Hand Surgery & Rehabilitation最新文献

{"title":"Preoperative factors that impact survey response rate two years after hand and wrist surgery: A retrospective study","authors":"Matthew A. Moshyedi,&nbsp;Samir Kaveeshwar,&nbsp;Brandon Leon,&nbsp;Nichole M. Shaw,&nbsp;Matheus B. Schneider,&nbsp;Ugo Udogwu,&nbsp;Evan L. Honig,&nbsp;Michael A. McCurdy,&nbsp;Raymond A. Pensy,&nbsp;Christopher G. Langhammer,&nbsp;R. Frank Henn III","doi":"10.1016/j.hansur.2025.102171","DOIUrl":"10.1016/j.hansur.2025.102171","url":null,"abstract":"<div><h3>Background</h3><div>As patient-reported outcomes (PROs) become increasingly valuable, it is important to identify factors related to PRO survey nonresponse. The purpose of this study was to investigate preoperative factors associated with survey response rates two years after hand and wrist surgery.</div></div><div><h3>Methods</h3><div>Patients enrolled in a surgical registry were administered an electronic survey at baseline and two years after hand and wrist surgery. Questionnaires included demographics, six Patient-Reported Outcomes Information System (PROMIS) domains, Numeric Pain Scales (NPS), Brief Michigan Hand Questionnaire (BMHQ), and Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) expectations domain. Patients who responded to the 2-year survey were compared to the patients who did not complete any of the 2-year survey.</div></div><div><h3>Results</h3><div>There were 361 patients who completed the baseline survey and 253 patients (70%) completed the 2-year postoperative survey. Survey nonresponse was associated with younger age, less education, being unmarried, lower income, smoking, alcohol use, injury prior to surgery, worse PROMIS Social Satisfaction, worse PROMIS Pain Interference, worse PROMIS Anxiety, worse NPS joint score, worse BMHQ score, and lower treatment expectations. Multivariable logistic regression analysis confirmed that older age, better baseline BMHQ scores, greater treatment expectations and drinking alcohol 1–4 times per month were independent predictors of increased survey response rate.</div></div><div><h3>Conclusion</h3><div>This study identified multiple socio-demographic and patient-reported factors related to survey nonresponse two years after hand and wrist surgery. These findings may guide targeted strategies to improve long-term survey response rates following hand and wrist surgery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102171"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary intention healing for fingertip amputation with exposed bone","authors":"Thai Van Nguyen ,&nbsp;Toan Tan Nguyen ,&nbsp;Phi Duong Nguyen ,&nbsp;Nguyen Tri Phan ,&nbsp;Yen Hoang Lam ,&nbsp;Khoa Dang Tran ,&nbsp;Phat Ngoc Hoang","doi":"10.1016/j.hansur.2025.102210","DOIUrl":"10.1016/j.hansur.2025.102210","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the outcomes of treating exposed bone fingertip<span> amputations using the secondary intention healing method, and to analyze the correlation between the severity of the injury, as defined by the Allen classification, and the results of the treatment.</span></div></div><div><h3>Methods</h3><div><span>A prospective descriptive study was conducted on 40 patients with fingertip amputation of Allen types 2–4 and exposed bone (≤2 mm) from May 2023 to January 2024. Patients were treated using the secondary intention healing method with a multi-layer moist dressing protocol, which included castor oil, non-adhesive Urgotul gauze, saline-moistened gauze and rubber glove fingertip coverage. The </span>Fingertip Injuries Outcome Score (FIOS) was used to evaluate outcomes after 6 months of follow-up.</div></div><div><h3>Results</h3><div><span>The mean age was 32.5 ± 9.27 years, and 82.5% of participants were male. The distribution by Allen classification was as follows: type 2 (50%), type 3 (35%), and type 4 (15%). The mean FIOS score was 15.08 ± 3.10. Excellent results were achieved by 12.5% of patients, good results by 62.5%, and fair results by 25%. FIOS scores increased with injury severity: For Allen types 2, 3 and 4, the scores were 12.80 ± 1.11, 16.14 ± 2.31 and 20.17 ± 1.17, respectively. A strong positive correlation was found between the Allen classification and the FIOS scores (</span><em>r</em> = 0.80, <em>p</em> &lt; 0.001). The average healing time was 3.95 ± 0.75 weeks. The infection rate was 5%, with 2.5% of cases requiring surgical intervention.</div></div><div><h3>Conclusions</h3><div>The secondary intention healing method is an effective treatment for exposed bone fingertip amputations, particularly Allen types 2 and 3. Injury severity according to the Allen classification correlates directly with FIOS scores, indicating poorer outcomes for more severe injuries, though these remain within acceptable limits.</div></div><div><h3>Level of evidence</h3><div>Level IV, Case Series.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102210"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facioscapulohumeral muscular dystrophy manifestations in the hand: A case report","authors":"Alexander Hayek ,&nbsp;Adam Horvit ,&nbsp;Lee Reichel","doi":"10.1016/j.hansur.2025.102217","DOIUrl":"10.1016/j.hansur.2025.102217","url":null,"abstract":"<div><div>We present the case of a male in his 20s with undiagnosed fascioscapularhumeral musculodystrophy presenting with apparent isolated weakness in the ring and small finger. Hand manifestations of fascioscapularhumeral musculodystrophy are uncommon. Hand specialists may be puzzled by the presentation of this condition. This case highlights the clinical history, exam findings, electrodiagnostic findings, and greater than one-year outcome following surgery to restore hand function.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102217"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound imaging: A cornerstone in Lacertus syndrome management","authors":"Ahmet Furkan Çolak,&nbsp;Berkay Yalçınkaya,&nbsp;Hilmi Berkan Abacıoğlu,&nbsp;Murat Kara","doi":"10.1016/j.hansur.2025.102229","DOIUrl":"10.1016/j.hansur.2025.102229","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102229"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motec® total wrist arthroplasty surgical procedure: personal pearls and pitfalls","authors":"Alain Tchurukdichian ,&nbsp;Victor Rutka ,&nbsp;Christophe Gaillard ,&nbsp;Camille Brenac ,&nbsp;Arnaud Walch ,&nbsp;Thibault Druel","doi":"10.1016/j.hansur.2025.102232","DOIUrl":"10.1016/j.hansur.2025.102232","url":null,"abstract":"<div><div>Personal pearls and pitfalls are described, as well as an enhanced surgical procedure for performing Motec® prosthesis surgery on the wrist. While the objective of the procedure is to correctly position the implants, a standardized and meticulous surgical technique is crucial for achieving favourable results and avoiding complications, given the significant learning curve associated with this prosthesis. The most important tip for the carpo-metacarpal side is to ensure that the capitate is sufficiently freed through a 'shoe box' osteotomy, so that it is aligned with the third metacarpal in all planes. It is also important to ensure that the definitive metacarpal screw extends beyond the endomedullary isthmus of the third metacarpal. On the radial side, the radial screw must be positioned correctly, aligned with the radius medullary canal, and not tilted. The short neck must never be used. A new test has been proposed to prevent the joint from being overly constrained. This test is positive (pathological) when wrist flexion and hand supination occur during radial deviation. Finally, one of the most important steps is to check for a cam effect in every extreme position. Failure to eliminate cam effects can cause persistent pain and contribute to implant loosening over time. Cadaver lab practice is advised prior to the first implementation, or an experienced surgeon should be present, to minimize potential complications.</div></div><div><h3>Level of evidence</h3><div>Therapeutic Level 5.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102232"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proximal phalanx fracture treated by a Lucerne cast with early active motion: a retrospective study of 71 fractures","authors":"Skrallan Verhasselt ,&nbsp;Jasper De Geyter ,&nbsp;Nona Hacha,&nbsp;David Scoliers,&nbsp;Katrien Gevens","doi":"10.1016/j.hansur.2025.102208","DOIUrl":"10.1016/j.hansur.2025.102208","url":null,"abstract":"<div><div>This retrospective study presents the results obtained using an early active motion protocol for all types of closed proximal phalanx fractures<span>, with or without initial rotational deformity or extension lag, treated with a Lucerne cast. Out of the 71 patients included in the study, 54 responded (71 fractures; response rate: 76%). Assessment was conducted using the total active motion score, (TAM) grip strength, and key pinch. A series of questionnaires were also administered, including a visual analogic scale (VAS) for pain and satisfaction, the Michigan Hand Outcomes Questionnaire (MHQ), the patient-rated wrist/hand evaluation and the SF-36 score. The minimum follow-up period was six months. The mean TAM score was 90.9% compared to the uninjured side. The VAS satisfaction score was 86.2%, the VAS pain score was 1.0 points and the MHQ score was 83.8 points versus 92.9 points for the uninjured side. Fourteen percent of patients experienced complications. In conclusion, conservative treatment of extra- and intra-articular proximal phalanx fracture using an early active motion protocol in a Lucerne cast is favourable, providing excellent results in terms of mobility, force, function, and patient-related outcomes.</span></div></div><div><h3>Level of evidence 4</h3><div>Retrospective study (case series).</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102208"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical technique: Reconstruction of terminal extensor tendon with proximal tendon flap and bipedicled skin flaps","authors":"Patrick K. O’Donohoe ,&nbsp;Brian O’Ceallaigh ,&nbsp;Kenneth M. Joyce","doi":"10.1016/j.hansur.2025.102234","DOIUrl":"10.1016/j.hansur.2025.102234","url":null,"abstract":"<div><div>Reconstruction of traumatic defects of the terminal extensor tendon is a complex challenge in hand surgery. We review the literature for previously described methods and report on our novel technique for managing a complex deficit of the extensor tendon.</div></div><div><h3>Level of evidence</h3><div>V.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102234"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conservative rehabilitation approach for trapeziometacarpal osteoarthritis","authors":"Paolo Boccolari ,&nbsp;Annalisa Nesti ,&nbsp;Pasquale Arcuri ,&nbsp;Roberto Tedeschi ,&nbsp;Danilo Donati","doi":"10.1016/j.hansur.2025.102216","DOIUrl":"10.1016/j.hansur.2025.102216","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102216"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subungual hemangioma: A cause of isolated nail clubbing","authors":"Justin LeBlanc,&nbsp;Brandon LeBlanc","doi":"10.1016/j.hansur.2025.102213","DOIUrl":"10.1016/j.hansur.2025.102213","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102213"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculous flexor tenosynovitis of the wrist: A case mimicking carpal tunnel syndrome","authors":"Gia Anh Thy Le ,&nbsp;Minh Khoa Le","doi":"10.1016/j.hansur.2025.102224","DOIUrl":"10.1016/j.hansur.2025.102224","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 4","pages":"Article 102224"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}