The Journal of Hand Surgery is the official publication of the American Society for Surgery of the Hand. JHS Journal Club: #JHSJC OA Journal: @JHSGlobalOnline
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Save or salvage in Kienbock's disease? This JHS study found radial shortening osteotomy gave better PRWE/QuickDASH scores & satisfaction (86% vs 62%) than proximal row carpectomy. jhandsurg.org/article/S0363-…
#JHS #handsurgery #Kienbock
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A new international meta-analysis mapped #BPBI incidence across 71.5 million births in 30 countries. The findings highlight that BPBI may be influenced by more than individual obstetric risk factors. jhandsurg.org/article/S0363-…
#BrachialPlexus #BirthInjury #HandSurgery #Orthopedics
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PIP arthroscopy has long been limited on the volar side. This JHS cadaver study introduces a novel inside-out volar portal, safely distant from neurovascular structures in all fingers. jhandsurg.org/article/S0363-…
#JHS #handsurgery #arthroscopy
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Does exposed bone in an injured finger always require a flap? Read this article by Rahmati and colleagues to find out where they evaluate flap coverage vs occlusive dressing: jhandsurg.org/article/S0363-…
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This JHS cadaver study shows ulnar variance rises linearly with axial load (1.7mm to 3.0mm at 300N), with the ulna and lunate shifting closer together, demonstrating dynamic ulnar impaction. jhandsurg.org/article/S0363-…
#JHS #handsurgery #wrist
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A simplified ulna-shortening osteotomy: this JHS series of 25 ulnar impaction syndrome patients reports 100% bony union & full correction using a novel bridge-combined fixation system. jhandsurg.org/article/S0363-…
#JHS #handsurgery #osteotomy
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Thumb CMC implant arthroplasty vs resection arthroplasty: higher quality of life and lower costs @SchulthessNews
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Implant vs resection arthroplasty for thumb CMC arthritis: this JHS study found dual mobility implants returned patients to work faster (52 vs 84 days), at lower cost & higher QALYs. jhandsurg.org/article/S0363-…
#JHS #handsurgery #CMCarthritis
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One screw or two for proximal phalanx fractures? This JHS study found no significant difference in rotational stability between one- and two-screw IM constructs. jhandsurg.org/article/S0363-… #JHS #handsurgery #biomechanics
ALT schematic showing 1 vs 2 screws
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Does preop thumb MCP hyperextension predict failure after basilar joint suspensionplasty? This JHS study found no link between ≥30° hyperextension and 12-month outcomes when left untreated. jhandsurg.org/article/S0363-…
#JHS #handsurgery #thumb
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Arthrodesis vs Trapeziectomy for Thumb CMCj Arthritis with MCPj Hyperextension
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CMC arthritis with thumb MCP hyperextension: arthrodesis reliably corrected the hyperextension; trapeziectomy did not. Arthrodesis also gave greater pinch strength in this JHS study. jhandsurg.org/article/S0363-…
#JHS #handsurgery #CMCarthritis
ALT side-by-side preop vs. final-follow-up radiographs showing MCP hyperextension corrected after arthrodesis
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A new review in JHS highlights how extra-articular fractures tolerate residual deformity, while intra-articular injuries often require surgical repair to restore alignment and prevent long-term dysfunction. jhandsurg.org/article/S0363-…
#HandSurgery #Orthopedics #MedTwitter #JHS
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What predicts postoperative displacement of dorsal ulnar fragment after volar fixation? A letter to the editor highlights palmar tilt restoration and screw purchase; the authors respond with their rationale for focusing on preoperative predictors. bit.ly/4gLdrAr
#JHS
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Upper limb reconstruction in arthrogryposis improves the function by repositioning joints in usable arcs. A systematic review proposes an evidence-informed treatment algorithm.
jhandsurg.org/article/S0363-…
#JHS #ArthrogryposisMultiplexCongenita
ALT evidence-informed treatment algorithm for upper-limb reconstruction in arthrogryposis multiplex congenita, including segment-specific decision pathways
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Is WALANT safe in pediatric hand surgery?
A new cohort study showed that WALANT for pediatric trigger thumb achieves equivalent clinical outcomes to GA while minimizing institutional costs.
jhandsurg.org/article/S0363-…
#JHS #WALANT #GA #PTT
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Restoring pinch after ulnar nerve injury remains challenging. New case series showed that transfer of OPB to TDDBUN restored half of key pinch in addition to preserving thumb opposition.
jhandsurg.org/article/S0363-…
#JHS #Nervetransfer
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Accurate fascicle evaluation requires more than high resolution Ultrasound; it requires experience and technique.
Dynamic imaging improved differentiation by up to 51%, while 70-MHz showed the greatest fascicular count.
jhandsurg.org/article/S0363-…
#JHS #MRI #US
ALT ultrasound images of median nerve
ALT arm above ultrasounds showing position of adhesive tape
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10 years of data show decreased EMS hand trauma transfer rate in AR since novel telemedicine triage @Dr_KatMontoya
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10 years of data shows how Arkansas transformed #rural hand trauma care through #telemedicine. By connecting local ERs with fellowship-trained hand surgeons, they reduced EMS ground transfers from 72.6% to under 34%. Read this editor's choice article here: jhandsurg.org/article/S0363-…
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