Performance Metrics in Hand Surgery: Turning a Blind Eye Will Cost You
The Medicare Access and Children ’s Health Insurance Program Reauthorization Act established the Quality Payment Program (QPP), which mandates that physicians who meet the threshold in volume of Medicare patients for whom they care participate in this program through either advanced Alternative Payment Models or the Merit-Based I ncentive Payment System. Anticipating physicians’ concerns regarding the burden of implementing the QPP, feedback from physicians became a critical component of the continued implementation process in 2018. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 15, 2019 Category: Surgery Authors: Allison K. Roe, Joseph A. Gil, Robin N. Kamal Tags: The Hand Surgery Landscape Source Type: research

The Effect of Surgical Treatments for Trapeziometacarpal Osteoarthritis on Wrist Biomechanics: A Cadaver Study
This study aimed to quantify alterations in wrist muscle forces following trapeziectomy with or without ligament reconstruction and replacement. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 13, 2019 Category: Surgery Authors: Darshan S. Shah, Claire Middleton, Sabahat Gurdezi, Maxim D. Horwitz, Angela E. Kedgley Tags: Scientific Article Source Type: research

Kinematics of Thumb Ulnar Collateral Ligament Repair With Suture Tape Augmentation
Acute thumb ulnar collateral ligament (UCL) tears are common injuries of the thumb in athletes. Thumb UCL repair with suture tape augmentation is a novel procedure that may allow earlier return to play. The purpose of this study was to evaluate the biomechanical characteristics of the thumb after UCL repair with and without suture tape augmentation. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 11, 2019 Category: Surgery Authors: Nilay A. Patel, Charles C. Lin, Yasuo Itami, Michelle H. McGarry, Steven S. Shin, Thay Q. Lee Tags: Scientific Article Source Type: research

A New Surface Landmark for Thumb Digital Nerve Bifurcation: A Cadaveric Study
The radial and ulnar thumb digital nerves are critical for tactile sensation and dexterity in the hand. This cadaveric study sought to validate a surface landmark for the bifurcation of the thumb radial digital nerve (RDN) and ulnar digital nerve (UDN). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 9, 2019 Category: Surgery Authors: Kitty Wu, William R. Aibinder, Robert S. Richards, Nina Suh Tags: Scientific Article Source Type: research

Telemedicine in Hand and Upper-Extremity Surgery
Smartphones, computers, and Internet access continue to become more available to both patients and physicians. As these technologies develop with respect to health care, opportunities for telemedicine visits continue to emerge. The purpose of this review article was to analyze the current use and potential applications of telemedicine in hand and upper-extremity surgery. Although the literature pertaining to the use of telemedicine in hand surgery is limited, videoconferencing visits may provide benefits to patients. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 9, 2019 Category: Surgery Authors: Louis C. Grandizio, Brian K. Foster, Joel C. Klena Tags: The Hand Surgery Landscape Source Type: research

Transfers of the Ipsilateral C7 Plus the Spinal Accessory Nerve Versus Triple Nerve Transfers for Treatment of C5-C6 Avulsion of the Brachial Plexus
To compare the long-term results of transfers of the ipsilateral C7 (IC7) plus spinal accessory nerve (SAN) with those of triple nerve transfers (TNT) using one fascicle of the ulnar nerve to the biceps motor branch (Oberlin ’s procedure), SAN transferred to the suprascapular nerve, and transfer of the long head of triceps nerve branch to the anterior branch of axillary nerve to treat C5-C6 avulsion of the brachial plexus. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - November 9, 2019 Category: Surgery Authors: Jie Song, Wen-jun Qiu, Liang Chen, Shao-nan Hu, Ji-xin Wu, Yu-dong Gu Tags: Scientific Article Source Type: research

Journal CME Questions
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Tags: Current concepts Source Type: research

Masthead
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Source Type: research

Editorial Board
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Source Type: research

Table of Contents
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Source Type: research

Journal CME Instructions
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Source Type: research

Coronary Artery Disease Association With Arterial Calcifications on Routine Hand Radiographs
This study examined whether arterial calcifications found on hand radiographs are associated with CAD. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 31, 2019 Category: Surgery Authors: Erin M. Taylor, Winona W. Wu, Qing Ruan, Erin C. Hall, Aviram M. Giladi, Matthew L. Iorio Tags: Editor's Choice Source Type: research

The Impact of Obesity and Smoking on Outcomes After Volar Plate Fixation of Distal Radius Fractures
Distal radius fractures are common fractures of the upper extremity. Whereas surgical outcomes have been extensively investigated, the impact of risk factors  such as body mass index (BMI) and smoking on patient outcomes has not been explored. We hypothesized that obesity and smoking would have a negative impact on the functional and radiographic outcomes of surgically treated patients with distal radius fractures. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 30, 2019 Category: Surgery Authors: Matthew J. Hall, Peter J. Ostergaard, Arriyan S. Dowlatshahi, Carl M. Harper, Brandon E. Earp, Tamara D. Rozental Tags: Editor's Choice Source Type: research

The Impact of Pre-Referral Advanced Diagnostic Testing on Wait Time to See a Hand Surgeon for Common Upper-Extremity Conditions
We sought to evaluate the use of pre- and post-referral advanced diagnostic testing among patients with 3 common hand conditions, rates of subsequent tests, and differences in wait time to see a hand surgeon. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 30, 2019 Category: Surgery Authors: Yu-Ting Lu, Steven C. Haase, Ting-Ting Chung, Kevin C. Chung, Erika D. Sears Tags: Editor's Choice Source Type: research

Radiographic Change in Articular Reduction After Volar Locking Plating for Intra-Articular Distal Radius Fractures
To examine the stability of the articular reduction 12 weeks after intra-articular distal radius fracture (DRF) fixation with a volar locking plate (VLP). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 24, 2019 Category: Surgery Authors: Shun Hashimoto, Hiroshi Yamazaki, Masanori Hayashi, Fumihiro Isobe, Shunsuke Miyaoka, Yo Kitamura, Hiroyuki Kato Tags: Scientific Article Source Type: research

Factors Associated With Advanced Presentation for Carpal Tunnel Release
The aim of this study was to determine factors associated with presentation of carpal tunnel syndrome for carpal tunnel release (CTR) in the advanced electrodiagnostic stages. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 24, 2019 Category: Surgery Authors: Dafang Zhang, Jamie Collins, Philip Blazar, Brandon E. Earp Tags: Scientific Article Source Type: research

Integrated Compression Screw Stabilization of the Dorsal Lunate Facet in Intra-Articular Distal Radius Fractures
To evaluate outcomes of intra-articular distal radius fractures with displaced dorsal lunate facet fragments treated with a combination of volar plating and the use of a dorsal screw that integrates into the plate. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 24, 2019 Category: Surgery Authors: David S. Ruch, Francesca L. Tocci, A. Jordan Grier, Jeremy J. Miles, Preet S. Patel, Suhail K. Mithani, Marc J. Richard Tags: Scientific Article Source Type: research

Anatomy of the Posterior Antebrachial Cutaneous Nerve, Revisited
To describe the branching pattern of the posterior antebrachial cutaneous nerve (PABCN) and to corroborate measurements and observations reported by previous authors. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 22, 2019 Category: Surgery Authors: Brian W. Starr, Dennis S. Lee, Peter J. Stern Tags: Scientific Article Source Type: research

Outcomes of the Medial Femoral Trochlea Osteochondral Free Flap for Proximal Scaphoid Reconstruction
To describe the radiographic, functional, and patient-reported outcomes (PROs) of medial femoral trochlea (MFT) osteochondral free flap reconstruction of the proximal scaphoid at approximately 2 years follow-up. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 17, 2019 Category: Surgery Authors: Mitchell A. Pet, Patrick E. Assi, Imran S. Yousaf, Aviram M. Giladi, James P. Higgins Tags: Scientific Article Source Type: research

Evaluating Outcomes Following Open Fractures of the Distal Radius
A paucity of evidence exists regarding the optimal treatment of open fractures of the distal radius. The purpose of this study was to compare short-term complication rates between various treatment options following open fractures of the distal radius. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 12, 2019 Category: Surgery Authors: Carl M. Harper, A. Samandar Dowlatshahi, Tamara D. Rozental Tags: Scientific Article Source Type: research

Associations Between Insurance Type and the Presentation of Cubital Tunnel Syndrome
This study sought to evaluate the association of insurance type on the severity of CuTS. We hypothesized that publicly insured patients will have delayed presentation to the orthopedics office and more significant condition severity. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 12, 2019 Category: Surgery Authors: Christopher Cheng, Craig M. Rodner Tags: Scientific Article Source Type: research

The Role of Cone-Beam Computed Tomography (CBCT) Scan for Detection and Follow-Up of Traumatic Wrist Pathologies
Emergency diagnostics demand fast, easily available, and cost-effective procedures. The higher the accuracy of radiological imaging, the better it supports the surgeon in decision-making for further treatment. Cone-beam computed tomography has been proven to be a reliable tool in diagnosing fractures of the hand and distal forearm. It can be easily installed, has a high spatial resolution, and a potentially lower radiation dose when compared with multislice computed tomography or a series of plain x-rays. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 12, 2019 Category: Surgery Authors: Armin Pallaver, Philipp Honigmann Tags: The Hand Surgery Landscape Source Type: research

Patient-Reported Outcomes and Complications After Surgical Fixation of 143 Proximal Phalanx Fractures
Multiple methods exist to surgically fix unstable phalangeal fractures. Whereas these methods have different rates of complications or reoperation, it is not known whether these differences lead to changes in patient reported outcome. We compared patient-reported outcomes measures and complications of Kirschner wire (K-wire), lag-screw and plate fixation of proximal phalanx fractures (excluding the thumb). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 2, 2019 Category: Surgery Authors: Thomas J.M. Kootstra, Jort Keizer, Abhiram Bhashyam, Roderick M. Houwert, Egbert-Jan M.M. Verleisdonk, Mark van Heijl, Detlef van der Velde Tags: Scientific Article Source Type: research

Imaging of the Peripheral Nerve: Concepts and Future Direction of Magnetic Resonance Neurography and Ultrasound
Advanced imaging is increasingly used by upper extremity surgeons in the diagnosis and evaluation of peripheral nerve pathology. Ultrasound and magnetic resonance neurography (MRN) have emerged as the most far-reaching modalities for peripheral nerve imaging and often provide complimentary information. Technology improvements allow better depiction of the peripheral nervous system, allowing for more accurate diagnoses and preoperative planning. The purpose of this review is to provide an overview of current modalities and expected advances in peripheral nerve imaging with a focus on practical applications in the clinical s...
Source: The Journal of Hand Surgery - October 2, 2019 Category: Surgery Authors: Russell E. Holzgrefe, Eric R. Wagner, Adam D. Singer, Charles A. Daly Tags: Current Concepts Source Type: research

Radial Artery Occlusion in a Patient With Lupus, Antiphospholipid Syndrome, and  Raynaud Phenomenon: A Multimodal Approach
We present a case of a 29-year-old peripartum woman with a history of lupus, antiphospholipid syndrome, and Raynaud phenomenon who developed RAO with hand-threatening ischemia despite therapeutic anticoagulation. Given the patient ’s medical history, a multimodal approach was applied including thrombectomy, arterial bypass, venous arterialization, and onobotulinum toxin A sympathectomy. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 2, 2019 Category: Surgery Authors: Travis J. Miller, Walter C. Lin, Bauback Safa Tags: Case Repository Source Type: research

A Modified Surgical Approach Through Guyon ’s Canal and the Proximal Ulnar Border of the Carpal Tunnel Allows for Safe Excision of the Hook of the Hamate
Hook of the hamate fractures can be treated by various methods including cast immobilization, open reduction, and internal fixation and excision. Usually, those individuals who elect for excision have acute fractures and need to return to sporting activity or work quickly or have nonunions with persistent symptoms. There is a paucity of descriptions in the literature and textbooks of a technique to safely excise the hook of the hamate. The authors present a method of safely exposing and removing the hook of the hamate by visualizing the potential structures at risk: the motor branch of the ulnar nerve, the ulnar digital ne...
Source: The Journal of Hand Surgery - October 2, 2019 Category: Surgery Authors: Jesse Dashe, Neil F. Jones Tags: Surgical Technique Source Type: research

Avascular Necrosis of the Carpal Bones Other Than Kienb öck Disease
Avascular necrosis (AVN) of the carpal bones other than Kienb öck disease is a rare cause of chronic pain of the wrist. The scaphoid, capitate, and a smaller percent of lunates are at greater risk to develop AVN because of their peculiar intraosseous circulation; however, AVN has been reported in all the carpal bones. On the plain radiograph, AVN of the carpa l bones may evolve through a normal radiograph, sclerosis, fragmentation, cyst formation, fracture, bone collapse, change of the carpal height, and alignment and progressive degenerative changes of the wrist joint. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Authors: Ahmadreza Afshar, Ali Tabrizi Tags: The Hand Surgery Landscape Source Type: research

Cutibacterium (Propionibacterium) acnes Infection of the Native Wrist Joint
We describe the case of rapidly progressive arthropathy of the native wrist secondary to infection with C. acnes. Diagnosis was made on prolonged enrichment cultures. The patient went on to complete a long-term course of oral sulfamethoxazole-trimethoprim with clinical improvement. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Authors: Andrew R. McKean, Angelos Assiotis, Sami Hassan, Michael Elvey, Luke S.P. Moore, Rupert Eckersley Tags: Case Repository Source Type: research

Lower Trapezius Muscle Transfer for Elbow Extension Reconstruction After Failed Nerve Transfer for Tetraplegia
Reconstruction of elbow extension is a first priority in the surgical management of patients with tetraplegia. Traditionally, posterior deltoid and biceps to triceps muscle transfers were used, but in recent years, nerve transfers have become the preferred choice of a few surgeons. However, nerve transfer reconstruction failures exist, often related to poor donor nerves, prolonged intervals between the injury and surgery, and advanced patient age. As a valid surgical alternative in such cases, we propose transferring the lower trapezius muscle to reconstruct elbow extension, because this procedure is already being performe...
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Authors: Sushil Nehete, Jayme Augusto Bertelli Tags: Case Repository Source Type: research

Journal CME Questions
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Tags: Current concepts Source Type: research

Masthead
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Source Type: research

Editorial Board
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Source Type: research

Table of Contents
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Source Type: research

Journal CME Instructions
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - October 1, 2019 Category: Surgery Source Type: research

The Vascular Anatomy of the Scaphoid: New Discoveries Using Micro –Computed Tomography Imaging
The purpose of this study was to investigate the intraosseous vascular anatomy of the scaphoid using recent advances in micro –computed tomography (micro-CT) imaging and 3-dimensional reconstruction. We also studied the effect of scaphoid shape and screw position on the intraosseous vascular structure. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 19, 2019 Category: Surgery Authors: Mohamed Morsy, M. Diya Sabbagh, Nick A. van Alphen, Alexis T. Laungani, Assaf Kadar, Steven L. Moran Tags: Editor's Choice Source Type: research

Convergent Validity of PODCI and PROMIS Domains in Congenital Upper Limb Anomalies
This study evaluates the perceived functional and psychosocial impact of upper limb congenital anomalies prior to surgical intervention, utilizing the Pediatric Outcomes Data Collection Instrument (PODCI) and Patient-Reported Outcomes Measure Information System (PROMIS) domains. We hypothesized that scores will be in the normal range and that the 2 outcomes measures will have strong convergent validity. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 19, 2019 Category: Surgery Authors: Lindley B. Wall, Carley Vuillerman, Patricia E. Miller, Donald S. Bae, Charles A. Goldfarb, CoULD Study Group Tags: Scientific Article Source Type: research

Elbow Release and Tricepsplasty in Arthrogrypotic Patients: A Long-Term Follow-Up Study
This study analyzed the long-term outcomes of elbow release and tricepsplasty in a series of children with arthrogryposis at a tertiary institution. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Jue Cao, Chris Stutz, Terri Beckwith, Anna Browning, Janith Mills, Scott N. Oishi Tags: Scientific Article Source Type: research

Reliability of the Dorsal Tangential View in Assessment of Distal Radioulnar Joint Reduction in the Neutral, Pronated, and Supinated Positions in a Cadaver Model
Intraoperative assessment of distal radioulnar joint (DRUJ) alignment is often based on lateral radiographs whose interpretation is dependent upon positioning the forearm in neutral rotation. The dorsal tangential view (DTV) is a near-axial view of the dorsal wrist used in assessing dorsal screw penetration during radius fixation. The purpose of this study was to determine whether the DTV can also reliably assess DRUJ alignment in multiple forearm positions. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Ashraf N. El Naga, Matthew E. Jordan, David T. Netscher, Brian D. Adams, Scott A. Mitchell Tags: Scientific Article Source Type: research

Outcomes and Direct Costs of Needle Aponeurotomy, Collagenase Injection, and Fasciectomy in the Treatment of Dupuytren Contracture
The aims of our study were to evaluate the rates and predictors of reinterventions and direct costs of 3 common treatments of Dupuytren contractures —needle aponeurotomy, collagenase injection, and surgical fasciectomy. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Nels D. Leafblad, Eric Wagner, Nathan R. Wanderman, Gregory R. Anderson, Sue L. Visscher, Hilal Maradit Kremers, Dirk R. Larson, Marco Rizzo Tags: Editor's Choice Source Type: research

Parosteal Osteosarcoma of the Proximal Phalanx of a Finger
We report a primary parosteal osteosarcoma involving the proximal phalanx of the right middle finger in a 20-year-old woman, which was managed by ray amputation. There was no evidence of local recurrence or systemic metastasis in the postoperative follow-up period of 2 years. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Mohammed Sadiq, Mohammed Ismail, K. Dhanya, P. Meganath Tags: Case Repository Source Type: research

Pedicled Serratus Anterior Flap as an  Alternative Muscle Target for Targeted Muscle Reinnervation in Transhumeral Amputees
Upper limb amputation is a universally devastating injury that results in substantial loss of function. Myoelectric prostheses represent a new generation of battery-powered programmable prostheses controlled by EMG signals. The aim of upper limb targeted muscle reinnervation (TMR) is to enhance the control of a myoelectric prosthesis by improving the number and quality of EMG signals that can be used to control prosthetic elbow, wrist, and hand movements. Current TMR techniques rely on preservation of parts of biceps and triceps to be used as reinnervated muscle targets. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: David Lu, Harley Myers, Frank Bruscino-Raiola Tags: Surgical Technique Source Type: research

Patient Perspectives on Decision Making for Carpal Tunnel Syndrome
Interventions that improve a patient ’s understanding of the problem and their options might reduce surgeon-to-surgeon variation, activate healthier patient behaviors and mindset, and optimize stewardship of resources while improving quality of care. Patients with carpal tunnel syndrome (CTS) have more uncertainty about which course of action to take (so-called decision conflict) than hand surgeons. We studied patient preferences regarding shared decision making (SDM) for different parts of the treatment for CTS. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Joost T.P. Kortlever, David Ring, Arnold H. Schuurman, J. Henk Coert, Gregg A. Vagner, Lee M. Reichel Tags: Editor's Choice Source Type: research

Early Cup Loosening After Metal-on-Metal Total Joint Replacement of the Trapeziometacarpal Joint: A Retrieval Study
To investigate the possible mechanisms behind early cup loosening in a metal-on-metal trapeziometacarpal joint replacement. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 17, 2019 Category: Surgery Authors: Rasmus D. Thorkildsen, Carina B. Johansson, Johan Hogmalm, Petra H. Johansson, Magne R økkum Tags: Scientific Article Source Type: research

Early Results of Surgical Treatment of Triangular Fibrocartilage Complex Tears in Children and Adolescents
To investigate the clinical results and patient-reported outcomes following surgical treatment for triangular fibrocartilage complex (TFCC) tears in the pediatric and adolescent population. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 10, 2019 Category: Surgery Authors: Mark Wu, Patricia E. Miller, Peter M. Waters, Donald S. Bae Tags: Scientific Article Source Type: research

The Usability and Feasibility of Conjoint Analysis to Elicit Preferences for Distal  Radius Fractures in Patients 55 Years and Older
Eliciting patient preferences is one part of the shared decision-making process —a process of decision making focused on the values and preferences of the patient. We evaluated the usability and feasibility of a point-of-care conjoint analysis tool for preference elicitation for shared decision making in the treatment of distal radius fractures in patients over the age of 55 years. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 5, 2019 Category: Surgery Authors: Lauren M. Shapiro, Sara L. Eppler, Laurence C. Baker, Alex S. Harris, Michael J. Gardner, Robin N. Kamal Tags: Editor's Choice Source Type: research

Evaluation of Load Distributions and Contact Areas in 4 Common Grip Types Used in Daily Living Activities
Grip analysis systems, with sensors quantifying load distributions and contact areas applied by the hand while grasping objects, are useful for collecting and recording instant data; these systems are popular in hand assessment. The purpose of this study was to determine the load distribution (LD) and contact area (CA) size of the palmar surface of the hand during 4 common grip types used in activities of daily living (standard, lateral, pinch, and tripod grips). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - September 4, 2019 Category: Surgery Authors: Halil Ibrahim Ergen, Cigdem Oksuz Tags: Scientific Article Source Type: research

Effects of Baseline Opioid Medication Use on Patient-Reported Functional and Psychological Impairment Among Hand Clinic Patients
To test the null hypothesis that baseline opioid use is not associated with functional or psychological impairment among new hand surgery clinic patients, as measured by Patient-Reported Outcomes Measurement Information System (PROMIS) instruments. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - August 30, 2019 Category: Surgery Authors: Nikolas H. Kazmers, Andrew R. Stephens, Andrew R. Tyser Tags: Editor's Choice Source Type: research