Flexor Tendon Reconstruction
All fractures should be healed in anatomic alignment Wounds must have healed with soft, stable scars and skin cover Joint contractures have been mobilized to near normal passive ROM Tendons…
Carpal Tunnel Syndrome
Tips on examination technique Typical findings in early CTS Typical findings in late CTS Other findings that indicate a possible alternative diagnosis Inspection Look for wasting of thenar eminence and…
Nerve Compression – Median Nerve Entrapment in the Forearm
Paresthesia Muscle weakness Direct compression Tinel ’s sign EDX MRI PS Thenar, palm, Lateral 3 digits Not generally, may involve APB, OP, FPB, FPL, FDP 2/3, PQ, FCR May…
Local Vascular Bone Graft Reconstruction
Fig. 8.1 Illustrates the dorsal wrist with potential pedicle sites and their corresponding arterial donors. 1, 2 ICSRA; 2, 3 ICSRA; 4th ECA; 5th ECA. RA radial artery, UA ulnar…
Extensor Tendon Reconstruction
Surgical options for chronic mallet deformity Principle Technique Tendon “repair” at level of DIP joint Tenodermodesis Excision of scar and re-attachment of tendon back to bone Tendon plication Tendon rebalancing…
