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6. The Validity and Responsiveness of the Patient-Specific Functional Scale in Patients With First Carpometacarpal Osteoarthritis

Author

van der Avoort, Dirk-Johannes Jacobus Cornelis, Bijlsma, Ward Rogier, Michiel Blomme, Richard Arjen, de Boer, Herman Luitzen, van Couwelaar, Gijs Marijn, Debeij, Jan, Dekker, Jak, Feitz, Reinier, Fink, Alexandra, Harmsen, Kennard, Hoogendam, Lisa, Hovius, Steven Eric Ruden, van Huis, Rob, Koch, Richard, van Kooij, Yara Eline, Koopman, Jaimy Emerentiana, Kroeze, Alexander, Loos, Nina Louisa, Moojen, Thybout Matthias, van der Oest, Mark Johannes Willem, Pennehouat, Pierre-Yves Alain Adriaan, de Ridder, Willemijn Anna, de Schipper, Johannes Pieter, Schoneveld, Karin, Selles, Ruud Willem, Slijper, Harm Pieter, Smit, Jeronimus Maria, Smit, Xander, Souer, John Sebastiaan, ter Stege, Marloes Hendrina Paulina, Temming, Johannes Frederikes Maria, Teunissen, Joris Sebastiaan, van Uchelen, Jeroen Hein, Veltkamp, Joris Jan, Vermeulen, Guus Maarten, Walbeehm, Erik Taco, Wouters, Robbert Maarten, Zöphel, Oliver Theodor, Zuidam, Jelle Michiel, van Kooij, Yara E., ter Stege, Marloes H.P., de Ridder, Willemijn A., Hovius, Steven E.R., MacDermid, Joy C., Selles, Ruud W., and Wouters, Robbert M.

Published
2024
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9. Driving Factors of Recommending a Hand Surgery Clinic After Surgery

Author

Blomme, R.A.M., Sluijter, B.J.R., van der Avoort, D.J.J.C., Halbesma, G.J., Kroeze, A., Smit, J., Debeij, J., Walbeehm, E.T., van Couwelaar, G.M., Vermeulen, G.M., de Schipper, J.P., Temming, J.F.M., van Uchelen, J.H., de Boer, H.L., de Haas, K.P., Harmsen, K., Zöphel, O.T., Feitz, R., Souer, J.S., Koch, R., Hovius, S.E.R., Moojen, T.M., Smit, X., Hagen, R., van Huis, R., Pennehouat, P.Y., Schoneveld, K., van Kooij, Y.E., Wouters, R.M., Veltkamp, J., Fink, A., Esteban Lopez, L., de Ridder, W.A., Slijper, H.P., Selles, R.W., Porsius, J.T., Tsehaie, J., Poelstra, R., Jansen, M.C., van der Oest, M.J.W., Hoogendam, L., Teunissen, J.S., Koopman, J.E., Dekker, J., ter Stege, M.H.P., Zuidam, J.M., Hundepool, C.A., van der Heijden, B.E.P.A., Colaris, J.W., Bijlsma, W.R., Porsius, Jarry T., ter Stege, Marloes H.P., Selles, Ruud W., and Slijper, Harm P.

Published
2024
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13. Patient-Reported Outcomes and Function After Surgical Repair of the Ulnar Collateral Ligament of the Thumb

Author

Blomme, R.A.M., Sluijter, B.J.R., van der Avoort, D.J.J.C., Halbesma, G.J., Kroeze, A., Smit, J., Debeij, J., Walbeehm, E.T., van Couwelaar, G.M., Vermeulen, G.M., de Schipper, J.P., Temming, J.F.M., van Uchelen, J.H., de Boer, H.L., de Haas, K.P., Harmsen, K., Zöphel, O.T., Feitz, R., Koch, R., Hovius, S.E.R., Moojen, T.M., Smit, X., Hagen, R., van Huis, R., Pennehouat, P.Y., Schoneveld, K., van Kooij, Y.E., Wouters, R.M., Veltkamp, J., Fink, A., Esteban Lopez, L., de Ridder, W.A., Slijper, H.P., Porsius, J.T., Tsehaie, J., Poelstra, R., Jansen, M.C., Hoogendam, L., Teunissen, J.S., Koopman, J.E., Dekker, J., ter Stege, M.H.P., van Nieuwenhoven, C.A., van der Heijden, B.E.P.A., Colaris, J.W., Bijlsma, W.R., Legerstee, Ingmar W.F., van der Oest, Mark J.W., Souer, J. Sebastiaan, Hundepool, Caroline A., Duraku, Liron S., Selles, Ruud W., and Zuidam, J. Michiel

Published
2023
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15. Multiple Compression Syndromes of the Same Upper Extremity: Prevalence, Risk Factors, and Treatment Outcomes of Concomitant Treatment

Author

Blomme, Richard Arjen Michiel, van der Avoort, Dirk-Jan, Halbesma, Gert-Jan, Kroeze, Alexander, Smit, Jeronimus (Jeroen) Maria, Debeij, Jan, Walbeehm, Erik Taco, van Couwelaar, Gijs Marijn, Vermeulen, Guus Maarten, de Schipper, Johannes (Hans) Pieter, Temming, Johannes (Hans) Frederikes Maria, van Uchelen, Jeroen Hein, de Boer, Herman Luitzen, de Haas, Nicoline, Harmsen, Kennard, Zöphel, Oliver Theodor, Feitz, Reinier, Souer, John Sebastiaan, Koch, Richard, Hovius, Steven Eric Ruden, Moojen, Thybout Matthias, Smit, Xander, van Huis, Rob, Pennehouat, Pierre-Yves Alain Adriaan, Schoneveld, Karin, van Kooij, Yara Eline, Wouters, Robbert Maarten, Fink, Alexandra, Lopez, Lisa Esteban, de Ridder, Willemijn Anna, Slijper, Harm Pieter, Selles, Ruud Willem, Tsehaie, Jonathan, Poelstra, Ralph, van der Oest, Mark Johannes Willem, Hoogendam, Lisa, Teunissen, Joris Sebastiaan, Koopman, Jaimy Emerentiana, Loos, Nina Louisa, ter Stege, Marloes Hendrina Paulina, Zuidam, Jelle Michiel, van Nieuwenhoven, Christianne, Hundepool, Caroline Anna, van der Heijden, Brigitte, Colaris, Joost, Bijlsma, Ward Rogier, Mendelaar, Nienke H.A., Hundepool, Caroline A., Duraku, Liron S., Zöphel, Oliver T., Selles, Ruud W., and Zuidam, J. Michiel

Published
2023
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16. Long-Term Outcomes of Nonsurgical Treatment of Thumb Carpometacarpal Osteoarthritis: A Cohort Study

Author

Esteban Lopez, Lisa M.J., Hoogendam, Lisa, Vermeulen, Guus M., Tsehaie, Jonathan, Slijper, Harm P., Selles, Ruud W., Wouters, Robbert M., Blomme, R.A.M., Sluijter, B.J.R., van der Avoort, D.J.J.C., Halbesma, G.J., Kroeze, A., Smit, J., Debeij, J., Walbeehm, E.T., van Couwelaar, G.M., de Schipper, J.P., Temming, J.F.M., van Uchelen, J.H., de Boer, H.L., de Haas, K.P., Harmsen, K., Zöphel, O.T., Feitz, R., Souer, J.S., Koch, R., Hovius, S.E.R., Moojen, T.M., Smit, X., Hagen, R., van Huis, R., Pennehouat, P.Y., Schoneveld, K., van Kooij, Y.E., Veltkamp, J., Fink, A., de Ridder, W.A., Porsius, J.T., Tsehaie, J., Poelstra, R., Jansen, M.C., van der Oest, M.J.W., Teunissen, J.S., Koopman, J.E., Dekker, J., ter Stege, M.H.P., Zuidam, J.M., van Nieuwenhoven, C.A., Hundepool, C.A., van der Heijden, B.E.P.A., Colaris, J.W., and Bijlsma, W.R.

Published
2023
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19. Routinely-Collected Outcomes of Proximal Row Carpectomy

Author

Rooney, A., Hamlin, K., Khan, Y., Matharu, G.S., Haddon, A.E.F., Riesmeijer, S.A., van den Berge, B.A., Lane, J.C.E., Smith, G.M., Furniss, D., Teunissen, Joris S., Duraku, Liron S., Feitz, Reinier, Zuidam, J Michiel, Selles, Ruud W., and Wouters, Robbert M.

Published
2024
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20. Comparing Patient-Reported Outcomes on Three-Ligament Tenodesis Between Partial and Complete Scapholunate Ligament Injuries: A Cohort Study

Author

Blomme, R.A.M., Sluijter, B.J.R., van der Avoort, D.J.J.C., Kroeze, A., Smit, J.M., Debeij, J., Walbeehm, E.T., van Couwelaar, G.M., Vermeulen, Guus M., de Schipper, J.P., Temming, J.F.M., van Uchelen, J.H., de Boer, H.L., de Haas, K.P., Harmsen, K., Zöphel, O.T., Koch, R., Moojen, T.M., Smit, X., Halbesma, G.J., van Huis, R., Pennehouat, P.Y., Schoneveld, K., van Kooij, Y.E., Wouters, R.M., Zagt, P., Veltkamp, J., Fink, A., de Ridder, W.A., Tsehaie, J., Poelstra, R., Janssen, M.C., Sun, P.O., Schrier, V.J.M.M., Hoogendam, L., Teunissen, J.S., Dekker, Jak, Jansen-Landheer, M.L., ter Stege, M.H.P., Souer, J.S., Selles, R.W., Slijper, H.P., Hovius, S.E.R., Feitz, R., Hakkesteegt, Stefanie N., van der Oest, Mark J.W., Dullemans, Kas N., Duraku, Liron S., Hundepool, Caroline A., Selles, Ruud W., Feitz, Reinier, and Zuidam, J. Michiel

Published
2024
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21. Prevalence and Risk Factors for Postoperative Complications Following Open A1 Pulley Release for a Trigger Finger or Thumb

Author

van der Avoort, D.J.J.C., Blomme, R.A.M., de Boer, H.L., van Couwelaar, G.M., Debeij, J., Dekker, J., van Ewijk, F.J., Feitz, R., Fink, A., de Haas, K.P., Harmsen, K., Hoogendam, L., Hovius, S.E.R., van Huis, R., Jansen-Landheer, M.L., Koch, R., van Kooij, Y.E., Kroeze, A., Moojen, T.M., van der Oest, M.J.W., Pennehouat, P.Y., de Ridder, W.A., de Schipper, J.P., Schoneveld, K., Slijper, H.P., Sluijter, B.J.R., Smit, X., Souer, J.S., ter Stege, M., Temming, J.F.M., Teunissen, J.S., van Uchelen, J.H., Veltkamp, J.J., Vermeulen, G.M., Walbeehm, E.T., Zöphel, O.T., Koopman, Jaimy E., Zweedijk, Bo E., Hundepool, Caroline A., Duraku, Liron S., Smit, Jeroen, Wouters, Robbert M., Selles, Ruud W., and Zuidam, J. Michiel

Published
2022
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26. Incision techniques for trigger thumb release: a comparison of outcomes of four types of skin incision.

Author

Koopman, Jaimy E., Smit, Jeroen M., Wouters, Robbert M., Selles, Ruud W., Michiel Zuidam, J., and Hundepool, Caroline A.

Subjects
PATIENT satisfaction, SURGICAL complications, SATISFACTION, THERAPEUTIC complications, THUMB
Abstract

Although trigger thumb release is commonly performed, there is no consensus on the optimal skin incision. This study aimed to compare outcomes of four incision techniques, including V-shaped, oblique, transverse and longitudinal incisions. Outcomes included the Michigan Hand Outcomes Questionnaire, satisfaction with the treatment and postoperative complications. The results of 875 patients who underwent trigger thumb release were assessed. All groups demonstrated improvement in self-reported hand function (range of 10–14 points), pain (25–27 points) and aesthetics (4–7 points) from baseline to 3 months postoperatively with no differences between incision techniques. Of the patients, 76% reported good or excellent satisfaction with the outcome of treatment. Satisfaction and complication rates of the different incision techniques were similar. These findings imply that there is no clear benefit of one type of incision over another for trigger thumb release, suggesting that surgeons may use the technique of their preference. Level of evidence: III [ABSTRACT FROM AUTHOR]

Published
2024
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27. Should we always perform scaphoid nonunion surgery in patients with minor preoperative symptoms?

Author

Cohen, Abigael, Reijman, Max, Selles, Ruud W., Hovius, Steven E. R., and Colaris, Joost W.

Subjects
SCAPHOID bone, PATIENT satisfaction, CARPAL bones, UNUNITED fractures, TREATMENT of fractures
Abstract

The objective of this study was to assess the downsides of surgical treatment of scaphoid fracture nonunion in patients with minor preoperative symptoms. Patients were classified with minor symptoms based on the Patient-Rated Hand/Wrist Evaluation questionnaire. Of the 35 included patients, most patients encountered problems with patient-specific activities; 9% reported worse postoperative functional outcomes, 34% were not satisfied with the treatment and 9% were reoperated. The risk of a worse functional outcome after surgery with the need for further operations and the chance of developing wrist osteoarthritis, along with the possibility of poor patient satisfaction and ongoing daily functional impairment, should be considered during preoperative counselling. Level of evidence: III [ABSTRACT FROM AUTHOR]

Published
2024
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28. Outcome of Simple Decompression of Primary Cubital Tunnel Syndrome Based on Patient-Reported Outcome Measurements

Author

Blomme, R.A.M., Sluijter, B.J.R., van der Avoort, D.J.J.C., Kroeze, A., Smit, J.M., Debeij, J., Walbeehm, E.T., van Couwelaar, G.M., Vermeulen, G.M., de Schipper, J.P., Halbesma, G.J., Temming, J.F.M., van Uchelen, J.H., de Boer, H.L., de Haas, K.P., Harmsen, K., Zöphel, O.T., Feitz, R., Souer, J.S., Koch, R., Hovius, S.E.R., Moojen, T.M., Smit, X., Bijlsma, W.R., Colaris, J.W., van Nieuwenhoven, C.A., van der Heijden, B.E.P.A., Hundepool, C.A., Duraku, L.S., Zuidam, J.M., van Huis, R., Pennehouat, P.Y., Schoneveld, K., van Kooij, Y.E., Wouters, R.M., Veltkamp, J., Fink, A., de Ridder, W.A., Slijper, H.P., Selles, R.W., Porsius, J.T., Tsehaie, J., Poelstra, R., Jansen, M.C., Evers, S., van der Oest, M.J.W., Hoogendam, L., Teunissen, J.S., Koopman, J.E., Sun, P.O., Dekker, J., ter Stege, M.H.P., Hagen, R., Mendelaar, Nienke H.A., Hundepool, Caroline A., Hoogendam, Lisa, Duraku, Liron S., Power, Dominic M., Walbeehm, Erik T., Selles, Ruud W., and Zuidam, J. Michiel

Published
2022
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35. A Standard Set for Outcome Measurement in Patients With Hand and Wrist Conditions: Consensus by the International Consortium for Health Outcomes Measurement Hand and Wrist Working Group

Author

Shin, Alexander Y., MacDermid, Joy C., Warwick, David, Novak, Christine B., Bain, Gregory I., Jerosch-Herold, Christina, Chung, Kevin C., Dahlin, Lars B., Iglesias, Martin, Öksüz, Çigdem, Sabapathy, S. Raja, van de Ven-Stevens, Lucelle, Trickett, Ryan, Leblebicioğlu, Gürsel, Calcagni, Maurizio, Selles, Ruud W., Wouters, Robbert M., Jobi-Odeneye, Adedayo O., de la Torre, Alethse, Joseph, Andria, and Hovius, Steven E.R.

Published
2021
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39. Correction: What are the perspectives of patients with hand and wrist conditions, chronic pain, and patients recovering from stroke on the use of patient and outcome information in everyday care?:A Mixed-Methods study

Author

Arends, Grada R., Loos, Nina L., van Kooij, Yara E., Tabeau, Kasia, de Ridder, Willemijn A., Selles, Ruud W., Veltkamp, Joris, Wouters, Robbert M., Arends, Grada R., Loos, Nina L., van Kooij, Yara E., Tabeau, Kasia, de Ridder, Willemijn A., Selles, Ruud W., Veltkamp, Joris, and Wouters, Robbert M.

Abstract

In the original published article, the bottom part of Fig. 2 was missing. Also in the supplementary tables, the last sentence is “A negative standardized odds ratio (SOR) indicates worse understanding and positive SOR indicates better understanding.” and “A negative standardized odds ratio (SOR) indicates less perceived value and positive SOR indicates more perceived value.” However, this should be: - Odds ratios smaller than 1.0 indicate patients have a worse understanding of the outcome information and odds ratios larger than 1.0 indicate patients have a better understanding of the outcome information. (Supplementary Table 1A) Odds ratios smaller than 1.0 indicate patients find outcome information less valuable and odds ratios larger than 1.0 indicate patients find outcome information more valuable (Supplementary Table 1B) - Odds ratios smaller than 1.0 indicate patients have a worse understanding of the outcome information and odds ratios larger than 1.0 indicate patients have a better understanding of the outcome information. (Supplementary Table 1A) Odds ratios smaller than 1.0 indicate patients find outcome information less valuable and odds ratios larger than 1.0 indicate patients find outcome information more valuable (Supplementary Table 1B) The correct version of Fig. 2 and the Supplementary information file are provided in this correction.

Published
2024

40. The Validity and Responsiveness of the Patient-Specific Functional Scale in Patients With First Carpometacarpal Osteoarthritis

Author

van Kooij, Yara Eline, ter Stege, Marloes H.P., de Ridder, Willemijn Anna, Hoogendam, Lisa, Hovius, Steven Eric Ruden, MacDermid, Joy C., Selles, Ruud W., van der Avoort, Dirk Johannes Jacobus Cornelis, Bijlsma, Ward Rogier, Michiel Blomme, Richard Arjen, de Boer, Herman Luitzen, van Couwelaar, Gijs Marijn, Debeij, Jan, Dekker, Jak, Feitz, Reinier, Fink, Alexandra, Harmsen, Kennard, van Huis, Rob, Koch, Richard, Koopman, Jaimy Emerentiana, Kroeze, Alexander, Loos, Nina Louisa, Moojen, Thybout Matthias, van der Oest, Mark Johannes Willem, Pennehouat, Pierre Yves Alain Adriaan, de Schipper, Johannes Pieter, Schoneveld, Karin, Slijper, Harm Pieter, Smit, Jeronimus Maria, Smit, Xander, Souer, John Sebastiaan, Temming, Johannes Frederikes Maria, Teunissen, Joris Sebastiaan, van Uchelen, Jeroen Hein, Veltkamp, Joris Jan, Vermeulen, Guus Maarten, Walbeehm, Erik Taco, Wouters, Robbert M., Zöphel, Oliver Theodor, Zuidam, Jelle Michiel, van Kooij, Yara Eline, ter Stege, Marloes H.P., de Ridder, Willemijn Anna, Hoogendam, Lisa, Hovius, Steven Eric Ruden, MacDermid, Joy C., Selles, Ruud W., van der Avoort, Dirk Johannes Jacobus Cornelis, Bijlsma, Ward Rogier, Michiel Blomme, Richard Arjen, de Boer, Herman Luitzen, van Couwelaar, Gijs Marijn, Debeij, Jan, Dekker, Jak, Feitz, Reinier, Fink, Alexandra, Harmsen, Kennard, van Huis, Rob, Koch, Richard, Koopman, Jaimy Emerentiana, Kroeze, Alexander, Loos, Nina Louisa, Moojen, Thybout Matthias, van der Oest, Mark Johannes Willem, Pennehouat, Pierre Yves Alain Adriaan, de Schipper, Johannes Pieter, Schoneveld, Karin, Slijper, Harm Pieter, Smit, Jeronimus Maria, Smit, Xander, Souer, John Sebastiaan, Temming, Johannes Frederikes Maria, Teunissen, Joris Sebastiaan, van Uchelen, Jeroen Hein, Veltkamp, Joris Jan, Vermeulen, Guus Maarten, Walbeehm, Erik Taco, Wouters, Robbert M., Zöphel, Oliver Theodor, and Zuidam, Jelle Michiel

Abstract

Purpose: The purpose of this study was to assess the content, construct, and discriminative validity and responsiveness of the Patient-Specific Functional Scale (PSFS) in patients with thumb carpometacarpal arthritis. Methods: Data were collected at Xpert Clinics, comprising 34 outpatient hand surgery and hand therapy clinics in the Netherlands. We included 267 patients for content validity and 323 patients for construct validity and responsiveness. The PSFS items were classified into the International Classification of Function Core Set for Hand Conditions to assess content validity. We used hypothesis testing to investigate the construct validity and responsiveness. The Michigan Hand Outcomes Questionnaire was used as a comparator instrument. The standardized response mean was calculated to evaluate the magnitude of change. For discriminative validity, we used independent t tests to discriminate between satisfied and dissatisfied patients. Results: We classified 98% of the PSFS items in the International Classification of Function “activities” and “participation” domains, indicating good content validity. Two of six hypotheses for construct validity and three of six hypotheses for responsiveness were confirmed. The standardized response mean for the PSFS was 0.57 (0.46–0.68) and 0.47 (0.35–0.58) for the Michigan Hand Outcomes Questionnaire total score. The mean PSFS score showed good discriminative validity because it could distinguish between satisfied and dissatisfied patients at the 3-month follow-up. Conclusions: The PSFS scores showed good content and discriminative validity in patients with first carpometacarpal arthritis. Hypothesis testing for responsiveness and construct validity indicates that the PSFS measures a unique construct different from the Michigan Hand Outcomes Questionnaire. Clinical relevance: The PSFS may be a useful scale for measuring the patient-specific status of individuals with thumb carpometacarpal arthritis.

Published
2024

41. The Ultrashort Mental Health Screening Tool Is a Valid and Reliable Measure With Added Value to Support Decision-making

Author

Wouters, Robbert M, de Ridder, Willemijn A, Slijper, Harm P, Vermeulen, Guus M, Hovius, Steven E R, Selles, Ruud W, van der Oest, Mark J W, Wouters, Robbert M, de Ridder, Willemijn A, Slijper, Harm P, Vermeulen, Guus M, Hovius, Steven E R, Selles, Ruud W, and van der Oest, Mark J W

Abstract

Background Mental health influences symptoms, outcomes, and decision-making in musculoskeletal healthcare. Implementing measures of mental health in clinical practice can be challenging. An ultrashort screening tool for mental health with a low burden is currently unavailable but could be used as a conversation starter, expectation management tool, or decision support tool. Questions/purposes (1) Which items of the Pain Catastrophizing Scale (PCS), Patient Health Questionnaire (PHQ-4), and Brief Illness Perception Questionnaire (B-IPQ) are the most discriminative and yield a high correlation with the total scores of these questionnaires? (2) What is the construct validity and added clinical value (explained variance for pain and hand function) of an ultrashort four-item mental health screening tool? (3) What is the test-retest reliability of the screening tool? (4) What is the response time for the ultrashort screening tool? Methods This was a prospective cohort study. Data collection was part of usual care at Xpert Clinics, the Netherlands, but prospective measurements were added to this study. Between September 2017 and January 2022, we included 19,156 patients with hand and wrist conditions. We subdivided these into four samples: a test set to select the screener items (n = 18,034), a validation set to determine whether the selected items were solid (n = 1017), a sample to determine the added clinical value (explained variance for pain and hand function, n = 13,061), and a sample to assess the test-retest reliability (n = 105). Patients were eligible for either sample if they completed all relevant measurements of interest for that particular sample. To create an ultrashort screening tool that is valid, reliable, and has added value, we began by picking the most discriminatory items (that is, the items that were most influential for determining the total score) from the PCS, PHQ-4, and B-IPQ using chi-square automated interaction detection (a machine-learning

Published
2024

42. Type of Work and Preoperative Ability to Perform Work Affect Return to Usual Work Following Proximal Interphalangeal Joint Arthroplasty for Osteoarthritis

Author

Notermans, Bo J.W., Teunissen, Joris S., Selles, Ruud W., de Boer, Luitzen H.L., van der Heijden, Brigitte E.P.A., Notermans, Bo J.W., Teunissen, Joris S., Selles, Ruud W., de Boer, Luitzen H.L., and van der Heijden, Brigitte E.P.A.

Abstract

Background: The time until return to work (RTW) and possible factors affecting this time after proximal interphalangeal (PIP) joint arthroplasty are unknown. Therefore, we aim to evaluate the RTW after PIP joint arthroplasty for osteoarthritis and assess factors affecting the time until return to their usual work. Methods: We used prospectively gathered data from 74 patients undergoing PIP joint arthroplasty with daily hand surgery practice routine outcome collection. Standardized RTW questionnaires were completed at 6 weeks and 3, 6, and 12 months after surgery. Return to work was defined as the first time a patient reported returning to work and performing the original work for a minimum of 50% of the original hours a week, as stated in the patient’s contract. Second, we evaluated baseline factors affecting the time until RTW. Results: The probability of RTW within 12 months after surgery was 88%. The median time until RTW was 8 weeks (interquartile range: 4-10). Physical occupational intensity (hazard ratio [HR]: 0.36, P =.001) and the baseline Michigan Hand Outcomes Questionnaire work scores (HR: 1.02, P =.005) were independently associated with RTW. Conclusion: In conclusion, patients returned to work after a median of 8 weeks following PIP arthroplasty. Patients with medium or heavy physical occupations returned to work later than patients with light physical occupations. Better patient-reported work outcomes at baseline also led to an earlier RTW. This information can be valuable for providing adequate information during the preoperative consultation.

Published
2024

43. Routinely-Collected Outcomes of Proximal Row Carpectomy

Author

Teunissen, Joris S., Duraku, Liron S., Feitz, Reinier, Zuidam, J. Michiel, Selles, Ruud W., Wouters, Robbert M., Teunissen, Joris S., Duraku, Liron S., Feitz, Reinier, Zuidam, J. Michiel, Selles, Ruud W., and Wouters, Robbert M.

Abstract

Purpose: To describe patient-reported pain and function 12 months after proximal row carpectomy (PRC). Secondary outcomes included return to work, grip strength, range of wrist motion, satisfaction with treatment results, and complications. Methods: This cohort study was part of the British Society for Surgery of the Hand Studyathon 2021, using ongoing routinely-collected data of 304 eligible patients who underwent PRC (73% scapholunate advanced collapse, 11% scaphoid nonunion advanced collapse wrist; 11% Kienböck, 5% other indications) from Xpert Clinics, the Netherlands between 2012–2020. The primary outcome was the Patient Rated Wrist/Hand Evaluation total score (range, 0–100, lower scores indicate better performance). Results: Of the 304 patients, the primary outcome was available in 217 patients. The total Patient Rated Wrist/Hand Evaluation score improved from 60 (95% confidence interval [CI], 57–63) to 38 (95% CI, 35–41) at 3 months, and 26 (95% CI, 23–29) at 12 months. The pain and function subscales improved by 18 (95% CI, 17–20) and 16 (95% CI, 14–18) points, respectively. At 12 months, 82% had returned to work at a median time of 12 (95% CI, 9–14) weeks following PRC. Grip strength did not improve. Wrist flexion and extension demonstrated a clinically irrelevant decrease. Satisfaction with treatment result was excellent in 27% of patients, good in 42%, fair in 20%, moderate in 6%, and poor in 5%. Complications occurred in 11% of patients, and conversion to wrist arthroplasty occurred in 2 patients. Conclusion: A clinically relevant improvement in patient-reported pain and function was observed at 3 months after PRC, with continued improvement to 12 months. These data can be used for shared-decision making and expectation management. Type of study/level of evidence: Therapeutic IV.

Published
2024

44. Preoperative Indicators of the Effectiveness of Surgical Release in Patients with de Quervain Disease:A Prospective Cohort Study

Author

Bosman, Romy, Hundepool, C. A., Van Der Oest, Mark J.W., Duraku, Liron S., Souer, J. S., Selles, Ruud W., Zuidam, J. Michiel, Bosman, Romy, Hundepool, C. A., Van Der Oest, Mark J.W., Duraku, Liron S., Souer, J. S., Selles, Ruud W., and Zuidam, J. Michiel

Abstract

Background: A significant proportion of patients report persistent pain after surgical release for de Quervain disease (DQ). This study aimed to investigate the effectiveness of a surgical release for DQ and to identify the preoperative factors associated with pain after a surgical release for DQ. Methods: This prospective cohort study included 707 patients who underwent surgical release and completed a visual analogue scale questionnaire (VAS; range 0 to 100). We used a paired t test to analyze the effectiveness of the surgical release on pain at 3 months postoperatively compared with the preoperative measure. A hierarchical multivariable linear regression model was created to investigate the contribution of patient-related and disease-related characteristics to postoperative pain. Results: All VAS domains showed improvement after surgical release. On average, the mean VAS pain decreased by 44 points (95% CI, 42, 46). Smoking (B = 6.37; P < 0.01), younger age (B = -0.35; P < 0.01), longer duration of complaints (B = 0.13; P < 0.01), concomitant surgery (B = 14.40; P < 0.01), and higher VAS pain scores at intake (B = 0.15; P < 0.01) were associated with worse VAS pain scores postoperatively. Together, the variables explained 11% of the variance in mean VAS pain score at 3 months follow-up. Conclusions: This study confirms that surgical treatment for DQ significantly reduces patient-reported pain. Smoking, younger age, concomitant surgery, duration of complaints, and higher VAS pain scores at intake are associated with worse patient-reported pain 3 months after surgical release. However, the small effects suggest that these factors should not be considered the only important factors. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.

Published
2024

45. Incision techniques for trigger thumb release:a comparison of outcomes of four types of skin incision

Author

Koopman, Jaimy E., Smit, Jeroen M., Wouters, Robbert M., Selles, Ruud W., Michiel Zuidam, J., Hundepool, Caroline A., Koopman, Jaimy E., Smit, Jeroen M., Wouters, Robbert M., Selles, Ruud W., Michiel Zuidam, J., and Hundepool, Caroline A.

Abstract

Although trigger thumb release is commonly performed, there is no consensus on the optimal skin incision. This study aimed to compare outcomes of four incision techniques, including V-shaped, oblique, transverse and longitudinal incisions. Outcomes included the Michigan Hand Outcomes Questionnaire, satisfaction with the treatment and postoperative complications. The results of 875 patients who underwent trigger thumb release were assessed. All groups demonstrated improvement in self-reported hand function (range of 10-14 points), pain (25-27 points) and aesthetics (4-7 points) from baseline to 3 months postoperatively with no differences between incision techniques. Of the patients, 76% reported good or excellent satisfaction with the outcome of treatment. Satisfaction and complication rates of the different incision techniques were similar. These findings imply that there is no clear benefit of one type of incision over another for trigger thumb release, suggesting that surgeons may use the technique of their preference.Level of evidence: III

Published
2024

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