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

{"title":"Analysis of Plate Position and Factors Associated with Time to Flexor Tendon Rupture Following Volar Plate Fixation of Distal Radius Fractures.","authors":"Koichi Yano, Masataka Yasuda, Takuya Yokoi, Yasunori Kaneshiro, Takuya Uemura, Kiyohito Takamatsu","doi":"10.1142/S2424835525500481","DOIUrl":"https://doi.org/10.1142/S2424835525500481","url":null,"abstract":"<p><p><b>Background:</b> Distal radius fractures are the most common fractures in the upper extremity. Volar plate fixation is a commonly performed surgical procedure for this fracture. Flexor tendon rupture is a serious postoperative complication due to attrition between the plate and tendon. This study aimed to analyse the factors associated with the time from surgery to tendon rupture, classify plate position and determine the incidence of flexor tendon rupture in relation to plate position. <b>Methods:</b> This multicentre retrospective study included 28 patients (24 women) with flexor tendon rupture following volar plate surgery for distal radius fractures. Plate positions were classified into four types based on plain radiographs. They were distal position (DP), dorsal angulation (DA), screw protrusion (SP) and proximal position (PP). The associations between the time to rupture and factors, including patient backgrounds and radiological parameters, were examined. <b>Results:</b> Thirty-five flexor tendons ruptured. All cases included Soong grade 1 or 2 plate prominence. The average time to tendon rupture was 101.5 months (SD 60.2, range: 1.1-202.1). No factors were significantly associated with time to rupture. Flexor tendon ruptures were associated with DA in 17 ruptures, DP in 11, SP in 6 and PP in 2. SP was observed in the non-locking system only. <b>Conclusions:</b> Attention must be paid to the possibility of tendon rupture in patients with Soong grade 1 or 2. The risk of flexor tendon rupture was highest in patients with prominent plates due to DA. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627695","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 Relationship between Carpal Tunnel Syndrome and Wild-Type ATTR Amyloidosis.","authors":"Kenji Goto, Ryosuke Ikeguchi, Takashi Noguchi, Kiyohito Naito, Muneaki Ishijima, Syuichi Matsuda","doi":"10.1142/S2424835525500559","DOIUrl":"https://doi.org/10.1142/S2424835525500559","url":null,"abstract":"<p><p><b>Background:</b> Carpal tunnel syndrome (CTS), which is frequently encountered in orthopaedic practice, is an early symptom of wild-type transthyretin amyloidosis (ATTRwt). ATTRwt has a high misdiagnosis rate, making early detection difficult, which in turn delays treatment and results in a poor prognosis. Therefore, we herein investigated whether the early diagnosis of CTS leads to the early detection and treatment of ATTRwt, ultimately improving its prognosis. <b>Methods:</b> This study included 42 patients diagnosed with ATTRwt (34 males, 8 females; mean age: 77.7 years). We investigated the presence of a history of CTS, the affected side, the duration from the CTS diagnosis to ATTRwt confirmation, the number of deaths and the number of referrals from orthopaedic surgeons to cardiologists. <b>Results:</b> A history of CTS was present in 26 cases, with 15 being bilateral CTS. The average duration from the CTS diagnosis to ATTRwt confirmation was 6.4 years. Four patients died, and there were no referrals from orthopaedic surgeons to cardiologists. <b>Conclusions:</b> The present results showed that 61.9% of patients diagnosed with ATTRwt had a history of CTS, suggesting that CTS is a predictive factor for ATTRwt. However, the average duration from the CTS diagnosis to ATTRwt confirmation was 6.4 years, indicating a significant delay. One reason for this delay is that orthopaedic surgeons may not be aware of the relationship between CTS and ATTRwt, as suggested by the result showing no referrals from orthopaedic surgeons to cardiologists. <b>Level of Evidence:</b> Level IV (Diagnostic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627696","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":"Mobiloblast - An Emerging Societal Menace.","authors":"Surendrakumar Bhagwatrao Patil, Mayank Bhasin, Anshoo Gandhi, Neha Gupta, Sukhen Doshi","doi":"10.1142/S2424835525500523","DOIUrl":"https://doi.org/10.1142/S2424835525500523","url":null,"abstract":"<p><p><b>Background:</b> In 50 years since mobile phones were invented, their number has surpassed the global population, with India being the second-largest user after China. Although the lithium-ion battery failure rate is 1 in 10 million, high production increases related injuries. This study presents a series of hand injuries caused by mobile phone battery explosions at a tertiary care centre in central India. <b>Methods:</b> A retrospective audit was conducted at our institute from January 2020 to March 2024. Medical records were reviewed for demographics, clinical history, management and postoperative complications. Hand function was assessed at a minimum of 6 months post-op using the Michigan Hand Outcomes Questionnaire (MHQ). Spearman's correlation test was used for statistical analysis using Jamovi Statistical software. <b>Results:</b> Twelve patients (mean age: 24.8 years, range: 8-55) with lower and middle socioeconomic backgrounds were included. Paediatric cases resulted from playing with discarded batteries, while adult cases occurred during charging. Nine (75%) patients had dominant hand involvement, one (8%) had a non-dominant hand injury and two (17%) had bilateral injuries. Injuries were classified as mild (three patients, 25%), moderate (two patients, 16%) and severe (seven patients, 58%). MHQ scores averaged 80.7 for mild, 68.5 for moderate and 52.9 for severe injuries. Statistical analysis showed an inverse correlation between injury severity and hand function (rho = -0.809, <i>p</i> < 0.005). <b>Conclusions:</b> Mobile phone battery explosions pose a growing health hazard, causing severe trauma. Most cases are preventable through proper disposal of electronic waste and discarded batteries. Awareness and adherence to safe practices are essential for reducing such injuries. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638663","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":"Progress with Purpose.","authors":"Anthony Berger","doi":"10.1142/S2424835525010076","DOIUrl":"https://doi.org/10.1142/S2424835525010076","url":null,"abstract":"","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638665","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":"IFSSH Newsletter.","authors":"","doi":"10.1142/S2424835525100010","DOIUrl":"https://doi.org/10.1142/S2424835525100010","url":null,"abstract":"","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638661","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":"Radioscapholunate Fusion Using a Volarly Placed Plate for Treating Post-Traumatic Radiocarpal Joint Arthritis after a Distal Radius Fracture - A Single-Centre Prospective Study.","authors":"Kai-Xing Alvin Lee, Wei-Chih Wang, Chen-Wei Yeh, Cheng-En Hsu, Tsung-Yu Ho, Yung-Cheng Chiu","doi":"10.1142/S242483552550050X","DOIUrl":"https://doi.org/10.1142/S242483552550050X","url":null,"abstract":"<p><p><b>Background:</b> There is currently no consensus regarding optimal treatment strategies for treating radiocarpal arthritis. The purpose of this prospective study was to compare preoperative and postoperative wrist range of motion (ROM), residual pain, grip and pinch strength, functional results and fusion rates after radioscapholunate (RSL) fusion using a volarly placed plate. <b>Methods:</b> This single-centre prospective study was conducted from January 2022 to December 2024. This study included nine patients (six males and three females) with post-traumatic arthritis after a distal radius fracture who underwent RSL fusion using a volarly placed plate. Pre- and postoperative functional results were measured using pinch strength, grip power, Disabilities of the Arm, Shoulder and Hand (DASH) scores and visual analogue pain score (VAS). <b>Results:</b> Fusion was achieved for all patients with no complications. Significant improvements in grip and pinch strength were noted from 6 months onwards (<i>p</i> < 0.05), with patients having 91% recovery of their grip strength as compared to their healthy hand. Fusion was also able to provide significant pain relief with functional improvements of upper extremities (preoperative: 74.3 ± 11.3; postoperative 1 year: 5.0 ± 4.7) from 3 months postoperatively (<i>p</i> < 0.05). Regarding wrist ROM, significant improvements in wrist pronation, supination were noted from 3 months preoperatively (<i>p</i> < 0.05). Degree of radial (preoperative: 8.9° ± 3.5°; 3 months: 5.0° ± 4.4°; 6 months: 9.6° ± 2.9°; 1 year: 11.2° ± 2.3°) and ulnar deviation had gradual improvements from 6 months onwards. No significant differences between preoperative and postoperative flexion and extension were noted. <b>Conclusion:</b> RSL fusion using a volarly placed plate is a reliable surgical option for managing post-traumatic radiocarpal joint arthritis following a distal radius fracture with good clinical, functional and radiological outcomes. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638666","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":"Dupuytren Disease from Past to Present: A Review of the Historical and Evolving Landscape of Its Management.","authors":"Zhixue Lim, Alphonsus Khin Sze Chong","doi":"10.1142/S2424835525400041","DOIUrl":"https://doi.org/10.1142/S2424835525400041","url":null,"abstract":"<p><p>Dupuytren disease (DD) has been described since the 17th century, but its true aetiology remains a mystery. The treatment of DD largely involves addressing the end stage of a complex fibroproliferative pathway, specifically, the cords. In recent years, there has been a shift to less radical approaches, with an increased adoption of percutaneous needle aponeurotomy (PNA) or collagenase. However, the difficulty in comparing outcomes across various treatments is likely to persist due to limitations in evaluating the effectiveness of those treatments. Patient-reported outcome measures may not accurately reflect disease severity or treatment success; objective measures might not correlate well with subjective improvements and treating all joints with equal weight is unrealistic. Additionally, the inherent difficulties of blinding in studies comparing surgical and percutaneous techniques, along with heterogeneity of the affected population, further complicate outcome assessment. There are interesting developments in the basic science arena resulting in a deeper understanding of the signalling pathways driving DD. Targeting molecular targets early in the signalling pathway may hold the key to preventing pathological contractures in Dupuytren patients. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638645","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":"Management of the Clenched Fist in Adult Patients with Upper Motor Neuron Syndrome.","authors":"Matthew P Fahrenkopf, Peter C Rhee","doi":"10.1142/S2424835525400065","DOIUrl":"https://doi.org/10.1142/S2424835525400065","url":null,"abstract":"<p><p>The clenched fist deformity (CFD) in adult patients with upper motor neuron syndrome (UMNS), typically due to a brain or spinal cord injury, can develop from an imbalance of the extrinsic finger flexors relative to the extensors. This brings the fingers into a flexed posture across the metacarpophalangeal (MCP) and interphalangeal (IP) joints and places the fingertips close to or in contact with the palm. The intrinsic musculature of the hand also plays a contributing role to the flexion deformity across the MCP joints whose contribution to the deformity can be masked by the extrinsic flexors. Severity of the CFD is patient specific and ranges over a spectrum dependent upon the involved muscle groups and underlying spasticity, myostatic contracture and/or joint contractures. In addition to markedly decreasing function, patients and caretakers may struggle with hygiene in the hand and even develop wounds within the palm. Surgical correction of the CFD can be classified as procedures implemented for muscles with (functional) or without (non-functional) volitional motor control. Techniques encompass muscle-tendon lengthening, tenotomies, tendon transfers, muscle origin release (slides), joint capsule and/or ligament releases. A comprehensive review of the surgical approach to correcting the CFD for the hand with and without volitional motor control in the fingers will be presented. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638662","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":"Objective Assessment of Function in a Two-Digit Hand - A Comparison of the Functional Outcome between the Little Finger and the Index Finger as the Ulnar Post.","authors":"N C Madhusudhan, Praveen Bhardwaj, Vigneswaran Varadharajan, Gobinath Kannan, Hari Venkatramani, S Raja Sabapathy","doi":"10.1142/S2424835525500511","DOIUrl":"https://doi.org/10.1142/S2424835525500511","url":null,"abstract":"<p><p><b>Background:</b> In mutilated hand reconstruction, the choice between index or little finger as the sole ulnar post to oppose a functional thumb remains controversial. This study objectively compares functional outcomes between these two configurations in basic two-digit hand. <b>Methods:</b> This retrospective study (2013-2020) evaluated 11 patients with a functional two-digit hand. Inclusion criteria included an uninjured thumb and the presence of only one uninjured digit serving as an ulnar post, either little finger (group 1) or index (group 2), characterised by good web space, sensate perception, painlessness and the ability to oppose each other in movement. Assessments included pinch and grip strength measurements, Jebsen-Taylor Hand Function Test (JHFT) and disabilities of arm, shoulder and hand (DASH) score. Non-parametric tests (Mann-Whitney <i>U</i>) compared continuous variables with significance at <i>p</i> < 0.05. <b>Results:</b> Objective testing revealed superior function in group 2 patients (index finger ulnar post) patients versus group 1 patients (JHFT: 1.39 vs. 1.91 minutes; grip: 4 vs. 1.2 kg; pinch: 2.5 vs. 0.4 kg). DASH scores favoured group 2 patients (25.2 vs. 37.4), though not statistically significant (<i>p</i> = 0.144). <b>Conclusions:</b> Our findings challenge traditional ulnar-digit preference, demonstrating the index finger provides significantly better strength and functional outcomes as the ulnar post in basic two-digit hands. These results support prioritising radial-digit reconstruction when the first web space is uncompromised, though individual patient factors and occupational demands should be considered. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638664","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":"Evaluating the Effectiveness of Distraction Lengthening in Traumatic Hand Amputations.","authors":"Iqbal Rasool Wani, P Umar Farooq Baba, Adil Bashir Sheikh, Mohammad Inam Zaroo, Altaf Rasool, Adil Hafeez Wani","doi":"10.1142/S2424835525500535","DOIUrl":"https://doi.org/10.1142/S2424835525500535","url":null,"abstract":"<p><p><b>Background:</b> Fingers are highly susceptible to injuries, leading to functional impairment, particularly in the thumb and index finger. While traditional reconstructive methods exist, they often involve multiple surgeries and complications. Distraction lengthening, a minimally invasive technique, promotes bone and soft tissue regeneration, making it a promising alternative for digital lengthening. This study aims to assess the efficacy and functional results of distraction lengthening in patients with traumatic shortening of digits. <b>Methods:</b> This was a prospective observational cohort study conducted at a tertiary care centre. This study evaluated distraction histogenesis in 11 trauma patients with digital shortening. A unilateral mini external fixator was used for gradual distraction following osteotomy. Distraction began 5-7 days post-surgery at 1 mm/day, with healing monitored via radiographs. Functional recovery, length gained, healing index and patient satisfaction were assessed over a 1-year follow-up. <b>Results:</b> Patients (73% male, aged 16-30) primarily sustained machinery-related injuries. The mean preoperative shortness was 20.4 mm, with an average length gain of 20.2 mm. The mean external fixation and consolidation times were 111.3 and 91.36 days, respectively. The healing index averaged 47.5 days/cm. Functional grip, thumb web space and hand utility improved significantly, with success influenced by stable fixator use, surgical technique and patient adherence. <b>Conclusions:</b> Distraction lengthening is a reliable and effective method, offering functional restoration with minimal invasiveness. Despite prolonged treatment, it preserves sensitivity, prevents stiffness and eliminates the need for bone grafting. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638660","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}