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 […]
Treatment of Distal Radius Fractures
David M. Lichtman, MD (Chair), Randipsingh R. Bindra, MD, FRCS (Vice-Chair), Martin I. Boyer, MD. J Am Acad Orthop Surg 2010 18 The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was […]
Composite Tissue Allotransplantation: Hand Transplantation and Beyond
Jaimie T. Shores, MD, Gerald Brandacher, MD, Stefan Schneeberger, MD, Vijay S. Gorantla, MD and W.P. Andrew Lee, MD J Am Acad Orthop Surg 2010 18 Recent advances in transplant immunology are shifting the focus from immunosuppression to immunoregulation, making composite tissue allotransplantation with novel and less potent immunosuppressive regimens a possibility. Hand transplantation has […]
Early Management of Ballistic Hand Trauma
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Maj W. G. P. Eardley, MB ChB, MSc, MRCS (Ed) RAMC and Col M. P. M. Stewart, MB ChB, QHS, FRCS (Glas), FRCS (Tr & Orth), L/RAMC From the Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, West […]
