YOLOv10-Based Multi-Task Framework for Hand Localization and Laterality Classification in Surgical Videos

Abstract

Real-time hand tracking in trauma surgery is essential for supporting rapid and precise intraoperative decisions. We propose a YOLOv10-based framework that simultaneously localizes hands and classifies their laterality (left or right) in complex surgical scenes. The model is trained on the Trauma THOMPSON Challenge 2025 Task 2 dataset, consisting of first-person surgical videos with annotated hand bounding boxes. Extensive data augmentation and a multi-task detection design improve robustness against motion blur, lighting variations, and diverse hand appearances. Evaluation demonstrates accurate left-hand (67\%) and right-hand (71\%) classification, while distinguishing hands from the background remains challenging. The model achieves an $mAP_{[0.5:0.95]}$ of 0.33 and maintains real-time inference, highlighting its potential for intraoperative deployment. This work establishes a foundation for advanced hand-instrument interaction analysis in emergency surgical procedures.