Sprains and Dislocations of the Fingers
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…
Hand Replantations
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…
Temporary Amputations and Permanent Amputations
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…
Ultrasound-Guided Regional Anesthesia of the Upper Limb
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…
Revascularization
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…
Injury Assessment and Operative Strategy
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…
Instrumentation and Technical Equipment
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…
Emergency Microsurgery of the Upper Extremity
Introduction Severe upper extremity and hand injuries have significant morbidity and economic impact. Recovery may be long and complicated, placing the patient and his or her livelihood at risk. Significant…
