Journal of Hand Surgery-American Volume最新文献

{"title":"Journal CME Questions","authors":"","doi":"10.1016/j.jhsa.2025.05.002","DOIUrl":"10.1016/j.jhsa.2025.05.002","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Page 741"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194844","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":"E. F. Shaw Wilgis, MD December 17, 1936–February 2, 2025","authors":"Michael S. Murphy MD","doi":"10.1016/j.jhsa.2025.04.003","DOIUrl":"10.1016/j.jhsa.2025.04.003","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 645-647"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194609","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":"From the Archives–Commentary on “A Machine Learning Algorithm to Estimate the Probability of a True Scaphoid Fracture After Wrist Trauma”","authors":"Tyler S. Pidgeon MD","doi":"10.1016/j.jhsa.2025.02.013","DOIUrl":"10.1016/j.jhsa.2025.02.013","url":null,"abstract":"","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 721-722"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194555","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":"Surgical Options for the Restoration of Elbow Extension After Brachial Plexus Injury","authors":"Joseph G. Monir MD ,&nbsp;Thomas McQuillan MD ,&nbsp;Nicole A. Zelenski MD ,&nbsp;Eric R. Wagner MD","doi":"10.1016/j.jhsa.2025.01.009","DOIUrl":"10.1016/j.jhsa.2025.01.009","url":null,"abstract":"<div><div>Brachial plexus injuries (BPIs) are devastating and lead to marked functional disability. Injuries involving the proximal radial nerve, posterior cord, or lower cervical nerve roots can lead to triceps palsy and inability to actively extend the elbow. Although not as functionally important as elbow flexion, active elbow extension is required for some activities of daily living, and discussion of reconstructive options with the patient is warranted. Various nerve transfers have been successfully used and may be available, depending on the extent of injury and other surgeries planned or performed. Tendon and free functioning muscle transfers can also have favorable outcomes, particularly in the setting of chronic injuries or after other failed surgeries. This review aims to provide a summary of available options to reconstruct elbow extension after BPI.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 723-730"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782093","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":"Differences in the Incidence of Amyloid Deposition in Biopsies Performed During Bilateral Carpal Tunnel Release","authors":"Yagiz Ozdag MD ,&nbsp;Mahmoud Mahmoud MBBS ,&nbsp;Brendan J. Carry MD ,&nbsp;Jerad M. Gardner MD ,&nbsp;C. Liam Dwyer MD ,&nbsp;Joel C. Klena MD ,&nbsp;Louis C. Grandizio DO","doi":"10.1016/j.jhsa.2025.03.007","DOIUrl":"10.1016/j.jhsa.2025.03.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Biopsy during carpal tunnel release (CTR) to assess for amyloid deposition may be indicated in older patients with bilateral symptoms. There is a paucity of prior investigations comparing the results of bilateral CTR biopsy samples. Our purpose was to compare differences in the incidence of amyloid deposition detected during bilateral CTR.</div></div><div><h3>Methods</h3><div>We reviewed primary, bilateral (staged or simultaneous) CTR cases from a single-surgeon between March 2022 and September 2024 during which a biopsy was obtained from both sides. The presence of amyloid deposition was determined using Thioflavin T and/or Congo Red staining using established institutional protocols. Baseline demographics were recorded, and the results of bilateral biopsies were compared to assess for disparate results.</div></div><div><h3>Results</h3><div>A total of 65 patients underwent bilateral CTR where a biopsy was obtained during both procedures. Mean age was 67 years, and 42% were women. Of the 65 included patients, 8 (12%) had evidence of amyloid deposition on at least one biopsy. Six patients overall (9%) had disparate biopsy results, accounting for 75% of positive cases. In these six patients, four (67%) had evidence of amyloid deposition during the first biopsy and no evidence of amyloid on the second biopsy. Two of six patients (33%) had no evidence of amyloid deposition during the first biopsy but did have evidence of amyloid on the second biopsy.</div></div><div><h3>Conclusions</h3><div>Biopsy results differ with respect to amyloid deposition in 9% of bilateral CTR cases. Seventy-five percent of patients with evidence of amyloid deposition on at least one extremity will have discordant bilateral biopsy results. In patients where the index biopsy is positive during a CTR, a contralateral biopsy may not be necessary. However, in patients where the index biopsy is negative for amyloid deposition, we recommend repeating the biopsy during the second (contralateral) CTR.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic II.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 697-702"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065084","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":"Reintroducing Gotthelf Carl, the Other Huber","authors":"Chantal R. Valiquette MD, MSc ,&nbsp;Anthony A. Smith MD ,&nbsp;Douglas C. Ross MD, MEd ,&nbsp;Steven McCabe MD, MSc","doi":"10.1016/j.jhsa.2025.01.010","DOIUrl":"10.1016/j.jhsa.2025.01.010","url":null,"abstract":"<div><div>Anatomist Dr. Gotthelf Carl Huber was a pioneer in peripheral nerve surgical research. His work was groundbreaking, including confirmation that axon regeneration occurs from the proximal stump as well as establishing the utility of primary and secondary nerve repair for peripheral nerve injury (PNI) at a time when the best treatment for nerve injuries was unclear and contested. He collaborated with the giants of his time and mentored the next generation of greats in PNI. Despite all of this, he is not the individual we think of when we hear the name “Huber.” As such, the motivation for this review is to increase awareness of G. Carl Huber as a foundational figure in the development of peripheral nerve surgery.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 742-747"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043755","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":"Radial Collateral Ligament Laxity of Thumb Metacarpophalangeal Joint Following Trapeziometacarpal Arthrodesis","authors":"Yasunori Hattori MD, PhD ,&nbsp;Vijayendrasingh Gour MD ,&nbsp;Sotetsu Sakamoto MD ,&nbsp;Jun Sasaki MD ,&nbsp;Kota Hayashi MD ,&nbsp;Kazuteru Doi MD, PhD","doi":"10.1016/j.jhsa.2024.03.006","DOIUrl":"10.1016/j.jhsa.2024.03.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Trapeziometacarpal (TM) arthrodesis may increase adduction motion of the thumb metacarpophalangeal (MCP) joint, causing radial collateral ligament laxity. Stability of the MCP joint is important to the long-term functional outcome after TM arthrodesis. This study assessed preoperative and postoperative radial collateral ligament laxity using dynamic radiographs to confirm whether laxity was exacerbated after surgery and examined whether there is a relationship between the fixation angle of arthrodesis and the degree of laxity.</div></div><div><h3>Methods</h3><div>Forty-four thumbs in 33 patients who underwent TM arthrodesis and were followed for at least 5 years were studied. Dynamic radiographs in radial adduction-abduction and palmar adduction-abduction were obtained. We defined the midpoint of arc of motion as the fixation angle of arthrodesis in the radial and palmar planes. We measured the intersection angle between longitudinal axis of the first metacarpal (M1) and that of thumb proximal phalanx (P1). P1M1 angle in a palmar adduction view of dynamic radiographs reflected radial collateral ligament laxity in palmar adduction (adduction P1M1 angle). We subtracted a preoperative adduction P1M1 angle from a postoperative adduction P1M1 angle and defined its value as an exacerbated adduction P1M1 angle.</div></div><div><h3>Results</h3><div>Adduction P1M1 angle increased from 9° ± 5° to 18° ± 10°. The median exacerbated adduction P1M1 angle was 7°. Ten thumbs (23%) developed ulnar subluxation of MCP joint in the palmar adduction view of dynamic radiographs. Among them, two thumbs developed osteoarthritis of MCP joint (5%). Fixation angle of the arthrodesis was a mean of 35° ± 7° and 32° ± 9° in the radial arc and palmar arc planes, respectively. There was a positive correlation between increasing adduction P1M1 angle and TM arthrodesis in an increasingly palmarly abducted position.</div></div><div><h3>Conclusions</h3><div>Radial collateral ligament laxity of thumb MCP joint was exacerbated after TM arthrodesis. Greater fixation angle in palmar abduction resulted in more laxity of the joint.</div></div><div><h3>Type of study/level of evidence</h3><div>Prognostic IV.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 754.e1-754.e9"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776954","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":"Opponensplasty With Abductor Pollicis Brevis Rerouting for Types II and IIIA Hypoplastic Thumbs","authors":"Sakura Yamaguchi MD ,&nbsp;Takehiko Takagi MD, PhD ,&nbsp;Atsuhito Seki MD, PhD ,&nbsp;Shinichiro Takayama MD, PhD","doi":"10.1016/j.jhsa.2024.02.006","DOIUrl":"10.1016/j.jhsa.2024.02.006","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the functional results after opponensplasty using an abductor pollicis brevis rerouting technique in type II and IIIA hypoplastic thumbs.</div></div><div><h3>Methods</h3><div>Eleven hypoplastic thumbs in nine children with type II and IIIA hypoplastic thumbs were treated with abductor pollicis brevis rerouting. The mean follow-up period was 70 months (range, 12–172 months). We assessed preoperative to postoperative changes in the angles of the first and second metacarpal axes and the longitudinal axis of the first metacarpal and proximal thumb phalanx as well as grip and pinch strengths.</div></div><div><h3>Results</h3><div>The mean angle of the first and second metacarpal axes showed a significant improvement to 64° (range, 47° to 89°), and the mean angle of the first metacarpal and proximal phalanx of the thumb showed a significant reduction to 8° (range, 1° to 21°) after surgery. The mean postoperative grip and pinch strengths were 77% (range, 63% to 106%) and 72.0% (range, 33% to 97%), respectively, relative to the unaffected side.</div></div><div><h3>Conclusions</h3><div>Abductor pollicis brevis rerouting for type II and IIIA hypoplastic thumbs can produce joint stability and a strong pronation effect in addition to the opponens function.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic V.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 749.e1-749.e6"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782219","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":"Biomechanical Analysis of Transosseous Repair Versus Combined Transosseous With Capsular Repair for Triangular Fibrocartilage Complex Tears With Instability","authors":"Lutian Liao MD ,&nbsp;Fengming Gu MD ,&nbsp;Fei Xiong MD ,&nbsp;Xiaoyun Pan MD ,&nbsp;Gang Zhao MD ,&nbsp;Jingyi Mi MD, PhD","doi":"10.1016/j.jhsa.2024.02.012","DOIUrl":"10.1016/j.jhsa.2024.02.012","url":null,"abstract":"<div><h3>Purpose</h3><div>This study compared the biomechanical stability of transosseous repair and transosseous combined with capsular repair techniques to reattach the triangular fibrocartilage complex (TFCC) for distal radioulnar joint instability.</div></div><div><h3>Methods</h3><div>Eight adult cadaveric upper-extremity specimens were studied. Each underwent peripheral ulnar-sided detachment of the deep and superficial TFCC fibers and repair. Four groups were prepared sequentially: intact TFCC, disrupted TFCC, transosseous repair, and combined transosseous with capsular repair. Forearm rotational torque was measured in three wrist positions: 60° flexion, neutral position, and 60° extension. Maximum dorsal and palmar ulnar translations in response to a 20-N traction load were measured at nine wrist positions after stabilizing the humerus and radius. Measurements were taken before and after TFCC disruption and following repair.</div></div><div><h3>Results</h3><div>Clear instability of the radius relative to the ulna was observed after sectioning the deep and superficial fibers of the TFCC, and stability was markedly improved after reconstruction in all positions. Compared with the normal group, rotational torque was similar between the two repair methods. In the pronation palmar flexion and supination dorsal extension positions, dorsal-palmar translation was smaller in the combined transosseous with capsular repair group than in the transosseous repair-alone group.</div></div><div><h3>Conclusions</h3><div>Triangular fibrocartilage complex deep fibers are the primary stabilizing structure of the distal radioulnar joint. In this cadaveric study, the combined transosseous with capsular repair technique demonstrated less dorsal-palmar translation compared with the transosseous-alone repair technique.</div></div><div><h3>Clinical relevance</h3><div>Combined transosseous with capsular repair is expected to provide improved postoperative stability for patients with peripheral TFCC tears and distal radioulnar joint instability.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 752.e1-752.e8"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604544","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":"Skin Cancer of the Hand: Current Management and New Horizons","authors":"Peyton H. Terry MD ,&nbsp;Yoshiko Toyoda MD ,&nbsp;Ines C. Lin MD, MSEd","doi":"10.1016/j.jhsa.2025.02.019","DOIUrl":"10.1016/j.jhsa.2025.02.019","url":null,"abstract":"<div><div>Skin cancer is the most common malignancy of the upper extremity. As such, hand surgeons must be facile with their evaluation and initial management, for these malignancies may present as mimickers of other conditions. This article reviews essential knowledge regarding the diagnosis, management, and prognosis of melanoma and nonmelanoma cutaneous malignancies of the upper extremity. We also discuss recent advances and promising clinical and translational research.</div></div>","PeriodicalId":54815,"journal":{"name":"Journal of Hand Surgery-American Volume","volume":"50 6","pages":"Pages 732-740"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744396","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}