18 Terminalization
10.1055/b-0038-161086 18 TerminalizationDariush Nikkhah, Amir H. Sadr 18.1 Digital Terminalization There are scenarios where the length of the digit cannot be preserved secondary to either significant trauma, or necrosis due…
Hand surgery
13 The Spaghetti Wrist
10.1055/b-0038-161081 13 The Spaghetti WristDariush Nikkhah, Wojciech Konczalik 13.1 Spaghetti Wrist The spaghetti wrist can involve division of up to 16 structures (Fig. 13‑1). These injuries are commonly secondary to…
10 Thumb MCP Joint Ulnar Collateral Ligament Repair
10.1055/b-0038-161078 10 Thumb MCP Joint Ulnar Collateral Ligament RepairDariush Nikkhah, Amir H. Sadr 10.1 Ulnar Collateral Ligament Repair Acute rupture of the metacarpophalangeal joint (MCPJ) ulnar collateral ligament (UCL) also…
11 Digital Nerve Repair
10.1055/b-0038-161079 11 Digital Nerve RepairDariush Nikkhah 11.1 Digital Nerve Repair Digital nerve injuries are common in hand trauma and the most frequently injured are the peripheral nerves. Best outcomes in…
1 Assessment
10.1055/b-0038-161069 1 AssessmentDariush Nikkhah, Jeremy Rodrigues The primary assessment of the hand injury is like good detective work. It can enable the surgeon to exactly predict which structures may be…
7 Flexor Tendon Repair
10.1055/b-0038-161075 7 Flexor Tendon RepairDariush Nikkhah, Wojciech Konczalik 7.1 Flexor Tendon Repair The case illustrates a patient who grasped a knife with a clenched fist and subsequently has multiple zone…
9 Closed Tendon Ruptures
10.1055/b-0038-161077 9 Closed Tendon RupturesDariush Nikkhah, Robert Pearl 9.1 Extensor Indicis Proprius to Extensor Pollicis Longus Tendon Transfer Closed rupture of extensor pollicis longus (EPL) at the wrist is the…
8 Extensor Tendon Repair
10.1055/b-0038-161076 8 Extensor Tendon RepairDariush Nikkhah, Amir H. Sadr 8.1 Extensor Tendon Repair The patient presented with a glass laceration over the thumb metacarpophalangeal joint (MCPJ) and had an inability…
6 Hand Infections
10.1055/b-0038-161074 6 Hand InfectionsDariush Nikkhah 6.1 Flexor Sheath Infection Flexor sheath infections are heralded by Kanavel’s signs: fusiform swelling, flexed posture to digit, pain over flexor sheath, and pain on…
2 Operative Preparation
10.1055/b-0038-161070 2 Operative PreparationDariush Nikkhah, Jeremy Rodrigues 2.1 Tourniquet Application Appropriate placement of a tourniquet is essential and is usually performed before skin preparation, unless a sterile tourniquet is being…
