MRI Basics Magnetic resonance imaging (MRI) provides a noninvasive means by which to achieve excellent visualisation of soft tissues with additional sensitivity to pathological bone marrow changes within the knee. Exploitation of inherent tissue relaxation characteristics allows for image sets…
Acknowledgement The authors thank Dr John W. Read for his contribution to this chapter in giving permission and rights to many of the images, which are taken from the book Atlas of Imaging in Sports Medicine, second edition, edited by…
Introduction Before the incorporation of advanced imaging modalities into routine clinical practice, clinicians were dependent on a detailed clinical history and examination for formulation of a treatment plan. Many examination manoeuvres have been validated clinically or biomechanically and allow the…
Because of their frequency and severity, hand infections are a surgical emergency. Despite being apparently benign, they should not be underestimated; they are the source of significant sequelae if treatment is not adequate and fast. Regular monitoring of the patient…
The application of a dressing marks the end of surgery and is in itself an art form. The dressing is the only part of surgery that the patient can visualize and immediately appreciate. For the patient it is the immediate…
Multidigit injuries are common. An amputated finger that is not replantable becomes a privileged donor site for harvesting tissue for the reconstruction of neighboring fingers. This is a unique opportunity that must be seized at the time of the emergent…
Although the replantation of a hand is certainly spectacular, it may seem less demanding technically than a digital replantation. There are, however, many problems that remain to be solved, given the possibility of muscle ischemia, technical choices related to osteosynthesis…
Komatsu and Tamai performed the first successful replantation of a fully severed thumb in 1965. Since then, the field of digital replantation has evolved considerably. There has been extensive progress in terms of the development of suture materials, microsurgical instruments…
Open nerve injuries must be viewed as genuine surgical emergencies. In other words, they should be operated on within the initial hours following the accident. First, it is in an emergency setting that the surgeon encounters the best conditions to…
Anatomy and Physiology Physiology Although the nail no longer has a defensive role in humans, it nevertheless retains an important function. It is the only rigid element stabilizing the distal pulp of the fingers beyond the distal phalanx tuft. It…