By Martin I. Boyer, James Chang MD
100 Hand Cases offers a scientific write-up of a hundred general instances from globally famous professionals who go over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.
The instances during this e-book proportion a concise method consisting of:
- A description of the problem
- Key anatomy
- Principles and scientific pearls
- Classic references on the topic of the case
Full-color pictures and radiographs are incorporated in every one case, in addition to a dialogue of the authors’ hottest therapy solution.
Presented in a hugely templated, high-yield layout, 100 Hand Cases is a perfect fast 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 resources for 100 Hand Cases
Early treatment in these cases can preserve bone length. Classic Reference Pellegrini VD Jr, Burton RI. Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty or fusion? J Hand Surg Am 15:194, 1990. The authors examined patients in whom older-design arthroplasties were used. They found that arthrodesis in the radial digits and arthroplasty in the ulnar digits led to satisfactory outcomes despite bony resorption associated with silicone arthroplasties. indb 32 12/8/2015 6:32:44 PM 13 Scapholunate Advanced Collapse Wrist Arthritis This 52-year-old executive presents to the office with a 6-year history of progressive pain, swelling, weakness, and motion loss of his right dominant wrist.
Both procedures require 6 weeks of immobilization postoperatively, followed by an additional 6 to 10 weeks of therapy to improve anteposition and strength. Full strength should not be expected until up to 2 years postoperatively. Occasionally, a CT scan of the STT joint may be required to confirm bony union. Alternatives Arthrodesis and arthroplasty are the only two surgical treatments currently. Principles and Clinical Pearls Pitfalls • A radial styloid excision helps substantially with exposure.
In some patients who do not wish to have complex surgery, wrist denervation may limit the pain. Principles and Clinical Pearls Pitfalls • If the scaphoid is fixed in flexion on initial presentation, then preservation of the radioscaphoid joint by surgical repositioning of the scaphoid (either by capsulodesis or arthrodesis) will fail. • Any treatment of capitolunate arthritis that does not include excision or arthrodesis of this joint will have a poor result. • Patients often present after a minor mishap that occurred decades after the initial injury.
100 Hand Cases by Martin I. Boyer, James Chang MD