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Nerve grafting or nerve transfer for suprascapular nerve reconstruction in neonatal C5C6 ± C7 brachial plexus palsies.
The Journal of hand surgery, European volume Pub Date : 2025-02-14 DOI: 10.1177/17531934251318924
Arthemon Heitz, Jeanne Commeureuc, Jean-Francois Bodin, Thibault Druel, Laurent Mathieu, Arnaud Walch
{"title":"Nerve grafting or nerve transfer for suprascapular nerve reconstruction in neonatal C5C6 ± C7 brachial plexus palsies.","authors":"Arthemon Heitz, Jeanne Commeureuc, Jean-Francois Bodin, Thibault Druel, Laurent Mathieu, Arnaud Walch","doi":"10.1177/17531934251318924","DOIUrl":"https://doi.org/10.1177/17531934251318924","url":null,"abstract":"<p><p>This retrospective study aimed to compare two methods of reconstruction of the suprascapular nerve in neonatal brachial plexus palsy. Patients who underwent suprascapular nerve reconstruction for neonatal C5-C6 (±C7) brachial plexus palsy were included if they had at least 3 years follow-up. The results obtained after nerve surgery alone and at the end of the follow-up (after shoulder release surgery) were analysed. The primary outcome was the range of external rotation with the arm at the side. Thirty-three patients were included (19 nerve transfers, 14 nerve grafting). At last follow-up (mean 10.5 years), there was no significant difference in terms of active external rotation, range of active movement or Active Movement Scale scores for the shoulder. Active external rotation was obtained in 23 of 33 cases, 21 by nerve repair alone and two after additional shoulder release. In the present series, nerve transfer and nerve grafting provided similar results for the suprascapular nerve.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251318924"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426758","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
How to conduct a meta-analysis in hand surgery. Part II: heterogeneity and publication bias. 如何进行手外科荟萃分析。第二部分：异质性和发表偏倚。
The Journal of hand surgery, European volume Pub Date : 2025-02-12 DOI: 10.1177/17531934251317837
Roberto S Rosales, Mike Ruettermann
{"title":"How to conduct a meta-analysis in hand surgery. Part II: heterogeneity and publication bias.","authors":"Roberto S Rosales, Mike Ruettermann","doi":"10.1177/17531934251317837","DOIUrl":"https://doi.org/10.1177/17531934251317837","url":null,"abstract":"<p><p>This is the second part of a two-part article on pitfalls in meta-analysis in hand surgery. The purpose of this second part is to introduce the concepts of heterogeneity and publication bias and to describe how these problems should be analysed and addressed when conducting meta-analyses in hand surgery. Statistical heterogeneity, which occurs when the variability in the observed effect cannot be explained by sampling variability alone, may be caused by clinical heterogeneity, methodological heterogeneity or both. A common error in hand surgery meta-analyses is the failure to adequately investigate the sources of heterogeneity. Heterogeneity is also associated with publication bias. Understanding heterogeneity in published meta-analyses would help in the understanding of the available evidence in Hand Surgery.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251317837"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412237","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
Revisiting short finger and cleft type symbrachydactyly subtype differentiation utilizing the congenital upper limb differences (CoULD) registry.
The Journal of hand surgery, European volume Pub Date : 2025-02-12 DOI: 10.1177/17531934251318222
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":"https://doi.org/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":"17531934251318222"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","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}
引用次数: 0
Cervical spinal cord stimulation for treatment of upper limb paralysis: a narrative review.
The Journal of hand surgery, European volume Pub Date : 2025-02-11 DOI: 10.1177/17531934241307515
Yu Tung Lo, Jordan Lw Lam, Lei Jiang, Wee Leon Lam, Victor R Edgerton, Charles Y Liu
{"title":"Cervical spinal cord stimulation for treatment of upper limb paralysis: a narrative review.","authors":"Yu Tung Lo, Jordan Lw Lam, Lei Jiang, Wee Leon Lam, Victor R Edgerton, Charles Y Liu","doi":"10.1177/17531934241307515","DOIUrl":"10.1177/17531934241307515","url":null,"abstract":"<p><p>Recent advances in cervical spinal cord stimulation (SCS) have demonstrated improved efficacy as a therapeutic intervention for restoring hand functions in individuals with spinal cord injuries or stroke. Accumulating evidence consistently shows that cervical SCS yields significant improvements in grip force, proximal arm strength and muscle activation, with both immediate and sustained effects. This review synthesizes the evidence that electrical stimulations modulate the spinal and supraspinal organization of uninjured descending motor tracts, primarily the residual corticospinal tract, reticulospinal tract and propriospinal network of neurons, as well as increasing the sensitivity of spinal interneurons at the stimulated segments to these inputs. Additionally, we examine contemporary strategies aimed at achieving more precise patterned stimulations, including intraspinal microstimulation, ventral cord stimulation and closed-loop neuromodulation, and discuss the potential benefits of incorporating cervical SCS into a multimodal treatment paradigm.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934241307515"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392862","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
Step, shift, short - a simple treatment algorithm for the initial management of distal radial fractures.
The Journal of hand surgery, European volume Pub Date : 2025-02-11 DOI: 10.1177/17531934251318226
Nick A Johnson, Joseph J Dias
{"title":"Step, shift, short - a simple treatment algorithm for the initial management of distal radial fractures.","authors":"Nick A Johnson, Joseph J Dias","doi":"10.1177/17531934251318226","DOIUrl":"https://doi.org/10.1177/17531934251318226","url":null,"abstract":"<p><p>Distal radial fractures are common, but questions remain regarding their optimum management. We describe a simple three-step management algorithm based around assessment and treatment of articular step, alignment, and length.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251318226"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401079","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
Identifying the entry point for transcapitate intramedullary implant insertion into the third metacarpal in rheumatoid and osteoarthritis.
The Journal of hand surgery, European volume Pub Date : 2025-02-08 DOI: 10.1177/17531934251317867
Takeshi Endo, Daisuke Kawamura, Norimasa Iwasaki
{"title":"Identifying the entry point for transcapitate intramedullary implant insertion into the third metacarpal in rheumatoid and osteoarthritis.","authors":"Takeshi Endo, Daisuke Kawamura, Norimasa Iwasaki","doi":"10.1177/17531934251317867","DOIUrl":"https://doi.org/10.1177/17531934251317867","url":null,"abstract":"<p><p>This anatomical study identifies the optimum entry point for intramedullary implant insertion into the capitate during total wrist arthroplasty. An entry point more radial and distal from the centre of the capitate head is suggested to avoid fractures and perforations in rheumatoid hands.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251317867"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375101","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 thumb ulnar collateral ligament injury owing to a pathological fracture through an enchondroma of the proximal phalanx.
The Journal of hand surgery, European volume Pub Date : 2025-02-08 DOI: 10.1177/17531934251315313
Veronique van de Lucht, Mark van Heijl, Niels Schep
{"title":"Clinical thumb ulnar collateral ligament injury owing to a pathological fracture through an enchondroma of the proximal phalanx.","authors":"Veronique van de Lucht, Mark van Heijl, Niels Schep","doi":"10.1177/17531934251315313","DOIUrl":"https://doi.org/10.1177/17531934251315313","url":null,"abstract":"<p><p>A young woman presented with an acute ulnar collateral ligament injury of the thumb, owing to a pathological fracture through an enchondroma. Treatment included bone graft and fracture fixation, with successful healing and functional recovery.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251315313"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375087","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
An uncomplicated and accurate approach to the measurement and reporting of Dupuytren's contractures.
The Journal of hand surgery, European volume Pub Date : 2025-02-08 DOI: 10.1177/17531934251318896
Rimon du Plessis, Michael Solomons, Duncan McGuire
{"title":"An uncomplicated and accurate approach to the measurement and reporting of Dupuytren's contractures.","authors":"Rimon du Plessis, Michael Solomons, Duncan McGuire","doi":"10.1177/17531934251318896","DOIUrl":"https://doi.org/10.1177/17531934251318896","url":null,"abstract":"<p><p>There is currently no standardized method to measure Dupuytren's contractures and the reported definitions are variable and often confusing. We present an uncomplicated and accurate measuring and reporting technique that considers the dynamism effect.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251318896"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375084","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
Antegrade versus retrograde headless intramedullary compression screw fixation of diaphyseal proximal phalanx fractures: a biomechanical study.
The Journal of hand surgery, European volume Pub Date : 2025-02-08 DOI: 10.1177/17531934251316495
Bert Vanmierlo, Bruno Vandekerckhove, Jean Goubau, Joris Duerincx
{"title":"Antegrade versus retrograde headless intramedullary compression screw fixation of diaphyseal proximal phalanx fractures: a biomechanical study.","authors":"Bert Vanmierlo, Bruno Vandekerckhove, Jean Goubau, Joris Duerincx","doi":"10.1177/17531934251316495","DOIUrl":"https://doi.org/10.1177/17531934251316495","url":null,"abstract":"<p><p>This study compared antegrade and retrograde headless intramedullary compression screw fixation for fractures of the proximal third of the proximal phalanx. Antegrade fixation showed superior stability, provided more rigid fixation and preserved the smaller distal articular surface of the proximal phalanx.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251316495"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375085","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
Complications after ultrasound-guided carpal tunnel release: a case series.
The Journal of hand surgery, European volume Pub 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":"https://doi.org/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":"17531934251318533"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","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
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