A prospective cohort study of patients with finger injuries found that patient reported outcomes showed improvement over 6 months but did not return to pre-injury levels. The Patient Evaluation Measure was the most sensitive of the outcome measures used.

Periprosthetic joint infections (PJIs) of the trapeziometacarpal joint of the thumb are rare but challenging complications of arthroplasty. Currently, no hand-specific guidelines exist. This study aimed to develop consensus-based recommendations for their diagnosis and management.

The optimal management of children with a suspected scaphoid fracture and normal radiographs is unclear. Traditionally, children have been treated with empiric cast immobilization or with early CT or MRI to avoid missing an occult fracture. An early range of motion (ROM) protocol for these children may be an alternative strategy.

Amyloid deposition in the tenosynovium and transverse carpal ligament, and particularly cardiac involvement, are rare in patients with carpal tunnel syndrome; however, the prevalence may be underreported. This prospective study assessed the prevalence of amyloid deposits in the synovium and transverse carpal ligament and whether dual-site sampling improved detection. Risk factors for a positive test and asymptomatic cardiac involvement were also investigated.

Social media (SoMe) is increasingly used for research promotion and dissemination. Classic bibliometrics measure long-term measures of research impact, such as citation counts. Altmetrics are newer real-time measures of activity on multiple SoMe platforms (e.g. X, Facebook) capturing the consumption, reach and impact of scientific outputs. Promotion via SoMe has short-term positive impacts on citations but the long-term impact remains unknown.

Traditional single-stage tendon transfer procedures in patients with tetraplegia are designed to restore active pinch and grasp function. However, digital extension is usually achieved by wrist tenodesis. More recently, nerve transfer has allowed potential restoration of digital extension. This matched observational pilot study compares clinical outcomes after traditional tendon transfers vs. a study group using two-stage using combined nerve and tendon transfer.

The acquisition and maintenance of knowledge is a continuous process which extends throughout clinical practice. Hand surgeons draw on a wide range of educational resources, but preferences and reading habits are not well described. This study aimed to identify how hand surgeons access and prioritize information for learning and decision-making.

Trapeziometacarpal joint stability during pinch depends on the balance between the opponens pollicis and the first dorsal interosseous muscles, which control pronation and supination of the first metacarpal, respectively. Disruption of this muscular balance may contribute to joint instability in patients with trapeziometacarpal osteoarthritis, although the mechanisms underlying movement pattern changes in these patients remain unclear. This study aimed to quantitatively compare thumb rotation patterns during tip pinch between patients with trapeziometacarpal osteoarthtits and healthy individuals.

Dynamic CT imaging may help to diagnose ulnar-sided wrist pain by analysing joint motion in normal and pathological wrists. In this study an automated 3-D workflow was developed to quantify ulnocarpal impaction and distal radioulnar joint stability with dynamic CT imaging in normal wrists during motion. The aim was to establish normal values which can be used as a reference.

Cases of complete brachial plexus birth injury are likely to result in severe limitation of upper limb function and are challenging to manage. There is little high-level evidence to guide management of these children. Surgical exploration and microsurgical repair of the plexus is often recommended when facilities are available. Three expert brachial plexus surgeons were asked to answer specific questions regarding outcomes of non-operative management, their surgical strategies, the indications for contralateral C7 nerve root transfer, outcomes of surgical reconstruction and evidence for operative nerve surgery and improvement in hand function. The responses are presented and discussed.

We investigated the outcomes of patients with severe ulnar nerve compression who underwent anterior interosseous nerve transfer combined with cubital and ulnar tunnel release.

The purpose of the study was to describe thumb kinematics and function during basic motion tasks and activities of daily living following different surgical techniques for trapeziometacarpal (TMC) joint osteoarthritis using a three-dimensional motion capture system.

Bony mallet injuries are usually treated with 6 weeks of continuous splinting. This retrospective study found that 4 weeks of immobilization followed by staged withdrawal achieved outcomes equivalent to those for 6 weeks, suggesting that shorter treatment is as effective for acute cases. IV.

The aims of this study were to gain an understanding of the relative incidences of bone and joint injuries around each finger joint after a fall on the outstretched hand.

We studied the safety and cost of repeated local steroid injections for carpal tunnel syndrome. Medical records of patients treated by injection between 2016-2017 were retrospectively reviewed for 5 years. Two-hundred and twenty-one patients were included. The number of injections, the reason for surgery and any complications were recorded. A regression analysis was done for predictors of carpal tunnel release. The costs of the treatments were calculated. The mean number of injections was 2.3 (SD2.3; range 1-26). Two patients reported severe pain after the first injection. Thirty per cent of wrists proceeded to carpal tunnel release. Persistent and worsening symptoms were the main reasons for surgery. No intraoperative complications were noted. Patients who underwent release had a longer duration of symptoms and a higher percentage of thenar atrophy. The acquisition of nerve conduction studies was the only significant predictor for release. Cost analysis revealed that giving up to four injections before surgery reduced overall cost. Repeated injections were found to be safe in the treatment of carpal tunnel syndrome and did not affect the morbidity of subsequent release. III.