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Round table discussion. The management of proximal scaphoid nonunion. 圆桌讨论。肩胛骨近端未接合的处理。
The Journal of hand surgery, European volume Pub Date : 2024-11-02 DOI: 10.1177/17531934241289256
Bo Liu, Martín Caloia, Pak-Cheong Ho, Christophe Mathoulin, Scott Wolfe
{"title":"Round table discussion. The management of proximal scaphoid nonunion.","authors":"Bo Liu, Martín Caloia, Pak-Cheong Ho, Christophe Mathoulin, Scott Wolfe","doi":"10.1177/17531934241289256","DOIUrl":"https://doi.org/10.1177/17531934241289256","url":null,"abstract":"<p><p>The management of scaphoid nonunion, although relatively common, continues to pose challenges, especially if complicated by avascular necrosis of the proximal pole, humpback or dorsal intercalated segment instability deformities, and early scaphoid nonunion advanced collapse. In this round table article, four surgeons were asked to answer key questions on a clinical example of a proximal scaphoid nonunion to outline their approach and rationale in their preferred treatment choices. The current panel of experts leans towards arthroscopic methods of treatment and most agree that arthroscopic bone grafting has become an important and revolutionary treatment option, which has yielded excellent results. However, both open and arthroscopic grafting are validated methods of treatment and which is to be performed is largely based on the surgeon's preference.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565232","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
Socioeconomic factors associated with poor patient-reported outcomes of 17,478 patients after a distal radial fracture. 社会经济因素与 17,478 名桡骨远端骨折患者的不良疗效相关。
The Journal of hand surgery, European volume Pub Date : 2024-11-02 DOI: 10.1177/17531934241293426
Hugo Jakobsson, Michael Möller, Yang Cao, Eva Lundqvist, Per Wretenberg, Marcus Sagerfors
{"title":"Socioeconomic factors associated with poor patient-reported outcomes of 17,478 patients after a distal radial fracture.","authors":"Hugo Jakobsson, Michael Möller, Yang Cao, Eva Lundqvist, Per Wretenberg, Marcus Sagerfors","doi":"10.1177/17531934241293426","DOIUrl":"https://doi.org/10.1177/17531934241293426","url":null,"abstract":"<p><p>This study aimed to investigate the association of socioeconomic factors, country of birth and comorbidities with poor patient-reported outcome 1 year after a distal radial fracture. The patient population was obtained from the Swedish Fracture Register. In the study, 17,468 patients 18 years or older were included. Poor outcome was the dependent variable in a multivariate logistic regression analysis. The factors with the strongest association with poor outcome were country of birth outside the European Union (odds ratio (OR) = 2.28; 95% CI = 1.91-2.73), high-energy trauma mechanism (OR = 1.76; 95% CI = 1.46-2.12), a history of anxiety or depression (OR = 1.46; 95% CI = 1.26-1.70), and a Charlson comorbidity index ≥3 (OR = 1.51; 95% CI = 1.17-1.94). Alleviating the effects of these factors could potentially decrease the proportion of patients with a disability after a distal radial fracture.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565240","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
Acknowledgement to Reviewers. 鸣谢审稿人。
The Journal of hand surgery, European volume Pub Date : 2024-11-02 DOI: 10.1177/17531934241291805
{"title":"Acknowledgement to Reviewers.","authors":"","doi":"10.1177/17531934241291805","DOIUrl":"https://doi.org/10.1177/17531934241291805","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565225","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
Buddy taping after reduction of displaced extra-articular phalangeal finger fractures in children: a randomized controlled trial. 儿童手指关节外移位性指骨骨折复位后的伙伴绑带：随机对照试验。
The Journal of hand surgery, European volume Pub Date : 2024-11-02 DOI: 10.1177/17531934241293338
Daniel M Weber, Christian Luckert, Markus Kalisch, Ulrike Subotic, Robert Weil, Michelle Seiler
{"title":"Buddy taping after reduction of displaced extra-articular phalangeal finger fractures in children: a randomized controlled trial.","authors":"Daniel M Weber, Christian Luckert, Markus Kalisch, Ulrike Subotic, Robert Weil, Michelle Seiler","doi":"10.1177/17531934241293338","DOIUrl":"https://doi.org/10.1177/17531934241293338","url":null,"abstract":"<p><p>In this randomized controlled trial, we assessed the non-inferiority of buddy taping to splinting after reduction of displaced extra-articular proximal and middle phalangeal finger fractures in children. The primary outcome was the rate of secondary fracture displacements; the secondary outcomes were patient comfort, analgesic efficacy and total range of active motion 6 months after injury. Eighty-one patients participated: 43 with taping and 38 with splinting. Secondary displacement occurred in eight patients: five in the splinting group and three in the taping group. Risk difference was below the predefined non-inferiority of 10%. Patient comfort was significantly higher in the taping group, with no group differences for other parameters. Our previous study recommended taping for undisplaced finger fractures in children. With the current data, we recommend taping these finger fractures irrespective of displacement or need for reduction. We are encouraged to propose taping as an alternative to splinting for increased patient comfort, lower cost, and shorter application time.<b>Level of evidence:</b> I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565228","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
Clinical outcomes of extensor indicis proprius tendon transfer for extensor pollicis longus tendon rupture. 伸拇肌本体肌腱转移治疗伸拇肌肌腱断裂的临床效果。
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-01-31 DOI: 10.1177/17531934241226949
Cheungsoo Ha, In-Tae Hong, Chi-Hoon Oh, Han-Seung Ryu, Jaiwoo Chung, Soo-Hong Han
{"title":"Clinical outcomes of extensor indicis proprius tendon transfer for extensor pollicis longus tendon rupture.","authors":"Cheungsoo Ha, In-Tae Hong, Chi-Hoon Oh, Han-Seung Ryu, Jaiwoo Chung, Soo-Hong Han","doi":"10.1177/17531934241226949","DOIUrl":"10.1177/17531934241226949","url":null,"abstract":"<p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725582","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
Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms? 对于术前症状轻微的患者，是否一定要进行肩胛骨骨不连手术？
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-03-15 DOI: 10.1177/17531934241235530
Abigael Cohen, Max Reijman, Ruud W Selles, Steven E R Hovius, Joost W Colaris
{"title":"Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms?","authors":"Abigael Cohen, Max Reijman, Ruud W Selles, Steven E R Hovius, Joost W Colaris","doi":"10.1177/17531934241235530","DOIUrl":"10.1177/17531934241235530","url":null,"abstract":"<p><p>The objective of this study was to assess the downsides of surgical treatment of scaphoid fracture nonunion in patients with minor preoperative symptoms. Patients were classified with minor symptoms based on the Patient-Rated Hand/Wrist Evaluation questionnaire. Of the 35 included patients, most patients encountered problems with patient-specific activities; 9% reported worse postoperative functional outcomes, 34% were not satisfied with the treatment and 9% were reoperated. The risk of a worse functional outcome after surgery with the need for further operations and the chance of developing wrist osteoarthritis, along with the possibility of poor patient satisfaction and ongoing daily functional impairment, should be considered during preoperative counselling.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic and treatment recommendations for recurrent or persistent symptoms after trapeziectomy: a Delphi study. 梯形切除术后复发或持续症状的诊断和治疗建议：德尔菲研究。
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-01-31 DOI: 10.1177/17531934241227386
Daniel B Herren, Michel Boeckstyns, Kevin C Chung, Simon Farnebo, Elisabet Hagert, Jin Bo Tang, Frederik Verstreken, Miriam Marks
{"title":"Diagnostic and treatment recommendations for recurrent or persistent symptoms after trapeziectomy: a Delphi study.","authors":"Daniel B Herren, Michel Boeckstyns, Kevin C Chung, Simon Farnebo, Elisabet Hagert, Jin Bo Tang, Frederik Verstreken, Miriam Marks","doi":"10.1177/17531934241227386","DOIUrl":"10.1177/17531934241227386","url":null,"abstract":"<p><p>The aim of this Delphi study was to provide a diagnostic and treatment algorithm for patients with persistent or recurrent symptoms after trapeziometacarpal joint resection arthroplasty. Three Delphi rounds were conducted in which surveys were sent to 182 experienced hand surgeons worldwide. Responses were received from 140 participants. A consensus threshold was set at 67% agreement. Diagnostic tools and treatment approaches for six common revision scenarios achieved consensus. Radiographs are appropriate as primary (97%) and CT scans as secondary (76%) diagnostic tools. For scaphometacarpal impingement, 67% of respondents agreed that revision interposition is appropriate, with 93% recommending autologous tendon for the interposition. Additional suspension was considered appropriate by 68% of the participants. The diagnostic and treatment algorithm can help the surgeon to identify the reason for persistent symptoms after trapeziometacarpal joint resection arthroplasty and to choose an appropriate treatment strategy.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725583","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
Steroid versus placebo injections and wrist splints in patients with carpal tunnel syndrome: a systematic review and network meta-analysis. 腕管综合征患者的类固醇注射和腕夹板与安慰剂注射：系统综述和网络荟萃分析。
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-03-28 DOI: 10.1177/17531934241240380
Ebubechi Adindu, Sina Ramtin, Ali Azarpey, David Ring, Teun Teunis
{"title":"Steroid versus placebo injections and wrist splints in patients with carpal tunnel syndrome: a systematic review and network meta-analysis.","authors":"Ebubechi Adindu, Sina Ramtin, Ali Azarpey, David Ring, Teun Teunis","doi":"10.1177/17531934241240380","DOIUrl":"10.1177/17531934241240380","url":null,"abstract":"<p><p>A network meta-analysis of randomized controlled trials compared the effectiveness of corticosteroid injections with placebo injections and wrist splints for carpal tunnel syndrome, focusing on symptom relief and median nerve conduction velocity. Within 3 months of the corticosteroid injection, there was a modest statistically significant difference in symptom relief compared to placebo injections and wrist splints, as measured by the Symptom Severity Subscore of the Boston Carpal Tunnel Questionnaire; however, this did not meet the minimum clinically important difference. Pain reduction with corticosteroids was slightly better than with wrist splints, but it also failed to reach clinical significance. Electrodiagnostic assessments showed transient changes in distal motor and sensory latencies in favour of corticosteroids at 3 months, but these changes were not evident at 6 months. The best current evidence suggests that corticosteroid injections provide minimal transient improvement in nerve conduction and symptomatology compared with placebo or wrist splints.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Avoiding pitfalls in conducting hand surgery research: the feasibility analysis. 避免手外科研究中的陷阱：可行性分析。
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI: 10.1177/17531934241249907
Miriam Marks, Dieuwke C Broekstra
{"title":"Avoiding pitfalls in conducting hand surgery research: the feasibility analysis.","authors":"Miriam Marks, Dieuwke C Broekstra","doi":"10.1177/17531934241249907","DOIUrl":"10.1177/17531934241249907","url":null,"abstract":"<p><p>This paper is intended to support hand surgeons who, at the beginning of their research career, are planning a clinical study. Besides establishing the research methodology of the study, the organizational planning of the work itself is essential. A feasibility analysis carried out before or during the writing of the study protocol helps to estimate the required resources and duration of a project. We highlight some tips and tricks as well as provide checklists that outline the important points to consider before starting a study.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083068","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
Guideline on managing thumb ulnar collateral ligament injuries: the British Society of Surgery for the Hand Evidence for Surgical Treatment (BEST) findings and recommendations. 拇指尺侧韧带损伤处理指南：英国手外科学会手术治疗证据（BEST）的发现和建议。
The Journal of hand surgery, European volume Pub Date : 2024-11-01 Epub Date: 2024-09-24 DOI: 10.1177/17531934241274612
Benjamin Dean, Jeremy Rodrigues, Nicholas Riley, Nicholas Rabey, Ella Donnison, Kirsty Challen, Steph Bradford
{"title":"Guideline on managing thumb ulnar collateral ligament injuries: the British Society of Surgery for the Hand Evidence for Surgical Treatment (BEST) findings and recommendations.","authors":"Benjamin Dean, Jeremy Rodrigues, Nicholas Riley, Nicholas Rabey, Ella Donnison, Kirsty Challen, Steph Bradford","doi":"10.1177/17531934241274612","DOIUrl":"10.1177/17531934241274612","url":null,"abstract":"<p><p>The development of the ulnar collateral ligament (UCL) guideline was undertaken in accordance with the British Society for Surgery of the Hand Evidence for Surgical Treatment (BEST) Process Manual, which has been accredited by the National Institute for Health and Care Excellence, UK. This review article serves as a summary of the systematic reviews and the final guideline. The group included two patients, a radiologist, a commissioner, an emergency medicine doctor, hand therapists and hand surgeons. The group's recommendations are that patients with acute UCL injuries should be assessed with a history, clinical examination and radiographs. Patients without significant joint laxity can be treated non-surgically. Patients with significant joint laxity on clinical examination may be treated with non-surgical joint immobilization or surgical repair and should reach a shared decision with their clinician about the definitive treatment within 2 weeks of presentation.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309559","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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