Malunion and Nonunion of Fingers and Hand Tiffany Y. Wu John R. Fowler INTRODUCTION Pathoanatomy Malunions are usually multiplanar, though one component is predominant. Nonunions are rare (0.2%-0.7% incidence) and…
Metacarpal Fractures Joseph A. Rosenbaum Hisham M. Awan INTRODUCTION Pathoanatomy Fractures of the bones of the hand typically secondary to trauma Force applied to the affected bone exceeds its strength….
Thumb Collateral Ligament Injury James Paul Hovis Ngozi Mogekwu Akabudike INTRODUCTION Pathoanatomy Primary arc of thumb metacarpophalangeal (MCP) joint motion is flexion/extension with minor arcs of abduction/adduction and pronation/supination. The…
Metacarpophalangeal Dislocations Joseph A. Rosenbaum Hisham M. Awan INTRODUCTION Pathoanatomy Dislocation of the metacarpophalangeal (MCP) joint secondary to trauma Force applied to the MCP joint exceeds the strength of its…
Base of the Thumb Fractures Thao Nguyen Ngozi Mogekwu Akabudike INTRODUCTION Base of the thumb metacarpal fractures can be divided into: Extra-articular fractures Transverse Oblique patterns Intra-articular fractures (Figure 9.1)…
Mallet Fractures Andrew D. Sobel INTRODUCTION Mallet fractures, or “bony mallets,” are common injuries to the fingers. The differentiation from tendinous mallet finger injuries is important to understand so that…
General Concepts: Indications for Surgery Ethan W. Dean Robert C. Matthias Jr. INTRODUCTION Hand and wrist injuries are very common presenting complaints in the acute care setting. Categories of injury…
Phalanx Fractures Joseph A. Rosenbaum Hisham M. Awan INTRODUCTION Pathoanatomy Fractures of the bones of the fingers typically secondary to trauma Force applied to the affected bone exceeds its strength….
Phalanx Dislocations Joseph A. Rosenbaum Hisham M. Awan INTRODUCTION Pathoanatomy Dislocations of the finger joints secondary to trauma Force applied to the joint exceeds the strength of its capsuloligamentous support….
Anesthesia Rachel C. Hooper Steven C. Haase TYPES OF ANESTHESIA Local anesthesia (“WALANT”) Local anesthesia plus intravenous sedation (also known as monitored anesthesia care [MAC]) Intravenous regional anesthesia (Bier block)…
