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An algorithmic approach to the management of peripheral nerve tumours. 治疗周围神经肿瘤的算法。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241238739
Tim Hems, Antonina Parafioriti, Binu P Thomas, Andrea Di Bernardo
{"title":"An algorithmic approach to the management of peripheral nerve tumours.","authors":"Tim Hems, Antonina Parafioriti, Binu P Thomas, Andrea Di Bernardo","doi":"10.1177/17531934241238739","DOIUrl":"10.1177/17531934241238739","url":null,"abstract":"<p><p>This article reviews the pathology and management of peripheral nerve tumours, including a framework for investigation and decision-making. Most tumours are benign, including schwannomas and neurofibromas, but malignant peripheral nerve sheath tumours can occur. The risk of malignant change is remote for schwannomas but higher for neurofibromas, particularly in neurofibromatosis type 1. Magnetic resonance imaging is useful for defining the relationship of a swelling with adjacent nerves but is not definitive for tissue diagnosis. Increasing size, pain and neurological deficit suggest malignant change and TruCut needle biopsy is indicated, although there is a risk of sampling error. Excision biopsy preserving nerve function may be carried out for benign tumours to relieve symptoms. Malignant tumours require a multidisciplinary approach. Complete surgical excision with clear margins is the only curative treatment and may be supplemented with radiotherapy and chemotherapy. However, prognosis remains poor, particularly for patients with neurofibromatosis.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295690","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
Updates in diagnostic tools for diagnosing nerve injury and compressions. 诊断神经损伤和压迫的最新诊断工具。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 Epub Date: 2024-03-27 DOI: 10.1177/17531934241238736
Gráinne Bourke, Ryckie G Wade, Nens van Alfen
{"title":"Updates in diagnostic tools for diagnosing nerve injury and compressions.","authors":"Gráinne Bourke, Ryckie G Wade, Nens van Alfen","doi":"10.1177/17531934241238736","DOIUrl":"10.1177/17531934241238736","url":null,"abstract":"<p><p>Predicting prognosis after nerve injury and compression can be challenging, even for the experienced clinician. Although thorough clinical assessment can aid diagnosis, we cannot always be precise about long-term functional recovery of either motor or sensory nerves. To evaluate the severity of nerve injury, surgical exploration remains the gold standard, particularly after iatrogenic injury and major nerve injury from trauma, such as brachial plexus injury. Recently, advances in imaging techniques (ultrasound, magnetic resonance imaging [MRI] and MR neurography) along with multimodality assessment, including electrodiagnostic testing, have allowed us to have a better preoperative understanding of nerve continuity and prediction of nerve health and possible recovery. This article outlines the current and potential roles for clinical assessment, exploratory surgery, electrodiagnostic testing ultrasound and MRI in entrapment neuropathies, inflammatory neuritis and trauma. Emphasis is placed on those modalities that are improving in diagnostic accuracy of nerve assessment before any surgical intervention.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295697","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
Muscle preservation in proximal nerve injuries: a current update. 近端神经损伤的肌肉保护：最新进展。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 DOI: 10.1177/17531934231216646
Andrii Lysak, Simon Farnebo, Stefano Geuna, Lars B Dahlin
{"title":"Muscle preservation in proximal nerve injuries: a current update.","authors":"Andrii Lysak, Simon Farnebo, Stefano Geuna, Lars B Dahlin","doi":"10.1177/17531934231216646","DOIUrl":"10.1177/17531934231216646","url":null,"abstract":"<p><p>Optimal recovery of muscle function after proximal nerve injuries remains a complex and challenging problem. After a nerve injury, alterations in the affected muscles lead to atrophy, and later degeneration and replacement by fat-fibrous tissues. At present, several different strategies for the preservation of skeletal muscle have been reported, including various sets of physical exercises, muscle massage, physical methods (e.g. electrical stimulation, magnetic field and laser stimulation, low-intensity pulsed ultrasound), medicines (e.g. nutrients, natural and chemical agents, anti-inflammatory and antioxidants, hormones, enzymes and enzyme inhibitors), regenerative medicine (e.g. growth factors, stem cells and microbiota) and surgical procedures (e.g. supercharge end-to-side neurotization). The present review will focus on methods that aimed to minimize the damage to muscles after denervation based on our present knowledge.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181776","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 FESSH/JHSE Special Issue: a joint collaboration. FESSH/JHSE 特刊：一次联合协作。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 DOI: 10.1177/17531934241248114
Brigitte van der Heijden, Pierluigi Tos, J. Henk Coert
{"title":"The FESSH/JHSE Special Issue: a joint collaboration.","authors":"Brigitte van der Heijden, Pierluigi Tos, J. Henk Coert","doi":"10.1177/17531934241248114","DOIUrl":"10.1177/17531934241248114","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181781","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: Bakker et al. Concomitant ligament injuries can be left untreated during surgery of distal radial fractures. J Hand Surg Eur. 2023, 48: 1068-73. Re：Bakker 等人: 在桡骨远端骨折手术中可能未处理伴发的韧带损伤。J Hand Surg Eur.2023, 48: 1068-73.
The Journal of hand surgery, European volume Pub Date : 2024-06-01 DOI: 10.1177/17531934241248113
Martina Åhlén, Anders Wallmon, Jonny K Andersson, Bas M Derksen, Niels W L Schep
{"title":"Re: Bakker et al. Concomitant ligament injuries can be left untreated during surgery of distal radial fractures. J Hand Surg Eur. 2023, 48: 1068-73.","authors":"Martina Åhlén, Anders Wallmon, Jonny K Andersson, Bas M Derksen, Niels W L Schep","doi":"10.1177/17531934241248113","DOIUrl":"https://doi.org/10.1177/17531934241248113","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187188","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
Brachial plexus birth injury: advances and controversies. 臂丛神经产伤：进展与争议。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 Epub Date: 2024-02-16 DOI: 10.1177/17531934241231173
Gürsel Leblebicioğlu, Willem Pondaag
{"title":"Brachial plexus birth injury: advances and controversies.","authors":"Gürsel Leblebicioğlu, Willem Pondaag","doi":"10.1177/17531934241231173","DOIUrl":"10.1177/17531934241231173","url":null,"abstract":"<p><p>While there is considerable spontaneous recovery in most cases of brachial plexus birth injury, many children are left with significant problems that may lead to lifelong functional limitations, loss of work and social isolation. Detailed treatment with the right strategy can provide very valuable improvement in function. Over the past few years, the clinical approach to brachial plexus birth palsy has entered a new era in both diagnostic and surgical treatment methods. This article reviews four areas of management, the role of imaging in defining the severity of the injury, the optimal timing of for nerve exploration and reconstruction in appropriate cases, the advantages and potential complications of nerve transfers, and the role of physiotherapy. Available evidence is considered. Although it is difficult to make clear and precise inferences on a subject where there are many variables and considerable uncertainties, some currently accepted views will be summarized.<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":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747983","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
Targeted muscle reinnervation in bionic upper limb reconstruction: current status and future directions. 仿生上肢重建中的靶向肌肉神经再支配：现状与未来方向。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 Epub Date: 2024-02-16 DOI: 10.1177/17531934241227795
Clemens Gstoettner, Gregor Laengle, Leopold Harnoncourt, Paolo Sassu, Oskar C Aszmann
{"title":"Targeted muscle reinnervation in bionic upper limb reconstruction: current status and future directions.","authors":"Clemens Gstoettner, Gregor Laengle, Leopold Harnoncourt, Paolo Sassu, Oskar C Aszmann","doi":"10.1177/17531934241227795","DOIUrl":"10.1177/17531934241227795","url":null,"abstract":"<p><p>Selective nerve transfers are used in the setting of upper limb amputation to improve myoelectric prosthesis control. This surgical concept is referred to as targeted muscle reinnervation (TMR) and describes the rerouting of the major nerves of the arm onto the motor branches of the residual limb musculature. Aside from providing additional myosignals for prosthetic control, TMR can treat and prevent neuroma pain and possibly also phantom limb pain. This article reviews the history and current applications of TMR in upper limb amputation, with a focus on practical considerations. It further explores and identifies technological innovations to improve the man-machine interface in amputation care, particularly regarding implantable interfaces, such as muscle electrodes and osseointegration. Finally, future clinical directions and possible scientific avenues in this field are presented and critically discussed.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747989","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
Distal nerve transfers for peripheral nerve injuries: indications and outcomes. 周围神经损伤的远端神经转移：适应症和结果。
The Journal of hand surgery, European volume Pub Date : 2024-06-01 Epub Date: 2024-01-31 DOI: 10.1177/17531934231226169
Jayme A Bertelli, Sami Tuffaha, Matthias Sporer, Anna Seltser, Erica Cavalli, Francisco Soldado, Elspeth Hill
{"title":"Distal nerve transfers for peripheral nerve injuries: indications and outcomes.","authors":"Jayme A Bertelli, Sami Tuffaha, Matthias Sporer, Anna Seltser, Erica Cavalli, Francisco Soldado, Elspeth Hill","doi":"10.1177/17531934231226169","DOIUrl":"10.1177/17531934231226169","url":null,"abstract":"<p><p>Distal nerve transfer is a refined surgical technique involving the redirection of healthy sacrificable nerves from one part of the body to reinstate function in another area afflicted by paralysis or injury. This approach is particularly valuable when the original nerves are extensively damaged and standard repair methods, such as direct suturing or grafting, may be insufficient. As the nerve coaptation is close to the recipient muscles or skin, distal nerve transfers reduce the time to reinnervation. The harvesting of nerves for transfer should usually result in minimal or no donor morbidity, as any anticipated loss of function is compensated for by adjacent muscles or overlapping cutaneous territory. Recent years have witnessed notable progress in nerve transfer procedures, markedly enhancing the outcomes of upper limb reconstruction for conditions encompassing peripheral nerve, brachial plexus and spinal cord injuries.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725585","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
Extensor tendon zones: a survey of views in a hand surgery department. 伸肌腱区：手外科观点调查。
The Journal of hand surgery, European volume Pub Date : 2024-05-24 DOI: 10.1177/17531934241253137
Jing Chen, Jin Bo Tang
{"title":"Extensor tendon zones: a survey of views in a hand surgery department.","authors":"Jing Chen, Jin Bo Tang","doi":"10.1177/17531934241253137","DOIUrl":"https://doi.org/10.1177/17531934241253137","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089617","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
Pedicled flap versus skin graft for great toe defect repair after wrap-around flap transfer. 环绕式皮瓣转移后修复大脚趾缺损的趾瓣与植皮术。
The Journal of hand surgery, European volume Pub Date : 2024-05-23 DOI: 10.1177/17531934241249911
Taotao Hui, Yinyao Tang, Li Qiang
{"title":"Pedicled flap versus skin graft for great toe defect repair after wrap-around flap transfer.","authors":"Taotao Hui, Yinyao Tang, Li Qiang","doi":"10.1177/17531934241249911","DOIUrl":"https://doi.org/10.1177/17531934241249911","url":null,"abstract":"<p><p>This study compared the clinical outcomes of tibial-sided digital artery pedicled flap from the second toe versus full-thickness skin grafting to repair great toe defects after wrap-around flap transfers. The pedicled flap resulted in better pain scores and aesthetic outcomes.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083073","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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