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 normal circumstances from globally famous gurus who go over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.

The instances during this e-book proportion a concise technique consisting of:

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

Full-color images and radiographs are integrated in every one case, in addition to a dialogue of the authors’ most well-liked therapy solution.

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

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Key Anatomy Severe flame burns cause deep partial-thickness or full-thickness burns. The subcutaneous tissue can also be involved if the burns are severe. Over time, as the skin contracts to heal the wound, the joints may be deformed as the power of scar contracture becomes evident. This upper extremity posture severely limits the use of the hand. Workup Each joint in this patient’s extremity must be evaluated for active and passive range of motion. Palpation of the skin will reveal where the scar is most tight and requires release.

Contained within the tendinous insertion of the flexor carpi radialis, the pisiform functions as a sesamoid bone to increase the mechanical advantage of wrist flexion and ulnar deviation. The articular surface of the pisotriquetral joint is broad, and access for injection of a corticosteroid is aided by fluoroscopic localization of the joint and access from the ulnar side. The dorsal cutaneous branch of the ulnar nerve is most frequently dorsal over the body of the triquetrum at the level of the pisotriquetral joint and is not in danger of injection or laceration during exposure.

The shape of the distal radioulnar joint is examined to ensure the shortening does not cause distal radioulnar joint incongruity. An ulnar-shortening osteotomy needs to be technically precise to decrease the chance of a nonunion. This procedure should not be undertaken in smokers because of the increased risk of nonunion of this thick cortical bone. Alternatives This procedure has many alternatives. Some patients who do not want the attendant risks of and long-term immobilization required for an ulnar-shortening osteotomy may elect to undergo wrist arthroscopy and TFCC debridement only.

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