4 Advanced Imaging
Laura M. Fayad and Jonathan Samet Abstract This chapter will explain when and why certain radiologic tests should be ordered for orthopaedic conditions of the wrist. Examples of multiple common…
5 Electrodiagnostic Studies
Anthony F. Colon, Michael S. Shear, and Aviram M. Giladi Abstract The evaluation of neurologic or neuromuscular disorders through the application of electrophysiologic techniques, such as electromyography and nerve conduction…
2 History and Examination of the Hand
Carson F. Woodbury and Laura Lewallen Abstract Careful physical examination combined with a targeted history is the essential first step in the practice of hand surgery. This chapter describes key…
1 Anatomy and Approaches
Jessica B. Hawken and Aviram M. Giladi Abstract Anatomic considerations are a critical aspect of preoperative planning for all surgical procedures; however, nowhere is it more important than in the…
Microsurgical Procedures: Vascularized Lymph Node Transfer from the Thoracodorsal Axis
Key Points • The axillary donor site has the highest reported incidence of lymphedema. • Preoperative imaging facilitates surgical planning and establishes a baseline for postoperative comparison. • Reverse lymphatic…
Tracking Outcomes Following Lymphedema Treatments
Key Points • Surgical success can be defined as the downgrading of the patient’s lymphedema grades with improved symptoms, at least a 10% decrease in circumferential difference, a decrease in…
Excisional Procedures: Debulking Procedures
Key Points • Treatment of advanced lymphedema remains a challenge in reconstructive surgery. Surgical management with excisional procedures is indicated in select patients when conservative measures have failed. • Based…
Future Perspectives in Lymphatic Microsurgery
Lymphedema Milestons and Globalization Lymphedema Milestones in Diagnosis and Treatment The surgical and microsurgical treatment of lymphedema is rapidly evolving with new techniques, improved outcome reporting, and descriptions of more…
Microsurgical Procedures: Lymphovenous Anastomosis Techniques
Key Points • Lymphovenous bypass (LVB) usually requires anastomosing lymphatic vessels less than 0.8 mm in diameter to small subdermal venules. • A high-resolution microscope, super-fine instruments and sutures, and…
Excisional Procedures: Liposuction
Key Points • If there is significant pitting (>8–10 mm in depth) of the lymphedematous limb, conservative treatment (combined physiotherapy) is indicated to remove the lymph and transfer the lymphedema…
