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The Journal of hand surgery, European volume最新文献

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The aetiology of fracture and nonunion in the hook of the hamate. 锤骨钩骨折和不愈合的病因。
The Journal of hand surgery, European volume Pub Date : 2024-10-01 Epub Date: 2024-03-15 DOI: 10.1177/17531934241235803
Fiona C Campbell, Stuart W Jones, Doug A Campbell
{"title":"The aetiology of fracture and nonunion in the hook of the hamate.","authors":"Fiona C Campbell, Stuart W Jones, Doug A Campbell","doi":"10.1177/17531934241235803","DOIUrl":"10.1177/17531934241235803","url":null,"abstract":"<p><p>Fractures of the hook of the hamate are traditionally thought to be caused by direct trauma. A review of the anatomy and function of the hamate hook suggests that fracture is more likely as a result of a fatigue response that develops in the hook from repetitive load applied by the adjacent deep flexor tendons. Additional vascular compromise, from direct pressure of the tendons on critical local vessels, reduces blood flow leading to both mechanical and vascular effects that create pathological osseous change and weakening. These changes are likely to predispose to stress fracture and nonunion in repetitive gripping activities and are consistent with radiological findings.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133721","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
Expected outcome for reconstructive hand surgery after spinal cord injuries related to level of injury and sex. 脊髓损伤后手部重建手术的预期效果与损伤程度和性别有关。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241281173
Therese Ramström, Lina Bunketorp Käll, Jennifer Dunn, Carina Reinholdt, Johanna Wangdell
{"title":"Expected outcome for reconstructive hand surgery after spinal cord injuries related to level of injury and sex.","authors":"Therese Ramström, Lina Bunketorp Käll, Jennifer Dunn, Carina Reinholdt, Johanna Wangdell","doi":"10.1177/17531934241281173","DOIUrl":"10.1177/17531934241281173","url":null,"abstract":"<p><p>This retrospective, multicentre study maps grip strength and grasp ability after tendon transfer surgery in patients with tetraplegia. Data were analysed in the whole group and in subgroups stratified into the International Classification for Surgery of the Hand in Tetraplegia (ICSHT) and sex. In total, 200 arms (143 patients) had tendon transfer surgery to restore grip and pinch function, 74% were men, 42% were ICSHT group ≤3 and 58% ICSHT were group ≥4. The one-year outcome across all participants for grip strength was 5.2 kg, pinch strength 2.1 kg and a score of 108 for the Grasp and Release test. Men had significantly higher grip and pinch strength compared to women, while there was no significant difference with respect to grasp ability. ICSHT group ≥4 had significantly higher grip strength and grasp ability compared to ICSHT group ≤3, whereas no significant difference in pinch strength between ICSHT groups was seen.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335588","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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335590","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
Single versus double fascicular transfer for brachial plexus injuries: a systematic review and meta-analysis with meta-regression. 臂丛神经损伤的单筋膜转移与双筋膜转移：系统回顾和荟萃回归分析。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241281187
Ramin Shekouhi, Syeda Hoorulain Ahmed, Alexzandra Mattia, Yousef Husseiny, Cameron Gerhold, Harvey Chim
{"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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","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}
引用次数: 0
Round table discussion. Distal radioulnar joint instability after surgical treatment of distal radial fractures. 圆桌讨论。桡骨远端骨折手术治疗后桡骨远端关节不稳定。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241268980
Niels W L Schep, James S Lin, Steven L Moran, Pascal F W Hanneman, Carlos Heras-Palou
{"title":"Round table discussion. Distal radioulnar joint instability after surgical treatment of distal radial fractures.","authors":"Niels W L Schep, James S Lin, Steven L Moran, Pascal F W Hanneman, Carlos Heras-Palou","doi":"10.1177/17531934241268980","DOIUrl":"https://doi.org/10.1177/17531934241268980","url":null,"abstract":"<p><p>Distal radioulnar joint instability is commonly seen after surgical fixation of a distal radial fracture, and surgeons' ability to reliably determine stability on examination is poor. Debate remains regarding whether to fix the ulnar styloid or reinsert the triangular fibrocartilaginous complex. Four surgeons with Level 5 expertise were asked to respond to questions surrounding this debate.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335591","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
Feasibility of a less invasive supercharged end-to-side anterior interosseous nerve to ulnar motor nerve transfer. 创伤较小的骨间前神经与尺骨运动神经端对端增压转移术的可行性。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241278885
Miguel Tovar-Bazaga, Javier Cervera-Irimia
{"title":"Feasibility of a less invasive supercharged end-to-side anterior interosseous nerve to ulnar motor nerve transfer.","authors":"Miguel Tovar-Bazaga, Javier Cervera-Irimia","doi":"10.1177/17531934241278885","DOIUrl":"https://doi.org/10.1177/17531934241278885","url":null,"abstract":"<p><p>The object of this study was to perform an anatomical dissection of Thiel-embalmed specimens in a step-by-step procedure, to establish a 'safe zone' in which to perform a less invasive supercharged end-to-side (SETS) anterior interosseous nerve to ulnar motor nerve transfer without tension and to demonstrate its feasibility. The sample size was calculated with a 5 mm error to reach a 95% confidence interval. Dissection was performed in 15 specimens and the 'safe zone' was established between 40 and 90 mm proximal to the pisiform. Several surgical tips are recommended to help complete the procedure. A reproducible 'safe zone' was found for performing a SETS anterior interosseous to ulnar motor nerve transfer with 95% certainty, reducing soft tissue damage and enhancing the original surgical technique.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335589","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
Anatomic variations of the supinator nerve for transfer to the posterior interosseous nerve in tetraplegia. 四肢瘫痪患者上臂神经转移至后骨间神经的解剖变异。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241283818
H Alex Hoyen, Shaan Patel, Julian Gatta, Kyle J Chepla
{"title":"Anatomic variations of the supinator nerve for transfer to the posterior interosseous nerve in tetraplegia.","authors":"H Alex Hoyen, Shaan Patel, Julian Gatta, Kyle J Chepla","doi":"10.1177/17531934241283818","DOIUrl":"https://doi.org/10.1177/17531934241283818","url":null,"abstract":"<p><p>The anatomy of the supinator nerve was evaluated in 20 fresh-frozen cadavers. Variations in branching patterns, number of motor branches and distance of the branch points from the radial nerve relative to the radiocapitellar joint are described.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335587","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
Ultrasonography of the median nerve before removal of anterior locking plates from the distal radius. 桡骨远端前锁板移除前的正中神经超声造影。
The Journal of hand surgery, European volume Pub Date : 2024-09-28 DOI: 10.1177/17531934241280184
Takafumi Hosokawa, Tsuyoshi Tajika, Morimichi Suto, Taito Nagashima, Shinsuke Arisawa, Hirotaka Chikuda
{"title":"Ultrasonography of the median nerve before removal of anterior locking plates from the distal radius.","authors":"Takafumi Hosokawa, Tsuyoshi Tajika, Morimichi Suto, Taito Nagashima, Shinsuke Arisawa, Hirotaka Chikuda","doi":"10.1177/17531934241280184","DOIUrl":"https://doi.org/10.1177/17531934241280184","url":null,"abstract":"<p><p>Both forearms of 36 patients who had been treated with an anterior locking plate using the trans-flexor carpi radialis approach for unilateral distal radial fractures were investigated by ultrasonography from the distal end of the radius to 5 cm proximally before plate removal. After fixation of the anterior locking plate, the median nerve was significantly more radially located to the flexor carpi radialis tendon than on the healthy side and showed hypertrophy and flattening at the distal end of the radius. In six cases, the median nerve on the plate side lay radial to the flexor carpi radialis tendon. The median nerve after plate fixation may lie more radially than its original position. Confirming the radial deviation of the median nerve by ultrasonography before removal of the anterior locking plate is useful to prevent the complication of median nerve injury.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335594","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
Streptococcus pyogenes flexor tenosynovitis. 化脓性链球菌屈指腱鞘炎
The Journal of hand surgery, European volume Pub Date : 2024-09-27 DOI: 10.1177/17531934241286114
Katie Frith, Daniela de Lima Corvino, Ronit Wollstein
{"title":"Streptococcus pyogenes flexor tenosynovitis.","authors":"Katie Frith, Daniela de Lima Corvino, Ronit Wollstein","doi":"10.1177/17531934241286114","DOIUrl":"https://doi.org/10.1177/17531934241286114","url":null,"abstract":"<p><p>We describe a case of Group A streptococcal infection originally presenting as flexor tenosynovitis. Group A <i>Streptococcus</i> outbreaks have been recently described in developed countries, which constitutes an epidemiological shift that hand surgeons should be aware of.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335593","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
Is the ulnar fovea sign positive only in foveal tears of the triangular fibrocartilage complex? 尺骨窝征象是否只在三角纤维软骨复合体的窝状撕裂时才呈阳性？
The Journal of hand surgery, European volume Pub Date : 2024-09-24 DOI: 10.1177/17531934241279921
Muntasir Mannan Choudhury, Angeline Aw Ai Ling, Robert Tze Jin Yap
{"title":"Is the ulnar fovea sign positive only in foveal tears of the triangular fibrocartilage complex?","authors":"Muntasir Mannan Choudhury, Angeline Aw Ai Ling, Robert Tze Jin Yap","doi":"10.1177/17531934241279921","DOIUrl":"https://doi.org/10.1177/17531934241279921","url":null,"abstract":"<p><p>A positive ulnar fovea sign is usually considered to be specific for foveal disruption of the distal radioulnar ligaments. A retrospective review was done of 73 patients with a positive ulnar fovea sign. Only 21 patients had a foveal tear on arthroscopic examination.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309560","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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