Hand surgery & rehabilitation最新文献

{"title":"Two enduring controversies in de Quervain surgery: retinacular repair and accessory abductor pollicis longus tendon excision.","authors":"Kwangchoul Lee, Yeongsik Yun, Jae In Chung, Jae Hoon Kang, Jaeheon Lee, Chanho Jeong, Jaeyo Hyun, Cheungsoo Ha","doi":"10.1016/j.hansur.2026.103024","DOIUrl":"https://doi.org/10.1016/j.hansur.2026.103024","url":null,"abstract":"<p><strong>Purpose: </strong>Surgical decompression for de Quervain disease is effective, but two technical questions remain unresolved: whether the first dorsal compartment retinaculum should be repaired or reconstructed after release, and whether accessory abductor pollicis longus tendon slips should be excised. This narrative review critically examines the historical development and current evidence for these two controversies.</p><p><strong>Methods: </strong>PubMed/MEDLINE, Embase, Scopus, Web of Science Core Collection, and Cochrane CENTRAL were searched through 3 October 2026 using two prespecified concept searches, supplemented by backward citation tracking. Historical reports, anatomical and biomechanical studies, comparative cohorts, randomized trials, and systematic reviews directly relevant to either question were included and interpreted according to study design and methodological limitations.</p><p><strong>Results: </strong>Clinically important tendon subluxation after release has been documented, and retinacular reconstruction can reduce tendon displacement. However, symptomatic instability is uncommon and comparative studies have not shown superior patient-reported or functional outcomes with routine reconstruction. Multiple abductor pollicis longus slips are common anatomical variants. Selective slip excision has been reported as a feasible decompression strategy, but no controlled study supports routine excision.</p><p><strong>Conclusion: </strong>Current evidence supports adequate decompression and recognition of anatomical variation rather than a single mandatory technique. The available evidence does not justify routine retinacular reconstruction or routine accessory tendon excision in all patients; both may be considered selectively according to intraoperative findings.</p><p><strong>Level of evidence: </strong>Level V, narrative review.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"103024"},"PeriodicalIF":1.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Other: What Is Empathy?","authors":"Alain C Masquelet","doi":"10.1016/j.hansur.2026.103020","DOIUrl":"https://doi.org/10.1016/j.hansur.2026.103020","url":null,"abstract":"<p><p>Empathy is an innate competence that humans share with numerous creatures in the animal world. In humans, it can be cultivated and developed. Empathy is traditionally recognized as having two major components: one affective and emotional, through which we feel the emotions of others, and the other cognitive, which enables, through cold and rational analysis by literally putting oneself \"in the other's shoes,\" the identification of their desires and objectives. What empathy should facilitate is mutual understanding; however, empathy is not a pillar of morality, nor is it a necessary or sufficient precursor to altruistic behavior. Many professional groups could benefit from empathy education, particularly in the medical field, within the framework of shared decision-making with the patient.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"103020"},"PeriodicalIF":1.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Nerve Entrapment and \"Dynervology\": Myth, Reality, and the Path Forward.","authors":"Veronica Machado, Vincent Martinel","doi":"10.1016/j.hansur.2026.103022","DOIUrl":"https://doi.org/10.1016/j.hansur.2026.103022","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"103022"},"PeriodicalIF":1.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new clinical test for early-stage trigger finger: the M-test.","authors":"Gianfranco Merendi, Silvia Pietramala, Camillo Fulchignoni, Lorenzo Rocchi","doi":"10.1016/j.hansur.2026.103023","DOIUrl":"https://doi.org/10.1016/j.hansur.2026.103023","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"103023"},"PeriodicalIF":1.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healed But Not Whole: Occult nail plate deformity causing prolonged digit dysfunction after conservatively managed partial amputation.","authors":"Joseph Abraham Kavian, Daniel Zarif","doi":"10.1016/j.hansur.2026.102812","DOIUrl":"10.1016/j.hansur.2026.102812","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102812"},"PeriodicalIF":1.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volar rim morphology and plate congruence in fragment-specific distal radius fixation.","authors":"Jean-Baptiste de Villeneuve Bargemon, Lucas Audiffret, Clément Prenaud, Romain Ambrosino, Camille Brenac","doi":"10.1016/j.hansur.2026.102813","DOIUrl":"10.1016/j.hansur.2026.102813","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Fragment-specific fixation of distal radius fractures often requires implants positioned at or beyond the watershed line, which may increase the risk of flexor ultrasound-detected flexor tendon abnormalities. However, tendon conflict may depend not only on plate position but also on how the implant adapts to individual volar rim morphology. This study assessed whether volar rim morphology, classified according to the Dolomites concept, was associated with plate application and ultrasound-detected flexor tendon abnormalities after fragment-specific fixation. We hypothesized that Dolomites volar rim morphology would be associated with plate-to-bone application and with ultrasound-detected flexor tendon abnormalities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients and methods: &lt;/strong&gt;A single-centre prospective cohort study included adult patients treated surgically for distal radius fractures requiring fragment-specific fixation at or beyond the watershed line. At 6 months, postoperative CT was used to classify volar rim morphology as Dolomites type 1 or type 2 and to assess plate application. Distal plate-to-bone incongruence was defined as a plate-to-bone distance greater than 2 mm at the most palmar point of the distal radius. Systematic ultrasound was performed to identify flexor tendon abnormalities. Associations between volar rim morphology, plate application, and ultrasound-detected flexor tendon abnormalities were analyzed overall and by plate type.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 152 initially included patients, 123 were available for analysis. Dolomites type 1 anatomy was present in 95 patients (77.2%) and type 2 in 28 patients (22.8%). Overall, distal plate-to-bone incongruence was observed in 30 cases (24.4%) and ultrasound-detected flexor tendon abnormalities in 43 cases (35.0%). Dolomites anatomy was not significantly associated with distal plate-to-bone incongruence when all plate types were analyzed together: 26 of 95 type 1 cases (27.4%) versus 4 of 28 type 2 cases (14.3%; p = 0.212). However, among hook plates, distal plate-to-bone incongruence was significantly more frequent in type 1 than in type 2 anatomy: 11 of 22 cases (50.0%) versus 2 of 23 cases (8.7%; p = 0.003). Distal plate-to-bone incongruence was strongly associated with ultrasound-detected flexor tendon abnormalities, which occurred in 28 of 30 incongruent plates (93.3%) compared with 15 of 93 congruent plates (16.1%; p &lt; 0.001).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;Ultrasound-detected flexor tendon abnormalities were substantially more frequent in cases of distal plate-to-bone incongruence. Although Dolomites morphology was not associated with distal plate-to-bone congruence in the overall cohort, exploratory subgroup analysis suggested a potential association between volar rim morphology and hook plate congruence. Further validation is required before this classification can be incorporated into routine implant selection.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Level of evidence: ","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102813"},"PeriodicalIF":1.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The \"crossing finger sign\": A better term for diagnosing radial collateral ligament rupture of the metacarpophalangeal joint.","authors":"Bruno Vandekerckhove, Michiel Cromheecke, Pieter-Bastiaan De Keyzer, Peter Coeman, Jean F Goubau","doi":"10.1016/j.hansur.2026.102804","DOIUrl":"10.1016/j.hansur.2026.102804","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102804"},"PeriodicalIF":1.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved ulnar plate positioning using the WHAM (Wrist Henry Approach Modification) for volar rim fixation of distal radius fractures.","authors":"Jean-Baptiste de Villeneuve Bargemon, Thomas Daoulas, Lucas Audiffret, Camille Brenac, Antoine Martins, Félix Bullot","doi":"10.1016/j.hansur.2026.102793","DOIUrl":"10.1016/j.hansur.2026.102793","url":null,"abstract":"<p><strong>Introduction: </strong>Fixation of small, very distal volar rim fragments of the distal radius is technically demanding because the classic Henry approach may provide limited ulnar exposure. The Wrist Henry Approach Modification (WHAM) combines a limited volar incision with a dual-window exposure.</p><p><strong>Hypothesis: </strong>The WHAM approach would enable more ulnar positioning of volar rim-specific plates than the classic Henry approach without increasing approach-related complications.</p><p><strong>Materials and methods: </strong>This retrospective single-center comparative study included 39 patients with distal radius fractures treated between June 2022 and March 2026 with a volar rim-specific hook plate and postoperative computed tomography (CT). Twenty underwent a classic Henry approach and 19 the WHAM approach. The primary outcome was the CT-measured distance between the most ulnar aspect of the plate and the ulnar border of the watershed line. Complications were also recorded.</p><p><strong>Results: </strong>Mean plate-to-ulnar-border distance was significantly lower with WHAM than with the classic Henry approach (3.8 ± 2.0 mm versus 5.9 ± 2.8 mm; p = 0.013), indicating more ulnar plate positioning. No implant extended beyond the ulnar border of the volar rim. Four complications occurred in the Henry group: one radial artery injury, one volar radiocarpal subluxation due to insufficient fixation, and two wound dehiscences. Two transient palmar cutaneous branch paresthesias occurred in the WHAM group. Overall complication rates did not differ significantly.</p><p><strong>Discussion: </strong>The WHAM approach was associated with significantly more ulnar CT-measured positioning of volar rim-specific plates than the classic Henry approach. No significant difference in complication rates was identified, although the study was not powered for this outcome. Whether this radiographic difference translates into improved fragment capture, fixation stability, or clinical outcomes remains to be determined.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102793"},"PeriodicalIF":1.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant multicompartmental lipoma of the hand with dorsal-to-volar extension: En bloc excision through a single dorsal approach.","authors":"Soner Tigit","doi":"10.1016/j.hansur.2026.102811","DOIUrl":"10.1016/j.hansur.2026.102811","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102811"},"PeriodicalIF":1.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Simplified oral antibiotic regimen for pyogenic flexor tenosynovitis by Lataste E, Jeudy J, Cesari B, Bigorre N. Hand Surg Rehabil 2026:102724.","authors":"Yicheng Ye","doi":"10.1016/j.hansur.2026.102809","DOIUrl":"10.1016/j.hansur.2026.102809","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102809"},"PeriodicalIF":1.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}