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…
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,…
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…
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…
