Introduction This textbook describes over 120 surgical procedures of the finger, hand, wrist, and forearm. For many of these procedures, splints or orthoses are used to immobilize or support the operative sites. The goal of this chapter is to introduce…
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Indications Paronychia, felons, and flexor tenosynovitis (FTS) are some of the most common infectious pathologies seen among hand surgeons. They are most often bacterial in origin—with Staphylococcus aureus as the most common pathogen—and can be pyogenic (pus-forming). Paronychia is an…
Indications The goal of upper extremity amputation is to provide a stable, functional limb with durable soft-tissue coverage to facilitate the use of a prosthesis. Upper extremity amputation is most common after unsalvageable trauma, such as a crushed/mangled extremity, amputation…
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Indications Digit amputation should be considered for any injury that damages a digit to the degree that vascularity, function, or soft tissue coverage cannot be restored. If at all possible, revascularization or replantation should be considered first. Amputation should also…
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Indications Compartment syndrome occurs when pressure within a fibroosseous space increases beyond a level that is suitable for perfusion across tissues. The most common cause of forearm compartment syndrome is fracture, especially distal radius fracture. Other causes of compartment syndrome…
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Indications Local anesthesia has many practical uses and is straightforward to administer because of the superficial nature and consistent anatomic course of the sensory nerves surrounding the hand and wrist. It is increasingly used as the sole anesthetic in the…