Hand surgery & rehabilitation最新文献_第2页

Ultrasound-guided needle knife release for stenosing tenosynovitis of the flexor pollicis longus: a prospective randomized controlled trial. 超声引导下针刀松解治疗屈指肌腱膜狭窄性腱鞘炎：一项前瞻性随机对照试验。

Hand surgery & rehabilitation Pub Date : 2024-10-05 DOI: 10.1016/j.hansur.2024.101786

Zhengliang Li, Yahong Guo, Linfeng Chen, Wenyan Xue

{"title":"Ultrasound-guided needle knife release for stenosing tenosynovitis of the flexor pollicis longus: a prospective randomized controlled trial.","authors":"Zhengliang Li, Yahong Guo, Linfeng Chen, Wenyan Xue","doi":"10.1016/j.hansur.2024.101786","DOIUrl":"10.1016/j.hansur.2024.101786","url":null,"abstract":"Purpose: This study aimed to evaluate the efficacy and safety of ultrasound-guided needle knife release in the treatment of stenosing tenosynovitis of the flexor pollicis longus.Methods: In this prospective trial, 60 patients with clinically and ultrasonographically confirmed stenosing tenosynovitis of the flexor pollicis longus were randomly allocated to 1 of 3 groups: ultrasound-guided needle knife release (n = 20), traditional conservative treatment (n = 20), and open surgery (n = 20). The primary outcome measure was the Quinnell grade of triggering severity. Secondary outcomes comprised pain intensity (on visual analog scale), satisfaction (5-point Likert scale), and complications. Outcomes were evaluated at baseline, 1 week, 1 month and 3 months post-intervention by blinded assessors.Results: At all follow-up time points, the needle knife release group demonstrated significantly lower Quinnell grades (p < 0.05) and pain scores (p < 0.001) than the conservative treatment group; satisfaction was greater in the needle knife release group compared to the conservative treatment group at 1 month (p = 0.002) and 3 months (p < 0.001). There were no significant differences in outcomes between the needle knife release group and the open surgery group. The overall complications rate was 5% in the needle knife release group, 10% in the conservative treatment group, and 15% in the open surgery group (p = 0.574).Conclusion: Ultrasound-guided needle knife release is an effective and safe treatment for stenosing tenosynovitis of the flexor pollicis longus, with outcomes that are better than with traditional conservative treatment and similar to those of open surgery.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383062","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

Hajdu-Cheney syndrome: A case of acral osteolytic deformity of both hands. 哈伊杜-切尼综合征：一例双手骨溶解性畸形病例。

Hand surgery & rehabilitation Pub Date : 2024-10-04 DOI: 10.1016/j.hansur.2024.101785

Jian Meng, Han Yang, Pengliang Zhan, Kun Chen

引用次数: 0

Muscle activity analysis using electromyography during sensory collapse test: An experimental case report. 利用肌电图分析感觉塌陷试验中的肌肉活动：实验病例报告

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1016/j.hansur.2024.101772

Vincent Martinel, Benjamin Ferembach, Karim Anani, Floris Van Rooij, Bethany Grew, Thomas Apard

引用次数: 0

Sensitivity and specificity of the sensory collapse test for nerve entrapment syndrome in the upper extremity. 上肢神经卡压综合征感觉塌陷试验的敏感性和特异性。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1016/j.hansur.2024.101774

Lucas Audiffret, Marie Witters, Alice Mayoly, Najib Kachouh, Sébastien Viaud-Ambrosino, Emilie Bougie, Régis Legré, Charlotte Jaloux

{"title":"Sensitivity and specificity of the sensory collapse test for nerve entrapment syndrome in the upper extremity.","authors":"Lucas Audiffret, Marie Witters, Alice Mayoly, Najib Kachouh, Sébastien Viaud-Ambrosino, Emilie Bougie, Régis Legré, Charlotte Jaloux","doi":"10.1016/j.hansur.2024.101774","DOIUrl":"10.1016/j.hansur.2024.101774","url":null,"abstract":"Objectives: Several prospective blinded studies have found poorer sensitivity for the sensory collapse test than reported by Susan E Mackinnon's team. However, the blinded examiner had no knowledge of the patient's clinical presentation, or even of the purpose of the test. In these conditions, it seems difficult to perform the sensory collapse test correctly. The aim of the present study was to evaluate the efficacy of the sensory collapse test in the diagnosis of nerve compression in the upper extremity, using a trained, \"partially\" blinded examiner, with a minimum of clinical information in order to avoid bias due to poor execution of the test, while still unable to influence the test result.Methods: Seventy-two patients with diagnosis of nerve entrapment in the upper extremity were included prospectively. The sensory collapse test was performed by two examiners, one of whom was blinded to laterality and to the site of nerve compression, aware only of the affected nerve. Using electrodiagnosis study as reference, the sensitivity and specificity of the sensory collapse test were calculated for each examiner.Results: The unblinded examiner showed 72% sensitivity and 57% specificity, and the blinded 68% sensitivity and 57% specificity.Conclusions: The sensory collapse test is useful for diagnosis of nerve entrapment in the upper limb, even with a blinded examiner.Level of evidence: 3: ","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304689","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

Wide-Awake Local Anesthesia No Tourniquet in hand surgery: A systematic review and meta-analysis. 手外科手术中的 Walant：系统回顾和荟萃分析。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-23 DOI: 10.1016/j.hansur.2024.101778

Hugo Zimmermann, Cyril Quemeneur, Thibaut Goetsch, Frédéric Le Saché, Sébastien Bloc

引用次数: 0

An unusual case of trigger finger. 不寻常的扳机指

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.1016/j.hansur.2024.101771

Pauline Gonzalez-Espino, Gero Meyer Zu Reckendorf

引用次数: 0

Elevating patient experience: Transformative strategies in hand therapy. 提升患者体验：手部治疗的变革性策略。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-04 DOI: 10.1016/j.hansur.2024.101764

Jean Paul Brutus, Bianieff Tchiloemba, Anna Galstyan, Tom Lattré, Aviva Wolff, Alison Taylor

{"title":"Elevating patient experience: Transformative strategies in hand therapy.","authors":"Jean Paul Brutus, Bianieff Tchiloemba, Anna Galstyan, Tom Lattré, Aviva Wolff, Alison Taylor","doi":"10.1016/j.hansur.2024.101764","DOIUrl":"10.1016/j.hansur.2024.101764","url":null,"abstract":"This paper explores transformative strategies in hand therapy aimed at improving the patient experience - a critical factor linked to improved clinical outcomes and increased satisfaction for patients and therapists. The focus is on three key areas: personalized interactions, empathic communication, and sensory engagement. Personalized interactions ensure therapy is uniquely tailored to each patient' needs, fostering a sense of individual attention and care. Empathic communication involves understanding and responding effectively to patients' verbal and nonverbal cues, creating a supportive environment where patients feel genuinely heard. Sensory engagement utilizes the therapeutic environment's visual, olfactory, and auditory elements to create a calming, welcoming space conducive to healing and relaxation. Integrating these strategies aims to increase treatment effectiveness and improve therapist well-being by promoting a fulfilling and less stressful work environment. Through a comprehensive review of existing evidence, current practices and innovative approaches, this paper advocates for a holistic, patient-centered model of hand therapy that significantly improves treatment outcomes and enhances the overall therapeutic experience, ensuring it is both practical and compassionate.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147185","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

Denervation of the hand and wrist: A systematic review. 手部和腕部去神经支配：系统回顾。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-09-30 DOI: 10.1016/j.hansur.2024.101784

Giovanni Fabrizzio Pedrotti, Alfonso Soria Galvarro Vargas, Jefferson Braga Silva

{"title":"Denervation of the hand and wrist: A systematic review.","authors":"Giovanni Fabrizzio Pedrotti, Alfonso Soria Galvarro Vargas, Jefferson Braga Silva","doi":"10.1016/j.hansur.2024.101784","DOIUrl":"10.1016/j.hansur.2024.101784","url":null,"abstract":"With an aging population and the increasing prevalence of arthritic pathologies of the hand and wrist, denervation is one therapeutic option for hand surgeons. In case of pain but preserved motion, denervation is a treatment of choice. We conducted a systematic review of the literature, searching the MEDLINE, LILACS, SciELO and PubMed databases for cohorts reported in the last 20 years on denervation of the wrist and trapeziometacarpal, metacarpophalangeal and interphalangeal joints with a focus on postoperative outcomes, selecting 25 articles. The 1187 patients were divided into 3 groups: wrist denervation (999 patients), trapeziometacarpal denervation (124 patients), and metacarpophalangeal and interphalangeal denervation (64 patients). Improvements were found for pain (55.73%, 86%, 85%, respectively), range of motion (11.8%, 4°, 17°) and satisfaction (80.67%, 87.5%, 81.8%). Grip strength increased in wrist and trapeziometacarpal denervation (31.04% and 23%). The results suggest that denervation can be an alternative to arthroplasty or arthrodesis for painful wrist and hand joints, without precluding subsequent procedures if necessary.","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368023","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

Morbidity associated with pre-hospital upper-limb tourniquet in civilian trauma: a case series. 平民创伤中与院前上肢止血带相关的发病率：病例系列。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.1016/j.hansur.2024.101752

Hanna Jazottes, Michel Chammas, Cyril Lazerges, Bertrand Coulet, Jonathan Charbit, Pierre-Emmanuel Chammas

引用次数: 0

Catch the shift: Ultrasound diagnosis of scapholunate lesion during Watson test. 抓住转变：沃森测试中肩胛骨病变的超声诊断。

Hand surgery & rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1016/j.hansur.2024.101756

Nora Huber, Tobias Götschi, Andreas Schweizer, Lisa Reissner

引用次数: 0