You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Introduction As with reconstruction elsewhere on the body, surgeons must keep in mind the “reconstructive ladder” when repairing hand defects. Consider treatment options that range from “simple to complex” and from “local to distant.” Local flaps are composed of skin…
Indications for reconstruction The word mangled derives from a French word meaning “cut to pieces,” or a Latin word for to “cut or lop off.” Mangled extremities are typically defined as the result of a traumatic injury that harms three…
Indications Surgery is indicated for cases that do not respond to conservative therapy. Conservative therapy includes one to two steroid injections (usually performed with or without ultrasound guidance), nonsteroidal anti-inflammatory medications, splinting, and avoiding activities that cause symptoms. If it…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Primary trigger finger is commonly seen in healthy middle-aged women with a frequency two times that of men. Commonly affected sites are the thumb and middle and ring fingers. Secondary trigger finger is often seen in patients with diabetes, rheumatoid…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Indications Extensor tendon injuries are relatively common. The mechanism of finger extension is more complicated than that of flexion. It is achieved through the synergistic action of both extrinsic and intrinsic muscles with contribution from several passive ligamentous structures. Extensor…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Overview Flexor tendon tenolysis is a difficult procedure, in which it is frequently more challenging to obtain a good outcome than primary tendon repair, and should not be taken lightly without ensuring patient cooperation. Patient selection plays an important role…