The Journal of Hand Surgery最新文献

{"title":"The Effects of Radial Longitudinal Deficiency on Long-Term Use of the Thumb in Pediatric Patients Following Index Pollicization.","authors":"Paula A. Pino, Aida K. Sarcon, Rou Wan, Wendy A. Tomhave, Ann E. Van Heest, Steven L. Moran","doi":"10.1016/j.jhsa.2024.02.010","DOIUrl":"https://doi.org/10.1016/j.jhsa.2024.02.010","url":null,"abstract":"","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"140 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140766097","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":"Radial Collateral Ligament Laxity of Thumb Metacarpophalangeal Joint Following Trapeziometacarpal Arthrodesis.","authors":"Y. Hattori, Vijayendrasingh Gour, S. Sakamoto, Jun Sasaki, Kota Hayashi, K. Doi","doi":"10.1016/j.jhsa.2024.03.006","DOIUrl":"https://doi.org/10.1016/j.jhsa.2024.03.006","url":null,"abstract":"","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"696 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776954","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":"Opponensplasty With Abductor Pollicis Brevis Rerouting for Types II and IIIA Hypoplastic Thumbs.","authors":"Sakura Yamaguchi, T. Takagi, A. Seki, S. Takayama","doi":"10.1016/j.jhsa.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.jhsa.2024.02.006","url":null,"abstract":"","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"793 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782219","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":"Clinical Outcomes of Total Wrist Arthroplasty in Patients With Rheumatoid Arthritis: Minimum 10-Year Follow-Up Study.","authors":"Yuichiro Matsui, Akio Minami, Makoto Kondo, Jyunichi Ishikawa, M. Motomiya, D. Kawamura, Norimasa Iwasaki","doi":"10.1016/j.jhsa.2024.03.002","DOIUrl":"https://doi.org/10.1016/j.jhsa.2024.03.002","url":null,"abstract":"","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"1259 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774410","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 Contribution of the Distal Oblique Band to Distal Radioulnar Joint Stability.","authors":"J. Orbay, Brandon Gardner, J. Heifner, Anthony Martin, Deana M. Mercer","doi":"10.1016/j.jhsa.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.jhsa.2024.03.001","url":null,"abstract":"","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"306 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781850","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":"Intramedullary Compression Screw Fixation for Middle Phalangeal Fractures","authors":"Adam R. George, Hagen Abbot, Luke McCarron, David J. Graham, Brahman S. Sivakumar","doi":"10.1016/j.jhsa.2023.12.011","DOIUrl":"https://doi.org/10.1016/j.jhsa.2023.12.011","url":null,"abstract":"<h3>Purpose</h3><p>This study aimed to evaluate short- and medium-term clinical and patient-reported outcomes of intramedullary compression screw fixation for extra-articular middle phalangeal fractures.</p><h3>Methods</h3><p>A retrospective study was performed on a series of 20 patients (with a total of 23 fractured digits) who underwent fixation of middle phalangeal fractures between January 2020 and March 2023. The results from this cohort were compared against those for plate and K-wire fixation in the literature.</p><h3>Results</h3><p>Total active motion was 246°; Quick Disabilities of the Arm, Shoulder, and Hand (<em>Quick</em>DASH) score was 4.9; verbal numerical pain score was 1.1 of 10; mean time for return to work was 62.5 days; and a single complication was noted in the entire cohort.</p><h3>Conclusion</h3><p>Intramedullary screw fixation is a viable option in the treatment of extra-articular middle phalangeal fractures. It offers a favorable postoperative range of motion, good duration for return to function, excellent rates of complication, and low pain scores.</p><h3>Type of study/level of evidence</h3><p>Therapeutic IV.</p>","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139669250","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":"Anconeus Muscle Transfer to Correct or Prevent Wrist Radial Deviation in Radial and Posterior Interosseous Nerve Injuries","authors":"Jayme A. Bertelli, Harsh R. Shah, Christopher S. Crowe","doi":"10.1016/j.jhsa.2023.11.025","DOIUrl":"https://doi.org/10.1016/j.jhsa.2023.11.025","url":null,"abstract":"<h3>Purpose</h3><p><span>Wrist radial deviation is a possible complication of tendon transfer for restoration of wrist extension in cases of </span>radial nerve paralysis<span>. In posterior interosseous nerve (PIN) injury, this is because of the imbalance caused by the intact extensor carpi<span> radialis longus and paralysis of the extensor carpi ulnaris (ECU). This deformity may also occur following transfer of the pronator teres (PT) to the extensor carpi radialis brevis (ECRB) for radial nerve palsy. To address wrist radial deviation, we propose transferring the anconeus muscle, extended by the intermuscular septum between the ECU and the flexor carpi ulnaris (FCU), to the ECU tendon.</span></span></p><h3>Methods</h3><p>Through an incision<span><span><span> over the ulna, the intermuscular septum between the ECU and FCU is harvested at the level of the </span>periosteum and left attached to the anconeus proximally. The anconeus muscle is then released from the ulna, and the intramuscular septum extension is sutured to the ECU tendon under maximal tension. Anconeus </span>muscle transfer<span> was performed on two patients to correct chronic wrist radial deviation following PT to ECRB tendon transfer for radial nerve injury, as well as on two patients with PIN paralysis. In four patients, transfer was performed in addition to standard tendon transfers for radial nerve paralysis to prevent radial wrist deviation deformity.</span></span></p><h3>Results</h3><p><span>Wrist radial deviation was corrected or prevented in all but one patient at an average follow-up of 10 months. Patients with PIN lesions and those who had anconeus transfer concomitantly with radial nerve tendon transfers were capable of active </span>ulnar deviation. No patient experienced elbow extension weakness, pain, or instability.</p><h3>Conclusions</h3><p>Anconeus muscle transfer extended by intermuscular septum presents a viable alternative for addressing radial deviation of the wrist in cases of PIN nerve lesions or following PT to ECRB tendon transfer in radial nerve paralysis.</p><h3>Type of study/level of evidence</h3><p>Therapeutic V.</p>","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139464641","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":"Complications and Unplanned Reoperation After Thumb Metacarpophalangeal Arthrodesis","authors":"Ingmar W.F. Legerstee, Oscar Y. Shen, Kevin Kooi, Yannick A.J. Hoftiezer, Kyle R. Eberlin, Neal C. Chen","doi":"10.1016/j.jhsa.2023.11.024","DOIUrl":"https://doi.org/10.1016/j.jhsa.2023.11.024","url":null,"abstract":"<h3>Purpose</h3><p><span>Arthrodesis of the metacarpophalangeal (MCP) joint of the thumb is a common procedure to treat arthritis or instability. Studies reporting hardware complications and </span>nonunion rates after thumb MCP joint arthrodesis report on small sample sizes. We aimed to describe the hardware complication rate, the nonunion rate, and the number of thumbs that achieve union among patients undergoing thumb MCP joint arthrodesis.</p><h3>Methods</h3><p>A database spanning 5 urban hospitals in a single metropolitan region in the United States was searched for patients who underwent thumb MCP joint arthrodesis between January 1, 2004 and January 1, 2020. After reviewing patient records, we identified 122 thumbs that underwent MCP joint arthrodesis and had a minimum follow-up of 90 days. The primary outcome was unplanned reoperation after hardware complications and nonunion. Second, the number of thumbs that achieved radiographic union was reported for the tension band and screw fixation arthrodesis group.</p><h3>Results</h3><p>Twenty-two (18%) out of 122 thumbs had hardware complications after thumb MCP joint arthrodesis, and 11 (9%) out of 122 thumbs developed a nonunion. Patients who underwent screw fixation arthrodesis had no events of hardware complications and subsequent hardware removal. The nonunion rate was 9/65 (14%) in the tension band arthrodesis group and 2 (4%) of 45 in the screw fixation arthrodesis group. Of the thumbs that had available radiographs to assess the healing of the arthrodesis, 34 (81%) of 42 were radiographically united in the tension band arthrodesis group and 29 (91%) of 32 in the screw fixation group.</p><h3>Conclusions</h3><p>Our data suggest that screw fixation has fewer hardware complications and a lower reoperation rate than tension band arthrodesis.</p><h3>Type of study/level of evidence</h3><p>Prognosis IV.</p>","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"139 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139083354","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":"Biomechanical Comparison of Fixation of Metacarpal Shaft Fractures With Intramedullary Threaded Nail and Dorsal Plate","authors":"Luigi Piarulli, Mehrangiz Taheri, Sorin Siegler, Christopher M. Jones","doi":"10.1016/j.jhsa.2023.11.011","DOIUrl":"https://doi.org/10.1016/j.jhsa.2023.11.011","url":null,"abstract":"<h3>Purpose</h3><p>The purpose of this study was to investigate the mechanical properties of metacarpal long oblique and transverse shaft fractures stabilized by threaded intramedullary nails and dorsal plates and screws.</p><h3>Methods</h3><p><span>Transverse and oblique midshaft osteotomies were created in 28 paired left and right </span>metacarpal bones<span> from four fresh frozen cadavers. Each matched pair was fixed with one 4.5-mm threaded intramedullary nail and one 2.0-mm dorsal stainless-steel plate and a screw construct. The bones were secured at the proximal end, by a 3-D–printed customized jig, to a tensile testing machine and were loaded through a Kevlar wire tensioned over the metacarpal head, simulating muscle/tendon loading during grip. Loading to failure was performed, and the applied force and failure mode were recorded.</span></p><h3>Results</h3><p>Oblique fractures fixed with nails failed at a greater force than those fixed with dorsal plates (183 ± 50 N vs 130 ± 40 N). Transverse fractures showed comparable strength between the nail (215 ± 33 N) and the plate (183 ± 64 N). Plate failure modes included three diverse types of bone fracture and yielding deformation of the plate. Intramedullary nail failure modes included yielding of the nail, bone fracture without nail yielding, and relative rotation between the two sections of the bone.</p><h3>Conclusions</h3><p>Fixation of oblique and transverse metacarpal shaft fractures using a 4.5-mm threaded intramedullary nail in a simulated grip test model showed similar or greater strength than a 2.0-mm dorsal plate and screw construct.</p><h3>Clinical relevance</h3><p>Threaded intramedullary nail fixation<span> of metacarpal shaft fractures may be an appropriate alternative to plate fixation in these fracture patterns.</span></p>","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138681740","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":"At What Time Interval After a Sharp Nerve Laceration Is Primary Nerve Repair No Longer Possible?","authors":"Nirbhay S. Jain, Meaghan L. Barr, Neil F. Jones","doi":"10.1016/j.jhsa.2023.11.006","DOIUrl":"https://doi.org/10.1016/j.jhsa.2023.11.006","url":null,"abstract":"<h3>Purpose</h3><p>The timeframe after a sharp nerve injury when nerve grafting becomes required remains unclear. A retrospective analysis was performed to determine the timeframe when primary repair of a sharp nerve laceration can no longer be performed and grafting becomes necessary.</p><h3>Methods</h3><p>All sharp nerve injuries in three regions of the hands and upper extremity—major nerves, common digital nerves, and proper digital nerves—treated between 2016 and 2021 were reviewed. Time from injury to repair, need for nerve grafting, length of graft, age, and associated injuries were collected and analyzed.</p><h3>Results</h3><p>A total of 313 nerve lacerations were included. Predictors of the need for grafting included time from injury to repair and level of injury. The odds ratio of time from injury in predicting the need for grafting was 1.04 for proper digital nerves, 1.05 for common digital nerves, and 1.18 for major nerves. Age and other injuries were not associated with increased rates of grafting. Only level of injury was associated with length of graft needed.</p><h3>Conclusions</h3><p>Patients with sharp major nerve injuries required grafting more frequently after several days from injury, whereas primary repair of common and proper digital nerves could be achieved up to two weeks or greater after injury. This suggests that the window for primary neurorrhaphy may be as short as two days after injury for major nerve injuries, much shorter than for common and proper digital nerve injuries.</p><h3>Type of study/level of evidence</h3><p>Prognostic IV.</p>","PeriodicalId":501629,"journal":{"name":"The Journal of Hand Surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138574178","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}