Informed Consent and Digit Replantation: Current State and Recommendations for Ethical Patient Care
The importance of informed consent and the value of shared decision-making in hand surgery are well-established and particularly critical in the setting of digit amputation when considering replantation. Informed consent requires an understanding of not only the immediate and long-term risks and benefits of surgery, as well as the risks and alternatives involved, but also the capacity of the patient to make a medical decision. However, patients who have acutely sustained a disfiguring trauma are often in distress and may not fully process the consent discussion. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 18, 2024 Category: Surgery Authors: Emily Gudbranson, Adnan Prsic, Ashley Pistorio, David L. Colen Tags: The Hand Surgery Landscape Source Type: research

The Impact on Families of Children With Congenital Upper Extremity Differences
To investigate the impact on caregivers of caring for a child with congenital upper extremity differences. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 16, 2024 Category: Surgery Authors: Sarah Ballatori, Andrea Bauer, Angela Wang, Julie Samora, Suzanne Steinman, Claire Manske, Apurva Shah, Lindley B. Wall, CoULD Study Group Tags: Scientific Article Source Type: research

Radial Collateral Ligament Laxity of  Thumb Metacarpophalangeal Joint Following Trapeziometacarpal Arthrodesis
This study assessed preoperative and postoperative radial collateral ligament laxity using dynamic radiographs to confirm whether laxity was exacerbated after surgery and examined whether there is a relationship between the fixation angle of arthrodesis and the degree of laxity. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 15, 2024 Category: Surgery Authors: Yasunori Hattori, Vijayendrasingh Gour, Sotetsu Sakamoto, Jun Sasaki, Kota Hayashi, Kazuteru Doi Tags: Scientific Article Source Type: research

Advancements in De Quervain Tenosynovitis Management: A Comprehensive Network Meta-Analysis
This study presents a network meta-analysis aimed at evaluating nonsurgical treatment modalities for De Quervain tenosynovitis. The primary objective was to assess the comparative effectiveness of nonsurgical treatment options. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 13, 2024 Category: Surgery Authors: Han Hong Chong, Akhilesh Pradhan, Mohit Dhingra, William Liong, Melinda Y.T. Hau, Rohi Shah Tags: Editor's Choice Source Type: research

The Contribution of the Distal Oblique Band to Distal Radioulnar Joint Stability
The distal radioulnar joint (DRUJ) is supported by an array of dynamic and static stabilizers, of which the triangular fibrocartilage complex (TFCC) is the most important, and the distal interosseous ligament is next in importance. The distal oblique band (DOB) is an identifiable component of the distal interosseous ligament, found in a subset of the population. Our objective was to determine the contribution of the DOB to DRUJ stability in the presence of a disrupted TFCC. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 9, 2024 Category: Surgery Authors: Jorge L. Orbay, Brandon Gardner, John J. Heifner, Anthony Martin, Deana M. Mercer Tags: Scientific Article Source Type: research

Clinical Outcomes of Total Wrist Arthroplasty in Patients With Rheumatoid Arthritis: Minimum 10-Year Follow-Up Study
The objective of this study was to evaluate the clinical outcomes of this wrist prosthesis for the treatment of severe wrist rheumatoid arthritis during a minimum 10 years of follow-up. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 9, 2024 Category: Surgery Authors: Yuichiro Matsui, Akio Minami, Makoto Kondo, Jyunichi Ishikawa, Makoto Motomiya, Daisuke Kawamura, Norimasa Iwasaki Tags: Scientific Article Source Type: research

Hand Surgery Fellowship Case Minimums: History and Design
In the 1960s, the American Society for Surgery of the Hand embarked on an endeavor to improve and standardize the educational experience in hand surgery. By the 1980s, numerous programs existed across the country with the Accreditation Council for Graduate Medical Education formally recognizing orthopedic surgery –based fellowships in 1985 and plastic surgery–based fellowships in 1986. In order to sit for what was then termed the Certificate of Additional Qualification examination, applicants had to demonstrate performance of a specific number of procedures while in practice. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 8, 2024 Category: Surgery Authors: Kristen Hines, Tamara D. Rozental, Peter Murray, Carl M. Harper Tags: The Hand Surgery Landscape Source Type: research

Opponensplasty With Abductor Pollicis Brevis Rerouting for Types II and IIIA Hypoplastic Thumbs
To evaluate the functional results after opponensplasty using an abductor pollicis brevis rerouting technique in type II and IIIA hypoplastic thumbs. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 5, 2024 Category: Surgery Authors: Sakura Yamaguchi, Takehiko Takagi, Atsuhito Seki, Shinichiro Takayama Tags: Scientific Article Source Type: research

The Effects of Radial Longitudinal Deficiency on Long-Term Use of the Thumb in Pediatric Patients Following Index Pollicization
To assess the effect of radial longitudinal deficiency on the function of pollicized digits as determined by the Thumb Grasp and Pinch (T-GAP) assessment. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 4, 2024 Category: Surgery Authors: Paula A. Pino, Aida K. Sarcon, Rou Wan, Wendy Tomhave, Ann E. Van Heest, Steven L. Moran Tags: Scientific Article Source Type: research

Surgeons Factors and Trends Associated with the Use of Subacromial Decompression at the Time of Rotator Cuff Repair
Subacromial decompression (SAD) has historically been described as an essential part of the surgical treatment of rotator cuff disorders. However, investigations throughout the 21st century have increasingly questioned the need for routine SAD during rotator cuff repair (RCR). Our purpose was to assess for changes in the incidence of SAD performed during RCR over a 12-year period. In addition, we aimed to characterize surgeon and practice factors associated with SAD use. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Authors: Yagiz Ozdag, Daniel S. Hayes, Victoria C. Garcia, Jad El Koussaify, Shahid Manzar, Alayna K. Vaughan, Daniel E. Davis, Louis C. Grandizio Tags: Scientific Article Source Type: research

Letter Regarding “Exploring the Role of a Large Language Model on Carpal Tunnel Syndrome Management: An Observation Study of ChatGPT”
I am writing in response to the article by Seth et  al1 on the application of large language models (LLMs), such as ChatGPT for managing carpal tunnel syndrome. Although the authors have diligently explored the potential and limitations of LLMs in clinical settings, their analysis may benefit from a deeper understanding of the workings and evolving capabilities of LLMs. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Authors: Ryan Sugrue Tags: Letter to the Editor Source Type: research

Response to “Letter Regarding ‘Exploring the Role of a Large Language Model on Carpal Tunnel Syndrome Management: An Observation Study of ChatGPT’”
We are writing in response to the insightful correspondence from Sugrue regarding our paper, "Exploring the Role of a Large Language Model on Carpal Tunnel Syndrome Management: An Observation Study of ChatGPT. ”1 We appreciate the thoughtful critique and additional perspectives provided. Our study was a novel design, focusing specifically on the precision and practicality of ChatGPT within the contemporary landscape. We appreciate that large language models (LLMs), although in their infancy currently, h ave rapidly advanced abilities and ever growing potential. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Authors: Ishith Seth, Dylan Gracias, Warren M. Rozen Tags: Letter to the Editor Source Type: research

Journal CME Questions
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Source Type: research

Masthead
(Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Source Type: research