Tumors of the hand and upper extremity
Introduction Tumors in the hand and upper extremity are often seen. In most cases, they are benign lesions, although some of these can be locally aggressive. Much more rarely, these…
Neuropathic pain of the upper extremity
Introduction Severe, intractable pain in the peripheral nervous system is caused by three local pathological entities, viz. end neuromas, neuromas in continuity, and scar-tethered nerves, with the symptoms being similar…
Primary flexor tendon repair
Introduction For more than a century, flexor tendon repairs have presented challenges to hand surgeons and have aroused enormous enthusiasm among clinicians and investigators. In the early and middle 20th…
Extensor tendon repair and reconstruction
Introduction Our basis of primary management of extensor tendon injuries, as with flexor tendon injuries, is early repair and early mobilization, with appropriate primary management being more effective than secondary…
Rheumatoid arthritis, tendinopathies, and other connective tissue diseases
Introduction This chapter discusses the current status and presents updates for several commonly seen connective tissue diseases. Treatment of rheumatoid arthritis has greatly changed, with fewer patients needing surgical treatment…
Trapeziometacarpal osteoarthritis: Current approaches and unsolved problems
Introduction The carpometacarpal (CMC) joint of the thumb, the trapeziometacarpal joint (TMC), is a saddle joint that provides important mobility as well as stability. This joint is exposed to heavy…
Soft-tissue cover of the thumb and fingers
Introduction This chapter discusses soft-tissue cover of defects of the skin and subcutaneous tissue in the thumb and fingers. The distal parts are called the fingertip and thumb tip ,…
Enhancing hand control in tetraplegia
Introduction The annual incidence of spinal cord injury (SCI) is highly variable between different regions and countries. A systematic search using multiple sources (e.g., PubMed, EMBASE, Cochrane Database of Systematic…
Dupuytren disease
Introduction Dupuytren’s disease (DD) is an enigma. Histologically, DD is a myofibroplastic disease, resulting in painless cords in the hand that eventually lead to flexion contracture of the fingers. In…
Distal radioulnar joint instability
This chapter is dedicated to Richard A. Berger (1954–2022). Introduction “The ills of today do not cloud the horizon of tomorrow, but act as a spur to greater effort” (featured…
