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Radiographic characteristics of epiphyseal ossification centres of the thumb in patients with radial polydactyly. 桡骨多指畸形患者拇指骨化中心的影像学特征。
The Journal of hand surgery, European volume Pub Date : 2025-06-12 DOI: 10.1177/17531934251348379
JianPing Wu, ShiJie Liao, Hai Zhao, YuanZhong Liu, Federico Canavese, HongWen Xu
{"title":"Radiographic characteristics of epiphyseal ossification centres of the thumb in patients with radial polydactyly.","authors":"JianPing Wu, ShiJie Liao, Hai Zhao, YuanZhong Liu, Federico Canavese, HongWen Xu","doi":"10.1177/17531934251348379","DOIUrl":"https://doi.org/10.1177/17531934251348379","url":null,"abstract":"<p><p>This study aimed to evaluate the radiographic characteristics of the epiphyses (secondary ossification centres) in patients with radial polydactyly (RP). Radiographs of 2108 children with RP (2300 thumbs) were retrospectively reviewed. The pathoanatomy of the polydactyly was correlated with the radiographic characteristics of the epiphyseal ossification centres on plain radiographs and compared with the normal children population. The epiphyses of the thumb in patients with RP ossify sequentially from the distal phalanx, proximal phalanx and metacarpal (26 months, 36 months and 37 months, respectively), and their appearance is delayed compared with children with normal anatomy (15 months, 18 months and 25 months, respectively) (<i>p < </i>0.001). Anatomical features, gender, polydactyly degree and age were found to be associated with epiphyseal ossification of the thumb in general. However, anatomic features of polydactyly such as ulnar deviation of the interphalangeal joint were found to correlate with atypical distal phalanx epiphyses in 5.5% of cases, which may delay surgery until the thumb is large enough for corrective osteotomy in cases of hypertrophic epiphysis.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251348379"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277187","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
The concentric circles method to define and assess anterior subluxation in bony mallet finger. 同心圆法诊断和评估锤状指前路半脱位。
The Journal of hand surgery, European volume Pub Date : 2025-06-12 DOI: 10.1177/17531934251348121
Seung Hoo Lee, Yeun Soo Kim, Min Bom Kim, Soo Min Cha, Hyo-Jin Kang, Young Ho Lee, Yun Ki Kim, Hyung-Jin Chung
{"title":"The concentric circles method to define and assess anterior subluxation in bony mallet finger.","authors":"Seung Hoo Lee, Yeun Soo Kim, Min Bom Kim, Soo Min Cha, Hyo-Jin Kang, Young Ho Lee, Yun Ki Kim, Hyung-Jin Chung","doi":"10.1177/17531934251348121","DOIUrl":"https://doi.org/10.1177/17531934251348121","url":null,"abstract":"<p><p>We have described and validated the concentric circles method for assessing anterior subluxation in the bony mallet finger. We retrospectively analysed 114 radiographs from cases of bony mallet finger assessed by four hand surgeons and one radiologist using three approaches: subjective visual inspection, the concentric circles method and the malalignment method. The concentric circles method defines subluxation as a disruption of the normal concentric annulus between the middle phalangeal head and distal phalangeal articular surface on true lateral radiographs. It showed improved accuracy (94%), higher sensitivity (91%) and specificity (97%) compared with the other methods, with excellent inter- and intra-observer reliabilities.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251348121"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277188","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
Congenital upper limb difference patient registries: characteristics, comparisons and recommendations. 先天性上肢差异患者登记：特征、比较和建议。
The Journal of hand surgery, European volume Pub Date : 2025-06-12 DOI: 10.1177/17531934251348360
David McCombe, Lindley Wall, Charles Goldfarb, Wiebke Hülsemann, Ida Neergård Sletten, Daniel Wilks, Maxim D Horwitz, Wee Leon Lam
{"title":"Congenital upper limb difference patient registries: characteristics, comparisons and recommendations.","authors":"David McCombe, Lindley Wall, Charles Goldfarb, Wiebke Hülsemann, Ida Neergård Sletten, Daniel Wilks, Maxim D Horwitz, Wee Leon Lam","doi":"10.1177/17531934251348360","DOIUrl":"https://doi.org/10.1177/17531934251348360","url":null,"abstract":"<p><p>Clinical registries that allow longitudinal patient follow-up with standardized outcome measures are useful tools for collecting data that can be used to inform patients and clinicians about the aetiology, natural history and response of various conditions to treatment. Registries are being employed across the world for children with congenital upper limb differences where the benefits of accumulated data for this heterogenous group of significant conditions are proving invaluable including the Congenital Upper Limb Difference registry in the United States, the Congenital Upper Limb Anomaly North registry in northern Europe, the Australian Hand Difference Register in Australia and the British Society for Surgery of the Hand Registry in the UK. These registries collect similar data allowing effective interoperability while retaining individual features unique to each registry. Recommendations for further development are made based on analysis of the development and methodology of these existing registries.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251348360"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277186","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
Accessory flexor pollicis longus tendon - a clinical and cadaveric study. 副拇长屈肌腱的临床和尸体研究。
The Journal of hand surgery, European volume Pub Date : 2025-06-12 DOI: 10.1177/17531934251347077
Ahmadreza Afshar, Ali Tabrizi, Mohammad Javad Shariyate, Ara Nazarian
{"title":"Accessory flexor pollicis longus tendon - a clinical and cadaveric study.","authors":"Ahmadreza Afshar, Ali Tabrizi, Mohammad Javad Shariyate, Ara Nazarian","doi":"10.1177/17531934251347077","DOIUrl":"https://doi.org/10.1177/17531934251347077","url":null,"abstract":"<p><p>An accessory flexor pollicis longus tendon was found in 25 of the 53 patients who underwent trigger thumb release, as well as in two of five randomly selected cadaveric thumbs. Cadaveric and histopathologic analyses confirmed these variants. Their anatomical, clinical and evolutionary significance is discussed.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251347077"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277185","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
Incidence of local tenderness at the lacertus fibrosus in healthy people. 健康人纤维角局部压痛的发生率。
The Journal of hand surgery, European volume Pub Date : 2025-06-10 DOI: 10.1177/17531934251346595
Jialiu Fang, Li Qian Zhang, Jin Bo Tang
{"title":"Incidence of local tenderness at the lacertus fibrosus in healthy people.","authors":"Jialiu Fang, Li Qian Zhang, Jin Bo Tang","doi":"10.1177/17531934251346595","DOIUrl":"https://doi.org/10.1177/17531934251346595","url":null,"abstract":"<p><p>In 36 healthy adults (72 arms), we found tenderness at the lacertus fibrosus in 14 limbs. Local tenderness in the area of the lacertus fibrosus alone may have no diagnostic value, and using the contralateral arm for comparison may not be reliable.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251346595"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259800","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
Learning curve for trapeziometacarpal joint implant arthroplasty: case volume needed to achieve proficiency. 梯形腕关节置换术的学习曲线：病例量需要达到熟练程度。
The Journal of hand surgery, European volume Pub Date : 2025-06-09 DOI: 10.1177/17531934251346310
Daniel B Herren, Kei Mathis, Stephan Schindele, Miriam Marks
{"title":"Learning curve for trapeziometacarpal joint implant arthroplasty: case volume needed to achieve proficiency.","authors":"Daniel B Herren, Kei Mathis, Stephan Schindele, Miriam Marks","doi":"10.1177/17531934251346310","DOIUrl":"https://doi.org/10.1177/17531934251346310","url":null,"abstract":"<p><p>This study analysed the learning curve of trapeziometacarpal joint implant arthroplasty using the cumulative sum (CUSUM) method. A total of 338 patients underwent trapeziometacarpal joint arthroplasty with the Touch® prosthesis, performed by two expert surgeons (A, B) and one less experienced specialist (C). Surgical proficiency was achieved at case 33 for surgeon A and B, and case 40 for surgeon C. Mean surgery times were 39 min (SD 9), 43 min (SD 6) and 59 min (SD 19), respectively. Two-year clinical and patient-reported outcomes and revision rates were not worse for patients who underwent surgery before achieving proficiency. These findings indicate a considerable learning curve for trapeziometacarpal joint implant arthroplasty, with experienced surgeons achieving proficiency more quickly. Although outcomes before reaching the learning curve did not differ from those operated on later, we recommend comprehensive training when introducing this procedure and a high case volume to improve surgical skills.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251346310"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251696","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
Congenital palmar duplication of the long finger: ventral polydactyly with distal ventral dimelia. 先天性长指掌重复：腹侧多指畸形伴腹侧远端二趾畸形。
The Journal of hand surgery, European volume Pub Date : 2025-06-09 DOI: 10.1177/17531934251346872
Jocelyn M Lledo, Kerby C Oberg, Christina Lipede, Andrea Jester
{"title":"Congenital palmar duplication of the long finger: ventral polydactyly with distal ventral dimelia.","authors":"Jocelyn M Lledo, Kerby C Oberg, Christina Lipede, Andrea Jester","doi":"10.1177/17531934251346872","DOIUrl":"https://doi.org/10.1177/17531934251346872","url":null,"abstract":"<p><p>We present a rare long finger duplication arising from the proximal mid-palm with distal ventral dimelia. The patient underwent resection of the polydactyly without complication.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251346872"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251695","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
Re: Macdonald K, Pearson H, Frew GH, Rust P. Use of a remote assessment pathway for diagnosis of carpal tunnel syndrome. J Hand Surg Eur. 2025, 50: 357-61. [j]刘建军，刘建军，刘建军，等。腕管综合征的临床诊断。中华手外科杂志，2015,35(5):357-61。
The Journal of hand surgery, European volume Pub Date : 2025-06-04 DOI: 10.1177/17531934251345265
John Stothard
{"title":"Re: Macdonald K, Pearson H, Frew GH, Rust P. Use of a remote assessment pathway for diagnosis of carpal tunnel syndrome. <i>J Hand Surg Eur.</i> 2025, 50: 357-61.","authors":"John Stothard","doi":"10.1177/17531934251345265","DOIUrl":"https://doi.org/10.1177/17531934251345265","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345265"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217991","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
Overview of artificial intelligence in hand surgery. 人工智能在手外科中的应用综述。
The Journal of hand surgery, European volume Pub Date : 2025-06-01 Epub Date: 2025-03-04 DOI: 10.1177/17531934251322723
Jorma Ryhänen, Gordon C Wong, Turkka Anttila, Kevin C Chung
{"title":"Overview of artificial intelligence in hand surgery.","authors":"Jorma Ryhänen, Gordon C Wong, Turkka Anttila, Kevin C Chung","doi":"10.1177/17531934251322723","DOIUrl":"10.1177/17531934251322723","url":null,"abstract":"<p><p>Artificial intelligence has evolved significantly since its inception, becoming a powerful tool in medicine. This paper provides an overview of the core principles, applications and future directions of artificial intelligence in hand surgery. Artificial intelligence has shown promise in improving diagnostic accuracy, predicting outcomes and assisting in patient education. However, despite its potential, its application in hand surgery is still nascent, with most studies being retrospective and limited by small sample sizes. To harness the full potential of artificial intelligence in hand surgery and support broader adoption, more robust, large-scale studies are needed. Collaboration among researchers, through data sharing and federated learning, is essential for advancing artificial intelligence from experimental to clinically validated tools, ultimately enhancing patient care and clinical workflows.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"738-751"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545032","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
Dynamic wrist imaging: How it works and how to assess kinematic changes in wrists with scapholunate instability. 动态腕关节成像：它是如何工作的，以及如何评估腕关节舟月骨不稳定的运动学变化。
The Journal of hand surgery, European volume Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1177/17531934251326028
Brigitte E P A van der Heijden, Melanie Amarasooriya, Maranda Haenen, Hanne Vries, Stefan Hummelink, Erin Teule, Gregory Bain
{"title":"Dynamic wrist imaging: How it works and how to assess kinematic changes in wrists with scapholunate instability.","authors":"Brigitte E P A van der Heijden, Melanie Amarasooriya, Maranda Haenen, Hanne Vries, Stefan Hummelink, Erin Teule, Gregory Bain","doi":"10.1177/17531934251326028","DOIUrl":"10.1177/17531934251326028","url":null,"abstract":"<p><p>Thus Four-dimensional computed tomography (4DCT), dynamic imaging, is a promising innovative imaging technique that can improve the capability for diagnosis of the complex wrist joint. It extends conventional three-dimensional CT by incorporating the temporal dimension; this allows visualization of the moving wrist in just a few seconds, resulting in a fast, non-invasive and affordable method to assess and quantify kinematics. The current challenge to optimize the 4DCT workflow include improvements in scan acquisition, reconstruction, postprocessing and image analysis, and the development of advanced algorithms for accurate data processing. This article discusses important developments in this area. In addition, the use of 4DCT in the diagnosis of wrists with scapholunate instability (SLI) is presented. The observed changes in several kinematic parameters in wrists with SLI compared with the healthy wrist are reported. This knowledge will assist in the early diagnosis of SLI, the design of treatment protocols and the prediction of conditions such as radioscaphoid arthritis.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"752-761"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722926","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
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