Surgeons Factors and Trends Associated with the Use of Subacromial Decompression at the Time of Rotator Cuff Repair
CONCLUSIONS: Although SAD use during RCR appears to be decreasing, multiple surgeon and practice factors (years in practice, fellowship training, volume, and academic practice) are associated with a change in SAD use.CLINICAL RELEVANCE: These data suggest that early-career surgeons entering practice are likely driving the trend of declining SAD. Despite evidence suggesting limited clinical benefits, SAD remains commonly performed; future studies should endeavor to determine factors associated with practice changes among surgeons.PMID:38556963 | DOI:10.1016/j.jhsa.2024.02.002 (Source: Hand Surgery)
Source: Hand Surgery - April 1, 2024 Category: Surgery Authors: Yagiz Ozdag Daniel S Hayes Victoria C Garcia Jad El Koussaify Shahid Manzar Alayna K Vaughan Daniel E Davis Louis C Grandizio Source Type: research

Artificial Intelligence in Hand Surgery - How Generative AI is Transforming the Hand Surgery Landscape
In conclusion, generative AI is poised to enhance patient care and ease physician workloads, starting with automating administrative tasks and evolving to inform diagnoses, tailored treatment plans, as well as aid in surgical planning. As healthcare systems navigate the complexities of integrating AI, the potential benefits for both physicians and patients remain significant, offering a glimpse into a future where AI transforms healthcare delivery. Level of Evidence: Level V (Diagnostic).PMID:38553849 | DOI:10.1142/S2424835524300019 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Ruth En Si Tan Wendy Zi Wei Teo Mark E Puhaindran Source Type: research

Palpable Bony Landmarks of the Wrist
J Hand Surg Asian Pac Vol. 2024 Mar 26. doi: 10.1142/S2424835524710024. Online ahead of print.NO ABSTRACTPMID:38553850 | DOI:10.1142/S2424835524710024 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Sandeep Jacob Sebastin Source Type: research

A new etiology of nontraumatic C0-C1-C2-Complex instability - abnormality of musculus rectus capitis posterior minor: a case report
CONCLUSION: In this case, we not only report the atrophy or absence of RCPmi as a new etiological factor for nontraumatic sagittal plane instability in the C0-C1-C2-complex but also discovered a new function of RCPmi. The cephalad-rearward traction exerted by RCPmi on the C1 posterior arch is essential for the development of a normal C1 anterior-posterior diameter.PMID:38554204 | DOI:10.1007/s00402-024-05275-9 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Jun Li Beate Kunze Lutz G össel Stefan Krebs Marc Dreimann Source Type: research

Emerging multi-port soft tissue robotic systems: a systematic review of clinical outcomes
J Robot Surg. 2024 Mar 30;18(1):145. doi: 10.1007/s11701-024-01887-w.ABSTRACTMultiple novel multi-port robotic surgical systems have been introduced into clinical practice. This systematic review aims to evaluate the clinical outcomes of these novel robotic systems to conventional laparoscopic technique and established da Vinci robotic surgical platforms. A literature search of Embase, Medline, Pubmed, Cochrane library, and Google Scholar was performed according to the PRISMA guidelines from 2012 to May 2023. Studies comparing clinical outcomes of novel multi-port robotic surgical systems with laparoscopic or the da Vinci ...
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Yit J Leang Joseph C H Kong Zahin Mosharaf Chrys S Hensman Paul R Burton Wendy A Brown Source Type: research

Intramedullary Nailing of Humeral Shaft Fractures: Percutaneous Nailing in the lateral position through the Neviaser approach is a reliable Technique
CONCLUSIONS: In the short-term follow-up, osteosynthesis of humeral shaft fractures by using long IMN in the lateral position with the Neviaser approach is a reliable technique. The positioning of the nail, in particular its entry point, and the clinical results were better with the lateral position and Neviaser approach than with the standard position and conventional approach. Further studies with a larger number of patients, assessment of the learning curve, and analysis of the impact of this technique on comorbidities (unchanged cerebral perfusion) are needed to fully validate this technique.PMID:38554997 | DOI:10.1016...
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Hugo Barret R émi Carre Pascal Boileau Cyril Lazerges Olivier Bozon Pierre-Emmanuel Chammas Bertrand Coulet Michel Chammas Source Type: research

Artificial Intelligence in Hand Surgery - How Generative AI is Transforming the Hand Surgery Landscape
In conclusion, generative AI is poised to enhance patient care and ease physician workloads, starting with automating administrative tasks and evolving to inform diagnoses, tailored treatment plans, as well as aid in surgical planning. As healthcare systems navigate the complexities of integrating AI, the potential benefits for both physicians and patients remain significant, offering a glimpse into a future where AI transforms healthcare delivery. Level of Evidence: Level V (Diagnostic).PMID:38553849 | DOI:10.1142/S2424835524300019 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Ruth En Si Tan Wendy Zi Wei Teo Mark E Puhaindran Source Type: research

Palpable Bony Landmarks of the Wrist
J Hand Surg Asian Pac Vol. 2024 Mar 26. doi: 10.1142/S2424835524710024. Online ahead of print.NO ABSTRACTPMID:38553850 | DOI:10.1142/S2424835524710024 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Sandeep Jacob Sebastin Source Type: research

A new etiology of nontraumatic C0-C1-C2-Complex instability - abnormality of musculus rectus capitis posterior minor: a case report
CONCLUSION: In this case, we not only report the atrophy or absence of RCPmi as a new etiological factor for nontraumatic sagittal plane instability in the C0-C1-C2-complex but also discovered a new function of RCPmi. The cephalad-rearward traction exerted by RCPmi on the C1 posterior arch is essential for the development of a normal C1 anterior-posterior diameter.PMID:38554204 | DOI:10.1007/s00402-024-05275-9 (Source: Hand Surgery)
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Jun Li Beate Kunze Lutz G össel Stefan Krebs Marc Dreimann Source Type: research

Emerging multi-port soft tissue robotic systems: a systematic review of clinical outcomes
J Robot Surg. 2024 Mar 30;18(1):145. doi: 10.1007/s11701-024-01887-w.ABSTRACTMultiple novel multi-port robotic surgical systems have been introduced into clinical practice. This systematic review aims to evaluate the clinical outcomes of these novel robotic systems to conventional laparoscopic technique and established da Vinci robotic surgical platforms. A literature search of Embase, Medline, Pubmed, Cochrane library, and Google Scholar was performed according to the PRISMA guidelines from 2012 to May 2023. Studies comparing clinical outcomes of novel multi-port robotic surgical systems with laparoscopic or the da Vinci ...
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Yit J Leang Joseph C H Kong Zahin Mosharaf Chrys S Hensman Paul R Burton Wendy A Brown Source Type: research

Intramedullary Nailing of Humeral Shaft Fractures: Percutaneous Nailing in the lateral position through the Neviaser approach is a reliable Technique
CONCLUSIONS: In the short-term follow-up, osteosynthesis of humeral shaft fractures by using long IMN in the lateral position with the Neviaser approach is a reliable technique. The positioning of the nail, in particular its entry point, and the clinical results were better with the lateral position and Neviaser approach than with the standard position and conventional approach. Further studies with a larger number of patients, assessment of the learning curve, and analysis of the impact of this technique on comorbidities (unchanged cerebral perfusion) are needed to fully validate this technique.PMID:38554997 | DOI:10.1016...
Source: Hand Surgery - March 30, 2024 Category: Surgery Authors: Hugo Barret R émi Carre Pascal Boileau Cyril Lazerges Olivier Bozon Pierre-Emmanuel Chammas Bertrand Coulet Michel Chammas Source Type: research

Frequency and reporting of complications after Dupuytren's contracture interventions: A systematic review and meta-analysis
CONCLUSIONS: There was limited reporting of complication occurrence, management, and outcomes following interventions, contributing to a gap in information for informed patient consent. MA was possible for reporting of proportions for infection, nerve injury, and CRPS across interventions. NMA enabled direct comparison of the six commonest complications between interventions. These findings can guide intervention selection. Improving consistency and quality in complications reporting is essential to aid counselling of patients regarding the true rates and consequences of the risks of interventions.TYPE OF STUDY/LEVEL OF EV...
Source: Hand Surgery - March 29, 2024 Category: Surgery Authors: P Raval K Kulkarni N Johnson P Divall C Nevill A Sutton J Dias Source Type: research

Systemic Tranexamic Acid for Reduced Postoperative Blood Loss and Less Bleeding Complications in Fleur-de-lis Abdominoplasty and Apronectomy
CONCLUSION: Systemic administration of tranexamic acid effectively reduced postoperative blood loss and bleeding complications in fleur-de-lis abdominoplasties and apronectomies.LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .PMID:38548959 | DOI:10.1007/s00266-024-03992-5 (Source: Hand Surgery)
Source: Hand Surgery - March 29, 2024 Category: Surgery Authors: Carolin Wachtel Jens Rothenberger Ines Ana Ederer Jochen Souquet Ulrich Rieger Source Type: research

Appropriate thromboprophylaxis strategy for COVID-19 patients on dosage, antiplatelet therapy, outpatient and post-discharge prophylaxis: a meta-analysis of randomized controlled trials
CONCLUSION: For non-critically ill patients, therapeutic dose prophylactic anticoagulation significantly reduced venous thromboembolism but increases major bleeding risk. Intermediate dose effectively lowered venous thromboembolism without raising major bleeding risk. The optimal dose and need for additional antiplatelet therapy in critically ill patients, as well as the necessity of prophylactic anticoagulation in outpatient and post-discharge patients, required further investigation and confirmation through rigorous evidence studies.PMID:38549227 | DOI:10.1097/JS9.0000000000001307 (Source: Hand Surgery)
Source: Hand Surgery - March 29, 2024 Category: Surgery Authors: Jiahao Meng Hang Tang Yifan Xiao Weijie Liu Yumei Wu Yilin Xiong Shuguang Gao Source Type: research

Diagnostic Performance of Artificial Intelligence for Detection of Scaphoid and Distal Radius Fractures: A Systematic Review
CONCLUSIONS: AI models demonstrated excellent performance for detecting scaphoid and distal radius fractures, with the majority demonstrating comparable or better performance compared with human experts. Worse performance was demonstrated on occult fractures. However, when trained specifically on difficult fracture patterns, AI models demonstrated improved performance.CLINICAL RELEVANCE: AI models can help detect commonly missed occult fractures while enhancing workflow efficiency for distal radius and scaphoid fracture diagnoses. As performance varies based on fracture type, future studies focused on wrist fracture detect...
Source: Hand Surgery - March 29, 2024 Category: Surgery Authors: Jacob F Oeding Kyle N Kunze Caden J Messer Ayoosh Pareek Duretti T Fufa Nicholas Pulos Peter C Rhee Source Type: research