Accurate monocular 4D hand reconstruction remains challenging. Per-frame discriminative regressors lack temporal context and often produce jittery predictions. Temporal models improve consistency by aggregating information across frames, but they are typically deterministic regressors, making them vulnerable to ambiguous observations caused by occlusion and motion blur. Generative modeling offers a natural alternative by learning a prior over plausible hand motion sequences, enabling coherent hand-state recovery when visual evidence is incomplete or unreliable. Motivated by this observation, we present HandFlow, a fully generative flow-matching framework for temporally coherent 3D hand pose and shape estimation from monocular video. Given visual and skeletal observations, HandFlow denoises an entire temporal window of MANO parameters through a single ODE integration. To support this, we use a Flux-style dual-stream transformer that attends across the full sequence to capture long-range dependencies without autoregressive decoding, and a confidence-aware continuous masking mechanism that blends observed features with learnable mask tokens to handle noisy or missing observations. Experiments on DexYCB and HOT3D show that HandFlow achieves state-of-the-art performance, with particularly large gains in world-space accuracy and temporal smoothness. It reduces world-space pose error by over 30% compared with the strongest baseline and achieves the lowest acceleration error among all evaluated methods, while remaining competitive in per-frame pose accuracy. Moreover, on a single GPU HandFlow reconstructs a 150-frame sequence at 47 fps, about 12x faster than the fastest prior video-based method, with reconstruction itself accounting for only a small fraction of the end-to-end latency.
Dynamic 3D hand reconstruction from egocentric videos is essential for next-generation computing platforms such as AR/VR and AI glasses. Despite its importance, most prior works focus either on multi-view 3D hand reconstruction or on 4D human body reconstruction. Egocentric 4D hand reconstruction remains challenging due to fast head motion, rapid hand dynamics, severe occlusions, and inherent ambiguity from single-view observations. To address these challenges, we introduce Hand-4DGS, the first feed-forward framework for reconstructing dynamic 4D hands directly from egocentric videos, enabling both fast (~60 FPS) inference and strong generalization. Our approach incorporates a mesh-guided representation for structural priors and temporal convolutions to model dynamic motion. We evaluate our framework on two challenging egocentric datasets, H2O and ARCTIC, and demonstrate significant improvements over baselines. Our method benefits from the generalization capability of feed-forward networks and effective 2D image supervision through Gaussian splatting, without requiring expensive 3D hand pose ground-truth annotations.