Phalanx Dislocations
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
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)…
History and Physical Examination
History and Physical Examination Craig M. Rodner Christian A. Merrill INTRODUCTION The aim of this chapter is to provide a systematic guide and template on which to perform a history…
Surgical procedures for recovery of hand function
Summary box 1 The priorities for reconstruction in the hand are: (l) wrist extension and finger flexion; and (2) recovery of sensation below the elbow in the C 6,7 dermatomes….
Clinical examination and diagnosis
Summary box 1 A brachial plexus injury can be defined by four elements, which are analogous to the four dimensions of space: breadth (number of roots involved), length (level), depth…
Reconstructive strategies for recovery of hand function
Summary box 1 The incidence of NBPP has remained relatively stable despite awareness of the problem and improved obstetric techniques. 2 Forearm and hand problems are seen with involvement of…
Reconstructive procedures for the upper extremity
Summary box 1 Multidisciplinary approach 2 Reconstructive approach needs to be individualized 3 Thorough discussion with patients is important for realistic expectation and discussions of the risk–benefit ratio 4 Early…
Outcomes of treatment for adult brachial plexus injuries
Summary box 1 Clean, sharp lacerations of the brachial plexus should be repaired within 72 hours. Blunt transections are best repaired in a delayed fashion. 2 Progressive neurologic deficits may…
Nerve repair/nerve transfer strategies for adult brachial plexus palsies
Summary box 1 The principles applicable to management of various patterns of stretch injuries provide a logical approach to most brachial plexus palsies. 2 Appropriate injury patterns should be recognized…
