Hand surgery & rehabilitation最新文献

The role of surgical timing in 124 scaphoid nonunion surgical procedures.

Hand surgery & rehabilitation Pub Date : 2025-02-27 DOI: 10.1016/j.hansur.2025.102114

Géraldine Lautenbach, Andreas Schweizer, Tobias Götschi, Raffael Labèr

{"title":"The role of surgical timing in 124 scaphoid nonunion surgical procedures.","authors":"Géraldine Lautenbach, Andreas Schweizer, Tobias Götschi, Raffael Labèr","doi":"10.1016/j.hansur.2025.102114","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102114","url":null,"abstract":"A total of 124 scaphoid nonunion surgical procedures performed between 2002 and 2020 were analyzed to investigate the potential impact of delayed diagnosis on time to union. The primary outcome was the correlation between the time from injury to surgery and the time to union. Secondary outcomes included identifying risk factors for delayed union and persistent nonunion following scaphoid nonunion surgery. The analysis revealed that time to union was similar for surgeries performed between 6 months and over 2 years post-injury. However, nonunion persisted in 12 cases, five of which involved surgeries conducted more than 2 years after the injury. Further investigation into secondary outcomes showed that fractures in the proximal third of the scaphoid took 1.4 to 1.5 times longer to unite compared to fractures in the middle and distal thirds. Additionally, fractures without trabecular bone union required approximately twice as long to heal. In conclusion, surgical intervention performed between 6 months and over 2 years after injury generally offers a favorable outcome for healing. However, when surgery is delayed beyond 2 years, the risk of persistent nonunion increases significantly.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102114"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538262","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}

引用次数: 0

Custom-made non-vascularized toe-to-finger graft for proximal phalanx condyle reconstruction.

Hand surgery & rehabilitation Pub Date : 2025-02-18 DOI: 10.1016/j.hansur.2025.102109

Maxence Liot, Dominique Le Nen

引用次数: 0

Rupture of the flexor carpi radialis secondary to the carrying of a heavy load. 扛重物时继发腕屈肌断裂。

Hand surgery & rehabilitation Pub Date : 2025-02-18 DOI: 10.1016/j.hansur.2025.102108

Mohamed Benjemaa, Hayfa Abid, Jawher Dhief, Wassim Zribi, Hassib Keskes

引用次数: 0

Dual mobility trapeziometacarpal prosthesis: a review of the current literature.

Hand surgery & rehabilitation Pub Date : 2025-02-17 DOI: 10.1016/j.hansur.2025.102107

Eleonora Villari, Laura Langone, Federico Pilla, Ilaria Chiaramonte, Laura Ramponi, Faldini Cesare

{"title":"Dual mobility trapeziometacarpal prosthesis: a review of the current literature.","authors":"Eleonora Villari, Laura Langone, Federico Pilla, Ilaria Chiaramonte, Laura Ramponi, Faldini Cesare","doi":"10.1016/j.hansur.2025.102107","DOIUrl":"https://doi.org/10.1016/j.hansur.2025.102107","url":null,"abstract":"Osteoarthritis of the first carpometacarpal joint is a common condition affecting up to 70% of the general population, with symptomatic disease occurring in 6% of cases, predominantly in postmenopausal women. Among the therapeutic options, total prosthetic replacement of the trapeziometacarpal joint is gaining prominence. The aim of this review is to provide a comprehensive update on dual mobility total arthroplasty of the trapeziometacarpal joint. PubMed, Google Scholar, and MEDLINE were searched for relevant publications that addressed the outcomes of dual mobility trapeziometacarpal prostheses. The Methodological Index for Non-Randomized Studies (MINORS) was used to assess the risk of bias. The effect model (EM) was calculated using the Cohen's d index. Ten studies with a total of 931 patients were included. Two prosthetic models were implanted (Moovis and Touch). Of the 931 implants, 25 failed (2.7%) and required surgical revision. The pooled random EM was 34.15 (95% CI, 23.53;44.77, I2 = 99%) for QuickDASH, -2.36 (95% CI, -4.24; -0.47, I2 = 99%) for Kapandji score, -7.49 (95% CI, -8.94; -6.04, I2 = 82%) for grip strenght, and -2.43 (95% CI, -2.92; -1.94, I2 = 91%) for key-pinch strenght. Dual mobility provides a good functional outcome in terms of range of motion and early recovery of pinch and grip strength, with a lower rate of dislocation compared to standard surgical procedures, and should be considered in patients with advanced trapeziometacarpal osteoarthritis with moderate functional demands.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102107"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461164","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}

引用次数: 0

Chronic exertional compartment syndrome in the forearm: Ultrasound-guided surgical technique.

Hand surgery & rehabilitation Pub Date : 2025-01-31 DOI: 10.1016/j.hansur.2025.102094

Jean Michel Cognet, Jean Baptiste Facon, Alexandre Faure, Olivier Mares

{"title":"Chronic exertional compartment syndrome in the forearm: Ultrasound-guided surgical technique.","authors":"Jean Michel Cognet, Jean Baptiste Facon, Alexandre Faure, Olivier Mares","doi":"10.1016/j.hansur.2025.102094","DOIUrl":"10.1016/j.hansur.2025.102094","url":null,"abstract":"Introduction: Chronic exertional compartment syndrome of the forearm is most commonly associated with exercise. It presents as cramping after a few minutes of activity, requiring cessation of exercise. We describe an ultrasound-guided surgical technique for the treatment of forearm chronic exertional compartment syndrome.Anatomy and pathophysiology: The forearm consists of three compartments: the anterior, lateral, and dorsal compartments. These compartments are formed by the muscles of the forearm and are surrounded by a fibroelastic membrane composed of connective tissue. Repetitive activity in the forearm leads to an increase in muscle volume within a non-extensible compartment. This increase in pressure causes pain and cramping, forcing the individual to stop the activity. Diagnosis is based on measurement of intramuscular compartment pressures.Surgical technique: Surgical treatment involves performing a fasciotomy. This can be done through an incision along the length of the forearm or through a minimally invasive approach using endoscopic or ultrasound guidance. The ultrasound-guided technique uses two small entry points and a specialized knife. No post-operative immobilization is required, allowing patients to quickly resume their activities.Discussion: Chronic exertional compartment syndrome of the forearm is a condition that is particularly common among motorcyclists. Diagnosis is based on a combination of a suggestive clinical presentation and pathological intramuscular pressure. Treatment may be conservative or surgical (fasciotomy). Fasciotomy can be performed using an open approach or a minimally invasive ultrasound-guided technique. Published studies on ultrasound-guided treatment report excellent results with a rapid return to sports activities after surgery.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102094"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082976","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}

引用次数: 0

Breaking stiffness: A non-invasive solution for proximal interphalangeal joint rigidity.

Hand surgery & rehabilitation Pub Date : 2025-01-28 DOI: 10.1016/j.hansur.2025.102096

Paolo Boccolari, Roberto Tedeschi, Danilo Donati

引用次数: 0

Breaking the cycle: Addressing the drucebo effect in hand rehabilitation.

Hand surgery & rehabilitation Pub Date : 2025-01-27 DOI: 10.1016/j.hansur.2025.102095

Roberto Tedeschi

引用次数: 0

Correspondence. Reply to the article "Cornelis S, Mufty S, Peters S. Isolated distal radioulnar joint septic arthritis, the intact triangular fibrocartilaginous complex serving as an anatomical barrier. Hand Surg Rehabil, January 2025.

Hand surgery & rehabilitation Pub Date : 2025-01-23 DOI: 10.1016/j.hansur.2025.102092

Andrea Manfredi, Philippe Liverneaux

引用次数: 0

Calcifying aponeurotic fibroma of the hand in an adult.

Hand surgery & rehabilitation Pub Date : 2025-01-22 DOI: 10.1016/j.hansur.2025.102093

O I Ranaivoson Manitra, R Manassé Herijaona, A C Anesy Anselme, S D Lazasoa, Bozon Olivier, Daoulas Thomas

引用次数: 0

Ultrasound-guided release of carpal tunnel syndrome - Anterograde technique.

Hand surgery & rehabilitation Pub Date : 2025-01-21 DOI: 10.1016/j.hansur.2025.102091

Carla Ricardo Nunes, Olivier Marès, Vincent Martinel

{"title":"Ultrasound-guided release of carpal tunnel syndrome - Anterograde technique.","authors":"Carla Ricardo Nunes, Olivier Marès, Vincent Martinel","doi":"10.1016/j.hansur.2025.102091","DOIUrl":"10.1016/j.hansur.2025.102091","url":null,"abstract":"Compression of the median nerve in the carpal tunnel is a frequent pathology with severe functional impact. An ultrasound-guided technique was developed to preserve structures, diminish scar fibrosis and enable fast return to full activity. Its advantages are safety and low additional cost. Ultrasound-guided carpal tunnel release is indicated in moderate and severe carpal tunnel syndrome persisting after conservative treatment. A preoperative ultrasound scan is recommended to evaluate anatomy. Recurrent carpal tunnel syndrome, secondary carpal tunnel syndrome and anatomic variants compromising the safety of transverse carpal ligament division are contraindications. The procedure is performed under local anesthesia without tourniquet. The entry point is a short transverse incision proximal to the wrist crease. The transverse carpal ligament is divided anterogradely, using a dedicated blade under ultrasound control, making sure no nerves, tendons or blood vessels are injured. The final step is to check that the division is complete. Early return to use of the hand is permitted. Reports of similar techniques demonstrated early symptomatic relieve, favorable patient-reported outcome measures from within 1 week after surgery to 2 years' follow-up, with early return to normal daily activity and work. The complications rate is low: many series showed no complications. Comparative studies between ultrasound-guided carpal tunnel release and the mini-open technique reported similar or greater and quicker symptom relief, less scar pain and better strength. Final functional results tend to be similar.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":" ","pages":"102091"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030116","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}

引用次数: 0