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Assessing the learning curve for percutaneous ultrasound-guided release in carpal tunnel syndrome. 评估经皮超声引导下腕管综合征释放的学习曲线。
The Journal of hand surgery, European volume Pub Date : 2025-05-08 DOI: 10.1177/17531934251338970
Manuel Castro-Menéndez, Patricia Balvís-Balvís, Maciej Denisiuk, Olalla Vázquez-Cancela
{"title":"Assessing the learning curve for percutaneous ultrasound-guided release in carpal tunnel syndrome.","authors":"Manuel Castro-Menéndez, Patricia Balvís-Balvís, Maciej Denisiuk, Olalla Vázquez-Cancela","doi":"10.1177/17531934251338970","DOIUrl":"https://doi.org/10.1177/17531934251338970","url":null,"abstract":"<p><p>Percutaneous ultrasound-guided release of carpal tunnel syndrome is an effective and safe technique; however, it requires familiarity with ultrasound visualization of the anatomical structures involved. This study aimed to determine the learning curve for percutaneous ultrasound-guided release of the carpal tunnel. We conducted a prospective, observational, analytical cohort study on patients treated for carpal tunnel syndrome using the percutaneous ultrasound-guided technique. We assessed the learning curve using complication rates, duration of procedure and conversion rate to open surgery. Eighty patients with a mean age of 58 years were included. The surgical time gradually decreased, stabilizing after the first 30 procedures. There were no intraoperative complications and no cases requiring conversion to open surgery. Based on our experience, the learning curve for percutaneous ultrasound-guided release of carpal tunnel syndrome is approximately 30 procedures. Clinical outcomes were not affected by the learning curve.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338970"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056469","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 burden of hand trauma surgery on primary care in the United Kingdom: a nation-wide analysis of antibiotic and opioid prescriptions. 手部创伤手术对英国初级保健的负担：抗生素和阿片类药物处方的全国范围分析。
The Journal of hand surgery, European volume Pub Date : 2025-05-08 DOI: 10.1177/17531934251338120
Justin Cr Wormald, Jennifer Ce Lane, Marti Català, Antonella Delmestri, Jonathan Cook, Jeremy N Rodrigues, Matthew L Costa, Daniel Prieto-Alhambra
{"title":"The burden of hand trauma surgery on primary care in the United Kingdom: a nation-wide analysis of antibiotic and opioid prescriptions.","authors":"Justin Cr Wormald, Jennifer Ce Lane, Marti Català, Antonella Delmestri, Jonathan Cook, Jeremy N Rodrigues, Matthew L Costa, Daniel Prieto-Alhambra","doi":"10.1177/17531934251338120","DOIUrl":"https://doi.org/10.1177/17531934251338120","url":null,"abstract":"<p><p>Although surgical site infection (SSI) risk after hand trauma surgery is around 5%, the severity of these infections is not known. The risk of superficial SSI in a cohort study was evaluated using NHS UK-wide primary care records (<i>n</i> = 641,223), using the Clinical Practice Research Datalink GOLD database. Within this cohort, a subcohort of those who had undergone a hand surgery operation for trauma were identified (<i>n</i> = 3,088). Antibiotic and analgesic prescriptions were analysed at 30 and 90 days postoperatively. By 30 days, 6.2% had been prescribed antibiotics appropriate for SSI, rising to 14.4% (CI [13.2 to 15.8]) by 90 days. By 30 days, 10% had been prescribed opioid analgaesia and by 90 days this had increased to 13.8%. Antibiotics prescriptions for SSI in primary care are substantially higher than the NICE estimate for SSI overall and the expected risk in hand trauma. The implications of this study are that many patients are receiving treatment for SSI in primary care and may be in more pain, for longer, than we expect. Further exploration of this is warranted and future research in hand trauma surgery should capture adverse events occurring outside of the hospital environment.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338120"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046844","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
Outcome of combined nerve and tendon transfer in tetraplegia: a new surgical strategy to restore grasp function. 神经和肌腱联合移植治疗四肢瘫痪的疗效：一种恢复抓握功能的新手术策略。
The Journal of hand surgery, European volume Pub Date : 2025-05-08 DOI: 10.1177/17531934251338008
Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt
{"title":"Outcome of combined nerve and tendon transfer in tetraplegia: a new surgical strategy to restore grasp function.","authors":"Johan Berg, Eleonor Svantesson, Johanna Wangdell, Anders Björkman, Lina Bunketorp Käll, Carina Reinholdt","doi":"10.1177/17531934251338008","DOIUrl":"https://doi.org/10.1177/17531934251338008","url":null,"abstract":"<p><p>This study aimed to assess the outcome of supinator to posterior interosseus nerve transfer, followed by tendon transfer, to restore grasp function in patients with mid-to-high-level cervical spine injuries. Fifteen upper limbs in 11 patients with these injuries were included. The outcomes were then compared with a historical control group consisting of 16 upper limbs that received tendon transfers alone. The outcome was assessed using the Canadian occupational performance measure, ability to open the first web space, and grip and pinch strength 12 months after surgery. The Canadian occupational performance measure was similar in both groups, even though the study group had more severe preoperative impairment. The grip strength was significantly lower in the study group, whereas pinch strength was similar between the groups. This study suggests that a combined nerve and tendon transfer in patients with tetraplegia may offer benefits.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251338008"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002367","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
Nerve transfer of the teres minor motor branch to the long head of the triceps muscle in C6-T1 brachial plexus palsy. C6-T1臂丛神经麻痹小圆肌运动支至肱三头肌长头的神经转移。
The Journal of hand surgery, European volume Pub Date : 2025-05-05 DOI: 10.1177/17531934251337550
Sébastien Durand, Daniel Estoppey, Julie Mercier
{"title":"Nerve transfer of the teres minor motor branch to the long head of the triceps muscle in C6-T1 brachial plexus palsy.","authors":"Sébastien Durand, Daniel Estoppey, Julie Mercier","doi":"10.1177/17531934251337550","DOIUrl":"https://doi.org/10.1177/17531934251337550","url":null,"abstract":"<p><p>We report a case of restoration of elbow extension after C6-T1 brachial plexus injury using nerve transfer of the teres minor motor branch to the long head of the triceps muscle.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337550"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059773","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
Warfare injuries to the wrist. Fusions and motion-preserving procedures. 手腕上的战争伤。融合和运动保持程序。
The Journal of hand surgery, European volume Pub Date : 2025-05-05 DOI: 10.1177/17531934251337589
Serhii Tymoshenko, Andrii Lysak, Mariia Kotova
{"title":"Warfare injuries to the wrist. Fusions and motion-preserving procedures.","authors":"Serhii Tymoshenko, Andrii Lysak, Mariia Kotova","doi":"10.1177/17531934251337589","DOIUrl":"https://doi.org/10.1177/17531934251337589","url":null,"abstract":"<p><p>This retrospective study reports the outcome of secondary reconstruction after severe combat-related injuries to the wrist. Fifteen patients with a median age of 36 years were included. Nine patients underwent total wrist arthrodesis and six had a motion-preserving procedure. In patients with wrist injuries involving the distal radius, concomitant bone defects of the ulna, lunate and scaphoid are often present, making wrist motion-preserving surgical procedures challenging. Total wrist arthrodesis required iliac crest bone grafting in all but one case. The final median QuickDASH score for the fusion group was 50, and the final median grip strength was 10 kg. Motion-preserving procedures provided a 50° arc of movement with a final median QuickDASH of 34 and median grip strength of 6 kg. Total wrist joint arthrodesis was the primary salvage solution.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337589"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046974","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
Re: Dijkmans AL, Laane CLE, Fernandez Dell'Oca A, Jupiter JB, Garg R, Bhashyam AR, Binary Soong grading as a predictor for flexor pollicis longus tendon rupture after distal radial fracture fixation: a retrospective study. [j] Dijkmans AL, Laane CLE, Fernandez Dell'Oca A, Jupiter JB, Garg R, Bhashyam AR， Binary song分级预测桡骨远端骨折固定后拇长屈肌腱断裂的回顾性研究。
The Journal of hand surgery, European volume Pub Date : 2025-05-02 DOI: 10.1177/17531934251337288
Ahmet Furkan Çolak, Berkay Yalçınkaya, Gürsel Leblebicioğlu, Levent Özçakar
{"title":"Re: Dijkmans AL, Laane CLE, Fernandez Dell'Oca A, Jupiter JB, Garg R, Bhashyam AR, Binary Soong grading as a predictor for flexor pollicis longus tendon rupture after distal radial fracture fixation: a retrospective study.","authors":"Ahmet Furkan Çolak, Berkay Yalçınkaya, Gürsel Leblebicioğlu, Levent Özçakar","doi":"10.1177/17531934251337288","DOIUrl":"https://doi.org/10.1177/17531934251337288","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251337288"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063791","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
Re: Bourke G, Wade R, van Alfen N. Updates in diagnostic tools for diagnosing nerve injuries and compressions. J Hand Surg Eur. 2024, 49: 668-80. 再者，Bourke G、Wade R、van Alfen N：Bourke G、Wade R、van Alfen N. 诊断神经损伤和压迫的最新诊断工具。J Hand Surg Eur.2024, 49: 668-80.
The Journal of hand surgery, European volume Pub Date : 2025-05-01 Epub Date: 2024-11-13 DOI: 10.1177/17531934241288802
José Carlos Botelheiro
{"title":"Re: Bourke G, Wade R, van Alfen N. Updates in diagnostic tools for diagnosing nerve injuries and compressions. J Hand Surg Eur. 2024, 49: 668-80.","authors":"José Carlos Botelheiro","doi":"10.1177/17531934241288802","DOIUrl":"10.1177/17531934241288802","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"680"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635527","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
Comparing infection rates with wire, plate and intramedullary nail fixation of open metacarpal and phalangeal fractures. 金属丝、钢板和髓内钉固定治疗开放性掌骨和指骨骨折的感染率比较。
The Journal of hand surgery, European volume Pub Date : 2025-05-01 Epub Date: 2025-02-28 DOI: 10.1177/17531934241277949
Casey Zhang, Pooja D Reddy, Teun Teunis
{"title":"Comparing infection rates with wire, plate and intramedullary nail fixation of open metacarpal and phalangeal fractures.","authors":"Casey Zhang, Pooja D Reddy, Teun Teunis","doi":"10.1177/17531934241277949","DOIUrl":"10.1177/17531934241277949","url":null,"abstract":"<p><p>This retrospective study compares infection-related outcomes between wire, plate and intramedullary nail fixation of open, metacarpal and phalangeal fractures. After adjusting for potential confounding variables, there was no difference in infection rate and reoperation rate for infection.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"666-668"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525684","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
CORRIGENDUM to 'Scapholunate ligament reconstruction using a part of the extensor carpi radialis brevis tendon through a dorsal approach'. 用部分桡腕短伸肌腱经背侧入路重建舟月骨韧带的勘误。
The Journal of hand surgery, European volume Pub Date : 2025-05-01 Epub Date: 2025-03-14 DOI: 10.1177/17531934251322716
{"title":"CORRIGENDUM to 'Scapholunate ligament reconstruction using a part of the extensor carpi radialis brevis tendon through a dorsal approach'.","authors":"","doi":"10.1177/17531934251322716","DOIUrl":"10.1177/17531934251322716","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"685"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627268","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
Radiography versus computed tomography for osseous staging of Kienböck's disease. 在对基恩伯克病进行骨分期时，X 射线造影与计算机断层扫描的比较。
The Journal of hand surgery, European volume Pub Date : 2025-05-01 Epub Date: 2024-09-28 DOI: 10.1177/17531934241286115
Nina Hesse, Karl-Heinz Kalb, Yannick Stohldreier, Hannah Gildein, Jörg van Schoonhoven, Rainer Schmitt
{"title":"Radiography versus computed tomography for osseous staging of Kienböck's disease.","authors":"Nina Hesse, Karl-Heinz Kalb, Yannick Stohldreier, Hannah Gildein, Jörg van Schoonhoven, Rainer Schmitt","doi":"10.1177/17531934241286115","DOIUrl":"10.1177/17531934241286115","url":null,"abstract":"<p><p>This retrospective study compared the diagnostic accuracy of conventional radiography (CR) and computed tomography (CT) in classifying Kienböck's disease (KD) according to Lichtman staging. Besides age, cartilage condition and vascularity, bone morphology is important in choosing the most appropriate treatment in KD. In 278 patients, two musculoskeletal radiologists performed a consensus reading of 281 lunate necroses according to the Lichtman classification, based on CR and CT. Stage IIIc was most common in CR (43%) and CT (61%), followed by stage IIIa for CR (25%) and stage IV for CT (15%). In 67%, KD was classified as the same in both modalities. The KD stage had to be upgraded in CT in 34% of cases, notably with stage IIIa progressing to IIIc in 24 out of 69 patients and stage IIIb to IIIc in 23 out of 38 cases. Overall, the Lichtman score was significantly higher on CT. The findings suggest that CT is better than CR in accurately determining the stage of KD stage, indicating a potential shift towards more surgical salvage procedures.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"643-648"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335590","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}
引用次数: 0
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