Early Practice in Hand Surgery
Hand surgery view from PGY6 I am in my final days of training at an integrated plastic surgery program well-known for hand surgery. I am confident that I have received…
Techniques and Outcomes for Hand Surgery
Abstracts and Commentaries for select hand surgery articles in the recent literature related to surgical techniques and outcomes are provided by Dr David J. Smith, Associate Editor of Year Book…
Surgical Management of Painful Peripheral Nerves
This article deals with the classification, assessment, and management of painful nerves of the distal upper limb. The author’s preferred surgical and rehabilitation techniques in managing these conditions are discussed…
Entrapment Neuropathy of the Wrist, Forearm, and Elbow
This review discusses key diagnostic points and treatment guidelines for compression neuropathies of the wrist, forearm, and elbow. Recent treatment progress is reviewed, controversies are highlighted, and consensus is summarized….
Nerve Transfers
This article provides an update of the current state of motor and sensory nerve transfers for the functional reconstruction of proximal and distal nerve lesions of the upper extremity. General…
Clinical Applications of Autografts, Conduits, and Allografts in Repair of Nerve Defects in the Hand
Traumatic nerve injuries are common conditions treated by hand surgeons, and the optimal treatment of a severed nerve requires providing a healthy wound bed, generous trimming to healthy nerve substance,…
Extensor Tendon Repair and Reconstruction
Extensor tendon reconstruction requires various complex hand surgery techniques, including direct tendon repair, tendon grafting transfer, and soft tissue reconstruction with local and free flaps. Choosing the best individual reconstruction…
Evidence-based Flexor Tendon Repair
The goal of flexor tendon repair is to achieve normal range of motion of the finger or thumb. The surgical approach depends on the level of injury. Multistrand core suture…
Management of the Stiff Finger
The term “stiff finger” refers to a reduction in the range of motion in the finger. Prevention of stiff fingers by judicious mobilization of the joints is prudent to avoid…
Distal Radius Fracture
This article presents the diagnosis and treatment of distal radius fractures with emphasis on (1) current common principles, (2) the author’s current practices, and (3) controversies. The author emphasizes that…
