{"title":"Nerve grafting or nerve transfer for suprascapular nerve reconstruction in neonatal C5C6 ± C7 brachial plexus palsies.","authors":"Arthemon Heitz, Jeanne Commeureuc, Jean-Francois Bodin, Thibault Druel, Laurent Mathieu, Arnaud Walch","doi":"10.1177/17531934251318924","DOIUrl":"10.1177/17531934251318924","url":null,"abstract":"<p><p>This retrospective study aimed to compare two methods of reconstruction of the suprascapular nerve in neonatal brachial plexus palsy. Patients who underwent suprascapular nerve reconstruction for neonatal C5-C6 (±C7) brachial plexus palsy were included if they had at least 3 years follow-up. The results obtained after nerve surgery alone and at the end of the follow-up (after shoulder release surgery) were analysed. The primary outcome was the range of external rotation with the arm at the side. Thirty-three patients were included (19 nerve transfers, 14 nerve grafting). At last follow-up (mean 10.5 years), there was no significant difference in terms of active external rotation, range of active movement or Active Movement Scale scores for the shoulder. Active external rotation was obtained in 23 of 33 cases, 21 by nerve repair alone and two after additional shoulder release. In the present series, nerve transfer and nerve grafting provided similar results for the suprascapular nerve.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1194-1200"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426758","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":"Editorial. Classifications in hand surgery.","authors":"Wee L Lam","doi":"10.1177/17531934251369251","DOIUrl":"https://doi.org/10.1177/17531934251369251","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":"50 9","pages":"1151-1152"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115810","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":"Secondary metacarpal fracture after malunion of the little metacarpal.","authors":"Jiangchao Zhang, Ge Xiong, Deshui Yu","doi":"10.1177/17531934251313978","DOIUrl":"10.1177/17531934251313978","url":null,"abstract":"<p><p>Nineteen patients presenting with a secondary metacarpal fracture after a previously fractured little metacarpal were retrospectively reviewed. The new injury was more likely to be at the original fracture site in patients with shaft fractures than those with neck fractures.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1246-1248"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034895","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}
Hilmi Berkan Abacıoğlu, Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara
{"title":"Re: Chim H., Early surgical intervention for Parsonage-Turner Syndrome after COVID-19 infection results in improved outcomes. J Hand Surg Eur. Published online 25 January 2025.","authors":"Hilmi Berkan Abacıoğlu, Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara","doi":"10.1177/17531934251323210","DOIUrl":"10.1177/17531934251323210","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1265-1266"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660193","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}
Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt
{"title":"Outcome of combined nerve and tendon transfer in tetraplegia: a new surgical strategy to restore grasp function.","authors":"Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt","doi":"10.1177/17531934251338008","DOIUrl":"10.1177/17531934251338008","url":null,"abstract":"<p><p>This study aimed to assess the outcome of supinator to posterior interosseus nerve transfer, followed by tendon transfer, to restore grasp function in patients with mid-to-high-level cervical spine injuries. Fifteen upper limbs in 11 patients with these injuries were included. The outcomes were then compared with a historical control group consisting of 16 upper limbs that received tendon transfers alone. The outcome was assessed using the Canadian occupational performance measure, ability to open the first web space, and grip and pinch strength 12 months after surgery. The Canadian occupational performance measure was similar in both groups, even though the study group had more severe preoperative impairment. The grip strength was significantly lower in the study group, whereas pinch strength was similar between the groups. This study suggests that a combined nerve and tendon transfer in patients with tetraplegia may offer benefits.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1233-1240"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002367","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":"The potential for lead time bias in early peripheral nerve exploration.","authors":"Nienke A Krijnen, Teun Teunis, Harvey Chim","doi":"10.1177/17531934251329292","DOIUrl":"10.1177/17531934251329292","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1261-1262"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121887","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}
Stephan F Schindele, Miriam Marks, Xavier Beaud, Vanessa Reischenböck, Daniel B Herren
{"title":"Correction of metacarpophalangeal joint hyperextension following trapeziometacarpal joint implant arthroplasty: a case-control study.","authors":"Stephan F Schindele, Miriam Marks, Xavier Beaud, Vanessa Reischenböck, Daniel B Herren","doi":"10.1177/17531934251330975","DOIUrl":"10.1177/17531934251330975","url":null,"abstract":"<p><p>We hypothesized that metacarpophalangeal (MCP) joint hyperextension can be significantly reduced in patients with trapeziometacarpal joint (TMJ) osteoarthritis through TMJ dual mobility implant arthroplasty. Using registry data and propensity score matching, we compared 37 patients with preoperative MCP joint hyperextension >20° with 111 control patients with ≤20° extension. Before surgery, mean MCP joint extension was 34° (95% confidence interval 31-37) in the hyperextension group and 10° (95% CI 8-11) in the control group. Hyperextension was significantly reduced to 9° (95% CI 6-13) 6 weeks after surgery and was not significantly higher than the measured 5° (95% CI 4-7) in the control group. It remained stable for up to 2 years. Secondary outcomes including key pinch strength, pain, the brief Michigan Hand Outcomes Questionnaire and complications did not differ between groups at 2 years. Trapeziometacarpal joint implant arthroplasty can correct preoperative MCP joint hyperextension without additional procedures at the MCP joint.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1177-1184"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034407","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}
Christos Mousoulis, Ryan W Trickett, Kim S Thomas, Paul Leighton, Alexia Karantana
{"title":"Minimum Important Change for the Patient Evaluation Measure in patients with finger fractures and joint injuries.","authors":"Christos Mousoulis, Ryan W Trickett, Kim S Thomas, Paul Leighton, Alexia Karantana","doi":"10.1177/17531934251331727","DOIUrl":"10.1177/17531934251331727","url":null,"abstract":"<p><p>The Minimum Important Change of the Patient Evaluation Measure for patients recovering from a finger fracture or joint injury was estimated to aid the design of future trials. Data from the Patient Outcomes for Finger Fractures and Joint Injuries prospective cohort study were used. Sixty participants were included. Patients were given the Patient Evaluation Measure questionnaire at baseline and at 6, 12 and 24 weeks with corresponding anchor questions. The Minimum Important Change values for the Patient Evaluation Measure at 24 weeks was between 12 and 17 depending on the statistical estimation method used. Although some variation existed across differing time-points, the range was broadly consistent. The Minimal Detectable Change was estimated as between 9 and 11.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1225-1232"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048923","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":"Early surgical intervention for Parsonage-Turner Syndrome after COVID-19 infection results in improved outcomes.","authors":"Harvey Chim","doi":"10.1177/17531934251314317","DOIUrl":"10.1177/17531934251314317","url":null,"abstract":"<p><p>Parsonage-Turner Syndrome after COVID-19 infection or vaccination is rare. Motor, sensory deficits and neuropathic pain may result from inflammation and compression around the brachial plexus. Early surgical intervention in patients with significant motor deficits may result in improved outcomes.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1258-1260"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043500","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":"Levels of evidence in hand surgery: a review and guide.","authors":"Tim Hems","doi":"10.1177/17531934251313771","DOIUrl":"10.1177/17531934251313771","url":null,"abstract":"<p><p>This article explores the background to the concept of levels of evidence and their role in promoting the principles of evidence-based medicine within hand surgery. The <i>Journal of Hand Surgery (European Volume)</i> requires allocation of a level of evidence to each full-length clinical research article. The system employed by the Journal is described, together with discussion of limitations and difficulties in application. Most articles published on hand surgery still have a low level of evidence. Insights and editorial perspectives on various types of research study and the classification of evidence levels are included. Clinical importance of articles and the need to encourage innovation as opposed to high levels of evidence are also discussed.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1269-1273"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034816","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}