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 […]
Introducing a Clinical Practice Guideline Using Early CT in the Diagnosis of Scaphoid and Other Fractures
Western J Emerg Med. 2009;10(4):227232 Steven Pincus Abstract Objective: We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work. Methods: This observational study evaluated […]
The Advantage of Throwing the First Stone: How Understanding the Evolutionary Demands of Homo sapiens Is Helping Us Understand Carpal Motion
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Rachel S. Rohde, MD, Joseph J. Crisco, PhD and Scott W. Wolfe, MD Unlike any other diarthrodial joint in the human body, the «wrist joint» is composed of numerous articulations between eight carpal bones, the distal radius, the distal ulna, and five metacarpal bones. […]
Pedicled Vascularized Bone Grafts for Scaphoid and Lunate Reconstruction
Alexander Payatakes, MD and Dean G. Sotereanos, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Conventional bone grafts have some osteogenic potential, whereas vascularized bone grafts retain live, functional osteocytes and osteoblasts. High rates of scaphoid union have been achieved with conventional bone grafting in the absence of osteonecrosis or prior […]
