100 Hand Cases by Martin I. Boyer, James Chang MD

By Martin I. Boyer, James Chang MD

100 Hand Cases presents a medical write-up of a hundred common situations from globally well-known professionals who pass over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.

The circumstances during this publication proportion a concise method consisting of:

  • A description of the problem
  • Key anatomy
  • Workup
  • Treatment
  • Alternatives
  • Principles and medical pearls
  • Pitfalls
  • Classic references concerning the case

Full-color photos and radiographs are incorporated in every one case, in addition to a dialogue of the authors’ most popular therapy solution.

Presented in a hugely templated, high-yield layout, 100 Hand Cases is a perfect speedy reference for college students and trainees getting ready for clinics and the working room, in addition to busy surgeons wanting a short reminder on key information.

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Sample text

Key Anatomy The proximal pole and waist of the scaphoid articulate with the radial styloid and the scaphoid fossa of the distal radius. The proximal pole of the lunate articulates with the lunate fossa of the distal radius and the seat of the ulna. Any or all of these joints can become arthritic, and symptoms vary depending on whether the wrist or the forearm is involved primarily. Workup Plain radiographs should be evaluated, including PA, lateral, ulnar deviation, and supinated clenched fist views of the wrist.

On examination, he has tenderness on palpation of the radiocarpal joint dorsally and volarly. His wrist range of motion is limited and painful in all planes. His grip strength testing shows decreased strength at all positions of the device, and pinch strength is decreased on the contralateral side. Description of the Problem Posttraumatic arthritis of the radiocarpal joint is common after an intraarticular fracture of the distal radius. Although several authors have posited that reduction of the articular surface to a step or gap deformity of less than 2 mm can prevent the development of osteoarthritis, whether posttraumatic arthritis is painful or affects function negatively is debatable.

Arthrodesis is confirmed by progressive plain radiographic opacification of the STT joint and possibly an orthogonal CT scan. Complications of surgical arthrodesis include nonunion, infection, wound dehiscence, radial sensory nerve irritation or injury, lateral antebrachial cutaneous nerve irritation or injury, and incomplete pain relief. Radial artery injury can occur; a preoperative Allen test to demonstrate the ulnar arterial supply to the thumb and radial hand should be performed. Classic Reference Srinivasan VB, Matthews JP.

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