{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T11:51:12Z","timestamp":1719661872178},"reference-count":13,"publisher":"World Scientific Pub Co Pte Ltd","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Background: Pain of the hand distal interphalangeal joints may result from trauma, osteoarthritis or inflammatory arthritis. When symptoms are not controlled by non-operative means, surgical arthrodesis may be performed, resulting in complete stiffness of the joint and possible weakening of grip strength. This study aims to quantify the effect of a stiff ring finger distal interphalangeal joint on overall grip strength.<\/jats:p><jats:p>Methods: One hundred participants were screened to exclude upper limb pathology. A Jamar dynamometer was used to assess overall hand grip strength. A splint was used to prevent distal interphalangeal joint flexion, thus replicating a fused distal interphalangeal joint. Participants were tested with and without the splint and the results compared. The mean of three grip strength tests was taken.<\/jats:p><jats:p>Results: The participants included 55 females. Mean age was 31 (18\u201360 years). 76 participants had a reduction in grip strength with splinting, with a significant difference seen (p &lt; 0.05) on Wilcoxon signed rank test. The median reduction in grip strength with splinting was 1.67 kg. However only 10 participants (10%) had a grip strength loss of greater than 6.5 kg, which is the minimal clinically important difference.<\/jats:p><jats:p>Conclusions: This study found a significant loss in overall hand grip strength when the ring finger distal interphalangeal joint was stiffened. However, despite this significant change, only 10 (10%) participants experienced a reduction of greater than 6.5 kg. This is the level of weakness felt to be required to reduce function. Thus our results suggest that 90% of patients with a stiff ring finger distal interphalangeal joint are unlikely to have a clinically identifiable functional reduction in grip strength as a result.<\/jats:p>","DOI":"10.1142\/s2424835520500319","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T08:55:57Z","timestamp":1596012957000},"page":"296-300","source":"Crossref","is-referenced-by-count":1,"title":["The Effect of Ring Finger Distal Interphalangeal Joint Stiffness on Grip Strength: A Simulated Study in Normal Participants"],"prefix":"10.1142","volume":"25","author":[{"given":"Robert J.","family":"Lambert","sequence":"first","affiliation":[{"name":"The Hooper Hand Surgery Unit, St John\u2019s Hospital, Livingston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas FM.","family":"Yeoman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma, Royal Infirmary, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaoyang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma, Royal Infirmary, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Grant","sequence":"additional","affiliation":[{"name":"The Hooper Hand Surgery Unit, St John\u2019s Hospital, Livingston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa A.","family":"Rust","sequence":"additional","affiliation":[{"name":"The Hooper Hand Surgery Unit, St John\u2019s Hospital, Livingston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.06.021"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.150078"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf141"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1007\/s12593-014-0163-1"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1177\/2292550318767925"},{"issue":"3","key":"p_6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3928\/0147-7447-20000301-19","volume":"23","author":"Morgan WJ","year":"2000","journal-title":"Orthopedics."},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2005.05.003"},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90136-D"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199508000-00013"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197410000-00010"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90272-0"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)36049-2"},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3666-y"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835520500319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T00:48:47Z","timestamp":1667609327000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835520500319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":13,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1142\/S2424835520500319"],"URL":"https:\/\/doi.org\/10.1142\/s2424835520500319","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}