Hand Surgery & Rehabilitation最新文献_第3页

Trapezial cup loosening in ball and socket prosthesis: Trapezium reconstruction using a structural iliac crest graft, technique and first results 球窝假体中的斜方杯松动：采用结构髂骨移植物重建斜方，技术和初步结果。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-09 DOI: 10.1016/j.hansur.2025.102156

Jean Goubau , Vansh Kapila , Koen Mermuys , Bert Vanmierlo , Chul Ki Goorens , Michiel Cromheecke , Pieter-Bastiaan de Keyzer , Joris Duerinckx

{"title":"Trapezial cup loosening in ball and socket prosthesis: Trapezium reconstruction using a structural iliac crest graft, technique and first results","authors":"Jean Goubau , Vansh Kapila , Koen Mermuys , Bert Vanmierlo , Chul Ki Goorens , Michiel Cromheecke , Pieter-Bastiaan de Keyzer , Joris Duerinckx","doi":"10.1016/j.hansur.2025.102156","DOIUrl":"10.1016/j.hansur.2025.102156","url":null,"abstract":"<div><div>This study investigates the outcomes of trapeziometacarpal joint reconstruction using a massive iliac crest graft in patients with loosening of the cup of a ball-and-socket prosthesis. Seven patients, aged 49–75 years, underwent revision surgery between November 2017 and January 2021 due to aseptic cup loosening of ball-and-socket implants. The surgical approach involved a modification of a previously described technique of harvesting a structural iliac crest graft and implanting it with the prosthetic cup component to reconstruct the medullary cavity of the trapezium. Postoperative assessments showed improvements in pinch and grip strength, while patient-reported outcomes, including Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and Visual Analog Scale (VAS) scores, revealed significant reductions in pain and disability. Two patients required further revision surgery, including one technique failure. No acute complications or infections occurred. These results suggest that iliac crest graft reconstruction may be an effective salvage procedure for cup loosening in TMC prostheses with an intact trapezium cortex, providing favorable functional outcomes and pain relief.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 3","pages":"Article 102156"},"PeriodicalIF":0.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060023","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}

引用次数: 0

Ligament reconstruction of the distal interosseous membrane to treat distal radioulnar joint instability: Case series of four patients 远端骨间膜韧带重建治疗远端尺桡关节不稳：附4例病例分析。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-05 DOI: 10.1016/j.hansur.2025.102155

Emmanuel Piguet , François-Gabriel Midon , Lionel Athlani

引用次数: 0

Metallosis after Motec metal-on-PEEK wrist replacement: A case report Motec金属- peek腕关节置换术后金属病1例报告。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-02 DOI: 10.1016/j.hansur.2025.102154

Jannik Hinzmann , Yonca Steubing , Sonja Verena Schmidt , Enrico Fruth , Marcus Lehnhardt , Patrick S Harenberg

{"title":"Metallosis after Motec metal-on-PEEK wrist replacement: A case report","authors":"Jannik Hinzmann , Yonca Steubing , Sonja Verena Schmidt , Enrico Fruth , Marcus Lehnhardt , Patrick S Harenberg","doi":"10.1016/j.hansur.2025.102154","DOIUrl":"10.1016/j.hansur.2025.102154","url":null,"abstract":"<div><div>Despite its increasing popularity, total wrist arthroplasty (TWA) remains a treatment option that is often viewed critically and is still rarely used in patients with partial or complete osteoarthritis of the wrist. TWA is an appropriate alternative to total or partial wrist fusion, particularly for active patients with a high need for function. As the number of cases continues to increase, procedure-specific complications are becoming more common.</div><div>In this report, we present a 61-year-old female Caucasian patient with increasing wrist pain after TWA performed at another institution in 2016. Metallosis was suspected after clinical and radiographic examination and was confirmed intraoperatively and by histopathological analysis. Surgical management included removal of the pseudocapsule and replacement of the mobile parts of the implant. At 12 weeks post-operatively, the patient still reported limited range of motion but a significant reduction in pain. This is one of the few reports to date of metallosis following TWA, particularly with a metal-on-polymer joint. The possibility of metallosis should always be considered, especially in cases of delayed onset of pain and reduced range of motion after TWA, to ensure appropriate management.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 3","pages":"Article 102154"},"PeriodicalIF":0.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789460","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}

引用次数: 0

Breaking the cycle: Addressing the drucebo effect in hand rehabilitation 打破循环：解决手部康复中的Drucebo效应。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102095

Roberto Tedeschi

引用次数: 0

Reconstruction of the trapezium with structural bone graft in trapeziometacarpal joint arthroplasty with cup instability 杯形不稳的斜方腕关节置换术中结构性骨移植重建斜方。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102124

Chul Ki Goorens , Kjell Van Royen , Laurens Van Melkebeke , Jean François Goubau , Jean-Michel Cognet

引用次数: 0

Can ChatGPT 4.0 reliably answer patient frequently asked questions about boxer’s fractures? 标题：ChatGPT 4.0 能否可靠地回答患者关于拳击手骨折的常见问题？

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102082

Christopher A. White, Jamie L. Kator, Hannah S. Rhee, Thomas Boucher, Rachel Glenn, Amanda Walsh, Jaehon M. Kim

{"title":"Can ChatGPT 4.0 reliably answer patient frequently asked questions about boxer’s fractures?","authors":"Christopher A. White, Jamie L. Kator, Hannah S. Rhee, Thomas Boucher, Rachel Glenn, Amanda Walsh, Jaehon M. Kim","doi":"10.1016/j.hansur.2025.102082","DOIUrl":"10.1016/j.hansur.2025.102082","url":null,"abstract":"<div><h3>Background</h3><div>Patients are increasingly turning to the internet, and recently artificial intelligence engines (e.g., ChatGPT), for answers to common medical questions. Regarding orthopedic hand surgery, recent literature has focused on ChatGPT’s ability to answer patient frequently asked questions (FAQs) regarding subjects such as carpal tunnel syndrome, distal radius fractures, and more. The present study seeks to determine how accurately ChatGPT can answer patient FAQs surrounding simple fracture patterns such as fifth metacarpal neck fractures.</div></div><div><h3>Methods</h3><div>Internet queries were used to identify the ten most FAQs regarding boxer’s fractures based on information from five trusted healthcare institutions. These ten questions were posed to ChatGPT 4.0, and the chatbot’s responses were recorded. Two fellowship trained orthopedic hand surgeons and one orthopedic hand surgery fellow then graded ChatGPT’s responses on an alphabetical grading scale (i.e., A–F); additional commentary was then provided for each response. Descriptive statistics were used to report question, grader, and overall ChatGPT response grades.</div></div><div><h3>Results</h3><div>ChatGPT achieved a cumulative grade of a B, indicating that the chatbot can provide adequate responses with only minor need for clarification when answering FAQs for boxer’s fractures. Individual graders provided comparable overall grades of B, B, and B+ respectively. ChatGPT deferred to a medical professional in 7/10 responses. General questions were graded at an A−. Management questions were graded at a C+.</div></div><div><h3>Conclusion</h3><div>Overall, with a grade of B, ChatGPT 4.0 provides adequate-to- complete responses as it pertains to patient FAQs surrounding boxer’s fractures.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102082"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974048","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}

引用次数: 0

Does thumb metacarpophalangeal arthrodesis increase trapeziometacarpal loading? 拇指掌指关节融合术会增加掌斜骨负荷吗？

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102110

Pascal Ledoux

{"title":"Does thumb metacarpophalangeal arthrodesis increase trapeziometacarpal loading?","authors":"Pascal Ledoux","doi":"10.1016/j.hansur.2025.102110","DOIUrl":"10.1016/j.hansur.2025.102110","url":null,"abstract":"<div><h3>Introduction</h3><div>The combination of a trapeziometacarpal prosthesis and a metacarpophalangeal arthrodesis of the thumb was formally contraindicated by JY de la Caffinière. This is a landmark notion, but no theoretical, experimental or clinical study has confirmed it. Combined indications for arthrodesis and trapeziometacarpal prosthesis are rare. Isolated arthrodesis is more common. In both cases, it is important to avoid overloading the trapeziometacarpal joint.</div></div><div><h3>Aim</h3><div>The aim of this study is to verify whether metacarpophalangeal arthrodesis really does increase the load on the trapeziometacarpal joint, taking into account bone shortening and the angle at which the arthrodesis is performed. The second aim is to review the literature on series of metacarpophalangeal thumb arthrodeses.</div><div>Material & Methods: We used a previously developed 2-dimensional mathematical model to calculate stresses at the trapeziometacarpal joint during a key pinch grip. We calculated stresses at constant thumb column lenght, and after 6 and 8 mm shortening to account for the bone resection required to perform arthrodesis. We also tested several levels of flexion between the metacarpal and the first phalanx in the arthrodesis situation.</div></div><div><h3>Results</h3><div>All other parameters being equal, we found a 118% increase in trapeziometacarpal stress after metacarpophalangeal arthrodesis. When arthrodesis is performed at 25 ° of flexion, the trapeziometacarpal stress level is comparable to the physiological situation.</div></div><div><h3>Conclusions</h3><div>Arthrodesis does not increase trapeziometacarpal stress when performed at 25 ° flexion. Under these conditions, metacarpophalangeal arthrodesis does not increase the risk of trapeziometacarpal osteoarthritis, and is compatible with a trapeziometacarpal prosthesis.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102110"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627256","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}

引用次数: 0

Is WALANT anesthesia safe and comfortable in emergency hand surgery? 急诊手外科手术中WALANT麻醉安全舒适吗？

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102127

Stuart Cannell, Louis Charles Castel, Thomas Gregory, Romain Allard

引用次数: 0

Stability of the distal radioulnar joint before and after corrective osteotomy of the distal radius 桡骨远端矫正截骨术前后桡骨远端关节的稳定性。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102125

Daniel Zobrist, Andreas Schweizer, Lisa Reissner

{"title":"Stability of the distal radioulnar joint before and after corrective osteotomy of the distal radius","authors":"Daniel Zobrist, Andreas Schweizer, Lisa Reissner","doi":"10.1016/j.hansur.2025.102125","DOIUrl":"10.1016/j.hansur.2025.102125","url":null,"abstract":"<div><div>Malunion of the distal radius with dorsal angulation reduces stability of the distal radioulnar joint. The aim of the study was to sonographically quantify the stability of the distal radioulnar joint in 20 patients following corrective osteotomy of the distal radius and to investigate the subjective and clinical results preoperatively, three and twelve months postoperatively. Sonographically measured dorsovolar ulnar head translation relative to the distal radius was significantly higher (3.6 mm) preoperatively compared to 2.9 mm three months postoperatively. Twelve months postoperatively the result was 3.2 mm, equal to the contralateral side (3.2 mm). Pain, Disability of the Arm, Shoulder and Hand questionnaire and Patient-Reported Wrist Evaluations, wrist flexion, radial and ulnar inclination, grip strength and pronation and supination torque improved significantly. Corrective osteotomy of the distal radius shows good subjective and clinical results and improves sonographically measured distal radioulnar joint stability.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102125"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627261","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}

引用次数: 0

The role of surgical timing in 124 scaphoid nonunion surgical procedures 124例舟状骨不连手术中手术时机的作用。

IF 0.9 4区医学

Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI: 10.1016/j.hansur.2025.102114

Géraldine Lautenbach , Andreas Schweizer , Tobias Götschi , Raffael Labèr

{"title":"The role of surgical timing in 124 scaphoid nonunion surgical procedures","authors":"Géraldine Lautenbach , Andreas Schweizer , Tobias Götschi , Raffael Labèr","doi":"10.1016/j.hansur.2025.102114","DOIUrl":"10.1016/j.hansur.2025.102114","url":null,"abstract":"<div><div>A total of 124 scaphoid nonunion surgical procedures performed between 2002 and 2020 were analyzed to investigate the potential impact of delayed diagnosis on time to union. The primary outcome was the correlation between the time from injury to surgery and the time to union. Secondary outcomes included identifying risk factors for delayed union and persistent nonunion following scaphoid nonunion surgery.</div><div>The analysis revealed that time to union was similar for surgeries performed between 6 months and over 2 years post-injury. However, nonunion persisted in 12 cases, five of which involved surgeries conducted more than 2 years after the injury. Further investigation into secondary outcomes showed that fractures in the proximal third of the scaphoid took 1.4–1.5 times longer to unite compared to fractures in the middle and distal thirds. Additionally, fractures without trabecular bone required approximately twice as long to heal.</div><div>In conclusion, surgical intervention performed between 6 months and over 2 years after injury generally offers a favorable outcome for healing. However, when surgery is delayed beyond 2 years, the risk of persistent nonunion increases.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102114"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538262","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}

引用次数: 0