A Definitive History of the Direct Anterior Approach
A Definitive History of the Direct Anterior Approach David A. Molho Neil Pathak Lee E. Rubin Kristaps J. Keggi Introduction We explore the motivations that drew surgeons and patients to…
Congenital hand disorders: Differences in strategies and treatment
Introduction Incidence, etiologies, and classification (Steven Hovius) Congenital differences of the hand and upper extremity are an intriguing subspecialty of hand surgery, hand therapy, and hand rehabilitation. These differences are…
Topics with major uncertainties, including birth palsy and thoracic outlet syndrome
Introduction This chapter will cover a few diseases involving a lot of uncertainties, especially with regard to clinical diagnosis and treatment strategies. Treatment of these diseases is often controversial. Consequently,…
Reconstruction of the hand and digits
Introduction Mutilating injuries have diminished greatly as a result of improvements in workplace conditions and safety measures and huge fines to the industry when regulations are broken. Nevertheless, we still…
Entrapment neuropathies of the upper extremity: Current practice
Introduction Dysfunction of a nerve due to external physical compression is commonly called entrapment neuropathy . Broadly, compression neuropathies can occur for the following reasons. First, a nerve trunk can…
Replantation of digits and hands: Current indications and dealing with difficult patients
Introduction Replantation surgery has now entered its 6th decade after the first successful limb replantation reported by Malt in 1964 and the first thumb replantation in 1968 by Komatsu and…
Flap coverage for the hand and upper extremity
Introduction Loss of skin and subcutaneous fat over the elbow, forearm, and hand are common occurrences after trauma and oncologic excision. Sometimes, it is accompanied by loss of tendon, muscle,…
Nerve repair and reconstruction: Updated methods
Introduction This chapter will provide updates and current status of repair of traumatic nerve injury in the hand, forearm, and upper arms. Outcomes, unsolved problems relating to nerve repair, and…
Improving hand function after cerebral palsy, stroke, or brain damage
Introduction Spasticity, characterized by muscle hypertonia, is linked to a central neurological impairment involving the pyramidal tract. It is caused by a hyperactive stretch reflex mechanism. It may occur in…
Tendon transfers after nerve injuries to the arm and forearm
Introduction A recent epidemiologic study reported an annual incidence of traumatic upper-extremity nerve injuries of 17 persons in 100,000 with an average age of 38 years and a male:female ratio…
