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

{"title":"No Significant Impact of Preoperative Electrodiagnostic Testing on Short-Term Outcomes after Carpal Tunnel Release.","authors":"Alisha J Williams, John M Pum, Joshua K Deyoung, Mitchell Wu, Charles S Day","doi":"10.1142/S2424835526500189","DOIUrl":"10.1142/S2424835526500189","url":null,"abstract":"<p><p><b>Background:</b> The purpose of this study was to compare Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) and PROMIS Pain Interference (PI) scores before and after carpal tunnel release (CTR) between patients who underwent preoperative electrodiagnostic studies (EDS) and those who did not. <b>Methods:</b> This study was performed retrospectively. A total of 84 patients who underwent an endoscopic or open CTR in 2022 were retrospectively identified and divided based on those who did (<i>n</i> = 42) and did not (<i>n</i> = 42) receive preoperative EDS prior to CTR. Patients who did not receive EDS underwent preoperative CTS-6 or ultrasound. <b>Results:</b> No significant differences were found in pre- and postoperative PROMIS PI and UE scores between the EDS and non-EDS groups. <b>Conclusions:</b> With continued emphasis on reducing health care expenditure in orthopaedics, our findings suggest that preoperative EDS may not influence postoperative outcomes in CTR, and alternative diagnostic assessments, such as CTS-6 or ultrasound, may be considered when EDS is unavailable or unnecessary. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"217-223"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500688","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":"Treatment Patterns and Disparities in Thumb Collateral Ligament Surgery: A 10-Year New York State Analysis.","authors":"Joseph Saleh, Michelle A Richardson, Matthew T Kingery, Charles C Lin, Utkarsh Anil, Matthew V Abola","doi":"10.1142/S2424835526500177","DOIUrl":"10.1142/S2424835526500177","url":null,"abstract":"<p><p><b>Background:</b> Thumb metacarpophalangeal (MCP) collateral ligament injuries are common and can be debilitating, with prolonged recovery and functional limitation of the injured hand. The aim of this study is to identify potential demographic differences between patients treated operatively and nonoperatively and identify trends in the surgical management of thumb MCP ligament injuries in New York (NY) State. <b>Methods:</b> Using the Statewide Planning and Research Cooperative System (SPARCS) database and relevant diagnosis codes, 18,171 patients diagnosed from 2010 through 2020 in NY State were identified. Demographic information, including age, sex, race and insurance type, was collected. Comparisons between the operative and nonoperative groups were performed using <i>t</i>-tests or Chi-squared tests as appropriate. The change in percentage of injuries treated operatively, as well as the effects of age, sex, race and insurance type on odds of undergoing surgery, were evaluated using linear regression analysis. Statistical significance was set at <i>p</i> < 0.05. <b>Results:</b> From 2010 to 2020, there were 18,230 collateral ligament injuries. The percentage of injuries treated operatively increased over the study period, with a minimum of 25.7% in 2011 and a maximum of 35.8% in 2017. Compared to patients with Medicaid insurance, patients were significantly more likely to be treated surgically if they had private insurance (OR = 4.15, 95% CI [3.64, 4.75], <i>p</i> < 0.001), worker's compensation (OR = 5.28, 95% CI [4.50, 6.20], <i>p</i> < 0.001) or Medicare (OR = 2.73, 95% CI [2.28, 3.26], <i>p</i> < 0.001). Black and Hispanic patients were less likely to undergo operative management than white patients (OR = 0.52, 95% CI [0.47, 0.58] and OR = 0.45, 95% CI [0.40, 0.51], <i>p</i> < 0.001). <b>Conclusions:</b> Demographic factors, including private insurance, workers' compensation and race, appeared to impact the likelihood of undergoing surgical management. Clinicians must be cognisant of potential demographic biases when making treatment decisions. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"175-181"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500666","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":"Nerve and Tendon Transfers for Upper Extremity Reconstruction in Spinal Cord Injury Patients: A Systematic Review.","authors":"Ramin Shekouhi, Hassan Darabi, Xizhao Chen, Kuan-I Lee, Maryam Sohooli, Harel G Schwartzberg, Mark A Maier, Harvey Chim","doi":"10.1142/S2424835526500232","DOIUrl":"10.1142/S2424835526500232","url":null,"abstract":"<p><p><b>Background:</b> Spinal cord injury (SCI) often results in upper extremity paralysis, significantly limiting independence and quality of life. Surgical interventions, including nerve and tendon transfers, offer the potential to restore critical functions such as hand grasp and elbow extension. However, the utilisation of these techniques remains limited despite promising outcomes. As such, this study aimed to systematically review the literature on the clinical outcomes of nerve and tendon transfers for upper extremity reconstruction in patients with cervical SCI. <b>Methods:</b> A systematic search was conducted in PubMed/Medline, Scopus, Embase and Web of Science following PRISMA guidelines. Studies reporting quantitative outcomes following nerve or tendon transfer in SCI patients were included. Risk of bias was assessed using the Newcastle-Ottawa Scale, and descriptive synthesis was performed due to heterogeneity. <b>Results:</b> Thirty studies met the inclusion criteria: 15 focussed on nerve transfers (208 patients, 319 limbs) and 15 on tendon transfers (360 patients, 447 limbs). The most common nerve transfers were brachialis to the anterior interosseous nerve (AIN) and supinator to the posterior interosseous nerve (PIN). Tendon transfers most frequently included extensor carpi radialis longus (ECRL) to flexor digitorum profundus (FDP) and brachioradialis (BR) to flexor pollicis longus (FPL). Both techniques demonstrated significant functional gains, with nerve transfers associated with more natural biomechanics and tendon transfers with greater strength. Early rehabilitation appeared to enhance outcomes. <b>Conclusions:</b> Both nerve and tendon transfer techniques can substantially improve upper limb function in patients with cervical SCI. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"202-216"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312381","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":"Outcomes of Static External Fixation in Delayed Presentations of Dorsal PIPJ Subluxation.","authors":"Srinivasan Rajappa, Venu Babu","doi":"10.1142/S2424835526500165","DOIUrl":"10.1142/S2424835526500165","url":null,"abstract":"<p><p><b>Background:</b> Neglected dorsal subluxation of the proximal interphalangeal joint (PIPJ) results in significant compromise of hand function. Operations like volar plate arthroplasty, hemihamate arthroplasty and joint fusions have been described to treat them. However, all are open procedures and technically demanding. Dynamic external fixation has been used as a treatment for acute injuries. There is a paucity of literature on the use of static external fixation in the treatment of neglected PIPJ fracture subluxations. We describe the outcomes of the use of static external fixation followed by splinting and therapy for this injury. <b>Methods:</b> Six adults who had chronic dorsal subluxations of the PIPJ with a minimum chronicity of 5 weeks from the injury were included in the study. All of them underwent application of joint-spanning external fixation followed by acute single-step intraoperative distraction. The apparatus was removed at 5 weeks, followed by splinting and therapy. Outcomes recorded were pain scores, total active motion (TAM) and Quick DASH score. <b>Results:</b> The mean age of patients was 30 years. The mean time from injury to surgery was 4.2 months. The mean preoperative VAS was 3.66, and the postoperative VAS was 1.83. The mean TAM improved from 131.6° to 253°. The mean Q-DASH score was 6.41. <b>Conclusions:</b> Static PIPJ distraction using an external fixator followed by splinting and therapy gives good results in neglected dorsal PIPJ fracture subluxations. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"190-195"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500691","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":"Ultrasound-Guided Percutaneous Fractional Tendon Lengthening for an Isolated FDS Contracture: A Case Report.","authors":"Ian Jason Magtoto","doi":"10.1142/S2424835526970039","DOIUrl":"10.1142/S2424835526970039","url":null,"abstract":"<p><p>Fractional tendon lengthening (FTL) is a technique to release certain contractures of various musculotendinous units of the upper and lower limb. It is traditionally done as an open procedure in the operating room under varying types of anaesthesia. A 19-year-old female with an isolated middle finger flexor digitorum superficialis (FDS) contracture who underwent ultrasound-guided percutaneous FTL under wide awake local anaesthesia, without a tourniquet, is presented. This alternative FTL technique allows for a percutaneous approach, which can be done in the clinic under local anaesthesia with possibly comparable outcomes to the standard open approach. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"237-241"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500693","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 Technique for Accurately Identifying and Harvesting the Extensor Indicis Proprius for Tendon Transfer.","authors":"Rouzbeh K Kordestani, Natalie Rodriquez, Sunil M Thirkannad","doi":"10.1142/S2424835526970040","DOIUrl":"https://doi.org/10.1142/S2424835526970040","url":null,"abstract":"<p><p>The extensor indicis proprius (EIP) is commonly used as a donor for tendon transfers. It normally inserts on the ulnar aspect of the extensor hood with the extensor digitorum communis (EDC) to the index finger inserting on the radial aspect. Anatomical studies have reported variations in EIP anatomy with a 1%-1.5% incidence of EIP insertion onto the radial aspect of the extensor hood. In our experience with 60 EIP transfers over 18 years, we found the EIP to insert onto the radial aspect of the extensor hood in three patients (5%). This is higher than what has been reported in the literature. We confirm the EDC by identifying the juncturae tendinae connecting the index and long finger EDC. We review relevant literature and suggest technical tips to avoid accidentally harvesting the wrong tendon. <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":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312274","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 Effect of Bone Substitutes for Low-Energy Comminuted Distal Radius Fractures amongst Elderly Women Treated with Volar Locking Plate Fixation: A Propensity Score-Based Analysis.","authors":"Hirotaka Akezuma, Ichiro Okano, Takeshi Sakai, Keikichi Kawasaki, Yoshifumi Kudo","doi":"10.1142/S2424835526500281","DOIUrl":"https://doi.org/10.1142/S2424835526500281","url":null,"abstract":"<p><p><b>Background:</b> This study aimed to investigate whether the use of artificial bone substitutes during volar locking plate (VLP) fixation for intra-articular comminuted distal radius fractures in elderly women improves radiographic and clinical outcomes. <b>Methods:</b> A retrospective study was conducted on female patients aged ≥65 years with intra-articular comminuted distal radius fractures (AO/OTA types B3, C2 and C3) treated with VLPs between 2018 and 2022. Patients were categorised into groups based on the use of β-tricalcium phosphate (β-TCP) as a bone substitute. A propensity score (PS) matched comparison utilising inverse probability of treatment weight was conducted comparing patients receiving standard versus β-TCP augmentation during fixation. Clinical and radiographic outcomes were evaluated. The screw-joint surface distance was assessed as a radiographic parameter indicative of optimal distal screw positioning adjacent to the subchondral bone. <b>Results:</b> The mean follow-up period was 9.9 months (range: 6-35 months). After PS matching, each group included 35 patients with comparable baseline characteristics. The screw-joint surface distance was significantly lower in the bone substitute group, indicating closer distal screw placement. However, at final follow-up, no significant differences were observed between the groups in radiographic or clinical outcomes. These results were consistent in inverse probability of treatment weighting (IPTW)-adjusted regression analysis. <b>Conclusions:</b> Closer placement of screws near the joint was observed in the bone substitute group, possibly reflecting improved intraoperative stability, but was not significantly associated with the prevention of postoperative correction loss or other clinical outcomes. Since clinical outcomes were similarly good regardless of its usage, artificial bone substitute may not be necessary for low-energy comminuted intra-articular fractures in elderly women. Further studies are warranted to determine its potential benefit in cases involving severe metaphyseal voids or joint instability. <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":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312389","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":"Efficacy of Simultaneous Distal Interphalangeal Arthrodesis and Proximal Interphalangeal Surface Implant Arthroplasty for Finger Osteoarthritis: A Comparative Study.","authors":"Takeyasu Toyama, Yoshitaka Hamada, Yoshitaka Minamikawa, Masahiro Sawada, Emiko Horii, Takanori Saito","doi":"10.1142/S2424835526500293","DOIUrl":"https://doi.org/10.1142/S2424835526500293","url":null,"abstract":"<p><p><b>Background:</b> Osteoarthritis (OA) of the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints frequently occurs in the same digit. Although PIP implant arthroplasty and DIP arthrodesis are well-established procedures, evidence on their combined application is limited. This study aimed to assess whether performing simultaneous DIP arthrodesis and PIP implant arthroplasty influences the outcomes of PIP implant arthroplasty, compared with performing PIP implant arthroplasty alone. <b>Methods:</b> We retrospectively analysed 18 fingers in 15 patients who underwent simultaneous DIP arthrodesis and PIP surface implant arthroplasty (PIP + DIP group) and compared them with 106 fingers treated with PIP implant arthroplasty alone (PIP-only group). DIP arthrodesis was performed using a dorsal approach with cannulated headless screws or Kirschner wire fixation. PIP arthroplasty was performed using an extensor tendon split approach with the Self-Locking Finger Joint System (Nakashima Healthforce Co., Ltd., Okayama, Japan). Outcome measures included the visual analogue scale (VAS) score for pain; active range of motion (ROM) of the metacarpophalangeal (MP), PIP and DIP joints, and radiographic evaluation of DIP joint union. <b>Results:</b> All fingers in the PIP + DIP group achieved bony union at the DIP joint. Both groups showed significant postoperative improvements in VAS scores and ROM of the MP and PIP joints. A significant reduction in DIP joint ROM was observed. After adjustment for preoperative variables, no significant differences were observed between groups in postoperative VAS scores (2.2 and 0.9 in the PIP + DIP and PIP-only groups, respectively) or PIP joint ROM (67° and 65.3° in the PIP + DIP and PIP-only groups, respectively). <b>Conclusions:</b> Simultaneous DIP arthrodesis and PIP surface implant arthroplasty provided effective pain relief and short-term PIP joint mobility comparable to PIP arthroplasty alone. This combined approach may be a viable surgical option for patients with coexisting DIP and PIP joint OA. <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":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312337","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":"Tenolysis after Operative Treatment of Hand Fractures: A Systematic Review.","authors":"Bart C J M DE Vries, Joris A VAN Dongen, E P A Brigitte VAN DER Heijden","doi":"10.1142/S2424835526500256","DOIUrl":"https://doi.org/10.1142/S2424835526500256","url":null,"abstract":"<p><p><b>Background:</b> Stiffness based on tendon adhesions after operative treatment of hand fractures remains a relevant complication, for which tenolysis may be needed. This systematic review aims to analyse the incidence of tenolysis after surgical hand fracture treatment and related clinical outcomes. <b>Methods:</b> The review was performed according to the PRISMA guidelines. CINAHL, Cochrane Central Register of Controlled Trials/Clinical Answers/Database of Systematic Reviews, Embase, PubMed and Web of Science were searched for articles until 31 December 2024, using keywords. Studies were included in the case of patients aged 16 years or older, who have undergone tenolysis for flexor and/or extensor tendon adhesions after surgical treatment of phalangeal and/or metacarpal fractures. The outcomes were the incidence of tenolysis and total active motion, passive and/or active range of motion (P/AROM) and lag of motion post-tenolysis. The included articles were assessed for methodological quality and risk of bias using the Critical Appraisal Skills Programme checklists, the Joanna Briggs Institute critical appraisal tools and the National Institutes of Health quality assessment tools. <b>Results:</b> Eight out of 160 studies were included. These studies reported an incidence of tenolysis of surgically treated phalangeal fractures varying from 4% to 32%. Only the study of Wong et al. statistically analysed the AROM of the metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joint pre- to post-tenolysis, showing a significant improvement of the AROM of the PIP joint (<i>p</i> = 0.012). However, based on the quality assessment, the included articles have poor to fair quality. <b>Conclusions:</b> Based on these studies, no definite conclusions concerning the incidence and clinical effect of tenolysis in terms of improvement of MCP-, PIP- and DIP-joint motion can be drawn. Due to the lower quality of these studies, future high-quality research with prospective registration is needed. <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":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312468","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":"Irreducible Volar Subluxation of the Distal Interphalangeal Joint: An Unrecognised Cause.","authors":"Koji Takamoto, Takayoshi Ono, Yutaka Morizaki, Takashi Ohe","doi":"10.1142/S2424835526720057","DOIUrl":"https://doi.org/10.1142/S2424835526720057","url":null,"abstract":"<p><p>This report describes a rare case of irreducible closed volar subluxation of the distal interphalangeal (DIP) joint of the small finger following a sports injury. Closed reduction failed, leading to open surgery, which revealed ulnar condyle entrapment between a partially torn extensor tendon and volarly displaced oblique retinacular ligament (ORL). Flexing the proximal interphalangeal (PIP) joint to 90° while extending the DIP joint relaxed the ORL, enabling dorsal repositioning and successful reduction. Awareness of this mechanism may help hand surgeons achieve effective reduction. <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":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312424","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}