{"title":"Hourglass-like constriction is a hallmark of neuralgic amyotrophy (Parsonage-Turner syndrome)","authors":"G. Fargeot , R. Dukan, C. Labeyrie","doi":"10.1016/j.hansur.2025.102090","DOIUrl":"10.1016/j.hansur.2025.102090","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102090"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026153","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":"Correspondence. Reply to the article “Cornelis S, Mufty S, Peters S. Isolated distal radioulnar joint septic arthritis, the intact triangular fibrocartilaginous complex serving as an anatomical barrier. Hand Surg Rehabil, January 2025","authors":"Andrea Manfredi , Philippe Liverneaux","doi":"10.1016/j.hansur.2025.102092","DOIUrl":"10.1016/j.hansur.2025.102092","url":null,"abstract":"<div><div>Cornelis et al. reported an isolated DRUJ infection treated with open surgery to prevent spread to the radiocarpal joint. We suggest that arthroscopy, proven effective in other joint infections and technically feasible for the DRUJ without damaging the TFCC,could have been a less invasive and effective alternative.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102092"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043878","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}
Eleonora Villari , Laura Langone , Federico Pilla , Ilaria Chiaramonte , Laura Ramponi , Cesare Faldini
{"title":"Dual mobility trapeziometacarpal prosthesis: A review of the current literature","authors":"Eleonora Villari , Laura Langone , Federico Pilla , Ilaria Chiaramonte , Laura Ramponi , Cesare Faldini","doi":"10.1016/j.hansur.2025.102107","DOIUrl":"10.1016/j.hansur.2025.102107","url":null,"abstract":"<div><div>Osteoarthritis of the first carpometacarpal joint is a common condition affecting up to 70% of the general population, with symptomatic disease occurring in 6% of cases, predominantly in postmenopausal women. Among the therapeutic options, total prosthetic replacement of the trapeziometacarpal joint is gaining prominence. The aim of this review is to provide a comprehensive update on dual mobility total arthroplasty of the trapeziometacarpal joint.</div><div>PubMed, Google Scholar, and MEDLINE were searched for relevant publications that addressed the outcomes of dual mobility trapeziometacarpal prostheses. The Methodological Index for Non-Randomized Studies (MINORS) was used to assess the risk of bias. The effect model (EM) was calculated using the Cohen's d index. Ten studies with a total of 931 patients were included. Two prosthetic models were implanted (Moovis and Touch). Of the 931 implants, 25 failed (2.7%) and required surgical revision. The pooled random EM was 34.15 (95% CI, 23.53;44.77, I<sup>2</sup> = 99%) for QuickDASH, −2.36 (95% CI, −4.24; −0.47, I<sup>2</sup> = 99%) for Kapandji score, −7.49 (95% CI, −8.94; −6.04, I<sup>2</sup> = 82%) for grip strenght, and −2.43 (95% CI, −2.92; −1.94, I<sup>2</sup> = 91%) for key-pinch strenght.</div><div>Dual mobility provides a good functional outcome in terms of range of motion and early recovery of pinch and grip strength, with a lower rate of dislocation compared to standard surgical procedures, and should be considered in patients with advanced trapeziometacarpal osteoarthritis with moderate functional demands.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102107"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461164","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":"Rupture of the flexor carpi radialis secondary to the carrying of a heavy load","authors":"Mohamed Benjemaa , Hayfa Abid , Jawher Dhief , Wassim Zribi , Hassib Keskes","doi":"10.1016/j.hansur.2025.102108","DOIUrl":"10.1016/j.hansur.2025.102108","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102108"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470428","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}
Francis Bonte , Dries Verrewaere , Pieter Pierreux , Hanne Vandevivere , Filip Stockmans , Bart Berghs
{"title":"Curtis plasty is an effective option for correcting supple boutonnière deformity","authors":"Francis Bonte , Dries Verrewaere , Pieter Pierreux , Hanne Vandevivere , Filip Stockmans , Bart Berghs","doi":"10.1016/j.hansur.2025.102126","DOIUrl":"10.1016/j.hansur.2025.102126","url":null,"abstract":"<div><div>Boutonnière deformity is characterized by flexion of the proximal interphalangeal (PIP) joint and hyperextension of the distal interphalangeal (DIP) joint, often caused by trauma or rheumatoid arthritis. When the deformity remains supple without fixed contractures, tendon reconstruction techniques such as the Curtis plasty can restore function and correct alignment.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102126"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627253","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}
Kareem S. Mohamed , Alexander Yu , Christoph A. Schroen , Akiro Duey , James Hong , Ryan Yu , Suhas Etigunta , Jamie Kator , Hannah S. Rhee , Michael R. Hausman
{"title":"Comparing AAOS appropriate use criteria with ChatGPT-4o recommendations on treating distal radius fractures","authors":"Kareem S. Mohamed , Alexander Yu , Christoph A. Schroen , Akiro Duey , James Hong , Ryan Yu , Suhas Etigunta , Jamie Kator , Hannah S. Rhee , Michael R. Hausman","doi":"10.1016/j.hansur.2025.102122","DOIUrl":"10.1016/j.hansur.2025.102122","url":null,"abstract":"<div><h3>Introduction</h3><div>The American Academy of Orthopaedic Surgeons (AAOS) developed appropriate use criteria (AUC) to guide treatment decisions for distal radius fractures based on expert consensus. This study aims to evaluate the accuracy of Chat Generative Pre-trained Transformer-4o (ChatGPT-4o) by comparing its appropriateness scores for distal radius fracture treatment with those from the AUC.</div></div><div><h3>Methods</h3><div>The AUC patient scenarios were categorized by factors such as fracture type (AO/OTA classification), mechanism of injury, pre-injury activity level, patient health (ASA 1–4), and associated injuries. Treatment options included percutaneous pinning, spanning external fixation, volar locking plates, dorsal plates, and immobilization methods, among others. Orthopedic surgeons assigned appropriateness scores for each treatment (1–3 = “Rarely Appropriate,” 4–6 = “May Be Appropriate,” and 7–9 = “Appropriate”). ChatGPT-4o was prompted with the same patient scenarios and asked to assign scores. Differences between AAOS and ChatGPT-4o ratings were used to calculate mean error, mean absolute error, and mean squared error. Statistical significance was assessed using Spearman correlation, and appropriateness scores were grouped into categories to determine percentage overlap between the two sources.</div></div><div><h3>Results</h3><div>A total of 240 patient scenarios and 2160 paired treatment scores were analyzed. The mean error for treatment options ranged from 0.6 for volar locking plate to -2.9 for dorsal plating. Pearson correlation revealed significant positive associations for dorsal spanning bridge (0.43, P = <0.001) and spanning external fixation (0.4, P = <0.001). The percentage overlap between AAOS and ChatGPT-4o in the appropriateness categories varied, with 99.17% agreement for immobilization without reduction, 90.42% for volar locking plates, and only 15% for dorsal plating.</div></div><div><h3>Conclusion</h3><div>ChatGPT-4o does not consistently align with the appropriate use criteria in determining appropriate management of distal radius fractures. While there was moderate concordance in certain treatments, ChatGPT-4o tended to favor more conservative approaches, raising concerns about the reliability of AI-generated recommendations for medical advice and clinical decision-making.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102122"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627252","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}
Çağtay Maden , Demet Gözaçan Karabulut , Burcu Bağcı
{"title":"Validity and reliability of an immersive virtual reality adaptation of the 6-minute pegboard and ring test","authors":"Çağtay Maden , Demet Gözaçan Karabulut , Burcu Bağcı","doi":"10.1016/j.hansur.2024.101981","DOIUrl":"10.1016/j.hansur.2024.101981","url":null,"abstract":"<div><h3>Background and Aim</h3><div>Virtual reality offers new clinical assessment and rehabilitation options that can complement or, in some cases, replace traditional methods. However, the applicability of using virtual reality tools for assessment of upper limb functional capacity has not been fully explored. We therefore developed an immersive virtual reality adaptation of the 6-Minute Pegboard and Ring Test (6PBRT-VR). The aim of the study was to test the validity and reliability of the 6PBRT-VR for the assessment of upper extremity functional capacity, and to assess the performance and feasibility of the proposed tool.</div></div><div><h3>Methods</h3><div>Thirty healthy young adults were included in the study. The participants performed the classical 6-Minute Pegboard and Ring Test first and then the 6PBRT-VR. The test-retest reliability of the 6PBRT-VR was assessed on intraclass correlation coefficient. Concurrent validity was assessed on the correlation between the 6PBRT-VR test-retest scores (number of rings moved) and the correlation between the scores from the classical 6-Minute Pegboard and Ring Test and the 6PBRT-VR. Convergent validity was assessed on correlations with handgrip strength and the total Quick Disabilities of the Arm, Shoulder, and Hand score. Cardiorespiratory responses were also measured (at baseline and after each test). Perceived arm fatigue was assessed on the Modified Borg Scale.</div></div><div><h3>Results</h3><div>The 6PBRT-VR exhibited excellent test-retest reliability, with an intraclass correlation coefficient of 0.866 (95% confidence interval 0.737−0.934). Mean 6PBRT-VR score correlated strongly with the mean score of the classical 6-Minute Pegboard and Ring Test (r = 0.817, p < 0.001). A significant association was found between the 6PBRT-VR and the classical 6-Minute Pegboard and Ring Test in terms of variations in heart rate, systolic blood pressure, and Modified Borg Scale score (p < 0.001). Mean 6PBRT-VR score showed moderate correlations with right (r = 0.571, p = 0.001) and left handgrip strength (r = 0.550, p = 0.002).</div></div><div><h3>Conclusion</h3><div>The 6PBRT-VR is a reliable and valid virtual tool for assessing upper-extremity functional capacity in young adults.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 101981"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565359","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}