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Wrist extensor pathomechanics: implications for tendon and nerve transfer. 腕伸肌病理力学：对肌腱和神经转移的影响。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2024-01-08 DOI: 10.1177/17531934231224737
Jan Fridén, Richard L Lieber
{"title":"Wrist extensor pathomechanics: implications for tendon and nerve transfer.","authors":"Jan Fridén, Richard L Lieber","doi":"10.1177/17531934231224737","DOIUrl":"10.1177/17531934231224737","url":null,"abstract":"<p><p>Central and peripheral nervous system lesions may disrupt the intricate balance of the prime movers of the wrist. In spasticity, hyperactive wrist flexors create a flexion moment and, if untreated, can lead to flexion contractures. In patients with C6 spinal cord injury and tetraplegia, the posterior interosseus nerve is typically affected by a complex pattern of upper and/or lower motoneuron lesions causing radial deviation of the wrist due to loss of ulnar deviation actuators. In this report, we illustrate severe pathomechanics that may occur even with relatively modest changes in wrist balance. These results illustrate how thorough understanding of muscle-tendon-joint interaction aids in designing tendon and nerve reconstructive surgeries to normalize wrist positions and balance in neuromuscular conditions.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405762","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 rising NHS waiting list times on elective surgery for Dupuytren's disease. 国家医疗服务体系候诊时间增加对杜普伊特伦氏病择期手术的影响。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI: 10.1177/17531934241235549
Angus T McMillan, Richard M Pinder
{"title":"The impact of rising NHS waiting list times on elective surgery for Dupuytren's disease.","authors":"Angus T McMillan, Richard M Pinder","doi":"10.1177/17531934241235549","DOIUrl":"10.1177/17531934241235549","url":null,"abstract":"<p><p>Waiting lists for elective surgery are increasing in the United Kingdom. We report a single-centre experience of disease progression of Dupuytren's disease while on the waiting list for surgery and its effect on the type of operative treatment required.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133722","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
Polyethylene liner fracture in dual mobility trapeziometacarpal total joint replacement: how to make a timely diagnosis? 双活动度梯形掌骨全关节置换术中的聚乙烯衬垫骨折：如何及时诊断？
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2024-01-31 DOI: 10.1177/17531934241227918
Joris Duerinckx, Pieter Caekebeke, Laurens Van Melkebeke
{"title":"Polyethylene liner fracture in dual mobility trapeziometacarpal total joint replacement: how to make a timely diagnosis?","authors":"Joris Duerinckx, Pieter Caekebeke, Laurens Van Melkebeke","doi":"10.1177/17531934241227918","DOIUrl":"10.1177/17531934241227918","url":null,"abstract":"<p><p>We present a case of fracture of the polyethylene liner of a dual-mobility trapeziometacarpal total joint arthroplasty. Standard radiographic imaging was normal. This case highlights the importance of dynamic radiographic imaging to make a timely diagnosis.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725590","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
A meta-analysis comparing complications of anterior versus dorsal osteotomy and plating for distal radial malunions. 一项荟萃分析比较了桡骨远端畸形的前方截骨术和背侧截骨术以及钢板固定术的并发症。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1177/17531934241254962
Ahmad Essa, Ryan Paul, Shawn Khan, Erez Avisar, Andrea Chan, Jonathan Persitz
{"title":"A meta-analysis comparing complications of anterior versus dorsal osteotomy and plating for distal radial malunions.","authors":"Ahmad Essa, Ryan Paul, Shawn Khan, Erez Avisar, Andrea Chan, Jonathan Persitz","doi":"10.1177/17531934241254962","DOIUrl":"10.1177/17531934241254962","url":null,"abstract":"<p><p>This systematic review and meta-analysis compare the incidences of complications, reoperations and hardware removal between anterior and dorsal plating after corrective osteotomy for dorsally angulated distal radial malunions. A total of 403 patients were included; 253 patients underwent anterior corrective osteotomy and 150 underwent dorsal corrective osteotomy. Mean follow-up was 30 months. Anterior plating was associated with fewer reoperations (9% vs. 28%), less hardware removal (3% vs. 18%) and comparable major complications (5% vs. 6%) compared to dorsal plating. The adjusted model showed a significant reduction (approximately 85%) in the odds of reoperation and hardware removal in the anterior group. There was no difference in major or minor complications between the groups. Surgeons should be fully aware of the increased risks when using dorsal plate fixation after corrective osteotomy for dorsally angulated distal radial malunions.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908791","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
Long-term results and explant analysis of the ReMotion total wrist arthroplasty. ReMotion 全腕关节置换术的长期效果和拆卸分析。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-12-09 DOI: 10.1177/17531934231220251
Howard J Stringer, Thomas Cash, James A Kennedy, Göksu Kandemir, Ashley W Newton, Thomas J Joyce, Daniel J Brown
{"title":"Long-term results and explant analysis of the ReMotion total wrist arthroplasty.","authors":"Howard J Stringer, Thomas Cash, James A Kennedy, Göksu Kandemir, Ashley W Newton, Thomas J Joyce, Daniel J Brown","doi":"10.1177/17531934231220251","DOIUrl":"10.1177/17531934231220251","url":null,"abstract":"<p><p>The ReMotion wrist replacement has good short- to medium-term survival with an acceptable complication profile as we previously reported in a cohort of patients with rheumatoid arthritis. We now report the long-term results of the same cohort and details of explant analysis of revisions undertaken for aseptic loosening. A total of 16 wrists were reviewed. Seven prostheses remain in situ with no obvious signs of wear or radiological loosening at a mean follow-up of 15.5 years. Three wrists had been revised: one for infection and two for aseptic loosening. Five patients (six wrists) died 2-9 years after operation from unrelated causes. Explant analysis demonstrated relatively minor wear compared with the published results of the Universal-2 prosthesis. We hypothesize that this may be explained by differences in polyethylene sterilization and prosthetic design. The ReMotion wrist replacement has favourable long-term results in patients with rheumatoid arthritis with a 16-year survival rate of 78%-86%.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814273","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
Patient-reported significant disability after major traumatic upper extremity amputation. 患者报告的重大创伤性上肢截肢后的显著残疾。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-11-22 DOI: 10.1177/17531934231215791
Joonas Pyörny, Margit Karelson, Ida Neergård Sletten, Anniina Ukkola, Jarkko Jokihaara
{"title":"Patient-reported significant disability after major traumatic upper extremity amputation.","authors":"Joonas Pyörny, Margit Karelson, Ida Neergård Sletten, Anniina Ukkola, Jarkko Jokihaara","doi":"10.1177/17531934231215791","DOIUrl":"10.1177/17531934231215791","url":null,"abstract":"<p><p>The aims of this study were to record patient-reported outcomes of treatment of proximal upper extremity amputation injuries and subsequent return to work. A consecutive cohort of 38 patients with a traumatic amputation at or proximal to the carpus had been treated with a replantation or revision (completion) amputation in Tampere University Hospital between 2009 and 2019, and 31 of them participated in this study. The primary outcome was the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH). Patients reported significant disability indicated by DASH score after replantation (median 30; interquartile range [IQR] 21-47) and revision (completion) amputation (median 33; IQR 16-52). Most patients had cold intolerance and reported low hand function and aesthetics scores. Out of 17 working patients, 10 did not return to their previous work. Our study demonstrates the influence of major upper extremity amputation on daily life activities, even after a successful replantation.<b>Level of evidence</b>: IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296877","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
Comparison of computer-aided and manual measurements in the evaluation of carpal alignment. 计算机辅助测量与人工测量在评估腕关节排列方面的比较。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-12-16 DOI: 10.1177/17531934231220637
Robert Sippo, Kira Huuska, Theresa Höglund, Eero Waris
{"title":"Comparison of computer-aided and manual measurements in the evaluation of carpal alignment.","authors":"Robert Sippo, Kira Huuska, Theresa Höglund, Eero Waris","doi":"10.1177/17531934231220637","DOIUrl":"10.1177/17531934231220637","url":null,"abstract":"<p><p>The purpose of this study was to compare computer-aided analysis and different methods of manual measurements in the evaluation of carpal alignment. The radioscaphoid, radiolunate, radiocapitate and radiometacarpal angles were measured on cone-beam computed tomography (CT) scans of 30 healthy wrists by automated software (Disior Ltd.) and by hand surgeons using lateral radiographs reconstructed from the CT data. Hand surgeons were either given (<i>n</i> = 6) or not given (<i>n</i> = 7) prior instructions on how to perform the measurements. Inter- and intra-observer reliability of manual measurements ranged from good to excellent (intra-class correlation coefficients [ICC] 0.77-0.99), being highest in specialists with standardized methods and in reconstructed radiographs with bone overlap digitally removed. Computer-aided software provided excellent intra-observer reliability (ICC 0.94-1.00) consistently and values that were highly comparable (mean difference range 1°-7°) with the manual measurements made in optimal settings. Computer-aided software provides an accurate and repeatable method to measure carpal alignment in CT scans, minimizing observational errors.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814204","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
Comparison of pulley plasty, pulley venting and resection of flexor digitorum superficialis slip after zone II flexor tendon repair: a cadaver study. II区屈肌腱修复后，滑轮成形术、滑轮通气和指浅屈肌滑脱切除的比较:一项尸体研究。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-11-24 DOI: 10.1177/17531934231215789
Omar Aljasim, Can Yener, Mesut Demirkoparan, Okan Bilge, Levent Küçük, Hüseyin Günay
{"title":"Comparison of pulley plasty, pulley venting and resection of flexor digitorum superficialis slip after zone II flexor tendon repair: a cadaver study.","authors":"Omar Aljasim, Can Yener, Mesut Demirkoparan, Okan Bilge, Levent Küçük, Hüseyin Günay","doi":"10.1177/17531934231215789","DOIUrl":"10.1177/17531934231215789","url":null,"abstract":"<p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435574","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
Paediatric trigger fingers: a 47-year experience. 小儿扳机指:47年的经验。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-11-21 DOI: 10.1177/17531934231214103
Rou Wan, Aida K Sarcon, Paula Pino Pommer, Benjamin F Mundell, Chunfeng Zhao, Steven L Moran
{"title":"Paediatric trigger fingers: a 47-year experience.","authors":"Rou Wan, Aida K Sarcon, Paula Pino Pommer, Benjamin F Mundell, Chunfeng Zhao, Steven L Moran","doi":"10.1177/17531934231214103","DOIUrl":"10.1177/17531934231214103","url":null,"abstract":"<p><p>Paediatric trigger finger is rare compared to adult trigger finger or paediatric trigger thumb, and the aetiology is unclear. Proposed causes include local trauma, anatomical anomalies and systemic conditions. The aim of the present study was to detail the anatomical causes of surgically treated paediatric trigger fingers and provide an operative algorithm based on the anatomical findings. A total of 76 trigger fingers in 38 patients were identified retrospectively at our institution between 1975 and 2022. In total, 41 fingers in 26 patients had anatomical variations. A nodular thickening on the tendon, similar to Notta's nodule in trigger thumbs, was the most common anatomical cause. Abnormal decussation of the flexor digitorum superficialis tendon was the second most common variation. The recurrence rate was significantly lower after resection of one slip of the flexor digitorum superficialis tendon compared to other surgical techniques in these patients. We recommend that surgeons assess for possible anatomical variation during surgery for the trigger finger.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138178383","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
Comparison of hamate versus second or third toe osteochondral graft using magnetic resonance imaging for reconstruction of proximal interphalangeal fracture-dislocations. 利用磁共振成像重建近端指间骨折脱位的仓鼠骨与第二或第三趾骨软骨移植的比较。
The Journal of hand surgery, European volume Pub Date : 2024-09-01 Epub Date: 2023-12-16 DOI: 10.1177/17531934231220783
Sam Hamilton, Christopher Troupis, Trudy Hong, Anthony Tran, John Troupis, James C S Leong
{"title":"Comparison of hamate versus second or third toe osteochondral graft using magnetic resonance imaging for reconstruction of proximal interphalangeal fracture-dislocations.","authors":"Sam Hamilton, Christopher Troupis, Trudy Hong, Anthony Tran, John Troupis, James C S Leong","doi":"10.1177/17531934231220783","DOIUrl":"10.1177/17531934231220783","url":null,"abstract":"<p><p>Hemi-hamate arthroplasty is a method used to reconstruct complex fracture-dislocations of the proximal interphalangeal joint of the fingers. Other graft sites, including the toe second and third phalanges, have been proposed as alternatives to hemi-hamate arthroplasty due to variable clinical outcomes and anatomy. Through a prospective magnetic resonance imaging (MRI)-based study in asymptomatic individuals, we aimed to characterize the anatomy of the proximal interphalangeal joint and compare this with the hamate, second and third toes to determine the closest anatomical match using pre-determined measurements. Our results show that the second and third toes have greater anatomical similarity to the proximal interphalangeal joint of the fingers compared to the hamate. High-resolution MRI is a reliable method of characterizing the anatomy of these structures and could be a useful clinical tool in determining reconstructive options in the management of this challenging injury.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814212","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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