Secondary flexor tendon surgery
Introduction The ideal treatment of flexor tendon injuries under almost every circumstance is primary repair as it is easier to rehabilitate a digit over the several months after injury with…
Hand fractures and dislocations
Introduction Phalangeal fractures and metacarpal fractures account for 18% and 23%, respectively, of below-elbow fractures in the general population. Their management has continued to evolve in recent years. , Whereas…
Management of a mutilated hand
Introduction Mutilation of a hand implies a serious injury has occurred, leading to damage of multiple tissues and rendering the hand significantly dysfunctional. Although many definitions exist for a mutilated…
Fractures of the elbow and forearm
Introduction The elbow joint is uniquely designed to allow flexion and extension between the distal humerus and the ulna. Although the radial head does articulate with the capitellum, the uniaxial…
Carpal dislocations
Introduction Carpal dislocations constitute a small group of injuries to the wrist. Compared to distal radius fractures and the less common scaphoid fractures, they are rare injuries. This is probably…
Traumatic adult pan-brachial plexus injuries: Current methods and variations
Introduction Adult traumatic pan-brachial plexus injury (BPI) results in an immediate loss of function of the patient’s shoulder, arm, and hand and has lifelong after-effects on the patient’s physical, mental,…
Scaphoid nonunion or malunion and wrist arthritis: Unsolved problems
Introduction Scaphoid malunions and nonunions are common complications of scaphoid fractures. The main risk factors for scaphoid nonunion are delay in diagnosis, fracture displacement, fracture location, and the tenuous blood…
Treatment of Kienböck disease: A major unsolved problem
Introduction In this multiauthor chapter, we discuss the many aspects of etiology, natural history, assessment, classification, and treatment of Kienböck’s disease. This disease is also called lunatomalacia or avascular necrosis…
Carpal instability: Current techniques
Introduction The wrist is not an easy articulation to understand. The fact that its underlying bony structure and intrinsic mechanics are hard to visualize or imagine from the outside (as…
Other carpal fractures and carpal disorders
Introduction Carpal fractures account for approximately 18% of fractures of the hand, and between 60% and 85% of them are injuries to the scaphoid. The incidence of other carpal fractures…
