Jul 20–26, 2026 · 17 new studies, 10 reviews · Hand & Upper Extremity archive · All weeks
The new Hand & Upper Extremity research The Reduction sent the week of Jul 20–26, 2026, with the week’s most recent reviews, each with a one-line summary.
Get papers like these by email, free: subscribe to The Reduction, focused on your interests, on the days you pick.
A minimally invasive capitate shortening technique with retrograde intermetacarpal screw fixation offers a less invasive option for treating Kienböck's disease with reduced soft-tissue exposure.
Untreated ulnar styloid fractures do not compromise wrist function or grip strength in patients with distal radius fractures at medium to long-term follow-up.
In a 7-patient series, the modified Manktelow step-cut osteotomy reliably corrected finger rotational malunion with improved motion and no complications.
At 5 years after dual-mobility trapeziometacarpal joint arthroplasty, 93% of patients were satisfied, with lower pain and better hand function (not baseline factors or complications) driving satisfaction, alongside 96% implant survival.
Releasing subtendinous connective tissue beneath the EDL during vascularized toe PIP joint transfer reduces extensor lag without compromising perfusion or increasing revision rates.
This systematic review of cadaveric studies confirms the scapholunate interosseous ligament as the primary stabilizer and the dorsal intercarpal ligament as the key secondary stabilizer, emphasizing the need to restore both to prevent progressive instability.
Moovis press-fit trapeziometacarpal arthroplasties achieve stable cup fixation, high patient satisfaction, and 98% nine-year implant survival, favoring their use in thumb arthritis.
Anomalous median nerve motor branch with proximal origin traversing transverse carpal ligament creates additional danger zone; recommend ulnar-to-distal ligament division during carpal tunnel release.
Risk factors for nail dystrophy following distal phalangeal fractures of the hand.
Nail bed injury and nonunion are independent predictors of post-traumatic nail dystrophy after distal phalanx fractures; nail bed repair and fracture healing are critical management factors.
A cadaveric study shows a modified foveal TFCC reinsertion technique that avoids bone tunnels restores DRUJ stability comparably to the intact ligament.
Diametaphyseal distal radius fractures in children exhibit characteristic biomechanical instability with ESIN that responds better to transepiphyseal intramedullary nailing fixation.
Matched-pair analysis finds regional anesthesia is associated with more residual dorsal malreduction than general anesthesia specifically in complex AO/OTA type C distal radius fractures treated with volar plating.
In pediatric Monteggia fractures, initial ulnar angulation >32.43° predicts conservative treatment failure and residual radiocapitellar instability, particularly in Bado type III fractures.
PROMIS-25 correlates strongly with QuickDASH in pediatric upper extremity trauma, particularly for physical function; instruments show complementary ceiling and floor effects.
A multimodal imaging approach to predict carpal tunnel syndrome after distal radius fractures.
Carpal tunnel cross-sectional area combined with volar tilt predicts carpal tunnel syndrome development after distal radius fractures better than either parameter alone.
A large propensity-matched study found concomitant carpal tunnel release during distal radius fixation did not reduce subsequent CTR rates and was associated with higher revision/malunion surgery rates.
INTEGRA silicone metacarpophalangeal implants demonstrated superior grip strength, function, and zero fracture rate compared to AVANTA implants in rheumatoid arthritis patients.
Scaphotrapeziotrapezoid Joint Osteoarthritis: Differentiating SOAC Wrist From SLAC Wrist.
Scaphotrapeziotrapezoid osteoarthritis progresses through distinct mechanisms from scapholunate dissociation, requiring recognition of midcarpal instability for optimal surgical planning.
Current Concepts: Lesser Digit Carpometacarpal Joint Fracture-Dislocations.
Lesser digit carpometacarpal fracture-dislocations are frequently missed; early recognition enables conservative treatment, but surgical fixation is often necessary for optimal outcomes.
GLP-1 receptor agonists pose perioperative concerns but show no increased postoperative complications in hand surgery, with potential metabolic benefits requiring individualized management.
Acute Compartment Syndrome of the Upper Extremity.
Review article covers diagnosis, treatment, and outcomes of acute upper extremity compartment syndrome, emphasizing prompt fasciotomy and addressing delayed presentation controversies.
Post-traumatic elbow arthropathy management ranges from joint-preserving techniques in early disease to arthroplasty or joint sacrifice in advanced cases; careful patient selection is essential.
Current Evidence in the Management of Ballistic Peripheral Nerve Injuries.
Ballistic nerve injuries require individualized management based on nerve continuity; normal-appearing nerves should be treated expectantly rather than routinely repaired.
My Best and My Worst Operations in Rheumatoid Arthritis.
Rheumatoid hand surgery outcomes vary; review shares technical insights on effective procedures and those with less predictable results based on surgical experience.
Neurogenic Thoracic Outlet Syndrome: A Primer for Hand and Peripheral Nerve Surgeons.
Primer reviews neurogenic thoracic outlet syndrome pathophysiology, diagnosis, and stepwise treatment from hand therapy and injections to surgery for hand and peripheral nerve surgeons.
The Role of Exosomes in Upper-Extremity Tissue Regeneration.
This review introduces exosomes as cell-free vesicles with regenerative potential and discusses their promise and current limitations for upper-extremity tissue regeneration.
Advances in Soft Tissue Injuries Associated with Open Fractures.
Successful upper extremity fracture treatment requires integrated soft tissue management using negative pressure wound therapy, dermal templates, and appropriate tissue transfer options.
← Week of Jul 13–19, 2026Week of Jul 27 – Aug 2, 2026 →
Home · All weeks · Archive · Subscribe · FAQ
© 2026 The Reduction