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Continuous kinematic biofeedback during exercise interventions can lead to improved therapeutic outcomes in hand and wrist rehabilitation. Conventional methods for measuring joint kinematics typically allow only static measurements performed by specially trained therapists. This paper introduces skin-conformal, wearable wireless systems designed to continuously and accurately capture the angles of target joints, specifically in hand and wrist. Supported by a computer vision-based calibration protocol run on a smart device, these magnetometer-based standalone systems provide patients and clinicians with continuous, real-time data on joint angles and ranges of motion through an intuitive graphical interface. Human trials in healthy volunteers demonstrate the accuracy and precision of the electrogoniometry system, as well as its compatibility with simulated hand therapy. We have also demonstrated the electrogoniometry system is suitable for tracking complex and rapid movements and for deployment during occupational tasks where it could serve as a biofeedback device to warn against excessive and clinically contraindicated motion.
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http://dx.doi.org/10.1038/s41467-025-59619-z | DOI Listing |
Hand (N Y)
September 2025
Duke University, Durham, NC, USA.
Background: Dorsal wrist spanning plate (DWSP) fixation in distal radius fractures (DRFs) has been proposed to allow earlier mobilization in polytraumatized patients by enabling early weightbearing (WB) through the injured wrist. The purpose of this study is to compare radiographic and clinical outcomes in patients who bore weight through the injured wrist within the early postoperative period with patients who did not bear weight.
Methods: Patients who underwent DWSP fixation at a single institution were retrospectively identified.
Orthop Traumatol Surg Res
September 2025
Ankara University Medical Faculty, Orthopedics and Traumatology Department, Hand and Upper Extremity Surgery Division, Ankara, Turkey.
Background: Kienböck's disease poses challenges in plate placement during radial shortening osteotomy due to steep metaphyseal inclinations of the distal radius. While coronal plane analyses have been extensively studied, sagittal plane deformities remain underexplored. This study addresses the anatomical variations in the sagittal plane associated with Kienböck's disease.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
September 2025
Scaphotrapeziotrapezoid arthrodesis is a controversial surgical procedure for wrist disorders and its biomechanical effect remains unclear. This study investigated scaphotrapeziotrapezoid fusion based on a previously validated whole-wrist finite element model to simulate arthrodesis by creating a unified bone complex from the three bones (scaphoid, trapezium and trapezoid) in the joint. The model was analysed under physiological grasping loads to examine axial load distributions and articular contact pressures at the radioscaphoid and radiolunate interfaces.
View Article and Find Full Text PDFPLoS Med
September 2025
Department of Orthopaedics, Tampere University Hospital, Tampere, Finland.
Background: The optimal management of distal radius fractures (DRFs) in older patients remains debatable. A knowledge gap exists concerning how to manage fractures with early malalignment during nonoperative treatment. We conducted a prospective, multicenter, and randomized controlled trial to compare nonoperative treatment to operative treatment with volar locking plating (VLP) in the management of primarily malaligned DRFs and DRFs that exhibit early malalignment during nonoperative treatment.
View Article and Find Full Text PDFUlus Travma Acil Cerrahi Derg
September 2025
Department of Forensic Medicine, Ondokuz Mayıs University, Faculty of Medicine, Samsun-Türkiye.
Background: Predicting return-to-work (RTW) outcomes following upper extremity trauma is crucial for optimizing patient care, guiding rehabilitation, and reducing the socioeconomic burden. Although several disability scoring systems have been proposed to assess injury severity, their ability to estimate RTW status and duration remains underexplored. This study aimed to evaluate the predictive value of the Modified Hand Injury Severity Score (MHISS), Upper Extremity Disability Rate (UEDR), and Total Body Disability Rate (TBDR) for RTW outcomes in patients with hand, wrist, and forearm injuries.
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