div>All donor nerves had sufficient length for transfer, with FCR providing the greatest length (32.8 mm) and causing the least postoperative tension. Among the studied nerves, AIN had the largest diameter (2.3 ± 0.4 mm), followed by FCR (2.1 ± 0.3 mm), PL (2.0 ± 0.4 mm), FDS2 (1.6 ± 0.6 mm), and FDS1 (1.5 ± 0.3 mm). The AIN also had the highest average axon count (2747 ± 710), compared with FDS2 (888 ± 458), FCR (869 ± 366), PL (678 ± 277), and FDS1 (426 ± 192).</div></div><div><h3>Conclusions</h3><div>The FCR branch transfer may not be the definitive best option for AIN palsy; however, it remains a highly viable and effective choice for reinnervation, providing a good alternative in cases where other donor nerves present anatomical or functional limitations</div></div><div><h3>Clinical relevance</h3><div>This study provides anatomical and histological insights into the optimal median nerve branches for AIN transfer.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100739"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106220","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 Effect of Nonsteroidal Anti-Inflammatory Drugs on Union Rates Following Operative Repair of Distal Radius Fractures","authors":"Michael Chang MD ,&nbsp;Alexis Kasper BS ,&nbsp;Juliet Chung MD ,&nbsp;Justin Wright BS ,&nbsp;Margaret Pennington MD ,&nbsp;Asif M. Ilyas MD, MBA","doi":"10.1016/j.jhsg.2025.03.001","DOIUrl":"10.1016/j.jhsg.2025.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Multimodal pain regimens for controlling postoperative pain after surgery for fractures often include nonsteroidal anti-inflammatory drugs (NSAIDs). However, some surgeons remain reluctant toward prescribing NSAIDs because of concerns of compromised bone healing. The study hypothesis was that a short-term prescription of NSAIDs for postoperative pain after distal radius fracture repair would not result in a significant difference in union rates.</div></div><div><h3>Methods</h3><div>Consecutive patients who underwent surgical repair of a distal radius fracture with a volar locking plate from a single academic institution with five hand surgery fellowship-trained orthopedic surgeons were retrospectively reviewed. The cohort was divided into those prescribed +NSAIDs and those who were not (-NSAIDs) postoperatively. Preoperative patient characteristics and postoperative pain regimens were recorded. Comparisons between the two groups were made based on the primary outcome being union rate and other secondary outcomes, including time to union and number of opioid tablets prescribed.</div></div><div><h3>Results</h3><div>Four hundred and ninety-four patients were included in the final analysis, of which 115 were prescribed +NSAIDs, and 379 were not (-NSAIDs). Preoperative demographics and comorbidities were balanced between groups. A similar proportion of patients were prescribed some type of opioid. However, the +NSAIDs group was prescribed a fewer number of opioid tablets. The overall nonunion rate was 1.2%. Of these cases, two were in the +NSAIDs group, and four were in the -NSAIDs group. There was no difference in union rate between the two groups.</div></div><div><h3>Conclusions</h3><div>The prescribing of NSAIDs after volar locking plate fixation of distal radius fractures was not associated with an increased nonunion rate in this study. This study may alleviate concerns that NSAIDs might jeopardize fracture healing when used postoperatively as part of a multimodal pain regimen following distal radius fracture repair.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic IV.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100720"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106278","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 Rate and Utility of Follow-Up Radiographs for Nonoperatively Treated Isolated Radial Head Fractures","authors":"Carew Giberson-Chen MD ,&nbsp;Phillip Grisdela Jr MD ,&nbsp;Zina Model MD ,&nbsp;Philip Blazar MD ,&nbsp;Brandon E. Earp MD ,&nbsp;Dafang Zhang MD","doi":"10.1016/j.jhsg.2025.02.018","DOIUrl":"10.1016/j.jhsg.2025.02.018","url":null,"abstract":"<div><h3>Purpose</h3><div>Prior literature has shown that although follow-up radiographs are obtained for approximately two-thirds of nonoperatively treated isolated radial head fractures, they generally do not change management. This study aims to investigate the current practice regarding follow-up radiographs for these injuries and the utility of obtaining these studies.</div></div><div><h3>Methods</h3><div>A retrospective review was performed of patients with isolated radial head fractures initially treated nonoperatively at two Level I trauma centers between 2016 and 2020. Patient details, treatment course, and radiographic measurements were recorded. The primary outcome was the acquisition of follow-up radiographs. Secondary outcomes included the number of follow-up radiographs, interval fracture displacement, planned versus unplanned clinic appointments, radiographic union on final follow-up films, change in management based on follow-up radiographs, and nonunion and/or conversion to surgery. Bivariate statistical analysis was performed.</div></div><div><h3>Results</h3><div>Of 318 patients with 322 isolated radial head fractures initially treated nonoperatively (92% Mason I, 8% Mason II), 217 (67%) had 331 total sets of follow-up radiographs, with a median of 1 set per fracture. Increased articular displacement and Mason II classification were associated with increased number of follow-up radiographs. No patient had a change in management based on follow-up radiographs or documentation of nonunion or conversion to surgery. Median interval fracture displacement was 0 mm. The rate of follow-up radiographs was 11% higher among patients with unplanned clinic visits.</div></div><div><h3>Conclusions</h3><div>The incidence of follow-up radiographs for nonoperatively treated isolated radial head fractures has remained similar compared to previous reports, despite prior evidence demonstrating a lack of utility. In our cohort, follow-up radiographs did not change management and interval displacement was minimal, even among patients with unplanned clinic visits. Follow-up radiographs in this clinical scenario are a low-value test, and providers should reconsider the utility of obtaining these studies.</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 4","pages":"Article 100728"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106281","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":"Development of a Core Outcomes Set for Peripheral Nerve Injury","authors":"Christopher J. Dy MD, MPH ,&nbsp;Alison L. Antes PhD ,&nbsp;Heather L. Baltzer MD ,&nbsp;Harvey Chim MD ,&nbsp;Jana Dengler MD ,&nbsp;Lisa Gfrerer MD ,&nbsp;Scott H. Kozin MD ,&nbsp;Yusha Katie Liu MD ,&nbsp;Christine B. Novak DPT ,&nbsp;Hollie A. Power MD ,&nbsp;Nicholas Pulos MD ,&nbsp;Jeffrey G. Stepan MD MSc","doi":"10.1016/j.jhsg.2025.02.014","DOIUrl":"10.1016/j.jhsg.2025.02.014","url":null,"abstract":"<div><h3>Purpose</h3><div>The contemporary literature evaluating outcomes after peripheral nerve injury (PNI) does not rigorously and adequately address the domains (motor, sensory, function, and pain) experienced by patients. Our goal was to develop a core outcomes set (COS) to evaluate outcomes after PNI.</div></div><div><h3>Methods</h3><div>We adhered to recommended guidelines for COS development. Following a systematic review of the literature, we assembled a panel of experts and used a modified Delphi to assess the appropriateness of candidate measures to evaluate recovery after PNI. We convened 20 experts in PNI using two initial electronic surveys, one in-person meeting, and a final electronic survey. We arrived at consensus (≥70% of panelists) for required and recommended measures to evaluate outcomes after PNI.</div></div><div><h3>Results</h3><div>Our panel arrived at consensus for motor, sensory, function, and pain outcomes in patients after upper and lower extremity nerve injury. We designated the measures to use and the timing and administration of these measures.</div></div><div><h3>Conclusions</h3><div>We developed a COS that can be used by clinicians and researchers who evaluate patients with PNI. Our goal is to implement the COS in a unified manner, facilitating comparison in the literature as well as collaboration among centers.</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 4","pages":"Article 100724"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106208","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":"Superficial Versus Deep Local Anesthetic Infiltration in Carpal Tunnel Release: A Randomized Clinical Trial","authors":"Kristi Billard MD ,&nbsp;Yanzhao Cheng MSTAT, PhD ,&nbsp;Laura Sims MD ,&nbsp;David Sauder MD","doi":"10.1016/j.jhsg.2025.03.002","DOIUrl":"10.1016/j.jhsg.2025.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Carpal tunnel release (CTR) is commonly performed with the patient wide awake using local anesthetic (LA). Although most patients tolerate this type of procedure, there is a possibility of some discomfort or pain. We compared two LA infiltration techniques–subcutaneous infiltration alone (superficial) and subcutaneous infiltration with infiltration into the carpal tunnel (deep)–to determine which provides a better pain experience during CTR.</div></div><div><h3>Methods</h3><div>Seventy-four participants (n = 80 cases) were recruited and randomized to either deep or superficial LA infiltration. Thirty-eight received deep LA and 42 superficial LA. Primary outcomes were presence and severity of pain and/or tingling during the LA infiltration and during the procedure. We also examined the severity of pain at 2, 8, and 24 hours after the procedure. Clinical outcomes were assessed with the Boston Carpal Tunnel Questionnaire score at baseline and at 3 months postprocedure. Statistical comparisons were performed using chi-square and analysis of variance tests.</div></div><div><h3>Results</h3><div>The average age of participants was 63.04 ± 12.92 years (n = 40 females and n = 34 males). In the deep group, 21% experienced pain during LA infiltration compared to 9.5% in the superficial group, whereas 13.2% of the deep group and 11.0% of the superficial group experienced pain during the procedure. Both groups showed a significant improvement in clinical outcomes, measured by the Boston Carpal Tunnel Questionnaire.</div></div><div><h3>Conclusions</h3><div>In this randomized clinical trial comparing deep versus superficial LA infiltration techniques for CTR, we found that there was no statistically significant difference in the pain experienced during the administration of the LA or during the procedure. Given these findings, we recommend using superficial infiltration for CTR as it is technically easier and reduces the risk of potential median nerve injury.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic Ib.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100721"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106277","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":"Restoring Wrist Stability: A Case Report on Sigmoid Notch Osteoplasty and Distal Radial Ulnar Joint Reconstruction Using Allograft","authors":"Rebecca Sullivan MD ,&nbsp;Ethan Fulsher MHA ,&nbsp;Matthew Belton MD","doi":"10.1016/j.jhsg.2025.100744","DOIUrl":"10.1016/j.jhsg.2025.100744","url":null,"abstract":"<div><div>Distal radioulnar joint (DRUJ) instability is a debilitating complication that may occur following distal radius fractures. Surgical treatment of DRUJ instability remains a challenge. This is a case that highlights a unique surgical approach integrating sigmoid notch osteoplasty and DRUJ reconstruction using a gracilis tendon allograft. It focuses on a 41-year-old woman who sustained comminuted intra-articular distal radius and ulna fractures in Jamaica, leading to chronic DRUJ instability. She underwent multiple surgeries and various conservative treatments, none of which resolved her symptoms. Ultimate surgical intervention combining bone grafting with allograft reconstruction addressed both bony and ligamentous deficiencies, which successfully improved her symptoms. Six months after surgery, the patient exhibited significant functional improvement and stable DRUJ anatomy. This case demonstrates the importance of addressing both bony and soft tissue structures in chronic DRUJ instability and provides a novel combination of techniques that serve as a foundation for future surgical intervention.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100744"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106209","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":"Identification of Hand Ischemia Via Video Processed With Pigment-Enhancing Technology: Comment","authors":"Hinpetch Daungsupawong PhD ,&nbsp;Viroj Wiwanitkit MD","doi":"10.1016/j.jhsg.2025.02.013","DOIUrl":"10.1016/j.jhsg.2025.02.013","url":null,"abstract":"","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100723"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106212","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}