Harvey Chim, Henk Giele, Steven Koehler, Taku Suzuki, Robert Thompson
{"title":"Round table discussion. Neurogenic thoracic outlet syndrome.","authors":"Harvey Chim, Henk Giele, Steven Koehler, Taku Suzuki, Robert Thompson","doi":"10.1177/17531934251361644","DOIUrl":"https://doi.org/10.1177/17531934251361644","url":null,"abstract":"<p><p>The diagnosis and treatment of neurogenic thoracic outlet syndrome (NTOS) remains an area of controversy. Criteria for diagnosis are not uniform. Advanced imaging modalities such as magnetic resonance imaging (MRI) may have varying utility based on institutional expertise, availability of equipment and familiarity with protocols. The use of diagnostic scalene blocks, or botulinum toxin injection is very dependent on surgeon experience and preference.Techniques for surgical management vary among surgeons, with biases between surgical subspecialities. In the field of hand surgery, outcomes following surgical treatment of NTOS are one of the most variable, with different surgeons achieving good outcomes with routine use of either rib sparing scalenectomy or first rib resection in primary management of supraclavicular NTOS. Further high-quality studies are needed to guide surgeons on best practices for management of NTOS. In this round table discussion, a group of expert surgeons from different surgical specialties discuss areas of consensus and controversy in NTOS.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251361644"},"PeriodicalIF":1.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762919","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":"Traumatic loss of adduction of the little finger.","authors":"Ryosuke Sato, Tomohiro Goto, Koichi Sairyo","doi":"10.1177/17531934251363113","DOIUrl":"https://doi.org/10.1177/17531934251363113","url":null,"abstract":"<p><p>We report a case of traumatic abduction of the little finger. FRACTURE was useful for identifying avulsion of the third palmar interosseous muscle. Reconstruction using an ulnar half-slip of the fourth flexor digitorum superficialis tendon led to good functional outcomes.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251363113"},"PeriodicalIF":1.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762920","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":"The incidence of rotational displacement following distal radial fractures in adults: a biomechanical-clinical study.","authors":"Grey E Giddins, Sassi Sassi","doi":"10.1177/17531934251357797","DOIUrl":"https://doi.org/10.1177/17531934251357797","url":null,"abstract":"<p><p>The aims of this study were to establish the radiographic features of distal radial fracture malrotation on bone models and then assess the prevalence of distal radial malalignment in a series of extra-articular fractures in adults. We cut distal radial bone models and simulated pronation and supination malrotation in different positions of dorsal angulation. We also reviewed 160 displaced distal radial fractures in 158 adults assessing any malrotation immediately following fracture and after closed reduction. Malrotation was more obvious on lateral than posteroanterior radiographic images. Following a distal radial fracture, we noted malrotation in 58 (36%); 47 (33%) were either into supination or pronation, six definitely into supination and five clearly in pronation. Eleven were not manipulated. Of the remainder, 44 (of 149) (30%) were malrotated, 35 were into pronation or supination and 10 were into pronation. Malrotation was not associated with an ulnar styloid fracture. Distal radial fracture malrotation appears common but underappreciated. Future studies would be needed to determine if malrotation would affect clinical outcome.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251357797"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700800","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":"Micronerves in microfasciectomy: new insights into Dupuytren's disease.","authors":"Ilse Degreef, Alix Beulen, Quinten Diegenant, Raf Sciot","doi":"10.1177/17531934251357784","DOIUrl":"10.1177/17531934251357784","url":null,"abstract":"<p><p>Microfasciectomy improves the visualization of microanatomy during surgery for finger contractures caused by Dupuytren's disease. This study identifies supernumerary micronerves in Dupuytren cords and discusses their role in the aetiology of the disease as well as implications for treatment. Transection during surgery is often unavoidable.<b>Level of evidence:</b> II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251357784"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644491","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}
Elske E D J Bonhof-Jansen, Tjeerd R de Jong, Sander M Brink, Ramon P de Wildt, Paul M N Werker
{"title":"Total joint arthroplasty versus trapeziectomy for trapeziometacarpal joint arthritis: 5-year follow-up of a randomized controlled trial.","authors":"Elske E D J Bonhof-Jansen, Tjeerd R de Jong, Sander M Brink, Ramon P de Wildt, Paul M N Werker","doi":"10.1177/17531934251357456","DOIUrl":"https://doi.org/10.1177/17531934251357456","url":null,"abstract":"<p><p>This study presents 5-year results of a randomized controlled trial comparing total joint arthroplasty (TJA) with the Maïa prosthesis and trapeziectomy for trapeziometacarpal joint osteoarthritis. Sixty-two women aged 40 and older scheduled for surgery were randomized. The primary outcome was daily hand function using the Michigan Hand Outcomes Questionnaire (MHOQ). Secondary outcomes included MHOQ subscales, range of motion, strength, satisfaction, complications and survival. Follow-up data were available for 28 TJA and 26 trapeziectomy patients. At 5-years, TJA did not show superior patient reported outcomes on the MHOQ compared with trapeziectomy. Grip and tip pinch strength differences were not statistically significant or clinically relevant. However, key pinch strength, satisfaction and willingness to undergo the same treatment again favoured TJA. There was no statistically significant difference in revision rates between the groups. Five-year survival was 73% for trapeziectomy and 93% for TJA.<b>Level of evidence:</b> I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251357456"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628463","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":"The first two Aptis distal radioulnar joint prostheses in France. Why so late? Why so few?","authors":"Lucian Stratan","doi":"10.1177/17531934251357129","DOIUrl":"https://doi.org/10.1177/17531934251357129","url":null,"abstract":"<p><p>In March 2024, the first two Aptis distal radioulnar joint prostheses in France were implanted at the University Hospital of Martinique. In Europe, these types of prostheses have been used since 2008 in Spain and the UK. This article aims to analyse the reasons why the Aptis prosthesis was not used in France, the second-largest economy in Europe, for 20 years after its approval in the European market. In our opinion, there are two major reasons: the first is financial and regulatory, related to the French Social Security system and private insurance; the second is related to the degree of openness of French surgery to Anglo-Saxon concepts and ideas.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251357129"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628462","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":"A cadaveric feasibility study of modified contralateral C7 transfer permitting ulnar nerve recovery by Lateral antebrachial cutaneous nerve.","authors":"Xi Chen, Jie Lao, Jing Rui","doi":"10.1177/17531934251356901","DOIUrl":"https://doi.org/10.1177/17531934251356901","url":null,"abstract":"<p><p>Traditional contralateral seventh cervical nerve root (C7) transfer sacrifices the recovery of ulnar nerve. This cadaveric study, done in 20 upper extremities from 10 cadavers, looks at the feasibility of using a modified contralateral C7 transfer using lateral antebrachial cutaneous nerve to allow recovery of ulnar nerve. The deep branch of ulnar nerve was preserved with ipsilateral lateral antebrachial cutaneous nerve, while the distal end of ulnar nerve with its dorsal and superficial branches was transferred to contralateral C7 nerve root and the proximal end of ulnar nerve was anastomosed to both median and musculocutaneous nerves. The ipsilateral lateral antebrachial cutaneous nerve was separated and coapted with motor branch of ulnar nerve. The distance from the midpoint of connection of medial and lateral epicondyles of humerus (interepicondylar line) to the starting point of deep branch of ulnar nerve was significantly shorter than that to the branching point of the lateral antebrachial cutaneous nerve (<i>p < </i>0.05). The differences in diameters between deep branch of ulnar nerve and main trunk and branches of lateral antebrachial cutaneous nerve were not significant (<i>p</i> > 0.05). The ratio of ulnar nerve axon count to combined total axon count of musculocutaneous nerve, main trunk of lateral antebrachial cutaneous nerve and branches to deep branch of ulnar nerve were above 1:3. In conclusion, the deep branch of ulnar nerve could be restored with lateral antebrachial cutaneous nerve, while contralateral C7 was transferred to median and musculocutaneous nerves through grafts of dorsal and superficial branches of ulnar nerve.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251356901"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610831","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}
Daniel J Wilks, Jevan Cevik, Joanne Kennedy, Chris Coombs, Anthony Penington, David McCombe
{"title":"An analysis of the functional and psychosocial impact of congenital upper limb differences using PROMIS®: data from the Australian Hand Difference Register.","authors":"Daniel J Wilks, Jevan Cevik, Joanne Kennedy, Chris Coombs, Anthony Penington, David McCombe","doi":"10.1177/17531934251355084","DOIUrl":"https://doi.org/10.1177/17531934251355084","url":null,"abstract":"<p><p>This study evaluated the implementation of PROMIS® tools within the Australian Hand Difference Register to assess functional and psychosocial outcomes in children with congenital upper limb differences (CULDs). One-hundred and thirty-six children out of 212 invited completed the questionnaires between May 2021 and July 2023. Six PROMIS® tools covering physical and psychosocial domains were evaluated at four ages: 5 (<i>n = </i>40), 8 (<i>n = </i>26), 11 (<i>n = </i>32), 14 (<i>n = </i>25) and 17 years (<i>n = </i>13). Significant reductions in upper extremity function compared with the reference population were confirmed, except at age 17. Parent-proxy reports at age 5 indicated significantly lower function compared to self-reported scores at older ages. Psychosocial scores were similar to the reference population, except at age 17 when significant negative differences were found, but overall higher scores in upper extremity function positively correlated with better results in all psychosocial domains. Using PROMIS®, our findings show that children with CULDs experience significant upper extremity functional impairment, and that physical function is closely linked with psychosocial wellbeing. This study suggests that PROMIS® tools, when implemented within a register, provide an effective means of capturing these functional and psychosocial outcomes across development.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251355084"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593253","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}
Qing Zhong Chen, Qian Qian Yang, You Lang Zhou, Jin Bo Tang
{"title":"Effects of hyperuricemia on injured tendon healing: an <i>in vivo</i> study in a chicken model.","authors":"Qing Zhong Chen, Qian Qian Yang, You Lang Zhou, Jin Bo Tang","doi":"10.1177/17531934251353701","DOIUrl":"10.1177/17531934251353701","url":null,"abstract":"<p><p>It is unknown whether hyperuricemia is associated with tendon healing. An animal study showed that injured tendons in chickens with hyperuricemia had severe adhesions and decreased gliding excursions, however, the healing strength was not significantly different from that in normal chickens.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251353701"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556360","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}
Mary Rose Harvey, Jeremy Rodrigues, Jane McEachan, Simpson Shiu Chung Tam, Conrad Harrison
{"title":"Computerized adaptive testing for PRWHE measurements using domains of pain and motor function.","authors":"Mary Rose Harvey, Jeremy Rodrigues, Jane McEachan, Simpson Shiu Chung Tam, Conrad Harrison","doi":"10.1177/17531934241306287","DOIUrl":"10.1177/17531934241306287","url":null,"abstract":"<p><p>The Patient-Rated Wrist and Hand Evaluation is an outcome measure for patients with conditions affecting the wrist or hand. We evaluated the structural validity of the Patient-Rated Wrist and Hand Evaluation using psychometric techniques, then developed computerized adaptive testing algorithms. Factor analysis found two health constructs consistent with 'Pain' and 'Motor Function'. Two computerized adaptive tests were developed, which reduced the number of items from five to a median of one ('Pain'), and from 10 to two ('Motor Function'). Both computerized adaptive tests achieved high levels of precision (standard error of measurement <0.3) and similar scores to the full-length measure, demonstrated by Bland-Altman analysis. Dividing the Patient-Rated Wrist and Hand Evaluation into two subscales could reduce the response burden, improve standardization of outcome measurement for clinicians and provide precise insight into patient symptoms.<b>Level of evidence:</b> N/A.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"940-948"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960835","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}