J Hand Surg Am- ASSH @JHandSurg
The Journal of Hand Surgery is the official publication of the American Society for Surgery of the Hand. JHS Journal Club: #JHSJC OA Journal: @JHSGlobalOnline jhandsurg.org Joined June 2014-
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Should patients with RA hold their biologic medications before elective #HandSurgery? A new database study in #JHS weighs infection risk against disease flares — and the answer may change your practice. Find out in the latest JHS issue! jhandsurg.org/article/S0363-… #rheumatoid
Distal radius malunion and #UlnarAbutment syndrome — does loss of radial inclination actually worsen the biomechanics, or could it be protective? This new #JHS article may challenge your assumptions. jhandsurg.org/article/S0363-… #HandSurgery #EvidenceBasedMedicine
The July 2026 issue of JHS is live! jhandsurg.org/current Our cover image is from "Decreased Radial Inclination Without Dorsal Angulation Attenuates the Biomechanical Effects of Ulnar Abutment Syndrome: A Finite Element Analysis" by Takane Suzuki et al. of Chiba University.
Is it time to rethink routine face-to-face follow-up after minor #HandSurgery? This #JHS study found meaningful intervention in only 3% of routine #PostOp visits jhandsurg.org/article/S0363-… #Telemedicine #ElectiveSurgery #FollowUp
Vasopressors save lives but can threaten the digits. This #JHS review outlines recognition and management of vasopressor-induced digital #ischemia, from warming and Botox to sympathectomy and delayed #amputation jhandsurg.org/article/S0363-… #HandSurgery #CriticalCare #ReviewArticle
Diagnosing #scapholunate injuries is a challenge. While Xrays are the standard first-line, they suffer from low sensitivity. A multimodal approach is key to catching instability early. More: jhandsurg.org/article/S0363-… #scapholunateTear #ImagingScapholunate #RadiologyWristLigament
#HandSurgeons are first-line responders for self-injurious behavior. This guide details the #ASQ toolkit to identify at-risk patients and integrate life-saving #MentalHealth care into practice. Check out the care pathways: jhandsurg.org/article/S0363-… #HandSurgery #SelfHarm
The #IndexFinger: not just vital for hand function, but a key donor in reconstructive surgery! Learn how spare parts from the index can restore grip, sensation, and motion after injury. Read more: jhandsurg.org/article/S0363-… #HandSurgery #Reconstruction
What drives pain in the #IschemicHand? This #JHS review explores ischemic #pain signaling, diagnostic evaluation, and medical and surgical strategies for chronic limb-threatening #ischemia of the #UpperExtremity. jhandsurg.org/article/S0363-… #HandSurgery #VascularSurgery
Can #wrist alignment be assessed using a simple radiographic landmark? This #JHS study found the ulnar and volar cortices of the #DistalRadius aligned with the wrist center of rotation in >90% of normal wrists. Read more: jhandsurg.org/article/S0363-… #HandSurgery #Orthopedics
New 3D #MRI-based classification for preganglionic #BrachialPlexus injuries 🔹 Meningeal cysts → strong preganglionic sign 🔹 Rootlet avulsion & cord-root junction injuries 🔹 Type N/D (common at C5) → may still be repairable More: jhandsurg.org/article/S0363-… #HandSurgery
Elbow Block Test = simple method to ID children w/ disproportionate shoulder abduction limitation despite preserved external rotation ✅ Positive in 44% of pts ✅ Associated w/ C7 nerve injury pattern More: jhandsurg.org/article/S0363-… #BrachialPlexus #PediatricHandSurgery #JHS
Retrospective rev of 65 pts w/ lunate/perilunate dislocations found 25% incidence of acute #CarpalTunnelSyndrome 🔹 No diff b/t lunate vs perilunate dislocations 🔹 No significant predictors ID'd jhandsurg.org/article/S0363-… #HandSurgery #PerilunateDislocation #LunateDislocation
DIP #JointDenervation w/ #cheilectomy showed promising medium-term outcomes for symptomatic DIP OA 🔹 Pain reduction (VAS 9 → 2) 🔹 ROM preservation 🔹 Improved aesthetics Could this be a viable alternative to #arthrodesis? More: jhandsurg.org/article/S0363-… #JHS #HandSurgery
Isolated ulnar FDS slip excision in the palm leaves a substantial distal tendon stump w/ preserved Camper’s chiasm ✅ Variable proximity to A2 pulley ⚠️ Potential explanation for persistent distal triggering More: jhandsurg.org/article/S0363-… #JHS #HandSurgery #TriggerFingerRelease
Does #IceTherapy actually work through a plaster splint? This RCT proves it! Ice app significantly reduced mean skin temp by 1.19°C and slashed heat capacity by 2,030 calories. See the dramatic thermal shift. More: jhandsurg.org/article/S0363-… #IceAndSplint #Cryotherapy #IcePostOp
Reduce pain during PNA for #DupuytrenDisease. This RCT shows #vapocoolant spray before #LocalAnesthetic significantly cuts injection pain (mean -2.70 VAS). This figure highlights the clear benefit for patient comfort. More: jhandsurg.org/article/S0363-… #Dupuytren #HandSurgery #PNA
Is routine #biopsy in #tenosynovectomy always necessary? This study shows #histopathology in pts w/ known inflammatory disease did not change care. However, it remains vital for idiopathic cases where rare diagnoses change lives. More: jhandsurg.org/article/S0363-… #IntraOpCultures
PIP fusion or #arthroplasty for OA? Holc et al show PIPJ denervation offers a joint-preserving alternative with a 10 yr data; worth considering before salvage procedures -92% MCID | 91% SCB -No predictors of failure ID'd More: jhandsurg.org/article/S0363-… #HandSurgery #PainRelief
Can wearable sensors measure recovery after #BrachialPlexus reconstruction? This study tracked real-world upper limb use and found that use & magnitude ratios correlated with PROs (DASH, PROMIS-UE, Impact scores) More: jhandsurg.org/article/S0363-… #HandSurgery #Rehab #Orthopedics
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