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The Journal of hand surgery, European volume最新文献

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Adverse events after adjuvant radiation therapy for Dupuytren's disease in the DEPART randomized trial.
The Journal of hand surgery, European volume Pub Date : 2025-02-28 DOI: 10.1177/17531934251321393
Tanya Burgess, Eric Wegener, Brett McClelland, David Hunter-Smith, Paul M N Werker, Jarad Martin
{"title":"Adverse events after adjuvant radiation therapy for Dupuytren's disease in the DEPART randomized trial.","authors":"Tanya Burgess, Eric Wegener, Brett McClelland, David Hunter-Smith, Paul M N Werker, Jarad Martin","doi":"10.1177/17531934251321393","DOIUrl":"https://doi.org/10.1177/17531934251321393","url":null,"abstract":"<p><p>This study reports adverse events after adjuvant radiotherapy in patients with Dupuytren's disease. Patients for planned limited fasciectomy, collagenase injection or percutaneous needle fasciotomy were enrolled in a randomized controlled trial. Sixty patients were randomized to observation or radiotherapy (30 Gy, 10 fractions) starting within 4 days of the procedure. During a follow-up period of up to 4 years, 114 adverse events were reported. Of 102 (89%) mild adverse events, 45 (44.1%) were attributed to radiotherapy. Of the 12 moderate to severe, three were attributed to radiotherapy. By 6 months, most moderate to severe adverse events had resolved. Between 12 and 36 month follow-ups, the only persistent adverse event attributed to radiotherapy was reduced sweating. In this trial of adjuvant radiotherapy for Dupuytren's disease, adverse events are generally mild and self-limiting, suggesting that adjuvant radiotherapy is well tolerated.<b>Level of evidence:</b> Level 2, individual RCT.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321393"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525683","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
Minimizing risk to the dorsal sensory branch of the ulnar nerve in wrist arthroscopy: an anatomical study. 在腕关节镜手术中尽量降低尺神经背侧感觉支的风险：一项解剖学研究。
The Journal of hand surgery, European volume Pub Date : 2025-02-28 DOI: 10.1177/17531934251321969
Andrea Atzei, Letizia Senesi, Rosaria Gesuita, Sze Ryn Chung, Riccardo Luchetti
{"title":"Minimizing risk to the dorsal sensory branch of the ulnar nerve in wrist arthroscopy: an anatomical study.","authors":"Andrea Atzei, Letizia Senesi, Rosaria Gesuita, Sze Ryn Chung, Riccardo Luchetti","doi":"10.1177/17531934251321969","DOIUrl":"https://doi.org/10.1177/17531934251321969","url":null,"abstract":"<p><p>Wrist arthroscopic procedures using ulnar wrist portals, such as the 6-ulnar and direct foveal portals, have a risk of injuring the dorsal sensory branch of the ulnar nerve. This study investigated the anatomy of the dorsal sensory branch of the ulnar nerve and its positional changes during supination, neutral rotation and pronation at specific landmarks to find an optimal forearm position to minimize the risk of iatrogenic nerve injury during arthroscopy. The concept of 'nerve density' was introduced to quantify the likelihood of encountering the dorsal sensory branch of the ulnar nerve within different sectors, correlating to the risk of nerve injury. Our findings indicate that the sectors containing the 6-ulnar and direct foveal portals showed very low risk (≤5% risk) in supination and neutral rotation, but moderate risk (30-60% risk) in pronation. These results suggest that maintaining the forearm in neutral rotation or supination reduces the risk of injury to the dorsal sensory branch of the ulnar nerve during procedures that use these portals.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321969"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525687","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 potential of preoperative dynamic electromyography in guiding targeted surgical procedures for elbow spasticity. 术前动态肌电图在指导针对肘部痉挛的手术治疗中的潜力。
The Journal of hand surgery, European volume Pub Date : 2025-02-28 DOI: 10.1177/17531934251323078
Zheng Wang, Ray M Lunasin, Ernest M Hoffman, Peter C Rhee, Richard L Lieber, Kenton R Kaufman
{"title":"The potential of preoperative dynamic electromyography in guiding targeted surgical procedures for elbow spasticity.","authors":"Zheng Wang, Ray M Lunasin, Ernest M Hoffman, Peter C Rhee, Richard L Lieber, Kenton R Kaufman","doi":"10.1177/17531934251323078","DOIUrl":"https://doi.org/10.1177/17531934251323078","url":null,"abstract":"<p><p>Six patients treated by hyperselective neurectomy were assessed using preoperative dynamic electromyography and intraoperative force measurements. Patients with lower preoperative biceps dynamic electromyography activation had significantly reduced force production at operation, suggesting that these findings could guide and improve procedure selection.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251323078"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525688","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
Management of an infected metacarpophalangeal joint replacement with a temporary articulated cement spacer. 使用临时铰接式骨水泥垫片处理感染的掌指关节置换术。
The Journal of hand surgery, European volume Pub Date : 2025-02-28 DOI: 10.1177/17531934251323067
Michael M Kamiza, Timothy J Halsey
{"title":"Management of an infected metacarpophalangeal joint replacement with a temporary articulated cement spacer.","authors":"Michael M Kamiza, Timothy J Halsey","doi":"10.1177/17531934251323067","DOIUrl":"https://doi.org/10.1177/17531934251323067","url":null,"abstract":"<p><p>We present a case of a 63-year-old woman with an infected metacarpophalangeal arthroplasty, treated with an articulating cement spacer over a K-wire framework. This technique maintained joint movement during the management of the infection, leading to a positive functional outcome.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251323067"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525686","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
From surgical problem to surgical solution - lessons and reflections.
The Journal of hand surgery, European volume Pub Date : 2025-02-28 DOI: 10.1177/17531934251322630
Simo K Vilkki
{"title":"From surgical problem to surgical solution - lessons and reflections.","authors":"Simo K Vilkki","doi":"10.1177/17531934251322630","DOIUrl":"https://doi.org/10.1177/17531934251322630","url":null,"abstract":"<p><p>In this insightful and personal biographical article, Professor Vilkki recounted his journey from surgical problem to surgical solution. This was an invited article as part of the 2025 FESSH/JHSE Special Issue on 'Technology and Innovation'. Professor Vilkki attributed his achievements to the influence of mentors, the importance of cadaveric dissections and long years of clinical experience.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251322630"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525685","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
Clinical and functional outcomes of hand surgery for recessive dystrophic epidermolysis bullosa.
The Journal of hand surgery, European volume Pub Date : 2025-02-24 DOI: 10.1177/17531934251313989
Abdulkadir Calavul, Hakan Cici, Hakan Zeybek, Ali İhsan Kılıç
{"title":"Clinical and functional outcomes of hand surgery for recessive dystrophic epidermolysis bullosa.","authors":"Abdulkadir Calavul, Hakan Cici, Hakan Zeybek, Ali İhsan Kılıç","doi":"10.1177/17531934251313989","DOIUrl":"https://doi.org/10.1177/17531934251313989","url":null,"abstract":"<p><p>Recessive dystrophic epidermolysis bullosa causes blistering and scarring of the hands, resulting in contractures fused web spaces and altered function. The aim of this study was to present the short- and mid-term clinical and functional results of a large case series of patients who underwent surgery for recessive dystrophic epidermolysis bullosa-related pseudosyndactyly. The study included 75 hands in 39 children (21 boys, 18 girls) with a mean age of 8 years (range, 4-15) and minimum follow-up of 1 year. Children were assessed with the Birmingham Epidermolysis Bullosa Severity Score Sheet and the ABILHAND-Kids questionnaire before operation and at final follow-up. There were varying degrees of recurrent scarring in all the hands by 24 months after operation. The ABILHAND-Kids questionnaire showed a significant improvement in ability to perform 17 of 21 tasks. In conclusion, despite recurrence that may develop in the short and mid term, surgical release can provide significant improvements in hand function.<b>Level of Evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251313989"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485225","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
Pronation angle changes with progression of trapeziometacarpal joint osteoarthritis.
The Journal of hand surgery, European volume Pub Date : 2025-02-24 DOI: 10.1177/17531934251321330
Kazuya Tsukamoto, Tomoyuki Kuroiwa, Takuya Ibara, Koji Fujita
{"title":"Pronation angle changes with progression of trapeziometacarpal joint osteoarthritis.","authors":"Kazuya Tsukamoto, Tomoyuki Kuroiwa, Takuya Ibara, Koji Fujita","doi":"10.1177/17531934251321330","DOIUrl":"https://doi.org/10.1177/17531934251321330","url":null,"abstract":"<p><p>We evaluated thumb pronation angles in patients with trapeziometacarpal joint osteoarthritis. Patients with a significantly decreased pronation angle showed a moderate correlation with the Eaton-Littler classification. Weakness of opponens pollicis function is associated with the development of trapeziometacarpal joint osteoarthritis.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321330"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485226","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 of proximal interphalangeal joint arthroplasty with the MatOrtho prosthesis after a minimum of 10 years.
The Journal of hand surgery, European volume Pub Date : 2025-02-22 DOI: 10.1177/17531934251313996
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":"https://doi.org/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":"17531934251313996"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","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}
引用次数: 0
Outcomes for the shoulder and elbow following surgical reconstruction for traumatic brachial plexus injury in patients over 60 years.
The Journal of hand surgery, European volume Pub 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":"https://doi.org/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":"17531934251319335"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","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
The use of a scarf osteotomy to manage a malunited metacarpal fracture.
The Journal of hand surgery, European volume Pub Date : 2025-02-21 DOI: 10.1177/17531934251321322
Owen Lawrence, George Hourston, Phillip Johnston
{"title":"The use of a scarf osteotomy to manage a malunited metacarpal fracture.","authors":"Owen Lawrence, George Hourston, Phillip Johnston","doi":"10.1177/17531934251321322","DOIUrl":"https://doi.org/10.1177/17531934251321322","url":null,"abstract":"<p><p>A scarf osteotomy was used to manage a malunited metacarpal fracture, allowing simultaneous correction of both shortening and angulation.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321322"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470406","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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