{"title":"Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair.","authors":"Mustafa Akyurek, Gunes Hafiz, Mihrican Sayan","doi":"10.1177/17531934241300510","DOIUrl":"10.1177/17531934241300510","url":null,"abstract":"<p><p>This study investigates the impact of proximal interphalangeal joint palmar plate injury on outcomes of flexor tendon repair in zone 2, excluding cases with fractures or dislocations. A retrospective review of 47 digits in 45 patients treated between 2014 and 2022 was conducted, analysing surgical notes, ultrasound images and patient photographs. The palmar plate was injured in 17 digits and intact in 30. Outcomes were assessed using the Strickland criteria for active range of movement 6 months postoperatively. Our analysis revealed that palmar plate injuries significantly affect flexor tendon repair outcomes, with a normal palmar plate increasing the likelihood of excellent recovery by 18 times. Although previous studies indicate no consensus on the impact of flexor digitorum superficialis repair, our findings emphasize the importance of palmar plate integrity. Nerve injury and flexor digitorum superficialis repair did not show significant effects on recovery in this cohort. Our study provides valuable insights into the importance of the injury to the palmar plate.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"609-615"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788331","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":"Re: Cohen A, Reijman M, Selles RW, Hovius SER, Colaris JW. Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms? J Hand Surg Eur. 2024 Mar 15. Online ahead of print.","authors":"Ge Xiong","doi":"10.1177/17531934241300937","DOIUrl":"10.1177/17531934241300937","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"676-677"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960856","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}
Ee Ming Chew, Noah Yu Ting Sim, Nicole Kim Luan Lee, Kenneth Pak Leung Wong, Yi Ling Chua, Dawn Sinn Yii Chia
{"title":"The natural history of paediatric trigger thumbs. A prospective cohort study.","authors":"Ee Ming Chew, Noah Yu Ting Sim, Nicole Kim Luan Lee, Kenneth Pak Leung Wong, Yi Ling Chua, Dawn Sinn Yii Chia","doi":"10.1177/17531934241295903","DOIUrl":"10.1177/17531934241295903","url":null,"abstract":"<p><p>The aim of this study was to report the natural history of paediatric trigger thumbs, determining the rate and factors predictive of spontaneous resolution. A total of 62 patients presenting with 79 thumbs locked in flexion were observed for a mean of 4.2 years. The median age at presentation was 20.5 months. The spontaneous resolution rate was 37% at 5 years and 50% at 8 years of follow-up. Of the thumbs, 27% had undergone surgery at 5 years and 48% at 8 years. Thumbs that spontaneously resolved did so at a mean of 3.4 years. Thumbs presenting with an interphalangeal joint angle of less than 30° were likely to resolve spontaneously, with a sensitivity of 0.50 and specificity of 0.82. It is reasonable to offer observation alone for 4 to 5 years as the first line of management for paediatric trigger thumb.<b>Level of evidence</b>: III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"616-621"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635543","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}
Katie Frith, Daniela de Lima Corvino, Ronit Wollstein
{"title":"Streptococcus pyogenes flexor tenosynovitis.","authors":"Katie Frith, Daniela de Lima Corvino, Ronit Wollstein","doi":"10.1177/17531934241286114","DOIUrl":"10.1177/17531934241286114","url":null,"abstract":"<p><p>We describe a case of Group A streptococcal infection originally presenting as flexor tenosynovitis. Group A <i>Streptococcus</i> outbreaks have been recently described in developed countries, which constitutes an epidemiological shift that hand surgeons should be aware of.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"659-660"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335593","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}
Martin Aman, Anna Pennekamp, Cosima Prahm, Piotr Czarnecki, Brigitte Van der Heijden, Leila Harhaus
{"title":"The availability of common patient-reported outcome measures in hand surgery across Europe.","authors":"Martin Aman, Anna Pennekamp, Cosima Prahm, Piotr Czarnecki, Brigitte Van der Heijden, Leila Harhaus","doi":"10.1177/17531934241302227","DOIUrl":"10.1177/17531934241302227","url":null,"abstract":"<p><p>Many European healthcare systems emphasize value-based care to improve outcomes and control costs. Assessing function and satisfaction in hand surgery relies on patient reported outcome measures. This study evaluates the use of these outcome measures across Europe, focusing on diversity and language validation.A comprehensive database search for hand-specific patient reported outcome measures assessed availability for all official languages in Europe focusing on transculturally adapted and validated versions of available questionnaires. The study identified 47 European countries with 41 unique languages. The Disabilities of the Arm, Shoulder and Hand Questionnaire is the most available outcome measure, translated into 41 languages. Availability of other outcome measures varied significantly by language. Gaps in the availability of hand specific patient reported outcome measures exist across Europe. To assist in translating and validating such questionnaires, an exemplary Standard Protocol Items: Recommendations for Interventional Trials checklist is provided as supplementary material.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"681-684"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735490","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":"Ultrasonography of the median nerve before removal of anterior locking plates from the distal radius.","authors":"Takafumi Hosokawa, Tsuyoshi Tajika, Morimichi Suto, Taito Nagashima, Shinsuke Arisawa, Hirotaka Chikuda","doi":"10.1177/17531934241280184","DOIUrl":"10.1177/17531934241280184","url":null,"abstract":"<p><p>Both forearms of 36 patients who had been treated with an anterior locking plate using the trans-flexor carpi radialis approach for unilateral distal radial fractures were investigated by ultrasonography from the distal end of the radius to 5 cm proximally before plate removal. After fixation of the anterior locking plate, the median nerve was significantly more radially located to the flexor carpi radialis tendon than on the healthy side and showed hypertrophy and flattening at the distal end of the radius. In six cases, the median nerve on the plate side lay radial to the flexor carpi radialis tendon. The median nerve after plate fixation may lie more radially than its original position. Confirming the radial deviation of the median nerve by ultrasonography before removal of the anterior locking plate is useful to prevent the complication of median nerve injury.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"635-642"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335594","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}
Daniel M Weber, Christian Luckert, Markus Kalisch, Ulrike Subotic, Robert Weil, Michelle Seiler
{"title":"Buddy taping after reduction of displaced extra-articular phalangeal finger fractures in children: a randomized controlled trial.","authors":"Daniel M Weber, Christian Luckert, Markus Kalisch, Ulrike Subotic, Robert Weil, Michelle Seiler","doi":"10.1177/17531934241293338","DOIUrl":"10.1177/17531934241293338","url":null,"abstract":"<p><p>In this randomized controlled trial, we assessed the non-inferiority of buddy taping to splinting after reduction of displaced extra-articular proximal and middle phalangeal finger fractures in children. The primary outcome was the rate of secondary fracture displacements; the secondary outcomes were patient comfort, analgesic efficacy and total range of active motion 6 months after injury. Eighty-one patients participated: 43 with taping and 38 with splinting. Secondary displacement occurred in eight patients: five in the splinting group and three in the taping group. Risk difference was below the predefined non-inferiority of 10%. Patient comfort was significantly higher in the taping group, with no group differences for other parameters. Our previous study recommended taping for undisplaced finger fractures in children. With the current data, we recommend taping these finger fractures irrespective of displacement or need for reduction. We are encouraged to propose taping as an alternative to splinting for increased patient comfort, lower cost, and shorter application time.<b>Level of evidence:</b> I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"622-627"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565228","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}
Zhen Yu Wong, Oluwatobi Adegboye, Muholan Kanapathy, Dariush Nikkhah, Afshin Mosahebi, Ben H Miranda
{"title":"The 100 most-cited articles in WALANT hand surgery: A bibliometric and visualized analysis.","authors":"Zhen Yu Wong, Oluwatobi Adegboye, Muholan Kanapathy, Dariush Nikkhah, Afshin Mosahebi, Ben H Miranda","doi":"10.1177/17531934241313205","DOIUrl":"10.1177/17531934241313205","url":null,"abstract":"<p><p>This bibliometric analysis aimed to define important topics and developments across wide awake local anaesthesia no tourniquet (WALANT) hand surgery, an innovative ambulatory technique that gained popularity during the COVID-19 pandemic. Articles were searched and screened using the Web of Science core collection database. VOSviewer 1.6.18 and <i>bibliometrix</i> were used for analysis. In the initial search 419 articles were found. Between 1990 and 2023, 333 writers contributed to the top 100 most-cited articles published. The country with the highest number of published articles (20%) was Canada, followed by the USA (18%) and China (12%). Most articles were published in <i>Plastic and Reconstructive Surgery</i> (15%), <i>Hand Clinics</i> (14%) and the European and American volumes of <i>The Journal of Hand Surgery</i> (9% each). Eighty-two percent of articles had a Level of Evidence of III or V. High-quality randomized controlled trials and systematic reviews of WALANT are needed to broaden and enhance clinical practice and research.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"602-608"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043747","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}
Muntasir Mannan Choudhury, Angeline Aw Ai Ling, Robert Tze Jin Yap
{"title":"Is the ulnar fovea sign positive only in foveal tears of the triangular fibrocartilage complex?","authors":"Muntasir Mannan Choudhury, Angeline Aw Ai Ling, Robert Tze Jin Yap","doi":"10.1177/17531934241279921","DOIUrl":"10.1177/17531934241279921","url":null,"abstract":"<p><p>A positive ulnar fovea sign is usually considered to be specific for foveal disruption of the distal radioulnar ligaments. A retrospective review was done of 73 patients with a positive ulnar fovea sign. Only 21 patients had a foveal tear on arthroscopic examination.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"661-662"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309560","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}
Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx
{"title":"Revision options for discontinued trapeziometacarpal arthroplasties: compatibility with currently available implants.","authors":"Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx","doi":"10.1177/17531934251317410","DOIUrl":"10.1177/17531934251317410","url":null,"abstract":"<p><p>Surgical revision options for failed trapeziometacarpal total joint replacement include implant replacement and trapeziectomy. However, discontinuation of older implants complicates revision with original components, particularly as removing a well-fixed metacarpal stem can be challenging. This study examined the feasibility of pairing discontinued stems (Arpe, Elektra and Ivory) with currently available necks (Maïa, Moovis and Touch). We analysed the metallurgical composition, insertion depth, contact surface area and mechanical stability for all possible combinations of these implants. Our findings show compatibility of both Ivory and Arpe stems with the Touch neck and of the Elektra stem with the Moovis neck. Under strict lateral loading, fixation was stable up to 826.87 N, surpassing <i>in vivo</i> forces. Microscopic evaluation after the biomechanical load-to-failure test showed negligible damage to the connecting surfaces. These results suggest that it is safe to pair discontinued stems with currently available necks in revision trapeziometacarpal total joint arthroplasty.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"596-601"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375119","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}