Pub Date : 2024-05-01Epub Date: 2023-09-11DOI: 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.
{"title":"Demographics and deprivation in obstetric brachial plexus palsy: a retrospective cohort study.","authors":"Claire Madeline Hardie, Grainne Bourke, Emily Salt, Alice Fort-Schaale, Stephen Clark, Mikael Wiberg, Robert Bains","doi":"10.1177/17531934231196421","DOIUrl":"10.1177/17531934231196421","url":null,"abstract":"<p><p>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 (<i>n</i> = 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 (<i>n</i> = 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.<b>Level of evidence:</b> III.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":" ","pages":"570-575"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-29DOI: 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.
{"title":"A novel means of capitate distraction lengthening for end-stage Kienböck’s disease","authors":"Yaqiang Zhang, Yun Xue, Xiaowen Deng, Qiuming Gao","doi":"10.1177/17531934241249018","DOIUrl":"https://doi.org/10.1177/17531934241249018","url":null,"abstract":"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.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"43 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-27DOI: 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.
{"title":"Measuring the aesthetic and functional outcome of pollicization","authors":"Faramarz Torabi, Tobias Laurell","doi":"10.1177/17531934241247280","DOIUrl":"https://doi.org/10.1177/17531934241247280","url":null,"abstract":"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.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"75 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140811451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-22DOI: 10.1177/17531934241240934
{"title":"Spring abstracts","authors":"","doi":"10.1177/17531934241240934","DOIUrl":"https://doi.org/10.1177/17531934241240934","url":null,"abstract":"","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"18 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140637114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-22DOI: 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.
{"title":"Sustainable practices in hand therapy: a global perspective","authors":"Maryam Farzad, Zaf Naqui, Joy MacDermid, Steven Cuypers","doi":"10.1177/17531934241246451","DOIUrl":"https://doi.org/10.1177/17531934241246451","url":null,"abstract":"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.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140637451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-20DOI: 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。
{"title":"Isolated post-traumatic osteoarthritis of the middle carpometacarpal joint: a report of two cases","authors":"Hui-Kuang Huang, Chin-Hsien Wu, Jung-Pan Wang","doi":"10.1177/17531934241245830","DOIUrl":"https://doi.org/10.1177/17531934241245830","url":null,"abstract":"We present two cases of isolated post-traumatic osteoarthritis in the middle carpometacarpal joint.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"50 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140624019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Surgical procedures to improve hand function in tetraplegic patients: patient satisfaction and outcomes over a 20-year period","authors":"Stevens Cyriëlle, Vanden Berghe Alex, Hollevoet Nadine","doi":"10.1177/17531934241246459","DOIUrl":"https://doi.org/10.1177/17531934241246459","url":null,"abstract":"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","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140631070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Relationship between median nerve vascularization before tourniquet release and the Boston Carpal Tunnel Questionnaire: a cohort study","authors":"Alejandro Liñan-Padilla, Alejandro Berlanga-Porras, Isidro Jiménez","doi":"10.1177/17531934241248066","DOIUrl":"https://doi.org/10.1177/17531934241248066","url":null,"abstract":"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.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"17 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-20DOI: 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.
{"title":"Long-term outcomes after terminalization for acute fingertip injuries","authors":"Mathew B. Smith, Paul H. C. Stirling, Jane E. McEachan","doi":"10.1177/17531934241247276","DOIUrl":"https://doi.org/10.1177/17531934241247276","url":null,"abstract":"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.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"117 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-20DOI: 10.1177/17531934241246479
Adam C. Stoneham, Lucy C. Walker, Michael J. Newman, Alex Nicholls, Duncan Avis
We investigated whether ChatGPT was able to increase the Flesch reading ease and the Flesch–Kincaid reading level of elective clinic letters written by hand surgeons. ChatGPT could not reliably simplify the hand clinic letters any further.
{"title":"Can artificial intelligence make elective hand clinic letters easier for patients to understand?","authors":"Adam C. Stoneham, Lucy C. Walker, Michael J. Newman, Alex Nicholls, Duncan Avis","doi":"10.1177/17531934241246479","DOIUrl":"https://doi.org/10.1177/17531934241246479","url":null,"abstract":"We investigated whether ChatGPT was able to increase the Flesch reading ease and the Flesch–Kincaid reading level of elective clinic letters written by hand surgeons. ChatGPT could not reliably simplify the hand clinic letters any further.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":"36 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140629514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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