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…
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…
Extensor apparatus injuries are too often underestimated, especially in the fingers. Although a cursory clinical examination may give the impression of integrity, it is only a few weeks later that deformity in the digital chain (boutonnière, swan neck, etc.) appears,…
Flexor tendon injuries in the hand are common and surgically challenging. Verdan and Michon sent shock waves through the scientific community in the 1960s when they recommended primary repair, which to this day remains the standard treatment for these injuries.…
With metacarpal and phalangeal skeletal fractures, early mobilization remains the most effective way to counter edema, joint stiffness and tendon-periosteum adhesions. Early mobilization can, however, only be undertaken following reduction and stabilization of the fracture. The average time off work…
Sprains and dislocations of the fingers are common and mainly concern the proximal interphalangeal (PIP) joints of the long fingers, the metacarpophalangeal (MCP) joint of the thumb, and more rarely the MCP joints of the long fingers. These conditions require…
Injuries of the hand are common and account for 30% of work-related accidents and also a significant percentage of household and leisure accidents. There are 400,000 people with work-related hand injuries every year in France, but evaluating the total number…