Flexor Tendon Sheath Infections of the Hand
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Reid W. Draeger Abstract Flexor tendon sheath infections of the hand must be diagnosed and treated expeditiously to avoid poor clinical outcomes. Knowledge of the sheaths anatomy is essential for diagnosis and to help to guide treatment. The Kanavel cardinal signs are useful for […]
Factitious Disorders of the Upper Extremity
J Am Acad Orthop Surg February 2012 ; 20 Michael V. Birman Abstract Factitious disorders of the upper extremity can manifest in many different forms; therefore, it is critical to recognize warning signs in the history and examination indicating that the patient may be creating the symptoms and physical manifestations of the presenting illness. These […]
Dupuytren Disease: An Evolving Understanding of an Age-old Disease
Eric M. Black. JAAOS December 2011;19 (12) Abstract Dupuytren disease, a clinical entity originally described more than 400 years ago, is a progressive disease of genetic origin. Excessive myofibroblast proliferation and altered collagen matrix composition lead to thickened and contracted palmar fascia; the resultant digital flexion contractures may severely limit function. The pathophysiology is multifactorial […]
Surgical Exposures of the Wrist and Hand
Louis W. Catalano JAAOS January 2012; 20 (1) Abstract The neurovascular anatomy of the carpus and hand is complex. Therefore, precise exposures are required to avoid iatrogenic injury. In general, dorsal exposures are more forgiving than volar exposures because major neurovascular structures lie on the volar aspect of the hand and fingers; however, volar, ulnar, […]
Galeazzi Fracture
J Am Acad Orthop Surg October 2011 Kivanc I. Atesok, MD, Jesse B. Jupiter, MD and Arnold-Peter C. Weiss, MD Abstract Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). Typically, the mechanism of injury is forceful axial loading and torsion of the forearm. Diagnosis is established […]
Perilunate Dislocation and Perilunate Fracture-dislocation
Spencer J. Stanbury, John C. Elfar. J Am Acad Orthop Surg September 2011 ; 19: Abstract Perilunate dislocations and perilunate fracture-dislocations usually result from high-energy traumatic injuries to the wrist and are associated with a characteristic spectrum of bony and ligamentous damage. Radiographic evaluation of the wrist reveals loss of normal radiocarpal and intercarpal colinearity […]
Surgical Exposures of the Radius and Ulna
NULL J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Louis W. Catalano, III, MD, Dan A. Zlotolow, MD, Phillip B. Hitchcock, Suparna N. Shah, MBA and O. Alton Barron, MD The forearm contains many muscles, nerves, and vascular structures that change position on forearm rotation. Exposure of the radial shaft is best […]
Collateral Ligament Injuries of the Thumb Metacarpophalangeal Joint
NULL Peter Tang, MD, MPH The ulnar and radial collateral ligaments are primary stabilizers of the thumb metacarpophalangeal (MP) joint. Injury to these ligaments can lead to instability and disability. Stress testing is essential to establish the diagnosis. Complete tear is diagnosed on physical examination when the proximal phalanx of the thumb can be angulated […]
Avulsion Injuries of the Flexor Digitorum Profundus Tendon
J Am Acad Orthop Surg, Vol 19, No 3, March 2011 David E. Ruchelsman, MD, Dimitrios Christoforou, MD, Bradley Wasserman, MD, Steve K. Lee, MD and Michael E. Rettig, MD Avulsions of the flexor digitorum profundus tendon may involve tendon retraction into the palm and fractures of the distal phalanx. Although various repair techniques have […]
Therapy After Injury to the Hand
NULL Erik Dorf, MD, Carla Blue, OTR/L, CHT, Beth P. Smith, PhD and L. Andrew Koman, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Surgical and nonsurgical management of upper extremity disorders benefits from the collaboration of a therapist, the treating physician, and the patient. Hand therapy plays a role in […]
