In this episode, Mo and Marc are joined by special guest Dr. Brad Petrisor (Associate Chair of Education at McMaster University) in a discussion about the recent JBJS article on the Finnish Shaft of the Humerus (FISH) trial focusing on the cost-effectiveness of surgery vs. functional bracing for humeral shaft fractures in adults. Links • Suter C, Ibounig T, Reito A, Mattila H, Sumrein BO, Launonen AP, Paavola M, Järvinen TLN, Taimela S, Rämö L; FISH Investigators. Cost-Effectiveness of Surgery Versus Functional Bracing for Humeral Shaft Fractures in Adults: A Prespecified Economic Evaluation of the Finnish Shaft of the Humerus (FISH) Trial. J Bone Joint Surg Am. 2026 Jul 1;108(13):992-1001. doi: 10.2106/JBJS.25.00867. Epub 2026 Feb 24. PMID: 41734249; PMCID: PMC13290060. http://bit.ly/4pbEmJk • Band PA, Zuckerman JD. Treatment Alternatives for Displaced Closed Humeral Shaft Fractures: Practical Implications for Shared Decision-Making from a Randomized Pragmatic Trial: Commentary on an article by Cyrill Suter, MD, et al.: " Cost-Effectiveness of Surgery Versus Functional Bracing for Humeral Shaft Fractures in Adults. A Prespecified Economic Evaluation of the Finnish Shaft of the Humerus (FISH) Trial ". J Bone Joint Surg Am. 2026 Jul 1;108(13):943-944. doi: 10.2106/JBJS.25.01506. Epub 2026 Mar 2. PMID: 41770852. https://bit.ly/4yjS9BS Subspecialties: • Orthopaedic Essentials • Trauma Keywords: Orthopaedics, orthopedics, JBJS, OE, EBO, evidence-based orthopaedics, cost effectiveness, surgery, functional bracing, Finnish Shaft of the Humerus, FISH trial, economic analysis, secondary surgery, QALY, quality-adjusted life-years, lost productivity, shared decision-making, patient-specific factors, DASH scores, functional outcome, RCT, ORIF, return to work, stability, ROM, therapy, complications, infection, radial nerve palsy, nonunion, risk-benefit ratio, outpatient costs, lifespan, perspective, values and preferences, methodology, hand function, IM nailing, minimally invasive, early pain-free ROM, the surgeon is the method