Journal of Hand Therapy最新文献

{"title":"The effect of manual lymphatic drainage on intraneural edema of the median nerve in patients with carpal tunnel syndrome: A randomized controlled trial","authors":"Nilüfer Kablan Assoc. Prof., PT, PhD ,&nbsp;Emel Mete PT, PhD ,&nbsp;Bilinç Doğruöz Karatekin Assoc. Prof., MD ,&nbsp;Temel Tombul Prof. Dr., MD","doi":"10.1016/j.jht.2024.10.002","DOIUrl":"10.1016/j.jht.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Intraneural edema is an important factor in the pathophysiology of carpal tunnel syndrome (CTS). Manual Lymphatic Drainage (MLD) is a manual treatment widely used to treat edema in a variety of conditions.</div></div><div><h3>Purpose</h3><div>This study aimed to evaluate the effect of MLD on intraneural edema of the median nerve in CTS patients, as well as its impact on symptom severity and hand function.</div></div><div><h3>Study Design</h3><div>Randomized controlled study.</div></div><div><h3>Methods</h3><div>Twenty-seven patients (aged 48.9 ± 9.9) with mild-to-moderate bilateral CTS were recruited for the study. One hand of each subject was allocated to the experimental group and the other hand in the control group randomly. The experimental group underwent MLD, myofascial release (MFR) therapy and conventional physiotherapy (CP). The control group received sham MLD, MFR and CP. Interventions were performed 2 days a week for 6 weeks. The distal motor latency (DML), motor nerve (MNCV), and sensory nerve (SNCV) conduction velocity of the median nerve were evaluated using electrodiagnostic techniques. As secondary evaluations, grip strength, pressure pain threshold, pain intensity, symptom severity, and hand functions were assessed. The cross-sectional area (CSA) of the median nerve was measured by ultrasound. All assessments were performed at baseline and 6 weeks after intervention.</div></div><div><h3>Results</h3><div>According to the analysis of a two-way repeated measures of ANOVA, the experimental group showed greater improvement in CSA (<em>p</em> &lt; 0.001; η2 = 0.510), DML (<em>p</em> &lt; 0.001; η2 = 0.549), sensory (<em>p</em> &lt; 0.001; η2 = 0.408), and motor conduction velocity (<em>p</em> &lt; 0.001; η2 = 0.419) of the median nerve than the control group. There was no significant difference between the groups in the secondary evaluation results (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>MLD may contribute to symptom relief in CTS by reducing intraneural edema in the median nerve.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 80-90"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520675","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":"Postoperative hand therapy and the 2018 Medicare therapy cap repeal: Appraising cost and use changes","authors":"Joseph N. Fahmy MD, MS ,&nbsp;Lingxuan Kong MS ,&nbsp;Lu Wang PhD ,&nbsp;Kevin C. Chung MD, MS","doi":"10.1016/j.jht.2024.05.002","DOIUrl":"10.1016/j.jht.2024.05.002","url":null,"abstract":"<div><h3>Background</h3><div><span><span>Therapy use is common following carpal tunnel release (CTR), trigger finger release, ganglion cyst excision, </span>De Quervain tenosynovitis<span> release, carpometacarpal arthroplasty, and </span></span>distal radius fracture<span><span>, open reduction internal fixation or </span>percutaneous pinning<span> (DRF). Policy that improves coverage influences the cost and use of health care services.</span></span></div></div><div><h3>Purpose</h3><div>This study aims to evaluate changes to the cost and use of postoperative hand therapy by race and procedure following the repeal of a longstanding annual Medicare outpatient therapy cap.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>This is a longitudinal retrospective cohort study using a quasi-experimental interrupted time series design, including patients who underwent common hand surgeries from January 1, 2016-December 31, 2019.</div></div><div><h3>Results</h3><div>This study included 203,672 patients with a mean age of 71.4 years. Neither White (1.00, 95% confidence interval [CI]: 0.999-1.007, <em>p</em> = 0.45) nor non-White (1.00, 95% CI: 1.00-1.01, <em>p</em> = 0.06) patients experienced monthly changes in therapy use before policy implementation. Therapy frequency increased following CTR (odds ratio [OR] 1.12, 95% CI: 1.11-1.14, <em>p</em> &lt; 0.001), trigger finger release (OR 1.09, 95% CI: 1.07-1.10, <em>p</em> &lt; 0.001), and DRF (OR 1.05, 95% CI: 1.03-1.06, <em>p</em> &lt; 0.001) following implementation.</div></div><div><h3>Conclusions</h3><div>This study found that improved coverage was associated with increased postoperative therapy use among some subsets, including CTR and DRF, suggesting the need to optimize coverage by means such as prior authorization or bundled payments, rather than only increasing coverage benefits.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 113-121"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472792","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":"Acceptability and safety of 3D printed wrist-based orthoses compared to fiberglass casts for the treatment of non-surgical distal radius- and scaphoid fractures: A randomized feasibility trial","authors":"Bernadette Tobler-Ammann PhD, MScOT, Hand Therapy/Occupational Therapy Research ,&nbsp;Frédéric Schuind MD, PhD, Emeritus Professor of Orthopaedics and of Surgery; Founder and CEO ,&nbsp;Loïc Voillat MSc, Software Developer ,&nbsp;Esther Vögelin Prof. MD, Hand Surgery","doi":"10.1016/j.jht.2024.11.004","DOIUrl":"10.1016/j.jht.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Non-invasiveness and comfort are crucial in the conservative management of distal radius and scaphoid fractures. While fiberglass casts are standard, three-dimensional (3D)-printed orthoses offer a promising alternative.</div></div><div><h3>Purpose</h3><div>To compare patient experiences, safety perceptions, and satisfaction between a 3D orthosis and fiberglass cast for distal radius or scaphoid fractures.</div></div><div><h3>Study Design</h3><div>Randomized feasibility trial.</div></div><div><h3>Methods</h3><div>Nineteen adult patients were randomly assigned (3D orthosis group, <em>n</em> = 10; fiberglass cast group, <em>n</em> = 9) and followed until orthosis or cast removal at 6–8 weeks. X-rays at weeks 1 and 6 documented bone healing, with weekly hand therapy visits assessed orthosis satisfaction and function. The Patient-Rated orthosis Satisfaction Questionnaire (PRSEQ) measured satisfaction at weeks 2, 4, and removal. Descriptive statistics and non-parametric correlation tests were used for data analysis.</div></div><div><h3>Results</h3><div>The 3D orthosis group achieved significantly higher PRSEQ scores (mean difference [MD]<!--> <!-->= 15.7%, <em>p</em> = 0.005 to 0.01, <em>r</em> = −.581 to −.638) and lower perceived pain (MD<!--> <!-->=<!--> <!-->−1.0 to −2.2, <em>p</em> = 0.001 to 0.048, <em>r</em> = −0.45 to −0.75) compared to the cast group. By week 4, the 3D group reported less discomfort (MD<!--> <!-->=<!--> <!-->−2.2, <em>p</em> = 0.03, <em>r</em> = −0.5) and felt safer (MD<!--> <!-->=<!--> <!-->1.6, <em>p</em> = 0.043, <em>r</em> = −0.46). Routine activities were easier for the 3D group at weeks 2 and 6 (MD<!--> <!-->=<!--> <!-->−2.8 to −3.0, <em>p</em> = 0.033 to 0.034, <em>r</em> = −0.49). Satisfaction scores were higher in the 3D group (mean 8.4 vs. 5.6 points, <em>p</em> &lt; 0.001 to 0.01, <em>r</em> = −0.57 to −0.82). Compliance was excellent in both groups. No significant differences were observed in radiological outcomes, finger sensibility, or edema. Bone healing occurred in both groups without fracture displacement; however, one cast patient required subsequent surgery for scaphoid non-union.</div></div><div><h3>Conclusions</h3><div>Treatment with a 3D-printed orthosis appeared feasible and safe, with patients reporting higher satisfaction and better self-perceived hand function compared to a custom-made fiberglass cast, although further research is needed to confirm these findings.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 143-151"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928710","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":"Editorial Board / Masthead / ASHT Officers","authors":"","doi":"10.1016/S0894-1130(25)00013-4","DOIUrl":"10.1016/S0894-1130(25)00013-4","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages A3-A4"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520677","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":"Understanding the implications of hand impairments in light of the International Classification of Function model","authors":"Danit Langer ,&nbsp;Avigayil Horwitz ,&nbsp;Hanna Melchior ,&nbsp;Ehud Atoun ,&nbsp;Tal Mazor-Karsenty","doi":"10.1016/j.jht.2024.05.004","DOIUrl":"10.1016/j.jht.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Incorporating an occupation-based assessment along with or in place of an assessment of body functions and structures is not performed routinely in hand therapy practice.</div></div><div><h3>Purpose</h3><div>(a) Explore correlations between body functions, activities and participation (A&amp;P), and quality of life (QOL); (b) assess the extent to which personal factors and body functions contribute to variations in A&amp;P and QOL; (c) compare the QOL of individuals with and without hand impairment (HI).</div></div><div><h3>Study Design</h3><div>Cross-sectional.</div></div><div><h3>Methods</h3><div>Seventy-seven patients (Mean age<!--> <!-->=<!--> <!-->43.70 SD<!--> <!-->=<!--> <!-->17.56; 47 males and 30 females) with chronic and acute hand impairment were recruited from two hand clinics and matched with healthy participants. Assessments were administered to participants in their first visit to the hand clinic. QOL was measured with the World Health Organization QOL questionnaire; A&amp;P with the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire; pain with the Patient-Rated Wrist/Hand Evaluation; hand function with The Functional Dexterity Test, Jamar Dynamometer and Pinch Gauge.</div></div><div><h3>Results</h3><div>Significant correlations were found between QOL and A&amp;P, dexterity, and pain, as well as between A&amp;P and hand strength and pain. Personal factors, hand function, and pain collectively explained 28.9% of QOL variance and 61.4% of A&amp;P variance. Pain emerged as the sole significant contributor to QOL variance, while both hand function and pain significantly influenced A&amp;P variance. Comparisons between the study group and controls highlighted significant differences in QOL domains, with the HI group reporting lower perceived QOL in physical, social, and environmental domains.</div></div><div><h3>Conclusion</h3><div>The significance of adopting a comprehensive approach in HI intervention was highlighted. A complex interplay of factors across different levels of the International Classification of Functioning, Disability and Health (ICF) framework imply that clinicians should avoid fixating exclusively on isolated factors or specific domains.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 122-128"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114899","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":"Are pectoralis minor length and posterior shoulder tightness associated with patient-reported shoulder pain and disability?","authors":"Dayana Patricia Rosa PT, PhD ,&nbsp;John David Borstad PT, PhD ,&nbsp;Paula Camila Ramirez PT, PhD ,&nbsp;Paula Rezende Camargo PT, PhD","doi":"10.1016/j.jht.2024.10.003","DOIUrl":"10.1016/j.jht.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Pectoralis minor (PM) shortening and posterior shoulder tightness (PST) are considered potential soft tissue alterations associated with rotator cuff related shoulder pain (RCRSP). Yet, their precise contribution to pain and disability remains unclear.</div></div><div><h3>Purpose</h3><div>To explore the association between both PM length and PST and self-reported shoulder pain and disability in individuals with and without RCRSP. Demographic characteristics and shoulder active range of motion (AROM) were also considered for their potential contributions to RCRSP.</div></div><div><h3>Study Design</h3><div>This was a cross-sectional study.</div></div><div><h3>Methods</h3><div>Using Shoulder Pain and Disability Index (SPADI), 144 individuals were grouped by pain and disability severity: SPADI total score ≤20 and SPADI total score &gt;20. PM length was measured using a tape measure. PST, glenohumeral joint flexion, internal (IR) and external (ER) rotation AROM were quantified using an inclinometer. Demographic and AROM measurements were compared between groups and regression analyses identified SPADI predictors.</div></div><div><h3>Results</h3><div>Age, PST, glenohumeral flexion, and ER AROM were associated with SPADI total score (<em>p</em> &lt; 0.05). Higher age (odds ratio (OR [95%CI]): 1.07 [1.02–1.12]) and increased PST (OR: 1.16 [1.04–1.29]) were associated with higher self-reported shoulder pain and disability scores (SPADI score &gt;20). In contrast, increased flexion (OR: 0.93 [0.88–0.97]) and ER AROM (OR: 0.96 [0.93–0.99]) served as protective factors against increased levels of self-reported shoulder pain and disability. No other variables were associated with SPADI (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>PST is associated with increased levels of self-reported shoulder pain and disability, as are age, while PM length and IR AROM were not significantly associated variables. Glenohumeral flexion and ER AROM prevented increased levels of self-reported shoulder pain and disability.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 61-67"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928711","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":"Prevalence of Hand Arm Vibration Syndrome in mine workers of Khewra salt mines","authors":"Hafiz Muhammad Tanveer ,&nbsp;Ghulam Murtaza Ali ,&nbsp;Mubin Mustafa Kiyani ,&nbsp;Maisra Azhar Butt ,&nbsp;Hamid Khan ,&nbsp;Shahid Bashir","doi":"10.1016/j.jht.2024.11.002","DOIUrl":"10.1016/j.jht.2024.11.002","url":null,"abstract":"<div><h3>Background</h3><div>Hand-arm Vibration Syndrome (HAVS) is a disorder caused by prolonged exposure to hand-held vibrating instruments, commonly observed in industrial contexts such as mining, construction, and manufacturing. It involves symptoms affecting the musculoskeletal, neurological, and vascular systems of the arm and hand.</div></div><div><h3>Purpose</h3><div>The main aim of this study is to determine the prevalence of HAVS among laborers working in the Khewra salt mines.</div></div><div><h3>Study Design</h3><div>This study utilized a cross-sectional observational design.</div></div><div><h3>Methods</h3><div>A total of 140 drill machine operators from the Khewra salts mines were selected through purposive sampling. Handgrip strength was assessed using the Camry-EH101 hand dynamometer and the data was collected through structured questionnaire focusing on neurological, vascular and musculoskeletal symptoms. The prevalence of HAVS was determined from the collected data and the severity of symptoms was as analyzed across different age groups and working conditions.</div></div><div><h3>Results</h3><div>Out of the participants, <em>n</em> = 121 (86.4%) were found to be right-hand dominant, with average grip strength of 40.9 ± 3.1 kg, while <em>n</em> = 19 (13.6%) were left hand dominant, with average grip strength of 45.9 ± 2.6 kg. Compared to normative data, right-hand dominant workers showed a 15% reduction in grip strength, while left-hand dominant workers showed a 5% decreased. The most common reported neurological symptoms included prolonged hand vibration (52.9%), tingling sensation (60%) and numbness (46.4%). Vascular symptoms included discoloration of fingers (50%), felling cold (48.6%) and needle like sensations (45.7%). Musculoskeletal symptoms included reduced grip strength (51.4%), hand discomfort (46.4%) and hand cramping, tiredness or itching (46.4%).</div></div><div><h3>Conclusion</h3><div>The high prevalence of HAVS among miners emphasizes the importance of targeted clinical interventions and workplace policies modifications to reduce vibration exposure and improve occupational health.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 152-159"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928714","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":"The online version of an evidence-based hand exercise programme for people with rheumatoid arthritis: An effectiveness-implementation study","authors":"Cynthia Srikesavan ,&nbsp;Esther Williamson ,&nbsp;Sarah E Lamb","doi":"10.1016/j.jht.2024.11.001","DOIUrl":"10.1016/j.jht.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) program is an evidence-based exercise program for adults with hand function difficulties due to rheumatoid arthritis. A self-guided online version of the program has been developed for direct access by patients.</div></div><div><h3>Purpose</h3><div>To evaluate the delivery of the online program in routine therapy care and its impact on clinical outcomes, before making it widely available.</div></div><div><h3>Study Design</h3><div>An effectiveness-implementation study.</div></div><div><h3>Methods</h3><div>Volunteer patients were identified from National Health Service (NHS) hand therapy departments in the United Kingdom. Patients were given access to the 4-week program, delivered via text, videos, polls, and social discussion forums. Self-reported pain and hand function were collected at baseline, discharge, and telephone follow-up at 4 months. Delivery of baseline and discharge sessions, acceptability, and patient engagement and experience were also explored.</div></div><div><h3>Results</h3><div>A total of 78 patients were enrolled from 18 therapy departments in 15 NHS trusts in England, Scotland, and Wales. Sixty-five patients took part, of whom 46 (71%) registered with the online SARAH program. The majority of baseline and discharge sessions were delivered face-to-face. Pain improved at discharge and was stable at follow-up. Hand function significantly improved with medium effect sizes of Cohen’s <em>d</em> of 0.6 and 0.52 respectively. The majority of patients rated themselves as improved and were continuing the SARAH exercises at discharge and 4 months. No related adverse effects were reported. Patient engagement was high during the first week of the program but gradually declined. Most patients were satisfied and found the program useful.</div></div><div><h3>Conclusions</h3><div>The online SARAH program delivered in routine therapy care was acceptable and beneficial to patients. Improvements in clinical outcomes were similar to the SARAH clinical trial and our previous implementation work.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 23-32"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928716","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":"Movement analysis of the distal transverse arch of the dominant hand while grasping and pinching objects: A descriptive, correlational research study","authors":"Hideki Shiraishi OT, PhD ,&nbsp;Hiroshi Yuine OT, PhD","doi":"10.1016/j.jht.2023.12.011","DOIUrl":"10.1016/j.jht.2023.12.011","url":null,"abstract":"<div><h3>Background</h3><div>The distal transverse arches obtained from active and passive motions<span> of the hand and the used range of motion (u-ROM) of the hand arch in activities of daily living have rarely been reported.</span></div></div><div><h3>Purpose</h3><div>This study aimed to investigate the distal transverse arch angle of the dominant hand, the influence of age, and the u-ROM of the arch when grasping and pinching objects.</div></div><div><h3>Study Design</h3><div>Descriptive and correlational research design.</div></div><div><h3>Methods</h3><div><span>The active and passive distal transverse arches of the dominant hand of 104 healthy subjects were measured using a </span>goniometer. Additionally, the hand arch was measured when the subjects grasped and pinched objects. These data were used to analyze the correlation with age and to calculate the u-ROM (u-ROM %) rate of the distal transversal arch. Furthermore, the u-ROM% between the ring and fifth finger components of the hand arch was compared.</div></div><div><h3>Results</h3><div>The active and passive dorsal arch angles were 135.8 (10.0°) and 169.9 (11.5°), respectively. The distal transverse arch angle tended to decline with age (active: <em>r</em> = −0.18, <em>p</em> = 0.07, 95% confidence interval = −0.36 to 0.02; passive: <em>r</em> = −0.40, <em>p</em> ≤ 0.001, 95% confidence interval = −0.55 to −0.23). The u-ROM% of the hand arch in grasping and pinching ranged from 65.5 (9.8)% to 84.6 (11.6)% and from 52.1 (7.9)% to 67.4 (9.1)%, respectively, against active and passive motions. The ring finger component was significantly higher than the fifth finger component (active: <em>p</em> = 0.08 to &lt;0.001, effect size = −0.17 to −0.69; passive: <em>p</em> ≤ 0.001, effect size= −0.71 to −0.86). A similar trend was observed in both men and women.</div></div><div><h3>Conclusions</h3><div>Therapists should evaluate the movement of the distal transverse arch of the injured hand in detail and consider the age, sex, and component of the hand arch when intervening.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 563-571"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736784","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":"Extensor tendon transfer for fracture-related extensor pollicis longus rupture: Long-term outcome case series","authors":"Alexander J. Adams MD ,&nbsp;Saral J. Patel MS ,&nbsp;Sebastian D. Arango BS ,&nbsp;Kaleb Smithson MD ,&nbsp;Rick J. Tosti MD ,&nbsp;Andrew J. Miller MD","doi":"10.1016/j.jht.2024.02.004","DOIUrl":"10.1016/j.jht.2024.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Spontaneous rupture of the extensor pollicis longus (EPL) tendon following both nonoperative and operative treatment of distal radius fractures has been well described.</div></div><div><h3>Purpose</h3><div><span>The purpose of this study was to assess long-term outcomes of extensor indicis proprius to EPL tendon transfers for patients following distal radius fracture and EPL </span>tendon repair.</div></div><div><h3>Study Design</h3><div>Retrospective case series focusing on long-term clinical outcomes.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted for patients who sustained a distal radius fracture and subsequently underwent extensor tendon transfer from 2005-2015 at a private practice center. Outcome measures including index finger (IF) metacarpophalangeal (MCP) and thumb interphalangeal (IP) active range of motion (ROM), digital extension against resistance, subjective complaints, and QuickDASH scores were recorded at final follow-up.</div></div><div><h3>Results</h3><div>Seven patients were included in the study. There were six females and one male subject, mean age of 54 ± 13 years at injury of EPL, and 5/7 involved the left upper extremity. For isolated function, 7/7 (100%) patients had isolated, active IF MCP extension, 6/7 (86%) could extend IF MCP and thumb IP against resistance. Mean IF MCP extension was 1° ± 2°, mean IF MCP flexion was 89° ± 2°, mean thumb IP extension was −5° ± 4°, and mean thumb IP flexion was 67° ± 15°. Mean QuickDASH score was 16 ± 14.</div></div><div><h3>Conclusions</h3><div>This series shows good long-term functional and patient reported outcomes in patients following extensor indicis proprius to EPL tendon transfers at a single center.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 529-533"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137435","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}