Journal of Hand Surgery-Asian-Pacific Volume最新文献_第2页

Digital Acro-osteolysis Revealing Hajdu-Cheney Syndrome in an Elderly Patient: A Case Report. 数字肢端骨溶解术显示老年Hajdu-Cheney综合征1例报告。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526720136

Antonio García-Jiménez, Lluis Pomerol, Eulàlia Armengol

引用次数: 0

Intramedullary K-Wire with Immediate Mobilisation versus Percutaneous Transverse K-Wire Fixation for Transverse Metacarpal Shaft Fractures. 即刻活动的髓内k针与经皮横向k针固定治疗掌骨横向骨折。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526500499

Parod Teantunyakij, Wuttipong Siriwittayakorn, Phornphong Isariyaphruet, Wattanai Atthakorn, Pitchapa Siritattamrong, Wichit Siritattamrong

{"title":"Intramedullary K-Wire with Immediate Mobilisation versus Percutaneous Transverse K-Wire Fixation for Transverse Metacarpal Shaft Fractures.","authors":"Parod Teantunyakij, Wuttipong Siriwittayakorn, Phornphong Isariyaphruet, Wattanai Atthakorn, Pitchapa Siritattamrong, Wichit Siritattamrong","doi":"10.1142/S2424835526500499","DOIUrl":"10.1142/S2424835526500499","url":null,"abstract":"Background: Transverse metacarpal shaft fractures commonly require surgical fixation, yet optimal postoperative management remains controversial. Although intramedullary (IM) Kirschner wire (K-wire) fixation allows early motion, many surgeons continue to apply postoperative splinting due to concerns about stability. We aim to determine if a single IM K-wire fixation without immobilisation yields better outcomes and faster recovery of hand function. Methods: A single-centre, prospective and randomised controlled trial was conducted between November 2024 and November 2025 involving isolated transverse fractures of the second to fifth metacarpal shafts. Twenty patients were randomised to single buried IM K-wire fixation without postoperative immobilisation (Group A) or percutaneous transverse K-wire fixation followed by 4 weeks of splinting (Group B). Outcomes included metacarpophalangeal (MCP) joint range of motion (ROM), disabilities of arm, shoulder and hand (DASH) score, healing and complications, assessed at 4, 8 and 12 weeks. Results: Group A demonstrated significantly superior MCP joint ROM and lower DASH scores at 4 weeks postoperatively, with differences exceeding the MCID threshold. After K-wire removal, no differences in ROM or DASH scores were observed at 8 and 12 weeks. All patients achieved bone union. No malrotation, loss of reduction, wire migration, infection or fixation failure occurred in either group. Conclusions: Single IM K-wire fixation without postoperative splinting is safe and provides earlier functional recovery compared with conventional transverse K-wire fixation with immobilisation without affecting the final outcomes. Early hands-free mobilisation facilitates faster restoration of ROM and daily hand function without compromising fracture healing. Level of Evidence: Level II (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"504-512"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882565","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

The Role of the Hand Surgeon in the Diagnosis of Amyloidosis. 手外科医生在淀粉样变诊断中的作用。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526300033

Christy Zheng, Dafang Zhang

引用次数: 0

Trigger Digits in Children: Not Always What They Seem. 儿童的触发数字：并不总是他们看起来的那样。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-09-26 DOI: 10.1142/S2424835526010058

Soumen DAS DE

引用次数: 0

Anatomy of the Ulnar Side of Wrist Joint. 腕关节尺侧解剖。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-09-26 DOI: 10.1142/S242483552697009X

引用次数: 0

Posterior Interosseous Nerve Palsy Following Non-Anatomic Distal Biceps Repair. 非解剖性二头肌远端修复后的后骨间神经麻痹。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526720148

Kiran Kancherla, Haren Nandapalan B, Manish Gupta, Brahman Sivakumar

引用次数: 0

Association between Activities of Daily Living and Central Sensitisation Inventory Scores in Patients with Trigger Digit. 触发趾患者日常生活活动与中枢致敏量表评分之间的关系。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526500517

Norizumi Imazu, Kiyohito Naito, Takamaru Suzuki, Kenjiro Kawamura, Tatsuki Itoh, Muneaki Ishijima

{"title":"Association between Activities of Daily Living and Central Sensitisation Inventory Scores in Patients with Trigger Digit.","authors":"Norizumi Imazu, Kiyohito Naito, Takamaru Suzuki, Kenjiro Kawamura, Tatsuki Itoh, Muneaki Ishijima","doi":"10.1142/S2424835526500517","DOIUrl":"10.1142/S2424835526500517","url":null,"abstract":"Background: Trigger digit is a common hand disorder that causes pain, limited finger motion and functional impairment in activities of daily living (ADL). Although psychosocial factors are increasingly recognised in musculoskeletal disorders, the relationship between central sensitisation (CS) and trigger digit has not been investigated. This study aimed to identify ADL impairments associated with CS Inventory (CSI) scores in patients with trigger digit. Methods: This retrospective study included 35 patients (12 men, 23 women; mean age: 64.0 ± 9.4 years) who received conservative treatment for trigger digit between October 2022 and May 2023. Quick disabilities of the arm, shoulder and hand (Q-DASH) and CSI scores were assessed. Correlations between total Q-DASH and CSI scores were analysed using bivariate analysis, and associations between individual Q-DASH items and CSI scores were examined using Spearman's rank correlation coefficient. Statistical significance was set at p < 0.05. Results: The mean Q-DASH and CSI scores were 23.6 ± 19.5 and 22.5 ± 14.5, respectively. A significant correlation was found between total Q-DASH and CSI scores (p = 0.021). Amongst the 11 Q-DASH items, Q3 (carry a shopping bag or briefcase), Q4 (wash your back), Q8 (limitations in work or daily activities) and Q11 (difficulty sleeping because of pain) were significantly associated with CSI scores (p = 0.024, 0.018, 0.033 and 0.001, respectively). Conclusions: These findings suggest that psychosocial factors associated with ADL impairment in trigger digit can be assessed using CSI scores. Specific Q-DASH items reflecting daily and social functioning, hygiene and sleep may be particularly influenced by CS mechanisms. Level of Evidence: Level IV (Diagnostic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"520-526"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882220","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

Carpal Tunnel Syndrome Diagnostic Method and Surgical Wait Times: Do They Relate and Can We Do It Better? 腕管综合征的诊断方法和手术等待时间：它们是否相关？我们能做得更好吗？

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526500505

Darren Anderson, Fintan Thompson, Kathryn McFARLANE

{"title":"Carpal Tunnel Syndrome Diagnostic Method and Surgical Wait Times: Do They Relate and Can We Do It Better?","authors":"Darren Anderson, Fintan Thompson, Kathryn McFARLANE","doi":"10.1142/S2424835526500505","DOIUrl":"10.1142/S2424835526500505","url":null,"abstract":"Background: This study investigated the methods used to diagnose carpal tunnel syndrome (CTS) at a regional hospital and determined whether surgical wait times differed between those who had a nerve conduction study (NCS) and those who did not. Methods: This study consists of a retrospective cross-sectional review of patient records over 24 months, recording demographic information, date of initial orthopaedic clinic consult, date of surgery and diagnostic tool utilised by the assessing clinician. Patients were divided into two groups: those who had an NCS and those who did not. These two groups were statistically analysed to compare surgical wait times from the date of initial consult to the date of surgery. Results: The study determined that 117 carpal tunnel release (CTR) procedures were completed, with NCS used to diagnose CTS in 86 of the 117 patients. The remaining 31 patients were diagnosed using either provocative tests or an ultrasound study. The number of days to surgery was significantly higher amongst participants who had an NCS (median 206 days) compared to the non-NCS groups (median 73 days). Conclusions: It is concluded that the use of NCS in the diagnosis of CTS prolongs the surgical wait times of patients requiring surgery. There are some cases where an NCS is required to provide clarity in an unclear clinical picture; however, given that in many cases a reliable diagnosis of CTS can be made without completion of an NCS, the necessity of routinely completing this investigation should be judiciously considered, especially in circumstances where surgical wait times are of importance to patient outcomes. Level of Evidence: Level III (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"513-519"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882256","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

Intraoperative Optimisation of Zone II Flexor Tendon Repairs Using WALANT and iTAMe. 术中应用WALANT和iTAMe优化II区屈肌腱修复。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526970088

Gundavarapu Avinash, P Umar Farooq Baba, N C Madhusudhan

{"title":"Intraoperative Optimisation of Zone II Flexor Tendon Repairs Using WALANT and iTAMe.","authors":"Gundavarapu Avinash, P Umar Farooq Baba, N C Madhusudhan","doi":"10.1142/S2424835526970088","DOIUrl":"10.1142/S2424835526970088","url":null,"abstract":"This technical note describes a reproducible technique for intraoperative assessment and optimisation of Zone II flexor tendon repairs using the Wide-Awake Local Anaesthesia No Tourniquet (WALANT) approach combined with intraoperative Total Active Movement examination (iTAMe). The aim is to provide surgeons with a systematic protocol to evaluate tendon glide, detect gapping and address pulley obstruction in real time, thereby improving repair integrity. The technique involves WALANT solution administration, tendon exposure via Bruner incision, four-strand core suture repair and iTAMe testing. Key steps include troubleshooting algorithms for gapping (suture reinforcement or re-repair) and triggering (pulley venting), complemented by intraoperative patient education (iPE) to enhance compliance. The principal conclusion is that integrating iTAMe into WALANT procedures enables immediate correction of repair flaws, reduces postoperative complications and empowers patients through direct engagement. This method offers a practical framework for surgeons adopting wide-awake tendon repair. Level of Evidence: Level V (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"564-568"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882486","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

Technical Factors Associated with Non-Union in Lunocapitate Fusion: A Retrospective Comparison with Four-Corner Wrist Arthrodesis. 腕骨融合术不愈合的技术因素：与四角关节融合术的回顾性比较。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2026-10-01 Epub Date: 2026-08-31 DOI: 10.1142/S2424835526500475

Jian-Jiun Chen, Jia-You Liou, I-Ning Lo, Cheng-Yu Yin, Jung-Pan Wang, Yi-Chao Huang

{"title":"Technical Factors Associated with Non-Union in Lunocapitate Fusion: A Retrospective Comparison with Four-Corner Wrist Arthrodesis.","authors":"Jian-Jiun Chen, Jia-You Liou, I-Ning Lo, Cheng-Yu Yin, Jung-Pan Wang, Yi-Chao Huang","doi":"10.1142/S2424835526500475","DOIUrl":"10.1142/S2424835526500475","url":null,"abstract":"Background: Wrists with scapholunate advanced collapse (SLAC) and scaphoid non-union advanced collapse (SNAC) are frequently managed using either lunocapitate fusion (LCF) or four-corner fusion (4CF). However, technical factors within the LCF may have an important influence on union and complication rates. Methods: This retrospective study evaluated the radiographic and functional outcomes of 28 patients (LCF = 19, 4CF = 9) treated between 2015 and 2023, with particular emphasis on technical observations within the LCF group. The 4CF cohort was primarily included to provide a clinical context. Results: The fusion rates were significantly lower in the LCF group (47% vs. 100%, p = 0.0098), and the reoperation rates were higher (32% vs. 0%, p = 0.136). In the LCF group, all patients treated with a single screw (3/3) or with two partial-threaded screws (3/3) developed non-union. In contrast, the non-union rate was 43.8% (7/16) in the two-screw subgroup and 30.8% (4/13) when at least one fully threaded screw was used. Both procedures yielded comparable improvements in wrist range of motion (ROM), visual analogue scale (VAS), quick disabilities of the arm, shoulder and hand (QuickDASH), modified Mayo wrist scores (MMWS) and patient satisfaction at 1-year follow-up. Although LCF is less extensive, its outcomes in this study appear to be influenced by technical factors. Conclusions: The main finding of this study was that non-union and reoperation in the LCF group were clustered in cases with less robust fixation constructs and potentially insufficient preparation of fusion surfaces. These observations imply that the outcome of LCF may depend more on the surgical execution than on the procedure itself. These findings should be considered hypothesis-generating. Larger studies are required to clarify the potential technical risk factors for surgical failure. Level of Evidence: Level IV (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"489-496"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882645","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