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The Journal of hand surgery, European volume最新文献

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Effect of dexmedetomidine combined with ropivacaine block on flap blood flow and patient satisfaction after flap transfer for hand trauma: a randomized controlled trial. 右美托咪定联合罗哌卡因阻滞对手部创伤皮瓣转移后皮瓣血流和患者满意度的影响：随机对照试验。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-10-13 DOI: 10.1177/17531934241281649
Jinsong Zhao, Xionghui Kong, Zhou Zheng, Peijun Lv, Yeying Ge, Jian Huang
{"title":"Effect of dexmedetomidine combined with ropivacaine block on flap blood flow and patient satisfaction after flap transfer for hand trauma: a randomized controlled trial.","authors":"Jinsong Zhao, Xionghui Kong, Zhou Zheng, Peijun Lv, Yeying Ge, Jian Huang","doi":"10.1177/17531934241281649","DOIUrl":"10.1177/17531934241281649","url":null,"abstract":"<p><p>The purpose of this study was to assess the effect of dexmedetomidine as a local anaesthetic adjuvant on flap blood flow and patient satisfaction regarding postoperative analgesia anterolateral thigh free flap transfer for hand trauma. A total of 66 patients were randomized into two groups. One group was treated with intermittent 1.0 µg/mL dexmedetomidine + 0.125% ropivacaine bolus at 8 mL/2 h and the other with intermittent 0.2% ropivacaine bolus at 8 mL/2 h, administered via continuous infraclavicular brachial plexus block. Dexmedetomidine had no significant effect on the flap blood supply and had a good safety profile. Moreover, 1.0 µg/mL dexmedetomidine + 0.125% ropivacaine provided similar satisfactory postoperative analgesia as 0.2% ropivacaine (<i>p</i> > 0.05), reduced hand numbness and motor block, and improved patient satisfaction (<i>p</i> < 0.05). All the flaps in the dexmedetomidine + ropivacaine group and 30 of 31 flaps in the ropivacaine group survived. The addition of dexmedetomidine to the local anaesthetic infusion appears to be a safe method of improving postoperative symptoms.Level of evidence:I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"523-530"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484773","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
Evaluation of the Rennes Universal Measurement Method (RUMM), an artificial intelligence application for hand joint angle assessment. 评估雷恩通用测量法（RUMM）--一种用于评估手关节角度的人工智能应用。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-06-11 DOI: 10.1177/17531934241258868
Thomas Dutrey, Julien Maximen, Gwenaël Mevel, Mickael Ropars, Thierry Dreano
{"title":"Evaluation of the Rennes Universal Measurement Method (RUMM), an artificial intelligence application for hand joint angle assessment.","authors":"Thomas Dutrey, Julien Maximen, Gwenaël Mevel, Mickael Ropars, Thierry Dreano","doi":"10.1177/17531934241258868","DOIUrl":"10.1177/17531934241258868","url":null,"abstract":"<p><p>Although goniometric measurement is considered the gold standard for the measurement of digital range of motion, visual estimation is often employed due to its simplicity despite being inconsistent with recommended guidelines. We evaluated the Rennes Universal Measurement Method, an innovative tool employing artificial intelligence to concurrently analyse hand joint angles based on a single photograph. We found a strong correlation between the goniometric method and the photograph-based approach (Spearman correlation coefficient 0.7). The mean standard error of measurement was -1° (SD 17°). Regarding reproducibility with different photographic angles, an excellent intraclass correlation coefficient of 0.9 was noted. The tool had a processing time of less than 0.1 s per hand, while traditional goniometric methods took 20-30 s per finger. Combining simplicity, high reproducibility and good inter-rater reliability, this is a potentially useful tool that can be used to monitor patient progress in place of traditional goniometry.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"480-485"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307734","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 impact of virtual reality on patient experience during wide-awake surgery: a randomized controlled trial.
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2025-01-24 DOI: 10.1177/17531934241313207
Jack McConnell, Joshua K DeYoung, John M Pum, Mitchell Wu, Nikhil Aggarwal, Charles S Day
{"title":"The impact of virtual reality on patient experience during wide-awake surgery: a randomized controlled trial.","authors":"Jack McConnell, Joshua K DeYoung, John M Pum, Mitchell Wu, Nikhil Aggarwal, Charles S Day","doi":"10.1177/17531934241313207","DOIUrl":"10.1177/17531934241313207","url":null,"abstract":"<p><p>This study aimed to establish whether virtual reality can reduce patient anxiety and improve surgical satisfaction during wide-awake local anaesthetic no tourniquet hand procedures. Previously validated questionnaires were used to assess subjective anxiety and patient satisfaction. Objective anxiety was determined using patient blood pressure and heart rate measured four times during the procedure. The median difference in intra-operative minus pre-operative diastolic blood pressure was significantly lower in the virtual reality group compared with the control group (<i>p</i> = 0.003). There was a significant decrease in heart rate from pre-operative to post-operative within the virtual reality group (<i>p</i> < 0.001). No differences were observed in subjective anxiety or surgical satisfaction between the groups. Virtual reality can benefit wide-awake patients during hand procedures, particularly where patient preference exists.<b>Level of evidence:</b> Level I, Randomized Controlled Trial.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"457-463"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034840","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
Three-dimensional MRI analysis of elbow anatomy and kinematics in children with ulnar dimelia. 尺骨发育不良儿童肘部解剖和运动学三维核磁共振成像分析。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-10-13 DOI: 10.1177/17531934241283817
Katleen Libberecht, Wiebke Huelsemann, Per Hessman, Max Mann, Mohammad Asif Aslam, Anders Björkman
{"title":"Three-dimensional MRI analysis of elbow anatomy and kinematics in children with ulnar dimelia.","authors":"Katleen Libberecht, Wiebke Huelsemann, Per Hessman, Max Mann, Mohammad Asif Aslam, Anders Björkman","doi":"10.1177/17531934241283817","DOIUrl":"10.1177/17531934241283817","url":null,"abstract":"<p><p>Ulnar dimelia often presents with restricted elbow movement. To develop a treatment strategy to improve elbow mobility, a detailed understanding of the skeletal deformity is needed. We created 3-D models of the cartilage and bone in the elbows of four children with ulnar dimelia by segmentation of MRI scans. We analysed the anatomy and performed a kinematic analysis. In all four children, the distal humerus was triangular in shape and consisted of a medial epicondyle, an enlarged lateral epicondyle and an anterior epicondyle. By comparing the 3-D images with conventional radiographs, we found that the projection of the enlarged lateral epicondyle created two longitudinal lines, which is a radiographic hallmark feature of the triangular-shaped distal humerus. In addition, during elbow flexion, the radial forearm bone slides along the lateral trochlea rather than rotates. This knowledge can aid surgeons to plan treatment for improving elbow mobility in ulnar dimelia.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"515-522"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484776","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
Enhancing systematic review efficiency in hand surgery using artificial intelligence (natural language processing) for abstract screening. 利用人工智能（自然语言处理）进行摘要筛选，提高手外科系统综述的效率。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-11-14 DOI: 10.1177/17531934241295493
Gordon C Wong, Robert L Kane, Cheng-C J Chu, Ching-Heng Lin, Chang-Fu Kuo, Kevin C Chung
{"title":"Enhancing systematic review efficiency in hand surgery using artificial intelligence (natural language processing) for abstract screening.","authors":"Gordon C Wong, Robert L Kane, Cheng-C J Chu, Ching-Heng Lin, Chang-Fu Kuo, Kevin C Chung","doi":"10.1177/17531934241295493","DOIUrl":"10.1177/17531934241295493","url":null,"abstract":"<p><p>The aim of the present study was to train a natural language processing model to recognize key text elements from research abstracts related to hand surgery, enhancing the efficiency of systematic review screening. A sample of 1600 abstracts from a systematic review of distal radial fracture treatment outcomes was annotated to train the natural language processing model. To assess time-saving potential, 200 abstracts were processed by the trained models in two experiments, where reviewers accessed natural language processing predictions to include or exclude articles. The natural language processing model achieved an overall accuracy of 0.91 in recognizing key text elements, excelling in identifying study interventions. Use of the natural language processing reduced mean screening time by 31% without compromising accuracy. Precision varied, improving in the second experiment, indicating context-dependent performance. These findings suggest that natural language processing models can streamline abstract screening in systematic reviews by effectively identifying original research and extracting relevant text elements.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"472-479"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635521","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
Implementation of postoperative opioid prescribing guidelines after carpal tunnel release: a quality collaborative study. 腕管松解术后阿片类药物处方指南的实施：一项质量合作研究。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-08-22 DOI: 10.1177/17531934241268965
Jessica I Billig, Sandra V Kotsis, Lingxuan Kong, Lu Wang, Kevin C Chung
{"title":"Implementation of postoperative opioid prescribing guidelines after carpal tunnel release: a quality collaborative study.","authors":"Jessica I Billig, Sandra V Kotsis, Lingxuan Kong, Lu Wang, Kevin C Chung","doi":"10.1177/17531934241268965","DOIUrl":"10.1177/17531934241268965","url":null,"abstract":"<p><p>Opioid prescribing after carpal tunnel release (CTR) is not well understood. We assessed CTR opioid prescribing within a quality collaborative after the dissemination of guidelines. Post guidelines, the odds of receiving a prescription decreased by 67%. Quality collaboratives can change practice patterns.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"548-550"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020073","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 tendons: can we design a simpler classification zone system? 伸肌腱：我们能设计出更简单的分类区域系统吗？
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2024-08-22 DOI: 10.1177/17531934241274112
Jin Bo Tang, Donald Lalonde
{"title":"Extensor tendons: can we design a simpler classification zone system?","authors":"Jin Bo Tang, Donald Lalonde","doi":"10.1177/17531934241274112","DOIUrl":"10.1177/17531934241274112","url":null,"abstract":"<p><p>We summarize the attention that has been drawn to and the thought process about the complexity of current classification zones of extensor tendons. A possible new, simpler classification was proposed by the lead author and discussed with the co-author. A simplified classification is presented with rationale, mainly based on the simplified treatment strategies used by the authors. We also discuss the possible drawbacks and call for investigations on this topic to make the current treatment strategies less complex. An updated system should be based on improved understandings of clinical treatment, including an increasing trend of using conservative treatment for closed injuries and strong surgical repair methods for open injuries of extensor tendons.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"564-567"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020072","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
CORRIGENDUM to "Round table discussion. Distal radioulnar joint instability after surgical treatment of distal radial fractures". 圆桌讨论。桡骨远端骨折手术治疗后桡骨远端关节不稳定"。
The Journal of hand surgery, European volume Pub Date : 2025-04-01 Epub Date: 2025-02-18 DOI: 10.1177/17531934251319241
{"title":"CORRIGENDUM to \"Round table discussion. Distal radioulnar joint instability after surgical treatment of distal radial fractures\".","authors":"","doi":"10.1177/17531934251319241","DOIUrl":"10.1177/17531934251319241","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"568"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143443100","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 irrelevance of the Martin-Gruber communication: a study in proximal ulnar and median nerve lesions. 马丁-格鲁伯沟通的临床无关性：尺神经和正中神经近端病变研究。
The Journal of hand surgery, European volume Pub Date : 2025-03-28 DOI: 10.1177/17531934251330989
Matthias E Sporer, Marcos F Ghizoni, Jayme A Bertelli
{"title":"Clinical irrelevance of the Martin-Gruber communication: a study in proximal ulnar and median nerve lesions.","authors":"Matthias E Sporer, Marcos F Ghizoni, Jayme A Bertelli","doi":"10.1177/17531934251330989","DOIUrl":"https://doi.org/10.1177/17531934251330989","url":null,"abstract":"<p><p>The Martin-Gruber communication is a median-to-ulnar motor fibre exchange. However, no clinical evidence of its potential compensatory function was found in 54 patients with complete proximal lesions of either the ulnar or median nerves, suggesting that its significance is largely anecdotal.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251330989"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733788","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
Compressive ulnar neuropathy owing to a tortuous ulnar artery proximal to Guyon's canal.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251329861
Kyeong-Jin Han, Seong-Hyuk Eim, Myung-Sub Lee
{"title":"Compressive ulnar neuropathy owing to a tortuous ulnar artery proximal to Guyon's canal.","authors":"Kyeong-Jin Han, Seong-Hyuk Eim, Myung-Sub Lee","doi":"10.1177/17531934251329861","DOIUrl":"https://doi.org/10.1177/17531934251329861","url":null,"abstract":"<p><p>Compressive ulnar neuropathy at the wrist is usually caused by lesions within Guyon's canal. We present a rare case of compressive ulnar neuropathy owing to a tortuous ulnar artery proximal to Guyon's canal.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251329861"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722923","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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