The Operating Room in Hand Surgery
The Operating Room in Hand Surgery General Information The operating room setup for hand surgery is unique among the surgical disciplines. Surgical retractors and other instruments used in general orthopedic…
Emergency Room Assessment
Emergency Room Assessment Injuries of the hand are one of the more common reasons patients seek emergency department evaluation. Hand injuries may be isolated or part of multiple trauma. Small…
Clenched Fist Syndrome, Factitious Limb Edema, and Self-Inflicted Injury
Clenched Fist Syndrome, Factitious Limb Edema, and Self-Inflicted Injury General Information Occasionally, primary psychiatric diseases manifest as fixed, dramatically abnormal hand postures, factitious limb edema, and self-inflicted injury. These patients…
Complex Regional Pain Syndromes
Complex Regional Pain Syndromes General Information Arm injuries produce pain. This is not surprising given the density of sensory innervation of the arm. Not only will the patient experience pain…
Foreign Bodies
Foreign Bodies General Information Typical foreign bodies (FB) include implants used in surgery as well as more obvious foreign agents such as thorns, pencil leads, and bullets. The FB itself…
Nail Bed and Fingertip Injuries
Nail Bed and Fingertip Injuries General Information Fingertip injuries are the most common trauma in the hand, accounting for up to 50% of emergency room visits for hand care. Traditional…
Congenital Anomalies
Congenital Anomalies Congenital anomalies of the upper extremity occur in approximately one out of 626 live births. The most widely accepted clinical classification of congenital limb anomalies was adopted by…
Amputations
Amputations General Information Upper extremity amputations are common injuries. Rates of limb salvage have increased during the last 20 years with improvements in microvascular techniques. Any patient desiring replantation should…
Dupuytren’s Disease
Dupuytren’s Disease General Information Dupuytren’s disease is a condition of the hand that replaces normal digital and palmar fascia (bands and sheaths) with abnormal fibrous tissue (nodules and cords) consisting…
