With metacarpal and phalangeal skeletal fractures, early mobilization remains the most effective way to counter edema, joint stiffness and tendon-periosteum adhesions. Early mobilization can, however, only be undertaken following reduction…
Komatsu and Tamai performed the first successful replantation of a fully severed thumb in 1965. Since then, the field of digital replantation has evolved considerably. There has been extensive progress…
Extensor apparatus injuries are too often underestimated, especially in the fingers. Although a cursory clinical examination may give the impression of integrity, it is only a few weeks later that…
Open nerve injuries must be viewed as genuine surgical emergencies. In other words, they should be operated on within the initial hours following the accident. First, it is in an…
The carpometacarpal (CMC) joints of the long fingers have not received the same level of interest as their equivalent in the thumb. Yet they deserve special attention because their only…
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…
