Hand surgery & rehabilitation最新文献

{"title":"Functional and aesthetic outcomes after index pollicization using two different techniques in children with thumb hypoplasia - A comparative study.","authors":"Karim Hachem, Manon Bachy-Razzouk, Coline Martinot-Lagarde, Elie Saghbiny, Frank Fitoussi","doi":"10.1016/j.hansur.2025.102221","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102221","url":null,"abstract":"<p><strong>Background: </strong>As several skin incision patterns have been described when performing index pollicization, it is currently difficult to know whether one incision is superior to another.</p><p><strong>Hypothesis: </strong>Functional and aesthetic outcomes of two techniques of pollicization that differ in the incision pattern (Buck-Gramcko and Malek's technique) were analyzed.</p><p><strong>Patients and methods: </strong>Of 81 patients operated on between 1987 and 2021, 43 self-questionnaires were completed on 48 pollicized hands and 24 were reviewed for the study. Eighteen and 30 pollicizations were performed according to Buck Gramcko's and Malek's techniques, respectively.</p><p><strong>Results: </strong>Following a functional analysis evaluation, no significant differences were observed between the two groups in terms of the appearance of the first commissure, active abduction of the neo-thumb, grip assessment, scar appearance and visibility, and neo-thumb girth. However, passive abduction of the thumb was better in the group operated on using Buck-Gramcko's technique at the last follow-up. Regardless of the technique used, patients were generally satisfied with the overall function, aesthetics, and daily use of the neo-thumb, as demonstrated by self-completed questionnaires.</p><p><strong>Conclusion: </strong>This investigation demonstrated the superiority of Buck-Gramcko's technique in terms of passive abduction of the thumb. There was no impact on the function or aesthetics of the neo-thumb, and the results were comparable across the different techniques. The main prognostic factor requiring additional procedures involving opposition muscle transfer is the association with a radial club hand.</p><p><strong>Level of evidence: </strong>Level III-Retrospective comparative study.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102221"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661406","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":"German translation and linguistic validation of the HAND-Q.","authors":"D Jann, O Politikou, P Giovanoli, M Calcagni, I S Besmens","doi":"10.1016/j.hansur.2025.102219","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102219","url":null,"abstract":"<p><strong>Background: </strong>Hand injuries can severely affect physical function and quality of life. Patient-reported outcome measures (PROMs) are vital for capturing patient perspectives. The HAND-Q is a validated, modular PROM developed for individuals with hand conditions. To support its use in German-speaking populations, a culturally adapted German version was needed.</p><p><strong>Methods: </strong>Translation and linguistic validation followed WHO and ISPOR guidelines. Two independent forward translations were reconciled by an expert panel, followed by a backward translation compared with the original English version. Discrepancies were resolved with the HAND-Q developers. Eight patients with upper extremity injuries participated in cognitive debriefing interviews to assess clarity and cultural relevance.</p><p><strong>Results: </strong>Minor discrepancies during translation were related to response consistency, cultural nuances, and gender-neutral language and were resolved through expert consensus. Cognitive interviews led to revisions in five items. The final German (Switzerland) HAND-Q includes 14 scales and 133 items, maintaining conceptual equivalence with the original.</p><p><strong>Conclusions: </strong>The German HAND-Q was successfully translated and validated for clinical and research use. It enables standardized assessment of outcomes in German-speaking patients with hand conditions, supporting both patient-centred care and hand surgery research.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102219"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644372","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":"Subungual hemangioma: A cause of isolated nail clubbing.","authors":"Justin LeBlanc, Brandon LeBlanc","doi":"10.1016/j.hansur.2025.102213","DOIUrl":"10.1016/j.hansur.2025.102213","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102213"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621552","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":"Conservative rehabilitation approach for trapeziometacarpal osteoarthritis.","authors":"Paolo Boccolari, Annalisa Nesti, Pasquale Arcuri, Roberto Tedeschi, Danilo Donati","doi":"10.1016/j.hansur.2025.102216","DOIUrl":"10.1016/j.hansur.2025.102216","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102216"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621551","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":"What long-term prospects for hand surgery education?","authors":"Nicolas Bigorre, Thomas Daoulas, Stéphane Guero","doi":"10.1016/j.hansur.2025.102218","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102218","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102218"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621554","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":"Vascularized Rib Graft for proximal Scaphoid reconstruction: An Anatomical Study.","authors":"Yaniv Bismuth, Charlotte Jaloux, Julien Gaillard, Alain Sautet, Adeline Cambon, Claire Bastard","doi":"10.1016/j.hansur.2025.102214","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102214","url":null,"abstract":"<p><p>The loss of cartilaginous substance at the proximal pole of the scaphoid bone poses a therapeutic challenge, with 10% of fractures in this area progressing to pseudarthrosis and necrosis of the proximal pole. Our aim is to propose a conservative surgical alternative involving replacing the necrotic scaphoid with a vascularized osteochondral graft taken from the fourth rib. Angiography of the donor site was performed on seven hemithoraxes to analyze the osteochondral vascularization. Twenty vascularized osteochondral grafts were then performed on anatomical subjects after the proximal pole of the scaphoid was excised. The osteochondral vascularization of the donor site remained consistent, with the presence of a posterior intercostal collateral artery at each level. The harvested grafts averaged 3.1 cm in length and 1.2 cm in thickness. The average arterial diameter was 2.5 mm, the venous diameter was 3 mm, and the average pedicle length was 2.9 cm. We present a reliable and reproducible technique that offers satisfactory anatomical reconstruction. LEVEL OF EVIDENCE: V.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102214"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621553","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":"Treatment of finger tendon sheath ganglion with extracorporeal shock wave therapy: A case report.","authors":"Christina Lemhoefer, Dana Loudovici-Krug","doi":"10.1016/j.hansur.2025.102215","DOIUrl":"10.1016/j.hansur.2025.102215","url":null,"abstract":"<p><p>A ganglion cyst on the flexor tendon of the hand is a common clinical condition. However, there is no consensus on non-surgical treatment methods. Here, a case of the initial treatment of a ganglion using extracorporeal shockwave therapy is presented. EVIDENCE LEVEL: V.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102215"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610714","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":"Surgical outcomes in chronic perilunate dislocations: A systematic review.","authors":"Michelle A Richardson, Adam Margalit, Madeline C Rocks, Matthew V Abola, Jadie De Tolla, Ali Azad","doi":"10.1016/j.hansur.2025.102212","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102212","url":null,"abstract":"<p><p>Perilunate dislocations and perilunate fracture-dislocations are marked by a wide range of high energy trauma to the wrist. Chronic perilunate injuries are defined by a treatment delay of at least 6 weeks. This systematic review aims to compare the various operative techniques and outcomes for chronic perilunate injuries. A systematic review of literature on chronic perilunate dislocations and perilunate fracture-dislocations were performed according to Preferred Reporting Items for Systematic Reviews and Meta-analysis statement guidelines using PubMed, Embase, Scopus, and Web of Science. A total of 326 articles were included, of which ultimately comprised of 13 articles with 158 patients. We demonstrate a rate of 59% perilunate fracture-dislocations, 30% perilunate dislocations, and 11% lunate dislocations. Mechanisms of injury were mostly high energy falls (31%) and motor vehicle accidents (50%). Fifty percent of patients had median nerve symptoms/paresthesias at time of initial presentation. Surgical technique included proximal row carpectomy (34%), open reduction internal fixation (49%), scaphoid excision with four corner fusion (7%), wrist arthrodesis (2%), partial lunate/scaphoid excision (1%), total lunate excision (5%), and isolated carpal tunnel release (1%). Average follow-up of time was 5 years. There was a 28% incidence of radiologic osteoarthritis at final follow-up with only 3 patients undergoing conversion to total wrist arthrodesis. Regardless of surgical technique, patients experienced improved levels of pain with a low reoperation rate, but decreased wrist range of motion and grip strength post-operatively.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102212"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568177","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":"Transfer of the long head of triceps branch to the anterior division of the axillary nerve for deltoid reanimation: Anterior or posterior approach? An anatomical study.","authors":"Jean-Noël Goubier, Tanguy Perraudin, Camille Echalier","doi":"10.1016/j.hansur.2025.102211","DOIUrl":"10.1016/j.hansur.2025.102211","url":null,"abstract":"<p><p>Transferring the long head of the triceps nerve to the axillary nerve is a widely used technique for restoring abduction and elevation of the shoulder in adults with partial brachial plexus lesions. This procedure can be performed using either an anterior (axillary) or a posterior approach. This anatomical study aimed to compare the distance between the microsurgical suture of the nerve transfer and the axillary nerve's entry into the middle and anterior deltoid, to determine which approach provides the shortest nerve regrowth path. The anatomical study was carried out on 12 subjects (i.e. 24 shoulders). For each subject, the transfer of the long portion of the triceps nerve to the anterior division of the axillary nerve was simulated. The microsurgical suture area was marked on the axillary nerve using stitches or clips. The nerve was then dissected and released until it entered the middle and anterior bundles of the deltoid via a lateral trans-deltoid route. The nerve was then cut flush with the muscle and recovered via the axillary route on ten shoulders (five right, five left) and via the posterior route on ten shoulders (five right, five left). The distance between the marker and the end of the axillary nerve was measured. The time taken to locate the teres minor branch after locating the axillary nerve through the anterior and posterior approaches was also noted. On average, the distance between the suture and the nerve's entry into the deltoid was 74 mm for the anterior approach (ranging from 65 to 80 mm), and 62.4 mm for the posterior approach (ranging from 38 to 69 mm). There was a significant difference in length between the two approaches. The teres minor branch was located more quickly with the anterior approach (average time: 4 min, range 2-6 min) than with the posterior approach (average time: 18.1 min, range 16-21 min). This difference was significant (p < 0.05). In a nerve transfer, the distance between the suture and the recipient muscle affects the time taken for reinnervation and therefore the outcome, given the progressive degradation of the motor end plates from the initial lesion. This study shows that the distance is significantly shorter via the posterior route. Reinnervation of the deltoid muscle should therefore be faster and of better quality via this route. These results must be confirmed by a clinical study.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531960","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":"High-resolution ultrasonography for extensor digiti minimi tendinopathy diagnosis.","authors":"Hilmi Berkan Abacıoğlu, Berkay Yalçınkaya, Ahmet Furkan Çolak, Levent Özçakar","doi":"10.1016/j.hansur.2025.102209","DOIUrl":"10.1016/j.hansur.2025.102209","url":null,"abstract":"","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102209"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512859","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}