{"title":"Pollicization for congenital thumb malformations: a retrospective study of 24 patients with a 9 year mean follow-up.","authors":"Gauthier Desrousseaux, Aurélie Mézel, Marc Saab","doi":"10.1177/17531934251375812","DOIUrl":"https://doi.org/10.1177/17531934251375812","url":null,"abstract":"<p><p>This study assessed clinical and functional outcomes after pollicization for congenital thumb malformations in 24 patients. Most achieved good functional scores, although grip and key pinch strength were reduced. Outcomes were poorer in patients with associated comorbidities.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251375812"},"PeriodicalIF":1.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115798","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":"Arthroscopic-assisted excision of avascular osteochondral fragments of the proximal pole of the scaphoid.","authors":"Istvan Zoltan Rigo","doi":"10.1177/17531934251379707","DOIUrl":"https://doi.org/10.1177/17531934251379707","url":null,"abstract":"<p><p>Proximal scaphoid nonunions with small avascular osteochondral fragments and an intact scapholunate ligament can be treated with arthroscopic excision of the fragments without causing instability. Two cases are presented.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251379707"},"PeriodicalIF":1.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115766","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}
Andres Mena, James Yang, Jonathan Whitehead, Ronit Wollstein
{"title":"Mechanical consequences of scaphotrapeziotrapezoid fusion studied by computational modelling.","authors":"Andres Mena, James Yang, Jonathan Whitehead, Ronit Wollstein","doi":"10.1177/17531934251374508","DOIUrl":"https://doi.org/10.1177/17531934251374508","url":null,"abstract":"<p><p>Scaphotrapeziotrapezoid arthrodesis is a controversial surgical procedure for wrist disorders and its biomechanical effect remains unclear. This study investigated scaphotrapeziotrapezoid fusion based on a previously validated whole-wrist finite element model to simulate arthrodesis by creating a unified bone complex from the three bones (scaphoid, trapezium and trapezoid) in the joint. The model was analysed under physiological grasping loads to examine axial load distributions and articular contact pressures at the radioscaphoid and radiolunate interfaces. The fused complex becomes a major load-bearing structure, while radiocarpal contact pressures at both the radioscaphoid and radiolunate interfaces show reductions compared with the intact model. This altered load distribution pattern suggests significant biomechanical adaptations after the procedure and supports its use for scapholunate instability and the treatment of Kienböck's disease.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251374508"},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007040","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":"Inverted dome radial osteotomy and ulnar shortening for neglected paediatric distal radial epiphyseal injury with ulnar impaction syndrome.","authors":"Angela Wang, An-Jhih Luo, Jung-Pan Wang","doi":"10.1177/17531934241307501","DOIUrl":"10.1177/17531934241307501","url":null,"abstract":"<p><p>Neglected distal radial epiphyseal injuries can result in radial deformity and positive ulnar variance. We describe an inverted-dome radial osteotomy and ulnar shortening osteotomy to treat a paediatric distal radial malunion with ulnar impaction syndrome.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1105-1107"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820535","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":"Subacute distal radio-ulnar joint subluxation after a distal radius fracture.","authors":"Grey Giddins, Tristan Fraser, Robert Lambert","doi":"10.1177/17531934241308137","DOIUrl":"10.1177/17531934241308137","url":null,"abstract":"<p><p>We report a series of 12 patients who developed early distal radioulnar joint subluxation after a distal radial fracture, not present on the initial radiographs. Early identification and management of this condition can give good clinical results.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1103-1104"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960860","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":"How to conduct a meta-analysis in hand surgery. Part II: heterogeneity and publication bias.","authors":"Roberto S Rosales, Mike Ruettermann","doi":"10.1177/17531934251317837","DOIUrl":"10.1177/17531934251317837","url":null,"abstract":"<p><p>This is the second part of a two-part article on pitfalls in meta-analysis in hand surgery. The purpose of this second part is to introduce the concepts of heterogeneity and publication bias and to describe how these problems should be analysed and addressed when conducting meta-analyses in hand surgery. Statistical heterogeneity, which occurs when the variability in the observed effect cannot be explained by sampling variability alone, may be caused by clinical heterogeneity, methodological heterogeneity or both. A common error in hand surgery meta-analyses is the failure to adequately investigate the sources of heterogeneity. Heterogeneity is also associated with publication bias. Understanding heterogeneity in published meta-analyses would help in the understanding of the available evidence in Hand Surgery.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1120-1128"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412237","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}
Robert Miller, Angela E Kedgley, Simon Farnebo, Filip Stockmans, Dan A Zlotolow, Maxim D Horwitz
{"title":"Round table discussion. Integration of artificial intelligence into daily practice.","authors":"Robert Miller, Angela E Kedgley, Simon Farnebo, Filip Stockmans, Dan A Zlotolow, Maxim D Horwitz","doi":"10.1177/17531934251342418","DOIUrl":"10.1177/17531934251342418","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1134-1141"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145266","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":"Single versus double fascicular transfer for brachial plexus injuries: a systematic review and meta-analysis with meta-regression.","authors":"Ramin Shekouhi, Syeda Hoorulain Ahmed, Alexzandra Mattia, Yousef Husseiny, Cameron Gerhold, Harvey Chim","doi":"10.1177/17531934241281187","DOIUrl":"10.1177/17531934241281187","url":null,"abstract":"<p><p>The primary objective of this review was to assess whether double fascicular transfer has superior outcomes compared with single fascicular transfer for reanimation of elbow flexion. In total, 58 studies including 1388 patients (mean age 29 years [SD 8]) were included. Subgroup analysis comparing the severity of brachial plexus injury (C5-C6, C5-C7, C5-C8) showed no significant difference in the recovery of MRC grade 3 and 4. The aggregated mean Disabilities of Arm, Shoulder and Hand score was 38 for the single fascicular transfer group and 27 for the double fascicular transfer group. Meta-regression controlling for level of injury showed that double fascicular transfer and C5-C6 injury were significant predictors of achieving MRC grade 3, while double fascicular transfer and shorter duration of surgical delay were significant predictors of achieving MRC grade 4. When controlling for the level of injury, double fascicular transfer is associated with a greater likelihood of achieving MRC grade 3 and 4 compared to single fascicular transfer. Overall donor site morbidity was not significantly different between single fascicular transfer and double fascicular transfer.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1091-1099"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335592","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":"Machine learning-based MRI radiomics to predict postoperative complications following peripheral nerve sheath tumour excision.","authors":"Jifeng Wang, Jia Hao Liu, Yinuo Sun, Peifeng Li, Kaiming Gao, Jian Wang","doi":"10.1177/17531934251327834","DOIUrl":"10.1177/17531934251327834","url":null,"abstract":"<p><p>This study sought to establish and validate a machine learning-based multi-sequence MRI radiomics model for predicting postoperative complications in patients with peripheral nerve sheath tumours. We conducted a retrospective analysis of 303 patients with pathologically confirmed tumours, extracting features from <i>T</i><sub>1</sub>-weighted and <i>T</i><sub>2</sub>-weighted MRI scans. Relevant radiomic features were identified through interclass correlation coefficient analysis, <i>t</i>-tests and least absolute shrinkage and selection operator techniques. A multi-sequence radiomics model was developed using the Light Gradient Boosting Machine classifier, alongside a clinical-radiomics model that incorporated clinical features. The models exhibited robust diagnostic performance, with areas under the receiver operating characteristic curve reaching 0.95 in the training cohort. These findings underscore the model's potential to accurately predict postoperative complications, providing crucial support for clinicians in devising personalized treatment strategies for patients with peripheral nerve sheath tumours.<b>Level of evidence:</b> Prognostic III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1023-1032"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013927","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}
Abdulkadir Calavul, Hakan Cici, Hakan Zeybek, Ali İhsan Kılıç
{"title":"Clinical and functional outcomes of hand surgery for recessive dystrophic epidermolysis bullosa.","authors":"Abdulkadir Calavul, Hakan Cici, Hakan Zeybek, Ali İhsan Kılıç","doi":"10.1177/17531934251313989","DOIUrl":"10.1177/17531934251313989","url":null,"abstract":"<p><p>Recessive dystrophic epidermolysis bullosa causes blistering and scarring of the hands, resulting in contractures fused web spaces and altered function. The aim of this study was to present the short- and mid-term clinical and functional results of a large case series of patients who underwent surgery for recessive dystrophic epidermolysis bullosa-related pseudosyndactyly. The study included 75 hands in 39 children (21 boys, 18 girls) with a mean age of 8 years (range, 4-15) and minimum follow-up of 1 year. Children were assessed with the Birmingham Epidermolysis Bullosa Severity Score Sheet and the ABILHAND-Kids questionnaire before operation and at final follow-up. There were varying degrees of recurrent scarring in all the hands by 24 months after operation. The ABILHAND-Kids questionnaire showed a significant improvement in ability to perform 17 of 21 tasks. In conclusion, despite recurrence that may develop in the short and mid term, surgical release can provide significant improvements in hand function.<b>Level of Evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1068-1076"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485225","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}