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Journal of Hand Surgery-European Volume最新文献

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Pain and instability ascribed to the distal radioulnar ligaments and central disc as part of the triangular fibrocartilage complex: a round table discussion 作为三角纤维软骨复合体一部分的桡侧远端韧带和中央椎间盘引起的疼痛和不稳定性：圆桌讨论
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241254705
Teun Teunis, Marion Burnier, Andrew Y. H. Chin, David Ring
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引用次数: 0
Syringomyelia-induced wrist Charcot neuroarthropathy 鞘膜积液引起的腕部夏科神经关节病
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241275447
Zamalunga Lunga, Duncan McGuire, Michael Solomons
We present a rare case of wrist Charcot neuroarthropathy secondary to post-tuberculosis syringomyelia.Level of evidence: V
我们介绍了一例继发于结核病后鞘膜积液的腕部夏科神经关节病的罕见病例：V
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引用次数: 0
Re: Hems T, Parafioriti A, Thomas BP, Di Bernardo A. An algorithmic approach to the management of peripheral nerve tumours. J Hand Surg Eur. 2024, 49: 758–72 Re. Hems T, Parafioriti A, Thomas BP, Di Bernardo A：Hems T、Parafioriti A、Thomas BP、Di Bernardo A.外周神经肿瘤治疗算法。J Hand Surg Eur.2024, 49: 758-72
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241278952
Rocco De Vitis, Giuseppe Taccardo, Marco Passiatore
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引用次数: 0
Re: Özkan T, Aydin HU, Berköz Ö, Özkan S, Kozanoğlu E. ‘Switch’ technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy. J Hand Surg Eur. 2019, 44: 905–12 Re：Özkan T、Aydin HU、Berköz Ö、Özkan S、Kozanoğlu E. 用 "切换 "技术恢复 17 名臂丛神经出生麻痹患者的发音和桡侧偏斜。J Hand Surg Eur.2019, 44: 905-12
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241272355
Okyar Altas
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引用次数: 0
Titanium patient-specific scaphoid replacement for unreconstructable nonunions: a case series study 钛合金患者特异性肩胛骨置换术治疗无法重建的非关节畸形：病例系列研究
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241276375
Willem Geuskens, Andreas Verstreken, Eline Stroobants, Frederik Verstreken
Although reconstruction is the preferred treatment option for symptomatic scaphoid nonunions, this may not be an option due to inadequate bone quality or degenerative changes. Existing salvage procedures tend to compromise function. This study introduces an alternative approach through the utilisation of a 3-D-printed titanium patient-specific scaphoid implant. In this retrospective case series, the outcomes of 12 patients treated for an unreconstructable scaphoid nonunion with a 3-D-printed prosthesis were evaluated. Patient-reported outcomes, range of motion, grip strength and plain radiographs were assessed pre- and postoperatively. The mean follow-up was 2 years and 8 months. Range of movement and patient-reported outcome scores improved postoperatively, although improvement in movement was not significant. Except for one, all implants showed satisfactory alignment on radiographs without any further degenerative changes. 3-D-printed titanium scaphoid replacement may be an alternative to salvage procedures for unreconstructable scaphoid nonunion.Level of evidence: IV
虽然重建是无症状肩胛骨骨不连的首选治疗方案，但由于骨质不足或退行性病变，可能无法进行重建。现有的挽救手术往往会损害功能。本研究通过使用 3-D 打印钛合金患者专用肩胛骨植入物，介绍了一种替代方法。在这项回顾性病例系列研究中，我们评估了12名使用3D打印假体治疗无法重建的肩胛骨骨不连患者的疗效。对患者报告的疗效、活动范围、握力以及术前和术后的平片进行了评估。平均随访时间为 2 年零 8 个月。术后活动范围和患者报告结果评分均有所改善，但活动范围的改善并不明显。除一枚植入体外，所有植入体在X光片上都显示出令人满意的对位，没有进一步的退行性改变。3D打印钛合金肩胛骨置换术可替代无法重建的肩胛骨非骨节的挽救手术：证据等级：IV
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引用次数: 0
Trapezial ridge nonunion treated with excision and ligamentous tissue repair 用切除术和韧带组织修复术治疗斜方肌嵴不愈合
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-14 DOI: 10.1177/17531934241278245
Kohei Shimoyama, Makoto Emori, Kousuke Iba
We describe the challenge associated with obtaining an initial correct diagnosis of trapezial ridge fracture and the importance of repairing the detached ligamentous tissue after excision of the trapezial ridge fragment to obtain a favourable postoperative outcome for this rare fracture.
我们介绍了初步正确诊断斜方肌骨嵴骨折所面临的挑战，以及在切除斜方肌骨嵴碎片后修复脱落的韧带组织对这种罕见骨折取得良好术后效果的重要性。
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引用次数: 0
Re: Chen C, Chen J, Liu WC, Tuano KR. Overview and management of complications after digital replantations. J Hand Surg Eur. 2024, 49: 167-76. Re：Chen C, Chen J, Liu WC, Tuano KR.数字再植术后并发症的概述和处理。J Hand Surg Eur.2024, 49: 167-76.
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-11 DOI: 10.1177/17531934241251683
I-Han Iressa Cheng,Chia-Tsu Kao
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引用次数: 0
Remote postoperative management using Ecological Momentary Computerized Adaptive Testing (EMCAT): feasibility assessment survey 使用生态瞬间计算机化自适应测试（EMCAT）进行远程术后管理：可行性评估调查
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-09-11 DOI: 10.1177/17531934241274113
Sumedh Bele, Jeremy Rodrigues, David Beard, Conrad Harrison
Our survey of 38 surgeons shows that Ecological Momentary Computerized Adaptive Testing (EMCAT), a platform to remotely collect patient-reported outcome measures (PROMs) is acceptable to surgeons, and 36 of 38 are willing to participate in future randomized control trials comparing EMCAT versus routine follow-up.Level of evidence: IV
我们对 38 名外科医生进行的调查显示，外科医生可以接受生态瞬间计算机适应性测试 (EMCAT)，这是一个远程收集患者报告结果指标 (PROM) 的平台，38 名外科医生中有 36 人愿意参与未来的随机对照试验，对 EMCAT 与常规随访进行比较：证据等级：IV
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引用次数: 0
Parental experience after diagnosis of a congenital upper limb difference: a national survey 先天性上肢畸形确诊后的家长经历：一项全国性调查
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-05-04 DOI: 10.1177/17531934241249014
Andrew D. Clelland, Ruth Lester, Órla Duncan, Wee L. Lam
Congenital hand and upper limb differences may be detected during antenatal ultrasonography or visually at birth. We investigated the experience of parents when they first learned that their child had an upper limb difference. This national retrospective cross-sectional quantitative and qualitative survey within the UK and Ireland received 261 responses from parents of children. Differences were first suspected antenatally among 41% of respondents and in 57% postnatally, with 2% unsure. Of the children, 54% were seen in a clinic by a specialist congenital hand surgeon within 3 months and 88% within 12 months, with 73% of respondents feeling unsupported after a diagnosis that was unexpected. Qualitative analysis outlined a broad spectrum of parental concerns about the quality of information received, especially regarding the child’s future biopsychosocial needs. This study showed the need for more support for parents from frontline healthcare professionals and the need for a streamlined referral pathway.Level of evidence: IV
先天性手部和上肢差异可在产前超声波检查或出生时通过肉眼发现。我们调查了父母首次得知孩子上肢有差异时的经历。这项在英国和爱尔兰进行的全国性回顾性横断面定量和定性调查共收到 261 份来自儿童父母的回复。41%的受访者在产前首次怀疑孩子有上肢差异，57%的受访者在产后首次怀疑孩子有上肢差异，2%的受访者不确定孩子是否有上肢差异。其中，54%的儿童在 3 个月内接受了先天性手外科医生的门诊治疗，88%的儿童在 12 个月内接受了门诊治疗，73%的受访者在诊断结果出乎意料后感到缺乏支持。定性分析概述了家长对所获信息质量的广泛关注，尤其是对儿童未来的生物心理社会需求的关注。这项研究表明，一线医护人员需要为家长提供更多支持，并需要简化转诊途径：证据等级：IV
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引用次数: 0
Demographics and deprivation in obstetric brachial plexus palsy: a retrospective cohort study. 产科臂丛神经麻痹的人口统计学和贫困状况：一项回顾性队列研究。
IF 1.8 2区 医学 Q2 ORTHOPEDICS
Journal of Hand Surgery-European Volume
Pub Date : 2024-05-01 Epub Date: 2023-09-11 DOI: 10.1177/17531934231196421
Claire Madeline Hardie, Grainne Bourke, Emily Salt, Alice Fort-Schaale, Stephen Clark, Mikael Wiberg, Robert Bains

The present study analyses the relationships between deprivation and obstetric brachial plexus palsy (OBPP). A retrospective observational study was conducted of infants with OBPP seen between 2008 and 2020 (n = 321). The index of multiple deprivation (IMD) was used to assign an IMD rank to patients based on birth postcode and the relationship with OBPP was analysed, including deprivation, gestational diabetes, age at referral and at first assessment. Quintile-based analysis demonstrated over-representation of patients from more deprived neighbourhoods (n = 109, 39%) living in the top 20% most deprived neighbourhoods. A total of 48 (15%) mothers had diabetes and 98 (31%) infants underwent surgical brachial plexus exploration (a marker of disease severity). Neither diabetes, age at referral nor age at first assessment were associated with IMD score. This suggests that neighbourhood deprivation is associated with OBPP, though the mechanisms are unclear. Further studies in this area may enable targeted health intervention for more deprived maternal and infant groups.Level of evidence: III.

本研究分析了贫困与产科臂丛神经麻痹（OBPP）之间的关系。本研究对 2008 年至 2020 年间就诊的 OBPP 婴儿（n = 321）进行了回顾性观察研究。研究采用多重贫困指数（IMD），根据出生地邮政编码为患者划分IMD等级，并分析其与OBPP的关系，包括贫困程度、妊娠糖尿病、转诊年龄和首次评估年龄。基于五分位数的分析表明，居住在前 20% 最贫困社区的患者中，来自更贫困社区的患者人数过多（109 人，占 39%）。共有 48 名（15%）母亲患有糖尿病，98 名（31%）婴儿接受了臂丛神经探查手术（疾病严重程度的标志）。糖尿病、转诊年龄和首次评估年龄均与 IMD 评分无关。这表明，邻里贫困与 OBPP 相关，但其机制尚不清楚。对这一领域的进一步研究可为更贫困的孕产妇和婴儿群体提供有针对性的健康干预：证据等级：III。
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引用次数: 0
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Journal of Hand Surgery-European Volume
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