Journal of Hand Surgery Global Online最新文献

{"title":"Cryotherapy-Induced Full-Thickness Digital Frostbite Injury Reconstructed With Reverse Cross-Finger Flap","authors":"Joseph W. Gorvetzian MD ,&nbsp;Jacob D. Franke MD ,&nbsp;Reece A. Moore MD ,&nbsp;Stephen P. Duquette MD","doi":"10.1016/j.jhsg.2025.100799","DOIUrl":"10.1016/j.jhsg.2025.100799","url":null,"abstract":"<div><div>We present a rare case of full-thickness frostbite injury following cryotherapeutic treatment for a viral digital wart. Treatment of abnormal skin growths secondary to cutaneous infection by human papillomavirus (ie, warts) often is sought because of their unsightly appearance. Numerous treatment modalities exist, including topical, systemic, surgical, and cryotherapeutic options. Cryotherapy (eg, liquid nitrogen) represents a common treatment option for cutaneous warts. Complications secondary to cryotherapy are infrequent and generally minor (eg, skin dyspigmentation or transient dysesthesias). In this case, a 37-year-old woman sustained a full-thickness injury following cryotherapeutic treatment for a wart on the dorsum of her left ring finger resulting in a wound with exposure and partial injury of her terminal extensor tendon. The wound was treated with debridement and reconstruction with reverse cross-finger flap from the adjacent long finger. Observed functional and cosmetic outcomes were excellent, including complete resolution of her terminal extensor lag.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100799"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695068","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":"Impact of Wide-Awake Local Anesthesia No Tourniquet Surgery on Education During Surgical Training: A Survey of Residents and Fellowship Directors","authors":"Francine Zeng MD ,&nbsp;Lisa Tamburini MD ,&nbsp;Marissa Gedman MD ,&nbsp;Christopher Garcia BS ,&nbsp;Joel V. Ferreira MD ,&nbsp;Craig M. Rodner MD ,&nbsp;Anthony Parrino MD","doi":"10.1016/j.jhsg.2025.100783","DOIUrl":"10.1016/j.jhsg.2025.100783","url":null,"abstract":"<div><h3>Purpose</h3><div>Wide-awake local anesthesia no tourniquet (WALANT) surgery is becoming widely popular in the United States, although its impact on resident education remains unclear. We aimed to assess resident experience with WALANT surgery across the country with the goal of understanding benefits as well as identifying areas for improvement.</div></div><div><h3>Methods</h3><div>An electronic survey assessing exposure and experience with the WALANT technique and the perceived impact on education was sent to 213 orthopedic surgery residency programs to be distributed to residents and 94 hand fellowship directors. Survey data were collected using Research Electronic Data Capture.</div></div><div><h3>Results</h3><div>Sixty-five residents (24 females) completed the survey. Although 46 (71%) residents described their overall experience with WALANT as “excellent” or “good,” 49 (75%) rated the overall educational value as “lower” or “about the same” as surgeries performed under anesthesia. When asked how to improve training, most responses recommended increased exposure and patient education regarding resident involvement during cases. Approximately half of the fellowship directors endorsed altering their teaching methods and how much they allow either a resident or fellow to perform during a WALANT case. The most common reasons for this included time constraints, patient comfort, and patient being awake during the case.</div></div><div><h3>Conclusions</h3><div>Many orthopedic residents are being exposed to WALANT hand surgery, but it may be less educational compared with procedures under anesthesia.</div></div><div><h3>Clinical relevance</h3><div>To improve education, we recommend increasing exposure, having open communication with patients regarding the trainee’s role, and emphasizing discussion between the trainee and surgeon before and after surgery.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100783"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695135","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":"Value of Early Diagnosis and Treatment of Amyloidosis: A Pilot Study of Synovial Biopsy During Carpal Tunnel Release","authors":"Trevor Ruesch BS ,&nbsp;Nevil Khurana MS ,&nbsp;Logan Hansen MD ,&nbsp;Katiya Barkho BS ,&nbsp;Julia Malewicz BS ,&nbsp;Benjamin Brennan MS ,&nbsp;Charles S. Day MD, MBA","doi":"10.1016/j.jhsg.2025.100779","DOIUrl":"10.1016/j.jhsg.2025.100779","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to calculate the value of early diagnosis and treatment of transthyretin amyloidosis with tafamadis prior to the development of the symptoms of heart failure. In this pilot study of 51 patients, we present the validation of a published algorithm for the early identification of patients at risk for amyloidosis via tenosynovial biopsy during carpal tunnel release. In addition, by integrating clinical data from this pilot study with published predictive models, we aim to calculate the value of routine screening biopsies for transthyretin amyloidosis.</div></div><div><h3>Methods</h3><div>Patients presenting for carpal tunnel release surgery had a tenosynovial biopsy collected at the time of surgery. Cost information was gathered from hospital records. In conjunction with published models, five incremental cost effectiveness ratio equations were generated to assess the value of these screening biopsies.</div></div><div><h3>Results</h3><div>Of the 51 biopsied patients, six tested positive for amyloid, and one was started on tafamadis, a disease-modifying medication. Early diagnosis and treatment of patients with New York Heart Association class I (NYHA I) heart failure as opposed to NYHA IV results at a cost of $166,691.49 USD per quality adjusted life year (QALY). When treatment is initiated at NYHA class II stage compared with NYHA class IV, there is a cost of $155,977.22/QALY. For treatment at NYHA class III compared with NYHA class IV, the cost is $75,333.28/QALY.</div></div><div><h3>Conclusions</h3><div>This study validates the utility of previous criteria in identifying patients at high risk for systemic amyloidosis earlier in the disease course. Using the commonly accepted willingness to pay threshold of $50,000/QALY, early initiation of tafamadis does not represent a cost effective intervention. Routine biopsy of patients is not cost effective with the current cost of therapy and positivity rates of amyloidosis screening.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic IB.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100779"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695134","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":"Investigating Normative Measurements of the Thumb and Index Finger to Aid in Reconstructive Surgery","authors":"Sydney Boike MD ,&nbsp;Mikayla J. Baker MD ,&nbsp;Lucas Ray MD ,&nbsp;Ali Odenthal MPH ,&nbsp;Deb Bohn MD ,&nbsp;Ann Van Heest MD","doi":"10.1016/j.jhsg.2025.100792","DOIUrl":"10.1016/j.jhsg.2025.100792","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to investigate normative measurements of the thumb relative to the index finger; this may help guide hand surgery reconstruction and define a thumb as hyperplastic or hypertrophic.</div></div><div><h3>Methods</h3><div>In total, 162 Minnesota State Fair participants were measured for thumb and index finger length, width, girth; joint range of motion (ROM) of the interphalangeal and metacarpophalangeal joints; and pinch and grip strength.</div></div><div><h3>Results</h3><div>Participants’ age averaged 42.5 (range 14–88) years with 57% female, 86% White, and 86% right-handed. The right and left demonstrated similarity of thumb and index finger size for each participant. Men demonstrated larger length and girth of the thumb and index finger and stronger pinch and grip strengths but have minimal differences in ROM compared to women. The ratio of the index fingernail is 75% of the thumbnail. The length of the thumb is 73% of the index finger, and the thumb interphalangeal girth is 80% of the index finger proximal interphalangeal (PIP) joint. On average, the thumb tip sits 1.9 cm proximal to the index PIP joint.</div></div><div><h3>Conclusions</h3><div>Anthropometric measurements of the thumb and index fingers demonstrate similarities of right and left hands for length, girth, ROM, and strength. Differences exist with size and strength greater for men compared with women, without differences in ROM. The thumb tip, on average, sits 19 mm proximal to the PIP joint, which is contrary to the conventional teaching for index pollicization to set the thumb tip length to the level of the adjacent finger PIP joint.</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 5","pages":"Article 100792"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695136","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":"Volar Plate Repair for Chronic Injury","authors":"Michael Buldo-Licciardi MD ,&nbsp;Marshall L. Balk MD ,&nbsp;Robert J. Goitz MD","doi":"10.1016/j.jhsg.2025.100776","DOIUrl":"10.1016/j.jhsg.2025.100776","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to assess the long-term outcomes of volar plate repair for chronic injury.</div></div><div><h3>Methods</h3><div>Patients who underwent volar plate repair for chronic instability more than 6 months following the initial injury were included. A minimum follow-up of 2 years from time of surgery was required. Outcome measures included range of motion, the upper extremity <em>Quick</em>DASH (Disabilities of the Arm, Shoulder, and Hand) score, return to work, return to sport, and plain radiographs.</div></div><div><h3>Results</h3><div>Ten patients were included. The mean time from injury to repair was 9 years, ranging from 10 months to 30 years. The digits involved included one thumb, four ring fingers, and five small fingers. Nine reported being extremely satisfied, and one reported being satisfied with their outcome at final follow-up. Nine of ten reported pain as their initial symptom, and none reported pain at final follow-up. Prior to surgery, all patients had proximal interphalangeal hyperextension ranging from 15° to 60°, three of which were classified as swan neck deformities. At final follow-up, nine patients had extension ranging from 0° to 3°. In addition, one patient had a hyperextension of 25°, although this patient had a subsequent injury. All had full flexion of their proximal interphalangeal joint at final follow-up. The three subjects who reported occupational impairment prior to surgery had no functional limitations following surgery. Two subjects whose injuries led to sport limitations reported returning to their preinjury level of sport.</div></div><div><h3>Conclusions</h3><div>Volar plate repair for chronic injury resulted in successful outcomes based on satisfaction, <em><u>Quick</u></em>DASH score, physical examination, and radiographic images. These benefits were noted in a repairs performed decades after injury.</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 5","pages":"Article 100776"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686123","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":"Osteoarthritis Progression, Pain, and Function in Early Carpometacarpal Osteoarthritis: A Six-Year Longitudinal Study","authors":"Peter T. Ajayi BA ,&nbsp;Amy M. Morton MSc ,&nbsp;Amy L. Ladd MD ,&nbsp;Arnold-Peter C. Weiss MD ,&nbsp;Joseph J. Crisco PhD","doi":"10.1016/j.jhsg.2025.100795","DOIUrl":"10.1016/j.jhsg.2025.100795","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to examine the 6-year progression of modified Eaton staging, pain scores, and hand strength in patients with early carpometacarpal osteoarthritis (OA) and healthy controls, illustrating the differences between OA groups and controls. Osteoarthritis patients were stratified into stable and progressing groups using three-dimensional computed tomography imaging to identify clinical and radiographic markers differentiating progressing OA from stable disease and healthy controls.</div></div><div><h3>Methods</h3><div>Data were collected from 86 early carpometacarpal OA patients, classified as stable or progressing OA based on trapezial osteophyte volume (progression defined as &gt;150 mm³ at any visit or a growth rate &gt;14.6 mm³/y), and from 22 healthy controls. Osteoarthritis patients were assessed at baseline and at 1.5-year intervals up to 6 years, whereas controls were evaluated at baseline and year 6. We analyzed modified Eaton stage, patient-rated wrist/hand evaluation, Australian/Canadian OA hand index pain and function scores, and key pinch and grip strengths across groups over 6 years. Tukey honestly significant difference tests evaluated intergroup differences, and fixed effects models assessed the effects of time and OA progression on outcomes, with statistical significance set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>Progressing OA demonstrated an increase in modified Eaton score, with clear progression by year 6. Patient-rated wrist/hand evaluation and Australian/Canadian OA hand index pain scores were elevated in both stable and progressing OA groups at baseline and year 6 compared with controls (<em>P</em> &lt; .05), although minimal differences existed between stable and progressing OA. Functional scores were similarly higher in OA groups, whereas key pinch and grip strength showed little trend over time, with minor differences between stable and progressing OA.</div></div><div><h3>Conclusions</h3><div>Marked radiographic differences in modified Eaton score distinguish progressing from stable OA, indicating that structural progression is a key marker of disease advancement. Minimal differences in pain, functional scores, and hand strength between OA groups suggest that radiographic changes are more distinct indicators of OA progression than subjective or objective functional measures. These findings emphasize radiographic monitoring as the major parameter for OA progression.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic III.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100795"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679692","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":"Expanding Insurance Coverage for Pediatric Upper Extremity Recreational Prosthetic Devices","authors":"Sabrina Lazar BS ,&nbsp;Gina Rose Eggert BS ,&nbsp;Meera Reghunathan MD ,&nbsp;Katharine M. Hinchcliff MD","doi":"10.1016/j.jhsg.2025.100790","DOIUrl":"10.1016/j.jhsg.2025.100790","url":null,"abstract":"<div><div>Pediatric limb differences often necessitate prosthesis use to assist with activities of daily living. Daily prosthetics are not designed for creative or skill- and strength-based physical activities, which has prompted the use of activity-based or “recreational” prosthetics. Pediatric activity-specific prosthetics are expensive but provide considerable physical and psychological benefits, such as increased strength, weight loss, better self-esteem, social inclusion, and higher quality of life. Currently, activity-specific prostheses are generally not covered by insurance, posing considerable financial burden in conjunction with ongoing prosthetic replacements and additional medical care. Many states are introducing and adopting policies about expanding insurance coverage for activity-specific prostheses, which are cost-saving in the long-term. To best serve our patients with limb differences, hand surgeons should advocate for expanded coverage of activity-specific prostheses for pediatric patients at local, state, and national levels.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100790"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679693","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 Review of Perilunate Dislocations and Concomitant Acute Carpal Tunnel Syndrome: When Should the Carpal Tunnel be Released?","authors":"Jenna L. Dvorsky MS ,&nbsp;Anna Green MD ,&nbsp;John Fowler MD","doi":"10.1016/j.jhsg.2025.100797","DOIUrl":"10.1016/j.jhsg.2025.100797","url":null,"abstract":"<div><div>Perilunate dislocations (PLDs) are severe injuries of the wrist often resulting from a high-energy trauma. Given the traumatic mechanism and complexity of the injury itself, PLDs often require urgent intervention in the form of early open reduction and surgical stabilization. One potential, but severe, complication of perilunate dislocations is median nerve compression resulting in acute carpal tunnel syndrome. The treatment of acute median nerve compression secondary to PLDs is controversial, leading to the question of when, and in what PLD cases, should the carpal tunnel be released? The purpose of this work was to review the few studies in the literature specifically addressing median neuropathy in the setting of PLDs while offering an opinion and proposing a treatment algorithm as to when the carpal tunnel should be released in these patients.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100797"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679694","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":"Incidence of Heart Failure Following Carpal Tunnel Release Surgery","authors":"Harrison S. Fellheimer BA ,&nbsp;Mahaa Ayub BA ,&nbsp;Gabriel I. Onor MD ,&nbsp;Lauren O’Mara MD ,&nbsp;Eric Tecce MD ,&nbsp;Pedro K. Beredjiklian MD","doi":"10.1016/j.jhsg.2025.03.005","DOIUrl":"10.1016/j.jhsg.2025.03.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Previous literature suggests a relationship between carpal tunnel syndrome (CTS) and heart failure (HF), indicating that patients with CTS are more likely to experience cardiomyopathy. Amyloid deposition leading to CTS may be prodromal for the development of amyloid cardiomyopathy. We hypothesized that patients undergoing surgery for CTS would have an increased risk of HF compared to those who did not undergo surgery.</div></div><div><h3>Methods</h3><div>The TriNetX database was queried using the primary ICD-10 code for CTS to identify patients. Patients were included if they had surgical treatment for CTS, reported as endoscopic or open carpal tunnel release, or median nerve release. The primary outcome was HF. Propensity scoring adjusted for demographics and comorbidities. Statistical significance was set at <em>P</em> &lt; .05, and odds ratios were calculated at 95% confidence intervals (CI).</div></div><div><h3>Results</h3><div>The incidence of HF in patients who underwent carpal tunnel release was 3.49%, 5.98%, 6.947%, and 7.102% at 5, 10, 15, and 20 years after surgery. Compared to nonsurgical patients, the risk difference of 0.399 (95% CI, 0.202–0.596) became statistically significant at five years (<em>P</em> &lt; .0001) with an increased risk ratio (RR) of 1.129 (95% CI, 1.0063–1.198) for surgical patients. The risk difference peaked at 2.007% (95% CI, 1.744–2.27) at the 20-year mark with an RR of 1.369 (95% CI, 1.311–1.456).</div></div><div><h3>Conclusions</h3><div>This study demonstrates that patients who underwent carpal tunnel release were more likely to experience HF than nonsurgical matched controls. It also showed an increased association with CTS and HF compared to HF progression in the general population In CTS patients with a higher risk of heart failure, hand surgeons can have a crucial role in early identification and facilitating further cardiovascular assessment.</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 5","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663280","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":"Exploring Health and Financial Literacy in Patients With Peripheral Nerve Injury: A Cross-Sectional Analysis of Patients Treated Surgically","authors":"Jake H. Goldfarb BS ,&nbsp;Zachary D. Randall BS ,&nbsp;David M. Brogan MD, MSc ,&nbsp;Christopher J. Dy MD, MPH","doi":"10.1016/j.jhsg.2025.100787","DOIUrl":"10.1016/j.jhsg.2025.100787","url":null,"abstract":"<div><h3>Purpose</h3><div>Health literacy influences patient outcomes and recovery in musculoskeletal conditions. Although financial distress is common after orthopedic injuries, the role of financial literacy in these patients is unknown. We aimed to evaluate health and financial literacy in patients recovering from peripheral nerve injuries (PNI).</div></div><div><h3>Methods</h3><div>After obtaining institutional review board approval, this cross-sectional study surveyed 21 patients with either PNI or brachial plexus injuries via phone. Two validated instruments were administered: the Health Literacy Questionnaire, comprising 44 items across nine independent domains, and a 23-item Financial Literacy Questionnaire assessing a range of financial literacy concepts. Descriptive statistics summarized scores on both surveys.</div></div><div><h3>Results</h3><div>Participants had a mean age of 52.3 ± 15.8 years; 38% were women. The Health Literacy Questionnaire results demonstrated uniformly high health literacy across all domains, with the highest scores observed in domains related to active engagement with health care providers, understanding health information, and social support. In contrast, financial literacy, measured by the overall percentage of correct responses on the Financial Literacy Questionnaire, averaged 70% ± 20% (range: 21.7% to 91.3%), indicating moderate financial literacy with substantial interpatient variability.</div></div><div><h3>Conclusions</h3><div>Patients recovering from PNI possess high levels of health literacy across nine different domains, comparable with populations with chronic conditions such as psoriasis, heart failure, and those undergoing dialysis. However, moderate and variable financial literacy suggests that despite effective health care system navigation, many patients may be less equipped for the financial challenges associated with their injury. These findings highlight the potential benefit of integrating targeted financial education into the perioperative management of PNI patients.</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 5","pages":"Article 100787"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631335","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}