By Martin I. Boyer, James Chang MD
100 Hand Cases offers a scientific write-up of a hundred normal instances from globally well-known gurus who move over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.
The circumstances during this e-book proportion a concise process consisting of:
- A description of the problem
- Key anatomy
- Principles and scientific pearls
- Classic references regarding the case
Full-color pictures and radiographs are integrated in each one case, in addition to a dialogue of the authors’ hottest remedy solution.
Presented in a hugely templated, high-yield structure, 100 Hand Cases is a perfect quickly reference for college students and trainees getting ready for clinics and the working room, in addition to busy surgeons short of a short reminder on key information.
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Extra info for 100 Hand Cases
Often, an unmeshed skin graft can be placed, which would lead to comparable take rates and a better aesthetic result. Alternatives There are no alternatives to tangential excision and grafting. If a wound is full thickness and involves deeper structures, including the extensor tendons, then flaps may be necessary. Principles and Clinical Pearls Pitfalls • Immediate management consists of stabilization of the patient, escharatomies, and fasciotomies as needed. • Splinting is critical to prevent burn contracture initially and postoperatively.
These procedures require 6 weeks of immobilization postoperatively, followed by an additional 6 to 10 weeks of therapy to improve anteposition and strength. Concurrent arthritis and hyperextension of the MCP joint of the thumb may require capsulodesis or arthrodesis. Alternatives Arthrodesis of the thumb CMC joint is an alternative for patients who want a strong, stable grip. Some surgeons have advocated metacarpal extension osteotomy or implant arthroplasty; however, these have not gained widespread acceptance.
Her mother, maternal grandmother, and one s ister had osteoarthritis. Description of the Problem Idiopathic osteoarthritis of the PIP and distal interphalangeal (DIP) joints of the fingers (and thumb) are commonly seen in older patients, but treatment is sought only rarely. The decrease in articular cartilage and the development of osteophytes and subchondral cysts occur slowly over time and are often painless. The loss of motion can affect grip strength negatively; however, this is infrequently the reason for presentation.
100 Hand Cases by Martin I. Boyer, James Chang MD