The Journal of hand surgery, European volume最新文献

{"title":"Reliability and practicality of a new classification system for extensor tendon zones: a survey among hand surgeons.","authors":"Jing Chen, Carlos H Fernandes, Jin Bo Tang","doi":"10.1177/17531934251350004","DOIUrl":"10.1177/17531934251350004","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1263-1264"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328304","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":"Percutaneous treatment of de Quervain's disease using Sono-Instruments®: A feasibility study.","authors":"Fabian Moungondo, Mohammad O Boushnak, Véronique Feipel","doi":"10.1177/17531934251313988","DOIUrl":"10.1177/17531934251313988","url":null,"abstract":"<p><p>We investigated the safety and effectiveness of percutaneous release for de Quervain's disease using Sono-Instruments® in cadaveric specimens. The mean procedure duration was 4 minutes, and complete release was achieved in all specimens.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1251-1252"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019324","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":"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":"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":"1243-1245"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","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}

{"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":"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":"1274-1280"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","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}

{"title":"Creating a common scale for the conversion of qDASH and PRWHE scores.","authors":"Mary R Harvey, Jeremy Rodrigues, Jane E McEachan, Conrad Harrison","doi":"10.1177/17531934251331033","DOIUrl":"10.1177/17531934251331033","url":null,"abstract":"<p><p>The Quick Disabilities of the Arm, Shoulder and Hand Questionnaire and Patient Rated Wrist and Hand Evaluation are two outcome measures used commonly in hand surgery. We evaluated the structural validity of these two outcome measures using item response theory and then developed a common scale that both outcome scores could be mapped to. Factor analysis found that both outcome measures assess the same two health constructs: 'Pain' and 'Motor Function'. We developed two separate common scales for both subscales. Frequency density plots and Bland-Altman analysis suggested that these can be used to compare the scores of one instrument to the other. We present a look-up table allowing readers to map sum-scores from these outcome measures onto the common scales.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1215-1224"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013926","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":"Cadaveric study to analyse the influence of distal radial malunion on muscle control of carpal rotational alignment.","authors":"Núria Fernández-Noguera, Marc Garcia-Elias Cos, Manuel Llusá-Pérez, Mireia Esplugas, Àlex Lluch","doi":"10.1177/17531934251330985","DOIUrl":"10.1177/17531934251330985","url":null,"abstract":"<p><p>Extra-articular distal radial malunion may result in poor functional outcome. This biomechanical study aims to investigate whether changes in the shape of distal radius (length and/or inclination) may influence the muscle control of carpal rotational alignment. Nine cryopreserved cadaveric specimens were used to reproduce six distal radius conditions: (1) unaltered anatomy; (2) 20° dorsal tilt; (3) 20° anterior tilt; (4) 4 mm shortening; (5) 20° anterior tilt and 4 mm shortening; and (6) 20° dorsal tilt and 4 mm shortening. Combined shortening and dorsal tilting of the radius reduced the supination effect of abductor pollicis longus and extensor carpi radialis longus on the distal carpal row, whereas combined shortening and anterior tilting prompted pronation of the distal row when all muscles were contracted. This study provides evidence that distal radial malunion may alter muscular control of carpal rotational alignment.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1170-1176"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046843","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":"Radiographic outcomes decline linearly with increased time to surgery in distal radius fractures: A cohort analysis.","authors":"Mats Wadsten, Albert Christersson, Ana Farah-Mwais, Magnus Tägil, Emma Haskovec, Markus Engquist, Viktor Schmidt","doi":"10.1177/17531934251379171","DOIUrl":"https://doi.org/10.1177/17531934251379171","url":null,"abstract":"<p><strong>Introduction: </strong>The optimal timing for distal radial fracture fixation remains controversial. Most previous studies have dichotomized timing into early or delayed categories, potentially obscuring the true effect of delay. This study investigated surgical timing as a continuous variable to determine its influence on radiographic alignment.</p><p><strong>Methods: </strong>In a retrospective multicentre cohort study, we reviewed 691 surgically treated distal radial fractures across four Swedish hospitals. Radiographic parameters assessed included dorsal tilt (primary outcome), radial inclination, ulnar variance, intra-articular step, coronal shift and anterior apposition. Logistic regression was used to analyse overall acceptable alignment, while linear regression was used for dorsal tilt. Models were adjusted for age and sex. Interobserver reliability was evaluated with intraclass correlation coefficients.</p><p><strong>Results: </strong>The mean patient age was 61 years, and 80% of the cohort were female. Each additional day delay to surgery increased the risk of unacceptable alignment by 6%, corresponding to a twofold risk increase with a 2 week delay. Dorsal tilt worsened linearly by approximately 0.34° per day, accumulating to nearly 5° after 2 weeks. Male sex was associated with significantly greater dorsal tilt (mean difference >2°) and reduced correction compared with females. Interclass correlation coefficients demonstrated excellent reliability for dorsal tilt (0.952) and radial inclination (0.947), and moderate reliability for ulnar variance (0.748) and coronal shift (0.611).</p><p><strong>Conclusion: </strong>A linear relationship was identified between surgical delay and declining radiographic outcomes, highlighting that each day's delay progressively compromises fracture alignment. These findings emphasize the importance of prompt surgical intervention for distal radial fractures to achieve optimal radiographic results.</p><p><strong>Level of evidence: </strong><b>III</b>.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251379171"},"PeriodicalIF":1.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188118","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":"Comparison of kinematic wrist motion between dominant and non-dominant hands in bimanual tasks of activities of daily living.","authors":"Shota Date, Yuki Yamamoto, Hiroshi Kurumadani, Yosuke Ishii, Toshiyuki Fukushima, Toru Sunagawa","doi":"10.1177/17531934251381208","DOIUrl":"https://doi.org/10.1177/17531934251381208","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined differences in wrist motion between the dominant and non-dominant hands during bimanual tasks of activities of daily living.</p><p><strong>Methods: </strong>Twenty healthy participants performed eight tasks: four predominantly using the dominant hand (asymmetrical tasks) and four requiring equal use of both hands (symmetrical tasks). Wrist motion was measured with an electrogoniometer and directional wrist motion proportions were compared between hands.</p><p><strong>Results: </strong>The dominant and non-dominant hands had complementary dart-throwing and reverse dart-throwing wrist motions during asymmetrical tasks, whereas both hands displayed similar dart-throwing directed wrist motions during symmetrical tasks.</p><p><strong>Conclusion: </strong>Wrist rehabilitation after injury should include exercises that target both dart-throwing and reverse dart-throwing wrist motions to support recovery of function in bimanual activities of daily living.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251381208"},"PeriodicalIF":1.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188127","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":"Which is more common; right or left distal radial fractures?","authors":"Grey Giddins, Miranda Giddins","doi":"10.1177/17531934251375711","DOIUrl":"https://doi.org/10.1177/17531934251375711","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to review the published literature to assess whether adult distal radial fractures were more common on the left side than the right, and more common on the non-dominant or dominant side.</p><p><strong>Methods: </strong>A structured literature review was performed using a predefined search. There were 1726 papers possibly related to dominance and 1571 related to laterality. After screening of the abstracts, 41 papers relating to hand dominance and 144 to laterality were retrieved for full text analysis. Studies reporting adult patients, over 250 fractures and providing data on laterality or hand dominance were included.</p><p><strong>Results: </strong>There were 10 papers fulfilling the inclusion criteria. Three were from national databases providing 92% of the cases. Overall there were 47,959 distal radial fractures of which 26,534 (55.3%) occurred on the left and 21,425 (44.7%) occurred on the right (<i>p</i> < 0.0001). Of 1738 distal radial fractures where hand dominance was reported, 935 (53.8%) were on the side of the non-dominant hand and 803 (46.2%) on the side of the dominant hand (<i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>Distal radial fractures occur significantly more often on the left side and to the non-dominant hand. This is confirmed in the limited data on side of injury in studies of fracture fixation and with the data on implant purchasing patterns for institutions. Why there is this difference is unclear, but may relate to fall mechanics, protective reflexes or subtle differences in bone density. These results may help validate randomization in clinical trials.</p><p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251375711"},"PeriodicalIF":1.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188174","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":"Determining the ideal position of the longitudinal centre of rotation for a Motec^® total wrist arthroplasty.","authors":"Joanna Glanville, Karl T Bates, Sebastiano Fichera, Ashley W Newton, Daniel J Brown","doi":"10.1177/17531934251378987","DOIUrl":"https://doi.org/10.1177/17531934251378987","url":null,"abstract":"<p><strong>Introduction: </strong>The centre of rotation (COR) of the Motec^® ball-and-socket total wrist arthroplasty (TWA) lies at the centre of the head, and is determined by the position of the cup and thus the radial implant. The ideal position for the COR is not known.</p><p><strong>Methods: </strong>The effect of the longitudinal position of the COR on performance of the wrist was studied using custom-made articular components in a cadaveric wrist model controlled by an active wrist motion simulator. Analysis of the standard surgical technique and clinical corroboration of postoperative radiographs were also performed.</p><p><strong>Results: </strong>The ideal position for the COR is 8 mm distal to the point where the long axis of the radius meets the distal articular surface (the RCS) and 95% of optimal movement and efficiency can be achieved within 3.3 mm of that point. The standard surgical technique results in the COR being positioned7mm distal to the RCS. Clinical corroboration, in 40 well-functioning Motec^® wrists, confirmed the COR was within the range where the implant could be expected to achieve at least 95% of preoperative movement and efficiency.</p><p><strong>Conclusion: </strong>Moving the COR of a Motec^® TWA affects movement and efficiency. Flexion and extension are more affected than other movements. Performance of the wrist deteriorates with more proximal and distal positions; however excellent results can be obtained over a relatively wide area.The standard surgical technique reliable places the COR of the Motec^® TWA in a position where optimal movement and efficiency can be expected.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251378987"},"PeriodicalIF":1.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115805","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}