The August 2026 Wrist & Hand Roundup 360 looks at: Bilateral wrist MRI highlights the limited value of imaging for unilateral work-related wrist symptoms; Consensus guidance offers a practical framework for rehabilitation after thumb carpometacarpal joint replacement; Intramedullary screw fixation delivers durable outcomes for metacarpal and phalangeal fractures at five years; A practical classification helps balance operative and nonoperative treatment for hand fractures; Volar plating for complex intra-articular distal radius fractures; Pre-existing neuropathic disorders are strongest predictors of complex regional pain syndrome after distal radius fracture; Digital nerve examination alone cannot reliably identify injuries that require surgical repair; Median nerve tracing offers the most consistent ultrasound measurements in carpal tunnel syndrome.