Hand surgery

7 Flexor Tendon Repair

May 21, 2020 by in Hand surgery Comments Off on 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…

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9 Closed Tendon Ruptures

May 21, 2020 by in Hand surgery Comments Off on 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…

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8 Extensor Tendon Repair

May 21, 2020 by in Hand surgery Comments Off on 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…

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6 Hand Infections

May 21, 2020 by in Hand surgery Comments Off on 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…

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2 Operative Preparation

May 21, 2020 by in Hand surgery Comments Off 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…

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5 Nailbed Repair

May 21, 2020 by in Hand surgery Comments Off on 5 Nailbed Repair

10.1055/b-0038-161073 5 Nailbed RepairDariush Nikkhah, Jeremy Rodrigues 5.1 Nailbed Injuries Pediatric nailbed injuries are commonplace in many hand surgery units (Fig. 5‑1). Adults can be operated on under local anesthesia,…

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4 Anesthesia in Hand Surgery

May 21, 2020 by in Hand surgery Comments Off on 4 Anesthesia in Hand Surgery

10.1055/b-0038-161072 4 Anesthesia in Hand SurgeryDariush Nikkhah, Wojciech Konczalik, Jeremy Prout Many procedures in hand trauma can be performed under local anesthetic and patients can be managed in a day…

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3 Incisions

May 21, 2020 by in Hand surgery Comments Off on 3 Incisions

10.1055/b-0038-161071 3 IncisionsDariush Nikkhah 3.1 Bruner Flap The Bruner flap is a commonly performed access incision and the modified version involves a broader flap. The most common mistake in flap…

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