The Journal of hand surgery, European volume最新文献

This study reports the surgical technique and outcomes of tendon ball arthroplasty combined with proximal carpal stabilization using the extensor carpi radialis longus tendon for treating advanced Kienböck's disease. The collapsed lunate is excised and a tendon ball inserted as a spacer. A distally based extensor carpi radials longus graft is passed through the scaphoid, tendon ball and triquetrum, reconstructing the proximal carpal row. In total, 16 patients were included and the mean follow-up was 25 months. Pain improved from 5.6 preoperatively to 1.3 postoperatively on a 10-point visual analogue scale. Mean wrist motion improved by 17.8° and grip strength compared with the non-operative side increased by 22.1% on average. Radiographic outcomes demonstrated correction of scaphoid flexion and carpal height ratio. The modified tendon ball arthroplasty may be an alternative wrist salvage procedure for the treatment of advanced Kienböck's disease.Level of evidence: IV.

Many European healthcare systems emphasize value-based care to improve outcomes and control costs. Assessing function and satisfaction in hand surgery relies on patient reported outcome measures. This study evaluates the use of these outcome measures across Europe, focusing on diversity and language validation.A comprehensive database search for hand-specific patient reported outcome measures assessed availability for all official languages in Europe focusing on transculturally adapted and validated versions of available questionnaires. The study identified 47 European countries with 41 unique languages. The Disabilities of the Arm, Shoulder and Hand Questionnaire is the most available outcome measure, translated into 41 languages. Availability of other outcome measures varied significantly by language. Gaps in the availability of hand specific patient reported outcome measures exist across Europe. To assist in translating and validating such questionnaires, an exemplary Standard Protocol Items: Recommendations for Interventional Trials checklist is provided as supplementary material.Level of evidence: IV.

We investigated the prevalence of shoulder pain around the scapular spine in patients with carpal tunnel syndrome and in the general population. In those with carpal tunnel syndrome, 63% reported shoulder pain, against 5% in the control group.Level of evidence: III.

We present a novel surgical technique for avoiding joint surface injury by directly immobilizing the bone mass fracture fragment with K-wires sparing the joint.

This study assessed authorship and publication trends in congenital upper limb difference literature. Congenital upper limb difference literature is widely distributed across multiple journals; no single journal published a clear majority. Female authorship was more likely, though reasons for this remain unclear.

We report a case of extensor digitorum bowstringing after complete rupture of the extensor retinaculum treated successfully with an ankle extensor retinaculum graft. Reconstruction of structure, form and mechanical properties of the extensor retinaculum is possible owing to the histological similarity of anatomical pulleys throughout the body.Level of evidence: V.

Palmar soft tissue defects of the digits are common. Severe multiple digit palmar soft tissue defects can lead to dysfunction and are difficult to treat. We report a case in which a variety of flaps were applied to repair the palmar soft tissue defects of five digits.Level of evidence: V.

The aim of the present study was to train a natural language processing model to recognize key text elements from research abstracts related to hand surgery, enhancing the efficiency of systematic review screening. A sample of 1600 abstracts from a systematic review of distal radial fracture treatment outcomes was annotated to train the natural language processing model. To assess time-saving potential, 200 abstracts were processed by the trained models in two experiments, where reviewers accessed natural language processing predictions to include or exclude articles. The natural language processing model achieved an overall accuracy of 0.91 in recognizing key text elements, excelling in identifying study interventions. Use of the natural language processing reduced mean screening time by 31% without compromising accuracy. Precision varied, improving in the second experiment, indicating context-dependent performance. These findings suggest that natural language processing models can streamline abstract screening in systematic reviews by effectively identifying original research and extracting relevant text elements.Level of evidence: IV.

Four adult female patients were treated with an intramedullary Steinmann pin for an unstable extra-articular distal ulnar fracture associated with a distal radial fracture treated with plate osteosynthesis. All showed good radiographic and functional outcomes. One patient required removal of the Steinmann pin.