Journal of Hand Surgery-Asian-Pacific Volume最新文献

A Preliminary Study of the Impact of Intensive Hand Therapy after Arthroscopic Partial Trapeziectomy with Suture-Button Suspensionplasty for Thumb Carpometacarpal Arthritis. 关节镜下部分梯形骨切除术加缝合-按钮悬吊术治疗拇指腕关节关节炎后手部强化治疗效果的初步研究。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI: 10.1142/S2424835525500122

Rie Yamawaki, Manabu Nankaku, Ryosuke Ikeguchi, Akemi Maeda, Takashi Noguchi, Shuichi Matsuda

{"title":"A Preliminary Study of the Impact of Intensive Hand Therapy after Arthroscopic Partial Trapeziectomy with Suture-Button Suspensionplasty for Thumb Carpometacarpal Arthritis.","authors":"Rie Yamawaki, Manabu Nankaku, Ryosuke Ikeguchi, Akemi Maeda, Takashi Noguchi, Shuichi Matsuda","doi":"10.1142/S2424835525500122","DOIUrl":"10.1142/S2424835525500122","url":null,"abstract":"Background: Thumb carpometacarpal (CMC) arthritis is a painful and debilitating condition, which in severe cases may be treated by surgery. Previous studies have emphasised the importance of rehabilitation following surgery to achieve optimal results. This study aimed to investigate whether intensive hand therapy is effective in improving hand functions after arthroscopic partial trapeziectomy with suture-button (SB) suspensionplasty in patients with thumb CMC arthritis. Methods: This was a retrospective observational study that used non-randomised historical controls. Patients who underwent arthroscopic partial trapeziectomy with SB suspensionplasty were divided into two groups according to whether they had postoperative hand therapy or not (hand therapy group, n = 12; no hand therapy group, n = 11). CMC joint pain, range of motion (ROM), grip and pinch strength in the operative side and Quick Disability of the Arm, Shoulder and Hand (QuickDASH) score were compared before surgery and at the final follow-up for each group. Results: CMC joint pain, ROM and QuickDASH scores significantly improved following surgery, in both groups. Conversely, postoperative grip and pinch strength only increased significantly in the hand therapy group (grip strength: effect size = 0.36, pinch strength: effect size = 0.44). Conclusions: This study demonstrates that early-stage intensive hand therapy is an effective intervention after arthroscopic partial trapeziectomy with SB suspensionplasty, specifically for improving grip and pinch strength. Level of Evidence: Level III (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"70-76"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755894","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}

引用次数: 0

Evaluating Function of Extensor Carpi Radialis Brevis Prior to Transfer of Extensor Carpi Radialis Longus. 桡骨腕长伸肌移位前桡骨腕短伸肌功能评价。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2025-01-10 DOI: 10.1142/S2424835525010027

Praveen Bhardwaj

引用次数: 0

Assessment of Fracture Line Angle in Mallet Fractures. 评估槌状骨折的骨折线角度。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-10-08 DOI: 10.1142/S2424835525500018

Erdem Ateş, Ender Gümüşoğlu, Anıl Arikan, Metin Manouchehr Eskandari

{"title":"Assessment of Fracture Line Angle in Mallet Fractures.","authors":"Erdem Ateş, Ender Gümüşoğlu, Anıl Arikan, Metin Manouchehr Eskandari","doi":"10.1142/S2424835525500018","DOIUrl":"10.1142/S2424835525500018","url":null,"abstract":"Background: Surgery is often offered to patients with mallet fractures that have a large, displaced fragment and/or joint subluxation. However, the surgical approach remains a subject of debate, and surgery is frequently associated with unsatisfactory outcomes. We felt that the angle formed by the fracture line and the long axis of the distal phalanx on a lateral view radiograph (fracture line angle [FLA]) could be useful in determining the appropriate treatment strategy. The aim of this study was to assess the FLA and its distribution in mallet fractures. Methods: Three researchers measured the mallet FLA and the percentage of articular surface (PAS) involved in the lateral radiographs of 103 patients with a mallet fracture. Results: There was a strong correlation between the mallet FLA and the percentage of joint surface involvement between the three researchers. The mean FLA was 42.59° (±11.54) and it ranged from -1 to +1 standard deviation in 73 individuals (70.87%). The FLA varied over a wide range, while clustering near the average value. The average PAS involvement was 46.5% (±8.7%). There was no correlation between FLA and PAS involvement (p > 0.05). Conclusions: It is possible to quantify the mallet FLA accurately and consistently. It varies widely, regardless of the PAS involvement. When choosing the type of treatment and making prognostic predictions, the mallet FLA may be a helpful guide. Level of Evidence: Level IV (Diagnostic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"17-21"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395188","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}

引用次数: 0

Protocol to Develop a Core Outcomes Set for Peripheral Nerve Injury. 制定外周神经损伤核心结果集的协议。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-10-08 DOI: 10.1142/S2424835525500043

Christopher J Dy, Roy S Horowitz, David M Brogan

{"title":"Protocol to Develop a Core Outcomes Set for Peripheral Nerve Injury.","authors":"Christopher J Dy, Roy S Horowitz, David M Brogan","doi":"10.1142/S2424835525500043","DOIUrl":"10.1142/S2424835525500043","url":null,"abstract":"Background: Advances in treatment philosophies and microsurgical techniques for peripheral nerve injuries (PNI) have led to improved outcomes. However, lack of standardisation in the evaluation of clinical outcomes after PNI treatment precludes the ability to compare reconstruction methods, such as nerve transfer, nerve grafting, free functioning muscle transfers and tendon transfers. To this end, our goal is to work collaboratively to establish a core outcome set to evaluate outcomes after PNI. Methods: The protocol for this arc of work, delineated in this manuscript, consists of two phases: (1) conducting a systematic review of how outcomes are currently reported following PNI and (2) a Delphi process to gain consensus on the measures to include in the core outcome set for PNI. In the Delphi process, two online rounds will be used to gather consensus on the importance of each outcome measure. A final round will be conducted in person to discuss and resolve measures for which there is not yet consensus and to finalise the core outcomes set. Conclusions: Through this process, a common standard for reporting outcomes after PNI will be created, facilitating collaboration and future research.","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"49-54"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395190","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}

引用次数: 0

Hand Surgical Operating Room Size Allocation: A Comparative Space Utilisation Study. 手外科手术室面积分配：空间利用比较研究

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1142/S2424835525500055

David Woods, Damian Illing, Jue Cao, Rajshri M Bolson, Alexander Lauder, Kyros Ipaktchi

{"title":"Hand Surgical Operating Room Size Allocation: A Comparative Space Utilisation Study.","authors":"David Woods, Damian Illing, Jue Cao, Rajshri M Bolson, Alexander Lauder, Kyros Ipaktchi","doi":"10.1142/S2424835525500055","DOIUrl":"10.1142/S2424835525500055","url":null,"abstract":"Background: This study evaluated operating room (OR) space required for various hand surgical procedures. We analysed the size requirements for hand surgical cases divided into four settings: (1) large OR setting requiring fluoroscopy and microsurgical equipment, (2) medium-sized OR setting for cases requiring fluoroscopy, (3) smaller OR setting and (4) minor procedural room without anaesthesia with the aim to describe room size requirements for hand surgery practices. Methods: A variety of hand surgical cases were selected: large cases (microvascular digit replantation), medium-sized cases (closed reduction percutaneous pinning [CRPP] of phalangeal fractures) and smaller cases (carpal tunnel release [CTR]) with and without anaesthesia. Space requirements were compared to general surgery cases (laparoscopic appendectomy) and general orthopaedic surgery cases (cephalomedullary nail [CMN]). Necessary operative equipment was measured (ft2) to calculate requirements for each procedure. Results: Large hand cases such as digit replantation necessitated the most OR space (125 ft2), followed by general orthopaedic cases (CMN; 118 ft2), medium-sized hand cases (CRPP phalanx; 107 ft2), general surgery laparoscopic appendectomy (68 ft2), small hand cases (CTR; 85 ft2) and minor procedures (49 ft2). Conclusions: Hand procedures can be divided into major procedures requiring significant OR space (125 ft2), medium procedures in standard OR suites (107 ft2), procedures in small ORs with anaesthesia (81 ft2) or office-based setting without anaesthesia (49 ft2). These findings help define space utilisation for hand procedures and may have practical implications related to efficiency, cost and patient safety in the hospital and outpatient setting. Level of Evidence: Level IV (Economic and Decision Analyses).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"100-106"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480462","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}

引用次数: 0

Unveiling Poncet Disease: A Rare Presentation with Multiple Tubercular Foci in the Hand and Spine of an Older Patient: A Case Report. 揭开庞塞病的面纱：老年患者手部和脊柱多发结核病灶的罕见表现：病例报告。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-12-13 DOI: 10.1142/S2424835525720014

Kazuhiko Hashimoto, Shigeshi Mori, Terumasa Ikeda, Koji Goto

引用次数: 0

Epidemiology of Congenital Hand Anomalies at a Single Center in Mainland China: An Analysis of 1,415 Cases. 中国大陆单中心先天性手部畸形流行病学：1415例分析

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1142/S2424835525500225

Yang Guo, Liying Sun, Zongxuan Zhao, Chao Sheng, Yunyun Ding, Wen Tian

{"title":"Epidemiology of Congenital Hand Anomalies at a Single Center in Mainland China: An Analysis of 1,415 Cases.","authors":"Yang Guo, Liying Sun, Zongxuan Zhao, Chao Sheng, Yunyun Ding, Wen Tian","doi":"10.1142/S2424835525500225","DOIUrl":"10.1142/S2424835525500225","url":null,"abstract":"Background: Currently, large-sample epidemiological studies on congenital upper limb differences (CULD) in China are relatively rare. This report presents our centre's experience on the spectrum of diseases and related factors. Methods: Information was collected from patients with CULD who underwent surgical treatment at our centre from September 2018 to October 2023. Data collection included patient name, gender, age, clinical features and diagnosis, family history, parents' age, parents' medical history, pregnancy history and family income. Bivariate relationships between these variables were examined. Results: The average age of the patients was 4 years; 1,398 patients (99%) were aged 9 months to 18 years, and 17 patients (1%) were adults. There were 848 males (60%) and 567 females (40%), with a statistically significant gender distribution (p < 0.05). The most common differences were polydactyly and syndactyly, accounting for 47% and 14%, respectively. Syndromic patients accounted for 14%, and cardiac conditions were the most prevalent non-musculoskeletal issue (55%). First-born patients accounted for 54% of patients, and the average age of parents for first-born patients was 30 ± 5 years for fathers and 29 ± 2 years for mothers. For non-first-born patients, the average age of parents was 33 ± 6 years for fathers and 32 ± 5 years for mothers, with a statistically significant difference between the two groups (p < 0.001). Conclusions: In China, congenital limb differences are still dominated by polydactyly and syndactyly. Heart conditions occur most frequently in patients with syndromes. Level of Evidence: Level IV (Epidemiological).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"10-16"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016167","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}

引用次数: 0

Comparison of Latissimus Dorsi versus Teres Major Tendon Transfer to Restore External Rotation of the Shoulder in Patients with Erb Palsy. 背阔肌与大圆肌肌腱转移恢复下肢麻痹患者肩关节外旋的比较。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-12-13 DOI: 10.1142/S242483552550016X

Ashraf M Abdelaziz, Mohamed Ahmed Abdelfath, Mahmoud Ali Ismail, Yaser El Sayed Hassan Wahd, Abdelaziz Monsef Ali, Tharwat Al Akeed

{"title":"Comparison of Latissimus Dorsi versus Teres Major Tendon Transfer to Restore External Rotation of the Shoulder in Patients with Erb Palsy.","authors":"Ashraf M Abdelaziz, Mohamed Ahmed Abdelfath, Mahmoud Ali Ismail, Yaser El Sayed Hassan Wahd, Abdelaziz Monsef Ali, Tharwat Al Akeed","doi":"10.1142/S242483552550016X","DOIUrl":"10.1142/S242483552550016X","url":null,"abstract":"Background: The transfer of latissimus dorsi (LD) and teres major (TM) have been described for restoration of external rotation (ER) and shoulder abduction in neonatal brachial plexus palsy (NBPP). The aim of this prospective randomised study is to compare the outcomes of LD versus TM transfer in the treatment of internal rotation contracture of the shoulder in children with NBPP. Methods: The study was conducted from February 2014 to January 2018 and included NBPP patients with internal rotation contracture of the shoulder. Patients were randomised to either LD (Group 1) or TM (Group 2) tendon transfer. Patients were followed up for at least 38 months and assessed for improvements in the arc of shoulder abduction and ER. Results: The study included 30 patients with 15 patients randomised to each group respectively. Group 1 (n = 15) included 4 boys and 11 girls with a mean age of 2 years and 8 months (range: 1.5-5) and a mean follow-up of 62 months (range: 38-68). Group 2 (n = 15) included 6 boys and 9 girls with a mean age of 2 years and 6 months (range: 1.5-4.8) and a mean follow-up of 58 months (range: 38-68). All patients showed improvement in shoulder abduction and active and passive ER. There were no differences in shoulder abduction (p = 0.467), active ER (p = 0.124) and passive ER (p = 0.756) between both groups. Conclusions: Both LD and TM tendon transfers improved shoulder function in NBPP patients with internal rotation contracture of the shoulder. Level of Evidence: Level II (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"55-62"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830838","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}

引用次数: 0

Clinical Outcome of Endoscopically Assisted Mini-open Carpal Tunnel Release. 内窥镜辅助微型开放式腕管松解术的临床效果

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-10-08 DOI: 10.1142/S242483552550002X

Junichi Iijima, Yasuto Tajiri

{"title":"Clinical Outcome of Endoscopically Assisted Mini-open Carpal Tunnel Release.","authors":"Junichi Iijima, Yasuto Tajiri","doi":"10.1142/S242483552550002X","DOIUrl":"10.1142/S242483552550002X","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) can be treated surgically. Although the minimally invasive open surgical method is widely used, it is not possible to directly visualise the entire length of the carpal tunnel, especially the proximal end, which is on the side away from the skin incision. In this study, we performed a mini-open carpal tunnel release with endoscopic assistance to release the entire length of the carpal tunnel under direct vision and investigated the treatment outcomes. Methods: The surgical method included an incision of ≤2 cm in the palm, cutting of the transverse carpal ligament under direct vision and cutting of the forearm fascia under endoscopic vision. A uniquely designed sheath was used for the endoscopic resection. We investigated the sex, age, medical history, symptoms, examination findings, anaesthesia method, operation time, thenar motor branch variation, postoperative complications, presence or absence of pillar pain and final examination findings of the target patients. Results: A total of 100 hands (85 patients) were included. Anatomical variations of the thenar motor branches were observed in 19 hands. At the final follow-up, hand numbness improved in all patients, while mild numbness was observed in 25 hands. The abductor pollicis brevis muscle improved in all patients with paresis, but 8 of the 27 hands remained completely paralysed. Pillar pain was observed in 36 hands at 8 weeks postoperative, but the condition improved in all patients. The clinical outcomes of this study were good with no cases of major complications or reoperation. Conclusions: The minimally invasive open surgical method described here can be reliably used to release the forearm fascia proximal to the carpal tunnel. The thenar motor branch can also be confirmed under direct visualisation, making it a relatively safe and useful approach. Level of Evidence: Level Ⅳ (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"42-48"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395189","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}

引用次数: 0

Ultrasonographic Evaluation of Flexor Pollicis Longus Tendon Location in Various Functional Hand Positions. 手部不同功能位置屈指肌腱位置的超声评估

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1142/S2424835525500092

Warot Ratanakoosakul, Navapong Anantavorasakul, Sopinan Siripoonyothai, Piyabuth Kittithamvongs, Kanchai Malungpaishrope, Chairoj Uerpairojkit

{"title":"Ultrasonographic Evaluation of Flexor Pollicis Longus Tendon Location in Various Functional Hand Positions.","authors":"Warot Ratanakoosakul, Navapong Anantavorasakul, Sopinan Siripoonyothai, Piyabuth Kittithamvongs, Kanchai Malungpaishrope, Chairoj Uerpairojkit","doi":"10.1142/S2424835525500092","DOIUrl":"10.1142/S2424835525500092","url":null,"abstract":"Background: Flexor pollicis longus (FPL) tendon injury is a significant complication following distal radius fractures treated with volar locking plate fixation. We were unable to find any studies investigating the FPL tendon in relation to the distal radius in various functional hand positions. The aim of this study is to comprehensively evaluate FPL tendon location in essential functional hand positions commonly encountered in daily life, including pulp pinch, key pinch, chuck grip, power grip, cylindrical grasp and spherical grasp. Methods: We assess the position of the FPL tendon and finger flexor tendons concerning the radius in various functional hand positions. Sixty-two wrists in 31 healthy volunteers were examined using transverse ultrasonography at the watershed area of the radius in six different functional hand positions, including pulp pinch, key pinch, chuck grip, power grip, cylindrical grasp and spherical grasp. Results: The shortest distance between the FPL tendon and radius was observed in the key pinch position with a mean of 3.37 mm, while the cylindrical grasp position showed the farthest distance with a mean of 4.21 mm. Conclusions: The location of the FPL tendon and finger flexor tendons varies across different functional hand positions. Our study shows that these tendons are closest to the radius when the hand is in the key pinch position. Level of Evidence: Level IV (Diagnostic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"94-99"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480476","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}

引用次数: 0