The Journal of hand surgery, European volume最新文献

{"title":"Intramedullary cannulated screw fixation for hand fractures: patient-reported, clinical and radiological outcomes at 5 year follow-up.","authors":"Eliane Wacker, Myrna Gunning, Olga Politikou, Sophie Knipper, Inga S Besmens, Maurizio Calcagni","doi":"10.1177/17531934261416764","DOIUrl":"https://doi.org/10.1177/17531934261416764","url":null,"abstract":"<p><strong>Introduction: </strong>Intrameduallry cannulated screw fixation is a relative recent technique that can be used for metacarpal and phalangeal fractures. The aim of the study was to report patient-reported, clinical and radiological outcomes at a median follow-up of 5 years.</p><p><strong>Methods: </strong>Sixty-seven patients with 38 metacarpal and 31 phalangeal fractures were treated with cannulated screws. Median follow-up was 5 years (interquartile range, IQR 3.5 to 6.5), and the median age of the patients at the time of surgery was 45 years. Outcomes were assessed with the Michigan Hand Questionnaire (MHQ) and the Patient-Specific Functional Scale (PSFS). Clinical outcomes were range of motion and grip strength, and radiological outcomes included fracture healing and joint degeneration. Revisions and complications were also recorded. All patients filled in the questionnaires and 47 of those attended clinical and radiological follow-up.</p><p><strong>Results: </strong>Median MHQ score was 90 (IQR 75-100) and median PSFS score was 9 (IQR 5 to 10), indicating high satisfaction and favourable function. Median total active motion was 283° (IQR 254 to 311°) and median grip strength was 40 kg (IQR 35 to 45 kg). Radiographs showed that all fractures had healed in a good position. Radiographic degenerative changes were observed in five patients, and nine patients underwent revision procedures due to soft-tissue adhesions (<i>n</i> = 3), hardware-related complications, including screw malposition, migration or bending (<i>n</i> = 3), and reduction problems, such as secondary displacement or rotational malalignment (<i>n</i> = 3).</p><p><strong>Conclusion: </strong>Cannulated screw fixation provided good medium-term functional outcomes and high patient satisfaction in metacarpal and phalangeal fractures. A 13.4% revision rate was observed, which is lower compared with historical data on fracture fixation with plates.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261416764"},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725243","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 reamed arthrodesis for distal interphalangeal joint arthritis: surgical technique and case series.","authors":"Juan M Pardo Garcia, Belen P Mayo, Eudaldo Gallo Del Valle, Diego Gonzalez-Morgado","doi":"10.1177/17531934251409628","DOIUrl":"https://doi.org/10.1177/17531934251409628","url":null,"abstract":"<p><p>We describe a minimally invasive percutaneous technique incorporating articular surface reaming for distal interphalangeal joint arthrodesis and report its clinical outcomes in ten patients. All patients achieved bone union at 6 weeks. Pain and functional scores improved at the 2-year follow-up.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251409628"},"PeriodicalIF":1.6,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719009","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":"Restoring balance in the distal radioulnar joint: advancements in minimally invasive surgical approaches.","authors":"Gerald A Kraan, Rohit Arora, Pak Cheong Ho, Niels Wl Schep","doi":"10.1177/17531934261417561","DOIUrl":"https://doi.org/10.1177/17531934261417561","url":null,"abstract":"<p><p>Distal radioulnar joint (DRUJ) balance is essential for forearm rotation, load transmission, and overall wrist function. Traumatic injuries - including foveal triangular fibrocartilage complex (TFCC) tears, distal radius malunions and disruption of the distal oblique bundle - represent the most common causes of symptomatic DRUJ instability. Accurate differentiation between physiological laxity and clinically relevant instability remains challenging owing to limited reliability of physical examination and the subtle nature of soft-tissue pathology. Comprehensive assessment requires detailed anatomical understanding, structured clinical evaluation, multimodal imaging and, when indicated, diagnostic arthroscopy. Advances in minimally invasive surgical techniques have transformed the management of DRUJ instability. Arthroscopic interventions allow precise identification and treatment of TFCC lesions, enabling foveal repairs, capsular reinforcement, and tendon-graft reconstructions while minimizing soft-tissue disruption. Open yet minimally invasive procedures - including suture-button suspension constructs and distal oblique bundle reinforcement - offer additional options for restoring stability, particularly in chronic or complex cases. Treatment selection depends on underlying pathoanatomy, patient age, severity of instability and associated osseous deformities such as distal radius malunion or ulnar-positive variance. Postoperative recovery requires careful monitoring of stability, range of motion and functional progression, with growing evidence supporting shorter immobilization and early supervised mobilization in stable repairs. A stepwise algorithm integrating anatomical, clinical, radiographic and arthroscopic findings can guide decision-making and optimize outcomes. As diagnostic imaging and arthroscopic techniques continue to evolve, minimally invasive approaches will play an increasingly central role in restoring DRUJ balance, improving function and preventing long-term degenerative change.<b><b>Level Evidence:</b> V</b>.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261417561"},"PeriodicalIF":1.6,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694475","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":"Delayed repair of flexor digitorum profundus tendon avulsion using the palmar plate flap technique.","authors":"Mohammad M Al-Qattan, Ahmed M Al-Qattan","doi":"10.1177/17531934261432420","DOIUrl":"https://doi.org/10.1177/17531934261432420","url":null,"abstract":"<p><p>The inclusion of the palmar plate of the distal interphalangeal joint in the repair of flexor digitorum profundus tendon avulsion injuries has been described in acute cases. We present a case series reporting the technique in patients with delayed presentation.<b>Level of evidence:</b> III (Retrospective comparative study).</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261432420"},"PeriodicalIF":1.6,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635165","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":"Prediction of adverse events in proximal interphalangeal joint surface-replacement implants.","authors":"Elisa Hornung, Kei H Mathis, Miriam Marks, Andreas Schweizer, Daniel B Herren, Stephan Schindele","doi":"10.1177/17531934261424143","DOIUrl":"https://doi.org/10.1177/17531934261424143","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this registry-based study was to analyse predictors of adverse events and the risk of implant revision surgery up to 10 years after proximal interphalangeal joint surface replacement.</p><p><strong>Methods: </strong>Adverse events in patients who underwent proximal interphalangeal joint surface replacement with the CapFlex-PIP prosthesis between 2010 and 2024 were analysed. Uni- and multivariate logistic regression models were developed to identify predictors of limited range of motion of the proximal interphalangeal joint (below 30°), implant-related problems and revision surgeries. The covariates included in the models were preoperative sociodemographic data, clinical measures, patient-reported outcomes and surgical details.</p><p><strong>Results: </strong>Four-hundred and thirty-one patients with 476 implants were analysed. The risk of reduction of range of movements increased with younger age and prior hand surgeries, but decreased for fingers with lax radial collateral ligament, as well as for the ring finger (<i>R</i>² = 0.10). The little finger had a higher risk of implant-related problems. Greater surgical experience was associated with an 83% reduced risk of implant-related problems and a 76% reduced risk of revision surgery.</p><p><strong>Conclusion: </strong>Greater surgical experience was associated with fewer implant-related issues or the need for revision surgery in patients after proximal interphalangeal joint surface replacement. However, the models explained only a small proportion of the variance in adverse events, suggesting that there could be additional contributing factors.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261424143"},"PeriodicalIF":1.6,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635171","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":"A shorter, algorithm-based Michigan Hand Outcomes questionnaire remains valid for outcome assessment in hand patients.","authors":"Kei H Mathis, Sebastiaan T Peters, Kevin C Chung, Daniel B Herren, Ruud W Selles, Harm P Slijper, Miriam Marks, Robbert M Wouters","doi":"10.1177/17531934261435891","DOIUrl":"https://doi.org/10.1177/17531934261435891","url":null,"abstract":"<p><strong>Introduction: </strong>The Michigan Hand Outcomes Questionnaire is widely used to assess hand function and treatment outcomes. This study aimed to develop a shorter, more patient-friendly version of the original 37-item tool while preserving its psychometric validity.</p><p><strong>Methods: </strong>Based on two sets of prospectively collected, complete questionnaire data from patients treated for single hand conditions in the Netherlands (<i>n</i> > 72,000) and Switzerland (<i>n</i> = 623), we used Chi-squared Automated Interaction Detection methods to develop and test decision trees that would reliably predict both questionnaire subdomain scores and the total score using fewer items. The Dutch dataset was split into two parts, one to build the model and the other for validation, and the Swiss data were used to further test the final model. The performance of the shortened questionnaire was examined using intraclass correlation coefficients and Bland-Altman analyses.</p><p><strong>Results: </strong>The number of items for the total score could be reduced from 37 to 16 and even down to four items in one version, while still achieving results very similar to those for the full questionnaire. The predicted scores from the shortened tool matched the original questionnaire scores well with high intraclass correlation coefficients, ranging from 0.91 to 0.98, and low error.</p><p><strong>Conclusion: </strong>We developed and validated a Chi-squared Automated Interaction Detection-based decision tree questionnaire that markedly reduces item count while preserving high psychometric validity. This shortened Michigan Hand Outcomes Questionnaire is openly available and offers a valid and practical alternative to the full questionnaire, reducing the burden for the patient and improving feasibility for clinical practice and research.</p><p><strong>Level of evidence: </strong>II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261435891"},"PeriodicalIF":1.6,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619366","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":"Midterm outcomes following revision of failed trapeziectomy with a costochondral autograft.","authors":"Stefan Meuser, Johanna Ueberberg, Nikolaus Kernich, Carolyn Weber, Martin Richter","doi":"10.1177/17531934261436298","DOIUrl":"https://doi.org/10.1177/17531934261436298","url":null,"abstract":"<p><strong>Introduction: </strong>Painful scaphometacarpal impingement after trapeziectomy with or without tendon interposition and ligament reconstruction can be revised with a costochondral autograft. The aim of this retrospective study was to report the outcomes of this surgical procedure.</p><p><strong>Methods: </strong>All patients who were operated between 2014 and 2023 were invited for a final follow-up. Patient-reported outcomes, clinical function, radiologic measurements of thumb length and a questionnaire for thoracic donor site morbidity were evaluated.</p><p><strong>Results: </strong>Out of a total of 43 patients (44 thumbs), 35 patients (36 thumbs) were available for follow-up at a mean follow-up of 71 months (SD 32). The median visual analogue scale score for pain at rest improved from 7 (IQR 5 to 9) preoperatively to 1 (IQR 0 to 5) at follow-up. The score during activities of daily life changed from 9 (IQR 8 to 10) to 5 (1 to 8). The mean brief Michigan Hand Questionnaire score was 53 (SD 24) at the time of follow-up. Twenty-one patients rated their results as good and nine rated them as fair. The median Kapandji index was 9 (IQR 9 to 10) with a median key pinch of 3 kg (IQR 2 to 4). After initial improvement radiological thumb length deteriorated over time to preoperative values. Five out of 35 patients complained about chronic pain at the site of cartilage excision between 1 and 5 on the visual analogue scale.</p><p><strong>Conclusion: </strong>We do not recommend a costochondral autograft as the first choice for revision surgery, but it still could be a solution for recurrent problems.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261436298"},"PeriodicalIF":1.6,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619364","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":"Biceps-to-triceps transfer for active shoulder abduction deficit in brachial plexus birth palsy: a small case series.","authors":"Abdelaziz Boulahouache, Zoubir Belkheyar","doi":"10.1177/17531934261436211","DOIUrl":"https://doi.org/10.1177/17531934261436211","url":null,"abstract":"<p><p>Biceps-to-triceps transfer was performed in three children with concurrent deficits in shoulder abduction and elbow extension attributable to cocontraction following natural recovery from brachial plexus birth palsy. Substantial improvements in active shoulder abduction were observed without impairing elbow flexion.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934261436211"},"PeriodicalIF":1.6,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619356","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":"Deep transverse metacarpal ligament instability and extensor quadriga secondary to a boxer's fracture.","authors":"Margaretha Y Fonny Heijerman, Shrikant J Chinchalkar, Steven Er Hovius","doi":"10.1177/17531934251365582","DOIUrl":"10.1177/17531934251365582","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"525-527"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839595","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 partial and total capitate shortening osteotomies in the treatment of Lichtman stage 2-3A Kienböck's disease.","authors":"Furkan Erdoğan, Ahmet Pişkin, Muhittin Şener","doi":"10.1177/17531934251389713","DOIUrl":"10.1177/17531934251389713","url":null,"abstract":"<p><strong>Introduction: </strong>This study compared clinical and radiological outcomes of partial and total capitate shortening osteotomies in Lichtman stage 2-3A Kienböck's disease.</p><p><strong>Methods: </strong>Fifty-one patients were retrospectively analysed. Functional outcomes included pain scores, grip and pinch strength and range of wrist motion. Radiological assessment comprised carpal height ratio, lunate dimensions, capitolunate and scapholunate angles, and lunate revascularization on magnetic resonance imaging. Osteoarthritic changes were identified from follow-up radiographs.</p><p><strong>Results: </strong>Both procedures significantly improved pain, grip, pinch strength and range of motion from the baseline. Between-group comparisons revealed similar clinical and radiological outcomes, except for greater grip strength improvement in the partial osteotomy group. Osteoarthritic progression occurred in four patients per group, without significant differences. MRI findings demonstrated comparable lunate revascularization and disease stabilization.</p><p><strong>Conclusion: </strong>Partial and total capitate shortening osteotomies are effective for Lichtman stage 2-3A Kienböck's disease, with grip strength improvement more pronounced in the partial capitate shortening group, while other outcomes were comparable.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"422-427"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446688","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}