Preserved integrity of pronator quadratus repair after anterior plating of distal radial fractures was associated with greater grip strength at 1 year, whereas wrist motion and Quick Disabilities of the Arm, Shoulder and Hand scores were similar, suggesting a limited functional contribution from the integrity of the repair.

Dupuytren's disease (DD) is a common chronic hand condition that affects patients worldwide. Presenting with palpable fibrotic nodules, the disease leads to progressive and irreversible flexion of digits, affecting patients' hand function, impairing daily activities and potentially reducing the quality of life. Management techniques are primarily corrective and do not address the biological mechanisms underlying disease pathogenesis and progression. While non-surgical interventions are used to manage early stage DD, advanced disease requires surgical correction. This review provides an overview of the epidemiology and risk factors associated with DD and the latest research on the mechanisms underlying its progression. It summarizes the main non-surgical and surgical corrective options currently available and discusses the future of early stage DD treatment.

We report the outcomes of 25 open dorsal proximal interphalangeal joint dislocations treated without palmar plate reinsertion. Stiffness was frequent, but no residual dorsal instability was observed. These findings suggest that routine palmar plate reinsertion may not be necessary.

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs), such as semaglutide and tirzepatide, have rapidly increased in use for diabetes management and weight loss, coinciding with the rising prevalence of obesity and diabetes among patients undergoing hand surgery. Growing perioperative concerns of delayed gastric emptying and aspiration risk have prompted evolving guideline recommendations and clinical uncertainty surrounding surgical planning. Current evidence on GLP-1 RA usage and outcomes in hand and orthopedic literature remains limited, but multiple studies report no notable increase in postoperative complications. There may be potential benefits to GLP-1 RA in surgical outcomes, possibly related to reduced systemic medical morbidity and improved metabolic control. As there still are substantial limitations in the medical literature on the effects of GLP-1 RA, questions remain regarding optimal perioperative medication management, effects on bone and wound healing in the context of rapid weight loss, and anesthesia-related risk. Yet, as GLP-1 RA exposure becomes increasingly common, hand surgeons must understand the pharmacology, risk profile, and emerging evidence to guide individualized decision-making and ensure safe perioperative management for patients.

Persistent trigger finger distally to the A2 pulley after A1 pulley release is uncommon. We report five fingers in four patients successfully treated using a stepwise approach including A1 pulley release, ulnar flexor digitorum superficialis slip excision and flexor tenoplasty.Level of Evidence: Level IV.

Clenched fist syndrome is a rare psychosomatic condition that can cause great diagnostic and management challenges for hand surgeons. There is little published literature on the clinical characteristics and treatment of clenched fist syndrome. The limited evidence available discusses a wide range of clinical presentations and recommend inconsistent treatments. This causes confusion and uncertainty for surgeons managing a condition with a high level of complexity. This review aims to summarize existing literature that describes the diagnosis and management of clenched fist syndrome.