Journal of Hand Surgery-American Volume最新文献

{"title":"Letter to the Editor Regarding “Pain Interference in Young Adults With Brachial Plexus Birth Injuries”","authors":"United Brachial Plexus Network, Evan J. Hernandez MBA, Christopher Janney BS, Jordyn Whiting BSN, RN, Jennifer Wingrat ScD, OTR/L, Kyle Harris BS, Kimberly Walker","doi":"10.1016/j.jhsa.2026.03.018","DOIUrl":"10.1016/j.jhsa.2026.03.018","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Page e15"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652088","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: Early Postoperative Complications Following Partial Distal Biceps Tendon Surgical Repair","authors":"Lee M. Reichel MD, David Ring MD, PhD","doi":"10.1016/j.jhsa.2026.03.017","DOIUrl":"10.1016/j.jhsa.2026.03.017","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Page e16"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652089","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":"Response to Letter to the Editor Regarding, “Early Postoperative Complications Following Partial Distal Biceps Tendon Surgical Repair”","authors":"Lilah Fones MD, Pedro K. Beredjiklian MD","doi":"10.1016/j.jhsa.2026.04.006","DOIUrl":"10.1016/j.jhsa.2026.04.006","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages e17-e18"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652090","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":"Journal CME Instructions","authors":"","doi":"10.1016/S0363-5023(26)00459-4","DOIUrl":"10.1016/S0363-5023(26)00459-4","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Page A14"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148651586","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":"Letter regarding “The Association of Long Thoracic Nerve Variants with Medial Scapular Winging in Thoracic Outlet Syndrome: A Clinical and Anatomical Study”","authors":"Ahmadreza Afshar MD, Ali Tabrizi MD, Mohammad Javad Shariyate MD","doi":"10.1016/j.jhsa.2026.04.017","DOIUrl":"10.1016/j.jhsa.2026.04.017","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages e11-e12"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652086","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":"Clinical Outcomes of Surgical Options for Base-of-Thumb Arthritis: A Systematic Review and Network Meta-Analysis","authors":"Nikki Burnett BN, MD,&nbsp;Tim Cheok MD, GStat,&nbsp;Kenneth Wills BHSci, MD,&nbsp;Zachary Van Hout MBChB,&nbsp;Yun Xiang Zhang MBChB,&nbsp;Max McCarthy MD,&nbsp;Thomas Smith BMedRad, MD,&nbsp;Ruurd Jaarsma MD, FRACS (Orth),&nbsp;Narlaka Jayasekera MBBS, FRCSEd (Orth + Trauma)","doi":"10.1016/j.jhsa.2025.12.011","DOIUrl":"10.1016/j.jhsa.2025.12.011","url":null,"abstract":"<div><h3>Purpose</h3><div>We investigated the complication profile and effectiveness of arthrodesis, trapeziectomy without suspensionplasty or ligament reconstruction (S/LR), trapeziectomy with S/LR, and joint replacement (JR) for the management of base-of-thumb arthritis. We included cases of interposition material placement within the trapeziectomy without the S/LR group.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Embase, and Web of Science was performed from their date of inception to November 2024. The primary complication outcome of interest was the reoperation risk, whereas the primary efficacy outcomes of interest were the pain score measured using a visual analog scale (VAS), Kapandji Opposition Score, and Disability of the Arm, Shoulder and Hand (DASH) or <em>Quick</em>DASH score at the end of the follow-up period. Network meta-analysis was performed. Surface under cumulative ranking (SUCRA) values were computed for studies published within the past 2 decades to rank each group against outcomes of interest, resulting in an approximate summary of the rank distribution of each intervention. A higher SUCRA value, therefore, indicates a better ranking. Cluster analysis was then used to provide an overall recommendation, balancing the risks and benefits of the procedure.</div></div><div><h3>Results</h3><div>Seventy-one studies were included in the final analysis. SUCRA values for reoperation risk in the arthrodesis, trapeziectomy without S/LR, trapeziectomy with S/LR and JR groups were 1.3%, 66.4%, 98.2%, and 34.1%, respectively. Likewise, the SUCRA values for each of these groups (in the same order) were 45.5%, 18.0%, 44.7%, and 91.7% for VAS pain scores; 0.0%, 76.8%, 34.4%, and 88.8% for Kapandji Opposition Score; and 2.0%, 44.9%, 53.2%, and 99.9% for DASH or <em>Quick</em>DASH score.</div></div><div><h3>Conclusions</h3><div>Trapeziectomy with or without S/LR had a lower reoperation risk and improved patient-reported outcome measures. Balancing the modest improvement in impairment measures against a high reoperation risk, there is still insufficient evidence to recommend the routine use of JR.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IV.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages 835-845"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147960401","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":"Carpal Tunnel Release Surgical Techniques","authors":"Rayan El Bachaoui BSc,&nbsp;Brandon E. Earp MD,&nbsp;Philip E. Blazar MD,&nbsp;Dafang Zhang MD","doi":"10.1016/j.jhsa.2026.03.004","DOIUrl":"10.1016/j.jhsa.2026.03.004","url":null,"abstract":"<div><div>Carpal tunnel syndrome is the most common upper-extremity compressive neuropathy, resulting from increased pressure within the carpal tunnel leading to symptomatic median nerve dysfunction. While conservative measures may offer temporary relief, surgical decompression remains the definitive treatment for persistent or progressive disease. Multiple surgical techniques for carpal tunnel release (CTR) have been described, each with distinct advantages and limitations. This review provides an updated synthesis of the evidence surrounding CTR, beginning with an overview of the conventional open and the mini-open approaches. This is followed by an examination of endoscopic CTR techniques, including both single- and dual-portal methods. We further discuss the emergence of ultrasound-guided CTR with both standard and thread-based methods. Comparative analyses are presented regarding surgical outcomes, complication profiles, recovery trajectories, and other key considerations such as cost-effectiveness, anatomical variability, and procedural sustainability. The review concludes with a discussion of current controversies, future directions in surgical innovation, and representative clinical images to illustrate technique nuances.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages 914-919"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700702","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":"Nerve Gap Reconstruction","authors":"Casey Imbergamo MD,&nbsp;Ellie Moeller MD,&nbsp;Sierra Lindsey MD,&nbsp;Aviram M. Giladi MD, MS,&nbsp;Joel S. Solomon MD, PhD","doi":"10.1016/j.jhsa.2026.04.011","DOIUrl":"10.1016/j.jhsa.2026.04.011","url":null,"abstract":"<div><div>In many nerve injuries, tissue destruction, scar, and other factors prohibit surgical reapproximation of the nerve ends without excessive tension. The resultant nerve gap has traditionally been bridged using autologous sensory nerve; however, the harvest of autologous nerve graft adds time and donor site morbidity. Over the past decades, a variety of commercially available hollow conduits designed for nerve gap reconstruction have been used. More recently, commercially available processed human nerve allograft has been introduced with the promise of reconstruction whose success rivals the results of nerve autograft. In the case of digital nerve reconstructions, a number of studies indicate that for small nerve gaps (&lt;15 mm) the recovery of sensation is the same for nerves repaired with nerve autograft, hollow nerve conduit, or processed nerve allograft. Although processed nerve allograft appears to outperform hollow conduits for slightly larger nerve gaps, it is unclear how it compares to nerve autograft across a variety of different nerve injuries. Overall, the results of nerve reconstruction are often disappointing, regardless of whether by direct repair or by spanning an intervening nerve gap. Further work on the biology of nerve regeneration is needed, not only to improve existing nerve conduits, but to improve the results of all nerve repairs and reconstructions.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages 920-926"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007393","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":"Thumb Carpometacarpal Joint Denervation Has Lower Reoperation Rates Than Trapeziectomy for Thumb Base Arthritis: A Retrospective Database Study","authors":"Julian Wier MD,&nbsp;Daniel Rusu BS,&nbsp;Aidan Lindgren BS,&nbsp;Ali Azad MD,&nbsp;Luke T. Nicholson MD","doi":"10.1016/j.jhsa.2026.04.014","DOIUrl":"10.1016/j.jhsa.2026.04.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Various surgical options exist to treat thumb carpometacarpal (CMC) osteoarthritis, including trapeziectomy-based procedures and CMC denervation. Presently, there is limited data on the relative longevity of these 2 procedures, with conflicting data on the rates of secondary conversion after CMC denervation. We sought to investigate the rates of secondary surgery in patients undergoing trapeziectomy or denervation for CMC osteoarthritis.</div></div><div><h3>Methods</h3><div>The PearlDiver Mariner Database was retrospectively queried for patients with CMC arthritis undergoing trapeziectomy-based procedures or CMC denervation. A propensity score-matched analysis was conducted. The primary end point was all-cause reoperation rates, including neuroma excision, secondary trapeziectomy, arthrodesis, and arthroplasty, however, excluding hardware removals, at 2 years after surgery. Univariate and multivariable analyses were performed to assess whether CMC denervation offered a protective effect on reoperation rates. <em>P</em> values of &lt;.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>Five hundred forty patients who underwent CMC denervation were matched to 540 patients who underwent trapeziectomy. Cohorts were well balanced (standardized mean difference [SMD], &lt;0.1), including age (64.1 vs 63.8 years), comorbidity burden (Elixhauser Comorbidity Index, 4.8 vs 5.0), and sex (male, 32.6% vs 29.6%). The denervation cohort experienced lower rates and adjusted odds of all-cause reoperation than the trapeziectomy cohort at 2 years (3.3% vs 7.8%, <em>P</em> = .002; adjusted odd, 0.4 [0.2–0.7], <em>P</em> = .002).</div></div><div><h3>Conclusions</h3><div>Carpometacarpal denervation was associated with significantly lower reoperation than trapeziectomy at 2 years. Integrating denervation into treatment algorithms prior to proceeding with more invasive procedures has the potential to provide short- to mid-term longevity; however, more data are needed to validate these results.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic III.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages 847.e1-847.e8"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037870","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":"Simple Excision of Proximal Scaphoid Nonunion: A Viable Option When the Scapholunate Ligament Is Intact","authors":"Ana Scott-Tennent De Rivas MD,&nbsp;Pau Forcada Calvet MD,&nbsp;Mireia Esplugas Mimó MD,&nbsp;Ignacio Esteban Feliu PhD,&nbsp;Guillem Salvà Coll PhD,&nbsp;Álex Lluch Bergadà MD","doi":"10.1016/j.jhsa.2026.01.032","DOIUrl":"10.1016/j.jhsa.2026.01.032","url":null,"abstract":"<div><h3>Purpose</h3><div>Because of the biological, anatomical, and biomechanical characteristics of the scaphoid, treating some proximal pole nonunions remains challenging. The location of the nonunion (proximal or distal to the dorsal apex) may influence its natural history. Based on this concept, patients with a proximal pole nonunion located proximal to the dorsal apex and maintaining an intact insertion of the dorsal scapholunate ligament in the distal fragment of the scaphoid may benefit from simple excision of the proximal pole. This study evaluated the clinical and functional outcomes of this treatment approach.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on 11 patients who underwent simple excision of the proximal pole fragment as treatment for proximal pole scaphoid nonunion in which the scapholunate interosseous ligament remained attached to the distal fragment. Postoperative outcomes included pain, range of motion, grip strength, and patient-reported outcome measures, including the Patient-Rated Wrist Evaluation, Patient-Specific Functional Scale, and EQ-5D. Patient satisfaction and return-to-work rates were also analyzed.</div></div><div><h3>Results</h3><div>Postoperative pain, Patient-Rated Wrist Evaluation, Patient-Specific Functional Scale, and EQ-5D scores improved after surgery. Ten of 11 patients returned to their previous occupational activities. Four patients reported dorsoradial discomfort, but only one underwent surgical revision for radial styloidectomy. No radiological progression to a scaphoid nonunion advanced collapse pattern or other complications were observed.</div></div><div><h3>Conclusions</h3><div>These findings support that proximal pole simple excision is a viable and relatively simple treatment for a subset of proximal pole scaphoid nonunion in which the proximal fragment is nonviable and a competent dorsal scapholunate ligament remains inserted in the distal fragment.</div></div><div><h3>Type of Study/Level of Evidence</h3><div>Therapeutic IV</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"51 8","pages":"Pages 854.e1-854.e10"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596248","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}