J Hand Surg Am- ASSH

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

[J Hand Surg Am- ASSH @JHandSurg]

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!

https://t.co/NUysf0cOp5

#rheumatoid

[J Hand Surg Am- ASSH @JHandSurg]

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.

https://t.co/PTXLKUmgC8

#HandSurgery #EvidenceBasedMedicine

[J Hand Surg Am- ASSH @JHandSurg]

The July 2026 issue of JHS is live! https://t.co/1qHLJBAOf6

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.

[J Hand Surg Am- ASSH @JHandSurg]

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

https://t.co/Zxcu7if2vi

#Telemedicine #ElectiveSurgery #FollowUp

[J Hand Surg Am- ASSH @JHandSurg]

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

https://t.co/DmXNdRW2vj

#HandSurgery #CriticalCare #ReviewArticle

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/yoDswkvqZy

#ScapholunateTear #ImagingScapholunate #RadiologyWristLigament

[J Hand Surg Am- ASSH @JHandSurg]

#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: https://t.co/2Zg21wCXw9

#HandSurgery #SelfHarm

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/p8ENbBFYKV

#HandSurgery #Reconstruction

[J Hand Surg Am- ASSH @JHandSurg]

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.

https://t.co/x63D6RPuQ7

#HandSurgery #VascularSurgery

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/7GJACn09Os

#HandSurgery #Orthopedics

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/m0yVqrEFVT

#HandSurgery

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/JqppDA4JEa

#BrachialPlexus #PediatricHandSurgery #JHS

[J Hand Surg Am- ASSH @JHandSurg]

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

https://t.co/D5i4AoPS2d

#HandSurgery #PerilunateDislocation #LunateDislocation

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/7QpFNash0B

#JHS #HandSurgery

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/HPOoJKCfvi

#JHS #HandSurgery #TriggerFingerRelease

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/JgYXsNwbDq

#IceAndSplint #Cryotherapy #IcePostOp

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/IWzv7rrYex

#Dupuytren #HandSurgery #PNA

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/PPjATOB7DB

#IntraOpCultures

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/IEKZePIYdy

#HandSurgery #PainRelief

[J Hand Surg Am- ASSH @JHandSurg]

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: https://t.co/rE2CWEcKLz

#HandSurgery #Rehab #Orthopedics