Journal of Hand Surgery Global Online最新文献

{"title":"What Else Can We Use? Alternative Fixation Methods of the Volar Lunate Facet Fracture of the Distal Radius","authors":"Michelle A. Richardson MD ,&nbsp;Matthew V. Abola MD ,&nbsp;Hilary T. Campbell MD ,&nbsp;Theodor Di Pauli von Treuheim MD ,&nbsp;Omri Ayalon MD","doi":"10.1016/j.jhsg.2025.100738","DOIUrl":"10.1016/j.jhsg.2025.100738","url":null,"abstract":"<div><h3>Purpose</h3><div>The anatomy of the “critical corner” in volar lunate facet fractures makes achieving fixation difficult, and standard precontoured volar locking plates may be limited in certain fracture patterns. The purpose of this review was to identify various fixation techniques for the volar lunate facet and review the outcomes data associated with each fixation method.</div></div><div><h3>Methods</h3><div>A review of the literature was performed by first screening the PubMed database for relevant articles using key terms: “volar lunate facet,” “critical corner,” and “distal radius fractures.” Two reviewers independently assessed all 87 articles for relevance. Articles were included if both reviewers agreed on their inclusion and if they described an alternative fixation method for treating volar lunate facet fractures. The reviewers then extracted as much data as possible regarding the fixation methods, including technique, sample size, follow-up period, and various outcomes such as range of motion, grip strength, return to work, and rates of union.</div></div><div><h3>Results</h3><div>Of the 28 articles that were included, the fixation methods reviewed were categorized into direct Kirschner wire fixation, compression fixation—“spring wire fixation,” tension fixation—“wire-loop fixation,” and containment fixation with the use of a buttress pin in various configurations. These alternative fixation methods had high rates of union, few complications, and good to excellent clinical outcomes.</div></div><div><h3>Conclusions</h3><div>The limitations of using a single volar locking plate for volar lunate facet fractures have led to the development of novel fixation techniques. Although these alternative fixation methods have demonstrated promising outcomes, the existing studies have small sample sizes.</div></div><div><h3>Clinical relevance</h3><div>Distal radius fractures involving the volar lunate facet present a challenge in operative fixation due to the various anatomical features described. Each unique fracture pattern must be thoroughly evaluated to determine the most appropriate fixation method.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100738"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313254","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":"Neurodegenerative Conditions in the Geriatric Population Increase Risk of Distal Radius Fracture: A Nationwide Study","authors":"Gregory R. Vance BE ,&nbsp;Katherine Benedict MD ,&nbsp;Evan C. Bowen BS ,&nbsp;Bradley F. Hathaway BA ,&nbsp;Clay B. Thames BA ,&nbsp;Marc E. Walker MD, MBA","doi":"10.1016/j.jhsg.2025.100740","DOIUrl":"10.1016/j.jhsg.2025.100740","url":null,"abstract":"<div><h3>Purpose</h3><div>Rising prevalence of geriatric neurodegenerative conditions calls for urgency to characterize common injuries in these populations for adequate targeted injury prevention. Although distal radius fracture (DRF) is common in older populations because of age-related decline, the current study aimed to report on associations between neurodegenerative conditions and DRF incidence in this senior cohort.</div></div><div><h3>Methods</h3><div>Data used in this study came from Epic Cosmos, a community collaboration of health systems representing more than 227,000,000 patient records from more than 1,301 hospitals and 28,600 clinics. All patients aged at least 60 years with an encounter between December 7, 2013, and December 6, 2023, were included and sorted based on neurodegenerative condition diagnoses using registry information and International Classification of Diseases 10 codes. Distal radius fracture incidence after the age of 60 years was measured using International Classification of Diseases 10 codes, and 99% confidence intervals were recorded. Odds ratios of DRF between those with and without neurodegenerative conditions were calculated.</div></div><div><h3>Results</h3><div>Patients listed in the Alzheimer and Dementia Registry compared with those not listed had an increase in DRF incidence after the age of 60 years. Stratified by diagnosis, Alzheimer disease was associated with higher DRF incidence than Parkinson disease, Huntington disease, frontotemporal dementia, Lewy body, and normal pressure hydrocephalus. Each condition listed was associated with a higher incidence of DRF than those without the condition.</div></div><div><h3>Conclusions</h3><div>Although uncomplicated aging is undoubtedly associated with diminished motor function, this relationship may be exacerbated by common neurodegenerative conditions, especially Alzheimer disease. Although cognitive symptoms may be more evident, patients affected by these conditions may need exceptionally diligent monitoring because of increased fall and fracture risk.</div></div><div><h3>Level of evidence</h3><div>Differential Diagnosis/Symptom Prevalence Study IV.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 5","pages":"Article 100740"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313252","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":"Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up","authors":"Annele Marianne Pönkkö MD ,&nbsp;Antti Kalevi Kaivorinne MD ,&nbsp;Ville Matti Mattila MD, PhD ,&nbsp;Aleksi Rafael Reito MD, PhD ,&nbsp;Mikko Petteri Räisänen MD","doi":"10.1016/j.jhsg.2025.02.006","DOIUrl":"10.1016/j.jhsg.2025.02.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Wrist ligament surgeries are common procedures, but there is a lack of knowledge regarding their incidence and trends. This study is a retrospective registry study aimed at investigating nationwide incidence of wrist ligament surgeries from 1997 to 2021, in Finland.</div></div><div><h3>Methods</h3><div>The data were retrieved from national electronic registry, the Finnish National Hospital Discharge Register. The primary outcome variable was the incidence of surgically treated wrist ligament tears per 100,000 person-years.</div></div><div><h3>Results</h3><div>Our study detected a 23-fold increase in traumatic wrist ligament surgery incidence from 1997 to 2014 (from 0.48 to 11.4), followed by a steep decrease to one-third (from 11.4 to 4.0) between 2014 and 2021. The incidence of arthroscopic procedures was more than twofold compared to open procedures. In 2013, the incidence of arthroscopic procedures peaked, with arthroscopic procedures being performed more than four times as frequently as open ones.</div></div><div><h3>Conclusions</h3><div>Our study has uncovered a notable increase in the incidence of wrist ligament surgeries, particularly in traumatic cases, over a 25-year period in Finland. This rise was prominent, and the trend continued until 2014, after which a decline was observed. A similar pattern was noted in the incidence of all arthroscopic ligament tear procedures, especially in the debridement of traumatic tears. The precise reasons for the observed rise and subsequent decline remain unknown, but factors such as advancements in imaging, equipment availability, development of surgical techniques, long and demanding learning curve for arthroscopic procedures, industry influences, scientific publications, and a larger proportion of young hand surgeons may have played a role. We believe that reporting operative trends, based on a reliable national registry, is valuable for enabling informed planning and resource allocation. However, further studies are needed to reveal the exact reasons behind these incidence changes and to evaluate the overall health care cost burden of these procedures.</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 100713"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253668","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":"Comment on “Artificial Intelligence in Surgical Coding: Evaluating Large Language Models for Current Procedural Terminology Accuracy in Hand Surgery”","authors":"Hinpetch Daungsupawong PhD ,&nbsp;Viroj Wiwanitkit MD","doi":"10.1016/j.jhsg.2025.100745","DOIUrl":"10.1016/j.jhsg.2025.100745","url":null,"abstract":"","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100745"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222083","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 Social Deprivation on Phalangeal Fracture Operative Treatment Outcomes","authors":"Jacob D. Kodra BS ,&nbsp;Austen Schweinert BS ,&nbsp;Mackenzie O’Connell MS ,&nbsp;Matthew Van Boxtel MD ,&nbsp;Alexander R. Graf MD ,&nbsp;Jessica Hanley MD","doi":"10.1016/j.jhsg.2025.100765","DOIUrl":"10.1016/j.jhsg.2025.100765","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to evaluate the relationship between social determinants of health and outcomes following phalangeal fracture surgery using the Area Deprivation Index.</div></div><div><h3>Methods</h3><div>A retrospective chart review was performed on patients ≥18 years old who underwent surgical fixation of a proximal, middle, or distal phalangeal fracture at our level I trauma center from January 2006 to December 2018. Surgical techniques included open reduction and internal fixation, closed reduction and percutaneous pinning, intramedullary fixation, and external fixation. Patients with multiple fractures or who required nonsurgical treatment were excluded. Demographics, comorbidities, range of motion, visual analog scale pain scores, and Quick Disabilities of the Arm, Shoulder, and Hand (<em>Quick</em>DASH) scores were analyzed. The Area Deprivation Index categorized patients into terciles by their relative deprivation level. Statistical tests included analysis of variance, chi-square tests, and multivariate logistic regression.</div></div><div><h3>Results</h3><div>In total, 194 patients were included. The most deprived group had a greater proportion of Black/African Americans. No significant differences were observed in fracture patterns, surgical technique, or implant utilization. Preoperative pain scores were greater in the most deprived group (6.05 ± 2.61) compared with the least deprived group (3.95 ± 2.80). Postoperative pain was also higher in the most deprived group (2.14 ± 2.46) versus the least deprived group (0.50 ± 0.73). Preoperative <em>Quick</em>DASH scores were greater in the most deprived group (61.36 ± 22.94) compared with the intermediately deprived group (46.04 ± 20.59).</div></div><div><h3>Conclusions</h3><div>Social deprivation may influence preoperative and postoperative pain in phalangeal fracture surgery. Considering socioeconomic factors could help address underlying disparities and enhance patient recovery.</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 4","pages":"Article 100765"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222082","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":"Preoperative Expectations Do Not Independently Predict Two-Year Patient-Reported Outcomes Following Hand and Wrist Surgery","authors":"Brandon Leon MD ,&nbsp;Samir Kaveeshwar MD ,&nbsp;Yanni Kevas MD ,&nbsp;Daniel Rivkin BS ,&nbsp;Matheus B. Schneider MD ,&nbsp;Leah E. Henry MD ,&nbsp;Evan L. Honig MD ,&nbsp;Michael A. McCurdy MD ,&nbsp;Raymond A. Pensy MD ,&nbsp;Christopher G. Langhammer MD ,&nbsp;Ralph Frank Henn III MD","doi":"10.1016/j.jhsg.2025.100763","DOIUrl":"10.1016/j.jhsg.2025.100763","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this paper was to use validated instruments to identify if there is a relationship between preoperative expectations and patient-reported outcomes (PROs) in patients undergoing hand and wrist surgery. We hypothesized that preoperative expectations would be predictive of 2-year PROs in hand and wrist surgery patients.</div></div><div><h3>Methods</h3><div>In total, 253 patients who underwent hand and wrist surgery were enrolled in a prospective orthopedic registry. The Musculoskeletal Outcomes Data Evaluation and Management System was used to measure preoperative expectations. At both baseline and 2 years after surgery, patients completed multiple questionnaires with multiple PROs, including six domains of the PROs measurement information system (PROMIS) and the Brief Michigan Hand Questionnaire.</div></div><div><h3>Results</h3><div>Overall, patients undergoing hand and wrist surgery had high expectations. Worse preoperative expectations were significantly associated with smoking, worker’s compensation or other legal claim, a greater number of prior surgeries, and worse baseline PROMIS physical function, fatigue, and anxiety (<em>P</em> &lt; .05). Bivariate analysis indicated that greater preoperative expectations were associated with better 2-year PROMIS physical function, PROMIS pain interference, PROMIS fatigue, PROMIS depression, numeric pain scale, surgical satisfaction questionnaire scores, met expectations, and the Brief Michigan Hand Questionnaire (<em>P</em> &lt; .05). Multivariable analysis controlling for confounding variables revealed that preoperative expectations were not independently predictive of any 2-year PROs.</div></div><div><h3>Conclusions</h3><div>Patients’ preoperative expectations are associated with, but not independently predictive of, 2-year patient-reported outcomes.</div></div><div><h3>Type/of study/level of evidence</h3><div>Prognostic IIB.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100763"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203123","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":"Acute Hypothenar Hammer Syndrome With Digital Ischemia in a Professional Rakugo Performer","authors":"Daiki Saito MD ,&nbsp;Norie Kodera MD, PhD ,&nbsp;Makoto Hirao MD, PhD","doi":"10.1016/j.jhsg.2025.100761","DOIUrl":"10.1016/j.jhsg.2025.100761","url":null,"abstract":"<div><div>We report a rare case of hypothenar hammer syndrome in a 59-year-old professional Rakugo performer who developed acute digital ischemia in the right hand. Imaging revealed a thrombosed ulnar artery pseudoaneurysm, which was surgically resected and reconstructed using a vein graft. The patient had a history of blunt hand trauma over a decade earlier but remained asymptomatic until sudden onset of ischemia following excessive alcohol intake. This case highlights the potential for delayed yet acute presentation of hypothenar hammer syndrome and underscores the importance of recognizing occupational microtrauma and systemic triggers in vascular hand conditions.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100761"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203124","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":"Validation of Virtual Wrist Range of Motion Measurements Using Video Coaching","authors":"Cole Elaschuk BSc (hons) ,&nbsp;John Perverseff ,&nbsp;Matthew Getzlaf MD ,&nbsp;David Sauder MD ,&nbsp;Laura Sims MD","doi":"10.1016/j.jhsg.2025.100758","DOIUrl":"10.1016/j.jhsg.2025.100758","url":null,"abstract":"<div><h3>Purpose</h3><div>Wrist range of motion (ROM) is an important assessment in wrist pathology. It is most commonly assessed using a long-arm goniometer. In-person intrarater reliability has been found to be high. Studies evaluating the assessment of wrist ROM virtually are less conclusive. The purpose of this study was to determine the validity and intrarater and inter-rater reliability of virtual wrist ROM measurements using a video coaching method.</div></div><div><h3>Methods</h3><div>We performed a prospective cohort study assessing wrist flexion, extension, pronation, and supination in healthy volunteers. Three assessors—medical student, research assistant, and upper-extremity surgeon—measured participant wrist ROM at in-person, same-day virtual, and repeat virtual time points, with a 1-week washout period. Measurements were made with a long-arm goniometer. Virtual assessments were performed over Zoom, allowing the assessor to coach volunteers on correct wrist positioning for accurate measurement, using a predefined protocol. Interclass correlation (ICC; 95% confidence intervals) was used to assess intra- and inter-rater reliability between each time point.</div></div><div><h3>Results</h3><div>Fifty-three wrists were enrolled, with complete data available for 45 of them. For all raters and all ROM measures, ICC values for in-person measurements were &gt;0.75, suggesting good inter-rater reliability. This was also seen for same-day and repeat virtual measures for all ROM measurements and raters (ICC &gt;0.75), suggesting similar inter-rater reliability to in-person measurements. Intrarater reliability for in-person, same-day virtual, and repeat virtual was at least good (ICC &gt; 0.75) for all raters and all ROM measurements. Supination had the highest intrarater reliability, with all raters having ICC values graded as excellent (ICC &gt; 0.9).</div></div><div><h3>Conclusions</h3><div>Virtual wrist ROM assessments showed good inter-rater and intrarater reliability, with ICC scores comparable with in-person measures. This was true for raters of all levels of experience. Virtual wrist ROM assessment by this method offers a reliable alternative to in-person assessment.</div></div><div><h3>Type of study and level of evidence</h3><div>Diagnostic IIb.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100758"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203277","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":"Opioid Use Patterns After Nonsurgical Management of Distal Radius Fractures: A Call for Opioid Stewardship","authors":"Sina Ramtin MD ,&nbsp;Sara Khan BS ,&nbsp;Vijay Chhabra BA ,&nbsp;Wali Pirzada BS ,&nbsp;Mohammad Khak MD ,&nbsp;Asif M. Ilyas MD, MBA","doi":"10.1016/j.jhsg.2025.100759","DOIUrl":"10.1016/j.jhsg.2025.100759","url":null,"abstract":"<div><h3>Purpose</h3><div>While most opioid research focuses on postoperative use, limited data exist on prescribing patterns in nonsurgical management of common injuries such as distal radius fractures (DRFs). This study aimed to assess opioid prescribing trends and identify factors linked to prolonged use in nonsurgically treated DRFs.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of 591 patients aged 18–50 with nonsurgically managed DRFs between 2018 and 2024 was conducted. Opioid use was classified as prior opioid use (POU), fracture-related opioid use (FxOU), or delayed opioid use (DOU). Prescription data were obtained from the Prescription Drug Monitoring Program and analyzed for morphine milligram equivalents, number of prescriptions, prescriber type, and timing relative to orthopedic consultation.</div></div><div><h3>Results</h3><div>Only 32% of patients received an opioid prescription after their DRF. Among the 189 who did, 35% were POU; 37% were FxOU, and 28% were DOU. Orthopedic surgeons prescribed opioids in just 6% of total cases and 19% of cases among opioid recipients; 81% of prescriptions came from nonorthopedic providers. Surgeons wrote only 11% of FxOU prescriptions, whereas 56% of POU and DOU prescriptions were from nonorthopedic prescribers. Patients with POU had significantly higher cumulative morphine milligram equivalents compared with those with FxOU. No significant morphine milligram equivalent or prescription count difference was found between surgeons and nonorthopedic prescribers, but patients with DOU had a higher prescription count.</div></div><div><h3>Conclusions</h3><div>Most patients with nonsurgical DRFs did not receive opioids. When prescribed, over 80% of opioids originated from nonorthopedic providers. Delayed opioid use and POU were associated with increased cumulative exposure, highlighting the need for fracture surgeons to take a more active role in opioid stewardship and for improved coordination across providers to reduce unnecessary opioid exposure.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic II.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100759"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184681","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":"Diagnosis and Management of Persistent Trapezoid Dislocation Following Surgical Treatment of Second through Fifth Carpometacarpal Fracture Dislocation","authors":"Michael Flood MD ,&nbsp;Gregory Iovanel MD ,&nbsp;Muntazim Mukit MD ,&nbsp;Michael R. DiBenedetto MD","doi":"10.1016/j.jhsg.2025.100769","DOIUrl":"10.1016/j.jhsg.2025.100769","url":null,"abstract":"<div><div>This case report highlights a persistent palmar trapezoid dislocation requiring return to the operating room following closed reduction and percutaneous pinning of second through fifth carpometacarpal joint fracture dislocations in the setting of ipsilateral distal radius fracture and distal radioulnar joint injury. The dislocation was identified on postoperative computed tomography imaging and required open reduction via dorsal approach. We offer this report to improve recognition of this rare presentation and to emphasize the importance of careful evaluation of intraoperative and postoperative imaging.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100769"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184685","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}