Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 85 articles


Do Patient- and Parent-reported Outcomes Measures for Children With Congenital Hand Differences Capture WHO-ICF Domains?

Joshua M. Adkinson MD, Rebecca S. Bickham BS, Kevin C. Chung MD, MS, Jennifer F. Waljee MD, MS

Patient- and parent-reported outcome measures (PROMs) are increasingly used to evaluate the effectiveness of surgery for congenital hand differences (CHDs). Knowledge of an existing outcome measure’s ability to assess self-reported health, including psychosocial aspects, can inform the future development and application of PROMs for CHD. However, the extent to which measures used among children with CHD align with common, accepted metrics of self-reported disability remains unexplored.

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Ho Jung Kang MD, Yong-Min Chun MD, Il Hyun Koh MD, Jae Han Park MD, Yun Rak Choi MD

Arthroscopic management of scaphoid nonunions has been advanced as a less invasive technique that allows evaluation of associated intrinsic and extrinsic ligamentous injuries; however, few studies have documented the effectiveness of arthroscopic treatment of scaphoid nonunions and which intraarticular pathologies coexist with scaphoid nonunions.

Emergency Department Visits After Hand Surgery Are Common and Usually Related to Pain or Wound Issues

Mariano E. Menendez MD, David Ring MD, PhD

As payment models shift toward a focus on value and reimbursement becomes increasingly tied to quality and patient experience, minimizing unexpected acute health needs has become a priority for both policymakers and clinical leaders. Despite recent emphasis on emergency department (ED) visits as a quality measure in surgery, little is known about the role of the ED in the early postoperative period after hand surgery.

What Is the Most Useful Questionnaire for Measurement of Coping Strategies in Response to Nociception?

Joost T. P. Kortlever BSc, Stein J. Janssen MD, Marijn M. G. Berckel BSc, David Ring MD, PhD, Ana Maria Vranceanu PhD

There are several measures of coping strategies in response to nociception. These measures all correlate highly both with each other and with symptom intensity and magnitude of disability in patients with upper limb illness. This study aims to determine if distinct measures of coping strategies in response to nociception address the same underlying aspect of human illness behavior.

What Middle Phalanx Base Fracture Characteristics are Most Reliable and Useful for Surgical Decision-making?

Stein J. Janssen MD, Jeroen Molleman BSc, Thierry G. Guitton MD, PhD, David Ring MD, PhD

Fracture-dislocations of the proximal interphalangeal joint are vexing because subluxation and articular damage can lead to arthrosis and the treatments are imperfect. Ideally, a surgeon could advise a patient, based on radiographs, when the risk of problems merits operative intervention, but it is unclear if middle phalanx base fracture characteristics are sufficiently reliable to be useful for surgical decision making.

Do Upper Extremity Trauma Patients Have Different Preferences for Shared Decision-making Than Patients With Nontraumatic Conditions?

Michiel G. J. S. Hageman MD, Rajesh Reddy BA, Dennis J. S. Makarawung BSc, Jan Paul Briet MD, C. Niek Dijk MD, PhD, David Ring MD, PhD

Shared decision-making is a combination of expertise, available scientific evidence, and the preferences of the patient and surgeon. Some surgeons contend that patients are less capable of participating in decisions about traumatic conditions than nontraumatic conditions.

Immunohistochemical Mapping of Sensory Nerve Endings in the Human Triangular Fibrocartilage Complex

Susanne Rein MD, PhD, Manuel Semisch, Marc Garcia-Elias MD, PhD, Alex Lluch MD, Hans Zwipp MD, PhD, Elisabet Hagert MD, PhD

The triangular fibrocartilage complex is the main stabilizer of the distal radioulnar joint. While static joint stability is constituted by osseous and ligamentous integrity, the dynamic aspects of joint stability chiefly concern proprioceptive control of the compressive and directional muscular forces acting on the joint. Therefore, an investigation of the pattern and types of sensory nerve endings gives more insight in dynamic distal radioulnar joint stability.

Do Surgeons Treat Their Patients Like They Would Treat Themselves?

Stein J. Janssen MD, Teun Teunis MD, Thierry G. Guitton MD, PhD, David Ring MD, PhD

There is substantial unexplained geographical and surgeon-to-surgeon variation in rates of surgery. One would expect surgeons to treat patients and themselves similarly based on best evidence and accounting for patient preferences.

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Young Hak Roh MD, Jung Ho Noh MD, Joo Han Oh MD, Hyun Sik Gong MD, Goo Hyun Baek MD

Patients with hand fractures often have pain, swelling, and stiffness in the joints of the hand, which may lead them to protect their hands, resulting in more stiffness and in delayed recovery. However, the effects of pain-coping strategies and catastrophization (the tendency to expect the worst to occur when pain is present, an approach that can be thought of as the opposite of “coping”) on functional recovery after hand fractures have not been investigated in depth.