The Journal of hand surgery, European volume最新文献

Trauma, particularly surgical trauma, has been suggested as a potential trigger for Dupuytren's disease (DD). This systematic review examined the prevalence of DD after surgical and non-surgical hand trauma by conducting thorough searches of the PubMed, Embase, Cochrane and Scopus databases. Qualitative methods were used to synthesise the data and summarize the findings that were unsuitable for meta-analysis. The findings revealed an increased risk of DD associated with exposure to hand-transmitted vibration, sports-related trauma and distal radial fractures. Surgical procedures such as trigger finger release were also found to be associated with an increased risk, particularly in individuals who are predisposed to the condition. Key risk factors included age, male sex, diabetes and smoking. Hand trauma, particularly surgical trauma and repetitive mechanical stress, is associated with the onset of DD. These findings highlight the need to consider the risk of developing DD in patients undergoing surgery or sustaining an injury. Further research is needed to develop preventive strategies for at-risk populations.

Clinical registries that allow longitudinal patient follow-up with standardized outcome measures are useful tools for collecting data that can be used to inform patients and clinicians about the aetiology, natural history and response of various conditions to treatment. Registries are being employed across the world for children with congenital upper limb differences where the benefits of accumulated data for this heterogenous group of significant conditions are proving invaluable including the Congenital Upper Limb Difference registry in the United States, the Congenital Upper Limb Anomaly North registry in northern Europe, the Australian Hand Difference Register in Australia and the British Society for Surgery of the Hand Registry in the UK. These registries collect similar data allowing effective interoperability while retaining individual features unique to each registry. Recommendations for further development are made based on analysis of the development and methodology of these existing registries.

This study aimed to investigate epidemiology, injury characteristics, treatment, mortality and patient-reported outcome measures in patients with a distal radial fracture and Parkinson's disease. The patient population was obtained from the Swedish Fracture Register, and patients with Parkinson's disease were identified by data from the National Board of Health and Welfare. A total of 3179 cases were identified and matched with controls. Most fractures took place in the patient's home after a simple fall and were managed non-operatively. An anterior locking plate was the most common surgical intervention. The 1 year mortality was significantly higher among men with Parkinson's disease than in controls. Patient-reported outcome measures at the 1 year follow-up deteriorated significantly more for patients with Parkinson's disease than in controls, and patients with Parkinson's disease also experienced more problems with reoperations, pain, mobility and carrying out their usual activities.Level of evidence: III.

Trapeziometacarpal joint arthroplasty achieved a physiological correction of joint position with regards to dorsoradial offset and thumb length, when comparing a group before and after arthroplasty with a gender-adjusted control group with healthy trapeziometacarpal joints.Level of evidence: III.

Health systems face rising demand and resource constraints, exacerbated by the SARS-CoV-2 ('COVID-19') pandemic. Value-based healthcare prioritizes achievement of outcomes that matter to patients at the lowest possible cost. The British Society for Surgery of the Hand guidance supports the performance of specific hand surgical procedures in a procedure room setting to safely increase capacity at a lower cost. In this study, this guidance was applied to all hand surgery procedures carried out over a 6-year period in a single country (Wales) to determine the volume of procedures potentially suitable for a procedure room setting (4500 cases/year). Standard costing methods were used to estimate financial and other resource savings associated with this change. Transferring suitable hand surgery procedures across Wales to a procedure room from a standard operating theatre would have reduced costs by more than £1 million/year ($1,500,000/€1,300,000) and released many hours of operating theatre time for alternative use.Level of evidence: IV.

The Martin-Gruber communication is a median-to-ulnar motor fibre exchange. However, no clinical evidence of its potential compensatory function was found in 54 patients with complete proximal lesions of either the ulnar or median nerves, suggesting that its significance is largely anecdotal.

In March 2024, the first two Aptis distal radioulnar joint prostheses in France were implanted at the University Hospital of Martinique. In Europe, these types of prostheses have been used since 2008 in Spain and the UK. This article aims to analyse the reasons why the Aptis prosthesis was not used in France, the second-largest economy in Europe, for 20 years after its approval in the European market. In our opinion, there are two major reasons: the first is financial and regulatory, related to the French Social Security system and private insurance; the second is related to the degree of openness of French surgery to Anglo-Saxon concepts and ideas.Level of evidence: V.

The purpose of this study was to evaluate carpal joint contact patterns after perilunate injuries and potential associations between functional and radiographic outcomes. Twenty-two patients with a computed tomography (CT) scan at least 2 years postoperatively were reviewed (mean follow-up 15 years). Assessment of carpal degenerative changes was done using Kellgren-Lawrence grading and CT-derived joint space area, which was calculated as the total area with interbone distance less than 2 mm. Increased joint space area signified a greater area with joint space narrowing and cartilage loss. Fifteen patients had severe joint space narrowing at the scaphocapitate and capitolunate joints. Nine and seven patients had severe narrowing at the radiolunate and radioscaphoid joints, respectively. Degenerative changes did not follow a typical scapholunate advanced collapse pattern. Increased scaphocapitate joint space area was associated with worse Patient Rated Wrist Evaluation scores (r = -0.47, p = 0.02) and visual analogue scale pain scores (r = -0.44, p = 0.03). This study suggests that patients with more severe degenerative changes after perilunate injuries may have worse functional outcomes.Level of evidence: IV.

Introduction: We assessed the diagnostic accuracy of 3T magnetic resonance imaging in comparison with surgical exploration for detecting root avulsion in brachial plexus birth injuries.

Methods: This retrospective cohort study describes a consecutive series of 18 infants with brachial plexus birth injuries born between January 2019 and May 2024 who had a surgical exploration of the plexus preceded by magnetic resonance imaging under the same general anaesthetic.

Results: The overall diagnostic accuracy of magnetic resonance imaging for detecting root avulsion(s) of C5-T1 was 68%, with 67% sensitivity and 92% specificity. It has a 'good' diagnostic accuracy for detection of root avulsion, although only a 'sufficient' sensitivity.

Conclusion: Although useful, magnetic resonance imaging in its current form cannot be solely relied upon for clinical decision-making in brachial plexus birth injuries.

Level of evidence: IV.