This issue will include articles on Nerve Repair and Nerve Grafting, Nerve Regeneration, Nerve Transfers to Restore Shoulder Function, Nerve Transfers to Restore Elbow Function, and many more!

The recent use of nerve transfers presents a paradigm shift in the management of nerve injury. Surgical reconstruction of proximal level nerve injures or repairs with long nerve grafts often result in less than optimal outcomes, thus presenting the opportunity for other reconstructive techniques. Nerve transfers provide a closer source of axons to the motor end plates from an uninjured nerve to a recipient nerve and in many cases these transfers eliminate the need for a nerve graft by allowing a direct end to end nerve repair without tension. Basic research on cortical plasticity, peripheral nerve regeneration and muscle recovery support the concept that transfer is by far the best method of nerve reconstruction when ever possible. This edition of Clinics will review the surgical options and experiences of experts in the field using nerve transfers for patients with upper extremity nerve injuries.

The peripheral nerves of the hand are absolutely essential to the basic senses of that area, and motor function. Conditions that can occur to the peripheral nerves of the hand include neuromas, nerve death, compression, and blunt traumatic injury. This issue will cover all of these topics, along with papers on general anatomy, healing techniques, and rehabilitation.

This issue will include papers covering things like nerve glues, distal ulna arthroplasties, an update on nerve transfers, substitutes for bone grafts, and other smaller—but necessary—topics.

“Function is the focus of any hand surgery, a frequently performed procedure by reconstructive plastic surgeons. The topics in this volume of Clinics in Plastic Surgery work their way through soft tissue procedures of the fingers and hand through the upper arm. The more common conditions and commonly performed surgeries are presented here along with the more difficult and complicated procedures. Topics include: Current practice of soft tissue repair of fingertip; Microsurgical soft tissue and bone transfers in complex hand trauma; Full cosmetic reconstruction of the digits by composite tissue grafting; Methods, pitfalls, and common mistakes in treatment of fractures in the digits; Venous flap and freesytle free flap in hand surgery; Management of pain in peripheral nerves; Technical difficulties of surgical treatment and salvage of treatment failure in Dupuytren's disease; Surgical treatment of cubital tunnel syndrome; Distal radius fracture: indications, treatment, controversies; Repair, autografts, conduits, and allografts for digital and forearm nerves: current guidelines. Two experts renown in hand surgery lead this issue - Dr Michael Neumeister and Dr Jin Bo Tang.

In this issue of Hand Clinics, guest editor Drs. Jin Bo Tang and Grey Giddins bring their considerable expertise to the topic of Challenging Current Wisdom in Hand Surgery. With contributing authors from eight different countries, this unique issue presents truly global perspectives that challenge current ways of thinking in an effort to uncover a more complete view of each topic. Readers will find articles that highlight the importance of thinking outside the box as well as the most modern way of thinking about each topic in this volume. Contains relevant, practice-oriented topics including the revised treatment plan for the mallet finger; the conservative treatment of some hand and carpal fractures; internal fixation of hand fractures: field sterility and earlier removal of K wires are safe; the trapezium is not necessary: implications in treating basal joint arthritis and pollicization; dynamic rather than static procedures in correcting claw deformities from ulnar nerve palsy; and more. Provides in-depth clinical reviews on challenges to current wisdom in hand surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.