A Context for Change The pressure for health care reform has increased awareness that rehabilitation costs are too high. As a result, both payers and consumers are demanding high-quality, cost-effective…
CRITICAL POINTS ▪ Frostbite is a severe, freezing-temperature, cold-induced injury. ▪ Tissue injury occurs by two mechanisms: cellular injury due to ice crystal formation, and progressive tissue ischemia. ▪ Frostbite…
CRITICAL POINTS Shoulder Ultrasound Applications ▪ Rotator cuff integrity assessment (especially post arthroplasty) ▪ Evaluation and fenestration of rotator cuff calcific tendinosis ▪ Evaluation of rotator cuff muscle atrophy ▪…
CRITICAL POINTS ▪ Successful clinical examination of the wrist requires a thorough knowledge of wrist anatomy, biomechanics, and pathology. ▪ The wrist examination includes a complete history, visual inspection, objective…
CRITICAL POINTS KEYS TO SUCCESSFUL POSTOPERATIVE MANAGEMENT FOR DUPUYTREN’S CONTRACTURE ▪ Proper preoperative evaluation of associated problems (carpal tunnel syndrome [CTS], triggers, abductor band) ▪ Early referral to therapy; proper…
CRITICAL POINTS Acute Paronychia ▪ Indication: Infection involving the nail fold, most common overall hand infection (usually Staphylococcus aureus ). ▪ Diagnostic Pearls: Of all the fingertip areas, the hyponychium…
CRITICAL POINTS ▪ Reconstructive surgeons should have multiple procedures at their disposal for delayed tendon reconstruction, including tenolysis, pulley reconstruction, immediate tendon grafting, and staged tendon reconstruction. ▪ Assessment of…
* I gratefully acknowledge Bill Buford, bioengineer, University of Texas at Galveston, formerly at the Paul W. Brand Research Laboratory, Gillis W. Long Hansen’s Disease Center, Carville, Louisiana, for his…
Part I: Staged Flexor Tendon Reconstruction JAMES M. HUNTER * Indications/Contraindications * Part I reproduced from Hunter JM: Staged flexor tendon reconstruction. In Strickland JW, editor: Master techniques in orthopaedic…
“Rule #1: When you get a bizarre finding, first question the test.” † Weinstein, S. 50 Years of somatosensory research. J Hand Ther . 1993;6(1):113. CRITICAL POINTS ▪ Standardized functional…
