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The Journal of hand surgery, European volume最新文献

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Dynamic wrist imaging: How it works and how to assess kinematic changes in wrists with scapholunate instability.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251326028
Brigitte E P A van der Heijden, Melanie Amarasooriya, Maranda Haenen, Hanne Vries, Stefan Hummelink, Erin Teule, Gregory Bain
{"title":"Dynamic wrist imaging: How it works and how to assess kinematic changes in wrists with scapholunate instability.","authors":"Brigitte E P A van der Heijden, Melanie Amarasooriya, Maranda Haenen, Hanne Vries, Stefan Hummelink, Erin Teule, Gregory Bain","doi":"10.1177/17531934251326028","DOIUrl":"https://doi.org/10.1177/17531934251326028","url":null,"abstract":"<p><p>Thus Four-dimensional computed tomography (4DCT), dynamic imaging, is a promising innovative imaging technique that can improve the capability for diagnosis of the complex wrist joint. It extends conventional three-dimensional CT by incorporating the temporal dimension; this allows visualization of the moving wrist in just a few seconds, resulting in a fast, non-invasive and affordable method to assess and quantify kinematics. The current challenge to optimize the 4DCT workflow include improvements in scan acquisition, reconstruction, postprocessing and image analysis, and the development of advanced algorithms for accurate data processing. This article discusses important developments in this area. In addition, the use of 4DCT in the diagnosis of wrists with scapholunate instability (SLI) is presented. The observed changes in several kinematic parameters in wrists with SLI compared with the healthy wrist are reported. This knowledge will assist in the early diagnosis of SLI, the design of treatment protocols and the prediction of conditions such as radioscaphoid arthritis.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251326028"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722926","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 outcome measures: from the classics to AI.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251327291
Conrad J Harrison, Ryan W Trickett
{"title":"Patient reported outcome measures: from the classics to AI.","authors":"Conrad J Harrison, Ryan W Trickett","doi":"10.1177/17531934251327291","DOIUrl":"https://doi.org/10.1177/17531934251327291","url":null,"abstract":"<p><p>With its basis in the development of intelligence testing, classical test theory paved the way to develop patient-reported outcome measures - tools capable of quantifying otherwise immeasurable traits. In hand surgery, many of the popular outcome measures were developed using classical test theory. However, these techniques are increasingly being superseded by novel mathematical approaches. This review article will chart the progress from established scientific methods through to modern day item response theory and computerized adaptive testing, and explore the opportunities that artificial intelligence may afford.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251327291"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722962","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
Spontaneous recovery of shoulder abduction in obstetric brachial plexus injury patients with less than horizontal abduction at 3 months.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251327083
Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Jarkko Jokihaara
{"title":"Spontaneous recovery of shoulder abduction in obstetric brachial plexus injury patients with less than horizontal abduction at 3 months.","authors":"Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Jarkko Jokihaara","doi":"10.1177/17531934251327083","DOIUrl":"https://doi.org/10.1177/17531934251327083","url":null,"abstract":"<p><p>Abduction is one of the important shoulder functions that may be limited after an obstetric brachial plexus injury. We investigated the progress of spontaneous recovery of active abduction in a cohort of 68 conservatively treated obstetric brachial plexus injury patients without full recovery and with less than 90° abduction at 3 months. Of these 65 (96%) recovered at least 90° and 32 (47%) a full 170° of abduction. The median age of recovery to 90° was 9 months (IQR 7-12, range 5-65 and to 170° 24 months (IQR 12-36, range 5-84). The presence of active antigravity elbow flexion ≥90° at 4 months was not associated with recovery of abduction. The results suggest that most obstetric brachial plexus injury patients with isolated absent or slowly recovering shoulder movements recover at least 90° of abduction. In patients with absent or weak abduction, and otherwise satisfactory spontaneous recovery, surgical interventions should not be considered before 1 year of age.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251327083"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722968","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
Non-operative management of an infantile myofibroma in the palm.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251330568
Kinseng Tong, Andrea Jester
{"title":"Non-operative management of an infantile myofibroma in the palm.","authors":"Kinseng Tong, Andrea Jester","doi":"10.1177/17531934251330568","DOIUrl":"https://doi.org/10.1177/17531934251330568","url":null,"abstract":"<p><p>Infantile myofibromatosis is a rare benign neoplastic condition that may regress with age. We present a case of a palmar myofibroma managed with biopsy and observation, showing spontaneous regression after 9 years.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251330568"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722960","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
Multiple spontaneous ruptures of the flexor digitorum profundus tendon of fingers in a child.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251326402
Yu Kang, Yufeng Wang, Jin Li
{"title":"Multiple spontaneous ruptures of the flexor digitorum profundus tendon of fingers in a child.","authors":"Yu Kang, Yufeng Wang, Jin Li","doi":"10.1177/17531934251326402","DOIUrl":"https://doi.org/10.1177/17531934251326402","url":null,"abstract":"<p><p>Spontaneous ruptures of flexor tendons in children without a clear cause are rare. We describe the case of a 19-month-old girl with a history of multiple spontaneous ruptures of flexor tendons in both hands.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251326402"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722931","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
Measurement of the cross-sectional area of the median and ulnar nerves by hand surgeons without ultrasound training: a prospective study.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251329264
Daniel A Portney, Brendon S Ross, Jeffrey G Stepan
{"title":"Measurement of the cross-sectional area of the median and ulnar nerves by hand surgeons without ultrasound training: a prospective study.","authors":"Daniel A Portney, Brendon S Ross, Jeffrey G Stepan","doi":"10.1177/17531934251329264","DOIUrl":"https://doi.org/10.1177/17531934251329264","url":null,"abstract":"<p><p>Fifteen healthy subjects underwent ultrasound of their median and ulnar nerves by three examiners: an expert ultrasonographer and two surgeons without formal ultrasound training. The surgeons accurately measured the cross-sectional area of the median nerve, but not the ulnar nerve.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251329264"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722930","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
Robotic hand surgery: current insights and future directions.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251326153
Rebecca Qr Lim, Philippe A Liverneaux, Shanlin Chen, Bo Liu
{"title":"Robotic hand surgery: current insights and future directions.","authors":"Rebecca Qr Lim, Philippe A Liverneaux, Shanlin Chen, Bo Liu","doi":"10.1177/17531934251326153","DOIUrl":"https://doi.org/10.1177/17531934251326153","url":null,"abstract":"<p><p>Robotic surgery is a rapidly evolving field that will potentially play a pivotal role in future patient care. There are specific challenges that needs circumventing for each surgical specialty. This article discusses the current robotic surgical systems that have been developed or are currently in development for its application in hand surgery, which has its own unique complexity of comprising both bony and soft tissue procedures. Although robotics has been applied to a wide range of surgical specialties, its precise role in hand surgery remains a subject of further research. We delve into how this new technology is changing the landscape of the management of hand conditions, in both bony and microsurgical procedures, and future directions of this evolving field.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251326153"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722966","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: Tang JB. Clarification and classification of extensor tendon zones in the hand. J Hand Surg Eur. 2024, 49: 1041-4.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251326850
K Moriya, N Tsubokawa, Y Maki
{"title":"Re: Tang JB. Clarification and classification of extensor tendon zones in the hand. J Hand Surg Eur. 2024, 49: 1041-4.","authors":"K Moriya, N Tsubokawa, Y Maki","doi":"10.1177/17531934251326850","DOIUrl":"https://doi.org/10.1177/17531934251326850","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251326850"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722964","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
Anterior interosseous to ulnar nerve transfer for nine proximal injuries in continuity: clinical and neurophysiological assessment.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251328564
Rasmus D Thorkildsen, Inge P Kleggetveit, Magne Røkkum
{"title":"Anterior interosseous to ulnar nerve transfer for nine proximal injuries in continuity: clinical and neurophysiological assessment.","authors":"Rasmus D Thorkildsen, Inge P Kleggetveit, Magne Røkkum","doi":"10.1177/17531934251328564","DOIUrl":"https://doi.org/10.1177/17531934251328564","url":null,"abstract":"<p><p>Anterior interosseous to ulnar nerve transfers were performed in nine patients with proximal ulnar nerve injuries in continuity. Clinical and neurophysiological results at 9,12 and 24 months postoperatively showed improvement, but a contribution of the transfer could be demonstrated in only three cases.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251328564"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722920","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 application of the reverse fragility index to randomized controlled trials in hand surgery.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251327880
Rodney Ahdoot, Bhuvan Pottepalem, Trista M Benítez, Chien-Wei Wang, Kevin C Chung
{"title":"The application of the reverse fragility index to randomized controlled trials in hand surgery.","authors":"Rodney Ahdoot, Bhuvan Pottepalem, Trista M Benítez, Chien-Wei Wang, Kevin C Chung","doi":"10.1177/17531934251327880","DOIUrl":"https://doi.org/10.1177/17531934251327880","url":null,"abstract":"<p><p>The reverse fragility index (RFI) is a tool used to measure the robustness of statistically non-significant outcomes by quantifying the minimum event changes required to achieve significance. This study applies the RFI and reverse fragility quotient (RFQ) to hand surgery randomized control trials (RCTs). A systematic review of 15 journals yielded 25 RCTs with 43 non-significant, dichotomous outcomes published from 2000 to 2024. The RFI was calculated using Fisher's exact test and the RFQ was calculated by dividing the RFI by the sample size. The median RFI was 4 and the median RFQ was 0.056. Loss to follow-up was not clearly reported in 24% of studies and loss to follow-up exceeded the RFI in 56% of outcomes. Hand surgery RCTs demonstrate fragility in non-significant findings, with a small number of event changes potentially altering conclusions. The RFI and RFQ are useful measures that complement traditional <i>p</i>-values, offering more context in interpreting clinical trial results.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251327880"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722970","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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