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Combined home and clinic-based therapy versus home-based exercise programme after distal radial fracture: a randomized controlled study. 桡骨远端骨折后家庭和诊所联合治疗与家庭锻炼计划的对比：随机对照研究。
The Journal of hand surgery, European volume Pub Date : 2024-10-01 Epub Date: 2024-02-16 DOI: 10.1177/17531934241231709
Toshiyasu Sakurai, Hiroshi Yamazaki, Keita Tomii, Yuji Takahashi, Yukiho Abe, Yuya Kobayashi
{"title":"Combined home and clinic-based therapy versus home-based exercise programme after distal radial fracture: a randomized controlled study.","authors":"Toshiyasu Sakurai, Hiroshi Yamazaki, Keita Tomii, Yuji Takahashi, Yukiho Abe, Yuya Kobayashi","doi":"10.1177/17531934241231709","DOIUrl":"10.1177/17531934241231709","url":null,"abstract":"<p><p>We investigated outcomes of clinic-based hand therapy combined with a home-based exercise programme after anterior plating for distal radial fractures. A total of 102 patients were randomly assigned to one of three groups: a home-based exercise programme alone; a home-based exercise programme combined with four hand therapy sessions in the clinic; and a home-based exercise programme with seven sessions in the clinic. Mean Patient-Rated Wrist Evaluation scores at 6 weeks were significantly better for the group of patients with seven sessions in the clinic than in those with only home exercises (12 vs. 30), but the difference was no longer significant at 12 weeks. Grip strength was significantly better at 6 and 12 weeks. Combined home- and clinic-based hand therapy may facilitate an earlier return of function after anterior plating for distal radius fractures.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1085-1094"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747984","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
Current concepts and new trends in management of isolated triangular fibrocartilage complex injuries. 孤立三角纤维软骨复合体损伤治疗的当前理念和新趋势。
The Journal of hand surgery, European volume Pub Date : 2024-10-01 Epub Date: 2024-03-15 DOI: 10.1177/17531934241238530
Rebecca Q R Lim, Lincoln J R Lim, Andrea Atzei, Bo Liu
{"title":"Current concepts and new trends in management of isolated triangular fibrocartilage complex injuries.","authors":"Rebecca Q R Lim, Lincoln J R Lim, Andrea Atzei, Bo Liu","doi":"10.1177/17531934241238530","DOIUrl":"10.1177/17531934241238530","url":null,"abstract":"<p><p>The triangular fibrocartilaginous complex is made of multiple components, of which the palmar and dorsal radioulnar ligaments play an important role in distal radioulnar joint stability. The ulnar wrist ligaments may be injured during forearm and wrist trauma. There are several aspects of triangular fibrocartilaginous complex management that are still open to debate. The aim of the present study was to review the current concepts and discuss emerging trends to better elucidate and treat this important ligament complex.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1067-1077"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133716","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: Bakker et al. Concomitant ligament injuries can be left untreated during surgery of distal radial fractures. J Hand Surg Eur. 2023, 48: 1068-73. Re：Bakker 等人: 在桡骨远端骨折手术中可能未处理伴发的韧带损伤。J Hand Surg Eur.2023, 48: 1068-73.
The Journal of hand surgery, European volume Pub Date : 2024-10-01 Epub Date: 2024-06-01 DOI: 10.1177/17531934241248113
Martina Åhlén, Anders Wallmon, Jonny K Andersson, Bas M Derksen, Niels W L Schep
{"title":"Re: Bakker et al. Concomitant ligament injuries can be left untreated during surgery of distal radial fractures. J Hand Surg Eur. 2023, 48: 1068-73.","authors":"Martina Åhlén, Anders Wallmon, Jonny K Andersson, Bas M Derksen, Niels W L Schep","doi":"10.1177/17531934241248113","DOIUrl":"10.1177/17531934241248113","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"1168-1169"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187188","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 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":" ","pages":"1172-1178"},"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":" ","pages":"17531934241281173"},"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":" ","pages":"17531934241286115"},"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":" ","pages":"17531934241281187"},"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":" ","pages":"17531934241268980"},"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":" ","pages":"17531934241278885"},"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":" ","pages":"17531934241283818"},"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
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