Hand Surgery & Rehabilitation最新文献

{"title":"","authors":"Nicolas Dreant","doi":"10.1016/j.hansur.2026.102579","DOIUrl":"10.1016/j.hansur.2026.102579","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102579"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041962","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/guidance for dactylitis in a writer","authors":"Abdullah Emre Uğur , Beytullah Yazar , Levent Özçakar","doi":"10.1016/j.hansur.2025.102532","DOIUrl":"10.1016/j.hansur.2025.102532","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102532"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460945","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":"Modified Camitz versus flexor digitorum superficialis of the fourth finger opponensplasty in severe carpal tunnel syndrome: A systematic review","authors":"Tomoyuki Kuroiwa ,&nbsp;Ausberto Velasquez Garcia ,&nbsp;Naoya Iida ,&nbsp;Kai-lan Hsu ,&nbsp;Omar Selim","doi":"10.1016/j.hansur.2025.102540","DOIUrl":"10.1016/j.hansur.2025.102540","url":null,"abstract":"<div><h3>Background</h3><div>Several opponensplasty techniques have been employed to address thenar muscle atrophy associated with severe carpal tunnel syndrome (CTS). Although modified Camitz opponensplasty (MCO) using the palmaris longus (PL) tendon is widely used by hand surgeons, alternative tendon transfer donors have been proposed, such as opponensplasty using the flexor digitorum superficialis of the ring finger (OF4). However, it is unclear which surgical technique provides superior outcomes. Hence, this systematic review aims to examine the difference in functional outcomes between MCO and OF4 for restoring thumb opposition in advanced CTS.</div></div><div><h3>Methods</h3><div>A systematic search using PubMed, MEDLINE, Embase, and Scopus was performed. English-language articles reporting outcomes of opponensplasty for carpal tunnel syndrome were only included. The Mann-Whitney <em>U</em> test was used to compare differences in clinical outcomes.</div></div><div><h3>Results</h3><div>301 studies were identified and only 8 eligible studies were collected and reviewed. In both groups, the postoperative outcomes were better than the preoperative ones. Among the outcomes that could be directly compared between groups, no clear differences were found.</div></div><div><h3>Conclusion</h3><div>Although both surgeries can provide good thumb opposition, the choice of opponensplasty technique should be based on the surgeon’s experience and preference unless being performed on a patient with congenital PL tendon deficiency.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102540"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145590548","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":"Direct suturing of flexor tendon pulley rupture in elite rock climbers","authors":"Emile Balandier ,&nbsp;Claire Bergel ,&nbsp;Jean-Louis Milan ,&nbsp;Laurent Vigouroux ,&nbsp;André Gay","doi":"10.1016/j.hansur.2025.102542","DOIUrl":"10.1016/j.hansur.2025.102542","url":null,"abstract":"<div><div>Closed traumatic ruptures of the finger flexor tendon pulleys are common injuries in sport climbers. In cases of complete rupture, surgical repair using graft material is the current standard to restore pulley function. Although these techniques provide good outcomes, recovery often exceeds six months and graft-related morbidity may occur. Surprisingly, the option of direct suture repair has been little explored, despite its potential advantages. We retrospectively reviewed six cases of isolated closed traumatic pulley rupture and two cases of multiple pulley ruptures treated by direct suture combined with early active postoperative rehabilitation.</div><div>Postoperative outcomes were assessed using the Buck-Gramcko score and by comparing the postoperative climbing level with the preinjury level. Tendon–bone distance, functional impairment, and hand strength were also evaluated. Ultrasound examination of the repaired pulley was performed in three patients at three years postoperatively.</div><div>Patients recovered their preinjury climbing level after a mean of 5.8 months (range, 3–8 months), a shorter timeframe than that typically reported after graft-based reconstruction. Ultrasound confirmed pulley continuity and adequate mechanical behavior in the three examined patients. All injured fingers achieved an excellent Buck-Gramcko score. Hand strength was comparable to preoperative measurements, functional complaints were minimal, and tendon–bone distance remained within normal limits.</div><div>These encouraging clinical results suggest that direct suture repair of flexor tendon pulley ruptures in high-level climbers may represent a valuable alternative to graft-based reconstruction, enabling a faster return to climbing with minimal morbidity.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102542"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644063","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":"Hand surgery training in France: A national survey of young surgeons","authors":"Mehdi Ducasse ,&nbsp;Louis Riffault ,&nbsp;Marie Genestet ,&nbsp;Catherine Hémon ,&nbsp;Fabrice Rabarin","doi":"10.1016/j.hansur.2026.102576","DOIUrl":"10.1016/j.hansur.2026.102576","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102576"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021001","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":"Acknowledgment to our reviewers","authors":"","doi":"10.1016/j.hansur.2026.102580","DOIUrl":"10.1016/j.hansur.2026.102580","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102580"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147412502","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":"Accuracy of artificial intelligence in carpal tunnel syndrome management: A comparative analysis of ChatGPT-4o and Gemini 1.5 Pro","authors":"Prabhjot Singh ,&nbsp;Lara Shqair ,&nbsp;Om Naphade ,&nbsp;Kellan Sanchez ,&nbsp;Nikan Namiri ,&nbsp;Shiven Sharma ,&nbsp;Kareem Mohamed ,&nbsp;Alexander Yu ,&nbsp;Ramneek Kaur ,&nbsp;Yazan Alasadi ,&nbsp;Timothy Hoang ,&nbsp;Amanda Walsh","doi":"10.1016/j.hansur.2025.102560","DOIUrl":"10.1016/j.hansur.2025.102560","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluated the accuracy of leading AI models, ChatGPT-4o and Gemini 1.5 Pro, in providing management recommendations for CTS in patient scenarios against American Academy of Orthopedic Surgery (AAOS) guidelines.</div></div><div><h3>Methods</h3><div>Treatment ratings for CTS patient scenarios from the AAOS Appropriate Use Criteria for Management of Carpal Tunnel Syndrome Pathology were compared with ratings provided by ChatGPT and Gemini 1.5 Pro using a scale from 1 to 9, with discrepancies in treatment rating calculated by contrasting scores with AAOS ratings. Spearman correlations and paired t-tests (α &lt; .05) were conducted to assess consensus, while heatmaps were employed to display the findings.</div></div><div><h3>Results</h3><div>A total of 810 paired scores were generated across 135 patient scenarios. Compared to AAOS guidelines, ChatGPT-4o under-recommended steroid injection (mean error −2.7 ± 1.2; <em>P</em> &lt; .001) and carpal tunnel release (mean error −1.8 ± 1.7; <em>P</em> &lt; .001) while over-recommending electrodiagnostic studies (mean error 4.5 ± 3.8; <em>P</em> &lt; .001). Gemini 1.5 Pro demonstrated a similar pattern, under-recommending steroid injection (mean error −2.4 ± 1.4; <em>P</em> &lt; .001) and carpal tunnel release (mean error −1.8 ± 1.3; <em>P</em> &lt; .001) but showing a less pronounced over-recommendation for electrodiagnostic studies (mean error 3.7 ± 3.2; <em>P</em> &lt; .001). Gemini 1.5 Pro outperformed ChatGPT-4o in alignment with AAOS guidelines, with a stronger Spearman correlation (Rho = 0.782 vs. 0.53, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Gemini 1.5 Pro showed a stronger overall alignment with AAOS guidelines, indicating a more refined diagnostic approach. Ultimately, these platforms are bound by the limitations of algorithmic biases, posing a risk for misdiagnosis.</div></div><div><h3>Level of evidence</h3><div>Level III - Non-Experimental Study.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102560"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746269","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":"Tenolysis of flexor tendons in zone II: Interest of TISSEEL® instillation in the prevention of postoperative adhesions","authors":"Pierre Maincourt ,&nbsp;Thomas Daoulas ,&nbsp;Roxane Henry ,&nbsp;Nicolas Bigorre","doi":"10.1016/j.hansur.2025.102561","DOIUrl":"10.1016/j.hansur.2025.102561","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102561"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759042","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":"Screening saves hands: Detecting silent carpal tunnel syndrome in mucopolysaccharidosis","authors":"Renu Ambardar ,&nbsp;Ahmad J. Abdulsalam ,&nbsp;Sarah Y. Alkandari ,&nbsp;Diaa Shehab","doi":"10.1016/j.hansur.2025.102564","DOIUrl":"10.1016/j.hansur.2025.102564","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102564"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844430","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":"Modified contralateral C7 transfer for hemiplegic arm—Surgical technique for tension-free end-to-end suture","authors":"Shuai Zhu ,&nbsp;Feng-Chi Sun ,&nbsp;Xiang-Meng Su ,&nbsp;Si-Wei Xu ,&nbsp;Wen-Dong Xu ,&nbsp;Yun-Dong Shen","doi":"10.1016/j.hansur.2025.102565","DOIUrl":"10.1016/j.hansur.2025.102565","url":null,"abstract":"<div><div>Achieving tension-free end-to-end sutures is crucial for optimal nerve recovery; however, it presents significant challenges in the contralateral C7 nerve transfer (cC7 transfer) procedure for patients with hemiplegic arms. This paper presents a modified surgical technique for cC7 transfer, featuring an aesthetically pleasing incision design. Key steps of the technique include precise incision planning, careful exposure and identification of the brachial plexus, meticulous tracing of the cC7 nerve, protection of the phrenic nerve and vertebral vessels, and the creation of a prevertebral space to facilitate the nerve transfer. We illustrate this method step by step in a hemiplegic patient. In conclusion, our approach offers a safe and effective strategy for performing modified contralateral C7 transfer surgery, ensuring tension-free end-to-end sutures for improved patient outcomes.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102565"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890783","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}