Musculoskeletal Key

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…

Injuries of the hand are common and account for 30% of work-related accidents and also a significant percentage of household and leisure accidents. There are 400,000 people with work-related hand…

The practice of hand surgery requires appropriate instrumentation. The instruments used should be adapted in size to the tissue structures themselves, and the instruments should have an ergonomic handle for…