Musculoskeletal Key

Flexor tendon injuries in the hand are common and surgically challenging. Verdan and Michon sent shock waves through the scientific community in the 1960s when they recommended primary repair, which…

Because of their frequency and severity, hand infections are a surgical emergency. Despite being apparently benign, they should not be underestimated; they are the source of significant sequelae if treatment…

Anatomy and Physiology Physiology Although the nail no longer has a defensive role in humans, it nevertheless retains an important function. It is the only rigid element stabilizing the distal…

Multidigit injuries are common. An amputated finger that is not replantable becomes a privileged donor site for harvesting tissue for the reconstruction of neighboring fingers. This is a unique opportunity…

The application of a dressing marks the end of surgery and is in itself an art form. The dressing is the only part of surgery that the patient can visualize…

Sprains and dislocations of the fingers are common and mainly concern the proximal interphalangeal (PIP) joints of the long fingers, the metacarpophalangeal (MCP) joint of the thumb, and more rarely…

Although the replantation of a hand is certainly spectacular, it may seem less demanding technically than a digital replantation. There are, however, many problems that remain to be solved, given…

Whatever the level of mutilation and finger concerned, carrying out a digital amputation is a significant surgical procedure with functional consequences. We speak of “temporary” amputation when a subsequent reconstruction…

Introduction Upper extremity surgery, whether elective or emergency, can be done under regional anesthesia in the vast majority of cases. Used alone or as a supplement to general anesthesia, regional…

The diagnosis of a finger devascularization, single or multiple, should be made upon admission of the patient because it defines the degree of urgency. Revascularization consists of restoring arterial inflow…