Jun 22–28, 2026 · 33 new studies, 10 reviews · Hand & Upper Extremity archive · All weeks
The new Hand & Upper Extremity research The Reduction sent the week of Jun 22–28, 2026, with the week’s most recent reviews, each with a one-line summary.
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Strategies for Work-up and Treatment of Case Scenarios in Neurogenic Thoracic Outlet Syndrome.
Expert hand surgeons favor supraclavicular decompression with pectoralis tenotomy for thoracic outlet syndrome, with individualized approaches to complex cases.
LR-PRP showed modest benefit in reducing partial tendon tears and soft tissue edema in tennis elbow, but overall improvement was not superior to saline placebo.
Anterior minimally invasive plate osteosynthesis for distal humerus fractures achieved faster union and lower blood loss than posterior open reduction.
Staged centralisation and pollicisation for radial longitudinal deficiency with pre-pollicisation pinch training achieved early grasp and fine motor skills.
Flexor tendon rupture after single corticosteroid injection is rare but possible; extra-tendinous low-dose injection with activity restriction minimizes risk.
Proximal ulnar osteochondromas in hereditary multiple osteochondromas predispose to radial head dislocation; surgical resection prevents subluxation or dislocation.
In Vitro Kinetic and Kinematic Analysis of a Recently Designed Total Wrist Implant.
This total wrist arthroplasty implant significantly reduced extension, radial, and ulnar deviation versus native wrist, highlighting motion loss and radial impingement as design concerns.
Can Computed Tomography Hounsfield Units Predict Distal Humerus Fracture Mechanical Complications?
Lower CT Hounsfield units and current smoking predict mechanical complications after distal humerus fracture fixation, identifying high-risk patients needing closer surveillance.
Large language models poorly predict ICD-10 codes (24% accuracy) but perform well for CPT codes (92%), requiring optimization before clinical use.
Surgeons predicted functional outcomes for elderly distal radius fractures with only 51.5% accuracy—no better than chance—highlighting need for evidence-based guidelines beyond surgeon intuition.
Nonbrachial Plexopathy Diagnoses Seen in a Brachial Plexus Injury Specialty Clinic.
Seven percent of brachial plexus referrals had nonplexus diagnoses; multidisciplinary evaluation prevented misdiagnosis and guided appropriate treatment including surgery in 15% of cases.
All-Terrain Vehicle-Related Distal Upper-Extremity Injury Rates and Patterns.
ATV-related upper-extremity injuries increased despite declining overall ATV trauma, with males and adolescents predominantly affected; more prevention focus needed.
Third CMC joint bridging has higher late complications than fusion; fusion and sparing show similar grip strength, supporting surgeon choice based on patient anatomy.
Distal Radius Volar Shear Fractures: A Computed Tomography Characterization and Analysis.
CT imaging reveals dorsal cortical fractures in 70% of volar shear distal radius fractures, identifying complexity missed on radiographs and guiding comprehensive fixation strategies.
Trends in Treatment and Reimbursement of Dupuytren Disease.
Over 20 years, minimally invasive Dupuytren treatments increased while fasciectomy declined, but inflation-adjusted reimbursement dropped 38%, signaling growing financial pressure on providers.
Lean and Green Hand Surgery in the Office: Does It Work?
Office-based wide-awake hand surgery using lean, custom surgical packs is safe and cost-effective, saving over $4,600 and 1.1 tons of waste annually with 99% patient satisfaction.
Closing Wedge Osteotomy With Cannulated Screw Fixation in Clinodactyly: A Surgical Technique Guide.
A closing wedge osteotomy fixed with a headless cannulated screw offers stable correction of clinodactyly with early mobilization; technique and pearls are described.
Four-corner and lunocapitate fusions show similar outcomes; lunocapitate preserves function better but has higher complication rates requiring further study.
Dry wrist arthroscopy is generally thermally safe, but surgeons should use LED light sources at minimum intensity and intermittently flush the joint to prevent tissue-damaging heat buildup.
Ulnar Slip Flexor Digitorum Superficialis Excision in Trigger Finger Surgery: Anatomic Study.
Ulnar FDS slip excision through a palmar-only incision leaves a substantial residual stump near the A2 pulley, risking persistent triggering and possibly requiring more distal excision.
Quality Measures Addressing Disparities to Improve Outcomes in Hand Surgery.
Fourteen quality measures addressing health disparities in hand surgery were identified and accepted by expert consensus to improve equitable outcomes.
Younger patients with severe carpal tunnel syndrome show early nerve recovery after release even with absent preoperative potentials, providing prognostic reassurance for surgical candidates.
Hand surgery research increasingly involves interdisciplinary collaboration, with orthopaedics leading contributions and surgeon–hand therapist partnerships growing substantially over four decades.
Double Cerclage Wiring (DCW) of Displaced Stable Olecranon Fractures.
Double cerclage wiring for olecranon fractures reduced complications and reoperations compared to standard tension band wiring in early findings.
How Does a Prior Olecranon Osteotomy Impact the Outcome of Subsequent Total Elbow Arthroplasty?
TEA after prior olecranon osteotomy achieves 76% ten-year revision-free survival with good functional outcomes, though slightly inferior to primary TEA.
AI-driven ultrasound pipeline achieved 94% accuracy for carpal tunnel syndrome diagnosis, potentially reducing examiner-dependent variability and supporting clinical decision-making.
Senile Scaphoids: Outcomes of Surgical Fixation for Scaphoid Fractures in an Elderly Population.
Elderly patients aged ≥60 achieve similar scaphoid fracture union rates and low complications as younger patients when surgically fixed, challenging age-based restrictions on operative treatment.
Surgeons frequently recommend DRUJ treatment after distal radius plating, particularly in younger patients with high-energy injuries, despite limited evidence supporting this approach.
A hybrid intramedullary screw plus suture cerclage technique achieved 100% union and excellent function in unstable spiral/oblique metacarpal fractures, expanding indications beyond standard IM fixation.
The internal joint stabilizer in lateral ulnar collateral ligament injuries: a biomechanical study.
Internal joint stabilizer effectively reduces varus laxity and LUCL strain in disrupted elbows, providing viable treatment for posterolateral rotatory instability.
Concurrent failure of the flexor-pronator mass and posterolateral ligament (Double Hit pattern) on MRI reliably identifies posterolateral elbow dislocations needing surgery with 98.8% specificity.
When radial polydactyly coexists with thumb hypoplasia, addressing both anomalies together yields good function and appearance, so surgeons should actively screen for hypoplasia.
Modified Bilhaut-Cloquet procedure achieves near-normal thumb size and high satisfaction for Wassel IV–VII polydactyly with two small duplicates, making it a reliable combination technique.
What's New in Wide-Awake Local Anesthesia No Tourniquet (WALANT) Hand Surgery?
WALANT hand surgery provides noninferior outcomes, high patient satisfaction, environmental benefits, and cost savings compared to regional/general anesthesia.
Pediatric Finger Fractures: Preventing Big Problems After Small Fractures.
Most pediatric finger fractures heal well nonoperatively, but recognizing problematic patterns guides surgical indications for optimal outcomes.
Culp Midcarpal Reconstruction to Treat Palmar Midcarpal Instability.
Ligament reconstruction and thermal capsulorrhaphy for palmar midcarpal instability achieved symptom relief and improved outcomes in seven patients at 34-month follow-up.
Neonatal Limb Compartment Syndrome: A Comprehensive Review.
Early fasciotomy within 24 hours significantly reduces complications in neonatal compartment syndrome; sentinel skin lesions indicate urgent intervention need.
Radiation-induced brachial plexopathy presents with delayed symptoms from fibrosis; surgical interventions include neurolysis and nerve transfers to restore function and reduce morbidity.
Therapy for the Rheumatoid Hand.
Occupational therapy synergizes with medication and surgery for rheumatoid hand, optimizing functional outcomes when integrated into comprehensive care protocols.
Conceptual Framework in Assessing the Rheumatoid Patient with Hand Deformities.
Hand surgeons must recognize early rheumatoid arthritis signs and assess deformities systematically, as hands often manifest disease before formal diagnosis.
Understanding Emotional Intelligence to Enhance Leadership and Individualized Well-Being.
Emotional intelligence and leadership development improve surgical team effectiveness; self-awareness and empathy are learnable clinical skills.
Extensor Carpi Ulnaris Instability: A Comprehensive Review of Pathology and Operative Techniques.
ECU tendon pathology causes ulnar-sided wrist pain in athletes; nonanatomical extensor retinaculum reconstruction demonstrates successful outcomes for instability.
Surgical Hand Antisepsis: Environmental and Cost Impact in Hand Surgery.
Waterless alcohol-based hand antisepsis reduces water waste, costs, and environmental impact while maintaining surgical site infection prevention compared to traditional scrubbing.
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