One only needs to casually glance at the list of topics in this issue to appreciate that Techniques in Hand and Upper Extremity Surgery continues to fulfill its mission as a truly international journal offering its readership peer reviewed insights into innovative surgical techniques.
The anatomic regions extend from traumatic and reconstructive problems of the fingertips to the shoulder. Soft tissue problems of both extensor and flexor tendons in the fingers and collateral ligaments of the proximal interphalangeal joints are interspersed with unique methods of management of fractures of the distal phalanx and proximal ulna.
Innovative techniques for arthrosis of the basal joint of the thumb or intercarpal bones are reflected in several well-illustrated articles offering simple—but predictable—surgical approaches to these common problems seen and treated by upper extremity surgeons.
This journal has long recognized the reality that more and more of our readership are now in training to be clinicians involving the entire upper limb. Discussions are ongoing regarding the concept of more formal upper extremity fellowships and there are many that would feel that the concept has validity. The idea that traumatic and reconstructive problems extending from the fingertips to shoulders can be effectively covered in a 12-month fellowship is being understandably challenged. With less work being done during night and weekends, where fellows developed experience in composite tissue repair especially regarding enhancing microsurgical skills. Some trainees are finishing their 1-year fellowship limited in this important area of surgery along with techniques of tendon reconstructions and muscle transfers.
The contemporary controversies involving curriculum change in upper extremity fellowships will be followed closely by this Journal and it will continue to provide useful and interesting articles covering the broad spectrum of the entire upper limb.