Heterotopic Digital Replantation
Fig. 10.1 Immediate opponensplasty with flexor digitorum superficialis from the amputated finger. Left: crush injury of right hand, resulted in incomplete amputation of right thumb, index, long, and ring fingers…
Replantation of the Forearm or Arm
Fig. 7.1 (a) This transhumeral amputation with an associated elbow dislocation occurred as a result of an 11-year-old girl getting her sleeve caught in a manure spreader. (b, c) Despite…
Distal Radius Malunion
Fig. 7.1 The different patterns of carpal response to dorsal tilt. Both patients are young and have a similar degree of deformity. In (a) the carpus has subluxed as a…
Chronic Instability of the Fingers and Thumb
Fig. 9.1 Injury of the beak ligament of the CMJC, with stretching of the dorsal ligaments, may results in subluxation of the joint, adduction of the metacarpal, hyperextension of the…
Chronic Distal Radio-ulna Instability
Fig. 11.1 Anatomy of distal radius and ulna (A) Radial styloid (B) Listers tubercule (C) Groove for extensor pollicis longus (D) Dorsal rim of radius (E) Attachment of Dorsal Radio-Ulna…
Tendon Transfers
1. Supple joints before transfer. 2. Tissue equilibrium 3. Adequate strength (donor) 4. Adequate excursion (donor) 5. Expendable donor 6. Straight line of pull 7. Synergism 8. One tendon –…
Ulnar Tunnel Syndrome
Dorsal sensation intact Dorsal sensation diminished Level of compression Proximal or distal to wrist Proximal to wrist Motor symptoms are consistent with intrinsic muscle weakness. Patients may complain of…
Nerve Reconstruction
Fig. 1.1 Preoperative brachial plexus chart The British Medical Research Council grading scale is used by most physicians. This system has been further modified by Terzis [13] with intermediate grades…
Compressive Neuropathies of the Radial Nerve
Fig. 16.1 Common PIN compression sites (“Copyright [2011] Mayo Foundation for Medical Education and Research”) The Arcade of Frohse, which is the proximal margin of the supinator muscle, forms an…
Scaphoid Non Union
Fig. 6.1 (a) Humpack deformity of scaphoid non-union. (b) Nonunion of the proximal pole with preserved shape and length With respect to the morphology, in his original classification published in…
