Evidence map›Paper›PMID 37486446›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Prospective analysis of grip strength and load distribution after surgical treatment of common diseases of the hand with novel's manugraphy

Jasmin S Grüner, Aijia Cai, Isabel Pingel, Raymund E Horch, Justus P Beier, Andreas Arkudas

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jasmin S GrünerDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany. jasmin.gruener@uk-erlangen.de.ORCID http://orcid.org/0000-0002-8033-7644
Aijia CaiDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany.
Isabel PingelDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany.
Raymund E HorchDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany.
Justus P BeierDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany.
Andreas ArkudasDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, Krankenhausstr 12, 91054, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarpal tunnel syndrome, A1 annular pulley stenosis and Dupuytren's contracture are among the most common conditions of the hand. In this study, we investigated the impact of surgical procedure on hand grip strength and high-resolution spatial load distribution in individuals suffering from those diseases over a follow-up period of one year. MATERIALS AND

methodsIn this prospective study, data of 9 patients with carpal tunnel syndrome, 12 patients with A1 annular pulley stenosis and 7 patients with Dupuytren's contracture were evaluated. Only patients with unilateral disease were included providing the contralateral hand as an intra-individual control. Grip strength was measured with cylindrical instruments in two different sizes with respect to the hand size of the patients. Maximum and average values of grip strength as well as spatial load distribution in each finger, thenar, hypothenar and palm were analyzed. Data of the affected patients were collected preoperatively and 6 weeks, 6 months and 1 year postoperatively. Grip strength and spatial load distribution were compared preoperatively to postoperatively. In addition, DASH score, Levine score, 2-point discrimination and degree of flexion contracture were assessed.

resultsThe patients with A1 annular pulley stenosis showed a significant increase in grip strength 6 months and one year postoperatively. Patients with carpal tunnel syndrome and Dupuytren's contracture showed no significant difference in grip strength over the course of time. An increase in the percentual grip strength of the thenar in patients with carpal tunnel disease and within the affected finger in A1 annular pulley stenosis was observed over the course of time. The DASH score was significantly lower in all patient cohorts one year postoperatively.

conclusionSurgical procedure in carpal tunnel syndrome, A1 annular ligament stenosis and Dupuytren's contracture improves the functionality of the hand in everyday life. Some areas of the hand seem to compensate other weaker areas in grip strength.

Indexed as

Carpal Tunnel SyndromeDupuytren ContractureConstriction, PathologicHand StrengthHumansProspective StudiesA1 annular pulley stenosisCarpal tunnel syndromeCylinder gripDupuytren’s contractureGrip strengthManugraphy® system

Identifiers

PMID37486446
PMCPMC10491509
OpenAlexW4385186288

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.