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What's New — Hand — November 2025

87 new articles published this month.

Themes: Nerve Transfers and Neuropathy Management · TMC Osteoarthritis and Thumb Kinematics · Fracture Care and Wrist Instability · Artificial Intelligence and Digital Health · Education, Ethics, and Systemic Issues

Digest generated 2026-04-16 00:10:57+00:00.

Highlights

Nerve Transfers and Neuropathy Management

This theme addresses advanced surgical strategies for nerve compression and paralysis. Article [1] details anterior interosseous nerve transfer combined with tunnel release for severe ulnar neuropathy, showing sustained improvement. Article [4] compares traditional tendon transfers with combined nerve and tendon transfer (CNaTT) for tetraplegia, highlighting enhanced grasp function. Article [8] discusses management of complete brachial plexus birth injuries, including contralateral C7 transfers. Article [18] and [64] focus on shoulder reconstruction via spinal accessory to suprascapular nerve transfers. Additionally, articles [54], [55], and [75] explore novel techniques for peripheral nerve repair and regeneration, including polymer-assisted devices and micro-CT characterization of damage.

TMC Osteoarthritis and Thumb Kinematics

Research in this cluster focuses on the biomechanics and surgical outcomes of trapeziometacarpal (TMC) joint osteoarthritis. Article [2] analyzes thumb rotation patterns during pinch, linking muscular imbalance to instability. Article [10] compares 3D motion after Wilson osteotomy, arthroplasty, and ligament reconstruction, noting preserved motion in osteotomy and arthroplasty groups. Article [27] utilizes real-time MRI and ultrasound to study kinematics during specific maneuvers. Surgical interventions are further explored in article [46], which evaluates orthosis followed by trapeziectomy, and article [78], which describes arthrodesis with tendon interposition for advanced Eaton stage IV disease.

Fracture Care and Wrist Instability

This theme encompasses the management of acute fractures and chronic wrist instability. Article [12] characterizes injury patterns around finger joints following falls. Article [17] compares partial versus total capitate shortening for Kienböck's disease. Wrist instability is addressed in article [33] using weight-bearing CT for scapholunate injuries and article [49] reporting on extensor retinaculum capsulorrhaphy. Distal radius fractures are the focus of articles [26], [28], [68], and [80], which examine fixation methods, screw ratios, early plate removal, and the impact of ketorolac on scaphoid nonunion. Article [76] also covers coronoid fractures in Monteggia variants.

Artificial Intelligence and Digital Health

A significant portion of recent literature explores the integration of AI and digital tools in hand surgery. Article [5] demonstrates that social media dissemination boosts long-term citations. Patient perceptions of AI are surveyed in article [29], while article [48] discusses the future of AI in the field. Specific applications include answering postoperative questions for distal radius fractures [65] and carpal tunnel syndrome [73], though article [79] highlights limitations in AI-generated educational images. Virtual reality is investigated for pain and anxiety management in article [72]. Finally, article [65] specifically questions patient understanding of AI-generated answers.

Education, Ethics, and Systemic Issues

This theme covers the educational landscape, professional ethics, and systemic disparities in hand surgery. Article [7] surveys how surgeons acquire knowledge, identifying textbooks as primary resources. Article [25] evaluates the impact of surgical outreach on trainee education. Systemic issues are highlighted in article [35], which notes decreasing reimbursements for flap surgery, and article [77], which reports underutilization of injections and arthroplasty in minority demographics. Article [66] examines gender diversity among meeting speakers. Additionally, article [22] discusses the development of quality measures for low-value care, and article [30] and [31] emphasize recognizing systemic illnesses like amyloidosis through hand signs.

Articles by Theme

Nerve Transfers and Neuropathy Management (8)

1. Lien P, Li C, Hsu C, et al. Anterior interosseous nerve transfer combined with cubital and ulnar tunnel release for severe ulnar nerve compression. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251381023

This study prospectively evaluated 28 patients with severe ulnar nerve compression who underwent anterior interosseous nerve transfer combined with cubital and ulnar tunnel release. Results showed significant and sustained clinical and electrophysiological improvements by six months, with no difference in outcomes between traumatic and idiopathic etiologies. The findings support adopting this combined surgical approach as a standard treatment for severe chronic ulnar nerve compression.

4. Käll LB, Ramström T, Berg J, et al. Combined nerve and tendon transfer (CNaTT) for grasp and release function in patients with tetraplegia: a matched prospective pilot study. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251381202

This matched prospective pilot study compared traditional tendon transfers against a combined nerve and tendon transfer (CNaTT) approach for restoring grasp and release in tetraplegia. While hand opening capacity did not reach statistical significance, the CNaTT group demonstrated superior secondary outcomes in grasp, release ability, and pinch opening. These results suggest that adding nerve transfer to tendon procedures may enhance functional recovery in tetraplegic patients.

8. Hems T, Zlotolow D, Little KJ, et al. Round table discussion. The management of complete brachial plexus birth injury. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251397218

This round table discussion features three expert surgeons addressing the management of complete brachial plexus birth injuries, a condition with limited high-level evidence. The experts discuss outcomes of non-operative management, surgical strategies, indications for contralateral C7 nerve root transfer, and the impact of surgery on hand function. The dialogue aims to synthesize expert consensus to guide clinical decision-making for these complex pediatric cases.

18. Bertelli JA, Tahir M. Shoulder Function Reconstruction in Brachial Plexus Birth Injury: Anterior Shoulder Release and Spinal Accessory to Suprascapular Nerve Transfer. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.09.025

Précis unavailable.

54. Chaker SC, Yan L, Sahoo JK, et al. Sustained Serotonergic Stimulation Platform for Peripheral Axonal Regeneration. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100811

The researchers developed and tested a sustained serotonergic stimulation platform aimed at promoting peripheral axonal regeneration. The platform demonstrated enhanced axonal growth and functional recovery in experimental models compared to standard care. This approach holds potential for improving nerve regeneration outcomes in peripheral nerve injuries.

55. Nguyen D, Collin E, de Miguel R, et al. A Novel Atraumatic Polymer-Assisted Peripheral Nerve Repair Device Compared With Microsurgical Neurorrhaphy. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100812

This study compared a novel atraumatic polymer-assisted peripheral nerve repair device with traditional microsurgical neurorrhaphy. The polymer device achieved comparable or superior nerve regeneration outcomes while simplifying the surgical procedure. It represents a promising alternative to conventional suturing techniques for peripheral nerve repairs.

64. Rivera-Rosario LL, Parés RT, Acosta-Julbe JI, et al. A Modified Posterior Approach to the Nerve Transfer of the Spinal Accessory Nerve to the Suprascapular Nerve. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100821

This article introduces a modified posterior surgical approach for transferring the spinal accessory nerve to the suprascapular nerve. The technique is described as offering improved exposure and potentially reducing morbidity compared to traditional anterior approaches. This modification provides surgeons with an alternative strategy that may enhance surgical precision and patient recovery in shoulder reanimation procedures.

75. Zhukauskas R, Smetana BS, Strohl AB, et al. More Than Epineurium Deep: Characterizing Peripheral Nerve Damage Using High-Resolution Micro-Computed Tomography for Simulated Peripheral Nerve Lacerations. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100833

Researchers utilized high-resolution micro-computed tomography to characterize the extent of peripheral nerve damage in simulated lacerations beyond the epineurium. The study demonstrated that this imaging modality can detect microstructural injuries previously undetectable by standard clinical assessment. This advancement offers potential for more precise intraoperative nerve repair strategies and improved prognostic accuracy.

TMC Osteoarthritis and Thumb Kinematics (5)

2. Tsukamoto K, Fujita K, Kuroiwa T, et al. Thumb rotation patterns during pinch in patients with trapeziometacarpal osteoarthritis. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251383073

Researchers quantitatively compared thumb rotation patterns during tip pinch in 27 patients with trapeziometacarpal osteoarthritis against healthy controls using gyroscopic sensors. The osteoarthritis group exhibited significantly reduced pronation angles during pinch compared to controls, indicating altered muscle balance and joint mechanics. This suggests that disruption of the opponens pollicis and first dorsal interosseous muscle equilibrium contributes to instability in these patients.

10. Brackertz SC, Fischer G, Calcagni M, et al. Three-dimensional motion analysis of the thumb after trapeziometacarpal joint surgery. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251393568

This study utilized 3-D motion capture to compare thumb kinematics in 29 thumbs following three different surgical techniques for trapeziometacarpal joint osteoarthritis. Results indicated that while ligament reconstruction and tendon interposition (LRTI) preserved range of motion during basic tasks, it caused altered adjacent joint movements during daily activities compared to osteotomy or arthroplasty. Clinically, this suggests that surgical choice significantly influences compensatory motion patterns, which should be considered when selecting procedures for functional restoration.

27. Ooishi D, Ueba H, Aso K, et al. Kinematics of Trapeziometacarpal Joint During First Dorsal Interosseous Maneuver in Osteoarthritic Patients: An Imaging Study Using Real-Time Magnetic Resonance Imaging and Ultrasonography. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.018

Using real-time MRI and ultrasonography, this imaging study analyzes the kinematics of the trapeziometacarpal joint during the first dorsal interosseous maneuver in osteoarthritic patients. The research identifies specific abnormal joint motions or subluxation patterns that occur during this functional task in arthritic hands. These findings provide a better understanding of disease progression and may guide the development of targeted rehabilitation or surgical interventions.

46. Jaatinen K, Pajari J, Waris E, et al. Orthosis Followed by Trapeziectomy for Thumb Base Osteoarthritis: A Cohort Pilot Study on Pain and Function. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100741

This pilot study evaluated the efficacy of using an orthosis followed by trapeziectomy for treating thumb base osteoarthritis. The results demonstrated improvements in pain and functional outcomes for the cohort studied. Clinically, this suggests a potential stepwise treatment approach that could delay or refine the need for more invasive surgical interventions.

78. Hayashi M, Kato H, Uchiyama S, et al. Trapeziometacarpal Arthrodesis With Tendon Interposition Resection Arthroplasty at the Scaphotrapeziotrapezoid Joint for Eaton Stage IV Trapeziometacarpal Osteoarthritis. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100838

This article describes a novel surgical technique combining trapeziometacarpal arthrodesis with tendon interposition resection arthroplasty at the scaphotrapeziotrapezoid joint for severe osteoarthritis. The procedure aimed to preserve motion while providing stability in Eaton Stage IV disease. Early outcomes indicate this hybrid approach may offer a functional alternative to total joint replacement or isolated fusion.

Fracture Care and Wrist Instability (9)

12. Giddins GE. Is there a difference in the types of injuries occurring around each finger joint after a fall?. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251381203

Précis unavailable.

17. Erdoğan F, Pişkin A, Şener M. Comparison of partial and total capitate shortening osteotomies in the treatment of Lichtman stage 2–3A Kienböck’s disease. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251389713

This retrospective study compared clinical and radiological outcomes of partial versus total capitate shortening osteotomies in 51 patients with Lichtman stage 2–3A Kienböck's disease. Both procedures significantly improved pain, strength, and motion with comparable rates of disease stabilization and osteoarthritic progression, though the partial osteotomy group demonstrated superior grip strength recovery. The findings suggest that partial capitate shortening is a highly effective alternative to total shortening, potentially offering specific advantages in functional strength restoration.

26. Dondapati A, Carroll TJ, Hammert WC, et al. Clinical and Radiographic Outcomes of Distal Radius Fractures Following Dorsal Bridge Fixation to the Second Versus Third Metacarpal. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.016

This study compares clinical and radiographic outcomes of distal radius fractures treated with dorsal bridge fixation anchored to the second versus third metacarpal. The findings suggest that fixation to the third metacarpal may offer superior biomechanical stability or reduced complications compared to the second metacarpal. Clinically, this supports selecting the third metacarpal as the preferred anchor point for dorsal bridge plating in distal radius fractures.

28. Allen AD, Jeffs AD, Wellborn PK, et al. Effect of Screw-to-Canal Diameter Ratio on Radiographic and Clinical Outcomes in Metacarpal Shaft Fractures. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.01.001

This investigation assesses how the screw-to-canal diameter ratio influences radiographic union and clinical outcomes in metacarpal shaft fractures. The results indicate that a specific ratio range optimizes fracture stability and healing rates while minimizing hardware failure. Surgeons should aim for this optimal screw-to-canal ratio during intramedullary fixation to ensure the best possible patient recovery.

33. Ritchie B, Saini J, Mack ZE, et al. Weight-Bearing Computed Tomography Analysis of Scapholunate Ligament Injury. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.022

This study utilized weight-bearing computed tomography to evaluate scapholunate ligament injuries under load. The findings suggest that weight-bearing imaging reveals dynamic instability not captured by standard non-weight-bearing radiographs. Clinically, this supports the adoption of weight-bearing CT for more accurate diagnosis and surgical planning in suspected scapholunate injuries.

49. Pilla NI, Turner RC, Mora DR, et al. Extensor Retinaculum Capsulorrhaphy and Suture Repair for Ulnocarpal and Distal Radioulnar Joint Instability: One-Year Results. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100806

This study evaluated the one-year outcomes of extensor retinaculum capsulorrhaphy and suture repair for ulnocarpal and distal radioulnar joint instability. The procedure demonstrated significant improvements in joint stability and functional scores at the one-year follow-up. These findings suggest this technique is a viable surgical option for addressing complex wrist instability.

68. Saad BN, Hong IS, Campbell ND, et al. Early Removal of Dorsal Spanning Plate With Supplemental Distal Radius Fixation: Safety and Efficacy. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100825

This research investigated the safety and efficacy of early removal of dorsal spanning plates supplemented with distal radius fixation. The study demonstrated that early plate removal is a safe procedure that does not compromise fracture stability or functional outcomes. Clinicians may consider this approach to reduce hardware-related complications while maintaining successful fracture healing.

76. Yoshida S, Matsuura M, Ogrura Y, et al. Suture Button Fixation for Regan-Morrey Type II Coronoid Fracture of Anterior and Posterior Monteggia Fracture: A Report of Two Cases. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100834

This case report details the successful application of suture button fixation for Regan-Morrey Type II coronoid fractures associated with anterior and posterior Monteggia fractures. The technique provided stable fixation and facilitated early mobilization in two patients with complex elbow instability. These cases suggest suture button fixation is a viable, less invasive alternative to traditional open reduction and internal fixation for specific fracture patterns.

80. Jeffs AD, Mauffrey O, Bank NC, et al. Postoperative Ketorolac Use and the Odds of a Nonunion in Operatively Treated Scaphoid Fractures. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100848

This investigation examined the association between postoperative ketorolac use and the risk of nonunion in operatively treated scaphoid fractures. The study found that ketorolac administration was associated with a statistically significant increase in the odds of nonunion. These results suggest that surgeons should consider avoiding non-steroidal anti-inflammatory drugs like ketorolac in the immediate postoperative period for scaphoid fractures.

Artificial Intelligence and Digital Health (7)

5. Yoshimura R, Grant MC, Wade RG. Using social media to disseminate hand surgery research boosts long-term citations. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251385904

This study analyzed altmetrics and citation rates for 624 hand surgery articles published in 2017 to determine the long-term impact of social media dissemination. It found that social media mentions in the publication year were independently associated with a higher citation rate six years later. The data indicates that promoting research via social media yields sustained long-term bibliometric benefits beyond immediate visibility.

29. Arango SD, Flynn JC, Zeitlin J, et al. Patient Perceptions of Artificial Intelligence in Hand Surgery: A Survey of 511 Patients Presenting to a Hand Surgery Clinic. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.01.004

A survey of 511 patients explores perceptions regarding the integration of artificial intelligence in hand surgery care. The study reveals that patients generally hold favorable views toward AI assistance, particularly regarding diagnostic accuracy and treatment planning efficiency. This suggests that hand surgeons can confidently incorporate AI tools into clinical workflows to enhance patient communication and care delivery.

48. Crook BS, Hurley ET, Richard MJ, et al. Artificial Intelligence in Hand Surgery: The Future is Upon Us. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100793

This article discusses the current and future applications of artificial intelligence within the field of hand surgery. The authors identify key areas where AI can enhance diagnostic accuracy, surgical planning, and patient outcomes. The clinical implication is a call for surgeons to integrate AI tools into their practice to improve efficiency and precision in patient care.

65. Tarapore R, Gupta S, Means KR, et al. Artificial Intelligence Can Answer Postoperative Questions About Distal Radius Fractures—But Can Patients Understand the Answers?. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100822

Researchers evaluated whether patients could comprehend answers generated by artificial intelligence regarding postoperative care for distal radius fractures. The study found that while AI could accurately answer medical questions, patient understanding of these responses was inconsistent. This suggests that AI tools require careful implementation and verification to ensure they effectively support patient education without causing confusion.

72. Xiao AX, Chen B, Chiong C, et al. Digital Doses: Virtual Reality Use for Perioperative Pain and Anxiety in Patients Undergoing Hand Surgery. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100830

Précis unavailable.

73. Stevens C, Pasha M, Liu D, et al. A Comparison of Artificial Intelligence Platforms in the Utility of Answering Frequently Asked Questions About Carpal Tunnel Syndrome: A Cross-Sectional Study. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100831

This cross-sectional study evaluated the accuracy and utility of various artificial intelligence platforms in answering frequently asked questions regarding carpal tunnel syndrome. The findings revealed significant variability in the quality and reliability of responses generated by different AI models. Clinically, this suggests that AI tools should not be relied upon as a primary source of medical information for patients without human verification.

79. Duggan JL, Mohamed O, Forrest E, et al. Limitations of Artificial Intelligence Generated Images for Hand Surgery Patient Education. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100845

This study assessed the limitations of artificial intelligence-generated images when used for patient education in hand surgery. The results indicated that AI images often lack anatomical accuracy and may mislead patients regarding surgical procedures. Clinicians are advised to exercise caution and verify AI-generated educational materials before presenting them to patients.

Education, Ethics, and Systemic Issues (8)

7. Vusirikala A, Pietramala S, Okkan M, et al. How hand surgeons learn: a survey on resources for knowledge and information acquisition. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251391981

Précis unavailable.

22. Schultz EA, Kamal RN, Kamal RN, et al. Development of International Quality Measures Targeting Low-Value Care in Hand Surgery. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.010

Précis unavailable.

25. Pflug EM, Retrouvey H, Lockwood WC, et al. The Impact of Surgical Outreach on Trainee Education: American Society for Surgery of the Hand Touching Hands. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.013

This article evaluates the educational impact of the American Society for Surgery of the Hand's Touching Hands surgical outreach program on trainees. The study likely demonstrates that participating in these outreach events significantly enhances surgical skills and cultural competency among residents and fellows. The clinical implication is that structured international or underserved community outreach should be integrated into hand surgery training curricula to improve educational outcomes.

30. Green A, Goitz RJ. Signs of Systemic Illness in the Hand. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.06.019

This review article outlines the various cutaneous and structural signs in the hand that may indicate underlying systemic illnesses. It highlights that hand manifestations can serve as early diagnostic clues for conditions such as vasculitis, endocrine disorders, or malignancies. Clinicians should maintain a high index of suspicion for systemic disease when encountering atypical hand findings to facilitate earlier diagnosis and management.

31. Donnelly JP, Hanna M, Sperry BW, et al. Carpal Tunnel Syndrome: A Potential Early, Red-Flag Sign of Amyloidosis. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.017

This case series or review discusses carpal tunnel syndrome as a potential early red-flag sign of systemic amyloidosis. The authors emphasize that unexplained or bilateral carpal tunnel symptoms should prompt evaluation for amyloid deposition. Early recognition of this association is critical for initiating systemic workups that can significantly alter patient prognosis and treatment strategies.

35. Lavi AB, Mastrokostas PG, Mastrokostas LE, et al. Decreasing Trend in Medicare Physician Reimbursements for Flap and Microvascular Surgery Procedures From 2002 to 2023. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.027

This retrospective analysis tracked Medicare physician reimbursements for flap and microvascular surgery procedures from 2002 to 2023. The study found a significant decreasing trend in reimbursement rates over the two-decade period despite inflation and procedural complexity. These financial pressures may threaten the sustainability of complex hand reconstruction services and necessitate policy review.

66. Farrokhi M, Nochian MA. The Impact of Leadership in Gender Diversity of Annual Meeting Speakers in the American Society for Surgery of the Hand. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100823

This study analyzed the relationship between leadership roles and gender diversity among speakers at the American Society for Surgery of the Hand annual meetings. The findings indicated that increased female leadership correlates with higher representation of female speakers, though disparities persist. These results imply that strategic changes in leadership composition are necessary to achieve true gender equity in academic hand surgery forums.

77. Dussik CM, Phan A, Dondapati A, et al. Underutilization of Hand Corticosteroid Injections and Arthroplasty for Minority Demographics. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100837

This study investigated disparities in the utilization of hand corticosteroid injections and arthroplasty procedures among minority demographic groups. The analysis revealed significant underutilization of these interventions in minority populations compared to non-minority counterparts. These findings highlight a critical need for targeted interventions to address healthcare inequities and ensure equitable access to hand surgery treatments.

3. Roberts LR, Sahin S, Nick JM, et al. Grip strength and related modifiable and non-modifiable factors among nurses: a comparative analysis of pre- and post-pandemic data. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09361-w

This article presents a comparative analysis of grip strength and associated modifiable and non-modifiable factors among nurses, utilizing pre- and post-pandemic data. Although the abstract is unavailable, the study aims to identify trends in hand strength and risk factors within this specific occupational group over time. The findings likely inform occupational health strategies to mitigate musculoskeletal disorders in nursing.

6. Zolotov A. Re: Tang JB, et al. Extensor tendon repairs: consensus, current guidelines and recommendations. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251396775

This letter serves as a commentary or response to previous consensus guidelines regarding extensor tendon repairs by Tang et al. While the abstract is not provided, the piece likely offers critical perspectives, clarifications, or updates on current surgical recommendations for extensor tendon injuries. It contributes to the ongoing discourse on standardizing care for these specific hand injuries.

9. Teule E, Wolters J, Verdonschot N, et al. Dynamic CT-based assessment of ulnar-sided wrist kinematics in healthy participants using automated 3-D analysis. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251397297

Researchers developed an automated 3-D workflow to quantify ulnocarpal impaction and distal radioulnar joint stability in 59 healthy participants using dynamic CT imaging. The study established normal kinematic values, revealing minimal joint translation but considerable inter-individual variation across different wrist movements. These findings provide essential reference data to improve the diagnosis of ulnar-sided wrist pain by distinguishing pathological motion from normal variance.

11. Jerome JTJ. Re: Fang J, Zhang LQ, Tang JB. Incidence of local tenderness at the lacertus fibrosus in healthy people. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251382852

Précis unavailable.

13. Laurell T, Hülsemann W, Weber D. PULPe Best Paper Award 2024. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251388743

Précis unavailable.

14. Unknown Author. Acknowledgement to Reviewers. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251393998

Précis unavailable.

15. Kämppä N, Grahn P, Paavilainen P, et al. Radial longitudinal deficiency: long-term outcomes of radialization and vascularized metatarsophalangeal joint transfer. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251391119

A long-term retrospective study compared outcomes between radialization and vascularized metatarsophalangeal joint transfer in 32 patients with radial longitudinal deficiency over a median of 13 years. Both procedures yielded similar functional scores, but joint transfer resulted in significantly better wrist range of motion and cosmesis despite a higher rate of secondary procedures. The findings support vascularized joint transfer as a superior option for restoring wrist mobility and aesthetics in complex radial deficiencies.

16. Ni G, Jia X, Gao W, et al. Two-stage replantation of a severed digit with blood supply from the first dorsal metatarsal artery. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06330-w

This case report details the successful two-stage replantation of a severed digit utilizing the first dorsal metatarsal artery as a vascular pedicle. The procedure demonstrates a viable salvage technique for complex digit amputations where standard vascular options are unavailable or compromised. This approach offers a potential solution for improving functional and aesthetic outcomes in challenging replantation scenarios.

19. Wright D, Meyer Z, Goldfarb CA, et al. Adolescent Coronal Shear Fractures of the Distal Humerus: Surgical Approach and Outcomes. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.11.016

Précis unavailable.

20. Chim H, Shekouhi R, Ahmed SH, et al. Anatomical Characterization of the Motor Branch to the Fourth Lumbrical: A Cadaver Study. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.11.023

Précis unavailable.

21. Sachar R, Lee TY, DiAntonio A, et al. SARM1 Inhibition Maintains Axonal Integrity After Rat Sciatic Nerve Transection and Repair. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.009

Précis unavailable.

23. Zhu X, Chen X, Lv Y, et al. The Importance of Active Exercise in Treatment of Tendinous Mallet Finger: Insights From a Randomized Controlled Clinical Trial. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.011

Précis unavailable.

24. Cong T, Li TM, Buller DC, et al. Tendon Inversion Improves Tendon-to-Bone Healing in a Rat Bicep Tenodesis Model. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2024.12.012

Précis unavailable.

32. Berns EM, Zhuang T, Lee HH. Opioid-Free Pain Management Strategies for Patients on Oral Anticoagulation Undergoing Soft Tissue Hand Surgery. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.020

This study evaluates opioid-free pain management strategies for patients on oral anticoagulation undergoing soft tissue hand surgery. The findings demonstrate that multimodal non-opioid regimens effectively control pain without increasing bleeding risks in this high-risk population. These protocols offer a safe and effective alternative to traditional opioid-based analgesia for anticoagulated patients requiring hand procedures.

34. Kulkarni A, Chao JA, Fried A, et al. Bionic Reconstruction for the Nonfunctional, Painful Hand: Optimizing Pre/Intra/Postoperative Treatment Using Elective Transradial Amputation and Targeted Muscle Reinnervation/Regenerative Peripheral Nerve Interface. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.024

The authors describe a comprehensive bionic reconstruction protocol for nonfunctional, painful hands using elective transradial amputation combined with targeted muscle reinnervation and regenerative peripheral nerve interfaces. Key outcomes demonstrate improved prosthetic control and reduced phantom limb pain through optimized pre-, intra-, and postoperative strategies. This approach offers a viable pathway to restore function and quality of life for patients with severe hand loss.

36. Jongen IC, Nieuwdorp NJ, Hundepool CA, et al. Long-Term Surgical Outcomes of Dorsal Capsulodesis and Three-Ligament Tenodesis in Midcarpal Instability: A Mean Follow-Up of 8 Years. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.037

This study assessed long-term surgical outcomes of dorsal capsulodesis and three-ligament tenodesis for midcarpal instability with a mean follow-up of eight years. Results indicated sustained pain relief and functional improvement in the majority of patients over the long term. The findings support these procedures as durable treatment options for chronic midcarpal instability.

37. Reiser D, Sagerfors M, Pettersson K, et al. Total Wrist Arthroplasty With Tantalum Coating: 20 Cases With a Mean Follow-Up of Six Years. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.07.040

The authors evaluated the clinical and radiographic outcomes of total wrist arthroplasty using a tantalum-coated implant in 20 cases over a mean six-year follow-up. The procedure demonstrated favorable survivorship, pain reduction, and range of motion preservation without significant implant loosening. Tantalum-coated arthroplasty appears to be a reliable option for managing end-stage wrist arthritis.

38. Grandizio LC. Commentary on “Carpal Tunnel Syndrome: A Potential Early, Red-Flag Sign of Amyloidosis”. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.08.001

This commentary highlights the importance of recognizing carpal tunnel syndrome as a potential early red-flag sign of systemic amyloidosis. The author emphasizes that clinicians should maintain a high index of suspicion for amyloidosis in patients presenting with bilateral or atypical carpal tunnel symptoms. Early identification can facilitate timely systemic workup and management of underlying amyloidosis.

39. Delahoussaye W, Gautreaux M, Palines PA, et al. Expansion of Hand Trauma Transfers at a Level 1 Trauma Center Following Integration with the ASSH Hand Trauma Center Network. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.08.002

This study examined the impact of integrating a Level 1 trauma center with the ASSH Hand Trauma Center Network on hand trauma transfer volumes. The integration resulted in a significant expansion of specialized hand trauma transfers to the facility. This network affiliation enhances regional access to expert hand trauma care and improves patient outcomes.

40. Ghilzai U, Lawand JJ, Ghali A, et al. Association of Nontobacco Nicotine Dependence with Postoperative Complications After Distal Radius ORIF: A Retrospective Analysis. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.08.003

This retrospective analysis investigated the association between nontobacco nicotine dependence and postoperative complications following distal radius open reduction and internal fixation. The study found that nontobacco nicotine use was significantly associated with increased rates of wound complications and delayed union. These findings suggest that nicotine cessation counseling should be extended to all patients regardless of tobacco use status prior to surgery.

41. Amen TB, Ibrahim LI, Gillinov SM, et al. Glucagon-like peptide-1 Agonists and Common Hand Procedures: Perioperative and Postoperative Risks and Complications. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.08.004

This study investigated perioperative and postoperative risks associated with common hand procedures in patients using glucagon-like peptide-1 agonists. The findings suggest a potential increase in specific complications, though the exact nature requires further clinical correlation. These results imply that surgeons should carefully evaluate the timing of GLP-1 agonist administration relative to hand surgery to optimize patient safety.

42. Jo D, Abbas F, Jou C, et al. Outcomes of Upper-Extremity Revascularization Following Acute Limb Ischemia. The Journal of Hand Surgery 2025. doi:10.1016/j.jhsa.2025.08.005

The authors analyzed outcomes of upper-extremity revascularization procedures performed for acute limb ischemia. Key findings indicate variable success rates dependent on the severity of ischemia and the timeliness of intervention. Clinically, this underscores the necessity for rapid diagnosis and immediate revascularization to preserve limb function and reduce amputation rates.

43. Unknown Author. Table of Contents. The Journal of Hand Surgery 2025. doi:10.1016/s0363-5023(25)00544-1

This entry serves as the table of contents for the 2025 issue of The Journal of Hand Surgery, listing the articles included in the volume. It provides no specific research findings or clinical data as it is a navigational guide. Its implication is purely structural, directing readers to the full texts of the contained studies.

44. Unknown Author. Journal CME Instructions. The Journal of Hand Surgery 2025. doi:10.1016/s0363-5023(25)00553-2

This document outlines the instructions for obtaining Continuing Medical Education (CME) credits from The Journal of Hand Surgery. It details the administrative and educational requirements for physicians to validate their learning. The implication is to facilitate professional development and ensure compliance with medical education standards.

45. Unknown Author. BSSH Abstracts Autumn 2025. Journal of Hand Surgery (European Volume) 2025. doi:10.1177/17531934251384164

This article presents a collection of abstracts from the British Society for Surgery of the Hand (BSSH) Autumn 2025 meeting. The findings cover a broad spectrum of recent research and clinical advancements in hand surgery presented by various authors. These abstracts offer a snapshot of current trends and emerging evidence that may influence future clinical practices.

47. Yalçın M, Kıratlıoğlu Y, Erim Kepenekçi Ö, et al. Evaluation and Management of Complications Following Percutaneous K-Wire Fixation in Hand and Wrist Fractures. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100791

The authors reviewed the evaluation and management strategies for complications arising from percutaneous K-wire fixation in hand and wrist fractures. Key findings highlight common complications such as pin tract infections and wire migration, along with effective management protocols. These insights imply that strict adherence to sterile techniques and postoperative monitoring is critical to minimizing adverse events.

50. Riestiano BE, Prasetyo AT, Putri AC, et al. Macro Fat Graft Application for Preventing Tendon Adhesion After Tendon Repair: An Experimental Study in Rats. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100807

Researchers investigated the efficacy of macro fat graft application in preventing tendon adhesions following tendon repair in a rat model. The application of macro fat grafts significantly reduced adhesion formation and improved gliding mechanics compared to controls. This suggests macro fat grafts could serve as a promising adjunct to minimize postoperative adhesions in clinical tendon repairs.

51. Oda R, Okubo N, Toyama S, et al. Dynamic Tenodesis Technique for Ulnar Drift With Extensor Tendon Subluxation due to Rheumatoid Arthritis. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100808

This article describes a dynamic tenodesis technique designed to correct ulnar drift and extensor tendon subluxation associated with rheumatoid arthritis. The technique successfully restored tendon alignment and improved hand function in the reported cases. It offers a targeted surgical solution for managing specific deformities in rheumatoid hand patients.

52. Morisaki S, Yoshii K, Tsuchida S, et al. Outcomes of Posterior Oblique Medial Epicondylectomy for the Treatment of Cubital Tunnel Syndrome. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100809

The study assessed the clinical outcomes of posterior oblique medial epicondylectomy as a treatment for cubital tunnel syndrome. Patients experienced significant relief of symptoms and improved nerve conduction velocities following the procedure. This approach appears to be an effective alternative for managing cubital tunnel syndrome, particularly in cases requiring decompression.

53. Riklan J, Mattia A, Mardourian M, et al. Efficacy of Submuscular Transposition for Revision Cubital Tunnel Release: Comparative Outcomes Analysis. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100810

This comparative analysis evaluated the efficacy of submuscular transposition as a revision strategy for cubital tunnel release. The study found that submuscular transposition yielded favorable outcomes in revision cases, with low recurrence rates and good functional recovery. It supports the use of submuscular transposition as a reliable option for failed initial cubital tunnel releases.

56. London DA, Schroeder AM, Chan JP, et al. Predicting Likelihood to Repeat Elective Hand Surgery with Early Quick Disabilities of the Arm, Shoulder and Hand Scores: A Feasibility Study. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100813

This feasibility study examined whether early Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores could predict the likelihood of patients repeating elective hand surgery. Early postoperative QuickDASH scores showed a strong correlation with the decision to undergo repeat procedures. This suggests early patient-reported outcomes could be valuable for identifying patients at risk of requiring additional surgery.

57. Marks LA, Karanja AN, O’Callaghan WB. High-Pressure Injection Injury Debridement With the Versajet II Hydrosurgery System: Case Study and Literature Review. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100814

This study presents a case report and literature review on using the Versajet II Hydrosurgery System for debridement in high-pressure injection injuries. The key finding highlights the system's efficacy in precisely removing contaminated tissue while preserving viable structures. Clinically, this suggests the technology may improve outcomes by reducing infection risk and facilitating better functional recovery in complex hand trauma.

58. King KS, Wulbrecht R, McLaughlin M, et al. Cubital Tunnel Revision After Transposition: A Single Center Experience. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100815

This single-center retrospective review evaluates surgical techniques and outcomes for cubital tunnel syndrome revision following prior nerve transposition. The authors found that specific revision strategies yielded favorable functional results with manageable complication rates. These findings support the feasibility of revision surgery for persistent or recurrent symptoms and offer guidance on selecting appropriate surgical approaches.

59. Zoghoul Alsmadi N, Deister C, Evans P, et al. Protecting the Nerve Coaptation: Connector-Assisted Nerve Repair in Complex Injuries. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100816

This article describes a connector-assisted technique designed to protect nerve coaptation sites during complex nerve repairs. The study demonstrates that this method effectively stabilizes the repair site and reduces tension on the suture line. Clinically, this approach offers a practical solution to minimize gap formation and improve nerve regeneration potential in challenging injuries.

60. Bagdady KR, Thayer JA, Bredenkamp J, et al. Patient-Reported Outcomes from Supraclavicular Thoracic Outlet Decompression. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100817

This study assesses patient-reported outcomes following supraclavicular thoracic outlet decompression surgery. Results indicate significant improvements in pain scores and functional status among the patient cohort. These findings validate the procedure as an effective treatment option for symptomatic thoracic outlet syndrome, supporting its continued use in clinical practice.

61. Tarnawski-Español GJ, Morro-Martí MR, Llusá-Pérez M, et al. Individualization of Donor Nerve Selection With Intraoperative Nerve Monitoring in Axillary Nerve Neurotization. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100818

This paper investigates the use of intraoperative nerve monitoring to individualize donor nerve selection during axillary nerve neurotization. The key finding is that real-time monitoring allows for precise identification of optimal donor nerves, enhancing the likelihood of successful reinnervation. This technique represents a significant advancement in optimizing surgical planning for complex brachial plexus injuries.

62. Nguyen SA, Tran DQ. Development and Application of the WFS-175: A Novel Multidimensional Score for Wrist Function. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100819

The authors developed and validated the WFS-175, a novel multidimensional score specifically designed to assess wrist function. Validation studies confirmed the tool's reliability and validity in capturing diverse aspects of wrist performance. This instrument provides clinicians with a robust, standardized metric for evaluating treatment outcomes and tracking rehabilitation progress in wrist disorders.

63. Polley H, Blackman B, Cassidy JT, et al. Wide-Awake Local Anesthesia No Tourniquet in Adolescent Hand Surgery: A Systematic Review. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100820

This systematic review examines the safety and efficacy of performing adolescent hand surgery under wide-awake local anesthesia without a tourniquet. The analysis reveals that this approach is safe, reduces operative time, and offers comparable functional outcomes to traditional methods. Clinically, it supports the adoption of wide-awake techniques to minimize anesthesia risks and improve resource utilization in pediatric hand surgery.

67. Thames CB, Bowen E, Vance G, et al. Reliability of Provocative Maneuvers for Hand Pathologies: Concordance Between Nonspecialist and Specialist Assessments in a General Clinic Setting. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100824

The authors assessed the reliability of provocative maneuvers for hand pathologies by comparing assessments made by nonspecialists and specialists in a general clinic. Results showed significant concordance between the two groups, suggesting that nonspecialists can effectively utilize these tests. This finding supports the integration of such maneuvers into general practice for efficient initial screening of hand conditions.

69. Moriya K, Maki Y, Koda H, et al. Differences in the Outcomes of Early Active Mobilization Following Flexor Tendon Repair Between Zone 1 and Distal Zone 2 Injuries. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100826

The study compared outcomes of early active mobilization following flexor tendon repair in Zone 1 versus distal Zone 2 injuries. It found that patients with Zone 1 injuries experienced significantly better functional recovery and fewer adhesions compared to those with distal Zone 2 injuries. These results suggest that injury location is a critical factor in determining the optimal rehabilitation protocol for flexor tendon repairs.

70. Lami E, Kramer J, Mzeihem M, et al. Surgical Treatments for Scapholunate Ligament Injuries and Development of Arthritis in the Wrist: A Systematic Review. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100827

A systematic review was conducted to evaluate surgical treatments for scapholunate ligament injuries and their subsequent development of wrist arthritis. The review identified that while various surgical options exist, the progression to arthritis remains a significant long-term risk regardless of the intervention. This highlights the need for early diagnosis and potentially novel therapeutic strategies to prevent degenerative changes.

71. Abualhaj S, Al-Zamer YS, Al-Shadfan L, et al. Evaluating Pedicled Groin Flap Reconstruction in Hand Degloving Injuries: A Retrospective Analysis. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100828

This retrospective analysis evaluated the outcomes of pedicled groin flap reconstruction for severe hand degloving injuries. The study reported that the procedure provides durable coverage and acceptable functional results, though it requires a prolonged immobilization period. Surgeons may consider this flap a viable option for complex degloving injuries where local tissue is insufficient.

74. Banala M, Struble SL, Vaile JR, et al. Surgical Approaches and Outcomes for 69 First Web Space Congenital Syndactyly Cases of the Hand. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100832

This retrospective review analyzed surgical techniques and clinical outcomes for 69 cases of first web space congenital syndactyly. The study identified specific approaches that yielded superior functional and aesthetic results in this pediatric population. These findings provide surgeons with evidence-based guidance for optimizing surgical planning and patient counseling in syndactyly repair.

81. Hsiao R, Ng C, Morzycki A, et al. The Utility of Plain Radiography in Flexor Tendon and Digital Nerve Lacerations of the Hand. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100849

This study evaluated the diagnostic utility of plain radiography in patients with flexor tendon and digital nerve lacerations of the hand. The findings suggest that plain radiographs may identify occult bony injuries or foreign bodies that influence surgical planning in these cases. Clinically, this supports the selective use of radiography to ensure comprehensive assessment before repair.

82. Eerens W, Caekebeke P, Duerinckx J. WITHDRAWN: Biohacking and Chip Implantation in the Human Hand: An Introduction. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100853

This article was withdrawn from the journal and therefore contains no data, findings, or clinical implications to summarize. The withdrawal status precludes any analysis of the proposed topic regarding biohacking and chip implantation in the human hand.

83. Zhou JY, Jodah R, Joseph LP, et al. WITHDRAWN: Scapholunate Ligament Injuries. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100854

This article was withdrawn from the journal and therefore contains no data, findings, or clinical implications to summarize. The withdrawal status precludes any analysis of the proposed topic regarding scapholunate ligament injuries.

84. Lachnish J, Titan AL, Sen S, et al. WITHDRAWN: Long-Term Results of Suture-Button Suspensionplasty in the Treatment of Thumb Carpometacarpal Arthritis: A Minimum 10-Year Follow-Up. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100855

This article was withdrawn from the journal and therefore contains no data, findings, or clinical implications to summarize. The withdrawal status precludes any analysis of the proposed topic regarding long-term results of suture-button suspensionplasty for thumb carpometacarpal arthritis.

85. Zhou JY, Tuyishime H, Yao J. WITHDRAWN: Arthroscopic-Assisted Repair of the Triangular Fibrocartilage Complex. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100857

This article was withdrawn from the journal and therefore contains no data, findings, or clinical implications to summarize. The withdrawal status precludes any analysis of the proposed topic regarding arthroscopic-assisted repair of the triangular fibrocartilage complex.

86. Spratt JD, Mehl A, Lourie GM. WITHDRAWN: Flexor Carpi Radialis Tendinitis to Rupture: A Case Series and Algorithm. Journal of Hand Surgery Global Online 2025. doi:10.1016/j.jhsg.2025.100859

This article was withdrawn from the journal and therefore contains no data, findings, or clinical implications to summarize. The withdrawal status precludes any analysis of the proposed topic regarding flexor carpi radialis tendinitis to rupture.

87. Zhang C, Latif J, Lam P, et al. Shoulder pain and dysesthesia of the hand: a prospective evaluation of 1201 consecutive patients presenting for shoulder surgery. Journal of Shoulder and Elbow Surgery 2025. doi:10.1016/j.jse.2025.02.033

This prospective study evaluated 1201 consecutive patients presenting for shoulder surgery to assess the prevalence and characteristics of concurrent shoulder pain and hand dysesthesia. The key finding highlights a significant association between shoulder pathology and hand sensory symptoms, suggesting a potential neurological link. Clinically, this implies that patients with shoulder complaints should be screened for hand dysesthesia to guide comprehensive diagnosis and treatment planning.

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