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The Journal of hand surgery, European volume最新文献

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The forced small finger abduction test for assessing the strength of intrinsic muscles innervated by the ulnar nerve. 强迫小指外展试验评估尺神经支配的内在肌肉的力量。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-01-09 DOI: 10.1177/17531934241310728
Nut Kittipongphat, Chaiyos Vinitpairot, Surut Jianmongkol
{"title":"The forced small finger abduction test for assessing the strength of intrinsic muscles innervated by the ulnar nerve.","authors":"Nut Kittipongphat, Chaiyos Vinitpairot, Surut Jianmongkol","doi":"10.1177/17531934241310728","DOIUrl":"10.1177/17531934241310728","url":null,"abstract":"<p><p>The study evaluates the forced small finger abduction test for assessing the strength of intrinsic muscles innervated by the ulnar nerve. The test was performed on healthy and ulnar neuropathy patients. Results demonstrate its ability to detect intrinsic weakness, which may enhance diagnosis of ulnar neuropathy.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1100-1102"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960876","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
Outcomes for the shoulder and elbow following surgical reconstruction for traumatic brachial plexus injury in patients over 60 years. 60岁以上外伤性臂丛神经损伤患者手术重建后肩肘关节的预后。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-02-21 DOI: 10.1177/17531934251319335
Kota Hayashi, Johnny Chuieng-Yi Lu, Tommy Nai-Jen Chang, David Chwei-Chin Chuang
{"title":"Outcomes for the shoulder and elbow following surgical reconstruction for traumatic brachial plexus injury in patients over 60 years.","authors":"Kota Hayashi, Johnny Chuieng-Yi Lu, Tommy Nai-Jen Chang, David Chwei-Chin Chuang","doi":"10.1177/17531934251319335","DOIUrl":"10.1177/17531934251319335","url":null,"abstract":"<p><p>This study aims to investigate surgical outcomes in elderly patients aged over 60 years old, with brachial plexus injury, undergoing nerve reconstruction using nerve grafts and/or nerve transfers for shoulder and elbow function. Twenty-two patients met the inclusion criteria. Postoperative median shoulder abduction was 35° in the single nerve transfer group (<i>n</i> = 12) and less than 20° in the single nerve grafting group (<i>n</i> = 2). Patients over 65 tended to have poorer outcomes. For elbow flexion strength, a higher proportion of patients in the nerve transfer group (11/12 cases) achieved M3 or greater elbow flexion compared with the nerve grafting group (3/7 cases). Elbow extension also improved in the reconstructive group (9/13 cases). Given these findings, elbow flexion reconstruction is the first priority, while shoulder abduction, showing poor results, should not consume excessive neurotizers. Elbow extension is the second priority, achievable through nerve reconstruction.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1041-1049"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470404","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
Delayed primary flexor tendon repair in zone II injuries: results of using WALANT and controlled true active motion. II区损伤的延迟初级屈肌腱修复：使用WALANT和控制真实主动运动的结果。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-01-30 DOI: 10.1177/17531934251315039
Zeynep Emir, Sedanur Güngör, Kadir Çevik, Egemen Ayhan
{"title":"Delayed primary flexor tendon repair in zone II injuries: results of using WALANT and controlled true active motion.","authors":"Zeynep Emir, Sedanur Güngör, Kadir Çevik, Egemen Ayhan","doi":"10.1177/17531934251315039","DOIUrl":"10.1177/17531934251315039","url":null,"abstract":"<p><p>Early repair of flexor tendon injuries is ideal, but delays are common. We studied the outcomes of flexor tendon repairs delayed from 5 days to 6 months and carried out under wide-awake local anaesthesia with no tourniquet (WALANT). Twenty-four patients (29 fingers) who underwent primary flexor tendon repair on zone II using a four- to six-strand core suture technique, followed by controlled early active motion therapy. Clinical assessments, including total active motion (TAM) and Disabilities of the Arm, Shoulder and Hand, were made 6, 8 and 12 weeks after operation. All outcomes improved significantly over time. At the final assessment, 93% of fingers showed excellent TAM outcomes. Extension deficit was between 5° and 20° in eight of 26 fingers. The results of this study suggest that delayed primary flexor tendon repair under WALANT can achieve excellent functional outcomes, although longer follow-up is needed for extension deficit recovery.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1062-1067"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070194","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
Computerized adaptive testing with the I-HaND scale for monitoring patients with upper limb nerve pathology. 计算机自适应休息与I-HaND量表监测上肢神经病变患者。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-03-12 DOI: 10.1177/17531934251324381
Mary Rose Harvey, Conrad Harrison
{"title":"Computerized adaptive testing with the I-HaND scale for monitoring patients with upper limb nerve pathology.","authors":"Mary Rose Harvey, Conrad Harrison","doi":"10.1177/17531934251324381","DOIUrl":"10.1177/17531934251324381","url":null,"abstract":"<p><p>The Impact of Hand Nerve Disorders scale is a patient-reported outcome measure for upper limb nerve pathology. We aimed to assess its structural validity using item response theory and to develop computerized adaptive testing algorithms. We conducted a series of psychometric studies to assess constructs measured, applied an item response theory model to the data, then developed computerized adaptive testing algorithms. The results showed two distinct factors: 'Motor Function' and 'Pain'. We developed two separate computerized adaptive tests which reduced the number of questions from six ('Pain') and 16 ('Motor Function') to a median of three questions each at a high level of precision (standard error of measurement <0.3). For optimal measurement precision, the Impact of the Hand Nerve Disorders scale should be divided into two subscales and administered through computerized adaptive testing. In some circumstances (such as screening for specific issues) it may be preferable to administer all 32 items.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1033-1040"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618116","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
Intrinsic neonatal limb ischaemia: A systematic review. 先天性新生儿肢体缺血：一项系统综述。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-01-09 DOI: 10.1177/17531934241310725
Aayushi Singal, Yangmyung Ma, Manwi Singh, Noemi Jester, Avula Aishwarya Rao, Andrea Jester
{"title":"Intrinsic neonatal limb ischaemia: A systematic review.","authors":"Aayushi Singal, Yangmyung Ma, Manwi Singh, Noemi Jester, Avula Aishwarya Rao, Andrea Jester","doi":"10.1177/17531934241310725","DOIUrl":"10.1177/17531934241310725","url":null,"abstract":"<p><p>This systematic review aimed to analyse the factors associated with intrinsic neonatal limb ischaemia (INLI), its causes and its management. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, and 115 articles were identified for analysis. For INLI detected at birth, most newborns presented with upper limb ischaemia (72%), with thrombus being the most common cause (66%). Higher rates of positive outcomes were observed when INLI was treated with medical management alone, although this could reflect a less severe manifestation. The data did not demonstrate any causative factors for the development of INLI. Depending on the timing of the <i>in-utero</i> insult and the degree of tissue involvement and loss, different primary interventions may be selected for management. A classification system is proposed to help guide the choice of management, in which the different clinical manifestations of INLI are divided into four grades.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1016-1022"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960854","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
Surgical management of vascular malformations in the hand and wrist. 手腕部血管畸形的外科治疗。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2024-12-09 DOI: 10.1177/17531934241306292
Luciana Marzella, Alberto Lazzerini, Rocco De Vitis
{"title":"Surgical management of vascular malformations in the hand and wrist.","authors":"Luciana Marzella, Alberto Lazzerini, Rocco De Vitis","doi":"10.1177/17531934241306292","DOIUrl":"10.1177/17531934241306292","url":null,"abstract":"<p><p>The management of hand and wrist vascular malformations is complex owing to their impact on function and appearance. We present a case and discuss the treatment options based on our experience in 56 patients.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1114-1115"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804204","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
UK Hand and Upper Limb Transplant Service, functional outcomes of the first six patients: A case series. 英国手部和上肢移植服务，前6名患者的功能结局：一个病例系列。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-03-22 DOI: 10.1177/17531934251325654
Joanna Burdon, Sarah Taplin, David A Leonard, Ibrahim Natalwala, Grainne Bourke, Simon P Kay
{"title":"UK Hand and Upper Limb Transplant Service, functional outcomes of the first six patients: A case series.","authors":"Joanna Burdon, Sarah Taplin, David A Leonard, Ibrahim Natalwala, Grainne Bourke, Simon P Kay","doi":"10.1177/17531934251325654","DOIUrl":"10.1177/17531934251325654","url":null,"abstract":"<p><p>To date, three unilateral and seven bilateral hand and upper limb transplants have been performed by the UK Hand Transplant Programme. We report functional outcomes for our first six patients, who have been followed for between 4 and 10 years. All patients gained protective sensation to pain, pressure and temperature, and a recordable power grip. All patients saw an improvement in the Canadian Occupational Performance Measure performance and satisfaction scores, with five out of six patients improving the Disability of the Arm Shoulder and Hand scores. The Hand Transplant Score System graded all distal transplants as either a 'good' or 'excellent' with proximal transplants scoring 'fair' or 'good'. Hand transplant is an effective treatment in selected patients with continual improvements in function seen for up to 5 years.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1008-1015"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677434","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
Kienböck's Disease - Incidence and operations in Finland: a nationwide register study. Kienböck的疾病-芬兰的发病率和手术：一项全国性的登记研究。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-01-24 DOI: 10.1177/17531934241312894
Krista Wernér, Turkka Anttila, Timo Viljakka, Jorma Ryhänen, Sina Hulkkonen
{"title":"Kienböck's Disease - Incidence and operations in Finland: a nationwide register study.","authors":"Krista Wernér, Turkka Anttila, Timo Viljakka, Jorma Ryhänen, Sina Hulkkonen","doi":"10.1177/17531934241312894","DOIUrl":"10.1177/17531934241312894","url":null,"abstract":"<p><p>This study assessed the nationwide incidence of Kienböck's Disease, and operations performed for Kienböck's Disease from the Care Register for Health Care in Finland 1996-2022. The mean annual total standardized incidence rate per million person-years was 9.60 (95% CI: 9.10-10.11) and for men and women, 10.38 (95% CI: 9.63-11.13) and 8.78 (95% CI: 8.10-9.45), respectively. The incidence rate was highest for 50-59-year-olds, at 15.49. Compared with women, the incidence rate for men was higher across all age groups up to 60-69 years. Altogether, 44% of the patients were operated on, and 19% of them had multiple operations. Partial arthrodesis was the most performed procedure and salvage procedures covered 62% of all operations. Our findings provide comprehensive new evidence about Kienböck's Disease distribution across Finland's population and offer insights into the burden caused by operations.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1083-1090"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034814","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
Complications after ultrasound-guided carpal tunnel release: a case series. 超声引导下腕管松解术的并发症：一个病例系列。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-02-08 DOI: 10.1177/17531934251318533
Magdalena Köhl, Ulrike Seeher, Peter Kaiser, Gernot Schmidle, Robert Zimmermann, Stephan Sigl
{"title":"Complications after ultrasound-guided carpal tunnel release: a case series.","authors":"Magdalena Köhl, Ulrike Seeher, Peter Kaiser, Gernot Schmidle, Robert Zimmermann, Stephan Sigl","doi":"10.1177/17531934251318533","DOIUrl":"10.1177/17531934251318533","url":null,"abstract":"<p><p>In a retrospective analysis, data from patients who underwent open revision after ultrasound-guided release between February 2021 and December 2023 were reviewed. These patients experienced persistent, worsened or new symptoms. Clinical symptoms, complications and surgical techniques were assessed. Of 14 patients undergoing revision, nine had an incomplete release of the flexor retinaculum. Five patients had major complications like nerve or vessel lesions. Our findings indicate that although ultrasound-guided release is effective, it should only be done by physicians experienced in nerve sonography and hand surgery.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1050-1053"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375094","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: Tang JB. Clarification and classification of extensor tendon zones in the hand. J Hand Surg Eur. 2024, 49: 1041-4. 回复：唐杰比。手部伸肌腱区域的澄清和分类。中华手外科杂志，2016,33(4):391 - 391。
IF 1.6
The Journal of hand surgery, European volume Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1177/17531934251326850
K Moriya, N Tsubokawa, Y Maki
{"title":"Re: Tang JB. Clarification and classification of extensor tendon zones in the hand. J Hand Surg Eur. 2024, 49: 1041-4.","authors":"K Moriya, N Tsubokawa, Y Maki","doi":"10.1177/17531934251326850","DOIUrl":"10.1177/17531934251326850","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1118-1119"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722964","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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