Suture Closure Trial aims to compare different types of stitches (called sutures) and the ways they are sewn during surgery on the hand and wrist. Sutures help close the cut made during surgery, which can affect how much pain you feel afterward and how well you heal. This study will compare sutures that are already approved by the FDA (Food and Drug Administration) using random methods to ensure fairness. The study will take place at Emory Clinic or Emory University Orthopaedic and Spine Hospital, and involves no payment to participants. People having surgery on their fingers, hands, wrists, elbows, or shoulders may join if they are 18 years or older and agree to participate. Participants will fill out surveys about their pain and healing after surgery, but no personal samples are collected. The goal is to learn which sutures and techniques work best.

• Length: The study takes place during your surgery and involves follow-up surveys.
• Visits Needed: All procedures occur at Emory Clinic or Emory University Orthopaedic and Spine Hospital.
• Compensation: There is no payment for joining this study.