{"title":"Correspondence of the Boston Carpal Tunnel Questionnaire with severity of median neuropathy.","authors":"Teun Teunis, Adam Domico, David Ring, John Fowler","doi":"10.1177/17531934231181077","DOIUrl":"10.1177/17531934231181077","url":null,"abstract":"<p><p>The Boston Carpal Tunnel Questionnaire is one of the most popular patient-reported outcome measures designed specifically for people with idiopathic median neuropathy at the carpal tunnel. We used electrophysiological and ultrasound measures of median neuropathy from one hand in 185 people to create a single measure of median neuropathy severity as a continuum (through exploratory factor analysis). We assessed if our single measure of median neuropathy severity is independently associated with Boston Carpal Tunnel Questionnaire item groupings. Median neuropathy severity measured as a continuum had modest independent associations with Boston Carpal Tunnel Questionnaire magnitude of capability (adjusted R<sup>2</sup> 0.063) and paraesthesia intensity (adjusted R<sup>2</sup> 0.12) items but not with items related to pain intensity. Considering the lack of association of Boston Carpal Tunnel Questionnaire pain items with objective pathophysiology, combined with their notable association with mental health measures in previous studies, it is probably best to omit items related to pain.<b>Level of evidence:</b> III.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1006-1013"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9685349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: Salva-Coll G, Esplugas M, Carreño A, Lluch-Bergada A. Kienböck's disease: preventing disease progression in early-stage disease. J Hand Surg Eur. 2023, 48: 246-56.","authors":"Bengt Mjöberg","doi":"10.1177/17531934231179387","DOIUrl":"10.1177/17531934231179387","url":null,"abstract":"","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1094"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9664079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Koji Moriya, Yutaka Maki, Hisao Koda, Takuma Kuroda, Naoto Tsubokawa
{"title":"Influence of the direction of suture strands on the tensile strength after flexor tendon repairs.","authors":"Koji Moriya, Yutaka Maki, Hisao Koda, Takuma Kuroda, Naoto Tsubokawa","doi":"10.1177/17531934231186011","DOIUrl":"10.1177/17531934231186011","url":null,"abstract":"<p><p>We assessed the influence of different directions of suture strands using the double Tsuge repair on the resistance to gap formation and mode of failure. In total, 25 porcine flexor digitorum profundus tendons were split into two groups. One group was repaired using a conventional double Tsuge suture created by two bands of looped suture placed longitudinally parallel (parallel method), and the other group was repaired using a new technique comprising two bands of looped suture placed in a crossed fashion in the anterior and posterior half of the tendon (cruciate method). The repaired tendons were subjected to linear, non-cyclic load-to-failure tensile testing. The cruciate method had a significantly higher mean load at a 2-mm gap tensile load (29.7 N [SD, 8.3]) than the parallel method (21.6 N [SD, 4.9]) and failed significantly more often due to suture pull-out. The direction of a core suture and its location within the tendon affect both gap resistance and the mode of failure of repair when using the double Tsuge suture technique, with a cruciate configuration achieving a greater gap resistance than a parallel one.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1074-1079"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mike Ruettermann, Dieuwke C Broekstra, Gerbrand J Groen, Jan Willem Elting
{"title":"Ultra-high-definition (22 MHz) ultrasound of the ulnar nerve: additional value and normative data.","authors":"Mike Ruettermann, Dieuwke C Broekstra, Gerbrand J Groen, Jan Willem Elting","doi":"10.1177/17531934231167751","DOIUrl":"10.1177/17531934231167751","url":null,"abstract":"<p><p>We studied 30 healthy volunteers (60 arms), categorized into three age groups with equal numbers to verify if a 22 MHz compared with a 15 MHz ultrasound transducer has additional value for studying the intraneural architecture of the ulnar nerve throughout its course. At six sites, there were no differences in cross-sectional area measurements between the two transducers. With both, the cross-sectional area was significantly larger at the medial epicondyle compared with the other sites and smaller at the mid-forearm and Guyon's canal compared with the mid-upper arm. With higher age the cross-sectional area significantly increased. Significantly more fascicles were visible distal to the medial epicondyle compared with more proximal sites, as well as in men compared with women. Finally, higher body weight was related to a significantly smaller number of fascicles being seen. A 22 MHz transducer depicts more details of the intraneural architecture than a 15 MHz transducer. Our data can be used as normative data or reference values in analysing ulnar nerve pathology.<b>Level of evidence:</b> II.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1036-1041"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9728339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edward Wu, Robert Allen, Christopher Bayne, Robert Szabo
{"title":"Prospective randomized controlled trial comparing the effect of Monocryl versus nylon sutures on patient- and observer-assessed outcomes following carpal tunnel surgery.","authors":"Edward Wu, Robert Allen, Christopher Bayne, Robert Szabo","doi":"10.1177/17531934231178383","DOIUrl":"10.1177/17531934231178383","url":null,"abstract":"<p><p>Controversy remains regarding the optimal technique and suture type for wound closure after carpal tunnel surgery. Adult patients undergoing open carpal tunnel release were prospectively randomized to receive either interrupted, buried Monocryl sutures or traditional nylon horizontal mattress sutures for their wound closures. At the 2-week and 6-week postoperative visits, Patient and Observer Scar Assessment Scale questionnaires were completed. At 2 weeks, patients and observers had a significantly better opinion of incisions closed with Monocryl. By 6 weeks, neither patients nor observers found a difference between suture types in any category. Scars of wounds closed with Monocryl did not change appreciably in appearance between 2 and 6 weeks. However, patients and observers noted significant improvement in scar appearance in the nylon group over time. Monocryl suture represents an effective method for carpal tunnel closure that leads to improved patient- and observer-reported outcome scores in the early postoperative period compared with nylon.<b>Level of evidence:</b> II.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1014-1021"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9586829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
George Esworthy, Nick Johnson, Distal Radius Measurement Group, Joseph Dias
{"title":"Reliability and reproducibility of methods for measurement of distal radius fracture intra-articular displacement.","authors":"George Esworthy, Nick Johnson, Distal Radius Measurement Group, Joseph Dias","doi":"10.1177/17531934231173248","DOIUrl":"10.1177/17531934231173248","url":null,"abstract":"","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1087-1089"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomical depth parameters of pronator quadratus: a cadaveric study.","authors":"Joseph W Duncumb, Fraser Chisholm, Enis Cezayirli","doi":"10.1177/17531934231181448","DOIUrl":"10.1177/17531934231181448","url":null,"abstract":"<p><p>There is a paucity of literature documenting the cadaveric muscle thickness of pronator quadratus. We measured the width and depth of this muscle bilaterally in 15 cadavers. There was a significant difference in thickness between male and female cadavers, but the width was proportional to radius length.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1085-1086"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9658514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed Abuo Elatta, Ahmed Eltanboly, Alaa Abououf
{"title":"Implant-free anatomical reconstruction of thumb metacarpophalangeal joint chronic ulnar collateral ligament injuries.","authors":"Mohamed Abuo Elatta, Ahmed Eltanboly, Alaa Abououf","doi":"10.1177/17531934231182895","DOIUrl":"10.1177/17531934231182895","url":null,"abstract":"<p><p>A technique is described to treat chronic instability of the metacarpophalangeal joint of the thumb caused by rupture of the ulnar collateral ligament using a palmaris longus tendon graft without implants. Good results were obtained in eight patients.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1080-1081"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10060068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin C Wormald, Alexander J Baldwin, Hayat Nadama, Abigail Shaw, Ryckie G Wade, Dani Prieto-Alhambra, Jonathan A Cook, Jeremy N Rodrigues, Matthew L Costa
{"title":"Surgical site infection following surgery for hand trauma: a systematic review and meta-analysis.","authors":"Justin C Wormald, Alexander J Baldwin, Hayat Nadama, Abigail Shaw, Ryckie G Wade, Dani Prieto-Alhambra, Jonathan A Cook, Jeremy N Rodrigues, Matthew L Costa","doi":"10.1177/17531934231193336","DOIUrl":"10.1177/17531934231193336","url":null,"abstract":"<p><p>Surgical site infection is the most common healthcare-associated infection. Surgical site infection after surgery for hand trauma is associated with increased antibiotic prescribing, re-operation, hospital readmission and delayed rehabilitation, and in severe cases may lead to amputation. As the risk of surgical site infection after surgery for hand trauma remains unclear, we performed a systematic review and meta-analysis of all primary studies of hand trauma surgery, including randomized controlled trials, cohort studies, case-control studies and case series. A total of 8836 abstracts were screened, and 201 full studies with 315,618 patients included. The meta-analysis showed a 10% risk of surgical site infection in randomized control trials, with an overall risk of 5% when all studies were included. These summary statistics can be used clinically for informed consent and shared decision making, and for power calculations for future clinical trials of antimicrobial interventions in hand trauma.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"998-1005"},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of a chicken leg as a simulation training model for flexor tendon surgery.","authors":"Pobe Luangjarmekorn, Vanasiri Kuptniratsaikul, Pravit Kitidumrongsook","doi":"10.1177/17531934231168784","DOIUrl":"10.1177/17531934231168784","url":null,"abstract":"","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"1103-1107"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}