Hand Surgery & Rehabilitation最新文献

{"title":"Custom-made non-vascularized toe-to-finger graft for proximal phalanx condyle reconstruction","authors":"Maxence Liot ,&nbsp;Dominique Le Nen","doi":"10.1016/j.hansur.2025.102109","DOIUrl":"10.1016/j.hansur.2025.102109","url":null,"abstract":"<div><div>Proximal phalanx condylar lesions are well known injuries. Total condylar defect, however, is an exceptional therapeutic challenge. We report the case of a 19-year-old male who sustained complex hand trauma following a circular saw accident, including a lesion that destroyed the entire lateral condyle of the middle finger’s proximal phalanx. A custom-made non-vascularized composite graft taken from the second toe proved to be a viable option for reconstruction not only of the condyle but also of the lateral ligaments and part of the extensor system. At 1-year follow-up, results were very satisfactory, and the patient had resumed his work as a carpenter 6 months after surgery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102109"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470427","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":"Hourglass-like constriction is a hallmark of neuralgic amyotrophy (Parsonage-Turner syndrome)","authors":"G. Fargeot ,&nbsp;R. Dukan,&nbsp;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":"Breaking stiffness: A non-invasive solution for proximal interphalangeal joint rigidity","authors":"Paolo Boccolari ,&nbsp;Roberto Tedeschi ,&nbsp;Danilo Donati","doi":"10.1016/j.hansur.2025.102096","DOIUrl":"10.1016/j.hansur.2025.102096","url":null,"abstract":"<div><div>A non-invasive thermoplastic orthosis combined with targeted exercise effectively addresses proximal interphalangeal joint (PIPj) stiffness. Stabilizing the metacarpophalangeal joint at 60 ° enables optimal torque transfer, improving flexion and correcting compensatory patterns. Posture maintenance prevents elastic recoil,enhancing tissue elongation. Preliminary results show improved kinematic control and functional recovery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102096"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070436","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 ,&nbsp;Hayfa Abid ,&nbsp;Jawher Dhief ,&nbsp;Wassim Zribi ,&nbsp;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}

{"title":"Percutaneous headless compression screw fixation for Bennett’s fracture","authors":"Francis Bonte ,&nbsp;Cédric Bonte ,&nbsp;Pieter Pierreux ,&nbsp;Hanne Vandevivere ,&nbsp;Bart Berghs ,&nbsp;Filip Stockmans","doi":"10.1016/j.hansur.2025.102123","DOIUrl":"10.1016/j.hansur.2025.102123","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102123"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574911","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":"Dual mobility trapeziometacarpal prosthesis: A review of the current literature","authors":"Eleonora Villari ,&nbsp;Laura Langone ,&nbsp;Federico Pilla ,&nbsp;Ilaria Chiaramonte ,&nbsp;Laura Ramponi ,&nbsp;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, I² = 99%) for QuickDASH, −2.36 (95% CI, −4.24; −0.47, I² = 99%) for Kapandji score, −7.49 (95% CI, −8.94; −6.04, I² = 82%) for grip strenght, and −2.43 (95% CI, −2.92; −1.94, I² = 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":"Reply to the article: “Percutaneous headless compression screw fixation for Bennett's fracture”","authors":"Domenico Marrella ,&nbsp;Philippe Liverneaux","doi":"10.1016/j.hansur.2025.102128","DOIUrl":"10.1016/j.hansur.2025.102128","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 2","pages":"Article 102128"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665773","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 ,&nbsp;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}

{"title":"Curtis plasty is an effective option for correcting supple boutonnière deformity","authors":"Francis Bonte ,&nbsp;Dries Verrewaere ,&nbsp;Pieter Pierreux ,&nbsp;Hanne Vandevivere ,&nbsp;Filip Stockmans ,&nbsp;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}

{"title":"Comparing AAOS appropriate use criteria with ChatGPT-4o recommendations on treating distal radius fractures","authors":"Kareem S. Mohamed ,&nbsp;Alexander Yu ,&nbsp;Christoph A. Schroen ,&nbsp;Akiro Duey ,&nbsp;James Hong ,&nbsp;Ryan Yu ,&nbsp;Suhas Etigunta ,&nbsp;Jamie Kator ,&nbsp;Hannah S. Rhee ,&nbsp;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 = &lt;0.001) and spanning external fixation (0.4, P = &lt;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}