Introduction The pathogenesis of facial aging may be explained on an anatomical basis. An anatomical approach to surgical rejuvenation of the face provides the way to obtaining a “natural” result that is lasting and with minimal morbidity. Fundamental to safety…
Introduction Over the past decades, significant advances in our understanding of the mechanisms underpinning the aging process have coincided with immense advances in the tools and technologies available to address these changes. No longer is the face seen as a…
Introduction Masses of the upper extremity are among the most common reasons for referral to a hand surgeon, with ganglions alone representing the second most frequent cause of referral. The vast majority of these lesions are benign, however the average…
Definition Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by symmetrical polyarticular arthritis, typically affecting the wrist and small joints of the hands and feet. Inflammation progresses to joint destruction with pain, deformity, and disability. Nonarticular manifestations include rheumatoid…
Acknowledgments The authors would like to thank the previous authors of this chapter, Owen L. Ala, MD and T. Shane Johnson, MD, for their contributions. Physical Examination of the Wrist When performing a physical examination of the wrist, it is…
Introduction Osteoarthritis (OA) is the most common debilitating joint disorder worldwide, and its prevalence is likely to increase as life expectancy increases, creating a substantial economic burden. Risk factors such as sex, radiographic features, and scintigraphy have not been specifically…
Introduction “Many handis make light warke ” John Heywood (1497–1580) Hand surgery is always teamwork between the surgeon, the patient, and the therapist. One cannot get a successful outcome without the cooperation of the other two. Interestingly there are exceedingly…
Introduction Definition Dupuytren disease (DD) is a benign fibromatosis of the palmar fascias in which nodules and skin pits in the distal palm are usually the first signs. As it progresses, cords are formed which in time may contract limiting…
For videos accompanying this chapter see ExpertConsult.com . See inside cover for access details. Nerve compression syndromes are a common clinical presentation in plastic surgery practice. The upper extremity is most commonly affected, with carpal tunnel syndrome being most frequent…
For videos accompanying this chapter see ExpertConsult.com . See inside cover for access details. The brachial plexus comprises a complex grouping of nerve fascicles, giving function and sensation to the upper extremity. Progressing from proximally to distally, the plexus is…