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The Journal of hand surgery, European volume最新文献

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An intraoperative test to show extensor carpi ulnaris tendon instability. 术中测试显示尺侧腕伸肌腱不稳定。
The Journal of hand surgery, European volume Pub Date : 2025-04-29 DOI: 10.1177/17531934251335524
Saskia H van Bergen, Yasmeen Khan, Ramon Tahmassebi
{"title":"An intraoperative test to show extensor carpi ulnaris tendon instability.","authors":"Saskia H van Bergen, Yasmeen Khan, Ramon Tahmassebi","doi":"10.1177/17531934251335524","DOIUrl":"https://doi.org/10.1177/17531934251335524","url":null,"abstract":"<p><p>We describe an intraoperative test to show extensor carpi ulnaris tendon instability in the ulnar sulcus.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251335524"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035350","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
Reconstruction of an amputated thumb with an ulnar polydactyly and an anterolateral thigh flow-through flap. 尺侧多指趾及股前外侧血流皮瓣重建大拇指截断。
The Journal of hand surgery, European volume Pub Date : 2025-04-29 DOI: 10.1177/17531934251337844
Teng Wang, Xi Yang, Xiaoqing He
{"title":"Reconstruction of an amputated thumb with an ulnar polydactyly and an anterolateral thigh flow-through flap.","authors":"Teng Wang, Xi Yang, Xiaoqing He","doi":"10.1177/17531934251337844","DOIUrl":"https://doi.org/10.1177/17531934251337844","url":null,"abstract":"<p><p>We describe a rare case using an ulnar polydactyly with an anterolateral thigh flow-through flap to reconstruct an amputated thumb.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337844"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060871","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
Incidence of extensor carpi ulnaris pathology in patients with triangular fibrocartilage complex foveal repairs. 三角形纤维软骨复合体中央凹修复患者尺侧腕伸肌病理的发生率。
The Journal of hand surgery, European volume Pub Date : 2025-04-18 DOI: 10.1177/17531934251335104
Hyoung-Seok Jung, Bo Mi Chung, Sujin Kim, Yi Sack Yoo, Jae-Sung Lee
{"title":"Incidence of extensor carpi ulnaris pathology in patients with triangular fibrocartilage complex foveal repairs.","authors":"Hyoung-Seok Jung, Bo Mi Chung, Sujin Kim, Yi Sack Yoo, Jae-Sung Lee","doi":"10.1177/17531934251335104","DOIUrl":"https://doi.org/10.1177/17531934251335104","url":null,"abstract":"<p><p>We analysed the association between extensor carpi ulnaris pathology and triangular fibrocartilage complex foveal tears. In total, 178 patients (58 patients and 120 controls) were retrospectively recruited. The patient group comprised individuals with foveal tears. Extensor carpi ulnaris pathology was defined as the presence of tenosynovitis, tendinosis and high-grade tendon subluxation in magnetic resonance images. Tenosynovitis and a high grade of subluxation were more prevalent in patients than in controls (43 vs. 23% and 26 vs. 14%, respectively) whereas the incidence of tendinosis did not significantly differ. In a multivariate regression model, only tenosynovitis was associated with foveal tears (odds ratio 2.56; 95% CI 1.29 to 5.08; <i>p = </i>0.007). Overall, the prevalence of tenosynovitis was higher in the patient group than that in the control group. Extesnor carpi ulnaris tenosynovitis detected on magnetic resonance images is highly associated with triangular fibrocartilage complex foveal tears.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251335104"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065521","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 reliability of a pose-estimation-based WeChat mini-program in monitoring the motor function of patients after brachial plexus injury. 基于体位估计的微信小程序监测臂丛神经损伤后患者运动功能的可靠性。
The Journal of hand surgery, European volume Pub Date : 2025-04-18 DOI: 10.1177/17531934251334887
Jingyuan Fan, Houlin An, Fanbin Gu, Jiantao Yang, Bengang Qin, Qingtang Zhu
{"title":"The reliability of a pose-estimation-based WeChat mini-program in monitoring the motor function of patients after brachial plexus injury.","authors":"Jingyuan Fan, Houlin An, Fanbin Gu, Jiantao Yang, Bengang Qin, Qingtang Zhu","doi":"10.1177/17531934251334887","DOIUrl":"https://doi.org/10.1177/17531934251334887","url":null,"abstract":"<p><p>Patients with brachial plexus injuries often require long-term follow-up, and the frequent hospital visits can be a burden. Remote monitoring of these patients could be facilitated using Human Pose Estimation algorithms. We evaluated the performance of seven recently released algorithms and developed a WeChat mini-program using the best performing model. The validity of this program was then assessed in brachial plexus injured patients by comparing its results with those of manual goniometry. Our results demonstrated acceptable accuracy of this model, with mean differences of 4° and 7° when compared with manual goniometry in shoulder abduction and elbow flexion, respectively. Remote monitoring using a WeChat mini-program is a reliable and convenient tool for the follow-up of brachial plexus injury patients.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251334887"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015916","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 palmar intra-articular extended window approach for distal radial fractures: a biomechanical cadaveric study. 手掌关节内扩展窗入路治疗桡骨远端骨折：生物力学尸体研究。
The Journal of hand surgery, European volume Pub Date : 2025-04-15 DOI: 10.1177/17531934251332565
Pedro Bronenberg Victorica, Lauren Shapiro, Pablo De Carli, Luis M Castro Appiani, Calvin Chan, Robin N Kamal
{"title":"The palmar intra-articular extended window approach for distal radial fractures: a biomechanical cadaveric study.","authors":"Pedro Bronenberg Victorica, Lauren Shapiro, Pablo De Carli, Luis M Castro Appiani, Calvin Chan, Robin N Kamal","doi":"10.1177/17531934251332565","DOIUrl":"https://doi.org/10.1177/17531934251332565","url":null,"abstract":"<p><p>A palmar intra-articular extended window approach can be used during surgical treatment of intra-articular fractures of the distal radius. A biomechanical study was carried out on 10 fresh-frozen cadaver wrists to measure the impact of the approach on proximal carpal row stability during simulated grip loading. The null hypothesis was that this approach would not generate a displacement of more than 2 mm of the scaphoid or lunate in any direction. After incising the palmar capsule, no significant increase in ulnar translation of the lunate or scaphoid was observed. However, after additionally releasing the dorsal radiocarpal ligament, increased mobility was observed, mainly in the anteroposterior axis. This approach may be suitable for the treatment of intra-articular fractures of the distal radius without causing carpal instability. However, care should be taken when there is a suspicion of dorsal wrist ligament injury. <b>Level of evidence:</b> Level V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251332565"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059896","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
Reconstruction of a Leddy and Packer Type Va flexor digitorum profundus avulsion with a novel technique. 用新技术重建Leddy和Packer型Va型指深屈肌撕脱伤。
The Journal of hand surgery, European volume Pub Date : 2025-04-15 DOI: 10.1177/17531934251334567
George Jm Hourston, Julia Chan, Andrew McKee
{"title":"Reconstruction of a Leddy and Packer Type Va flexor digitorum profundus avulsion with a novel technique.","authors":"George Jm Hourston, Julia Chan, Andrew McKee","doi":"10.1177/17531934251334567","DOIUrl":"https://doi.org/10.1177/17531934251334567","url":null,"abstract":"<p><p>We describe a novel technique for reconstructing a Leddy and Packer type Va flexor digitorum profundus avulsion using a K-wire to stabilize the extra-articular component and as a post for suture repair of the avulsed fragment.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251334567"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056390","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
Syndactyly release with skin graft or skin graft substitute: a within-subject controlled trial. 并指释放与植皮或植皮替代品：一项受试者内对照试验。
The Journal of hand surgery, European volume Pub Date : 2025-04-15 DOI: 10.1177/17531934251334359
Deborah C Bohn, Jamie N Price, Susan A Novotny, Tonye S Sylvanus, Ann E Van Heest
{"title":"Syndactyly release with skin graft or skin graft substitute: a within-subject controlled trial.","authors":"Deborah C Bohn, Jamie N Price, Susan A Novotny, Tonye S Sylvanus, Ann E Van Heest","doi":"10.1177/17531934251334359","DOIUrl":"https://doi.org/10.1177/17531934251334359","url":null,"abstract":"<p><p>This study assessed scar healing over a 24-month period after syndactyly release using full-thickness skin autograft or hyaluronic acid matrix skin autograft substitute. A randomized, single-anonymized, within-subject controlled study was used to compare the effectiveness of hyaluronic acid matrix with full-thickness skin autograft, for 40 webs in 18 patients (mean age 1.2 (SD 0.8) years) undergoing syndactyly release. Hyaluronic acid matrix was used on one side of the web and a full-thickness skin autograft on the other. At 12 and 24 months after surgery, healing was assessed using two scar assessment scales and family/surgeon preferences. Results at final follow-up showed that hyaluronic acid matrix and full-thickness skin autograft had no significant differences in scar formation. When compared with full-thickness skin autograft, hyaluronic acid matrix decreases surgical time and has no donor site morbidity; however, there is an open wound for a longer time after operation, with increased requirements for wound care.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251334359"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059814","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
Avoiding pitfalls in conducting hand surgery research - potential consequences of common errors in statistical analyses. 手外科研究中避免陷阱-统计分析中常见错误的潜在后果。
The Journal of hand surgery, European volume Pub Date : 2025-04-12 DOI: 10.1177/17531934251330978
Dieuwke C Broekstra, Elske E D J Bonhof-Jansen, Miriam Marks
{"title":"Avoiding pitfalls in conducting hand surgery research - potential consequences of common errors in statistical analyses.","authors":"Dieuwke C Broekstra, Elske E D J Bonhof-Jansen, Miriam Marks","doi":"10.1177/17531934251330978","DOIUrl":"https://doi.org/10.1177/17531934251330978","url":null,"abstract":"<p><p>Although errors in statistical analyses can seriously distort scientific findings, they remain relatively common in hand surgery research. In this article we demonstrate potential consequences of four commonly made mistakes: unnecessary dichotomization, ignoring data clustering, applying prediction modelling methods for examining independent associations and violating the assumptions of logistic regression. We use real-life examples from our reviewing experience to demonstrate how these commonly made errors can influence results and conclusions, and therefore, impact clinical decision-making. Through these, we hope to further raise awareness of the importance of avoiding errors in statistical analyses, so we can strive towards providing reliable answers to research questions in hand surgery.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251330978"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061627","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
Changing patterns in joint replacement surgery in the hand in Sweden: a population-based study of 5382 patients. 瑞典手部关节置换手术模式的改变：一项基于5382名患者的人群研究。
The Journal of hand surgery, European volume Pub Date : 2025-04-12 DOI: 10.1177/17531934251331360
Viktor Schmidt, Elsa Pihl, Cecilia Mellstrand Navarro, Michael Axenhus
{"title":"Changing patterns in joint replacement surgery in the hand in Sweden: a population-based study of 5382 patients.","authors":"Viktor Schmidt, Elsa Pihl, Cecilia Mellstrand Navarro, Michael Axenhus","doi":"10.1177/17531934251331360","DOIUrl":"https://doi.org/10.1177/17531934251331360","url":null,"abstract":"<p><p>Over a 16-year period (2008-2023), data from the Swedish National Patient Register reveal shifting trends in operation for hand joint replacements linked to demographic, healthcare and surgical advances. Among 5382 identified cases, 63% were women, with the incidence peaking in the 65-74 age bracket, highlighting a marked gender gap in middle and older age groups. Regional analyses indicate significant disparities, as Örebro and Halland had rates exceeding 10 per 100,000, while Stockholm and Blekinge fell below 5 per 100,000. The adoption of total prostheses without cement declined by 22%, reflecting changing surgical preferences. Predictive modelling anticipates an overall decline in incidence by 2035, with gender-specific rates converging over time. These findings highlight the need for targeted healthcare policies that address inequities and minimize unwarranted variations in treatment. Standardized care programmes that support evidence-based surgical decision-making could reduce the incidence of both over- and under-treatment.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251331360"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033322","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
Machine learning-based MRI radiomics to predict postoperative complications following peripheral nerve sheath tumour excision. 基于机器学习的MRI放射组学预测周围神经鞘肿瘤切除术后并发症。
The Journal of hand surgery, European volume Pub Date : 2025-04-12 DOI: 10.1177/17531934251327834
Jifeng Wang, Jia Hao Liu, Yinuo Sun, Peifeng Li, Kaiming Gao, Jian Wang
{"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":"https://doi.org/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":"17531934251327834"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","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}
引用次数: 0
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