Hand Surgery & Rehabilitation最新文献

{"title":"Comparing the long-term results of Oberlin II versus intercostal neurotization for elbowflexion restoration (Prospective study)","authors":"Mohamed Romeih,&nbsp;Ibrahim Adel Mazrou","doi":"10.1016/j.hansur.2025.102080","DOIUrl":"10.1016/j.hansur.2025.102080","url":null,"abstract":"<div><h3>Background</h3><div>Restoring elbow flexion following brachial plexus injury (BPI) is essential for improving arm function and quality of life in adults. This study aimed to compare the efficacy of Oberlin II and intercostal nerve (ICN) neurotization techniques for restoring elbow flexion in adults with upper and middle trunk brachial plexus palsy.</div></div><div><h3>Methods</h3><div>This prospective study included 36 patients aged 18 to 50 years with traumatic upper and middle trunk brachial plexus palsy. The patients were divided into two groups: Group A consisted of 19 patients who underwent the Oberlin II procedure, while Group B included 17 patients treated with ICN neurotization. All patients were followed for at least 60 months.</div></div><div><h3>Results</h3><div>Muscle reactivation occurred significantly earlier in the Oberlin II group compared to the ICN neurotization group (P = 0.012). Muscle strength grading also showed significant differences, with a higher proportion of patients achieving grade 4 and 4+ strength in the Oberlin II group compared to the ICN neurotization group (P = 0.041).</div></div><div><h3>Conclusions</h3><div>The Oberlin II neurotization technique demonstrated superior efficacy in restoring elbow flexion following BPI compared to ICN neurotization. It resulted in earlier muscle reactivation and higher levels of muscle strength, with a greater proportion of patients achieving grades 4 and 4+ strength.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102080"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960471","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":"Innovative orthosis for proximal interphalangeal joint recovery: A new approach to finger rehabilitation","authors":"Paolo Boccolari ,&nbsp;Roberto Tedeschi ,&nbsp;Dominique Thomas ,&nbsp;Danilo Donati","doi":"10.1016/j.hansur.2024.102049","DOIUrl":"10.1016/j.hansur.2024.102049","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102049"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793086","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":"Revision of trapeziometacarpal arthroplasty","authors":"Pierre-Emmanuel Chammas ,&nbsp;Jacques Teissier ,&nbsp;Léo Chiche ,&nbsp;Cyril Lazerges ,&nbsp;Bertrand Coulet ,&nbsp;Michel Chammas","doi":"10.1016/j.hansur.2024.102066","DOIUrl":"10.1016/j.hansur.2024.102066","url":null,"abstract":"<div><div>Complications of trapeziometacarpal arthroplasty are uncommon, but are classified as intra- and post-operative, dislocation and loosening being the main causes of revision surgery. Periprosthetic fracture and ossification are rare. Whenever possible, prosthetic revision techniques consist in partial or total replacement with modular implants. Trapeziectomy-ligamentoplasty is the last-resort revision technique, with results similar to those of primary trapeziectomy-ligamentoplasty.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102066"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concentrated autologous bone marrow injection in the surgical treatment of scaphoid non-union","authors":"Pierre Maincourt ,&nbsp;Christophe Andro ,&nbsp;Arnaud Perchoc ,&nbsp;Thomas Daoulas ,&nbsp;Weiguo Hu ,&nbsp;Anne Perruisseau-Carrier","doi":"10.1016/j.hansur.2024.102069","DOIUrl":"10.1016/j.hansur.2024.102069","url":null,"abstract":"<div><div>New surgical techniques for the treatment of scaphoid non-union, developed in the last two decades, now enable a healing rate of 80–90%.</div><div>However, no consensus exists for the surgical treatment of non-union. On the other hand, regenerative medicine techniques have enriched the therapeutic armamentarium for non-union, especially in the lower limbs, with the use of autologous concentrated bone marrow injection using autologous osteogenic precursors to create a favorable microenvironment for bone healing.</div><div>This technique has the advantages of being inexpensive, easily accessible and applicable in scaphoid non-union as a biological adjuvant to surgery, to improve both healing times and rates.</div><div>We report 6-month clinical results for the first patient receiving autologous concentrated bone marrow injection associated to scaphoid screw fixation in our center.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102069"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901431","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":"Recurrence of a giant-cell tumor of the wrist with malignant transformation and pulmonary metastases treated with a custom-made prosthesis","authors":"Fulchignoni Camillo ,&nbsp;Pataia Elisabetta ,&nbsp;Ziranu Antonio ,&nbsp;Vitiello Raffaele ,&nbsp;Pietramala Silvia ,&nbsp;El Motassime Alessandro ,&nbsp;Maccauro Giulio","doi":"10.1016/j.hansur.2024.102076","DOIUrl":"10.1016/j.hansur.2024.102076","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102076"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928904","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":"Safety of dorsal screw penetration at the proximal holes of volar locking plates","authors":"Harrison R. Ferlauto ,&nbsp;Dani Inglesby ,&nbsp;Joshua Barnett ,&nbsp;George Agriantonis ,&nbsp;Eitan Melamed","doi":"10.1016/j.hansur.2024.102047","DOIUrl":"10.1016/j.hansur.2024.102047","url":null,"abstract":"<div><div>Tendon-related complications comprise a significant portion of overall complications following volar locked plating of distal radius fractures. While much is known about the effect of prominent hardware in the volar and dorsal metaepiphyseal region of the distal radius, less is known about the effect of hardware prominence in the dorsal meta-diaphyseal region. The purpose of this anatomic study was to evaluate the safety of dorsal screw penetration at the proximal holes of volar locking plates. We applied a 7-hole volar locking plate to the distal radius of 10 cadaver forearms. Screws were intentionally protruding on the dorsal side. Measurements were taken from each protruding dorsal screw-tip to the nearest point on the abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus and extensor digitorum communis, noting whether the nearest point was on the tendon or muscle belly. Results indicated that the muscle bellies of the abductor pollicis longus and extensor pollicis brevis were the structures most at risk from dorsal screw prominence, and that there was a smooth transition from the extensor pollicis brevis to abductor pollicis longus being the focus of risk as one moves from distal to proximal along the plate. The extensor pollicis brevis was most at risk at hole 3, and the abductor pollicis longus was most at risk at hole 6. All cases of direct contact between a protruding screw and the abductor pollicis longus or extensor pollicis brevis consisted of contact with the muscle belly, not the tendon. Average anteroposterior distal radius thickness ranged from 13.9 mm at the most distal proximal screw hole to 11.5 mm at the most proximal screw hole. We also found that the extensor pollicis longus tendon was at risk of contact with a protruding screw, but only at the most distal proximal screw hole. Overall, dorsal screw penetration at the proximal holes of volar locking plates appeared to be safe, particularly as one moves proximally along the plate.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102047"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782238","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":"Trapezium reconstruction with pisiform autograft in trapeziometacarpal revision arthroplasty: a case report","authors":"Alexandre Quemener-Tanguy ,&nbsp;Jean-Baptiste De Villeneuve Bargemon ,&nbsp;Michel Levadoux","doi":"10.1016/j.hansur.2024.102048","DOIUrl":"10.1016/j.hansur.2024.102048","url":null,"abstract":"<div><div>The authors used a pisiform autograft to fill trapezial bone defect and allow revision of a trapeziometacarpal prosthesis. At 18 months, the patient regained a level of indolence and resumed her daily activities.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102048"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786989","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":"Retrospective study of 54 cases of wrist denervation","authors":"Davide Gravina ,&nbsp;Andrea Manfredi ,&nbsp;Riccardo Cuoghi Costantini ,&nbsp;Norman Della Rosa","doi":"10.1016/j.hansur.2024.102078","DOIUrl":"10.1016/j.hansur.2024.102078","url":null,"abstract":"<div><div>Most patients with post-traumatic and/or degenerative wrist arthritis present with pain and limitation of activities of daily living. Wrist denervation using a two-incision technique is an alternative to proximal row carpectomy and partial or total wrist arthrodesis. The purpose of this study was to evaluate whether two-incision denervation is a valid procedure for reducing pain in wrist arthritis of different etiologies.</div><div>A retrospective study of fifty-four patients, mean age 56 years, operated on by one senior surgeon at a single center was designed. Inclusion criteria were chronic wrist pain of various etiologies, patients with previous wrist surgery were excluded.</div><div>Preoperative pain was reported on a visual analog scale, and at least twelve months postoperatively, patient-rated wrist/hand assessment, pain, and range of motion were assessed.</div></div><div><h3>Results</h3><div>54.8% of the population presented with post-traumatic osteoarthritis of the wrist (scaphoid non-union advanced collapse or scapholunate advanced collapse).</div><div>71.5% of the population underwent surgery on the dominant extremity. After clinical evaluation, the mean PRWHE was 15.76 (±14.53), with total joint motion of 68° (±14.44), flexion 64.5° (±13.36), extension 76° (±7.71), pronation 72.4° (±6.20), and supination 74.8° (±9.21). The overall mean pain reduction was 60% and there were no re-operations.</div><div>Two-incision total wrist denervation is a valid technique for the treatment of wrist pain of various etiologies, leaving a good range of motion and acceptable autonomy in activities of daily living. If this technique fails, more invasive techniques such as proximal row carpectomy, partial or total wrist arthrodesis, and wrist arthroplasty can be used.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102078"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960480","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":"Excessively long screws may delay healing in intramedullary headless screw fixation for diaphyseal metacarpal fractures","authors":"Bert Vanmierlo ,&nbsp;Pieter Van Geel,&nbsp;Joris Duerinckx ,&nbsp;Bert O. Eijnde","doi":"10.1016/j.hansur.2025.102085","DOIUrl":"10.1016/j.hansur.2025.102085","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102085"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018671","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":"Reply to Nathan Milliot, Jérome Jeudy, Nicolas Bigorre: metal hypersensitivity in trapeziometacarpal arthroplasty: a systematic pattern of progression","authors":"Marie Witters ,&nbsp;Jean-Baptiste de Villeneuve Bargemon ,&nbsp;Charlotte Jaloux","doi":"10.1016/j.hansur.2024.102024","DOIUrl":"10.1016/j.hansur.2024.102024","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102024"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804203","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}