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Introduction This chapter will highlight three available techniques to achieve a stable proximal interphalangeal (PIP) joint after dislocation and fracture-dislocations: extension block pinning, open reduction internal fixation (ORIF) including hemihamate arthroplasty, and dynamic external fixation. Many other treatment options exist.…
Introduction Proximal interphalangeal (PIP) joint injuries are common and in spite of seemingly minor injuries, these can affect the overall hand function. Stiffness is common with these injuries and there is often permanent residual swelling, changing the size of the…
Acknowledgments: The author gratefully acknowledges the extensive analysis and expertise of the previous authors of this chapter, including Robert N. Hotchkiss, MD, Peter Amadio, MD, Alex Shin, MD, and Richard J. Smith, MD. This chapter is intended to provide guidance…
Entrapment Neuropathies Entrapment neuropathy is a condition wherein compression, or external pressure applied to a nerve, alters function. Multiple potential etiologies exist, including a space-occupying lesion, inflammatory processes, edema, or compression via anatomic structures. Lesions can present as either acute…
Synopsis ■ Diagnosis of hand fractures and joint injuries requires history, examination, and adequate imaging studies. ■ Treatment decisions are based on fracture geometry, stability, and individual patient needs. ■ Nonoperative principles include reduction, maintenance of reduction through casting, splinting…
Synopsis Hand fractures are common injuries and have been reported to account for 10% of upper-extremity fractures. Timely diagnosis and treatment are essential to provide a good outcome. Although many hand fractures can be managed without surgery, recognition of those…