{"title":"Identifying the entry point for transcapitate intramedullary implant insertion into the third metacarpal in rheumatoid and osteoarthritis.","authors":"Takeshi Endo, Daisuke Kawamura, Norimasa Iwasaki","doi":"10.1177/17531934251317867","DOIUrl":"https://doi.org/10.1177/17531934251317867","url":null,"abstract":"<p><p>This anatomical study identifies the optimum entry point for intramedullary implant insertion into the capitate during total wrist arthroplasty. An entry point more radial and distal from the centre of the capitate head is suggested to avoid fractures and perforations in rheumatoid hands.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251317867"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375101","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}
Veronique van de Lucht, Mark van Heijl, Niels Schep
{"title":"Clinical thumb ulnar collateral ligament injury owing to a pathological fracture through an enchondroma of the proximal phalanx.","authors":"Veronique van de Lucht, Mark van Heijl, Niels Schep","doi":"10.1177/17531934251315313","DOIUrl":"https://doi.org/10.1177/17531934251315313","url":null,"abstract":"<p><p>A young woman presented with an acute ulnar collateral ligament injury of the thumb, owing to a pathological fracture through an enchondroma. Treatment included bone graft and fracture fixation, with successful healing and functional recovery.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251315313"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375087","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}
Rimon du Plessis, Michael Solomons, Duncan McGuire
{"title":"An uncomplicated and accurate approach to the measurement and reporting of Dupuytren's contractures.","authors":"Rimon du Plessis, Michael Solomons, Duncan McGuire","doi":"10.1177/17531934251318896","DOIUrl":"https://doi.org/10.1177/17531934251318896","url":null,"abstract":"<p><p>There is currently no standardized method to measure Dupuytren's contractures and the reported definitions are variable and often confusing. We present an uncomplicated and accurate measuring and reporting technique that considers the dynamism effect.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251318896"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375084","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}
Bert Vanmierlo, Bruno Vandekerckhove, Jean Goubau, Joris Duerincx
{"title":"Antegrade versus retrograde headless intramedullary compression screw fixation of diaphyseal proximal phalanx fractures: a biomechanical study.","authors":"Bert Vanmierlo, Bruno Vandekerckhove, Jean Goubau, Joris Duerincx","doi":"10.1177/17531934251316495","DOIUrl":"https://doi.org/10.1177/17531934251316495","url":null,"abstract":"<p><p>This study compared antegrade and retrograde headless intramedullary compression screw fixation for fractures of the proximal third of the proximal phalanx. Antegrade fixation showed superior stability, provided more rigid fixation and preserved the smaller distal articular surface of the proximal phalanx.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251316495"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375085","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}
Magdalena Köhl, Ulrike Seeher, Peter Kaiser, Gernot Schmidle, Robert Zimmermann, Stephan Sigl
{"title":"Complications after ultrasound-guided carpal tunnel release: a case series.","authors":"Magdalena Köhl, Ulrike Seeher, Peter Kaiser, Gernot Schmidle, Robert Zimmermann, Stephan Sigl","doi":"10.1177/17531934251318533","DOIUrl":"https://doi.org/10.1177/17531934251318533","url":null,"abstract":"<p><p>In a retrospective analysis, data from patients who underwent open revision after ultrasound-guided release between February 2021 and December 2023 were reviewed. These patients experienced persistent, worsened or new symptoms. Clinical symptoms, complications and surgical techniques were assessed. Of 14 patients undergoing revision, nine had an incomplete release of the flexor retinaculum. Five patients had major complications like nerve or vessel lesions. Our findings indicate that although ultrasound-guided release is effective, it should only be done by physicians experienced in nerve sonography and hand surgery.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251318533"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375094","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}
Luiz Guilherme de Saboya Lenzi, João Baptista Gomes Dos Santos, Elsa Yoko Kobayashi, Renan Pelluzzi Cavalheiro, Helena Bonciani Nader, Flavio Faloppa
{"title":"Healing after Bruner and McCash incisions for limited fasciectomy in patients with Dupuytren's disease: a randomized clinical trial.","authors":"Luiz Guilherme de Saboya Lenzi, João Baptista Gomes Dos Santos, Elsa Yoko Kobayashi, Renan Pelluzzi Cavalheiro, Helena Bonciani Nader, Flavio Faloppa","doi":"10.1177/17531934251315572","DOIUrl":"https://doi.org/10.1177/17531934251315572","url":null,"abstract":"<p><p>We compared the healing quality of Bruner and McCash incisions for limited fasciectomy in a randomized clinical trial involving 12 women and 60 men with Dupuytren's disease. None had had previous surgery on the affected hand, and all were treated between May 2017 and November 2018. Patients were graded according to the Tubiana classification and randomized to Bruner or McCash groups. Scar assessment was performed 6 months postoperatively using four methods: visual analogue scale score, Vancouver Scar Scale score, and Patient and Observer Scar Assessment Scale. The mean age of the patients was 61 years, and 72% were Caucasian. The mean time since disease onset was 6 years. Compared with the McCash group, the Bruner group had more concerning postoperative complications including wound dehiscence, pain and hypertrophic scarring. The McCash incision technique had more satisfactory results in terms of fewer postoperative complications, better quality of healing and higher patient satisfaction.<b>Level of evidence:</b> I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251315572"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375099","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}
Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx
{"title":"Revision options for discontinued trapeziometacarpal arthroplasties: compatibility with currently available implants.","authors":"Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx","doi":"10.1177/17531934251317410","DOIUrl":"https://doi.org/10.1177/17531934251317410","url":null,"abstract":"<p><p>Surgical revision options for failed trapeziometacarpal total joint replacement include implant replacement and trapeziectomy. However, discontinuation of older implants complicates revision with original components, particularly as removing a well-fixed metacarpal stem can be challenging. This study examined the feasibility of pairing discontinued stems (Arpe, Elektra and Ivory) with currently available necks (Maïa, Moovis and Touch). We analysed the metallurgical composition, insertion depth, contact surface area and mechanical stability for all possible combinations of these implants. Our findings show compatibility of both Ivory and Arpe stems with the Touch neck and of the Elektra stem with the Moovis neck. Under strict lateral loading, fixation was stable up to 826.87 N, surpassing <i>in vivo</i> forces. Microscopic evaluation after the biomechanical load-to-failure test showed negligible damage to the connecting surfaces. These results suggest that it is safe to pair discontinued stems with currently available necks in revision trapeziometacarpal total joint arthroplasty.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251317410"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375119","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":"Harnessing the uninjured hemisphere for treatment of the stroke or brain-injured patient - evolution of the contralateral C7 transfer.","authors":"Wendong Xu","doi":"10.1177/17531934251314640","DOIUrl":"https://doi.org/10.1177/17531934251314640","url":null,"abstract":"<p><p>This article presents a comprehensive review of contralateral C7 (cC7) transfer surgery, tracing its evolution from treating brachial plexus injuries to its transfer to ipsilateral C7 transfer surgery in treating upper motor neurone injuries. The cC7 was initially postulated to restore function by replacing injured nerves at the peripheral level, but dynamic cortical reorganization has since been demonstrated post-surgery, which potentially allows harnessing of the cC7 procedure to expand the span of control of the uninjured hemisphere in conditions like hemiplegic stroke. By integrating principles of nerve regeneration and brain plasticity through phased rehabilitation programmes, published clinical results have demonstrated significant improvements in upper limb function, confirming the procedure's safety and efficacy, with donor site morbidity that is typically mild and transient. The cC7 procedure may play a major role in the future of restoring upper limb function in patients who have suffered upper motor neurone lesions.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251314640"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367058","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":"IFSSH Scientific Committee on Congenital Hand Conditions.","authors":"","doi":"10.1177/17531934241309467","DOIUrl":"https://doi.org/10.1177/17531934241309467","url":null,"abstract":"<p><p>The Oberg, Manske and Tonkin (OMT) Classification of Congenital Hand and Upper Limb Anomalies was adopted as the official IFSSH classification in 2014 with recommendations for 3-yearly reviews and updates. This report examined the evidence and feedback from the scientific community to see whether changes to the 2020 OMT should be made. The Committee concluded that no current changes are required, but highlighted a number of areas where further research and discussions are needed. These areas include the conditions of symbrachydactyly vs transverse arrest, the ongoing challenge with classifying syndactyly, and the nomenclature of arthrogrypotic conditions. The OMT Classification continues to enjoy high inter- and intra-rater reliability, thus establishing its central place as a robust classification system in various registries around the world.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241309467"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257682","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":"Re: Akyurek M et al. Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair. J Hand Surg Eur. 2024, doi:10.1177/17531934241300510.","authors":"Jing Chen, Jia Liu Fang","doi":"10.1177/17531934251314391","DOIUrl":"https://doi.org/10.1177/17531934251314391","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251314391"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082724","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}