Shelley S. Noland, MD

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Shelley S. Noland, MD Hand & Peripheral Nerve Surgeon at Mayo Clinic
Phoenix, AZ
Brachial Plexus Injuries
Dupuytrens Disease
Schwannoma
Peripheral Nerve Tumors
Hand Surgery

🔹 What is a glomus tumor?A glomus tumor is a rare, usually benign growth that arises from the glomus body, a tiny struct...
10/12/2025

🔹 What is a glomus tumor?
A glomus tumor is a rare, usually benign growth that arises from the glomus body, a tiny structure in the fingertip that helps regulate blood flow and temperature. In the hand, these tumors most often hide under the nail. Patients usually describe:
*Intense, pinpoint pain
*Sensitivity to cold
*Tenderness when the area is gently pressed
Even though the tumor is very small, the pain can be life changing.
🔹 How is it treated?
The definitive treatment is surgical removal. In this case, I carefully lifted the nail, identified the tumor under magnification, and removed it completely while protecting the nail bed and surrounding structures. Once the tumor is out, most patients experience dramatic pain relief and can return to normal use of the hand.

⭐️ New Article in HAND ⭐️ Ambient Artificial Intelligence in Hand SurgeryInsights, pearls, and pitfalls from real-world ...
01/12/2025

⭐️ New Article in HAND ⭐️
Ambient Artificial Intelligence in Hand Surgery
Insights, pearls, and pitfalls from real-world clinical use.
Authors: Krishna Unadkat, Pooja Dhupati, Shelley Noland

⭐️ Why This Matters
Documentation burden continues to grow. Hand surgeons often manage multiple diagnoses, detailed exams, and complex plans in every visit. Ambient AI tools now offer real-time transcription and summarization to support clinical efficiency.

⭐️ What We Studied
We compared 14 carpal tunnel syndrome clinic notes.
Seven were written by the surgeon.
Seven were generated with an ambient AI tool after implementation.
We evaluated structure, detail, readability, and content.

⭐️ Key Finding 1: Richer Histories
AI-generated histories were longer and included more social context.
Examples included sleep disruption, driving limitations, and caregiving responsibilities.

⭐️ Key Finding 2: Structured Assessments
AI notes consistently used a problem-based format.
Plans were aligned with each diagnosis.
This improved clarity for the patient and supported coding accuracy.

⭐️ Key Finding 3: Physical Exam Needs Oversight
AI frequently summarized objective findings instead of capturing exact values.
Surgeons improved accuracy by speaking measurements aloud and clearly stating laterality.

⭐️ Practical Pearls for Surgeons
• Use clear verbal transitions during the visit.
• Restate anatomy and laterality out loud.
• Speak numeric exam findings directly into the room.
• Review and edit the exam section after the visit.
• Use problem-based verbal summaries to improve note structure.

⭐️ Takeaway
Ambient AI can reduce cognitive load and strengthen note structure.
Successful use requires intentional communication and surgeon review.
When implemented thoughtfully, ambient AI helps us reclaim time and focus on the patient in front of us.

✨ Honored to share that our research was awarded the Top Paper of the entire Association of Women Surgeons (AWS) Nationa...
11/10/2025

✨ Honored to share that our research was awarded the Top Paper of the entire Association of Women Surgeons (AWS) National Conference ✨

Our study, “Gender Differences in Surgeon Electronic Health Record Utilization,” was selected for the AWS Top Paper Session and received the Top Award and a research grant at this year’s AWS meeting in Chicago. The full manuscript will be published soon in the American Journal of Surgery.

I am incredibly proud of our medical student team. Megan Anderson, who served as first author, and Annika Hiredesai, who presented our work on behalf of the group, both demonstrated outstanding dedication and professionalism.

This project reflects collaboration, curiosity, and a shared commitment to understanding how gender influences the surgical workplace and technology use, all in the spirit of advancing equity in surgery.

Thank you to the Association of Women Surgeons for this incredible honor and for championing women surgeon scholars nationwide. 💜

.n.h

Got to catch up with so many of my favorite mentors this week at ASSH!With every surgery I perform, I am reminded how gr...
11/10/2025

Got to catch up with so many of my favorite mentors this week at ASSH!

With every surgery I perform, I am reminded how grateful I am for my incredible training and the unmatched pedigree of hand surgery mentors who shaped me. I truly could not have designed a better group to learn from: Hentz, Chang, Hanel, Vedder, Friedrich, Huang, Allan, Mackinnon, Bednar, Smith and the list goes on.

It was especially meaningful to witness the retirements of both Dr. Hanel and Dr. Vedder, two surgeons from different backgrounds who 35 years ago built the most seamless and integrated combined hand surgery program in the country, founded on a simple but profound philosophy of mutual respect.

We all have much to learn from their legacy.

I had a blast supporting my partner Dr. Tony Smith at ASSH as he released his new book….. I even received custom Bunnell...
11/10/2025

I had a blast supporting my partner Dr. Tony Smith at ASSH as he released his new book….. I even received custom Bunnell book earrings that open up! Great to spend time with colleagues old and new and to see all of the excitement about the book!

The wait is over! My dear friend and colleague Dr. Tony Smith has published his biography of Dr. Sterling Bunnell with f...
29/09/2025

The wait is over! My dear friend and colleague Dr. Tony Smith has published his biography of Dr. Sterling Bunnell with friend Dr. Steve McCabe! I’m so proud of his work as I watched him toil for the last 5 years on this wonderful project. This is an important step towards understanding the history and magic of hand surgery, a field that inspires us greatly. Be on the lookout for this amazing read!

Excited to share our new publication in Hand Surgery and Rehabilitation: “Precision without incision: Feasibility of che...
26/09/2025

Excited to share our new publication in Hand Surgery and Rehabilitation: “Precision without incision: Feasibility of chemical denervation for basilar thumb arthritis.”
Congratulations to Dr. Olachi Oleru, Plastic Surgery Resident at Mayo Clinic, for leading this innovative work. This cadaveric feasibility study explores the potential of chemical neurolysis as a minimally invasive option for patients with painful thumb arthritis, an approach that could transform how we manage small joint disease.
This project highlights the strength of true multi-disciplinary collaboration across Plastic Surgery, Orthopedic Surgery, Physical Medicine & Rehabilitation, and Mayo Clinic Alix School of Medicine. Together, we are advancing new frontiers in patient care by blending surgical expertise with innovative, office-based solutions.

.dhupati .lowmaster

✨ Grateful to have served as Co-Course Director for the Meaning in Medicine Conference in Sundance, Utah, sponsored by ...
23/09/2025

✨ Grateful to have served as Co-Course Director for the Meaning in Medicine Conference in Sundance, Utah, sponsored by and .
Gathering together in the mountains gave physicians the chance to step away from daily demands and reflect in the midst of nature’s quiet beauty. Surrounded by this setting, we explored how meaning in our work is nurtured through purpose, connection, and belonging.
These conversations remind us that when physicians are supported in their own wellbeing, it translates directly into more compassionate, connected, and meaningful patient care. 🌿
Thank you to all who joined and to Mayo Clinic for supporting this important work. Meaning & Medicine 2026 will be in Coeur d’Alene, Idaho! Stay tuned!

✨ New Publication ✨Thrilled to share our latest work in HAND:“Glucagon-Like Peptide-1 Receptor Agonist Therapy Associate...
17/09/2025

✨ New Publication ✨
Thrilled to share our latest work in HAND:
“Glucagon-Like Peptide-1 Receptor Agonist Therapy Associated With Fewer Diagnoses of Carpal Tunnel Syndrome Within 2 Years of Treatment”
In this large national database study, GLP-1 therapy in patients with diabetes was linked to a significantly lower risk of developing carpal tunnel syndrome (CTS) within 2 years, while also showing interesting trends in surgical outcomes.
This research highlights the potential secondary benefits of GLP-1 therapy on musculoskeletal health, beyond its established role in diabetes management.
Grateful to collaborate with an outstanding team of co-authors from Mayo Clinic Alix School of Medicine and Mayo Clinic Phoenix

Honored to represent Mayo Clinic Humanities in Medicine at the national Mayo Clinic RISE (Reflect, Inspire, Strengthen, ...
13/09/2025

Honored to represent Mayo Clinic Humanities in Medicine at the national Mayo Clinic RISE (Reflect, Inspire, Strengthen, Empower) Conference last weekend. I shared stories of belonging from our Humanities in Medicine group and the meaningful ways we promote connection and inclusion in healthcare.
Grateful for the opportunity to highlight our Data Physicalization Project (slide 3), bringing art, meaning, and medicine together in powerful ways.


⭐️ New Publication!! ⭐️ Check out this new publication in JHS GO “Salvage of a Distal Ulnar Nonunion with Teriparatide T...
05/09/2025

⭐️ New Publication!! ⭐️ Check out this new publication in JHS GO “Salvage of a Distal Ulnar Nonunion with Teriparatide Therapy”. This non surgical option can facilitate bony healing. We recommend working with your local endocrinologists! Multi-disciplinary care at its best!

✨ New Publication in JBJS: “Beyond the Incision: The Power of Patient Narratives in Surgery” by Sonal Kumar, BA, and She...
05/09/2025

✨ New Publication in JBJS: “Beyond the Incision: The Power of Patient Narratives in Surgery” by Sonal Kumar, BA, and Shelley S. Noland, MD.
Every incision, every suture, every operation carries a story. Surgery is not only about restoring function, it is about restoring identity, independence, and meaning. Congratulations to medical student Sonal Kumar for writing this beautiful piece. I was honored to help share her perspective that blends the art of writing with the practice of healing.

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