Every edition. An expanding view of orthopaedic evidence.
Trapeziectomy-based procedures are the classic operation for thumb CMC arthritis, and dual-mobility prostheses are a newer option that may speed early recovery, but any long-term trade-off in revision risk remains unknown.
Distal radius fractures in older adults are among the most common fractures you will see, and whether to cast or plate them is a frequent exam and clinic question.
Flexor tendon repairs in zones 1 and 2 are common hand injuries, and this is the first large randomised comparison of the splints therapists choose between after surgery.
E-cigarette use is rising fast, and this suggests nicotine itself, not just smoke, may be linked to more complications after one of the most common hand operations.
It highlights that even a routine, algorithm-driven hand condition like trigger finger shows measurable racial and insurance-based gaps in who reaches definitive surgical treatment, a pattern residents should recognise when counselling patients about escalation of care.
Students and residents should expect a few millimetres of shortening after nonoperative care of spiral or oblique metacarpal fractures, which challenges the older teaching that shortening of 2 mm or more mandates surgery.
Metacarpal shaft fractures are common, and intramedullary nailing is increasingly used, so knowing whether a smaller incision speeds early recovery without harming the extensor tendon is directly relevant to hand surgery practice.
