Journal of Hand Surgery-Asian-Pacific Volume最新文献_第7页

Synovial Chondromatosis of the Hand and Wrist: A 35-Year Retrospective Case Review. 手和手腕滑膜软骨瘤病：35年回顾性病例回顾。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-04-01 Epub Date: 2025-01-05 DOI: 10.1142/S2424835525500213

Holly Morris, Victoria Lo, Becky Sheehy, Karen L Smith

{"title":"Synovial Chondromatosis of the Hand and Wrist: A 35-Year Retrospective Case Review.","authors":"Holly Morris, Victoria Lo, Becky Sheehy, Karen L Smith","doi":"10.1142/S2424835525500213","DOIUrl":"10.1142/S2424835525500213","url":null,"abstract":"Background: Synovial chondromatosis is a condition that rarely occurs in the hand and wrist. Recurrence and malignant transformation are two potential complications of the disease. We set out to retrospectively review 35 years of practice within our sarcoma and tertiary hand unit and identify recurrence or malignant transformation. Methods: This is a retrospective analysis of patients with synovial chondromatosis seen at our sarcoma and tertiary hand unit for the past 35 years. Incidence of recurrence or malignant transformation was noted. Where possible, patients were clinically and radiologically reviewed with range of motion, grip strength and patient evaluation measures obtained. Results: Of 12 patients presenting to the practice, seven patients were followed up and, of these, two demonstrated recurrences. The recurrence was diagnosed based on patient-reported symptoms, clinical examination and the requisition of further imaging. Of the five who could not be followed up, two demonstrated recurrence and one had malignant transformation with a low-grade chondrosarcoma on histology. Conclusions: While a rare disease, we demonstrated recurrence within our small case series. Fusion to obliterate the joint is an option in the management of recurrence. For the diagnostically challenging, genetic testing may be beneficial, though genetic rearrangements are not seen in all cases. All patients should be counselled on symptoms to watch for as a small proportion may experience recurrence and a small percentage may undergo malignant transformation. Level of Evidence: Level IV (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"134-140"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958482","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

Paediatric Locked Middle Finger due to Synovial Osteochondromatosis: A Case Report. 滑膜骨软骨瘤病致小儿中指锁定1例报告。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-04-01 Epub Date: 2025-01-17 DOI: 10.1142/S2424835525720038

Shichoh Sonezaki, Hikaru Ogawa, Yoshinao Oda, Tetsuo Kojima

引用次数: 0

Allen Test, Modified Allen Test and Digital Allen Test. 艾伦测试、改良艾伦测试和数字艾伦测试。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-04-01 Epub Date: 2025-03-22 DOI: 10.1142/S2424835525010039

Sandeep Jacob Sebastin

引用次数: 0

The Microbiology, Management and Outcomes of Native Joint Septic Arthritis of the Hand in Adults of Southeast Queensland. 昆士兰东南部成人原发性关节感染性关节炎的微生物学、管理和预后。

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Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2025-04-01 Epub Date: 2025-01-05 DOI: 10.1142/S2424835525500201

Lee Forman, Ariadne Forman, Kylie Alcorn

{"title":"The Microbiology, Management and Outcomes of Native Joint Septic Arthritis of the Hand in Adults of Southeast Queensland.","authors":"Lee Forman, Ariadne Forman, Kylie Alcorn","doi":"10.1142/S2424835525500201","DOIUrl":"10.1142/S2424835525500201","url":null,"abstract":"Background: Native joint septic arthritis (NJSA) of the hand is poorly studied. Management guidelines are extrapolated from large joint infections despite differences in epidemiology, anatomy and aetiology. Limited evidence suggests shorter courses of antibiotics can achieve outcomes comparable to longer courses. The aim of our study is to characterise the presentation, management and outcomes of NJSA of the hand in an adult cohort from Southeast Queensland (SEQ) and determine if the route or duration of antibiotics affected the outcome. Our cohort was compared to those in the literature to determine if already published data could be applicable to our population. Methods: A coding based retrospective cohort of adult patients between 2016 and 2022 were assessed. The cohort was divided into short/long course antibiotics and primarily intravenous/oral route for outcome comparison. Results: Seventy-four patients were included with a joint culture positive rate of 75%. The most common aetiology of infection was direct trauma and the most common pathogen was Staphylococcus aureus. Resolution was achieved in 86% of patients after 1-year follow-up, with a median antibiotic duration of 14 days, and 48% had non-infectious sequelae. Failure to achieve resolution was associated with females and taking immunosuppressants. No significant difference was detected when analysed for primary route or duration of antibiotics. Conclusions: There was no difference in the rate of resolution attributable to the route or duration of antibiotics. We demonstrated comparability between our cohorts' demographics, management and outcomes with those in the literature. Based on the findings in our study, noting the retrospective nature and small cohort, the authors conclude for uncomplicated NJSA of the hand, a total antibiotic duration of 14 days in addition to early surgical intervention is likely to be successful in most patients. Level of Evidence: Level III (Therapeutic).","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"127-133"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958583","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

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

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

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

IF 0.5

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。

IF 0.5

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

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。

IF 0.5

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