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

{"title":"Outcomes of Simultaneous Open Triangular Fibrocartilage Complex Repair with Extensor Carpi Ulnaris Stabilisation.","authors":"Mehek Gupta, Ellen Y Lee, David M K Tan","doi":"10.1142/S2424835526500049","DOIUrl":"10.1142/S2424835526500049","url":null,"abstract":"<p><p><b>Background:</b> Triangular fibrocartilage complex (TFCC) disruption and extensor carpi ulnaris (ECU) instability are common concomitant injuries. This study presents outcomes of simultaneous open TFCC repairs with ECU stabilisation. <b>Methods:</b> This retrospective cohort study reviewed patients with symptomatic distal radio-ulnar joint (DRUJ) instability and ECU subluxation who underwent simultaneous open repair of the TFCC and ECU stabilisation between 2014 and 2016. Patients were diagnosed clinically, and TFCC tear and ECU subluxation were confirmed using magnetic resonance imaging (MRI) and ultrasound (US), respectively. All patients initially underwent therapy, and surgery was offered to those with persistent symptoms. Open foveal repair of the TFCC was performed using suture anchors, while ECU stabilisation was done by deepening of the ECU groove and subsheath reconstruction. Data collected included demographics, injury details, pre- and post-surgical symptoms, range of motion, grip strength and the modified Mayo wrist score (MMWS). <b>Results:</b> Eleven patients were included in the study. They presented with ulnar-sided wrist pain that limited their activities of daily living. All could recall a specific injury prior to the onset of symptoms. All patients had improvement in measured outcomes after surgery. The preoperative difference in mean arc of motion between the injured and uninjured wrist improved after surgery. The mean grip strength of the injured wrist compared to the uninjured wrist improved from 72% to 93%. The mean MMWS improved from 66.4 before surgery to 92.7 after surgery. Ten of eleven patients were pain-free at the last review, and all could carry out daily activities comfortably. The follow-up duration averaged 18 months (range: 3 months-4 years). <b>Conclusions:</b> The outcomes of simultaneous open repair of the TFCC and stabilisation of the ECU are excellent. Patients with DRUJ instability should be screened for ECU instability, and both pathologies should be addressed simultaneously. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"28-37"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936145","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":"Comparison of Immunohistochemical and Histopathological Findings between Patients with Diabetic and Idiopathic Carpal Tunnel Syndrome.","authors":"Lucian Lior Marcovici, Iakov Molayem, Alessandro Greco, Antonio Luca Muscatiello, Alessia Pagnotta, Roberto Gradini","doi":"10.1142/S2424835526500116","DOIUrl":"10.1142/S2424835526500116","url":null,"abstract":"<p><p><b>Background:</b> Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome, caused by median nerve compression at the wrist. Its aetiology remains unclear, with idiopathic and diabetic-related forms. Diabetic patients (type 1 and 2) have a higher CTS risk, likely due to oedema, neo-angiogenesis and increased non-inflammatory fibrosis in the sub-synovial connective tissue (SSCT). Vascular endothelial growth factor (VEGF) A plays a key role in vascular permeability and angiogenesis, particularly in diabetic CTS. This study compared histopathological differences and VEGF expression in idiopathic and diabetic CTS. <b>Methods:</b> A total of 45 CTS patients were divided into three groups: idiopathic CTS (CTS-I, <i>n</i> = 15), type 1 diabetic CTS (CTS-DM1, <i>n</i> = 15) and type 2 diabetic CTS (CTS-DM2, <i>n</i> = 15). Biopsy specimens from the transverse ligament, tenosynovium and epineurium were analysed for fibrosis, oedema, vascular proliferation and vascular thickness. Immunohistochemistry assessed VEGF-A and its receptors VEGFR-1 and VEGFR-2. <b>Results:</b> Vascular proliferation and thickness were higher in CTS-DM1 than in CTS-I (<i>p</i> < 0.01) and CTS-DM2 (<i>p</i> < 0.05). Tenosynovium in CTS-DM1 and CTS-DM2 showed increased oedema, vascular proliferation and thickness compared to CTS-I (<i>p</i> < 0.001). Epineurium showed no significant oedema differences but had increased vascular proliferation and thickness in diabetic CTS (<i>p</i> < 0.001). VEGF and its receptors were significantly overexpressed in fibroblasts, endothelial and synovial cells in diabetic CTS. <b>Conclusions:</b> Our study evidenced an increased expression of VEGF and its receptors 1 and 2 in endothelial cells, fibroblasts and synovial cells of the transverse ligament, tenosynovium and epineurium in patients with diabetic CTS compared to idiopathic CTS. We also observed increased oedema, vascular proliferation, vascular wall thickness and tenosynovial fibrosis in diabetic patients. These histological findings are known to be promoted by VEGF and may provide a potential pathophysiological basis for CTS. These findings suggest a therapeutic rationale for anti-VEGF therapy as an adjunct or alternative to surgery in diabetic CTS patients. <b>Level of Evidence:</b> Level III (Diagnostic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"90-97"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936106","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 Krukenberg Procedure: A Scoping Review.","authors":"Joash A Kumar, Samuel Bennett, Luke McCARRON, Brahman S Sivakumar, Neil Jones, David J Graham","doi":"10.1142/S2424835525500663","DOIUrl":"10.1142/S2424835525500663","url":null,"abstract":"<p><p><b>Background:</b> The Krukenberg procedure involves surgically separating the radius and ulnar to create a pincer-like grasp, providing an alternative for upper limb amputees in resource-limited settings where advanced myoelectric prosthetics are inaccessible. It restores prehension and potentially offers patients' autonomy in daily tasks. This review explores the patient demographics; indications; surgical techniques and outcomes of published reports of the Krukenberg procedure. <b>Methods:</b> A scoping review was conducted following PRISMA guidelines across PubMed, MEDLINE, Cochrane, Web of Science, EMBASE, Scopus, Ovid and Google Scholar. Studies that were peer-reviewed and published outcomes following a Krukenberg procedure were eligible for inclusion. Data on demographics, surgical methods and postoperative results were extracted. <b>Results:</b> Twenty-two studies (1937-2024) were included. Trauma was the primary indication (83.4%), followed by burns (10.4%) and congenital anomalies (5.5%). The Bunnell incision was most frequently employed, with nerve and muscle preservation critical for function. Interosseous membrane dissection and selective muscle resection, preserving vascular integrity, minimised bulk while maintaining function. Most patients regained independence, with a mean pincer strength of 7 kg. Complications were minimal, and were primarily skin necrosis, scarring and rare osseous sequelae, i.e. osteomyelitis, malalignment or bony overgrowth, managed via stump shortening or osteotomy. <b>Conclusions:</b> The Krukenberg procedure improves functional independence and socio-economic reintegration, especially in bilateral amputees. It remains a viable option in resource-limited settings where advanced prosthetics are unavailable. However, the evidence is limited by study heterogeneity. Success depends on vascular and neural preservation and early rehabilitation. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"662-673"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132488","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":"Suspected Scaphoid Fractures Investigated with Limited Sequence Wrist MRI Scans: A Prospective Cohort Study.","authors":"Ruqayyah Nur Beg, Olivia Ann Dunseath, Kannan Rajesparan, Melissa Mahoney, Alistair Hunter","doi":"10.1142/S2424835525500705","DOIUrl":"https://doi.org/10.1142/S2424835525500705","url":null,"abstract":"<p><p><b>Background:</b> Patients with wrist injuries presenting to the emergency department (ED) are commonly managed as suspected scaphoid fractures. Resources for timely standard wrist magnetic resonance imaging (MRI) scans can be insufficient. This study aimed to evaluate the effectiveness of limited sequence wrist MRI scans in diagnosing suspected scaphoid fractures in patients with negative initial radiographs. <b>Methods:</b> A prospective, single-centre study comprising 279 consecutive wrists with suspected scaphoid fractures with initially negative radiographic findings. Patients were reviewed in fracture clinic 10-14 days post injury. If anatomical snuffbox, scaphoid tubercle tenderness or pain on axial loading of the thumb were present, a limited sequence wrist MRI scan was requested. <b>Results:</b> Median time from injury to ED presentation was 1 day, injury to MRI scan was 15 days and a follow-up appointment with scan result was 21 days. The MRI scans showed 47 (17%) scaphoid fractures, 66 (24%) fractures of another bone and 150 (54%) soft tissue injuries. A total of 73 (26%) scans reported no abnormalities. The sensitivity for tenderness at the anatomical snuff box was 91%, at the scaphoid tubercle was 81% and pain on the thumb axial grind test was 49%. Following their MRI scan, 41% of patients were discharged from the clinic. Six (2%) patients had operations, with four percutaneous scaphoid fixations, one EPL tendon reconstruction and one scapholunate ligament repair. <b>Conclusions:</b> Early limited sequence wrist MRI scans facilitate timely and effective management of suspected scaphoid fractures, thus reducing patient morbidity from missed fractures or unnecessary prolonged immobilisation. <b>Level of Evidence:</b> Level II (Diagnostic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":"30 6","pages":"608-616"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642638","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":"Comparative Outcomes of Revision Carpal Tunnel Release with External Neurolysis versus Primary Carpal Tunnel Release: A Propensity-Matched Study.","authors":"Hyoung Bok Kim, Joong-Won Ha, Hyun Tak Kang, Munsu Park, Jun-Ku Lee","doi":"10.1142/S2424835525500651","DOIUrl":"10.1142/S2424835525500651","url":null,"abstract":"<p><p><b>Background:</b> Carpal tunnel syndrome (CTS) is a common neuropathy of the upper limb, with carpal tunnel release (CTR) being a widely performed surgical intervention when conservative treatments fail. However, up to 20% of patients experience persistent or recurrent symptoms, and up to 12% may require revision surgery. This study aims to evaluate the outcomes of revision CTR with external neurolysis compared to primary CTR using propensity score matching (PSM). <b>Methods:</b> This retrospective single-centre cohort study included patients who underwent primary and revision CTR between March 2021 and February 2024. A total of 38 patients were analysed, with 19 patients undergoing revision CTR (Group 1) and 19 patients undergoing primary CTR (Group 2). PSM (1:1 nearest-neighbour, calliper 0.2) was used to ensure comparability between the groups based on age, weight, height, body mass index (BMI), comorbidities and the operated arm. Clinical outcomes were assessed using the Visual Analogue Scale (VAS) for pain and the Boston Carpal Tunnel Questionnaire (BCTQ) for symptom severity and functional status. <b>Results:</b> Patients in Group 1 initially presented with significantly higher VAS scores compared to Group 2 (8.1 vs. 6.5, <i>p</i> = 0.001). At an average follow-up of 13.9 months, the BCTQ scores for symptom severity scale (SSS) and functional status scale (FSS) in Group 1 were comparable to those in Group 2 (SSS: 16.0 vs. 17.4, <i>p</i> = 0.393; FSS: 12.2 vs. 14.9, <i>p</i> = 0.101). No significant differences in CTS severity grades on electrodiagnostic studies were observed between the groups preoperatively. One patient in Group 1 experienced symptom recurrence 18 months postoperatively, but no other complications were reported. <b>Conclusions:</b> Revision CTR with external neurolysis can effectively manage persistent or recurrent CTS, though patients may require a longer recovery period to achieve outcomes similar to those undergoing primary CTR. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"641-648"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132507","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":"Digital Vater-Pacini Corpuscles Neuroma: Where Does it Come from?","authors":"Keiichi Muramatsu, Mon Gabriel Distor, Genuino Karissa Flores, Yo Morita","doi":"10.1142/S2424835525720117","DOIUrl":"10.1142/S2424835525720117","url":null,"abstract":"<p><p>Until now, we were able to find 38 reports of Vater-Pacini corpuscles (VPC) neuromas of the digital nerve. We reported our first case in 2023. In this article, we present our subsequent three cases of VPC neuromas and discuss their clinical presentations and anatomical origin. Interestingly, the hyperplastic VPC neuromas were found within the epineurium of the digital nerve in two cases. Anatomically, the VPCs extend, like a kite on a string, from the digital nerve and should not exist within the peripheral nerve. The regeneration and remodelling of VPCs over time have been entirely unknown. There may be stem tissue, like seeds of VPCs, in the peripheral nerves. When they receive some stimulation, they may form new VPCs. Moreover, with hyperstimulation, they may excessively form and become a VPC neuroma. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"680-683"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132483","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":"A Multicentre Outcomes Study of the Diaphyseal Ulnar Osteotomy with a Dedicated Compression Plate.","authors":"Matthew W T Curran, Michael Foster, Wolfgang Heiss-Dunlop, Shirley Collocott, Greg Couzens, Mark Ross","doi":"10.1142/S242483552550064X","DOIUrl":"10.1142/S242483552550064X","url":null,"abstract":"<p><p><b>Background:</b> Diaphyseal ulna shortening osteotomy (USO) is an accepted treatment for multiple ulnar sided wrist pathologies. Recently, a number of specifically designed compression plates for USO have become available. The purpose of the study was to assess the outcomes of an ulnar osteotomy compression plate system for USO across multiple centres. <b>Methods:</b> A multicentre cohort study was conducted on USO performed for a variety of ulnar-sided wrist pathologies using a USO compression system. Radiographic, clinical and subjective outcomes were assessed postoperatively and compared between aetiologies. <b>Results:</b> A total of 174 USOs were performed with union achieved in 170 osteotomies. Overall satisfaction was high and 83.2% returned to work. And 31.6% of patients required plate removal. <b>Conclusions:</b> The use of a specific USO compression plate provides a reasonable option for USO with similar results across multiple sites. High union rates can be achieved. However, the incidence of plate removal was high and remains a potential concern warranting further study. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"590-598"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132498","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":"Combined Vascularised Bone Graft Techniques for Displaced Coronal Fracture in Kienböck Disease: A Case Report.","authors":"Sineenart Honglertkawin, Sitthiphong Suwannaphisit, Kenji Kawamura, Shohei Omokawa","doi":"10.1142/S2424835525720129","DOIUrl":"https://doi.org/10.1142/S2424835525720129","url":null,"abstract":"<p><p>Surgical treatment of Kienböck disease remains controversial and depends on patient age, activity and disease stage. We report an 18-year-old female badminton player who presented with wrist pain, limited motion and decreased grip strength. Imaging revealed a displaced coronal lunate fracture, with the palmar fragment locked against the volar rim of the radius, consistent with Lichtman Stage IIIC and Bain grade 2b. MRI showed low signal intensity, suggesting compromised vascularity. Arthroscopy confirmed intact cartilage except at the fracture site. Lunate reconstruction using the Kuhlmann technique with a vascularised bone graft was performed, and the scaphoid was temporarily fixed to the radius to offload the lunate. At 2-year follow-up, despite the development of radiolunate osteoarthritis, the patient showed significant improvement in pain, grip strength and wrist motion. This case highlights that although disease progression may continue, joint-preserving reconstruction can achieve favourable functional outcomes in young, active patients. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":"30 6","pages":"674-679"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642522","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":"Costo-Osteochondral Autograft for the Non-salvageable Proximal Scaphoid: A Systematic Review.","authors":"Thien Thai, Luke McCARRON, David J Graham, Brahman Sivakumar","doi":"10.1142/S2424835525500626","DOIUrl":"10.1142/S2424835525500626","url":null,"abstract":"<p><p><b>Background:</b> Scaphoid non-union is a challenging condition that can lead to chronic wrist pain, decreased range of motion (ROM) and functional impairment. One promising approach involves the use of costo-osteochondral rib autografts, offering a non-vascularised and structurally supportive environment for bone regeneration. This systematic review aims to evaluate the current evidence regarding the management of non-salvageable scaphoid proximal poles and non-union using rib costo-osteochondral autografts. <b>Methods:</b> A comprehensive search of electronic databases was conducted. Data extraction was performed independently by two authors. The primary outcomes were ROM, grip strength, pain, functional outcomes and complications. <b>Results:</b> A total of six studies were identified that met the inclusion criteria. A total of 101 patients had undergone scaphoid costo-osteochondral autografting with a rib donor. Postoperative active ROM arc had a mean of 112° (range: 78°-125°), with grip strength mean of 34 kg (range: 22-50 kg). Various functional outcome measures were reported, such as the QuickDASH, Patient Rated Wrist Evaluation (PRWE) and Visual Analogue Scale (VAS), with overall improvement noted for function and pain. Complications were reported in 10% of cases, including four donor site complications. <b>Conclusions:</b> The available literature supports the use of costo-osteochondral rib autografts to treat the non-salvageable proximal scaphoid, with short-term improvement in ROM and function. However, given the heterogeneity of the included studies and the limited number of high-quality randomised controlled trials, further research is needed to establish the optimal graft selection for scaphoid AVN or non-union. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"599-607"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132513","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 and Outcomes of Brachial Plexus Injuries after Shoulder Dislocation: A Systematic Review.","authors":"Ramin Shekouhi, Mary Margaret Holohan, Syeda Hoorulain Ahmed, Paola N Piascik, Lindsey Morrow, Harvey Chim","doi":"10.1142/S2424835525500638","DOIUrl":"10.1142/S2424835525500638","url":null,"abstract":"<p><p><b>Background:</b> Brachial plexus (BP) injuries are a known complication of shoulder dislocation, yet optimal management strategies remain unclear. This systematic review aims to evaluate the outcomes and treatment approaches for BP injuries following shoulder dislocation. <b>Methods:</b> A systematic review was conducted according to PRISMA guidelines across four databases: PubMed/MEDLINE, Embase, Scopus and Web of Science. Eligible studies included human subjects with BP injuries following shoulder dislocation. Data extraction and risk of bias (ROB) assessment were independently performed by two reviewers. Due to heterogeneity amongst the studies, a meta-analysis was not conducted. <b>Results:</b> Out of 2,060 initial studies, 9 met the inclusion criteria, encompassing a total of 255 patients (256 limbs) with a mean age of 55.9 ± 16.0 years. Of these, 193 (75.7%) had BP injuries post dislocation. Conservative management was the most common treatment (149 cases, 67.4%), followed by neurolysis ± nerve transfer (44 cases, 19.9%) and nerve repair (28 cases, 12.7%). Amongst 133 patients with reported BP injury patterns, the posterior cord was most frequently involved (38.3%). Sensory and motor recovery was observed in 51.6% and 45.2% of patients respectively, with 60.4% of patients achieving MRC grade ≥ 4 in studies that reported this metric. The mean follow-up period was 28.4 months. <b>Conclusions:</b> BP injuries following shoulder dislocation are uncommon but clinically significant. Conservative treatment remains the predominant approach, though surgical interventions may offer improved functional recovery in selected cases. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"633-640"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132486","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}