Manual Of Acute Hand Injuries

Contributed by the Division of Plastic Surgery at Washington University, this comprehensive, practical handbook covers common techniques in treating acute hand injuries. Available therapies including rigid fixation or fracture, microvascular surgical reconstruction, and peripheral nerve techniques and the selection of techniques based on the injury are discussed. Clear and simple line drawings accompany sections on surgical techniques. Multifunctional use as an easy-to-read, introductory text, and as a handy day-to-day reference--wonderful for the resident just beginning their training, as well asfor the experienced surgeon. User-friendly outlines at beginning of each chapter offering detailed view of what chapter consists of--quick access to what reader is looking for. Superior, clear, detailed line drawings--generally preferred by surgeons for illustrating procedures.

This volume, dealing with situations from a nailbed injury to an amputation or a gunshot wound and almost everything in between, is a comprehensive but simple manual, addressing the most frequent, and some of the not-so-frequent, emergencies in the field of hand surgery. Every chapter is written by a group of experienced hand surgeons from around the world, who will guide the reader on the management of a variety of different conditions and injuries. Some of the topics covered here include how to examine and treat an acute brachial plexus injury, learning how wrist biomechanics is applied to the management of acute carpal injuries, and performing wide-awake anesthesia with no tourniquet on an acutely injured hand, among many others.

Do you encounter patients with hand and wrist problems? Are there times when you wish you had a hand surgeon next to you to help guide you in the right direction? The answers you are looking for can be found inside Acute Management of Hand Injuries by hand surgeons, Drs. Andrew J. Weiland and Rachel S. Rohde. Acute Management of Hand Injuries is a concise and user-friendly book including the most common acute hand and wrist complaints including fractures, dislocations, tendon and nerve injuries, infections, bite injuries, and industrial trauma. This book acts as a "pocket consultant" for non-hand specialists who temporize acute hand issues before referring the patient to a specialist. Acute Management of Hand Injuries is designed to provide the most current and up-to-date information on even the smallest hand afflictions. Inside You'll Also Find: - Numerous photographs and radiographs - Hand evaluation diagram template - Suggested readings at the end of each chapter - Quick reference appendices covering topics such as antibiotic recommendations and burn treatment Acute Management of Hand Injuries also will serve as a perfect introductory guide for residents and students in orthopedic or plastic surgery programs who will be expected to master these basic principles. Each Chapter Includes: - Mechanism of Injury - Evaluation - Acute Treatment - Definitive Treatment - Potential Problems Acute Management of Hand Injuries is ideal for orthopedic surgeons, physicians, physician assistants, nurse practitioners, residents, occupational therapists, physical therapists, and all who provide care in emergency room, urgent care, and primary practice settings.

Functional Anatomy and Diagnostics in Hand Surgery.- I. Functional Anatomy of the Hand.- II. Diagnosis in Hand Surgery.- Conservative and Operative Phases of Hand Surgery.- I. Conservative Phase of Acute Hand Surgery.- II. Conservative Phase of Reconstructive Hand Surgery.- III. Vocational Rehabilitation.- Surgery of the Hand.- I. Bloodless Field.- II. Instruments.- III. Adequate Access.- IV. Atraumatic Tissue Handling.- Anesthesia in Hand Surgery.- I. Technique of Block Anesthesia.- II. Treatment of Toxic Reactions to Local Anesthesia.- III. Treatment of Allergic Reactions to Local Anesthesia.- Care of Open Hand Injuries.- I. Correct Procedure before the Operation.- II. Immediate Care, "Delayed Primary Care," or "Emergency with Delayed Operation"?.- III. Severe Combined Injuries: Global Primary Care or Staged Reconstruction?.- IV. Correct Procedure during the Operation.- V. Correct Postoperative Procedure.- Amputations.- I. Care of the Skin.- II. Care of the Bones.- III. Care of the Tendons.- IV. Care of the Neurovascular Bundles.- V. Thumb Amputations.- VI. Amputation at the Middle Phalanx of the Long Fingers.- VII. Amputation at the Basal Phalanx of the Long Fingers.- VIII. Exarticulation of One or More Fingers.- IX. Carpometacarpal Amputation.- X. Exarticulation at the Wrist and Forearm Amputations.- XI. Replantation of Severed Members.- Fingertip Injuries.- I. Subungual Hematoma.- II. Loss of the Nail.- III. Nail Deformities.- IV. Fractures of the Distal Phalanx.- V. Fingertip Hematoma in the Child.- VI. Defect Wounds.- VII. Extensor Tendon Injuries of the Distal Phalanx.- VIII. Injury of the Deep Flexor Tendon in the Fingertip Region.- IX. Traumatic Epithelial Cyst.- Soft Tissue Injuries of the Dorsal Side: Injuries of the Wrist Extensors, Long Finger Extensor Tendons, and Dorsal Aponeurosis of the Fingers.- I. Wrist Extensors.- II. Division of the Long Finger Extensors Central to the Tendinous Junctions.- III. Division of the Extensor Tendons in the Region of the Metacarpophalangeal Joint.- IV. Division of the Dorsal Aponeurosis in the Region of the Proximal and Middle Phalanges.- V. Extensor Tendon Injuries with Accompanying Bone Injuries.- Soft Tissue Injuries of the Volar Side: Injuries of the Long Finger Flexor Tendons, Wrist Flexors, and Median and Ulnar Nerves.- I. Flexor Tendon Surgery.- II. Neurosurgery.- III. Position of the Beginner, the Experienced Surgeon, and the Specialist in the Treatment of Flexor Tendon and Nerve Injuries of the Hand.- IV. Treatment Tactics for Routine Practice.- V. Operative Techniques.- Capsular Ligament Injuries of the Finger Joints.- I. Anatomy.- II. Pathology.- III. Diagnosis.- IV. Treatment.- Fractures of the Phalanges and Metacarpus.- I. Diagnosis.- II. Reduction.- III. Immobilization.- IV. Surveillance.- V. Exercise.- VI. Care of the Fresh Fracture.- VII. Repair of Malunited Finger and Metacarpal Fractures, Pseudarthrosis, and Tendon Blocks after Fractures.- Fractures and Dislocations of the Carpal Bones.- I. General.- II. Special X-ray Diagnostics.- III. Treatment.- Thumb Injuries.- I. Amputation.- II. Fractures of the Thumb.- III. Thumb Joint Injuries.- IV. Division of the Long Extensor Tendon of the Thumb.- V. Division of the Long Flexor Tendon of the Thumb.- VI. Cicatricial Adduction Contracture of the Thumb.- VII. Thumb Reconstruction.- Compressive Nerve Injuries of the Hand.- I. Localization of the Compression Injury.- II. Diagnosis.- III. Indications.- IV. Therapy.- V. Postoperative Care.- Transfer Operations for Irreparable Nerve Damage.- I. General Indications.- II. Contraindications.- III. Techniques.- IV. Limits.- Severe Crush Injuries of the Hand.- I. Severe Open Crush Injury.- II. Severe Closed Crush Injury.- Foreign Bodies in the Hand.- I. Diagnosis.- II. Indications and Contraindications to the Operative Removal of Foreign Bodies.- III. Therapy.- Infections of the Hand.- I. Pyogenic Infection.- II. Primary Phlegmonous Infection.- III. Differential Diagnosis.- IV.

Published in conjunction with the American Society for Surgery of the Hand (ASSH), the ASSH Manual of Hand Surgery is a practical, comprehensive manual on the diagnosis and management of hand problems. Each chapter begins with a section on the anatomy of the region in question. Information is presented in easy-to-scan bullet points, with numerous lists and algorithms. Each chapter ends with board-type questions and answers, annotated references, and a list of what junior and senior level residents need to know.

This compact yet comprehensive handbook will allow Accident and Emergency staff to investigate and treat hand injuries with confidence - and just as importantly, to see at a glance which patients should be referred immediately to a specialist hand surgeon. Written in a concise and accessible style, it is illustrated throughout with clear and informative diagrams.

This handbook provides easy-access guidance for evaluating common hand diseases and injuries. Includes sections on the examination of the fingertip and nailbed, carpus, and flexor tendon sheath, as well as material on 2-point discrimination test and examination of circulation.