Rémy Winter, Thibault Poujade, Brieuc Monin, Chloé Viricel, Nicolas Bronsard, Patrick Chabrand, Marc-Olivier Gauci
{"title":"Validation of an automatic three-dimensional method for distal radius measurements and malunion quantification.","authors":"Rémy Winter, Thibault Poujade, Brieuc Monin, Chloé Viricel, Nicolas Bronsard, Patrick Chabrand, Marc-Olivier Gauci","doi":"10.1177/17531934251340240","DOIUrl":"https://doi.org/10.1177/17531934251340240","url":null,"abstract":"<p><p>Preoperative CT measurements of distal radial inclination and volar tilt are useful for surgical planning, but current methods are time-consuming and user-dependent. This study validates an automated 3D measurement method for these measurements. We analysed 20 bilateral CT scans, including healthy and pathological sides with extra-articular malunions. Three senior observers performed manual measurements and an automated algorithm generated measurements based on the radiocarpal surface. Agreement between manual and automatic methods was evaluated using concordance correlation coefficients and Bland-Altman analysis, with acceptable agreement set at 5° for the coefficient of repeatability. Correction quantification accuracy was assessed by comparing each method to a reference method. The mean difference in radial inclination between the automatic and manual methods was -6° and for volar tilt was -2.6°. The automated method showed closer correction agreement with the reference, enhancing reproducibility and saving time in preoperative planning.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251340240"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082847","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}
Amarante Orieux, Thomas Dutrey, Julien Maximen, Thierry Dréano
{"title":"Assessment of digital range of motion using an artificial intelligence-assisted video tool.","authors":"Amarante Orieux, Thomas Dutrey, Julien Maximen, Thierry Dréano","doi":"10.1177/17531934251340261","DOIUrl":"https://doi.org/10.1177/17531934251340261","url":null,"abstract":"<p><p>We used an artificial intelligence-based model to estimate finger range of movement from video recordings. The mean bias was 11° (standard deviation 34°), with an interclass correlation coefficient of 0.95, indicating high reproducibility.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251340261"},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045634","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}
Manuel Castro-Menéndez, Patricia Balvís-Balvís, Maciej Denisiuk, Olalla Vázquez-Cancela
{"title":"Assessing the learning curve for percutaneous ultrasound-guided release in carpal tunnel syndrome.","authors":"Manuel Castro-Menéndez, Patricia Balvís-Balvís, Maciej Denisiuk, Olalla Vázquez-Cancela","doi":"10.1177/17531934251338970","DOIUrl":"https://doi.org/10.1177/17531934251338970","url":null,"abstract":"<p><p>Percutaneous ultrasound-guided release of carpal tunnel syndrome is an effective and safe technique; however, it requires familiarity with ultrasound visualization of the anatomical structures involved. This study aimed to determine the learning curve for percutaneous ultrasound-guided release of the carpal tunnel. We conducted a prospective, observational, analytical cohort study on patients treated for carpal tunnel syndrome using the percutaneous ultrasound-guided technique. We assessed the learning curve using complication rates, duration of procedure and conversion rate to open surgery. Eighty patients with a mean age of 58 years were included. The surgical time gradually decreased, stabilizing after the first 30 procedures. There were no intraoperative complications and no cases requiring conversion to open surgery. Based on our experience, the learning curve for percutaneous ultrasound-guided release of carpal tunnel syndrome is approximately 30 procedures. Clinical outcomes were not affected by the learning curve.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338970"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056469","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}
Naufal Bin Shahri, Alphonsus Khin Sze Chong, Teemu Karjalainen
{"title":"The role of orthobiologics in bone healing and joint and tendon degeneration in the upper limb.","authors":"Naufal Bin Shahri, Alphonsus Khin Sze Chong, Teemu Karjalainen","doi":"10.1177/17531934251327034","DOIUrl":"https://doi.org/10.1177/17531934251327034","url":null,"abstract":"<p><p>This review article examines the role of orthobiologics, specifically platelet-rich plasma (PRP), mesenchymal stem cells (MSCs) and bone morphogenetic protein (BMP), in bone healing and the treatment of joint and tendon degeneration in the upper limb. The historical development, theorized mechanisms and clinical applications of these orthobiologics are explored, focussing on their effectiveness in fracture non-unions, osteoarthritis and tendinopathies. The evidence for bone healing shows promising results, particularly for MSCs and BMP in the treatment of non-unions. However, despite preclinical evidence of regenerative abilities of PRP and MSCs, the clinical trials do not support their use for tendinopathies or osteoarthritis. Before widespread clinical application of PRP or MSCs for upper limb degenerative conditions, their efficacy needs to be established through large, high-quality trials.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251327034"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016343","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}
Justin Cr Wormald, Jennifer Ce Lane, Marti Català, Antonella Delmestri, Jonathan Cook, Jeremy N Rodrigues, Matthew L Costa, Daniel Prieto-Alhambra
{"title":"The burden of hand trauma surgery on primary care in the United Kingdom: a nation-wide analysis of antibiotic and opioid prescriptions.","authors":"Justin Cr Wormald, Jennifer Ce Lane, Marti Català, Antonella Delmestri, Jonathan Cook, Jeremy N Rodrigues, Matthew L Costa, Daniel Prieto-Alhambra","doi":"10.1177/17531934251338120","DOIUrl":"https://doi.org/10.1177/17531934251338120","url":null,"abstract":"<p><p>Although surgical site infection (SSI) risk after hand trauma surgery is around 5%, the severity of these infections is not known. The risk of superficial SSI in a cohort study was evaluated using NHS UK-wide primary care records (<i>n</i> = 641,223), using the Clinical Practice Research Datalink GOLD database. Within this cohort, a subcohort of those who had undergone a hand surgery operation for trauma were identified (<i>n</i> = 3,088). Antibiotic and analgesic prescriptions were analysed at 30 and 90 days postoperatively. By 30 days, 6.2% had been prescribed antibiotics appropriate for SSI, rising to 14.4% (CI [13.2 to 15.8]) by 90 days. By 30 days, 10% had been prescribed opioid analgaesia and by 90 days this had increased to 13.8%. Antibiotics prescriptions for SSI in primary care are substantially higher than the NICE estimate for SSI overall and the expected risk in hand trauma. The implications of this study are that many patients are receiving treatment for SSI in primary care and may be in more pain, for longer, than we expect. Further exploration of this is warranted and future research in hand trauma surgery should capture adverse events occurring outside of the hospital environment.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338120"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046844","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}
Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt
{"title":"Outcome of combined nerve and tendon transfer in tetraplegia: a new surgical strategy to restore grasp function.","authors":"Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt","doi":"10.1177/17531934251338008","DOIUrl":"https://doi.org/10.1177/17531934251338008","url":null,"abstract":"<p><p>This study aimed to assess the outcome of supinator to posterior interosseus nerve transfer, followed by tendon transfer, to restore grasp function in patients with mid-to-high-level cervical spine injuries. Fifteen upper limbs in 11 patients with these injuries were included. The outcomes were then compared with a historical control group consisting of 16 upper limbs that received tendon transfers alone. The outcome was assessed using the Canadian occupational performance measure, ability to open the first web space, and grip and pinch strength 12 months after surgery. The Canadian occupational performance measure was similar in both groups, even though the study group had more severe preoperative impairment. The grip strength was significantly lower in the study group, whereas pinch strength was similar between the groups. This study suggests that a combined nerve and tendon transfer in patients with tetraplegia may offer benefits.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338008"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002367","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":"Black holes in hand anatomy: exploring research areas in hand surgery.","authors":"Duncan Angus McGrouther","doi":"10.1177/17531934251321748","DOIUrl":"https://doi.org/10.1177/17531934251321748","url":null,"abstract":"<p><p>The term 'black holes' has been applied to anatomical areas needing further study. The historical account <i>On Growth and Form</i> (D'AW Thompson, Cambridge University Press, 1917) applies mathematical principles to explain how physical forces influence the morphology of bone, tendon, ligament and fascia. The trabecular structure of bone is maintained by force loading, providing a map of strain concentrations to better understand fracture fixation and bone healing. The flexor tendon is classified in zones of sheath pathology, but the site of tendon injury depends on the posture at the moment of injury. Ligaments are multistranded structures and in maintaining joint stability throughout motion different fibrous strands must share load by ligament buckling. The fascial description of Guimberteau visualizes the human body as consisting of microvacuoles, quantifiable from the physical Laws of Plateau. Human morphology can be understood through mathematics. These 'black holes' offer possible research avenues to manage some of the unsolved problems in hand surgery or to optimize outcomes.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321748"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015992","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":"Nerve transfer of the teres minor motor branch to the long head of the triceps muscle in C6-T1 brachial plexus palsy.","authors":"Sébastien Durand, Daniel Estoppey, Julie Mercier","doi":"10.1177/17531934251337550","DOIUrl":"https://doi.org/10.1177/17531934251337550","url":null,"abstract":"<p><p>We report a case of restoration of elbow extension after C6-T1 brachial plexus injury using nerve transfer of the teres minor motor branch to the long head of the triceps muscle.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337550"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059773","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":"Warfare injuries to the wrist. Fusions and motion-preserving procedures.","authors":"Serhii Tymoshenko, Andrii Lysak, Mariia Kotova","doi":"10.1177/17531934251337589","DOIUrl":"https://doi.org/10.1177/17531934251337589","url":null,"abstract":"<p><p>This retrospective study reports the outcome of secondary reconstruction after severe combat-related injuries to the wrist. Fifteen patients with a median age of 36 years were included. Nine patients underwent total wrist arthrodesis and six had a motion-preserving procedure. In patients with wrist injuries involving the distal radius, concomitant bone defects of the ulna, lunate and scaphoid are often present, making wrist motion-preserving surgical procedures challenging. Total wrist arthrodesis required iliac crest bone grafting in all but one case. The final median QuickDASH score for the fusion group was 50, and the final median grip strength was 10 kg. Motion-preserving procedures provided a 50° arc of movement with a final median QuickDASH of 34 and median grip strength of 6 kg. Total wrist joint arthrodesis was the primary salvage solution.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337589"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046974","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}