JHS Journal Club

Created in 2018, the JHS Journal Club is a Twitter-based journal club that allows you to interact with other Journal of Hand Surgery readers and discuss interesting articles in JHS. You’ll participate in live meetings via Twitter, sharing thoughts with readers from around the world.

**As of September 2023, we will no longer be using our former platforms to hold the discussions (tchat.io and TwChat). We will be using X (Twitter), tweeting as normal.**

How to Participate in Two Easy Steps:

Step 1. Sign up for X (Twitter) if you haven’t already. If you’re unfamiliar with X (Twitter), check out this helpful guide to get you started.

Step 2. Join the discussion! Post your thoughts on your personal Twitter feed to join the conversation, ensuring that you are adding the #JHSJC hashtag in each message! If you don’t use the #JHSJC hashtag, it won’t be seen by others following the feed. 

How to follow along (and see your #JHSJC tweets and others’!):

  • After logging into X/Twitter, use this link to join!
  • OR: find the “Search” bar on the top right. Using the hashtag symbol (#) at the start, enter JHSJC.
  • Press enter to be taken to the search results. Then click “Latest” under the Search bar.
  • You may need to refresh your browser page from time to time if you don’t see new #JHSJC tweets appearing (the most recent posts will appear at the top of the page). 

To save this #JHSJC search page for future discussions, please:

  • Click on the three dots on the right hand side to view more options
  • Click ‘Save search’ to add this hashtag to your search list
  • Click your chosen hashtag from your Saved searches list

Questions? Contact us at jhs@assh.org.

The September #JHSJC will be taking place on September 12th at 9 PM Eastern. Please check out the article summaries and talking points below!

Article #1
Complications Following Volar Locking Plate Fixation of Distal Radius Fractures in Adults: A Systematic Review of Randomized Control Trials
By Chinemerem Nwosu, MD, Kaitlyn Rodriguez, BA, MS, Steven Zeng, BA, Kevin M. Klifto, DO, PharmD, Christopher S. Klifto, MD, and David S. Ruch, MD
DOI: https://doi.org/10.1016/j.jhsa.2023.04.022

Volume 48, Issue 9, Pages 861-874
Full article here: https://www.jhandsurg.org/article/S0363-5023(23)00259-9/fulltext


The study sought to evaluate the occurrence of complications with volar locking plating (VLP) for distal radius fractures as reported by randomized trials. Thirty-five articles including 1,419 patients randomized to VLP were studied. The overall complication rate was approximately 31%. Major complications were defined as those requiring additional surgical intervention and were observed in 12.4%. Overall, complications observed in at least 1% of individual included median nerve-related problems (7.1%) and hardware removal (6.8%) secondary to other complications, tenosynovitis (3.4%), complex regional pain syndrome (2.4%), malunion (1.3%), superficial wound infections (1.9%), and tendon rupture (1.3%).

Points for discussion

  • Like all studies that evaluate complications, the definition of what comprises an important deviation from the expected course of treatment may vary from study to study. How does limiting the study to only those investigation that were randomized trials affect that, if at all?
  • The complication rate was notably higher than almost all studies in the literature that report on complications after VLP, even though plate removal owing to patient preference or request, stiffness, or generalized pain was not considered a complication. Given that one of the advantages of VLP compared with other strategies like dorsal plating, is a lower rate of problems like tendon irritation, should these results give pause to the notion that VLP is better in this regard?
  • The rate of implant removal linked to hardware complications like was nearly 7% and included rates of between 0.5-1% each for intra-articular screw penetration, plate prominence, malunion and screw loosening. Given that some of these complications can have serious clinical ramifications after fracture healing, should that change the way in which VLP is thought of in relation to treatment of distal radius fractures? In other words, should there be a greater role for other forms of internal fixation that may have more, but less serious complications?

Article #2
Selective Thumb Carpometacarpal Joint Denervation Versus Trapeziectomy and Ligament Reconstruction With Tendon Interposition for Painful Arthritis: A Prospective Study With 2 Years of Follow-Up
By Chris M. Frost, MD, Visakha Suresh, MD, William Padovano, MD, John D. Luck, MD, Amy Quan, MD, Pathik Aravind, MBBS, John V. Ingari, MD, Dawn M. Laporte, MD, Jaimie T. Shores, MD, and Scott D. Lifchez, MD
DOI: https://doi.org/10.1016/j.jhsa.2023.05.015

Volume 48, Issue 9, Pages 853-860
Full article here: https://www.jhandsurg.org/article/S0363-5023(23)00286-1/fulltext


The goal of the study was to compare outcomes following treatment of osteoarthritis using either selective denervation of the trapeziometacarpal joint or suspension arthroplasty comprising excision of the trapezium and suspension/interposition with the flexor carpi radialis tendon. Patients underwent the surgical treatment usually practiced by their surgeon, although they could choose the alternative approach. The outcomes included pain scores, brief Michigan Hand Questionnaire (bMHQ), Kapandji score, 2-point discrimination, and grip/key/3-point pinch strength measured at 3-, 6-, 12-, and 24-months after surgery. A total of 53 patients were studied, 33 in the denervation group and 20 in the suspension arthroplasty group. Both procedures demonstrated durable improvement in bMHQ compared with the preoperative state with similar long-term outcomes over 2 years of follow-up. Two patients in the denervation group (9%) underwent conversion to suspension arthroplasty.

Points for discussion

  • The patients were not randomized to their treatment. In addition, the denervation procedure was not performed in patients who were thought to have an unstable joint. What risk, if any, is there to the findings because of selection bias affecting which procedure was used?
  • At the end of the follow-up period, most of the outcomes were similar in the two groups. Pain was slightly higher in the denervation group. Should that be expected to be a static situation or is it likely that pain would be greater with longer follow-up?
  • The failure rate of the denervation procedure was 9% – no patients in the suspension arthroplasty group underwent additional surgery during the follow-up period. Given the additional potential for morbidity, cost, and time away from activities for the patients who require conversion to arthroplasty, what should be considered an acceptable failure rate for this procedure? In other words, patient choice notwithstanding, is there value in the intervention if a substantial proportion eventually require two procedures, or is a better strategy to offer the bigger, but more definitive procedure.


Previous #JHSJC Discussion Articles

May 2023
Article #1: Identifying High Direct Variable Costs of Open Carpal Tunnel Release Patients Using Time-Driven Activity-Based Costing (https://www.jhandsurg.org/article/S0363-5023(23)00038-2/fulltext)
Article #2: Effect of Time-To-Surgery on Distal Radius Fracture Outcomes: A Systematic Review (https://www.jhandsurg.org/article/S0363-5023(23)00027-8/fulltext)

April 2023
Article #1: A Prospective Clinical Trial Comparing Denervation With Suspension Arthroplasty for Treatment of Carpometacarpal Arthritis of the Thumb (https://www.jhandsurg.org/article/S0363-5023(22)00723-7/fulltext)
Article #2: Correlation of Carpal Tunnel Syndrome 6 Score and Physical Exam Maneuvers With Electrodiagnostic Test Severity in Carpal Tunnel Syndrome: A Blinded Prospective Cohort Study (https://www.jhandsurg.org/article/S0363-5023(22)00722-5/fulltext)
Read the Transcript!

March 2023
Article #1: Optimizing the Use of Operating Rooms by Transitioning Common Hand Surgeries Into the Office Setting (https://www.jhandsurg.org/article/S0363-5023(22)00712-2/fulltext)
Article #2: Evaluation of Preoperative Factors Affecting Midterm Patient-Reported Outcomes Following Ligament Reconstruction Tendon Interposition: A Prognostic Study (https://www.jhandsurg.org/article/S0363-5023(22)00687-6/fulltext)
Read the Transcript!

February 2023
Article #1: Perception of the Virtual Interview Format in Hand Surgery Fellowship Applicants (https://www.jhandsurg.org/article/S0363-5023(22)00306-9/fulltext)
Article #2: The Impact of Smoking on Delayed Osseous Union After Arthrodesis Procedures in the Hand and Wrist (https://www.jhandsurg.org/article/S0363-5023(22)00305-7/fulltext)
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January 2023
Article #1: Electrodiagnostic Predictors of Outcomes After In Situ Decompression of the Ulnar Nerve (https://www.jhandsurg.org/article/S0363-5023(22)00609-8/fulltext)
Article #2: A Systematic Review of Satisfaction Measures in Hand and Wrist Surgery (https://www.jhandsurg.org/article/S0363-5023(22)00614-1/fulltext)
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December 2022
Article #1: Moving Minor Hand Surgeries Out of the Operating Room and Into the Office-Based Procedure Room: A Population-Based Trend Analysis (https://www.jhandsurg.org/article/S0363-5023(22)00509-3/fulltext)
Article #2: Zurich Appearance Score for Hands: Development and Validation of an Instrument for Assessing Hand Appearance in Congenital Upper Limb Differences (https://www.jhandsurg.org/article/S0363-5023(22)00508-1/fulltext)
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November 2022
Article #1: Out-of-Pocket and Total Costs for Common Hand Procedures From 2008 to 2016: A Nationwide Claims Database Analysis (https://www.jhandsurg.org/article/S0363-5023(22)00385-9/fulltext)
Article #2: Impact of an Electronic Health Record Pain Medication Prescribing Tool on Opioid Prescriptions for Postoperative Pain in Hand, Orthopedic, Plastic, and Spine Surgery Across a Health Care System (https://www.jhandsurg.org/article/S0363-5023(22)00466-X/fulltext)
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October 2022
Article #1: The Utility of the Carpal Tunnel Syndrome-6 for Predicting the Outcomes of Carpal Tunnel Release (https://www.jhandsurg.org/article/S0363-5023(22)00384-7/fulltext)

Article #2: Is Midcarpal Arthroscopy for Suspected Scapholunate Pathology Associated With Greater Interobserver Agreement and More Frequent Offer of Surgery? (https://www.jhandsurg.org/article/S0363-5023(22)00397-5/fulltext)
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September 2022
Article #1:
Volar Locking Plate Compared With Combined Plating of AO Type C Distal Radius Fractures: A Randomized Controlled Study of 150 Cases (https://www.jhandsurg.org/article/S0363-5023(22)00266-0/fulltext)
Article #2: A Prospective Randomized Controlled Trial of Methylprednisolone for Postoperative Pain Management of Surgically Treated Distal Radius Fractures (https://www.jhandsurg.org/article/S0363-5023(22)00355-0/fulltext)
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June 2022
Article #1: Risk of Amyloidosis and Heart Failure Among Patients Undergoing Surgery for Trigger Digit or Carpal Tunnel Syndrome: A Nationwide Cohort Study With Implications for Screening (https://www.jhandsurg.org/article/S0363-5023(22)00062-4/fulltext)
Article #2: The Reliability of the CTS-6 for Examiners With Varying Levels of Clinical Experience (https://www.jhandsurg.org/article/S0363-5023(22)00064-8/fulltext)
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May 2022
Article 1: Magnitude, Direction, Temporal Patterns, and Frequency of Loss of Distal Radius Fracture Reduction in Women 50 Years and Older (https://www.jhandsurg.org/article/S0363-5023(22)00057-0/fulltext)
Article 2: Cost-Utility Analysis of Thumb Carpometacarpal Resection Arthroplasty: A Health Economic Study Using Real-World Data (https://www.jhandsurg.org/article/S0363-5023(22)00055-7/fulltext)
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April 2022
Article 1: Passive Mobilization With Place and Hold Versus Active Motion Therapy After Flexor Tendon Repair: A Randomized Trial (https://www.jhandsurg.org/article/S0363-5023(21)00802-9/fulltext)
Article 2: Cost Assessment of Plating Versus Tension Band Wiring Constructs for Treating Mayo Type 2A Olecranon Fractures (https://www.jhandsurg.org/article/S0363-5023(21)00804-2/fulltext)
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March 2022
Article 1: Five-Year Results of a Randomized, Controlled Trial of Collagenase Treatment Compared With Needle Fasciotomy for Dupuytren Contracture (https://www.jhandsurg.org/article/S0363-5023(21)00761-9/fulltext)
Article 2: Outcome of Simple Decompression of Primary Cubital Tunnel Syndrome Based on Patient-Reported Outcome Measurements (https://www.jhandsurg.org/article/S0363-5023(21)00763-2/fulltext)
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February 2022
Article 1: Evaluation of a Comprehensive Telemedicine Pathway for Carpal Tunnel Syndrome: A Comparison of Virtual and In-Person Assessments (https://www.jhandsurg.org/article/S0363-5023(21)00599-2/fulltext)

Article 2: Minimal Clinically Important Difference for PROMIS Physical Function and Pain Interference in Patients Following Surgical Treatment of Distal Radius Fracture (https://www.jhandsurg.org/article/S0363-5023(21)00600-6/fulltext)
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January 2022
Article 1: Evaluation of Risk Factors for Loss of Acceptable Alignment for Distal Radius Fractures That Are Nondisplaced or Minimally Displaced on Initial Presentation (https://www.jhandsurg.org/article/S0363-5023(21)00518-9/fulltext)
Article 2: Utilization of Diagnostic Testing for Carpal Tunnel Syndrome: A Survey of the American Society for Surgery of the Hand (https://www.jhandsurg.org/article/S0363-5023(21)00687-0/fulltext)
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November 2021
Article 1: Midterm Patient-Reported Outcomes in Wrist Denervation for Post-Traumatic Arthritis (https://www.jhandsurg.org/article/S0363-5023(21)00134-9/fulltext)

Article 2: Patterns of Upper Extremity Reconstruction for Patients With Tetraplegia Across the United States: A Retrospective Study (https://www.jhandsurg.org/article/S0363-5023(21)00380-4/fulltext)
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October 2021
Article 1: Limited Fasciectomy Versus Collagenase Clostridium histolyticum for Dupuytren Contracture: A Propensity Score Matched Study of Single Digit Treatment With Minimum 5 Years of Telephone Follow-Up (https://www.jhandsurg.org/article/S0363-5023(21)00337-3/fulltext)
Article 2: A Standard Set for Outcome Measurement in Patients With Hand and Wrist Conditions: Consensus by the International Consortium for Health Outcomes Measurement Hand and Wrist Working Group (https://www.jhandsurg.org/article/S0363-5023(21)00363-4/fulltext)
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September 2021
Article 1: Geospatial Inefficiencies Associated With Digital Replantations at High-Volume Centers and Optimal Allocation Model for Centralization of Replantations (https://www.jhandsurg.org/article/S0363-5023(21)00216-1/fulltext)
Article 2: The Epidemiology of Carpal Tunnel Revision Over a 1-Year Follow-Up Period (https://www.jhandsurg.org/article/S0363-5023(21)00208-2/fulltext)
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June 2021
Article 1:
Structural Versus Nonstructural Bone Grafting for the Treatment of Unstable Scaphoid Waist Nonunion Without Avascular Necrosis: A Randomized Clinical Trial (https://www.jhandsurg.org/article/S0363-5023(21)00097-6/fulltext)

Article 2: Evaluation of PROMIS’ Ability to Detect Immediate Postoperative Symptom Improvement Following Carpal Tunnel Release (https://www.jhandsurg.org/article/S0363-5023(21)00102-7/fulltext)
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May 2021
Article 1: Cost Comparison of Botulinum Toxin Injections Versus Surgical Treatment in Pediatric Patients With Cerebral Palsy: A Markov Model (https://www.jhandsurg.org/article/S0363-5023(21)00045-9/fulltext)
Article 2: Assessing the Relationship Between Bone Density and Loss of Reduction in Nonsurgical Distal Radius Fracture Treatment (https://www.jhandsurg.org/article/S0363-5023(21)00087-3/fulltext)
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April 2021
Article 1: Rate of Bone Mineral Density Testing and Subsequent Fracture-Free Interval After Distal Forearm Fracture in the Medicare Population (https://www.jhandsurg.org/article/S0363-5023(20)30715-2/fulltext)

Article 2: Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures (https://www.jhandsurg.org/article/S0363-5023(20)30742-5/fulltext)
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March 2021
Article 1: Impact of Insurance Type on Self-Reported Symptom Severity at the Preoperative Visit for Carpal Tunnel Release (https://www.jhandsurg.org/article/S0363-5023(20)30644-4/fulltext)
Article 2: Variation in Use of Electrodiagnostic Testing: Analysis From the Michigan Collaborative Hand Initiative for Quality in Surgery (https://www.jhandsurg.org/article/S0363-5023(20)30711-5/fulltext)
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February 2021
Article 1: The Association Between Electrodiagnostic Severity and Treatment Recommendations for Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(20)30536-0/fulltext)
Article 2: Relevance of Diagnosed Depression and Antidepressants to PROMIS Depression Scores Among Hand Surgical Patients (https://www.jhandsurg.org/article/S0363-5023(20)30610-9/fulltext)
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January 2021
Article 1: Epidemiology and Treatment of Radial Head Fractures: A Database Analysis of Over 70,000 Inpatient Cases (https://www.jhandsurg.org/article/S0363-5023(20)30350-6/fulltext)
Article 2: A Matched Comparison of Postoperative Complications Between Smokers and Nonsmokers Following Open Reduction Internal Fixation of Distal Radius Fractures (https://www.jhandsurg.org/article/S0363-5023(20)30571-2/fulltext)
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December 2020
Article 1: Establishing Validity of a Comprehensive Hand Surgical Training and Educational Platform (STEP) (https://www.jhandsurg.org/article/S0363-5023(20)30434-2/fulltext)
Article 2: Clinical, Radiological, and Electrodiagnostic Diagnosis of Pronator Syndrome Concurrent With Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(20)30341-5/fulltext)
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November 2020
Article 1: Distal Biceps Tendon Rupture Surgery: Changing Incidence in Finnish and Swedish Men Between 1997 and 2016 (https://www.jhandsurg.org/article/S0363-5023(20)30440-8/fulltext)
Article 2: Declining Trend in Medicare Physician Reimbursements for Hand Surgery From 2002 to 2018 (https://www.jhandsurg.org/article/S0363-5023(20)30478-0/fulltext)
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October 2020
Article 1: The Influence of Cost Information on Treatment Choice: A Mixed-Methods Study (https://www.jhandsurg.org/article/S0363-5023(20)30316-6/fulltext)
Article 2: Thumb Carpometacarpal Arthritis: Prognostic Indicators and Timing of Further Intervention Following Corticosteroid Injection (https://www.jhandsurg.org/article/S0363-5023(20)30185-4/fulltext)
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September 2020
Article 1: Telemedicine After Upper Extremity Surgery: A Prospective Study of Program Implementation (https://www.jhandsurg.org/article/S0363-5023(20)30315-4/fulltext)
Article 2: Canadian Plastic Surgery Resident Operative Experience in Hand Surgery (https://www.jhandsurg.org/article/S0363-5023(20)30272-0/fulltext)
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June 2020
Article 1: The Prognostic Value of Preoperative Patient-Reported Function and Psychological Characteristics on Early Outcomes Following Trapeziectomy With Ligament Reconstruction Tendon Interposition for Treatment of Thumb Carpometacarpal Osteoarthritis (https://www.jhandsurg.org/article/S0363-5023(19)31540-0/fulltext)
Article 2: Industry Funding and Self-Declared Conflict of Interest in Hand Surgery Publications (https://www.jhandsurg.org/article/S0363-5023(20)30114-3/fulltext)
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May 2020
Article 1: Borderline Nerve Conduction Velocities for Median Neuropathy at the Carpal Tunnel (https://www.jhandsurg.org/article/S0363-5023(20)30002-2/fulltext)
Article 2: Proximal Row Carpectomy Versus 4-Corner Fusion: Incidence, Conversion to Fusion, and Cost (https://www.jhandsurg.org/article/S0363-5023(20)30004-6/fulltext)
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April 2020
Article 1: Risk of Infection in Trigger Finger Release Surgery Following Corticosteroid Injection (https://www.jhandsurg.org/article/S0363-5023(20)30032-0/fulltext)
Article 2: Physical and Occupational Therapy Use and Cost After Common Hand Procedures (https://www.jhandsurg.org/article/S0363-5023(19)31390-5/fulltext)
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March 2020
Article 1: Convolutional Neural Network for Second Metacarpal Radiographic Osteoporosis Screening (https://www.jhandsurg.org/article/S0363-5023(19)31543-6/fulltext)
Article 2: The Value of Intraoperative 3-Dimensional Fluoroscopy in the Treatment of Distal Radius Fractures: A Randomized Clinical Trial (https://www.jhandsurg.org/article/S0363-5023(19)31506-0/fulltext)
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February 2020
Article 1: Factors Associated With Reoperation and Conversion to Wrist Fusion After Proximal Row Carpectomy or 4-Corner Arthrodesis (https://www.jhandsurg.org/article/S0363-5023(19)31435-2/fulltext)
Article 2: Variation in Offer of Operative Treatment to Patients With Trapeziometacarpal Osteoarthritis (https://www.jhandsurg.org/article/S0363-5023(19)31429-7/fulltext)
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January 2020
Article 1: Development and Validation of a Prognostic, Risk-Adjusted Scoring System for Operative Upper-Extremity Infections (https://www.jhandsurg.org/article/S0363-5023(19)31422-4/fulltext)
Article 2: Establishing a National Registry for Hand Surgery (https://www.jhandsurg.org/article/S0363-5023(19)31386-3/fulltext)
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December 2019
Article 1: The Impact of Pre-Referral Advanced Diagnostic Testing on Wait Time to See a Hand Surgeon for Common Upper-Extremity Conditions (https://www.jhandsurg.org/article/S0363-5023(19)31393-0/fulltext)
Article 2: Reduction of Opioid Use After Upper-Extremity Surgery through a Predictive Pain Calculator and Comprehensive Pain Plan (https://www.jhandsurg.org/article/S0363-5023(19)31389-9/fulltext)
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November 2019
Article 1: Complications of Corrective Osteotomies for Extra-Articular Distal Radius Malunion (https://www.jhandsurg.org/article/S0363-5023(17)31618-0/fulltext)
Article 2: Outcomes and Direct Costs of Needle Aponeurotomy, Collagenase Injection, and Fasciectomy in the Treatment of Dupuytren Contracture (https://www.jhandsurg.org/article/S0363-5023(18)31491-6/fulltext)
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October 2019
Article 1: The Effect of Intraoperative Corticosteroid Injections on the Risk of Surgical Site Infections for Hand Procedures (https://www.jhandsurg.org/article/S0363-5023(18)31764-7/fulltext)

Article 2: Early Practice Patterns of Hand Surgeons: An American Board of Orthopaedic Surgery Database Study (https://www.jhandsurg.org/article/S0363-5023(18)31684-8/fulltext)
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September 2019
Article 1: The Effects of Medicaid Expansion on Triage and Regional Transfer After Upper-Extremity Trauma (https://www.jhandsurg.org/article/S0363-5023(18)31262-0/fulltext)

Article 2: Failure Rates of Base of Thumb Arthritis Surgery: A Systematic Review (https://www.jhandsurg.org/article/S0363-5023(18)30698-1/fulltext)
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July 2019
Article 1: The Relationship Between Pain-Related Psychological Factors and Postoperative Opioid Use After Ambulatory Hand Surgery (https://www.jhandsurg.org/article/S0363-5023(18)30805-0/fulltext)
Article 2: Patient Satisfaction in the Hand Surgery Clinic: An Analysis of Factors That Impact the Press Ganey Survey (https://www.jhandsurg.org/article/S0363-5023(18)30659-2/fulltext)
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June 2019
Article 1: An In-Depth Review of Physician Reimbursement for Digit and Thumb Replantation (https://www.jhandsurg.org/article/S0363-5023(18)30858-X/fulltext)
Article 2: Feasibility and Usability of a Ranking Tool to Elicit Patient Preferences for the Treatment of Trigger Finger (https://www.jhandsurg.org/article/S0363-5023(18)30534-3/fulltext)
Read the transcript!

May 2019
Article 1: Sonographic Findings Associated With Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(17)31113-9/fulltext)
Article 2: Correlations Among Objectively Measured Impairment, Outcome Classification Systems, and Subjectively Perceived Disability After Flexor Tendon Repair (https://www.jhandsurg.org/article/S0363-5023(18)30794-9/fulltext)

April 2019
Article 1: Evaluation of Version 2.0 of the PROMIS Upper Extremity Computer Adaptive Test in Nonshoulder Upper Extremity Patients (https://www.jhandsurg.org/article/S0363-5023(18)30376-9/fulltext)
Article 2: Defining Quality in Hand Surgery From the Patient’s Perspective: A Qualitative Analysis (https://www.jhandsurg.org/article/S0363-5023(18)30789-5/fulltext)

March 2019
Article 1: False-Positive Rates for Nerve Conduction Studies and Ultrasound in Patients Without Clinical Signs and Symptoms of Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(18)30599-9/fulltext)
Article 2: Effect of Radial Nerve Release on Lateral Epicondylitis Outcomes: A Prospective, Randomized Double-Blinded Trial (https://www.jhandsurg.org/article/S0363-5023(18)30793-7/fulltext)

February 2019
Article 1: Opioid Prescriber Education and Guidelines for Ambulatory Upper-Extremity Surgery: Evaluation of an Institutional Protocol (https://www.jhandsurg.org/article/S0363-5023(17)31857-9/fulltext)
Article 2: Variation in Nonsurgical Services for Carpal Tunnel Syndrome Across a Large Integrated Health Care System (https://www.jhandsurg.org/article/S0363-5023(17)32092-0/fulltext)

January 2019
Article 1: Intermediate-Term Outcome After Distal Radius Fracture in Patients With Poor Outcome at 1 Year: A Register Study With a 2- to 12-Year Follow-Up (https://www.jhandsurg.org/article/S0363-5023(18)30248-X/fulltext)
Article 2: External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures—A 3-Year Follow-Up of a Randomized Controlled Study (https://www.jhandsurg.org/article/S0363-5023(18)30023-6/fulltext)

December 2018
Article 1: Predicting Clinical Outcome After Surgical Treatment in Patients With Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(18)30650-6/fulltext)
Article 2: Cost-Effective Management of Stenosing Tenosynovitis (https://www.jhandsurg.org/article/S0363-5023(17)30874-2/fulltext)

November 2018
Article 1: Outcome of a Hand Orthosis and Hand Therapy for Carpometacarpal Osteoarthritis in Daily Practice: A Prospective Cohort Study (https://www.jhandsurg.org/article/S0363-5023(17)30684-6/fulltext)
Article 2: Cost Implications of Varying the Surgical Technique, Surgical Setting, and Anesthesia Type for Carpal Tunnel Release Surgery (https://www.jhandsurg.org/article/S0363-5023(17)31145-0/fulltext)

October 2018
Article 1: The Effectiveness of Mini–C-Arm Fluoroscopy for the Closed Reduction of Distal Radius Fractures in Adults: A Randomized Controlled Trial (https://www.jhandsurg.org/article/S0363-5023(17)30746-3/fulltext)
Article 2: Pain Management After Carpal Tunnel Release Surgery: A Prospective Randomized Double-Blinded Trial Comparing Acetaminophen, Ibuprofen, and Oxycodone (https://www.jhandsurg.org/article/S0363-5023(18)30652-X/fulltext)

September 2018
Article 1: A Prospective Comparison of Diagnostic Tools for the Diagnosis of Carpal Tunnel Syndrome (https://www.jhandsurg.org/article/S0363-5023(17)31445-4/fulltext)
Article 2: Medium-Term Outcomes With Pyrocarbon Proximal Interphalangeal Arthroplasty: A Study of 170 Consecutive Arthroplasties (https://www.jhandsurg.org/article/S0363-5023(16)30694-3/fulltext)

August 2018
Article 1: Association Between Radiological and Patient-Reported Outcome in Adults With a Displaced Distal Radius Fracture: A Systematic Review and Meta-Analysis (https://www.jhandsurg.org/article/S0363-5023(18)30613-0/fulltext)
Article 2: Cost of Surgical Treatment for Distal Radius Fractures and the Implications of Episode-Based Bundled Payments (https://www.jhandsurg.org/article/S0363-5023(18)30629-4/fulltext)

July 2018
Article 1: Immediate Versus Overnight-Delayed Digital Replantation: A Comparative Retrospective Cohort Study of Survival Outcomes (https://www.jhandsurg.org/article/S0363-5023(18)30459-3/fulltext)
Article 2: Arthroscopic Diagnosis of the Triangular Fibrocartilage Complex Foveal Tear: A Cadaver Assessment (https://www.jhandsurg.org/article/S0363-5023(17)30956-5/fulltext)