Acknowledgment: We would like to recognize our friend and partner Douglas P. Hanel, MD, who was a coauthor on the sixth edition version of this chapter. His contributions to it, and to hand surgery in general, are innumerable, and we…
No single conceptual development has had as profound an impact on the field of hand surgery as the advent of microsurgical techniques. The ability to microscopically repair blood vessels led to an accelerated phase of discovery and innovation that continues…
Hand Fractures Children are not small adults. Although many similar treatment principles and techniques are utilized, a number of special considerations are required in the treatment of hand fractures in skeletally immature patients. Examination of the injured hand can be…
Acknowledgments: The authors wish to recognize the work of previous authors, Drs. Robert Leffert, Vincent R. Hentz, Michelle James, and Peter Waters, for their contributions to Green’s Operative Hand Surgery and this chapter. This chapter discusses the diagnosis, treatment, and…
Any child with congenital joint contractures in two or more limbs can be designated as arthrogryposis multiplex congenita (AMC); the term does not specify any certain etiology for the contractures. Arthrogryposis can result from environmental or genetic causes. Amyoplasia, however,…
Acknowledgments: The authors would like to acknowledge Marybeth Ezaki, MD, and Scott Kozin, MD, for providing additional radiographs and photos that have enhanced our chapter. Radial Longitudinal Deficiency ( Case Study 38.1 ) Case Study 38.1 Use of Precentralization Distraction…
Acknowledgment: The author would like to acknowledge Brian W. O’Doherty, coordinator of visual media services. His photographic and video excellence was necessary for completion of this chapter. Thumb Hypoplasia Thumb hypoplasia is considered part of radial deficiency even with normal…
Syndactyly Epidemiology Syndactyly, one of the most common congenital abnormalities of the hand, occurs in approximately 1 to 2000 live births. , Syndactyly occurs bilaterally in 50% of cases, with a 2:1 ratio of males compared with females and 10…
Congenital anomalies affect 1% to 3% of newborns, and approximately 10% of these children have upper extremity abnormalities. , The incidence of congenital anomalies has not changed appreciably over the last decade. Congenital limb anomalies are second only to congenital…
Acknowledgments: The authors wish to acknowledge the contributions of Professors Rod Hentz and Kazuteru Doi, who wrote an earlier rendition of this chapter on brachial plexus injury in adults, and those of Marie-Noëlle Hébert-Blouin, who assisted with a previous version…