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The Journal of hand surgery, European volume最新文献

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Arthroscopic foveal reattachment of triangular fibrocartilage complex: Inside-out technique at specific ulnocarpal anatomical landmarks.
The Journal of hand surgery, European volume Pub Date : 2025-01-24 DOI: 10.1177/17531934241312902
Thanapong Waitayawinyu, Patipan Kanjanapirom, Pitchapa Siritattamrong, Chinnakart Boonyasirikool, Sunyarn Niempoog
{"title":"Arthroscopic foveal reattachment of triangular fibrocartilage complex: Inside-out technique at specific ulnocarpal anatomical landmarks.","authors":"Thanapong Waitayawinyu, Patipan Kanjanapirom, Pitchapa Siritattamrong, Chinnakart Boonyasirikool, Sunyarn Niempoog","doi":"10.1177/17531934241312902","DOIUrl":"https://doi.org/10.1177/17531934241312902","url":null,"abstract":"<p><p>This study evaluates the outcomes of arthroscopic triangular fibrocartilage complex (TFCC) foveal reattachment using an inside-out suture passing through the TFCC at specific ulnocarpal anatomical landmarks to grasp the radioulnar ligaments. Thirty-eight patients with a mean age of 36 years (range 19-54), diagnosed with TFCC injury with distal radioulnar joint (DRUJ) instability, underwent arthroscopic inside-out TFCC foveal reattachment using designated suture sites. At a mean follow-up of 32 months (range 26-44), pain score, range of motion, grip strength, Disabilities of the Arm, Shoulder and Hand (DASH) score, and Modified Mayo Wrist Score all showed significant improvement after surgery. The DRUJ stability was restored and the minimal clinically important difference threshold for the DASH score was achieved in all patients. Arthroscopic TFCC foveal reattachment using the inside-out technique at specific ulnocarpal anatomical landmarks provided reliable outcomes and could be considered as another straightforward procedure for treating TFCC injuries with DRUJ instability.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241312902"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034346","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
Insights and trends review: Use of extended reality (xR) in hand surgery.
The Journal of hand surgery, European volume Pub Date : 2025-01-24 DOI: 10.1177/17531934241313208
Shintaro Oyama, Hiroaki Iwase, Hidemasa Yoneda, Hideo Yokota, Hitoshi Hirata, Michiro Yamamoto
{"title":"Insights and trends review: Use of extended reality (xR) in hand surgery.","authors":"Shintaro Oyama, Hiroaki Iwase, Hidemasa Yoneda, Hideo Yokota, Hitoshi Hirata, Michiro Yamamoto","doi":"10.1177/17531934241313208","DOIUrl":"https://doi.org/10.1177/17531934241313208","url":null,"abstract":"<p><p>Digital transformation through extended reality (xR)-comprising virtual, augmented, mixed, and substitutional reality-has become an integral part of the future of clinical and surgical practice. xR technologies facilitate advanced surgical planning, training, therapies and education, reshaping both personal and institutional healthcare. This paper examines the potential changes that xR has introduced into the field of hand surgery, exploring how xR enhances patient-centric care, increases medical service efficiency and revolutionizes surgical training, planning and therapeutic interventions. Key areas such as surgical assistance, telemedicine, therapies and rehabilitation, medical training and education, and improving patient understanding are highlighted. By synthesizing the current literature, this narrative review articulates the theoretical and practical implications of xR, offering insights into its transformative potential and supporting continuous educational advancement in medical practice.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241313208"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034813","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
Kienböck's Disease - Incidence and operations in Finland: a nationwide register study.
The Journal of hand surgery, European volume Pub Date : 2025-01-24 DOI: 10.1177/17531934241312894
Krista Wernér, Turkka Anttila, Timo Viljakka, Jorma Ryhänen, Sina Hulkkonen
{"title":"Kienböck's Disease - Incidence and operations in Finland: a nationwide register study.","authors":"Krista Wernér, Turkka Anttila, Timo Viljakka, Jorma Ryhänen, Sina Hulkkonen","doi":"10.1177/17531934241312894","DOIUrl":"https://doi.org/10.1177/17531934241312894","url":null,"abstract":"<p><p>This study assessed the nationwide incidence of Kienböck's Disease, and operations performed for Kienböck's Disease from the Care Register for Health Care in Finland 1996-2022. The mean annual total standardized incidence rate per million person-years was 9.60 (95% CI: 9.10-10.11) and for men and women, 10.38 (95% CI: 9.63-11.13) and 8.78 (95% CI: 8.10-9.45), respectively. The incidence rate was highest for 50-59-year-olds, at 15.49. Compared with women, the incidence rate for men was higher across all age groups up to 60-69 years. Altogether, 44% of the patients were operated on, and 19% of them had multiple operations. Partial arthrodesis was the most performed procedure and salvage procedures covered 62% of all operations. Our findings provide comprehensive new evidence about Kienböck's Disease distribution across Finland's population and offer insights into the burden caused by operations.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241312894"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034814","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
Levels of evidence in hand surgery: a review and guide.
The Journal of hand surgery, European volume Pub Date : 2025-01-24 DOI: 10.1177/17531934251313771
Tim Hems
{"title":"Levels of evidence in hand surgery: a review and guide.","authors":"Tim Hems","doi":"10.1177/17531934251313771","DOIUrl":"https://doi.org/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":"17531934251313771"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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}
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 : 2025-01-24 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":"https://doi.org/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":"17531934241313207"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","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
Artificial intelligence and machine learning capabilities in the detection of acute scaphoid fracture: a critical review.
The Journal of hand surgery, European volume Pub Date : 2025-01-23 DOI: 10.1177/17531934241312896
Robert Miller, Laurence Jackson, Dijana Vilic, Louis Boyce, Haris Shuaib
{"title":"Artificial intelligence and machine learning capabilities in the detection of acute scaphoid fracture: a critical review.","authors":"Robert Miller, Laurence Jackson, Dijana Vilic, Louis Boyce, Haris Shuaib","doi":"10.1177/17531934241312896","DOIUrl":"https://doi.org/10.1177/17531934241312896","url":null,"abstract":"<p><p>This paper discusses the current literature surrounding the potential use of artificial intelligence and machine learning models in the diagnosis of acute obvious and occult scaphoid fractures. Current studies have notable methodological flaws and are at high risk of bias, precluding meaningful comparisons with clinician performance (the current reference standard). Specific areas should be addressed in future studies to help advance the meaningful and clinical use of artificial intelligence for radiograph interpretation.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241312896"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026253","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
Angular hypertrophied epiphysis of the thumb distal phalanx in radial polydactyly.
The Journal of hand surgery, European volume Pub Date : 2025-01-23 DOI: 10.1177/17531934241312327
Jae Kwang Kim, Young Ho Shin, Wonsun Lee
{"title":"Angular hypertrophied epiphysis of the thumb distal phalanx in radial polydactyly.","authors":"Jae Kwang Kim, Young Ho Shin, Wonsun Lee","doi":"10.1177/17531934241312327","DOIUrl":"https://doi.org/10.1177/17531934241312327","url":null,"abstract":"<p><p>In a series of 271 consecutive duplicated thumbs, an angular, hypertrophied epiphysis was detected in 13 thumbs. We propose a revised version of the radial polydactyly classification that includes this pattern as a separate type from triphalangeal thumb.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241312327"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026252","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. Dean B, Rodrigues J, Riley N, Rabey N, Donnison E, Challen K, Bradford S; BSSH BEST UCL Guideline Development Group. Guideline on managing thumb ulnar collateral ligament injuries: the British Society of Surgery for the Hand Evidence for Surgical Treatment (BEST) findings and recommendations. J Hand Surg Eur. 2024, 49: 1195-201. Re. Dean B, Rodrigues J, Riley N, Rabey N, Donnison E, Challen K, Bradford S；BSSH BEST UCL指南制定小组。拇指尺侧副韧带损伤处理指南：英国外科学会手部手术治疗证据（BEST）的发现和建议。中华手外科杂志，2017,29(4):391 - 391。
The Journal of hand surgery, European volume Pub Date : 2025-01-17 DOI: 10.1177/17531934241311826
Tim Hems
{"title":"Re. Dean B, Rodrigues J, Riley N, Rabey N, Donnison E, Challen K, Bradford S; BSSH BEST UCL Guideline Development Group. Guideline on managing thumb ulnar collateral ligament injuries: the British Society of Surgery for the Hand Evidence for Surgical Treatment (BEST) findings and recommendations. J Hand Surg Eur. 2024, 49: 1195-201.","authors":"Tim Hems","doi":"10.1177/17531934241311826","DOIUrl":"https://doi.org/10.1177/17531934241311826","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241311826"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019378","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
Digital neural loops - a common anatomical surprise. 数字神经回路——一个常见的解剖学惊喜。
The Journal of hand surgery, European volume Pub Date : 2025-01-16 DOI: 10.1177/17531934251313975
Alicja Moore, Samuel George
{"title":"Digital neural loops - a common anatomical surprise.","authors":"Alicja Moore, Samuel George","doi":"10.1177/17531934251313975","DOIUrl":"https://doi.org/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":"17531934251313975"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","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}
引用次数: 0
Re: van der Heijden EPA, Dailiana ZH, Giele HP. State of the art review. Upper extremity revision nerve compression surgery. J Hand Surg Eur. 2024, 49: 687-97. 回复：van der Heijden EPA， Dailiana ZH, Giele HP。最新评论。上肢翻修神经压迫手术。中华手外科杂志，2017,29(4):687- 997。
The Journal of hand surgery, European volume Pub Date : 2025-01-16 DOI: 10.1177/17531934241311822
Vaikunthan Rajaratnam, Usama Farghaly Omar
{"title":"Re: van der Heijden EPA, Dailiana ZH, Giele HP. State of the art review. Upper extremity revision nerve compression surgery. J Hand Surg Eur. 2024, 49: 687-97.","authors":"Vaikunthan Rajaratnam, Usama Farghaly Omar","doi":"10.1177/17531934241311822","DOIUrl":"https://doi.org/10.1177/17531934241311822","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241311822"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019385","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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