Journal of Hand and Microsurgery最新文献_第2页

Advancements in the differential diagnosis for spindle cell lipoma. 梭形细胞脂肪瘤的鉴别诊断进展。

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Journal of Hand and Microsurgery Pub Date : 2025-10-27 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100364

Jiro Ichikawa, Tomonori Kawasaki, Masanori Wako, Kouhei Mitsui, Kojiro Onohara

引用次数: 0

Companian Editorial Letter. 公司社论信。

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Journal of Hand and Microsurgery Pub Date : 2025-10-24 eCollection Date: 2026-01-01 DOI: 10.1016/j.jham.2025.100361

Donald H Lalonde

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Corrigendum to "Stabilization of the scapholunate interval with interference fit screws: How to do it safely" [J Hand Microsurg 17 (4) (2025) 100288]. “过干涉配合螺钉稳定舟月骨间隙的安全方法”[J].手显微外科杂志17(4)(2025)100288。

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Journal of Hand and Microsurgery Pub Date : 2025-10-22 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100363

Gustavo Luis Gomez Rodriguez, Nicolas Alejandro Irigoitia, Alvaro Muratore, Arnaout Ahlam, Gabriel Clembosky

引用次数: 0

The "clover FLAP": A one-stage local flap for dorsal fingertip and nail bed reconstruction. 三叶草皮瓣：指背及甲床重建的一期局部皮瓣。

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Journal of Hand and Microsurgery Pub Date : 2025-10-18 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100357

Pier Paolo Pangrazi, Francesco De Francesco, Michele Riccio

{"title":"The \"clover FLAP\": A one-stage local flap for dorsal fingertip and nail bed reconstruction.","authors":"Pier Paolo Pangrazi, Francesco De Francesco, Michele Riccio","doi":"10.1016/j.jham.2025.100357","DOIUrl":"10.1016/j.jham.2025.100357","url":null,"abstract":"Background: Fingertip and nail bed injuries represent complex reconstructive challenges in hand surgery, requiring restoration of both function and aesthetics. The nail unit's intricate anatomy-comprising the matrix, bed, and surrounding tissues-necessitates precise surgical techniques to prevent long-term deformities and sensory deficits. This study presents and evaluates the \"clover flap,\" a novel homodigital advancement technique designed for dorsal fingertip injuries involving partial or complete nail bed loss.Methods: In this retrospective cohort study, 63 patients with dorsal fingertip defects were treated between 2005 and 2023 using the clover flap at a primary referral center. The flap involves volar V-Y advancements redirected dorsally in a trifoliate configuration, allowing one-stage coverage without grafts. Outcomes were assessed using standardized clinical, functional, and aesthetic metrics including Quick-DASH, 2PD, POSAS, FIOS, and OFNAS scores.Results: No complete flap necrosis occurred. Nail deformities were limited to 17.5 % of cases, with minimal donor site morbidity. Patients achieved a mean Quick-DASH score of 14.6, 2PD of 7.3 mm, and an active ROM of 224°. Grip and pinch strength recovered to 79 % and 81 % of the contralateral side, respectively. Aesthetic outcomes were favorable, with an OFNAS of 4.5 and FIOS of 11.3. Multivariate analysis confirmed functional and cosmetic stability over time, regardless of complication presence.Conclusion: The clover flap offers a reliable, one-stage reconstructive option for dorsal fingertip injuries, combining high functional recovery with excellent nail bed and scar aesthetics. Its design preserves nail matrix integrity, avoids microsurgery, and is particularly suitable in acute care settings.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 6","pages":"100357"},"PeriodicalIF":0.5,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Treatment options for bilateral fibrolipomatous hamartoma of the median nerve. 双侧正中神经纤维脂肪瘤错构瘤的治疗选择。

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Journal of Hand and Microsurgery Pub Date : 2025-10-16 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100358

Arne Decramer, Bert Vanmierlo, Bart Billet

引用次数: 0

Evaluation of the results of combined free vascularized fibular graft and pasteurized tumor segment for the reconstruction of intercalary femoral defects following tumor resection. 游离腓骨带血管移植联合肿瘤段巴氏消毒修复股骨骨间缺损的疗效评价。

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Journal of Hand and Microsurgery Pub Date : 2025-10-15 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100359

Islam Mohamed Abdelmaksoud, Mohammad Hasan Ahmad, Awad Rafalla Elmalky, Ahmed Elsayed Semaya, Mahmoud Kamal

{"title":"Evaluation of the results of combined free vascularized fibular graft and pasteurized tumor segment for the reconstruction of intercalary femoral defects following tumor resection.","authors":"Islam Mohamed Abdelmaksoud, Mohammad Hasan Ahmad, Awad Rafalla Elmalky, Ahmed Elsayed Semaya, Mahmoud Kamal","doi":"10.1016/j.jham.2025.100359","DOIUrl":"10.1016/j.jham.2025.100359","url":null,"abstract":"Introduction: the reconstruction of intercalary femoral defects after tumour resection is challenging. We have evaluated the clinical, functional, and oncological results of using free vascularized fibular graft combined with preserved pasteurized tumour segment.Materials: this study was retrospective in nature and included 12 patients [eight males and four females]. The mean age was 21.3 years ± 11.3. The diagnoses of the patients were osteosarcoma (Five cases) and Ewing's sarcoma (seven cases). The resection was wide local excision, and the defect was reconstructed using combined free vascularized fibular graft and pasteurized tumour segment.Results: the mean time to union was 7.1 ± 1.9 months while the mean time to full weight bearing was 12 ± 1.8 months. The mean size of skeletal defect was 17.7 cm ± 1.92. The mean duration of surgery was 12.1 h ± 1.88. Nonunion occurred in four cases, stress fractures occurred in two cases and metal failure occurred in one case.Conclusion: the combined technique of using free vascularized fibular graft and pasteurized tumour segment for intercalary femoral defects following tumour resection is a valuable technique with accepted complications and good results.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 6","pages":"100359"},"PeriodicalIF":0.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12597259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The unlocked hand: A surgical-rehabilitative paradigm for post-stroke spasticity. 解锁的手：中风后痉挛的手术康复范例。

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Journal of Hand and Microsurgery Pub Date : 2025-09-27 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100349

Vaikunthan Rajaratnam, Usama Farghaly Omar, Amr Eisa, Shalimar Abdullah, J Terrence Jose Jerome

引用次数: 0

Tremors associated with peripheral nerve entrapments of the upper limb. 震颤与上肢周围神经压迫有关。

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Journal of Hand and Microsurgery Pub Date : 2025-09-20 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100353

Thomas Apard, Jean-Paul Brutus, Benjamin Ferembach, Alison Tayor, Elisabet Hagert

{"title":"Tremors associated with peripheral nerve entrapments of the upper limb.","authors":"Thomas Apard, Jean-Paul Brutus, Benjamin Ferembach, Alison Tayor, Elisabet Hagert","doi":"10.1016/j.jham.2025.100353","DOIUrl":"10.1016/j.jham.2025.100353","url":null,"abstract":"Peripherally-induced movement disorder (PIMD) is a group of conditions manifested by involuntary movements or other motor abnormalities that are induced by or emerge in the context of injury to the peripheral nervous system. Peripheral nerve entrapment (PNE) in the upper extremities is common and their clinical signs are very well known by hand surgeons. Only 3 cases of tremor with PNE have already been reported (one in 1986 and two very recently). The aim of this multicentric retrospective study is to report clinical cases of tremors caused by PNE and to analyze their clinical findings and treatment. 17 patients was referred to 5 hand centers for tremors of their hand after being examined by a neurologist clinically and electrophysiologically. The clinical examination showed simple, double or multiple crush nerve entrapment at the upper limb (elbow was involved for all of them except one). The treatment was conservative (myofascial manipulation and taping) for 8 patients and surgical (wide awake nerve release) for 9 others after failure of conservative treatments. The tremors disappeared for all of them. Our study showed upper limb peripheral nerve entrapment can be a cause of tremor of the hand in rare but misdiagnosed situations. We suggest that tremor induced by peripheral nerve entrapment can be a new type of tremor classified in the PIMD group. Hand physiotherapist and surgeons must be questioned by medical doctors who take care of tremors (family doctors, neurologists …) and so, be awared of that etiology.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 6","pages":"100353"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case series of arthroscopic distal trapeziectomy and hematoma distraction; clinical and radiological outcomes. 关节镜下远端梯形切除术和血肿撑开术一例临床和放射学结果。

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Journal of Hand and Microsurgery Pub Date : 2025-08-18 eCollection Date: 2025-11-01 DOI: 10.1016/j.jham.2025.100341

Mahmoud Abdelghafar, Ahmed Semaya, Mohammed Hasan, Hany Morsy

{"title":"A case series of arthroscopic distal trapeziectomy and hematoma distraction; clinical and radiological outcomes.","authors":"Mahmoud Abdelghafar, Ahmed Semaya, Mohammed Hasan, Hany Morsy","doi":"10.1016/j.jham.2025.100341","DOIUrl":"https://doi.org/10.1016/j.jham.2025.100341","url":null,"abstract":"Purpose: Trapeziectomy has a particularly significant role in relieving pain in patients with trapeziometacarpal arthritis. With the advantage of arthroscopy combined with hematoma distraction, arthroscopic distal trapeziectomy can achieve good pain relief with minimum wound complications.Aim: Evaluation of the clinical and functional results of arthroscopic distal trapeziectomy and hematoma distraction.Patients and methods: The study included thirty patients with stage II and III trapeziometacarpal arthritis. The articular surface & subchondral bone were resected. Then the joint was distracted using percutaneous Kirschner wires. The mean follow-up period was about 20 months.Results: There was a statistically significant difference in pre- and post-operative pain scores with slight improvement of tip & key pinch strength.Conclusion: According to our study findings, arthroscopic distal trapeziectomy and hematoma distraction can be performed with significant improvements and satisfactory clinical and functional results in patients with stage II and III trapeziometacarpal arthritis.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 6","pages":"100341"},"PeriodicalIF":0.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Is AI an advanced intelligence, artificial intelligence, or annoying intelligence in hand and microsurgery? 人工智能是高级智能、人工智能，还是恼人的手智能和显微外科手术？

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Journal of Hand and Microsurgery Pub Date : 2025-08-18 eCollection Date: 2025-09-01 DOI: 10.1016/j.jham.2025.100339

J Terrence Jose Jerome

引用次数: 0