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Interrater reliability of face-to-face, tele- and video-based assessments with the modified Mallet classification in brachial plexus birth injuries. 臂丛神经产伤中采用改良的马莱特分类法进行面对面、远程和视频评估的互斥可靠性。
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-05-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231196118
Kıvanç Delioğlu, Sefa Unes, Merve Tuncdemir, Cemil Ozal, Kubra Seyhan Bıyık, Akin Uzumcugil

The modified Mallet classification is widely used to measure motor function in brachial plexus birth injuries. The aim of the study was to investigate agreement and reliability of this classification under three different evaluation conditions: face-to-face; live tele-assessment; and delayed video-based assessment. A total of 100 children aged 4-15 years were included. Children were assessed by two raters except for live tele-assessment, which was performed by four raters. Agreement between the three different assessment conditions for the same rater were between strong and excellent for both raters 1 and 2. The interrater reliability for raters 1 and 2 under different assessment conditions was strong to excellent. Interrater reliability among the four raters was moderate to strong in tele-assessment. The modified Mallet classification may have appropriate reliability to be used in remote medical follow-up.Level of evidence: III.

改良的马莱特分类法被广泛用于测量臂丛神经产伤的运动功能。本研究旨在调查在三种不同评估条件下该分类法的一致性和可靠性:面对面评估、现场远程评估和延迟视频评估。研究共纳入了 100 名 4-15 岁的儿童。除现场远程评估由四名评分员进行外,其他评估均由两名评分员进行。在三种不同的评估条件下,第一和第二评分员对同一评分员的评分结果的一致性介于良好和优秀之间。在不同的评估条件下,1 号和 2 号评分员的互测信度为极高至极佳。在远程评估中,四位评分员之间的互测信度为中等至较高。修改后的马莱特分类法可能具有适当的可靠性,可用于远程医疗随访:证据等级:III。
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引用次数: 0
A novel means of capitate distraction lengthening for end-stage Kienböck’s disease 治疗终末期基恩伯克病的新型帽状牵引延长术
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-29 DOI: 10.1177/17531934241249018
Yaqiang Zhang, Yun Xue, Xiaowen Deng, Qiuming Gao
We present a patient with Kienböck’s disease treated with a novel technique of capitate distraction lengthening using two wires in the proximal capitate and two in the ulna.
我们为一位基恩伯克病患者介绍了一种新颖的头骨牵引延长技术,该技术在近端头骨和尺骨上分别使用了两根钢丝。
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引用次数: 0
Measuring the aesthetic and functional outcome of pollicization 衡量截骨术的美学和功能效果
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-27 DOI: 10.1177/17531934241247280
Faramarz Torabi, Tobias Laurell
We retrospectively investigated the importance of aesthetics after pollicization in 12 pollicized thumbs in nine patients with current objective and subjective measurements. Subjective improvements in appearance and function correlated even though improvement of function was of greater importance.
我们对 9 名患者的 12 根拇指进行了截骨术,并通过当前的客观和主观测量,对截骨术后美观的重要性进行了回顾性研究。尽管功能的改善更为重要,但外观和功能的主观改善是相关的。
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引用次数: 0
Spring abstracts 春季摘要
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-22 DOI: 10.1177/17531934241240934
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引用次数: 0
Sustainable practices in hand therapy: a global perspective 手部治疗的可持续实践:全球视角
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-22 DOI: 10.1177/17531934241246451
Maryam Farzad, Zaf Naqui, Joy MacDermid, Steven Cuypers
Given its significant environmental footprint, healthcare sustainability is paramount. This study delves into the contributory role of hand therapy, assessing hand therapists’ comprehension, implementation and barriers to sustainable practices, focusing on orthotic fabrication. A global survey distributed via social media and professional networks collected data on sustainability awareness, practices and educational needs from 113 respondents, primarily from North America (34%) and Europe (32%). Although 91% recognized climate change, only 34% practised sustainability. Despite 57% attempting eco-friendly actions in orthotic fabrication, such as reusing components (65%), knowledge of reusable materials was low (17%) and recycling thermoplastics was inadequate (74.3%). The main barriers were lack of awareness (59%), material scarcity (56.6%) and time constraints (54%). The findings underscore the urgent need for enhanced education, better resource availability and policy reforms to close the gap between awareness and action, promoting sustainability in hand therapy.
鉴于其对环境的重大影响,医疗保健的可持续发展至关重要。本研究深入探讨了手部治疗的促进作用,评估了手部治疗师对可持续发展实践的理解、实施和障碍,重点关注矫形器制作。通过社交媒体和专业网络发布的一项全球调查收集了113名受访者的可持续发展意识、实践和教育需求数据,这些受访者主要来自北美(34%)和欧洲(32%)。尽管 91% 的受访者认识到了气候变化,但只有 34% 的受访者践行了可持续发展理念。尽管有 57% 的受访者尝试在矫形器制作过程中采取环保措施,如重复使用部件(65%),但对可重复使用材料的了解却很少(17%),对热塑性塑料的回收利用也不足(74.3%)。主要障碍是缺乏认识(59%)、材料稀缺(56.6%)和时间限制(54%)。调查结果强调,迫切需要加强教育、改善资源供应和政策改革,以缩小认识与行动之间的差距,促进手部治疗的可持续性。
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引用次数: 0
Isolated post-traumatic osteoarthritis of the middle carpometacarpal joint: a report of two cases 孤立的腕掌中关节创伤后骨关节炎:两例病例报告
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-20 DOI: 10.1177/17531934241245830
Hui-Kuang Huang, Chin-Hsien Wu, Jung-Pan Wang
We present two cases of isolated post-traumatic osteoarthritis in the middle carpometacarpal joint.
我们介绍了两例孤立的腕掌中关节创伤后骨关节炎病例。
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引用次数: 0
Surgical procedures to improve hand function in tetraplegic patients: patient satisfaction and outcomes over a 20-year period 改善四肢瘫痪患者手部功能的外科手术:20 年间患者的满意度和效果
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-20 DOI: 10.1177/17531934241246459
Stevens Cyriëlle, Vanden Berghe Alex, Hollevoet Nadine
The aim of the present study was to report our experience in the evolution in surgical strategy and patient satisfaction after upper limb reconstruction in tetraplegic patients. A total of 72 patients (114 upper limbs) underwent surgery between 1997 and 2017. Since April 2003, tenodesis of the extensor digitorum communis tendons was no longer performed because it limited wrist flexion, and two-stage operations to restore active grasp were replaced by one-stage procedures. In total, 34 patients (58 upper limbs) completed questionnaires about function and satisfaction at a mean follow-up of 14 years (range 4–24) since their first operation; 26 were satisfied, 30 would have the operation again and 31 benefitted from the surgery. Surgical procedures, such as tendon transfers, arthrodesis and tenodesis, can have a positive effect on patient-perceived function and satisfaction in the long term in most of these patients.Level of evidence: IV
本研究旨在报告我们在四肢瘫痪患者上肢重建手术策略的演变和患者满意度方面的经验。1997年至2017年间,共有72名患者(114个上肢)接受了手术。自2003年4月起,由于伸指肌腱腱鞘切除术限制了腕关节的屈曲,因此不再进行该手术,恢复主动抓握能力的两阶段手术也被一阶段手术所取代。共有 34 名患者(58 个上肢)在首次手术后平均 14 年(4-24 年不等)的随访中填写了有关功能和满意度的调查问卷;26 人表示满意,30 人表示将再次接受手术,31 人从手术中获益。从长远来看,肌腱转移、关节固定和腱鞘切除等外科手术对大多数患者的功能和满意度有积极影响:证据等级:IV
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引用次数: 0
The role of patient-reported outcomes in peripheral nerve surgery 患者报告结果在周围神经手术中的作用
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-20 DOI: 10.1177/17531934241243031
Maurizio Calcagni, Inga S. Besmens
Measuring the outcome of peripheral nerve surgery is challenging because of the spectrum of functional impairment is dependent on the level and severity of the lesion. There are no nerve-specific patient-reported outcome measures, and no universally accepted outcome measurement both in terms of the parameters to be assessed and the methods and timing of the assessment. Nevertheless, the use of patient-reported outcome measures is fundamental to better understand the needs and expectations of patients, to take advantage of all treatment opportunities to offer the best possible support to these patients. This paper outlines current concepts in the measurement of outcome in peripheral nerve surgery.
由于功能障碍的范围取决于病变的程度和严重性,因此衡量周围神经手术的结果具有挑战性。目前还没有针对特定神经的患者报告结果测量方法,在评估参数、评估方法和评估时间方面也没有公认的结果测量方法。然而,使用患者报告的结果测量方法对于更好地了解患者的需求和期望、利用所有治疗机会为患者提供尽可能好的支持至关重要。本文概述了目前周围神经手术疗效测量的概念。
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引用次数: 0
Relationship between median nerve vascularization before tourniquet release and the Boston Carpal Tunnel Questionnaire: a cohort study 止血带松解前正中神经血管化与波士顿腕管问卷之间的关系:一项队列研究
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-20 DOI: 10.1177/17531934241248066
Alejandro Liñan-Padilla, Alejandro Berlanga-Porras, Isidro Jiménez
The results of this study suggest that a decreased vascularization of the median nerve after releasing the carpal tunnel predicts an inferior clinical improvement assessed by the Boston Carpal Tunnel Questionnaire.
这项研究的结果表明,腕管松解后正中神经血管化程度降低,预示着波士顿腕管问卷所评估的临床改善效果较差。
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引用次数: 0
Long-term outcomes after terminalization for acute fingertip injuries 急性指尖损伤终结术后的长期疗效
IF 1.8 2区 医学 Q2 ORTHOPEDICS Pub Date : 2024-04-20 DOI: 10.1177/17531934241247276
Mathew B. Smith, Paul H. C. Stirling, Jane E. McEachan
The primary aim of this study was to report outcomes after fingertip terminalization in 90 patients over a 19-year period. We report excellent functional outcomes and satisfaction, but a 33% incidence of neuropathic pain.
这项研究的主要目的是报告 90 名患者在 19 年间接受指尖终结术后的效果。我们报告了极佳的功能效果和满意度,但神经性疼痛的发生率为 33%。
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引用次数: 0
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Journal of Hand Surgery-European Volume
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