Jun 29 – Jul 5, 2026 · 27 new studies, 10 reviews · Hand & Upper Extremity archive · All weeks
The new Hand & Upper Extremity research The Reduction sent the week of Jun 29 – Jul 5, 2026, with the week’s most recent reviews, each with a one-line summary.
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Parkinson disease did not increase complication risk or reduce implant survivorship at five years after total elbow arthroplasty, suggesting PD alone may not warrant altered surgical decision-making.
One-knot flexor tendon repair provides better gap resistance than two-knot repair, potentially reducing early gapping and improving early rehabilitation outcomes.
Black, Hispanic, and Asian patients underwent common hand procedures less frequently than White patients at both ASCs and HOPDs, with disparities improving over time in hospital settings but persisting in freestanding centers.
Polyethylene Liner Fracture in Touch Trapeziometacarpal Prosthesis: A Case Report.
Polyethylene liner fracture in trapeziometacarpal prosthesis can occur without symptoms; regular imaging surveillance enables early detection and salvage before severe dysfunction.
Extensor Pollicis Longus Tendon Translocation with a History of Thumb Polydactyly Surgery.
EPL tendon translocation at the MP joint can occur years after thumb polydactyly surgery due to radial sagittal band insufficiency; reconstruction restores stable tendon tracking.
Reverse aqua pump negative pressure wound therapy achieved equivalent healing outcomes at significantly lower cost than commercial NPWT in developing countries.
Radiocapitate distance correlated with wrist flexion but was not an independent predictor of functional outcomes after volar locking plate fixation.
Tenosynovial biopsy during carpal tunnel release showed limited diagnostic yield for detecting transthyretin amyloidosis, raising questions about routine screening.
Anomalous Flexor Carpi Radialis Anatomy During Volar Distal Radius Approach: Two Case Reports.
Rare flexor carpi radialis anatomical variants substantially alter expected volar distal radius approach anatomy and increase neurovascular injury risk; recognition is essential for safe exposure.
Phosphaturic mesenchymal tumors can present in atypical locations like fingers without tumor-induced osteomalacia; immunohistochemistry confirms diagnosis and marginal excision prevents recurrence.
Volar open wedge osteotomy reliably restores radiocarpal stability in volar marginal fragment escape with improved wrist motion and functional scores.
Systematic Review of Outcomes Following Single Central Ray Amputation of the Hand.
Single central ray hand amputation achieves good functional recovery with 90% full range of motion and 71% return to work; concomitant trauma predicts outcomes.
STT osteoarthritis can cause FCR rupture; interpositional arthroplasty with tendon transfer preserves wrist function.
Trigger finger affects 2% general population and 5.8% of diabetics; 16.6% require surgery within 3 years of diagnosis.
Endoscopic Versus Open Carpal Tunnel Release in Obese and Nonobese Patients.
Endoscopic carpal tunnel release reduces wound complications in both obese and nonobese patients with similar revision rates compared to open release.
Posterior interosseous nerve neurectomy during dorsal wrist ganglion excision did not reduce pain or recurrence rates compared to excision alone.
Arteriovenous Malformation of the Thenar Region: A Diagnostic Challenge.
Hand arteriovenous malformations are diagnostically challenging; MRI has limitations and surgical excision remains definitive treatment.
Surgeons performing 20+ distal radius fracture fixations annually had 37% lower complication rates; volume-based training recommendations may improve outcomes.
Ultrasound-assisted thin posteromedial thigh free flaps achieve 93% success for hand reconstruction with excellent contour matching and well-hidden donor scars compared to conventional flaps.
Snap-off compression pins provide comparable outcomes to headless and angled compression screws for DIP arthrodesis with similar complication rates and functional improvement.
Radial head fractures in terrible triad injuries cluster anteriorly regardless of coronoid type, aiding surgical planning.
Baseline pain severity, higher outcome expectations, and improved grip strength predicted better pain outcomes after thumb basal joint osteoarthritis nonoperative treatment.
Suture and screw tension band fixation for olecranon fractures proved significantly stronger than traditional K-wire and metal tension band technique in biomechanical testing.
Residual malrotation after distal radial fracture reduction is common; Giddins' radiographic characteristics reliably detect it.
Modified Viegas capsuloplasty reliably treats chronic scapholunate injuries with preserved motion, low pain, and minimal complications, making it an effective joint-preserving option for appropriate candidates.
Image-based quantitative planning for radioulnar synostosis osteotomy provides objective parameters and may improve consistency, though validation in larger prospective studies is needed.
Three-screw crossed pinning provides superior torsional resistance and maintains varus stability compared to lateral pinning in supracondylar fractures.
Historical Perspective of the Surgical Innovations to Improve Prosthetic Control.
Historical surgical innovations including vessel ligation, osteotomies, and muscle flaps form the foundation for modern prosthetic control advances in upper extremity amputation management.
The Diagnosis and Management of Clenched Fist Syndrome.
Clenched fist syndrome is a rare psychosomatic condition with inconsistent diagnostic and treatment approaches; better literature synthesis is needed to guide surgical management.
Genetic Syndromes Associated With Congenital Upper Limb Differences.
Genetic syndromes with congenital upper limb differences involve disrupted developmental signaling; molecular testing clarifies diagnosis and guides management.
Total wrist arthroplasty has evolved with improved implant design and expanded indications, with osteoarthritis now the primary etiology replacing rheumatoid arthritis.
Coronoid fractures : how do we best classify them and what is the 'true terrible triad'?
Coronoid fracture classification and management in elbow dislocations remains complex; understanding coronoid anatomy is critical for treating terrible triad injuries appropriately.
Surgical Approaches to the Elbow in Fixation of Traumatic Injuries.
Posterior surgical approaches provide superior access to distal humerus fractures; surgeon familiarity with multiple approaches optimizes complex elbow reconstruction.
Metacarpal Fractures: An Evidence-Based Review to Guide Treatment.
Most metacarpal fractures treat well nonsurgically, but surgical fixation improves outcomes for specific fractures and patients; approach should match fracture pattern and patient goals.
The Role of Simulation-Based Medical Education in Surgical Training.
Simulation-based medical education effectively trains hand surgeons with objective skill measurements, standardized curriculum, and improved preparation for clinical independence.
Shared Decision Making in Hand Surgery.
Shared decision-making in hand surgery improves outcomes by incorporating patient preferences into preference-sensitive treatment decisions.
Physiology of Nerve Regeneration: Key Factors Affecting Clinical Outcomes.
Peripheral nerve regeneration declines due to reduced growth gene expression; electrical stimulation and exercise improve recovery.
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