Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.02.012
Ayesha Ahmad, Sana Akram, Ayesha Jamil
{"title":"Patient Rated Tennis Elbow Evaluation-Urdu is a valid as well as reliable tool for patients with lateral elbow tendinopathy","authors":"Ayesha Ahmad, Sana Akram, Ayesha Jamil","doi":"10.1016/j.jht.2024.02.012","DOIUrl":"10.1016/j.jht.2024.02.012","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 172-175"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144691","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.02.010
Chun-Kai Tang MS , Yi-Fen Shih PhD , Chun-Shou Lee MS
Background
Frozen shoulder (FS) is characterized by restricted active and passive shoulder mobility and pain.
Purpose
Compare the effect of muscle-biased manual therapy (MM) and regular physical therapy (RPT) in patients with FS.
Study Design
Pretest–post-test control group study design.
Methods
We recruited 34 patients with FS and compared the effect of 12-session MM and RPT. The outcome measures were scapular kinematics and muscle activation, scapular alignment, shoulder range of motion, and pain intensity. Two-way analysis of variance was used to examine the intervention effect with α = 0.05.
Results
Both programs resulted in similar improvements in pain and shoulder function. Compared to the RPT, MM resulted in increased posterior tilt (MM: 7.04°-16.09°, RPT: −2.50° to −4.37°; p = 0.002; ES = 0.261) and lower trapezius activation (MM: 260.61%-470.90%, RPT: 322.64%-313.33%; p = 0.033; ES = 0.134) during scaption, and increased posterior tilt (MM: 0.70°-15.16°, RPT: −9.66° to −6.44°; p = 0.007; ES = 0.205) during the hand-to-neck task. The MM group also showed increased GH backward elevation (MM: 37.18°-42.79°, RPT: 43.64°-40.83°; p = 0.004, ES = 0.237) and scapular downward rotation (MM: −2.48° to 6.80°, RPT: 1.93°-1.44°; p < 0.001; ES = 0.404) during the thumb-to-waist task, enhanced shoulder abduction (MM: 84.6°-102.3°, RPT: 85.1°-92.9°; p = 0.02; ES = 0.153), and improved scapular alignment (MM: 10.4-9.65 cm, RPT: 9.41-9.56 cm; p = 0.02; ES = 0.114).
Conclusions
MM was superior to the RPT regarding scapular neuromuscular performance. Clinicians should consider adding muscle-biased treatment when treating FS.
{"title":"The effect of muscle-biased manual therapy on shoulder kinematics, muscle performance, functional impairment, and pain in patients with frozen shoulder","authors":"Chun-Kai Tang MS , Yi-Fen Shih PhD , Chun-Shou Lee MS","doi":"10.1016/j.jht.2024.02.010","DOIUrl":"10.1016/j.jht.2024.02.010","url":null,"abstract":"<div><h3>Background</h3><div>Frozen shoulder (FS) is characterized by restricted active and passive shoulder mobility and pain.</div></div><div><h3>Purpose</h3><div>Compare the effect of muscle-biased manual therapy (MM) and regular physical therapy (RPT) in patients with FS.</div></div><div><h3>Study Design</h3><div>Pretest–post-test control group study design.</div></div><div><h3>Methods</h3><div>We recruited 34 patients with FS and compared the effect of 12-session MM and RPT. The outcome measures were scapular kinematics and muscle activation, scapular alignment, shoulder range of motion, and pain intensity. Two-way analysis of variance was used to examine the intervention effect with α = 0.05.</div></div><div><h3>Results</h3><div>Both programs resulted in similar improvements in pain and shoulder function. Compared to the RPT, MM resulted in increased posterior tilt (MM: 7.04°-16.09°, RPT: −2.50° to −4.37°; <em>p</em> = 0.002; ES = 0.261) and lower trapezius activation (MM: 260.61%-470.90%, RPT: 322.64%-313.33%; <em>p</em> = 0.033; ES = 0.134) during scaption, and increased posterior tilt (MM: 0.70°-15.16°, RPT: −9.66° to −6.44°; <em>p</em> = 0.007; ES = 0.205) during the hand-to-neck task. The MM group also showed increased GH backward elevation (MM: 37.18°-42.79°, RPT: 43.64°-40.83°; <em>p</em> = 0.004, ES = 0.237) and scapular downward rotation (MM: −2.48° to 6.80°, RPT: 1.93°-1.44°; <em>p</em> < 0.001; ES = 0.404) during the thumb-to-waist task, enhanced shoulder abduction (MM: 84.6°-102.3°, RPT: 85.1°-92.9°; <em>p</em> = 0.02; ES = 0.153), and improved scapular alignment (MM: 10.4-9.65 cm, RPT: 9.41-9.56 cm; <em>p</em> = 0.02; ES = 0.114).</div></div><div><h3>Conclusions</h3><div>MM was superior to the RPT regarding scapular neuromuscular performance. Clinicians should consider adding muscle-biased treatment when treating FS.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 42-51"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472740","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.11.006
Stephanie Reischl PT, PhD , Joy MacDermid PhD
Background
Distal radius fractures (DRF) and ulnar neuropathy (UNE) present with reduced motor function, restricted range of motion, pain, and reduced grip strength that may lead to similar treatment approaches. With rapid and insidious onset for DRF and UNE, respectively, the contextual factors impacting an individuals’ experience with the condition can vary.
Purpose
The aim of this secondary analysis is to compare ratings of quality of life (QoL) domains prior to treatment and 3 months post treatment for DRF and UNE.
Study Design
This is a retrospective cohort study conducted at the Roth McFarlane Hand and Upper Limb Centre.
Methods
36-Item Short Form Survey (SF-36) data from 781 patients treated nonoperatively for DRF, operatively for DRF, or operatively for UNE was extracted from the Hand and Upper Limb Centre database. Group differences for the eight SF-36 domains were calculated using analysis of covariance (ANCOVA) with sex as a covariate. Differences from prior to treatment to 3 months post were assessed using separate repeated measures ANCOVA (RM-ANCOVA) with sex as a covariate.
Results
Nonoperative DRF, operative DRF, and operative UNE groups reported 8%-11% improvements in QoL domains at 3 months follow-up despite some persisting impairments for physical domains. Prior to treatment, the DRF patients report greater impairments for physical domains, while the UNE patients managed operatively reported greater impairments to psychosocial domains. Operatively managed DRF patients report greater physical and psychosocial impairments than those conservatively treated. Males report less severe impairments for physical and psychosocial domains than females.
Conclusions
Assessing QoL domains for two upper extremity conditions with different contextual factors provides insight into the implications of those factors on QoL. Incorporating early screening and continual monitoring of QoL domains impacted by upper extremity conditions like DRF and UNE could help identify factors impacting prognosis and direct the focus of treatment to improve outcomes at 3 months.
{"title":"A retrospective analysis of quality of life domains impacted by distal radius fracture and ulnar neuropathy","authors":"Stephanie Reischl PT, PhD , Joy MacDermid PhD","doi":"10.1016/j.jht.2024.11.006","DOIUrl":"10.1016/j.jht.2024.11.006","url":null,"abstract":"<div><h3>Background</h3><div>Distal radius fractures (DRF) and ulnar neuropathy (UNE) present with reduced motor function, restricted range of motion, pain, and reduced grip strength that may lead to similar treatment approaches. With rapid and insidious onset for DRF and UNE, respectively, the contextual factors impacting an individuals’ experience with the condition can vary.</div></div><div><h3>Purpose</h3><div>The aim of this secondary analysis is to compare ratings of quality of life (QoL) domains prior to treatment and 3 months post treatment for DRF and UNE.</div></div><div><h3>Study Design</h3><div>This is a retrospective cohort study conducted at the Roth McFarlane Hand and Upper Limb Centre.</div></div><div><h3>Methods</h3><div>36-Item Short Form Survey (SF-36) data from 781 patients treated nonoperatively for DRF, operatively for DRF, or operatively for UNE was extracted from the Hand and Upper Limb Centre database. Group differences for the eight SF-36 domains were calculated using analysis of covariance (ANCOVA) with sex as a covariate. Differences from prior to treatment to 3 months post were assessed using separate repeated measures ANCOVA (RM-ANCOVA) with sex as a covariate.</div></div><div><h3>Results</h3><div>Nonoperative DRF, operative DRF, and operative UNE groups reported 8%-11% improvements in QoL domains at 3 months follow-up despite some persisting impairments for physical domains. Prior to treatment, the DRF patients report greater impairments for physical domains, while the UNE patients managed operatively reported greater impairments to psychosocial domains. Operatively managed DRF patients report greater physical and psychosocial impairments than those conservatively treated. Males report less severe impairments for physical and psychosocial domains than females.</div></div><div><h3>Conclusions</h3><div>Assessing QoL domains for two upper extremity conditions with different contextual factors provides insight into the implications of those factors on QoL. Incorporating early screening and continual monitoring of QoL domains impacted by upper extremity conditions like DRF and UNE could help identify factors impacting prognosis and direct the focus of treatment to improve outcomes at 3 months.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 33-41"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.02.013
Saurabh P. Mehta PT, PhD, GCS , Liane M. Ventura MPH , James D. Boone PT, DPT, OCS , Karli D. Beasley PT, DPT , Alexa R. Brodbeck PT, DPT , Olivia R. Rabinek PT, DPT
Background
Distal radius fractures (DRF) are extremely common in middle-aged and elderly. Certified Hand Therapists (CHT) are experts in managing hand injuries including DRF.
Purpose
Using qualitative methodology, this study examined practice patterns among CHT and understand prevalent common patterns in managing DRF.
Study design
Descriptive qualitative study.
Methods
This study utilized a qualitative descriptive method with an inductive approach to discern the practices of CHT in managing DRF. A purposive sample of practicing CHT was assembled. A semi-structured interview guide facilitated qualitative interviews using open-ended questions to assess practices of CHT in the domains of assessment, interventions, and appropriateness for discharge. Two student physical therapists transcribed the interviews, which were verified by a third rater for accuracy. Thematic content analysis guided the coding and analyses of the interview data. A two-phase coding process was conducted using Nvivo software. Two study authors developed initial codebook and completed subsequent analysis of transcripts.
Results
Of the 12 participants, five were PT and seven were OT with an average experience of 14.1 years as a CHT. Practice patterns across domains were largely consistent among CHT. All CHTs reported inquiring about severity of displacement of DRF, orthopedic management, comorbidities, and medical history as well as examining wrist/hand range of motion (ROM), grip strength (GS), and wrist functions (n = 12). A large majority administered outcome measures and performed sensory and integumentary assessment. Patient education regarding injury and exercises was the key element for interventions. Adequate gains in GS, wrist functions, wrist ROM, and ability to use wrist/hand for functional tasks were the key benchmarks for discharge from care.
Discussion
Most practice behaviors were common among CHTs while managing DRF. Some variations exist depending whether their primary discipline is PT or OT. The results highlight knowledge-to-action gap, where most CHTs do not integrate fall-risk management in DRF.
Conclusions
This study identified common practice patterns among CHTs in managing DRF while also identifying opportunity to improve practice by integrating assessment of balance and fall-risk.
{"title":"A qualitative inquiry to explore management of distal radius fracture by certified hand therapists","authors":"Saurabh P. Mehta PT, PhD, GCS , Liane M. Ventura MPH , James D. Boone PT, DPT, OCS , Karli D. Beasley PT, DPT , Alexa R. Brodbeck PT, DPT , Olivia R. Rabinek PT, DPT","doi":"10.1016/j.jht.2024.02.013","DOIUrl":"10.1016/j.jht.2024.02.013","url":null,"abstract":"<div><h3>Background</h3><div>Distal radius fractures (DRF) are extremely common in middle-aged and elderly. Certified Hand Therapists (CHT) are experts in managing hand injuries including DRF.</div></div><div><h3>Purpose</h3><div>Using qualitative methodology, this study examined practice patterns among CHT and understand prevalent common patterns in managing DRF.</div></div><div><h3>Study design</h3><div>Descriptive qualitative study.</div></div><div><h3>Methods</h3><div>This study utilized a qualitative descriptive method with an inductive approach to discern the practices of CHT in managing DRF. A purposive sample of practicing CHT was assembled. A semi-structured interview guide facilitated qualitative interviews using open-ended questions to assess practices of CHT in the domains of assessment, interventions, and appropriateness for discharge. Two student physical therapists transcribed the interviews, which were verified by a third rater for accuracy. Thematic content analysis guided the coding and analyses of the interview data. A two-phase coding process was conducted using Nvivo software. Two study authors developed initial codebook and completed subsequent analysis of transcripts.</div></div><div><h3>Results</h3><div><span><span>Of the 12 participants, five were PT and seven were OT with an average experience of 14.1 years as a CHT. Practice patterns across domains were largely consistent among CHT. All CHTs reported inquiring about severity of displacement of DRF, orthopedic management, comorbidities, and </span>medical history as well as examining wrist/hand range of motion (ROM), grip strength (GS), and wrist functions (</span><em>n</em><span> = 12). A large majority administered outcome measures and performed sensory and integumentary assessment. Patient education regarding injury and exercises was the key element for interventions. Adequate gains in GS, wrist functions, wrist ROM, and ability to use wrist/hand for functional tasks were the key benchmarks for discharge from care.</span></div></div><div><h3>Discussion</h3><div>Most practice behaviors were common among CHTs while managing DRF. Some variations exist depending whether their primary discipline is PT or OT. The results highlight knowledge-to-action gap, where most CHTs do not integrate fall-risk management in DRF.</div></div><div><h3>Conclusions</h3><div>This study identified common practice patterns among CHTs in managing DRF while also identifying opportunity to improve practice by integrating assessment of balance and fall-risk.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 73-79"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873090","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.11.008
Xinjie Wang MSc, Hui Ma MSc
{"title":"Letter to the editor regarding “A randomized clinical trial on the changing of median nerve cross-sectional area and pain after extracorporeal shock wave and low-level laser therapy added to conventional physical therapy in patients with mild-to-moderate carpal tunnel syndrome”","authors":"Xinjie Wang MSc, Hui Ma MSc","doi":"10.1016/j.jht.2024.11.008","DOIUrl":"10.1016/j.jht.2024.11.008","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages e1-e2"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911177","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.11.007
April C. Cowan OTD, OTR, CHT , Marsha B. Lawrence PT, DPT, CHT , Elaine E. Fess OTD, MS, OTR, FAOTA, CHT , Caroline W. Stegink-Jansen PT, PhD, CHT , For the American Hand Therapy Foundation Board of Directors
Background
In 1998, the American Hand Therapy Foundation (AHTF) surveyed Certified Hand Therapists and active Charter Members of the American Society of Hand Therapists to identify hand rehabilitation research priorities, guide grant awards, and confirm alignment with the foundation's mission.
Purpose
The American Hand Therapy Foundation repeated the survey in 2021 to confirm that its award funding was consistent with hand therapists' research priorities.
Study Design
Convergent parallel mixed method study design.
Methods
The survey was sent to 7093 hand therapists from the United States and overseas. Respondents’ demographic information was captured using quantitative questions analyzed with descriptive statistics and weighted means. Research priorities and interests were captured using qualitative questions, Grounded Theory analysis, and Constant Comparative Methods.
Results
A total of 397 surveys were returned and analyzed (5.6% return rate, 95% confidence level, 5% margin of error). Participants’ top research priorities were outcome studies and research grants. Tendon injuries and lateral epicondylitis were the highest prioritized diagnoses for further research. Intervention study priorities included hand rehabilitation management strategies and use of orthoses. Responses presented a need for funded outcomes research validating hand rehabilitation interventions. Level of interest in research participation was in data collection and as coauthor. Top barriers to participation in research activities were time constraints and lack of proficiency. Research education for clinicians and mentorship programs were identified as specific needs.
Conclusions
American Hand Therapy Foundation research award funding was consistent with practice and reported research concerns. Participants identified their top concerns for diagnostic and outcomes research and prioritized continuing Foundation involvement in funding clinical research.
{"title":"The 2021 American Hand Therapy Foundation research priorities survey","authors":"April C. Cowan OTD, OTR, CHT , Marsha B. Lawrence PT, DPT, CHT , Elaine E. Fess OTD, MS, OTR, FAOTA, CHT , Caroline W. Stegink-Jansen PT, PhD, CHT , For the American Hand Therapy Foundation Board of Directors","doi":"10.1016/j.jht.2024.11.007","DOIUrl":"10.1016/j.jht.2024.11.007","url":null,"abstract":"<div><h3>Background</h3><div>In 1998, the American Hand Therapy Foundation (AHTF) surveyed Certified Hand Therapists and active Charter Members of the American Society of Hand Therapists to identify hand rehabilitation research priorities, guide grant awards, and confirm alignment with the foundation's mission.</div></div><div><h3>Purpose</h3><div>The American Hand Therapy Foundation repeated the survey in 2021 to confirm that its award funding was consistent with hand therapists' research priorities.</div></div><div><h3>Study Design</h3><div>Convergent parallel mixed method study design.</div></div><div><h3>Methods</h3><div>The survey was sent to 7093 hand therapists from the United States and overseas. Respondents’ demographic information was captured using quantitative questions analyzed with descriptive statistics and weighted means. Research priorities and interests were captured using qualitative questions, Grounded Theory analysis, and Constant Comparative Methods.</div></div><div><h3>Results</h3><div>A total of 397 surveys were returned and analyzed (5.6% return rate, 95% confidence level, 5% margin of error). Participants’ top research priorities were outcome studies and research grants. Tendon injuries and lateral epicondylitis were the highest prioritized diagnoses for further research. Intervention study priorities included hand rehabilitation management strategies and use of orthoses. Responses presented a need for funded outcomes research validating hand rehabilitation interventions. Level of interest in research participation was in data collection and as coauthor. Top barriers to participation in research activities were time constraints and lack of proficiency. Research education for clinicians and mentorship programs were identified as specific needs.</div></div><div><h3>Conclusions</h3><div>American Hand Therapy Foundation research award funding was consistent with practice and reported research concerns. Participants identified their top concerns for diagnostic and outcomes research and prioritized continuing Foundation involvement in funding clinical research.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 4-22"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016606","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2025.01.003
Joy C MacDermid
{"title":"Authorship- giving appropriate credit to researchers and Patient Partners or People With Lived Experience, while recognizing accountability: A new policy","authors":"Joy C MacDermid","doi":"10.1016/j.jht.2025.01.003","DOIUrl":"10.1016/j.jht.2025.01.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520678","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.04.001
Ann M. Feretti EdD, OTR/L, CHT , Nathan Khabyeh-Hasbani BA , Manisha Joshi OTR/L, CHT , Victoria Ferrante OTR/L, CHT , Steven M. Koehler MD
{"title":"Utilization of the external rotation abduction thermoplastic shoulder orthosis for adolescents with birth-related brachial plexus injuries following shoulder reanimation surgery","authors":"Ann M. Feretti EdD, OTR/L, CHT , Nathan Khabyeh-Hasbani BA , Manisha Joshi OTR/L, CHT , Victoria Ferrante OTR/L, CHT , Steven M. Koehler MD","doi":"10.1016/j.jht.2024.04.001","DOIUrl":"10.1016/j.jht.2024.04.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 167-171"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472742","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.07.001
David Ring MD, PhD , George E. Sayegh BS , Thierry G. Guitton MD, PhD , Claudius D. Jarrett MD
{"title":"Digital wound assessment by hand specialists is moderately reliable","authors":"David Ring MD, PhD , George E. Sayegh BS , Thierry G. Guitton MD, PhD , Claudius D. Jarrett MD","doi":"10.1016/j.jht.2024.07.001","DOIUrl":"10.1016/j.jht.2024.07.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 160-162"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114897","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jht.2024.07.004
Guy Rubin MD , Amir Haim Eliyahu MD , Uri Diego Mano MD , Ravit Shay BOT , Sigal Svorai BOT , Ruty Sagiv BOT, MHA , Avi Chezar MD , Nimrod Rozen MD, PhD
Introduction
Tendinous and bony mallet are very different injuries presenting with extensor lag at the distal interphalangeal joint. This study is aimed to evaluate the outcome difference between acute bony and tendinous mallet fingers treated conservatively with a splint in children.
Materials and Methods
We collected retrospective data about patients at the time of injury with acute tendinous or bony mallet that were treated conservatively in our occupational therapy clinic. Patients were examined in the outpatient clinic. Pain, extension lag, and flexion loss were documented. Outcomes were classified according to the Crawford’s criteria.
Results
We collected data on 31 patients (16 bony and 15 tendinous mallet). We found the bony mallet patients to be older (mean 13.8 vs 11.9 years), We also found that tendinous mallet injuries affected predominantly the ring finger while bony mallet injuries affected predominantly the middle finger. Both bony and tendinous mallets tend to be more frequent in male. The extensor lag on initial was the same (median −18.5° vs −20°). As for the outcome, we found both groups to have excellent outcome in regard of the extension lag (median 0° vs 0° p = 0.538) and Crawford Criteria Assessment (p = 0.570).
Discussion
Mallet injuries, either tendinous or bony, are not common in children. They are often studied together and typically treated in the same way with extension splintage. Yet, the evidence in adults clearly shows there are different injuries, which present in the same way. This study reinforces these findings in children regarding demographic findings but not for the treatment outcome.
导言：腱性槌状指和骨性槌状指是两种截然不同的损伤，均表现为远端指间关节伸肌滞后。本研究旨在评估使用夹板保守治疗儿童急性骨性和腱性槌状指的结果差异：我们收集了在职业治疗门诊接受保守治疗的急性腱性或骨性槌状指患者受伤时的回顾性数据。患者在门诊接受检查。记录了疼痛、伸展滞后和屈曲损失。结果根据克劳福德标准进行分类：我们收集了 31 名患者（16 名骨性槌状关节炎患者和 15 名腱性槌状关节炎患者）的数据。我们发现骨性畸形患者年龄较大（平均 13.8 岁对 11.9 岁），我们还发现腱性畸形主要影响无名指，而骨性畸形主要影响中指。骨性和腱性槌伤都以男性多见。最初的伸指滞后度相同（中位数-18.5° vs -20°）。至于结果，我们发现两组患者在伸展滞后（中位数0° vs 0°，P = 0.538）和克劳福德标准评估（P = 0.570）方面都有很好的结果：讨论：槌状损伤，无论是腱性损伤还是骨性损伤，在儿童中都不常见。这两种损伤经常被放在一起研究，通常采用相同的方法进行外展夹板固定治疗。然而，成人中的证据清楚地表明，有不同的损伤，却以相同的方式出现。这项研究加强了儿童人口学方面的研究结果，但在治疗效果方面却没有发现。
{"title":"The outcome difference between acute bony and tendinous mallet fingers treated conservatively in children","authors":"Guy Rubin MD , Amir Haim Eliyahu MD , Uri Diego Mano MD , Ravit Shay BOT , Sigal Svorai BOT , Ruty Sagiv BOT, MHA , Avi Chezar MD , Nimrod Rozen MD, PhD","doi":"10.1016/j.jht.2024.07.004","DOIUrl":"10.1016/j.jht.2024.07.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Tendinous and bony mallet are very different injuries presenting with extensor lag at the distal interphalangeal joint. This study is aimed to evaluate the outcome difference between acute bony and tendinous mallet fingers treated conservatively with a splint in children.</div></div><div><h3>Materials and Methods</h3><div>We collected retrospective data about patients at the time of injury with acute tendinous or bony mallet that were treated conservatively in our occupational therapy clinic. Patients were examined in the outpatient clinic. Pain, extension lag, and flexion loss were documented. Outcomes were classified according to the Crawford’s criteria.</div></div><div><h3>Results</h3><div>We collected data on 31 patients (16 bony and 15 tendinous mallet). We found the bony mallet patients to be older (mean 13.8 vs 11.9 years), We also found that tendinous mallet injuries affected predominantly the ring finger while bony mallet injuries affected predominantly the middle finger. Both bony and tendinous mallets tend to be more frequent in male. The extensor lag on initial was the same (median −18.5° vs −20°). As for the outcome, we found both groups to have excellent outcome in regard of the extension lag (median 0° vs 0° <em>p</em> = 0.538) and Crawford Criteria Assessment (<em>p</em> = 0.570).</div></div><div><h3>Discussion</h3><div>Mallet injuries, either tendinous or bony, are not common in children. They are often studied together and typically treated in the same way with extension splintage. Yet, the evidence in adults clearly shows there are different injuries, which present in the same way. This study reinforces these findings in children regarding demographic findings but not for the treatment outcome.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 68-72"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741150","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}
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