Hand Surgery & Rehabilitation最新文献

{"title":"Ultrasound-guided radial nerve release at the arm under WALANT","authors":"Thomas Apard","doi":"10.1016/j.hansur.2024.101787","DOIUrl":"10.1016/j.hansur.2024.101787","url":null,"abstract":"<div><div>Radial nerve entrapment at the LIS is an aching pain in the distal, lateral upper arm and leads to weakness in wrist and thumb/index finger extension. Additionally, a positive scratch collapse test and localized pain on pressure at the entrapment site are observed.</div><div>The described approach uses a minimally invasive percutaneous ultrasound-guided technique under local anesthesia.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101787"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484118","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":"Anterior transfer of the long head of triceps nerve to the terminal part of the anterior division of the axillary nerve through two incisions: A cadaveric feasibility study","authors":"Jean-Noël Goubier ,&nbsp;Tanguy Perraudin ,&nbsp;Camille Echalier","doi":"10.1016/j.hansur.2024.101971","DOIUrl":"10.1016/j.hansur.2024.101971","url":null,"abstract":"<div><h3>Purpose</h3><div>Restoring shoulder function after axillary nerve injury is always a challenge. Transferring a branch of the radial nerve destined to the triceps onto the anterior division of the axillary nerve has become the preferred technique. However, this is not always possible, especially when the axillary nerve is severely injured around the posterior part of the humeral neck. The purpose of this cadaver study was to assess the feasibility of transferring the nerve of the long head of the triceps through an anterior and lateral humeral neck tunnel, directly onto the branch of the anterior division of the distal axillary nerve where it enters the deltoid fibers, by two surgical approaches.</div></div><div><h3>Materials and Methods</h3><div>This anatomical study was performed using 6 fresh cadavers (12 shoulders). A medial brachial approach was used to locate the radial nerve and its first branch, innervating the long head of the triceps. Then a second, transdeltoid approach was made to locate the end of the anterior branch near where it enters the deltoid fibers. The long head of the triceps nerve was transected as close as possible to the muscle, to provide the longest length possible. Then an anterior and lateral subdeltoid tunnel was made to retrieve this branch through the transdeltoid approach.</div></div><div><h3>Results</h3><div>The long head of the triceps nerve could always be sutured to the anterior branch of the axillary nerve. Given the 7−12 mm surplus length (mean, 8.8 mm), tensionless suturing was possible in an anatomical region amenable to easier microsurgery.</div></div><div><h3>Discussion</h3><div>Transfer of the long head of the triceps to the anterior branch of the axillary nerve through an axillary or posterior approach remains the preferred method for reinnervating the deltoid. However, in some patients, the axillary nerve is injured at or beyond the typical microsurgical suturing zone, which means that transfer cannot be accomplished under optimal conditions. For this reason, we suggest making the transfer more distally, using a dual approach that allows direct suturing of the long head of the triceps nerve onto the anterior terminal branch, which shortens the distance between the sutured nerve and the deltoid, and should improve outcome.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101971"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559847","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":"Median nerve entrapment after supracondylar humeral fracture: An ultrasonographic view","authors":"Yakup Erden,&nbsp;Mustafa Hüseyin Temel,&nbsp;Mahmut Kurtboğan","doi":"10.1016/j.hansur.2024.101970","DOIUrl":"10.1016/j.hansur.2024.101970","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101970"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559848","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 therapy for a dorsal wrist ganglion cyst, monitored with ultrasound imaging","authors":"Tom Lattré,&nbsp;Arne Decramer","doi":"10.1016/j.hansur.2024.101973","DOIUrl":"10.1016/j.hansur.2024.101973","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101973"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565358","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":"Pathophysiology of longitudinal forearm instability (Essex-Lopresti syndrome) and implications for treatment","authors":"Bertrand Coulet,&nbsp;Hugo Barret,&nbsp;Pierre Emmanuel Chammas,&nbsp;Olivier Bozon,&nbsp;Lara Moscato,&nbsp;Cyril Lazerges,&nbsp;Michel Chammas","doi":"10.1016/j.hansur.2024.101968","DOIUrl":"10.1016/j.hansur.2024.101968","url":null,"abstract":"<div><div>Longitudinal forearm instability, or Essex-Lopresti syndrome, associates radial head fracture and rupture of the structures uniting the 2 bones, mainly the interosseous membrane and triangular fibrocartilage complex adjacent to the distal radioulnar joint.</div><div>It is often overlooked at first, and should be screened for in case of comminuted radial head fracture without elbow dislocation or instability.</div><div>Treatment should be prompt, within 4 weeks of trauma, to avoid soft-tissue retraction and hopefully allow healing. This interval is anecdotal, without firm evidence, but matches observations regularly reported in the literature <span><span>[1]</span></span>.</div><div>In the acute phase, treatment consists in rigid, usually unipolar, radial head replacement, protected healing of the interosseous membrane by a TightRope suture button between the bones, radioulnar pinning and triangular fibrocartilage complex suture, followed by 6 weeks’ immobilization. Progression is usually favorable.</div><div>Chronic forms, beyond 4 weeks, when soft-tissue healing is impossible, require interosseous membrane reconstruction. In case of radiocarpal impingement due to ascension of the radius, ulnar shortening osteotomy must be associated. Medium-term results in such cases are much less certain.</div><div>As a last resort, the “one-bone forearm” is a solution.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101968"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640232","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-guided needle knife release for stenosing tenosynovitis of the flexor pollicis longus: a prospective randomized controlled trial","authors":"Zhengliang Li,&nbsp;Yahong Guo,&nbsp;Linfeng Chen,&nbsp;Wenyan Xue","doi":"10.1016/j.hansur.2024.101786","DOIUrl":"10.1016/j.hansur.2024.101786","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the efficacy and safety of ultrasound-guided needle knife release in the treatment of stenosing tenosynovitis of the flexor pollicis longus.</div></div><div><h3>Methods</h3><div>In this prospective trial, 60 patients with clinically and ultrasonographically confirmed stenosing tenosynovitis of the flexor pollicis longus were randomly allocated to 1 of 3 groups: ultrasound-guided needle knife release (n = 20), traditional conservative treatment (n = 20), and open surgery (n = 20). The primary outcome measure was the Quinnell grade of triggering severity. Secondary outcomes comprised pain intensity (on visual analog scale), satisfaction (5-point Likert scale), and complications. Outcomes were evaluated at baseline, 1 week, 1 month and 3 months post-intervention by blinded assessors.</div></div><div><h3>Results</h3><div>At all follow-up time points, the needle knife release group demonstrated significantly lower Quinnell grades (p &lt; 0.05) and pain scores (p &lt; 0.001) than the conservative treatment group; satisfaction was greater in the needle knife release group compared to the conservative treatment group at 1 month (p = 0.002) and 3 months (p &lt; 0.001). There were no significant differences in outcomes between the needle knife release group and the open surgery group. The overall complications rate was 5% in the needle knife release group, 10% in the conservative treatment group, and 15% in the open surgery group (p = 0.574).</div></div><div><h3>Conclusion</h3><div>Ultrasound-guided needle knife release is an effective and safe treatment for stenosing tenosynovitis of the flexor pollicis longus, with outcomes that are better than with traditional conservative treatment and similar to those of open surgery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101786"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383062","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":"Sarcome épithélioïde à la main et au membre supérieur : éléments cliniques et pronostiques","authors":"Thomas Albert ,&nbsp;Louis-Romée Le Nail ,&nbsp;Mickael Ropars ,&nbsp;Vincent Crenn ,&nbsp;Julien Maximen ,&nbsp;Guillaume Bacle","doi":"10.1016/j.hansur.2024.101875","DOIUrl":"10.1016/j.hansur.2024.101875","url":null,"abstract":"<div><div>Le sarcome épithélioïde (SE) est une tumeur maligne du sujet jeune peu connue. Localisée préférentiellement au niveau de la main, elle se caractérise par un aspect clinique et anatomopathologique trompeur. L’objectif de cette étude est de préciser les spécificités cliniques et pronostiques à long terme de cette tumeur à la main et au membre supérieur.</div><div>Nous avons analysé rétrospectivement les bases de données cliniques de 3 centres experts référents sarcome pour les patients atteints de SE au membre supérieur. Au niveau de la main nous avons précisé les zones atteintes sur chaque rayon digital. L’analyse de la survie a été réalisée selon la méthode de Kaplan Meyer.</div><div>Dix-huit patients ont été inclus sur une période moyenne de 5,6 ans. La main et le poignet étaient les régions les plus touchées du membre supérieur. L’atteinte du 1^er rayon, du 2^e rayon et de la 1^re commissure représentait 86 % des patients. Aucune atteinte du 5^e rayon n’a été constatée. La taille du SE allait de 150<!--> <!-->mm à 5<!--> <!-->mm. La tumeur a récidivé chez 59 % des patients. Huit décès sont survenus. Ces derniers sont davantage survenus chez les patients qui présentaient une tumeur volumineuse, une localisation proximale et des métastases à distance. Le taux de survie à 5 ans était de 70,1 % et à 10 ans de 57,4 %.</div><div>Cette étude est la seule à proposer une analyse topographique précise de la tumeur à la main. Les cas isolés rapportés dans la littérature retrouvent fréquemment une atteinte des 1^er et 2^e rayons qui semblent être les doigts les plus touchés par le SE. Notre série présente le taux de récidive le plus élevé comparativement aux autres études. Le taux de survie à 5 ans et à 10 ans varie beaucoup dans la littérature. La localisation proximale en amont du poignet et la taille importante de la tumeur semblent constituer un facteur de mauvais pronostic important.</div><div>La région anatomique et l’envahissement tumoral conditionnent l’espérance de vie du patient. Nous suggérons que toute lésion cutanée palmaire, localisée au niveau du pouce, de l’index ou de la 1ère commissure chez un sujet jeune, doit faire l’objet d’une biopsie systématique et non d’une simple surveillance ou d’examens d’imagerie complémentaires pouvant induit un retard diagnostic aux lourdes conséquences.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101875"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143151430","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":"Traitement de l’instabilité scapholunaire par transfert actif d’ECRL via un tunnel trans-scaphoïdien : technique opératoire et résultats à long terme","authors":"Laurine Cafarelli,&nbsp;Louis Barthel","doi":"10.1016/j.hansur.2024.101841","DOIUrl":"10.1016/j.hansur.2024.101841","url":null,"abstract":"<div><div>L’atteinte du ligament interosseux scapholunaire est la lésion ligamentaire la plus fréquente au poignet. Elle peut entraîner une instabilité carpienne qui aboutira à une dégénérescence arthrosique du poignet. Aucun consensus n’existe sur la prise en charge des instabilités scapholunaires au stade pré-arthrosique. Nous rapportons dans cette étude les résultats cliniques, fonctionnels et radiographiques au recul moyen de 7 ans d’une série de patients opérés par le même chirurgien selon la technique de ligamentoplastie dynamique par transfert d’extensor carpi radialis longus (ECRL) selon Chuinard via un tunnel osseux scaphoïdien.</div><div>Entre décembre 2011 et décembre 2021, 144 ligamentoplasties scapholunaires par transfert dynamique d’ECRL ont été réalisées dans notre centre. Quarante-deux patients ont été inclus dans l’étude et revus au recul moyen de 7 ans [range 3–13 ans]. Nous avons mesuré les amplitudes articulaires passives, la force de grasp, et le stade arthrosique radiographique. Le bilan fonctionnel reposait sur l’auto-questionnaire du Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score. Une analyse descriptive a été réalisée comparant les mobilités articulaires postopératoires au secteur de mobilité utile retrouvé dans la littérature.</div><div>La technique opératoire apporte de bons résultats fonctionnels (qDASH 17,15). Les amplitudes postopératoires couvrent le secteur de mobilité utile du poignet. Soixante-quatorze pour cent des patients avaient des amplitudes articulaires supérieures au seuil de mobilité utile et confortable du poignet. Quatre-vingt-dix-huit pour cent des patients avaient des amplitudes articulaires supérieures au secteur de mobilité utile minimal du poignet. En moyenne, la force de grasp du côté opéré diminuait de 13 % par rapport au côté sain. De l’arthrose type SLAC wrist était retrouvée chez 6 patients, les deux tiers étaient de stade 1 et aucun ne présentait de déformation en DISI. Un patient a développé une infection ostéoarticulaire nécessitant une reprise.</div><div>La technique de transfert tendineux actif consiste à introduire un stabilisateur actif dans la cinématique carpienne. Le développement d’arthrose dans l’instabilité scapholunaire est due à l’horizontalisation du scaphoïde provoquant un conflit antérieur stylo-scaphoïdien. Le transfert du tendon ECRL sur le pôle distal du scaphoïde permet de restaurer la stabilité du carpe en offrant un levier à l’extension du scaphoïde, limitant son horizontalisation. Nos résultats à long terme montrent une absence de dégénérescence arthrosique dans 85 % des cas, les mobilités fonctionnelles du poignet et la force de grasp sont conservées. Cette intervention est simple et fiable, elle ne nécessite aucun matériel spécifique ce qui la rend facilement accessible.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101841"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143151436","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":"Évaluation fonctionnelle et esthétique à distance des patients opérés de syndactylies congénitales des doigts selon la technique de Gilbert : à propos de 73 commissures","authors":"Louise Vandewalle ,&nbsp;Aurélie Mézel","doi":"10.1016/j.hansur.2024.101872","DOIUrl":"10.1016/j.hansur.2024.101872","url":null,"abstract":"<div><div>La prise en charge chirurgicale des syndactylies congénitales des doigts longs se compose de 3 étapes : la reconstruction commissurale par lambeau, la séparation des doigts par des incisions en Z et la couverture des pertes de substances cutanées par greffe de peau totale. Le but de cette chirurgie est de restaurer une fonction optimale à la main et d’éviter les séquelles. L’objectif principal de notre étude était d’étudier la qualité cicatricielle selon l’échelle de Vancouver au niveau des sites receveurs de greffe de peau selon le site donneur.</div><div>Les patients ont été revus en consultation afin de procéder à un examen clinique de la main. Les critères démographiques, cliniques, opératoires et post opératoires ont été recensés. Les critères secondaires évalués étaient la rétraction commissurale selon l’échelle de Withey, la présence d’un flessum ou d’une clinodactylie et la satisfaction des parents et des enfants.</div><div>Soixante-treize commissures ont pu être examinées chez 37 patients. Il s’agissait de syndactylies simples, complètes ou partielles, avec présence ou non d’une fusion unguéale. L’âge médian lors de l’intervention chirurgicale était de 10 mois [6 ; 126]. Le suivi médian était de 125,5 mois [41,88 ; 171,6]. L’échelle de Vancouver montrait des cicatrices non pathologiques au niveau des doigts et du site donneur pour toutes sauf une qui présentait une bride et une commissure présentait un épaississement. Dix commissures étaient hyperpigmentées (13,7 %) et une pilosité était constatée pour 9,6 %. Ces séquelles n’étaient pas retrouvées chez les patients dont la greffe était prélevée en face antérieure de poignet. L’échelle de Withey était évaluée grade 0 pour 90,4 % des commissures et 5,5 % des commissures étaient évaluées grade 2.</div><div>Ce que nous pouvons identifier dans notre étude, est la présence d’une hyperpigmentation présente au niveau des greffe de peau totale, lorsque cette dernière est prélevée en inguinal ou en face interne de bras. En effet, 100 % des GPT inguinales de notre série retrouvent une hyperpigmentation à distance (<em>p</em> <!-->&lt;<!--> <!-->0,01). Dans la littérature la majorité des résultats montrent également cette hyperpigmentation.</div><div>La greffe de peau totale prélevée en inguinal ou en face interne de bras entraîne des séquelles esthétiques non négligeables. La prise de greffe au niveau de la face antérieure du poignet parait être une alternative à ces prélèvements. Le lambeau commissural dorsal selon Gilbert est une technique fiable et reproductible qui permet de minimiser les séquelles fonctionnelles telles que la rétraction commissurale.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101872"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143151444","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":"Does a hypothenar fat pad flap procedure provide an added value over an open carpal tunnel release in revision surgery for patients with recurrent carpal tunnel syndrome? A systematic review","authors":"Joke Coppens ,&nbsp;Arne Decramer ,&nbsp;Ilse Degreef","doi":"10.1016/j.hansur.2024.101864","DOIUrl":"10.1016/j.hansur.2024.101864","url":null,"abstract":"<div><div>Carpal tunnel syndrome (CTS) is a common health issue and can be treated with a surgical carpal tunnel release (CTR) providing mainly lasting clinical relieve. However, in some patients, symptoms recur after a variable period. Redo surgery can be considered and different techniques have been propagated. This systematic review aims to investigate whether a hypothenar fat pad flap (HFF) technique provides better clinical outcomes than a second open CTR as revision surgery in these cases.</div><div>Nine out of 764 articles, included after a systematic search in four databases (PubMed, Embase, Web of Science and Scopus), met our in- and exclusion criteria. We reported following outcomes: Tinel sign, pain score, sensibility, grip- and pinch strength, (q)DASH (Disabilities of the Arm, Shoulder and Hand) score, BCTQ (Boston Carpal Tunnel Questionnaire) and/or satisfaction.</div><div>Both open CTR as HFF are likely to improve post-surgical pain and sensibility, moreover patients score better on the (q)DASH and BCTQ after the intervention. A HFF provides a significant post-surgical amelioration on both grip- and pinch strength tests and shows a clear trend towards decreased post-interventional present Tinel sign. However, for these outcomes, no data considering open CTR was available.</div><div>When interpreting the results, it is important to keep in mind the limitations of this resume. Most importantly, there were no directly comparative studies available for the selected outcomes. Meaning data from different studies reporting outcomes after either HFF or CTR were compared. Furthermore, the included studies have all quite small populations and some of them did not even do statistical analysis on their data. Although we have been very strict in selecting only patients with recurrent symptoms, there is a wide variety of definitions used to describe recurrence.</div><div>In our knowledge, this is the first systematic review with a single focus on these two procedures in a well-defined population with recurrent carpal tunnel symptoms reporting this extensive amount of outcomes. As reported outcome studies on revision carpal tunnel surgery are very heterogeneous and data are difficult to compare, no superiority of either one technique can be concluded.</div><div>We believe this review is important to highlight the lack of comparative studies in this orthopedic area and may serve as a matrix for a qualitative (randomised) controlled trial to further investigate superiority of one of both revision techniques.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101864"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143151640","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}