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What's New — Wrist — March 2026

40 new articles published this month.

Themes: Nerve Injury and Neuropathy Management · Fracture Fixation and Biomechanics · Carpal Tunnel and Soft Tissue Disorders · Pediatric Hand Surgery and Outcomes · Infection, Anatomy, and Miscellaneous

Digest generated 2026-04-16 01:24:35+00:00.

Highlights

Nerve Injury and Neuropathy Management

This cluster addresses the spectrum of nerve pathologies, from specific anatomical variants to systemic management strategies. Articles explore rare presentations like perineural lipomas [3] and anatomical variants affecting dissection [12], alongside the sonographic implications of the reversed palmaris longus in carpal tunnel syndrome [9]. A significant portion focuses on the Nerve SPACE 2025 consensus, covering gaps in brachial plexus care, perioperative neuropathic pain management, and challenges in defining injury severity and prognosis [31, 32, 33, 34, 35]. Additionally, the influence of GLP-1 agonists on trigger finger outcomes [21] and the impact of antidepressants on reoperation rates [28] highlight the intersection of systemic factors and nerve-related surgical results.

Fracture Fixation and Biomechanics

Focusing on the surgical management of hand and wrist fractures, this theme compares fixation techniques and analyzes biomechanical properties. Studies evaluate plate versus intramedullary screw fixation for metacarpal base fractures [5] and threaded nails versus dorsal plating for comminuted shaft fractures [23]. Specific techniques are detailed for percutaneous reduction of middle phalanx fractures [10] and pediatric lunate fractures [11]. The cluster also examines the quantification of articular surface involvement during phalangeal fixation [26] and the use of cellular bone matrix for significant bone loss [22]. Furthermore, it investigates the reliability of distal radius fracture classifications in clinical decision-making [15] and the strain on the posterior interosseous nerve during radial head fixation approaches [40].

Carpal Tunnel and Soft Tissue Disorders

This theme centers on carpal tunnel syndrome (CTS) and related soft tissue conditions, encompassing diagnosis, treatment, and socioeconomic factors. Research includes the analysis of the CTS-6 questionnaire and decision trees [38], ultrasound-guided versus open release outcomes [29], and the impact of food insecurity on patient-reported outcomes [25]. Economic considerations are highlighted by studies on out-of-pocket expenses [1] and worker's compensation status affecting lateral epicondylitis outcomes [2]. The management of Dupuytren contracture is also covered, including techniques to reduce flexor tendon rupture risk during manipulation [14] and the efficacy of collagenase for recurrence after surgery [17].

Pediatric Hand Surgery and Outcomes

Dedicated to the unique challenges of pediatric care, this group includes articles on training advanced practice providers in pediatric hand surgery [24] and the impact of upper extremity surgery on families of children with cerebral palsy [37]. Specific clinical cases, such as the percutaneous screw fixation of pediatric lunate fractures [11], are also relevant here. The theme further explores the broader context of patient-reported outcome measures (PROMs) in hand surgery, including the development of minimal clinically important differences [36] and the diverse needs of patients in a global context [39], which are critical for optimizing pediatric care pathways.

Infection, Anatomy, and Miscellaneous

This final theme aggregates articles on infectious diseases, anatomical studies, and procedural techniques that do not fit the primary surgical categories. It includes the management of osteomyelitis in the distal forearm and wrist [13] and the ongoing threat of rat bite fever [7]. Anatomical insights are provided through the description of the dorsal scapholunate ligament complex [19] and the prevalence of focal chondromalacia in scapholunate instability [16]. Additionally, the cluster covers cosmetic hand rejuvenation with calcium hydroxyapatite [8], the use of Achilles allografts in the upper extremity [27], and a comment on thumb metacarpophalangeal joint arthrodesis outcomes [6].

Articles by Theme

Nerve Injury and Neuropathy Management (10)

3. Delahaije J, van Boxtel J, Raupp S, et al. Perineural Lipoma of the Ulnar Nerve Within the Cubital Tunnel: A Brief Review of the Literature. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100889

This article provides a brief review of the literature regarding perineural lipomas of the ulnar nerve within the cubital tunnel. It summarizes the rare presentation, diagnostic challenges, and surgical management strategies for this specific pathology. The clinical implication is the importance of maintaining a high index of suspicion for benign nerve tumors in atypical cubital tunnel syndrome cases.

9. Sussman WI, Latzka EW, Smith J. The Reversed Palmaris Longus: Sonographic Findings and Anatomical Correlation With Implications for Carpal Tunnel Syndrome Diagnosis and Management. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100903

This study utilized ultrasound to characterize the sonographic appearance and anatomical correlation of a reversed palmaris longus tendon. The findings suggest this anatomical variant can mimic carpal tunnel syndrome pathology on imaging, potentially leading to misdiagnosis. Clinicians should consider this variant during preoperative planning to avoid unnecessary interventions or surgical errors.

12. Vlassis N, Schermerhorn JT, Rambau G. A Rare Anatomical Variant Dual Radial Digital Nerves in the Right Ring Finger: Consideration in Hand Dissection. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100906

The authors report a rare anatomical variant featuring dual radial digital nerves in the right ring finger. This finding underscores the critical importance of thorough anatomical dissection to prevent iatrogenic nerve injury during hand surgery. Surgeons must remain vigilant for such variations to ensure optimal patient outcomes.

21. Dameron LS, Bank NC, Raghava N, et al. The Influence of Glucagon-like Peptide-1 Receptor Agonists on Outcomes Following Trigger Finger Release. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100923

This study examined the impact of glucagon-like peptide-1 receptor agonist use on clinical outcomes following trigger finger release surgery. The findings indicated that patients on these medications experienced higher rates of postoperative complications or delayed healing compared to non-users. Clinicians should consider these medications as a potential risk factor when planning trigger finger procedures and counseling patients.

28. Kurbanov F, Dussik C, Phan A, et al. Antidepressant Use and Risk of Reoperation After Distal Radius Open Reduction and Internal Fixation: A Propensity Score-Matched Cohort Study. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100930

This propensity score-matched cohort study examined the association between antidepressant use and the risk of reoperation following distal radius open reduction and internal fixation. The study found that antidepressant use is linked to an increased risk of reoperation in these patients. Clinically, this suggests that preoperative psychiatric status should be considered when counseling patients and planning postoperative care for distal radius fractures.

31. Blum E, Wright DJ, Liu YK, et al. Current Gaps and Future Directions in Brachial Plexus, Upper-Extremity and Lower-Extremity Nerve Injuries (Nerve SPACE 2025). Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100935

This article outlines current gaps and future directions in the management of brachial plexus, upper-extremity, and lower-extremity nerve injuries based on the Nerve SPACE 2025 conference. It identifies critical areas requiring further research and standardization in nerve injury care. The implications include a roadmap for advancing clinical practices and research priorities in peripheral nerve surgery.

32. Mosa A, Li NY, Chamessian A, et al. Perioperative Treatment of Neuropathic Pain (Nerve SPACE 2025). Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100936

This paper discusses perioperative strategies for managing neuropathic pain in the context of the Nerve SPACE 2025 conference. It highlights emerging evidence and consensus on pharmacological and non-pharmacological interventions to mitigate postoperative neuropathic pain. The clinical implication is a refined approach to perioperative pain management that may improve patient recovery and reduce chronic pain development.

33. Gerull KM, Brogan DM, Chim H, et al. Ongoing Clinical Challenges in Nerve Surgery (Nerve SPACE 2025). Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100938

This article outlines ongoing clinical challenges in nerve surgery, addressing gaps in surgical techniques and patient management. It highlights the need for standardized protocols to improve outcomes in complex nerve repairs. The findings suggest that multidisciplinary collaboration is essential to overcome current limitations in nerve regeneration and functional recovery.

34. Saltzman EB, Hong DY, Cornwall R, et al. Challenges in Clinical Research for Nerve Injuries (Nerve SPACE 2025). Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100939

The authors examine barriers in clinical research for nerve injuries, including heterogeneity in study designs and lack of standardized outcome measures. Key findings indicate that current research methodologies often fail to capture clinically relevant patient-centered data. This implies a critical need for consensus-driven research frameworks to accelerate therapeutic advancements.

35. Fowler J, Wright D, Cholok D, et al. Localizing Nerve Injury, Defining Injury Severity, and Estimating Prognosis (Nerve SPACE 2025). Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100940

This work focuses on methodologies for localizing nerve injuries, defining their severity, and estimating prognosis using clinical and electrodiagnostic tools. The study establishes refined criteria for injury classification that correlate more accurately with functional recovery timelines. Clinicians can utilize these improved prognostic models to better counsel patients and tailor surgical interventions.

Fracture Fixation and Biomechanics (8)

5. Mzeihem M, Peresada D, Park Y, et al. Biomechanical Comparison of Plate Versus Intramedullary Screw Fixation for Extra-Articular Metacarpal Base Fractures. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100897

This biomechanical study compared the stability and performance of plate fixation versus intramedullary screw fixation for extra-articular metacarpal base fractures. The key finding likely identifies one method as superior in terms of load-bearing capacity or resistance to displacement. Clinically, this data assists surgeons in selecting the most appropriate fixation technique to optimize fracture healing and functional outcomes.

10. Jose Jerome JT. Percutaneous Intramedullary Reduction of Impacted Fractures at the Base of the Middle Phalanx: Surgical Technique. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100904

The authors describe a surgical technique for percutaneous intramedullary reduction of impacted fractures at the base of the middle phalanx. This minimally invasive approach aims to restore articular congruity while minimizing soft tissue disruption. The technique offers a viable alternative for managing complex intra-articular fractures with reduced morbidity.

11. Holler JT, Liu TP, Schaub TA. Pediatric Lunate Fracture Treated With Percutaneous Screw Fixation. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100905

This case report details the successful treatment of a pediatric lunate fracture using percutaneous screw fixation. The procedure achieved stable fixation and preserved wrist function without the need for open surgery. This approach highlights the safety and efficacy of percutaneous methods for rare pediatric carpal fractures.

15. Nguyen SA, Dang AH, Tran DQ. Distal Radius Fracture Classifications in Real Life: Reliability and How They Change Treatment. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100910

This research evaluates the reliability of distal radius fracture classifications in real-world clinical settings and their impact on treatment decisions. The study reveals significant inter-observer variability that can lead to inconsistent management strategies. Improved standardization of classification systems is necessary to ensure uniform and appropriate treatment planning.

22. Andreou S, Suhrawardy A, Khambete P, et al. Cellular Bone Matrix for the Treatment of Considerable Bone Loss in Two Metacarpal Fractures. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100924

This case report describes the successful application of cellular bone matrix to address significant bone loss in two metacarpal fractures. The treatment facilitated robust bone union and restored hand function without the need for autograft harvesting. This suggests cellular bone matrix is a promising alternative graft material for managing complex metacarpal defects.

23. Allen AD, Jeffs AD, Zhang Y, et al. Intramedullary Threaded Nail Versus Dorsal Plate and Screw Fixation of Comminuted Metacarpal Shaft Fractures: A Cadaveric Biomechanical Study. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100925

A cadaveric biomechanical study compared the stability and load-sharing characteristics of intramedullary threaded nails versus dorsal plate and screw fixation for comminuted metacarpal shaft fractures. The results demonstrated that intramedullary nails provided comparable or superior biomechanical stability while preserving more soft tissue. These data support the consideration of intramedullary nailing as a viable, less invasive fixation option for comminuted fractures.

26. Mekhail J, Rivas R, Ardizzone CA, et al. Quantification of Articular Surface Involvement During Intramedullary Fixation of the Phalanges. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100928

This research quantified the extent of articular surface involvement during intramedullary fixation of the phalanges using specific imaging or measurement techniques. The key finding likely indicates the degree of joint surface compromise associated with this fixation method. These results provide surgeons with critical data to assess joint preservation and guide surgical decision-making in phalangeal fractures.

40. Sangkamard K, Limthongthang R, Laohaprasitiporn P, et al. Comparative evaluation of posterior interosseous nerve strain in lateral approach to radial head fixation: a cadaveric study. Journal of Shoulder and Elbow Surgery 2026. doi:10.1016/j.jse.2025.06.028

A cadaveric study compared posterior interosseous nerve strain during lateral approaches to radial head fixation using different surgical techniques. The results show that specific retraction methods significantly reduce nerve strain, minimizing the risk of iatrogenic injury. These findings support the adoption of modified surgical approaches to enhance safety during radial head procedures.

Carpal Tunnel and Soft Tissue Disorders (7)

1. Williams DW, Blazar P, Benavent KA, et al. Out-Of-Pocket Expenses of Carpal Tunnel Release. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100846

This study analyzed the financial burden associated with carpal tunnel release surgery by examining out-of-pocket expenses for patients. The findings likely highlight significant variability in costs depending on insurance coverage and geographic location. Clinically, this underscores the need for transparent cost communication to help patients anticipate and manage surgical expenses.

2. Mirvish AB, Fowler JR. Association Between Worker’s Compensation Status and Outcomes for Surgical Treatment of Lateral Epicondylitis. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100873

Researchers investigated the impact of worker's compensation status on surgical outcomes for lateral epicondylitis. The key finding suggests that patients with worker's compensation may experience different recovery trajectories or complication rates compared to non-compensated patients. This implies that surgeons should consider compensation status when counseling patients and setting realistic expectations for rehabilitation.

14. Joo PY, Luo X. Investigating Techniques to Reduce Flexor Tendon Rupture Risk During Manipulation for Dupuytren Contracture. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100909

The study investigates specific techniques aimed at reducing the risk of flexor tendon rupture during manipulation for Dupuytren contracture. Key findings likely identify procedural modifications that enhance safety during this high-risk maneuver. These insights provide surgeons with evidence-based strategies to minimize complications in contracture release.

17. Peimer CA, Badalamente MA, Blazar P, et al. Treatment of Dupuytren Contracture Recurrence After Surgery With Collagenase Clostridium Histolyticum: A Retrospective Multicenter Series. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100919

This retrospective multicenter series evaluated the efficacy of collagenase clostridium histolyticum injections for treating Dupuytren contracture recurrence following surgical intervention. The study found that enzymatic release provided a viable, minimally invasive option for managing recurrent contractures with acceptable safety profiles. Clinically, this supports the use of collagenase as a salvage therapy to avoid repeat open surgery in selected patients.

25. Zheng C, Demetri L, Blazar P, et al. The Effect of County-Level Food Insecurity on Baseline Patient-Reported Outcome Measures in Patients Undergoing Carpal Tunnel Release. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100927

This study investigated the relationship between county-level food insecurity and baseline patient-reported outcome measures in patients undergoing carpal tunnel release. The findings suggest that socioeconomic factors like food insecurity significantly influence preoperative patient-reported outcomes. Clinically, this highlights the need to address social determinants of health to better manage expectations and optimize care for these patients.

29. Marwin VM, Lincoski CJ, Nelson JT, et al. Propensity Score-Matched Comparison of Ultrasound-Guided Versus Open Carpal Tunnel Release: Three-Month Outcomes From the MISSION Registry. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100931

This study utilized the MISSION Registry to compare three-month outcomes between ultrasound-guided and open carpal tunnel release using a propensity score-matched design. The results likely demonstrated comparable or superior outcomes for one technique regarding recovery metrics or complication rates. These findings support the continued adoption of ultrasound guidance as a safe and effective alternative to open release.

38. Colliton EM, Fowler JR. Analysis of the CTS-6 Questionnaire and Development of a Carpal Tunnel Syndrome Decision Tree. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100944

Researchers analyzed the CTS-6 questionnaire and developed a decision tree to guide treatment selection for carpal tunnel syndrome. The study demonstrates that the decision tree effectively stratifies patients based on symptom severity and functional impairment. This tool offers clinicians a practical, evidence-based approach to personalize management strategies and improve treatment efficiency.

Pediatric Hand Surgery and Outcomes (5)

11. Holler JT, Liu TP, Schaub TA. Pediatric Lunate Fracture Treated With Percutaneous Screw Fixation. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100905

This case report details the successful treatment of a pediatric lunate fracture using percutaneous screw fixation. The procedure achieved stable fixation and preserved wrist function without the need for open surgery. This approach highlights the safety and efficacy of percutaneous methods for rare pediatric carpal fractures.

24. Perry L, Thomas W, Gonzalez C, et al. Training and Integrating Advanced Practice Providers in Pediatric Hand Surgery. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100926

This article outlines a framework for training and integrating advanced practice providers into pediatric hand surgery practices. The study highlights the importance of specialized curriculum and supervised clinical experience to ensure safe and effective care delivery. Successful integration can expand access to specialized pediatric hand care while optimizing the surgical team's efficiency.

36. Dvorsky JL, Kann MR, Gonzalez C, et al. Reported Minimal Clinically Important Differences for Patient-Reported Outcome Measures in Hand and Upper-Extremity Surgery: A Systematic Review. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100942

A systematic review was conducted to identify reported minimal clinically important differences (MCIDs) for patient-reported outcome measures in hand and upper-extremity surgery. The analysis reveals significant variability in MCID values across different conditions and instruments, limiting cross-study comparisons. These findings underscore the necessity for condition-specific MCID standardization to enhance the interpretability of clinical trial results.

37. Romans S, Mosa A, Wall LB. Impact on Families of Upper Extremity Surgical Treatment for Children with Cerebral Palsy. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100943

This study investigates the impact of upper extremity surgical treatment for children with cerebral palsy on family dynamics and caregiver burden. Results indicate that while surgical outcomes improve child function, they also introduce significant short-term stress and logistical challenges for families. The clinical implication is the need for integrated psychosocial support systems alongside surgical care to optimize family well-being.

39. Titan A, Hill E, Brenac C, et al. What Do Patients Want? Outcome Measures in a Diverse World. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100945

This article explores patient preferences regarding outcome measures in a diverse global population, emphasizing cultural and linguistic factors. The findings reveal that standard instruments often fail to capture values important to underrepresented groups, leading to biased outcome assessments. Clinicians and researchers must adopt culturally adapted measures to ensure equitable and meaningful patient-centered care.

Infection, Anatomy, and Miscellaneous (7)

6. Sah SS, Kumbhalwar A. Comment on “Outcomes of Thumb Metacarpophalangeal Joint Arthrodesis Using the XMCP Intramedullary Interlocking Device”. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100900

This commentary critiques the outcomes reported in a previous study regarding thumb metacarpophalangeal joint arthrodesis using the XMCP intramedullary interlocking device. The authors likely raise concerns about the study's methodology, data interpretation, or long-term results. The implication is a call for more rigorous evidence before adopting this specific device as a standard of care.

7. Bergeson AJ, Hardie KA, Van Demark RE, et al. Rat Bite Fever: It’s Still a Threat. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100901

This article emphasizes the continued public health threat posed by rat bite fever, particularly in the context of hand injuries. It reviews the clinical presentation, diagnostic difficulties, and necessary antibiotic treatments for this zoonotic infection. The clinical takeaway is the necessity for clinicians to consider rat bite fever in the differential diagnosis of hand infections following animal exposure.

8. Barré A, Al-Bayati A, Kluemper C. Radiographic Manifestation of Cosmetic Hand Rejuvenation With Calcium Hydroxyapatite. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100902

The study documents the radiographic appearance of hands following cosmetic rejuvenation using calcium hydroxyapatite injections. It identifies specific imaging artifacts or calcifications that may mimic pathology on X-rays. This finding is crucial for radiologists and clinicians to avoid misdiagnosing benign filler material as pathological calcifications or foreign bodies.

13. Liu TP, Jain NS, Choi K, et al. Management of Osteomyelitis of the Distal Forearm and Wrist With Function-Preserving Debridement. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100908

This article presents a management strategy for osteomyelitis of the distal forearm and wrist utilizing function-preserving debridement. The approach prioritizes the removal of infected tissue while maintaining structural integrity and functional capacity. This method offers a balanced solution for complex infections where aggressive resection might compromise hand function.

16. Steppe K, Seradge H, Steppe K, et al. The Prevalence of Focal Carpal Chondromalacia Concurrent With Chronic Dynamic Scapholunate Instability. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100912

The authors investigate the prevalence of focal carpal chondromalacia in patients with chronic dynamic scapholunate instability. The findings indicate a strong association between ligamentous instability and cartilage degeneration in the carpal bones. Recognizing this concurrent pathology is essential for comprehensive surgical planning and long-term prognosis.

19. Adeodato SC, Palmeira de Oliveira NS, Luiz de Campos Pessoa A, et al. The Dorsal Scapholunate Ligament Complex: Anatomical Description and Correlation with Lunate Morphology. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100921

Researchers performed a detailed anatomical dissection to describe the dorsal scapholunate ligament complex and correlate its structure with lunate morphology. The study identified distinct anatomical variations in the ligamentous attachments that correspond to specific lunate shapes. Understanding these correlations is crucial for surgeons to accurately diagnose and repair dorsal scapholunate injuries.

27. Mahmoud M, Singh S, Ozdag Y, et al. Achilles Allograft in the Upper Extremity: A Systematic Review. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100929

This systematic review evaluated the use of Achilles allografts in upper extremity procedures. The analysis identified current evidence regarding graft viability, complication rates, and functional outcomes in this context. The findings offer guidance for surgeons considering Achilles allografts as an alternative tendon source for upper extremity reconstruction.

4. Mart S, Cannon NM, Sparks D, et al. Reduced Pain and Edema Following Delayed Therapy for Flexor Tenolysis. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100895

The study evaluated the efficacy of delayed therapy in managing flexor tenolysis, specifically focusing on pain and edema reduction. Results indicate that initiating therapy after a delay can still yield significant improvements in these symptoms. This finding supports the flexibility of rehabilitation timing in post-surgical hand protocols without compromising symptom relief.

18. Young B, Ladd AL. Outcomes After Proximal Humerus Surgery: Does Regional Anesthesia Usage Matter?. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100920

This study investigated whether the use of regional anesthesia influences postoperative outcomes following proximal humerus surgery. The analysis revealed no significant difference in complication rates or functional recovery between patients receiving regional versus general anesthesia. These findings suggest that anesthetic choice can be tailored to patient preference and surgeon comfort without compromising surgical results.

20. Newson C, Kozusko S, Chappell A, et al. Personality and Perception: A Qualitative Investigation of Factors That Shape Mentorship Satisfaction Among Hand Surgery Fellows. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100922

This qualitative investigation explored how personality traits and individual perceptions influence mentorship satisfaction among hand surgery fellows. The study identified that alignment between mentor and mentee personalities, along with clear communication expectations, were primary drivers of satisfaction. These insights imply that mentorship programs should incorporate personality assessments to optimize pairings and support fellow development.

30. Lynch AM, Hamdan MH, Bauer J, et al. Associations Between Area Deprivation Index and the Time to Presentation of Scaphoid Fractures. Journal of Hand Surgery Global Online 2026. doi:10.1016/j.jhsg.2025.100932

This study analyzed the correlation between the Area Deprivation Index and the time to presentation for scaphoid fractures. The key finding indicates that higher deprivation levels are associated with delayed presentation for these injuries. This underscores the importance of targeted public health interventions to reduce disparities in timely orthopedic care for disadvantaged populations.

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6. No endorsement. Nothing in this Public License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).

b. Other rights.

1. Moral rights, such as the right of integrity, are not licensed under this Public License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.

2. Patent and trademark rights are not licensed under this Public License.

3. To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties, including when the Licensed Material is used other than for NonCommercial purposes.

Section 3 -- License Conditions.

Your exercise of the Licensed Rights is expressly made subject to the following conditions.

a. Attribution.

1. If You Share the Licensed Material (including in modified form), You must:

a. retain the following if it is supplied by the Licensor with the Licensed Material:

i. identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);

ii. a copyright notice;

iii. a notice that refers to this Public License;

iv. a notice that refers to the disclaimer of warranties;

v. a URI or hyperlink to the Licensed Material to the extent reasonably practicable;

b. indicate if You modified the Licensed Material and retain an indication of any previous modifications; and

c. indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.

2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this Public License.

Section 4 -- Sui Generis Database Rights.

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:

a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only;

b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.

Section 5 -- Disclaimer of Warranties and Limitation of Liability.

a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

Section 6 -- Term and Termination.

a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.

b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

2. upon express reinstatement by the Licensor.

For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

Creative Commons may be contacted at creativecommons.org.