Review ArticleRheumatoid Hand and Wrist Surgery: Soft Tissue Principles and Management of Digital PathologyBlazar, Philip E. MD; Gancarczyk, Stephanie M. MD; Simmons, Barry P. MDAuthor Information From the Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Blazar, Dr. Gancarczyk, and Dr. Simmons. Journal of the American Academy of Orthopaedic Surgeons: November 1, 2019 - Volume 27 - Issue 21 - p 785-793 doi: 10.5435/JAAOS-D-17-00608 Metrics Abstract Since the advent of disease-modifying antirheumatic drugs for rheumatoid arthritis, orthopedic surgeons see fewer patients in the office who require hand surgery. However, a significant number of patients still seek surgical intervention to improve pain and function. These patients often present with isolated soft tissue pathologies, but even bone and joint pathology require meticulous soft tissue handling in this cohort. This review highlights the principles and techniques relevant to the management of soft tissue deformity in rheumatoid hand and wrist surgery, as exposure in training and practice continues to decrease. Copyright 2019 by the American Academy of Orthopaedic Surgeons.