J Hand Surg Am- ASSH

A comprehensive surgical approach for congenital clasped thumb using a modified index finger rotation flap achieved reliable MCP extension, improved radial and palmar abduction, and more in this clinical series. jhandsurg.org/article/S0363-… #JHS #HandSurgery #ClaspedThumb

Can a score predict how satisfied patients are after surgery? This study explores the correlation and optimal cutoff value of the Japanese Society for Surgery of the Hand (JSSH) score for postop satisfaction in #RadialPolydactyly. jhandsurg.org/article/S0363-… #JHS #JSSH #PROMs

How much effort does it really take to use a traditional #BodyPoweredProsthesis? This study measures the force and excursion generated during biscapular protraction in adults with traumatic #BrachialPlexusInjuries versus healthy volunteers. jhandsurg.org/article/S0363-… #JHS #Ortho

In a multicenter registry study of ulnar polydactyly, phenotype—not race—was the strongest predictor of syndromic association. Fully formed (type A) digits had a 21% syndromic rate vs 2% for type B. jhandsurg.org/article/S0363-… #JHS #HandSurgery #CongenitalHand #Polydactyly

When tingling feels like intense pain, look at the mindset—not just the nerves. Distress and unhelpful thoughts—not nerve severity—often drive pain intensity in intermittent paresthesia. jhandsurg.org/article/S0363-… #JHS #HandSurgery #Painintensity

Consistent use of an intra-op radiograph counter reduces radiation doses during distal radius fracture surgery. @GeisingerOrtho @Geisinger_UE #DistalRadiusFracture #Fluoroscopy #HandSurgery #Radiation #VolarLockingPlate jhandsurg.org/article/S0363-…

Long thoracic nerve (LTN) compression in thoracic outlet syndrome leads to medial scapular winging. But does LTN anatomy matter? El Haj et al. examine the anatomical link in this article in March edition of JHS. jhandsurg.org/article/S0363-… #JHS #ThoracicOutletSyndrome #Shoulder

Forearm supination alters carpal tunnel morphology and median nerve position on MRI, with reduced nerve CSA and a flatter tunnel compared with pronation. jhandsurg.org/article/S0363-… #JHS #HandSurgery #CarpalTunnel #MedianNerve

Does delayed reduction of distal radius fractures impact median nerve? Pretreatment NCS reveals early median nerve involvement with delayed reduction of distal radius fracture in elderly patients. jhandsurg.org/article/S0363-… #JHS #DistalRadiusFracture #MedianNerve

Intraoperative fluoroscopy improves accuracy in fracture fixation but increases radiation exposure to surgeons. Can real-time radiograph counters make any difference in exposure in the OR? jhandsurg.org/article/S0363-… #HandSurgery #Orthopaedics #RadiationSafety #DistalRadius

Lag screws or intramedullary fixation for proximal #PhalanxFractures? McQuillan et al. found intramedullary screws allowed ~2× more fracture motion, while lag screws had greater load to failure during simulated early motion. jhandsurg.org/article/S0363-… #HandSurgery #JHS #Finger

Cadaveric assessment of intramedullary compression screw fixation for middle phalangeal fractures shows minimal cartilage and extensor tendon violation with 1.7-mm and 2.2-mm screws. #IntramedullaryFixation #HandSurgery #PhalangealFractures #Finger #JHS jhandsurg.org/article/S0363-…

Does retrograde metacarpal nailing compromise the extensor mechanism? Biomechanical evidence shows no significant difference between entry techniques—early motion is safe. Pick your preferred approach with confidence. jhandsurg.org/article/S0363-… #JHS #ExtensorTendon #IMN

UE compartment syndrome from a found down mechanism requires more surgeries and has higher complications. @TempleHealth #CompartmentSyndrome #IntravenousDrugUse #SoftTissue #Trauma #UpperExtremity jhandsurg.org/article/S0363-…

How reliable are X-rays for scapholunate dissociation? This study tests key radiographic parameters, vital for accurate diagnosis and planning the right treatment. jhandsurg.org/article/S0363-… #JHS #HandSurgery #WristInjury #SLD #Orthopaedics #Radiology

The scapholunate C-sign shows high sensitivity and specificity for diagnosing complete scapholunate interosseous ligament injuries compared with arthroscopy, potentially aiding clinical assessment. jhandsurg.org/article/S0363-… #HandSurgery #Scapholunate #WristSurgery #orthopedic

STT osteoarthritis severity correlates with a high incidence of DISI and unique radiographic features, despite normal scapholunate alignment. #HandSurgery #Wrist #Arthritis #xray jhandsurg.org/article/S0363-…

Peripheral vascular disease (PVD) worsens outcomes in lower limbs extremity amputation —but what about the upper extremity? 🏥 New JHS cohort study reveals higher mortality for these patients. jhandsurg.org/article/S0363-… #JHS #PVD #Amputation #Mortality

#KienbocksDisease still has an unclear etiology. In this article, Hsu et al. evaluate whether capitate morphology has a role to play in pathogenesis of Kienböck disease (Fig 1). jhandsurg.org/article/S0363-… #JHS #WristSurgery #HandSurgery

Ulnar shortening alone may fail when a distal radius physeal injury results in a distally facing sigmoid notch. Zhang et al. describe combining ulnar shortening with sigmoid notch rotational osteotomy for these complex cases (Fig 1&2). #JHS #HandSurgery jhandsurg.org/article/S0363-…