{"title":"Intraneural Lipomas of the Median Nerve: a case presentation and review.","authors":"Omid Nazifi, Simon Parker, Helena Van Dam","doi":"10.1177/17531934241306289","DOIUrl":"10.1177/17531934241306289","url":null,"abstract":"<p><p>Intraneural lipomas and lipofibromas are rare, benign median nerve tumours. We report a 62-year-old woman with carpal tunnel syndrome owing to an intraneural lipoma. MRI is the reference standard investigation for diagnosis, directing treatment towards operative or non-operative management.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1241-1242"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820532","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":"Digital neural loops - a common anatomical surprise.","authors":"Alicja Moore, Samuel George","doi":"10.1177/17531934251313975","DOIUrl":"10.1177/17531934251313975","url":null,"abstract":"<p><p>In a recent operation, we unexpectedly encountered a digital neural loop in the palm. To our surprise we found out that these have a high prevalence but a survey that we carried out showed that there is a low clinical awareness of them.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1249-1250"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019318","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}
Jin Bo Tang, Carlos Henrique Fernandes, Donald Lalonde, Koji Moriya, Esther Vögelin, Egemen Ayhan, Collaborators Sebastian von Unger, Nathaniel Orillaza, Simon Farnebo, Pasi Paavilainen
{"title":"Extensor tendon repairs: consensus, current guidelines and recommendations.","authors":"Jin Bo Tang, Carlos Henrique Fernandes, Donald Lalonde, Koji Moriya, Esther Vögelin, Egemen Ayhan, Collaborators Sebastian von Unger, Nathaniel Orillaza, Simon Farnebo, Pasi Paavilainen","doi":"10.1177/17531934251363138","DOIUrl":"10.1177/17531934251363138","url":null,"abstract":"<p><p>The current classification of extensor tendon zones has remained unchanged for several decades. In this article, a panel of international experts give their consensus and diverse views about the classification and suggest treatment guidelines for acute extensor tendon injuries for each zone. Collectively they recommend adaptation of a classification which is simpler and resembles that for flexor tendon classification. They outline specific areas of extensor tendon zones, i.e. the distal parts of the fingers, which need particular attention and specific treatment approaches. The treatment approaches of the other extensor tendon zones can generally follow the same or a similar surgical repair principle and methods, and rehabilitation protocols currently used for flexor tendon injuries. Consolidation of the classification, surgery and rehabilitation of both flexor and extensor tendons is expected to make surgical decision easier and allow wider adaptation of the clinical methods applicable to both flexors and extensors.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1153-1162"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839596","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}
Pedro Bronenberg Victorica, Lauren Shapiro, Pablo De Carli, Luis M Castro Appiani, Calvin Chan, Robin N Kamal
{"title":"The palmar intra-articular extended window approach for distal radial fractures: a biomechanical cadaveric study.","authors":"Pedro Bronenberg Victorica, Lauren Shapiro, Pablo De Carli, Luis M Castro Appiani, Calvin Chan, Robin N Kamal","doi":"10.1177/17531934251332565","DOIUrl":"10.1177/17531934251332565","url":null,"abstract":"<p><p>A palmar intra-articular extended window approach can be used during surgical treatment of intra-articular fractures of the distal radius. A biomechanical study was carried out on 10 fresh-frozen cadaver wrists to measure the impact of the approach on proximal carpal row stability during simulated grip loading. The null hypothesis was that this approach would not generate a displacement of more than 2 mm of the scaphoid or lunate in any direction. After incising the palmar capsule, no significant increase in ulnar translation of the lunate or scaphoid was observed. However, after additionally releasing the dorsal radiocarpal ligament, increased mobility was observed, mainly in the anteroposterior axis. This approach may be suitable for the treatment of intra-articular fractures of the distal radius without causing carpal instability. However, care should be taken when there is a suspicion of dorsal wrist ligament injury. <b>Level of evidence:</b> Level V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1163-1169"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059896","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}
Tal Kalimian, Neta Rogev Granit, Natalya Zeliger, Uri Farkash
{"title":"Preoperative hand therapy instructions do not improve short-term outcomes in carpal tunnel and trigger finger surgery.","authors":"Tal Kalimian, Neta Rogev Granit, Natalya Zeliger, Uri Farkash","doi":"10.1177/17531934251313763","DOIUrl":"10.1177/17531934251313763","url":null,"abstract":"<p><p>The impact of preoperative structured instructions by a hand therapist on recovery after carpal tunnel and trigger finger releases was assessed in 87 patients. No significant differences in recovery, satisfaction, or outcomes were found, suggesting limited benefit.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1253-1255"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043520","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}
Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Jarkko Jokihaara
{"title":"Spontaneous recovery of shoulder abduction in obstetric brachial plexus injury patients with less than horizontal abduction at 3 months.","authors":"Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Jarkko Jokihaara","doi":"10.1177/17531934251327083","DOIUrl":"10.1177/17531934251327083","url":null,"abstract":"<p><p>Abduction is one of the important shoulder functions that may be limited after an obstetric brachial plexus injury. We investigated the progress of spontaneous recovery of active abduction in a cohort of 68 conservatively treated obstetric brachial plexus injury patients without full recovery and with less than 90° abduction at 3 months. Of these 65 (96%) recovered at least 90° and 32 (47%) a full 170° of abduction. The median age of recovery to 90° was 9 months (IQR 7-12, range 5-65 and to 170° 24 months (IQR 12-36, range 5-84). The presence of active antigravity elbow flexion ≥90° at 4 months was not associated with recovery of abduction. The results suggest that most obstetric brachial plexus injury patients with isolated absent or slowly recovering shoulder movements recover at least 90° of abduction. In patients with absent or weak abduction, and otherwise satisfactory spontaneous recovery, surgical interventions should not be considered before 1 year of age.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1201-1208"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722968","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}
Viktor Schmidt, Elsa Pihl, Cecilia Mellstrand Navarro, Michael Axenhus
{"title":"Changing patterns in joint replacement surgery in the hand in Sweden: a population-based study of 5382 patients.","authors":"Viktor Schmidt, Elsa Pihl, Cecilia Mellstrand Navarro, Michael Axenhus","doi":"10.1177/17531934251331360","DOIUrl":"10.1177/17531934251331360","url":null,"abstract":"<p><p>Over a 16-year period (2008-2023), data from the Swedish National Patient Register reveal shifting trends in operation for hand joint replacements linked to demographic, healthcare and surgical advances. Among 5382 identified cases, 63% were women, with the incidence peaking in the 65-74 age bracket, highlighting a marked gender gap in middle and older age groups. Regional analyses indicate significant disparities, as Örebro and Halland had rates exceeding 10 per 100,000, while Stockholm and Blekinge fell below 5 per 100,000. The adoption of total prostheses without cement declined by 22%, reflecting changing surgical preferences. Predictive modelling anticipates an overall decline in incidence by 2035, with gender-specific rates converging over time. These findings highlight the need for targeted healthcare policies that address inequities and minimize unwarranted variations in treatment. Standardized care programmes that support evidence-based surgical decision-making could reduce the incidence of both over- and under-treatment.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1209-1214"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033322","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}
{"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":"10.1177/17531934251345265","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1267-1268"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","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}
Charlie D Wilson, Benjamin D Welling, Allen T Bishop, Robert J Spinner, Alexander Y Shin
{"title":"The terrible triad of the shoulder: injury characteristics and outcomes of axillary nerve reconstruction.","authors":"Charlie D Wilson, Benjamin D Welling, Allen T Bishop, Robert J Spinner, Alexander Y Shin","doi":"10.1177/17531934251333250","DOIUrl":"10.1177/17531934251333250","url":null,"abstract":"<p><p>We aimed to describe outcomes, including shoulder motion, deltoid strength and Disabilities of Arm, Shoulder and Hand scores, in 19 patients with terrible triad shoulder injuries (anterior shoulder dislocation, rotator cuff tear or greater tuberosity fracture, and axillary nerve injury) who required axillary nerve reconstruction. The type of nerve surgery (grafting vs. nerve transfer), demographic factors and injury characteristics were not significantly associated with outcomes. The mean postoperative abduction and Disabilities of Arm, Shoulder and Hand score were 95° and 28, respectively. Patients with rotator cuff tears had a higher Disabilities of Arm, Shoulder and Hand score (more disability) than those with isolated greater tuberosity fractures. We conclude that spontaneous recovery of the axillary nerve may not occur in patients with a terrible triad injury. Functional outcomes after axillary nerve repair are poor with respect to motion, strength and patient-reported outcomes compared with reported results for axillary nerve reconstruction in the absence of rotator cuff injury.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1185-1193"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056402","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":"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":"1256-1257"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","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}