Carpal Tunnel Syndrome Carpal tunnel syndrome, described by Paget in 1854, is the most common upper extremity compression neuropathy and results from median nerve compression within the carpal tunnel. The carpal tunnel is bound by the carpal bones arching dorsally;…
Stenosing Tenosynovitis Stenosing tenosynovitis in the hand and wrist are common conditions resulting in significant functional impairment for which treatments usually are straightforward; symptom resolution usually is complete with appropriate management. When the extensor pollicis brevis (EPB) and the abductor…
This chapter includes a discussion of anatomic, biomechanical, and kinematic aspects of wrist function and diagnostic methods, treatment options, and procedures for various wrist conditions. A considerable body of information on the wrist has developed in recent years. No attempt…
This chapter includes the essentials of treatment of nerve injuries in the digits, palm, and wrist. Although many of the principles discussed here can be applied to injuries in the forearm and arm, more detailed discussions of more proximal nerve…
Peripheral nerve injuries are common. Despite numerous advances in microsurgical technique and interfascicular nerve grafting, many treatment principles obtained from World War II experiences as set forth in the cumulative works of Seddon and Woodhall are still applicable today. Current…
Surgical release reliably relieves the problem of trigger finger for most patients: approximately 97% of patients have complete resolution after operative treatment. Persistence of triggering is more common than recurrence. Trigger release should be done with a local block so…
Advocates of endoscopic carpal tunnel release cite less palmar scarring and ulnar “pillar” pain, rapid and complete return of strength and return to work, and activities at least 2 weeks sooner than for open release. The advantages of the endoscopic…
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See also Video 40.1 . Treatment of scaphoid fractures is determined by displacement and stability of the fracture. Operative treatment is generally required for displaced, unstable fractures in which the fragments are offset more than 1 mm on the anteroposterior or…