Hand Surgery & Rehabilitation最新文献

{"title":"Proximal row carpectomy versus open reduction and internal fixation in late-presenting perilunate dislocations","authors":"Francesco Smeraglia ,&nbsp;Andrea Poggetti ,&nbsp;Francesca Crisci ,&nbsp;Carlotta Faccenda ,&nbsp;Giovanni Balato ,&nbsp;Teresa Benigno","doi":"10.1016/j.hansur.2026.102585","DOIUrl":"10.1016/j.hansur.2026.102585","url":null,"abstract":"<div><h3>Purpose</h3><div>Perilunate dislocations and fracture-dislocations are severe wrist injuries, frequently caused by high-energy trauma, that can lead to long-term complications if not promptly addressed. While early open reduction and internal fixation (ORIF) is the standard treatment for acute injuries, the optimal management of late presentations remains controversial. This study aims to compare the clinical outcomes of proximal row carpectomy (PRC) with those of ORIF in patients with late-presenting perilunate injuries.</div></div><div><h3>Methods</h3><div>This retrospective comparative study analyzed data from three hand trauma centers in Italy. Patients with perilunate injuries presenting more than four weeks post-injury were included and treated with either PRC or ORIF. Clinical outcomes, including Disability of the Arm, Shoulder and Hand (DASH) questionnaire scores, pain scores according to a Visual Analog Scale (VAS), wrist range of motion, and grip strength, were assessed pre-operatively and at 3, 6, and 12 months post-operatively. Patient allocation was non-randomized and based on surgeon judgment and intra-operative findings</div></div><div><h3>Results</h3><div>Twenty-seven patients were included (11 PRC, 16 ORIF). Both procedures resulted in significant improvements in pain and function. At 3 months, PRC showed lower disability and pain scores compared with ORIF (DASH 34.1 vs 43.1; VAS 2.18 vs 3.06). At 12 months, outcomes were comparable, with greater wrist flexion after PRC (49.1 ° vs 44.1 °) and greater grip strength after ORIF (28.1 vs 23.6 kg).</div></div><div><h3>Conclusion</h3><div>In late-presenting perilunate injuries, PRC is a viable surgical option, offering faster early recovery and comparable long-term outcomes to ORIF. While ORIF may provide superior grip strength, PRC is advantageous for early pain relief and flexion recovery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102585"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of trapeziometacarpal joint congruency during opposition using four dimensional computed tomography","authors":"Nathan Bormans ,&nbsp;Manou Acke ,&nbsp;Benyameen Keelson ,&nbsp;Kjell Van Royen ,&nbsp;Jean Goubau","doi":"10.1016/j.hansur.2025.102533","DOIUrl":"10.1016/j.hansur.2025.102533","url":null,"abstract":"<div><h3>Objectives</h3><div>The trapeziometacarpal (TMC) joint is a puzzling joint with complex kinematics. Historically, instability and subluxation of the TMC joint are quantified by measurements as trapezial tilt, dorsal subluxation angle and radial subluxation ratio on two dimensional radiographs. These measurements are influenced by different factors such as radiographic incidence and position of the thumb relative to the hand. The recent introduction of four dimensional (4D) CT allows analysis of joint kinematics during an <em>in vivo</em> motion. The aim of this study was to analyze the congruency of the TMC joint during an active opposition and retropulsion movement using 4D CT.</div></div><div><h3>Patients and Methods</h3><div>A total of 10 healthy volunteers were included and their TMC joint kinematics were studied during a retropulsion-opposition-retropulsion movement. Trapezial tilt, dorsal subluxation angle and radial subluxation ratio were measured for every patient during this active motion.</div></div><div><h3>Results</h3><div>Trapezial tilt evolved from 124 in retropulsion to 120 degrees in opposition and evolved from 120 degrees in opposition to 124 degrees in retropulsion. Dorsal subluxation angle evolved from 68 degrees in retropulsion to 45 degrees in opposition and evolved from 44 degrees in opposition to 68 degrees in retropulsion. Radial subluxation ratio evolved from 20% in retropulsion to 20% in opposition and evolved from 19% in opposition to 20% in retropulsion.</div></div><div><h3>Conclusion</h3><div>Trapezial tilt and dorsal subluxation decreases with opposition, whereas radial subluxation remains constant. Future research could use this model to investigate the influence of hyperlaxity and osteoarthritis on TMC joint kinematics and joint congruency.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102533"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Comparing AI-generated and human peer reviews: A study on 11 articles. Marrella D, Jiang S, Ipaktchi K, Liverneaux P. Hand Surg Rehabil: 2025: 102225","authors":"Shigeki Matsubara","doi":"10.1016/j.hansur.2026.102574","DOIUrl":"10.1016/j.hansur.2026.102574","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102574"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High rates of return-to-sport and work in military personnel after arthroscopic posterior capsuloplasty of the wrist","authors":"Julien Thiebaud ,&nbsp;James-Charles Murison ,&nbsp;Georges Pfister","doi":"10.1016/j.hansur.2026.102577","DOIUrl":"10.1016/j.hansur.2026.102577","url":null,"abstract":"<div><h3>Objective</h3><div>Scapholunate ligament injuries lead to wrist pain exacerbated by hyperextension and a reduction in strength, posing challenges for military personnel who require high physical fitness for sports and heavy lifting. This study primarily aimed to assess return-to-work rates using the REFA physical workload scale (Reichsausschuss Für Arbeitszeitermittlung) and return-to-sport following isolated arthroscopic posterior capsuloplasty. Secondary objectives included evaluating pain during forced hyperextension, functional assessments, range of motion, and radiological outcomes.</div></div><div><h3>Material and method</h3><div>A prospective monocentric study was conducted involving military patients who underwent isolated arthroscopic posterior capsuloplasty of the wrist between 2019 and 2024, utilizing the technique originally described by Mathoulin.</div></div><div><h3>Results</h3><div>Nineteen wrists were treated: seven at EWAS stage 3B, six at stage 3C, five at stage 4, and one at stage 5. One patient was lost to follow-up. With a mean follow-up duration of 24 months, all patients returned to work at a physical workload equal to or exceeding their pre-injury capacity, while all but one resumed sport at pre-injury levels. QuickDASH and PRWE scores averaged 8.5 and 14.3, respectively, at the final follow-up. Pain during hyperextension significantly decreased from 6.6 to 2.6 on a 10-point scale. Flexion decreased by 10 degrees; however, extension remained unchanged, and no significant radiological changes were observed.</div></div><div><h3>Conclusion</h3><div>Arthroscopic posterior capsuloligamentous repair results in high rates of return to work involving heavy lifting and sports participation, even in advanced scapholunate injuries (EWAS scores 3C or 4). Postoperative functional wrist scores are remarkably satisfactory.</div></div><div><h3>Level of evidence</h3><div>Prospective study. Level III.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102577"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the comment on: Comparing AI-generated and human peer reviews: A study on 11 articles, Marella et al. 102225, by Shigeki Matsubara","authors":"Domenico Marrella ,&nbsp;Philippe Liverneaux","doi":"10.1016/j.hansur.2026.102578","DOIUrl":"10.1016/j.hansur.2026.102578","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"45 1","pages":"Article 102578"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and functional outcomes of MOTEC total wrist arthroplasty: A retrospective study of 30 patients with a minimum 6-month follow-up","authors":"Stephane Barbary,&nbsp;Romain Detammaecker,&nbsp;Antoine Dederichs,&nbsp;Gilles Dautel","doi":"10.1016/j.hansur.2025.102336","DOIUrl":"10.1016/j.hansur.2025.102336","url":null,"abstract":"<div><div>Total wrist arthroplasty (TWA) is a functional alternative to arthrodesis in degenerative or post-traumatic wrist conditions. This study aimed to evaluate the clinical outcomes, functional results, and complication rates of MOTEC total wrist prostheses with a minimum postoperative follow-up of 6 months. A retrospective review was conducted on 30 patients who underwent MOTEC TWA between 2020 and 2025 with a minimum follow-up of 6 months. Collected data included pain score (0–10), patient satisfaction (0–10), wrist range of motion (flexion, extension, pronosupination), complications, and revision surgeries. Among the 30 patients (17 men, 13 women; mean age: 68 years), the main indications for TWA were primary osteoarthritis (<em>n</em> <!-->=<!--> <!-->16), failed four-corner fusion (<em>n</em> <!-->=<!--> <!-->7), rheumatoid arthritis (<em>n</em> <!-->=<!--> <!-->4), complex fractures (<em>n</em> <!-->=<!--> <!-->5), ankylosing spondylitis (<em>n</em> <!-->=<!--> <!-->1), and Kienböck's disease (<em>n</em> <!-->=<!--> <!-->1). The mean follow-up duration was 29.9 months (range: 6–64 months):</div><div>– Pain: Mean score 1.9/10; 86% of patients reported pain ≤ 2,</div><div>– Satisfaction: Mean score 8.5/10; 73% of patients reported a satisfaction score of 9 or 10,</div><div>– Range of motion: Mean flexion 45.2°, extension 45°, and pronosupination 165°.</div><div>Six complications were reported (20%): metacarpal fracture (<em>n</em> <!-->=<!--> <!-->1), rotational issue of the third metacarpal (<em>n</em> <!-->=<!--> <!-->1), M3 osteolysis (<em>n</em> <!-->=<!--> <!-->1), postoperative hematoma (<em>n</em> <!-->=<!--> <!-->1), anterior bony impingement with neuropathic palm pain (<em>n</em> <!-->=<!--> <!-->1), and severe wrist flexum (<em>n</em> <!-->=<!--> <!-->1). One patient (3.3%) required revision surgery due to the flexum. Our findings confirm that the MOTEC wrist prosthesis provides satisfactory pain relief and functional preservation in a diverse patient population. The observed range of motion supports the prosthesis’ utility in maintaining everyday hand function. Although a moderate complication rate was observed, only one patient required revision surgery, suggesting a favorable safety profile. These results are consistent with existing literature and encourage further prospective studies with standardized outcome measures. MOTEC total wrist arthroplasty provides favorable outcomes in terms of pain control, patient satisfaction, and functional wrist mobility, with a moderate complication rate and a low revision rate of the implant. These findings support its use in appropriately selected patients, provided that long-term follow-up is ensured.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 6","pages":"Article 102336"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’insert en polyéthylène des prothèses trapézo-métacarpiennes est-il mobile ? Étude anatomique d’évaluation de la mobilisation du polyéthylène","authors":"Jérôme Pierrart ,&nbsp;Axel Van Vliet ,&nbsp;Aurélien Aumar ,&nbsp;Emmanuel David","doi":"10.1016/j.hansur.2025.102384","DOIUrl":"10.1016/j.hansur.2025.102384","url":null,"abstract":"<div><div>Les prothèses trapézo-métacarpiennes sont en plein essor. La problématique des luxations prothétiques a été à l’origine du développement de prothèses à double mobilité à l’instar des prothèses totales de hanche. Certaines études concernant les prothèses de hanche retrouvent une diminution de la mobilité de l’insert en polyéthylène chez près de 25 % des patients. La mobilité du polyéthylène s’activerait lors de l’effet came et lors du contact entre le col et la cupule prothétique. Aussi, l’utilisation d’un col prothétique de longueur inadaptée pourrait être à l’origine d’une surcharge sur le polyéthylène et d’un défaut de mobilité de l’insert. L’objectif principal de l’étude était d’évaluer la mobilité du polyéthylène. L’objectif secondaire était d’évaluer l’impact d’une longueur inadaptée sur la mobilité du polyéthylène.</div><div>Dix pièces anatomiques ont bénéficié, par voie dorsale, de l’implantation d’une prothèse double mobilité Kerimedical® Touch™. Un anneau métallique équipait l’insert pour le repérage radiographique. La taille du col était sélectionnée selon les arcs de Duché et Trabelsi (Hand Surg Rehabil, 2022). La mobilité de l’insert était évaluée par radiographies en mesurant l’angulation du polyéthylène par rapport à la tige prothétique. L’analyse statistique a été réalisée à l’aide du logiciel Excel™ (Microsoft®, Rochemont, USA).</div><div>Les mobilités moyennes de l’insert étaient de 14,31°en abduction, de 18,87° en adduction, 8,03° en antépulsion et de 21,87° en rétropulsion.</div><div>Les mobilités d’un col de longueur adaptée <em>versus</em> inadaptée étaient les suivantes : abduction : 14,31° <em>versus</em> 10,31° (<em>p</em> &lt; 0,03), adduction : 18,87° <em>versus</em> 16,50° (<em>p</em> = 0,93), antépulsion : 8,03° <em>versus</em> 11,82° (<em>p</em> = 0,28), rétropulsion 21,87° <em>versus</em> 14,16° (<em>p</em> = 0,23). Il existait une différence significative uniquement pour l’abduction.</div><div>Dans cette étude, l’insert était mobile dans tous les cas, confirmant l’hypothèse d’une mobilisation du polyéthylène. Cette mobilité pourrait limiter le risque de luxation. Le polyéthylène semble être plus mobile sur les mouvements d’adduction et de rétropulsion. Cela pourrait avoir un impact sur l’usure et questionne sur l’orientation des implants afin de la limiter.</div><div>Les cols de taille inadaptée montraient des mobilités différentes par rapport aux cols adaptés, mais il n’y avait pas de différence significative hormis sur l’abduction. L’impact de la taille du col serait mineur sur la mobilité du polyéthylène.</div><div>La limite principale de l’étude est utilisation de pièces anatomiques avec des tensions musculaires différentes des tensions <em>in vivo</em>.</div><div>L’insert est mobile dans les prothèses trapézo-métacarpiennes sur pièces anatomiques. Une évaluation échographique <em>in vivo</em> pourrait s’envisager pour confirmer la persistance des mobilités de l’insert en postopératoire.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 6","pages":"Article 102384"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Libération chirurgicale des tendons de la main avec interposition d’une membrane amniotique dessiquée","authors":"Lionel Erhard ,&nbsp;François Loisel ,&nbsp;Laurence Barnouin ,&nbsp;Justine Bosc ,&nbsp;Laurent Obert","doi":"10.1016/j.hansur.2025.102329","DOIUrl":"10.1016/j.hansur.2025.102329","url":null,"abstract":"<div><div>Les adhérences tendineuses sont fréquentes après un traumatisme ou une chirurgie de la main et peuvent générer une gêne fonctionnelle importante pour le patient. La ténolyse et la mobilisation précoce constituent le traitement standard, mais les récidives restent fréquentes. Malgré diverses stratégies anti-adhérences étudiées ces dernières années, aucune solution ne s’est imposée en pratique. La membrane amniotique, grâce à ses propriétés anti-inflammatoires, isolantes et lubrifiantes, pourrait limiter ces récidives. Un essai clinique est en cours pour évaluer l’efficacité d’une membrane amniotique dessiquée comme barrière anti-adhérences après ténolyse. L’étude pilote inclut des adultes présentant des adhérences tendineuses (fléchisseurs et/ou extenseurs) persistantes depuis plus de 3 mois après une réparation primaire, malgré une rééducation adaptée. Chaque patient bénéficie d’une ténolyse suivie de l’enroulement du tendon libéré par la membrane amniotique dessiquée. Le côté de la membrane est identifié pendant la chirurgie: la couche épithéliale est placée en contact avec le tendon, pour isoler les facteurs inflammatoires, tandis que la couche spongieuse est tournée vers l’extérieur pour favoriser le glissement du tendon réparé. Un suivi des patients est ensuite réalisé à 15<!--> <!-->jours (J15), 6 semaines (S6), 3 mois (M3) et 6 mois (M6). La mobilité active totale (TAM), la douleur, la fonctionnalité (QuickDASH) ainsi que la tolérance sont évaluées à chaque visite. À ce jour, 15 patients (10 hommes, 5 femmes; âge moyen: 49<!--> <!-->±<!--> <!-->15 ans) ont été inclus et traités dans l’étude. Parmi les 11 patients disposant d’un suivi ≥<!--> <!-->6 semaines, 8 (73 %) ont présenté une amélioration de la TAM, et 3 patients (27 %) une stabilité. L’amplitude active totale moyenne est passée de 93<!--> <!-->±<!--> <!-->50° à l’inclusion à 134<!--> <!-->±<!--> <!-->34° à S6 ou plus. Sur ces 11 patients, 8 (73 %) ont également présenté une amélioration de la fonction de la main selon le score QuickDASH. Aucun événement de sécurité en lien avec le produit expérimental n’a été rapporté. Ces résultats précoces sont encourageants, notamment dans une population comprenant des cas complexes (adhérences anciennes et/ou multi-récidivantes). La bonne tolérance du produit renforce son intérêt potentiel. L’utilisation d’une membrane amniotique dessiquée lors de la ténolyse est une stratégie prometteuse pour limiter les récidives d’adhérences tendineuses. Une étude élargie est nécessaire pour confirmer ces résultats.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 6","pages":"Article 102329"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation des résultats des prothèses trapézo-métacarpiennes isolées en cas d’arthrose péritrapézienne","authors":"Benjamin Degeorge,&nbsp;Adriano Toffoli,&nbsp;Jacques Teissier","doi":"10.1016/j.hansur.2025.102362","DOIUrl":"10.1016/j.hansur.2025.102362","url":null,"abstract":"<div><div>La prothèse trapézo-métacarpienne (PTM) constitue une solution thérapeutique efficace pour l’arthrose trapézo-métacarpienne symptomatique. Toutefois, la présence d’une arthrose scapho-trapézo-trapézoïdienne (STT) associée soulève des interrogations sur les indications chirurgicales et le pronostic fonctionnel. Cette étude vise à évaluer les résultats cliniques et radiographiques des PTM mises en place chez des patients présentant une arthrose péri-trapézienne, sans geste complémentaire sur l’articulation STT. Une étude rétrospective a été menée sur 31 patients (87 % de femmes, âge moyen 65 ans) opérés entre janvier 2022 et décembre 2023 d’une PTM MAIA® (laboratoire Lépine) sur arthrose péri-trapézienne. Aucun geste chirurgical n’a été réalisé sur l’articulation STT. Les données cliniques (douleur, force de pince, satisfaction) et radiographiques (intégration, ostéolyse, migration) ont été recueillies, avec un recul moyen de 18 mois (12–35). Parmi les 31 arthrose péri-trapézienne, seuls 6 patients (19 %) présentaient une arthrose STT symptomatique en pré-opératoire. Tous les patients ont bénéficié d’une amélioration significative de la douleur, de la force de préhension et de la fonction du pouce. Le taux de satisfaction globale était de 9/10. Aucun patient n’a nécessité de réintervention ou de geste complémentaire secondaire sur l’articulation STT. Seul 1 patient restait douloureux à la palpation de l’articulation STT. L’analyse radiographique ne montrait pas de progression significative de l’arthrose STT, ni d’ostéolyse ou de déplacement prothétique. Bien que fréquente à l’imagerie, l’arthrose STT associée à une arthrose trapézo-métacarpienne est fréquemment asymptomatique. La présence d’une arthrose STT ne contre-indique pas la pose d’une PTM isolée. En cas d’arthrose STT symptomatique, l’utilisation d’une PTM isolée permet une diminution de la douleur et une amélioration fonctionnelle. La stratégie chirurgicale conservatrice, sans geste complémentaire STT, semble suffisante chez ces patients, avec de bons résultats à court et moyen terme. La présence d’une arthrose péri-trapézienne ne semble pas compromettre les résultats fonctionnels et radiographiques des prothèses trapézo-métacarpiennes isolées. Même si l’arthrose STT est symptomatique, l’utilisation d’une PTM isolée apparaît comme une solution chirurgicale efficace.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 6","pages":"Article 102362"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sensory comfort — A neglected priority in hand rehabilitation","authors":"Anne-Lise Garel ,&nbsp;Louis Tremblais ,&nbsp;Julien Mellado ,&nbsp;Angela Rodriguez-Tinoco ,&nbsp;Aram Gazarian ,&nbsp;Thibault Druel","doi":"10.1016/j.hansur.2025.102272","DOIUrl":"10.1016/j.hansur.2025.102272","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 6","pages":"Article 102272"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}