Emma Landes, Charles A Goldfarb, Michelle James, Deborah Bohn, Andrea Bauer, Lindley B Wall
{"title":"Revisiting short finger and cleft type symbrachydactyly subtype differentiation utilizing the congenital upper limb differences (CoULD) registry.","authors":"Emma Landes, Charles A Goldfarb, Michelle James, Deborah Bohn, Andrea Bauer, Lindley B Wall","doi":"10.1177/17531934251318222","DOIUrl":"10.1177/17531934251318222","url":null,"abstract":"<p><p>The purpose of this investigation was to investigate short finger and cleft type symbrachydactyly to identify the defining features of these two subtypes. This retrospective study extracted data from the Congenital Upper Limb Differences (CoULD) Registry. Five paediatric hand surgeons reviewed photographs and radiographic imaging to evaluate the characteristics of each subtype and the reliability of diagnosis and evaluated the recorded diagnosis in the registry. Final analysis included 50 short finger and 54 cleft type symbrachydactyly. Key characteristic patterns were identified for each type, with further subdivision of subtypes with notable hypoplasia of the index or ring fingers or all digits. Consensus was obtained (inter-rater reliability 78%) and reliably applied for these unique subclassifications. While no clear trend in increasing severity was identified for these two subgroups of symbrachydactyly, this re-classification exercise provides clearer definition of the different subtypes and may give insight into the developmental biology of these conditions, predict future clinical function and guide surgical outcomes.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1054-1061"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412238","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":"Triple nerve transfer for restoration of elbow flexion in C5-C6 traumatic brachial plexus injuries.","authors":"Reza Shahryar Kamrani, Kasra Mirzaei, Mohammadreza Hozhabrbayan, Hesam Alitaleshi, Shervin Mossavarali","doi":"10.1177/17531934241307529","DOIUrl":"10.1177/17531934241307529","url":null,"abstract":"<p><p>We retrospectively reviewed the outcome of triple nerve transfer, including reinnervation of brachioradialis and double nerve transfer surgery in C5-C6 traumatic brachial plexus injuries.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1108-1110"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960883","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}
Robert Miller, Laurence Jackson, Dijana Vilic, Louis Boyce, Haris Shuaib
{"title":"Artificial intelligence and machine learning capabilities in the detection of acute scaphoid fracture: a critical review.","authors":"Robert Miller, Laurence Jackson, Dijana Vilic, Louis Boyce, Haris Shuaib","doi":"10.1177/17531934241312896","DOIUrl":"10.1177/17531934241312896","url":null,"abstract":"<p><p>This paper discusses the current literature surrounding the potential use of artificial intelligence and machine learning models in the diagnosis of acute obvious and occult scaphoid fractures. Current studies have notable methodological flaws and are at high risk of bias, precluding meaningful comparisons with clinician performance (the current reference standard). Specific areas should be addressed in future studies to help advance the meaningful and clinical use of artificial intelligence for radiograph interpretation.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1129-1133"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026253","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}
{"title":"A modified improvised external fixator: the mini-caterpillar.","authors":"Joshua Fasuyi, Samuel Norton","doi":"10.1177/17531934241311423","DOIUrl":"10.1177/17531934241311423","url":null,"abstract":"<p><p>We present a short report discussing our first-hand experience using a modification of the improvised syringe-barrel external-fixator for hand fractures and its practical advantages in stabilising single bone fixation.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1111-1113"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960829","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}
Kohila Vani Sigamoney, David W Shields, Elizabeth Gillott, Katy Boland, Matthew Ricks, Sumedh Talwalkar, Ian Trail
{"title":"Outcomes of proximal interphalangeal joint arthroplasty with the MatOrtho prosthesis after a minimum of 10 years.","authors":"Kohila Vani Sigamoney, David W Shields, Elizabeth Gillott, Katy Boland, Matthew Ricks, Sumedh Talwalkar, Ian Trail","doi":"10.1177/17531934251313996","DOIUrl":"10.1177/17531934251313996","url":null,"abstract":"<p><p>This is a prospective case review on 100 MatOrtho proximal interphalangeal joint arthroplasties in 50 patients with previously published 2-year outcomes. We report the outcomes at a minimum of 10-years' follow-up. Sixty-three implants in 29 patients were available for analysis. The visual analogue scale score for pain revealed a significant improvement of pain at 10 years (mean 0.7, SD 1.3) compared with preoperatively (mean 4.3, SD 0.8) and at 2 years (mean 1.1, SD 1.8). There was no statistically significant improvement at 10 years compared with preoperatively in the mean grip strength (10, SD 6.7), range of motion (27°, SD 20.1,), patient evaluation measure score (43, SD 22), Quick Disabilities of the Arm, Shoulder and Hand (38, SD 23) and Michigan Hand Outcome Questionnaire (65, SD 9,), but all patients remained satisfied with the surgery. Survivorship was 82% at 10 years. We conclude that this implant is suitable to use mainly for pain relief.<b>Level of Evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1077-1082"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477336","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":"Tube posterior tibial artery flow-through free flap for salvaging upper limbs with contaminated soft tissue defects and arterial injuries.","authors":"Jianhua Zhang, Zhenjun Xie, Xiaobing Zhao, Wei Su","doi":"10.1177/17531934251367567","DOIUrl":"https://doi.org/10.1177/17531934251367567","url":null,"abstract":"<p><p>The tube posterior tibial artery flow-through free flap technique is proposed for salvaging upper limbs with severely contaminated or infected soft tissue defects and major arterial injuries. Between January 2016 and February 2024, six patients were treated using this method. This is a two-stage approach involving initial restoration of blood supply via a tube posterior tibial artery flow-through free flap, followed by delayed soft tissue coverage utilizing the unfolded tube flap after a series of wound debridements and vacuum sealing drainage treatments. All upper limbs and flaps completely survived. At the 2-year follow-up, the grip and pinch strength of the injured hands reached 37% (range 29-72%)and 31% (range 12-42%) of the contralateral sides, respectively. The mean Disabilities of the Arm, Shoulder, and Hand score was 60 (range 53-67). This study demonstrates the feasibility and efficacy of the tube posterior tibial artery flow-through free flap technique in complex upper limb salvage cases.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251367567"},"PeriodicalIF":1.6,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984790","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}
Helen E Patterson, Lea Estermann, Claudia R Gschwind
{"title":"Extending reconstructive possibilities in tetraplegia; the results of 137 nerve transfers.","authors":"Helen E Patterson, Lea Estermann, Claudia R Gschwind","doi":"10.1177/17531934251369277","DOIUrl":"https://doi.org/10.1177/17531934251369277","url":null,"abstract":"<p><p>We present the results of 137 nerve transfers in 56 limbs (35 participants, 21 bilateral) with special reference to the International Classification for Surgery of the Hand in Tetraplegia, as outcomes for Groups 0 and 1 are rarely reported. These participants were assessed for a minimum of 20 (median 36) months after operation. Medical Research Council grades and strength measurements showed that for Group 0, reconstruction of useful wrist extension was achieved in six out of eight limbs. Reanimation of finger and thumb flexion in this group remains difficult and in only one out of four limbs was prehensile function achieved. Limbs in Group 1 had functional results for finger extension and grip. Outcomes of nerve transfers for the other groups and for triceps reanimation were comparable with previous reports. We believe that nerve transfers in patients with high level tetraplegia are underused but could bring valuable improvement.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251369277"},"PeriodicalIF":1.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984732","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":"Digital replantation in adults: a French survey of postoperative practices.","authors":"Marie Protais, Antoine Barczewski, Yves Le Bellec","doi":"10.1177/17531934251369278","DOIUrl":"https://doi.org/10.1177/17531934251369278","url":null,"abstract":"<p><p>This survey of 136 microsurgeons in France reveals substantial variation in postoperative protocols for digital replantation. Anaesthesia, pharmacological management, monitoring and rehabilitation practices diverge widely, highlighting the need for standardized national guidelines to optimize outcomes and ensure procedural consistency.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251369278"},"PeriodicalIF":1.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984724","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}
Hilmi Berkan Abacıoğlu, Hasan Ocak, Berkay Yalçınkaya, Murat Kara
{"title":"Re: Fang J, Zhang LQ, Tang JB. Incidence of local tenderness at the lacertus fibrosus in healthy people.","authors":"Hilmi Berkan Abacıoğlu, Hasan Ocak, Berkay Yalçınkaya, Murat Kara","doi":"10.1177/17531934251370272","DOIUrl":"https://doi.org/10.1177/17531934251370272","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251370272"},"PeriodicalIF":1.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984781","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}