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We report three patients with an unusual pattern of rupture of the extensor tendon. All were found to have previously undiagnosed Kienböck disease. Radiographic study of the wrist is essential before treating any closed rupture of an extensor tendon. Lesions may be progressive and extend to adjacent tendons and should be treated urgently.

For a century, scholars have studied immigrant integration in a range of destinations. Yet, the precise role of context in shaping integration outcomes remains poorly understood. Drawing from an analysis of an original database of articles and books in migration studies, I argue that this knowledge gap may be due to two closely related tendencies in the scholarship. First, case selection has relied on criteria such as the immigrant population's size and growth rate that are not clearly connected to integration outcomes. Second, most scholars have studied either heavily urban contexts (with large immigrant populations) or very rural contexts (where the immigrant population is growing rapidly), while much less attention has been given to destinations in-between. To improve the understandings of the role of context in immigrant integration, migration scholars should endeavor to move past population criteria when selecting study sites and to study the full range of contexts where immigrants are settling. To contribute to these efforts, I propose a framework that does not rely on population or newness as criteria for case selection and that focuses, instead, on the components of context that existing research has shown matters for intergenerational mobility. I also introduce a typology of contexts based on possible combinations of four of these components and offer some initial hypotheses of how these context types might affect immigrant integration. The arguments presented here recenter the role of local context in migration studies and contribute to debates about where and how scholars should study context moving forward.

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