Muutke küpsiste eelistusi

E-raamat: Tendon Disorders of the Hand and Wrist: IFSSH/FESSH Instructional Course Book 2022

Edited by , Edited by , Edited by
  • Formaat: 330 pages
  • Ilmumisaeg: 02-Jun-2022
  • Kirjastus: Thieme Publishing Group
  • Keel: eng
  • ISBN-13: 9783132442238
Teised raamatud teemal:
  • Formaat - EPUB+DRM
  • Hind: 207,99 €*
  • * hind on lõplik, st. muud allahindlused enam ei rakendu
  • Lisa ostukorvi
  • Lisa soovinimekirja
  • See e-raamat on mõeldud ainult isiklikuks kasutamiseks. E-raamatuid ei saa tagastada.
  • Formaat: 330 pages
  • Ilmumisaeg: 02-Jun-2022
  • Kirjastus: Thieme Publishing Group
  • Keel: eng
  • ISBN-13: 9783132442238
Teised raamatud teemal:

DRM piirangud

  • Kopeerimine (copy/paste):

    ei ole lubatud

  • Printimine:

    ei ole lubatud

  • Kasutamine:

    Digitaalõiguste kaitse (DRM)
    Kirjastus on väljastanud selle e-raamatu krüpteeritud kujul, mis tähendab, et selle lugemiseks peate installeerima spetsiaalse tarkvara. Samuti peate looma endale  Adobe ID Rohkem infot siin. E-raamatut saab lugeda 1 kasutaja ning alla laadida kuni 6'de seadmesse (kõik autoriseeritud sama Adobe ID-ga).

    Vajalik tarkvara
    Mobiilsetes seadmetes (telefon või tahvelarvuti) lugemiseks peate installeerima selle tasuta rakenduse: PocketBook Reader (iOS / Android)

    PC või Mac seadmes lugemiseks peate installima Adobe Digital Editionsi (Seeon tasuta rakendus spetsiaalselt e-raamatute lugemiseks. Seda ei tohi segamini ajada Adober Reader'iga, mis tõenäoliselt on juba teie arvutisse installeeritud )

    Seda e-raamatut ei saa lugeda Amazon Kindle's. 

The state-of-the-art resource on hand and wrist tendon surgery from renowned global masters

Surgical management of disorders impacting hand and wrist tendons is one of the most challenging and exacting aspects of hand surgery. Tendon Disorders of the Hand and Wrist: IFSSH/FESSH Instructional Course Book 2022 is edited by well-known hand surgeons Dean E. Boyce, Grey Giddins, and David J. Shewring. The book was written as the accompanying text for the instructional course at the 2022 Joint Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), the Federation of European Societies for Surgery of the Hand (FESSH), and the International Federation of Societies for Hand Therapy (IFSHT). Although practice inevitably evolves, this comprehensive book should serve as a useful guide and definitive reference for years to come.

The book is organized by six sections: Basic Science; Traumatic Injuries to the Extensor Tendons; Traumatic Injuries to the Flexor Tendons; Enthesopathies, Infection, and Inflammatory Problems; Pediatric Problems; and Tendon and Nerve Transfer. Chapters cover the pathogenesis, diagnosis, and surgical and nonsurgical management of the full spectrum of disorders and conditions. Disorder-specific chapters include indications for surgery, disorder classification, discussion of impacted tendons and muscles, diverse transfer and reconstruction techniques, and in many cases, the author's preferred surgical procedure.

Key Features

  • Contributions from an impressive group of global masters in hand surgery detail proven and preferred techniques and approaches
  • Tips and tricks throughout the text provide guidance on preventing complications and improving outcomes
  • A wealth of high-quality, four-color illustrations and operative photos enhance the understanding of impacted anatomy and techniques

This is a one-stop resource on the surgical management of degenerative, developmental, and traumatic hand and wrist tendon disorders. It is an essential reference for trainee and practicing hand surgeons to improve their surgical skills and patient outcomes.

This print book includes complimentary access to a digital copy on https://medone.thieme.com.

Preface xvi
Contributors xvii
Part I Basic Science
1 Epidemiology
2(4)
Jennifer C. E. Lane
Justin C. R. Wormald
Michael Ng
Dominic Fumiss
1.1 Introduction
2(1)
1.1.1 Routinely Collected, Real-World Data
2(1)
1.1.2 Registry Data
2(1)
1.1.3 The Value of Epidemiological Studies in Hand Surgery
2(1)
1.1.4 International Collaboration and Federated Network Analyses
3(1)
1.2 Flexor Tendon Injury in the National Health Service in England
3(3)
1.2.1 Methods
3(1)
1.2.2 Results
3(1)
1.2.3 Discussion
4(1)
References
5(1)
2 Anatomy and Biomechanics of the Extensor Tendon System
6(13)
Donald Sammut
2.1 Introduction
6(1)
2.2 In the Forearm
6(1)
2.2.1 Group A1: The Mobile Wad
6(1)
2.2.2 Group A2: EDC, EIP, EDM, ECU
7(1)
2.2.3 The Oblique Group: APL, EPB, EPL
7(1)
2.3 At the Wrist
7(1)
23.1 The Extensor Compartments
8(2)
2.4 Other Biomechanical Issues at the Wrist
10(2)
2.5 Over the Metacarpals
12(1)
2.6 The Extensor Apparatus in the Digits
13(4)
2.6.1 The Dynamic Element
15(1)
2.6.2 The Static Elements
15(2)
2.7 Conclusion
17(2)
References
18(1)
3 The Flexor System Anatomy and Biomechanics
19(15)
Duncan Angus McCrouther
3.1 Introduction
19(1)
3.2 Forearm
19(1)
3.3 The Flexor Digitorum Sublimis (Superficialis) (FDS)
19(1)
3.4 Flexor Digitorum Profundus (FDP)
20(1)
3.5 The Wrist Flexor Tendons
21(1)
3.6 The Carpal Canal and the Synovial Sheaths
21(1)
3.7 Lumbrical and Interossei Muscles
22(1)
3.8 Palmar and Digital Areas--Do Zones Exist?
23(1)
3.9 The Flexor Sheath
23(5)
3.9.1 Flexor Tendon Dynamics: Internal Fascicular Spiraling of FDS
25(1)
3.9.2 Flexor Tendon Dynamics: Internal Fascicular Spiraling of FDP
25(3)
3.10 Proximal to the A1 pulley
28(1)
3.11 Synovium
28(3)
3.12 Automatic Mechanisms of the Hand
31(1)
3.13 Tenodesis at the Wrist
32(1)
3.14 Tenodesis of MP and PIP
32(1)
3.15 Summary
32(2)
References
33(1)
4 Basic Science of Tendon Healing
34(10)
Kavit Amin
Georgia Marion Sawides
Jason Wong
4.1 Why Does Tendon Healing Create Such a Problem for Hand Surgeons?
34(1)
4.2 Why Are Tendons Hard to Heal?
34(1)
4.2.1 Anatomical Considerations
34(1)
4.2.2 Microanatomy
34(1)
4.23 Concepts in Tendon Healing
35(9)
4.2.4 Injury Response
35(4)
4.2.5 The "Future" of Tendon Healing
39(1)
References
40(4)
Part II Traumatic Injuries to the Extensor Tendons
5 Injuries at the Distal Interphalangeal Joint
44(8)
Ryan W. Trickett
5.1 Introduction and Historical Perspective
44(1)
5.2 Diagnosis, Pitfalls, and Investigations
45(1)
5.3 Options for Management
46(1)
5.4 Indications for Surgery
47(1)
5.5 Surgical Techniques
47(1)
5.5.1 Closed Bony, Incongruent Joint
47(1)
5.5.2 Open Tendinous Injuries
48(1)
5.53 Open Bony Mallet Injury
48(1)
5.5.4 Chronic Neglected Injuries
48(1)
5.6 Author's Preferred Technique
49(1)
5.7 Essential Rehab Points
50(1)
5.8 Conclusion
50(2)
References
50(2)
6 Injuries at the Proximal Interphalangeal Joint
52(10)
Olga Schuth
Wyndell H. Merritt
6.1 Traumatic Extensor Tendon Injuries at the Proximal Interphalangeal Joint
52(6)
6.1.1 Anatomic and Biologic Considerations
52(1)
6.1.2 The Relative Motion Concept: The "Quadriga Effect" for Early Active Motion
53(1)
6.1.3 Acute Boutonniere Deformity
53(2)
6.1.4 Chronic Boutonniere Deformity
55(2)
6.1.5 Chronic Pseudoboutonniere Deformity
57(1)
6.2 Traumatic Extensor Tendon Injuries Associated with PIP Dislocations
58(3)
6.2.1 Introduction
58(1)
6.2.2 Relevant Anatomy
59(1)
6.2.3 General Considerations
59(1)
6.2.4 Dorsal Dislocations of the PIP joint
60(1)
6.2.5 Volar Dislocations of the PIP joint
60(1)
6.3 Conclusion
61(1)
References
61(1)
7 Injuries to the Sagittal Bands
62(4)
Nina Suh
7.1 Introduction
62(1)
7.2 Diagnosis/Pitfalls/Investigations
62(1)
7.3 Management Options
63(1)
7.3.1 Nonoperative
63(1)
7.3.2 Surgical
63(1)
7.3.3 Author's Preferred Technique: Tips and Tricks
64(1)
7.4 Essential Rehabilitation Points
64(1)
7.5 Conclusions
64(2)
References
65(1)
8 Injuries at the Metacarpophalangeal Joint and "Fight-Bites"
66(4)
David J. Shewring
8.1 Introduction
66(1)
8.2 Assessment
67(1)
8.3 Surgical Approach: Author's Preferred Techniques
67(1)
8.3.1 Clean Injuries
67(1)
8.3.2 "Fight-Bites"
67(1)
8.4 Fight-Bite Injuries to the Proximal Interphalangeal Joint
68(1)
8.5 Microbiology
68(1)
8.6 Further Surgical Procedures
68(1)
8.7 Follow-up
68(1)
8.8 Conclusion
68(2)
References
68(2)
9 Helpful Details of Extensor Tendon Injury and Repair
70(4)
Donald H. Lalonde
9.1 Ultrasound Diagnosis by the Surgeon and Therapist in the Hand Surgery Clinic
70(1)
9.2 Extensor Tendons Can Heal and Function Well with a Small Cap
70(1)
9.3 Dermatotenodesis Is Helpful, Especially with Jagged Injuries such as with Table Saws or Grinders
70(1)
9.4 Relative Motion Flexion Splinting of the MP Joint Is Very Important in Boutonniere Injuries
70(1)
9.5 Relative Motion Extension Splinting of the MP Joint and Early Protected True Active Movement Is Good in Zones 5 and 6 Extensor Tendon Injuries
71(1)
9.6 Wide-Awake Local Anesthesia No Tourniquet (WALANT) Surgery for Extensor Tendon Repair
71(1)
9.7 How to Inject Minimally Painful Local Anesthesia for Wide-Awake Extensor Tendon Repair
71(1)
9.8 Identifying the Correct Anatomy of Proximal Tendon Ends In Saw-Induced Spaghetti Wrists or Forearms in Awake Patients
72(1)
9.9 Suture Technique for Extensor Tendon Repair
72(1)
9.10 You Do Not Need to Use Permanent Sutures in Extensor Tendons
72(2)
References
72(2)
10 Dorsal Hand Injury: Composite Loss
74(6)
Che-Hsiung Lee
Yu-Te Lin
10.1 Introduction and Historical Perspective
74(1)
10.2 Planning of Reconstruction
74(1)
10.3 Specific Surgical Techniques
75(2)
10.3.1 Cutaneotendinous Flaps
75(1)
10.3.2 Fasciocutaneous Flap Combined with Nonvascularized Tendon Grafts
75(2)
10.4 Authors' Preferred Technique/Tips and Tricks
77(1)
10.5 Rehabilitation
78(1)
10.6 Conclusion
78(2)
References
78(2)
11 Rehabilitation Following Extensor Tendon Injury
80(10)
Nick Gape
Sarah Turner
11.1 Zone 3
80(3)
11.1.1 Closed Injuries
80(2)
11.1.2 Surgically Repaired Injuries
82(1)
11.2 Zones 5-6
83(1)
11.3 Zone 7
84(1)
11.4 Zones 8/9
84(1)
11.5 The Thumb
85(1)
11.6 Conclusion
86(4)
References
86(4)
Part III Traumatic Injuries to the Flexor Tendons
12 Zone 1 Flexor Tendon Injury
90(12)
Dean E. Boyce
Jurga Pikturnaite
12.1 Epidemiology and Etiology
90(1)
12.2 Clinical Presentation and Diagnosis
90(1)
12.3 Types and Classifications
90(2)
12.4 Overview of Treatment Options for Zone 1 FDP Tendon Injuries
92(3)
12.4.1 Management of Open Zone 1 Flexor Tendon Injuries
92(1)
12.4.2 Management of Closed Zone 1 Flexor Avulsion Injuries
93(2)
12.5 Complex Injuries
95(1)
12.6 Predictors of Outcome
96(2)
12.7 Rehabilitation
98(1)
12.8 Author's Preferred Method of Repairing Zone 1 Flexor Tendon Avulsion Injury
98(4)
References
99(3)
13 Injuries in Zone II
102(28)
13.1 The History of Flexor Tendon Injuries in Zone 2:100 Years of Knowledge, Understanding, and Practice
102(4)
Rob Savage
13.1.1 Repair Principles in 1922
102(1)
13.1.2 Early Knowledge of Tendon Health, Healing, and Repair
102(1)
13.1.3 No-Man's Land and the Tendon Graft 1930-1970
102(1)
13.1.4 Changes in Surgical Suture Materials
103(1)
13.1.5 Resurgence of Primary Tendon Repair
103(1)
13.1.6 Revelations of the Effects of Surgical Treatment on Tendon Healing and Adhesion
103(1)
13.1.7 Strategies for Managing Adhesion
103(1)
13.1.8 Building Effective Tendon Repairs to Allow Active Movement
104(1)
13.1.9 Challenging the Dogma of Absolute Sheath Closure
104(1)
13.1.10 Mobilization
104(1)
13.1.11 Current Clinical Trends and Conclusion
105(1)
References
105(1)
13.2 Approaches, Treatment of the Sheath and Tendon Retrieval
106(2)
Jin Bo Tang
13.2.1 Approaches
106(1)
13.2.2 Treatment of the Sheath
106(1)
13.2.3 Tendon Retrieval
106(1)
References
107(1)
13.3 Suture Techniques
108(5)
Michael Sandow
13.3.1 Introduction
108(1)
13.3.2 Flexor Tenorrhaphy Principles
108(1)
13.3.3 Repair Components
108(3)
13.3.4 Outcomes Testing
111(1)
13.3.5 Causes of Failure-What It Tells Us
111(1)
13.3.6 Summary and Optimum Combination of Factors
112(1)
References
112(1)
13.4 "How I Do It"
113(7)
13.4.1 How I Do It
113(1)
Rob Savage
13.4.2 How I Do It
114(2)
Jin Bo Tang
13.4.3 How I Do It-Adelaide Flexor Tenorrhaphy
116(4)
Michael Sandow
13.5 Postoperative Management Regimes
120(4)
Karen Redvers-Chubb
Denise O'Brien
13.5.1 Introduction
120(1)
13.5.2 Work of Flexion and Rehabilitation
120(1)
13.5.3 Wrist Position and Flexor Tendon Glide
120(1)
13.5.4 Progression of Flexor Tendon Regimes
120(1)
13.5.5 Flexor Pollicis Longus Repair and Rehabilitation
121(1)
13.5.6 Flexor Tendon Repairs in Children
122(1)
13.5.7 Conclusion
123(1)
References
123(1)
13.6 Outcome Measurement
124(6)
Joy C. MacDermid
13.6.1 Selection of Outcome Measure
124(3)
13.6.2 Implementation of Outcome Measures
127(1)
References
127(3)
14 Traumatic Injuries to the Flexor Tendons in Zones 3,4, and 5
130(8)
Michael Wayne Solomons
14.1 Introduction and Historical Perspective
130(1)
14.2 Diagnosis and Investigations
130(1)
14.3 Options for Management
131(1)
14.3.1 Nonoperative
131(1)
14.3.2 Surgical
132(1)
14.4 Indications for Surgery
132(1)
14.5 Surgical Techniques
132(4)
14.5.1 Zone 3
132(1)
14.5.2 Zone 4
133(1)
14.5.3 Zone 5
134(2)
14.6 Author's Preferred Technique: Tips and Tricks
136(1)
14.6.1 Rehabilitation
136(1)
14.7 Conclusion
137(1)
References
137(1)
15 Injuries to the Flexor Pollicis Longus
138(5)
Maurizio Calcagni
Esther Vogelin
Bernadette Tobler
Vera Beckmann-Fries
Marco Guidi
15.1 Introduction
138(1)
15.2 Pitfalls
138(1)
15.3 Author's Preferred Technique
139(1)
15.4 Zone 1 Injuries
139(1)
15.5 Zone 2 Injuries
139(1)
15.6 Rehabilitation
140(1)
15.7 The Retracted FPL
140(1)
15.8 Functional Outcomes
141(1)
15.9 Conclusion
141(2)
References
141(2)
16 Traumatic Pulley Problems
143(7)
Andreas Schweizer
16.1 Anatomy and Biomechanics of the Pulleys
143(1)
16.2 Pathophysiology of Closed Flexor Pulley Lesions
143(1)
16.3 Diagnosis of Closed Pulley Injuries
144(1)
16.4 Conservative Treatment of Closed Pulley Disruption
145(1)
16.5 Pulley Reconstruction
145(3)
16.6 Iatrogenic Pulley Lesions and Pulley Venting for Flexor Tendon Suture
148(2)
References
149(1)
17 Closed Ruptures of Flexor and Extensor Tendons of the Wrist and Hand
150(6)
Daniel J. Brown
17.1 Introduction
150(1)
17.2 Etiology
150(3)
17.2.1 Acute Spontaneous Rupture
150(1)
17.2.2 Infiltrative-Secondary to Inflammatory Processes, as in Rheumatoid Arthritis
151(1)
17.2.3 Attritional-Secondary to Mechanical Processes, in Arthritis and Similar Conditions
151(1)
17.2.4 Posttraumatic-Secondary to Previous Trauma, Specifically Distal Radius Fracture
152(1)
17.2.5 Iatrogenic-Secondary to Orthopaedic Implants
152(1)
17.3 Diagnosis and Investigations
153(1)
17.3.1 Presentation and Diagnosis
153(1)
17.3.2 Investigation
153(1)
17.4 Options for Management
153(1)
17.4.1 Nonoperative Management
153(1)
17.4.2 Indications for Surgery
154(1)
17.4.3 Surgical Techniques
154(1)
17.4.4 Rehabilitation Following Closed Tendon Rupture
154(1)
17.5 Conclusion
154(2)
References
154(2)
18 Flexor Tendon: Late Reconstruction and Salvage Options
156(6)
Covin Schaller
Mark Pickford
18.1 Introduction
156(1)
18.2 Delayed Primary Repair
156(1)
18.3 Primary Tendon Crafting (Single-Stage Reconstruction)
157(1)
18.4 Two-Stage Flexor Tendon Crafting
157(1)
18.4.1 Stage 1
158(1)
18.4.2 Stage 2
158(1)
18.5 Vascularized Flexor Tendon Transfer
158(1)
18.6 Outcomes, Complications, and Treatment Options
159(1)
18.7 Wide-Awake Local Anesthetic No Tourniquet (WALANT): A Technique for Improving Outcomes
160(2)
References
160(2)
Part IV Enthesopathies, Infection, and Inflammatory Problems
19 Trigger Digits
162(8)
Jayaletchumi Gunasagaran
Khoo Saw Sion
Tunku Sara Ahmad
19.1 Historical Perspective
162(1)
19.2 Diagnosis/Pitfalls/Investigations
162(1)
19.2.1 Diagnosis
162(1)
19.2.2 Classification
162(1)
19.2.3 Pitfalls
163(1)
19.2.4 Investigations
163(1)
19.3 Management
163(2)
19.3.1 Nonoperative
163(1)
19.3.2 Surgical
163(2)
19.4 Indications for Surgery
165(1)
19.5 Surgical Techniques
166(1)
19.5.1 Thumb
167(1)
19.5.2 Special Considerations
167(1)
19.6 Technique of Percutaneous Needle Release
167(2)
19.7 Discussion/Conclusion
169(1)
References
169(1)
20 The "Swan-Neck" Deformity
170(9)
Anna Luan
Paige M. Fox
20.1 Introduction
170(1)
20.2 Diagnosis/Pitfalls/Investigations
171(1)
20.3 Options for Management
172(1)
20.3.1 Nonoperative Management
172(1)
20.3.2 Surgical Management
172(1)
20.4 Indications for Surgery
173(1)
20.5 Surgical Techniques
173(3)
20.6 Authors' Preferred Technique: Tips and Tricks
176(1)
20.7 Essential Rehabilitation Points
177(1)
20.8 Conclusion
177(2)
References
178(1)
21 De Quervain's and Intersection Syndrome
179(5)
Margaret Fok
Gregory I. Bain
21.1 De Quervain's Syndrome
179(2)
21.1.1 Introduction and Historical Perspective
179(1)
21.1.2 Diagnosis and Pitfalls
179(1)
21.1.3 Nonoperative Treatment
180(1)
21.1.4 Surgical Intervention
180(1)
21.2 Intersection Syndrome
181(1)
21.2.1 Introduction and Historical Prospective
181(1)
21.2.2 Diagnosis and Pitfalls
181(1)
21.2.3 Nonoperative Treatment
182(1)
21.2.4 Surgical Intervention
182(1)
21.3 Discussion and Conclusion
182(2)
References
182(2)
22 Rheumatoid Problems at the Metacarpophalangeal Joints
184(7)
James K-K Chan
Jagdeep Nanchahal
22.1 Introduction
184(1)
22.2 Pathophysiology
184(1)
22.3 Principles of Management
185(1)
22.3.1 Assessment
185(1)
22.3.2 Investigations
185(1)
22.3.3 Consultation
185(1)
22.4 Nonoperative Treatment
185(1)
22.5 Surgery
186(2)
22.5.1 Preoperative Management
186(1)
22.5.2 MCP Synovectomy and Realignment
186(1)
22.5.3 Arthroplasty
186(1)
22.5.4 Technique
186(1)
22.5.5 Cross Intrinsic Release
187(1)
22.5.6 Crossed Intrinsic Transfer
187(1)
22.5.7 Rehabilitation
188(1)
22.6 Outcomes
188(1)
22.6.1 Posture, Function, and Quality of Life
188(1)
22.6.2 Complications
188(1)
22.7 Conclusions
189(2)
References
189(2)
23 Rheumatoid Digits
191(5)
Grey Ciddins
23.1 Introduction
191(1)
23.2 Flexor Tendons
191(2)
23.2.1 Flexor Synovitis/Triggering
191(1)
23.2.2 Flexor Tendon Rupture
192(1)
23.3 Extensor Tendons
193(2)
23.3.1 Swan-Neck Deformity
193(1)
23.3.2 Boutonniere Deformity
193(1)
23.3.3 Mallet Deformity
194(1)
23.4 Conclusion
195(1)
References
195(1)
24 The Elderly "Clasped Hand"
196(9)
Peter Charles Rhee
24.1 Introduction
196(1)
24.2 Pathoanatomy
196(1)
24.3 Evaluation
196(1)
24.3.1 Physical Examination
196(1)
24.3.2 Diagnostic Studies
196(1)
24.4 Management Options
197(1)
24.4.1 Nonoperative
197(1)
24.4.2 Operative
197(1)
24.5 Author's Preferred Technique
198(5)
24.5.1 Clasped Hand with Volitional Motor Control
198(2)
24.5.2 Clasped Hand without Volitional Motor Control
200(1)
24.5.3 Joint Contractures in Clasped Hands with or without Volitional Motor Control
200(3)
24.6 Rehabilitation
203(1)
24.7 Discussion
203(1)
24.8 Conclusion
203(2)
References
204(1)
25 Infection of the Flexor Tendon Sheaths: Pyogenic Flexor Tenosynovitis
205(11)
Matthew M. Florczynski
Kevin C. Chung
25.1 Introduction
205(1)
25.2 Surgical Anatomy
205(1)
25.3 Pathophysiology and Microbiology --
206(1)
25.4 Presentation and Diagnosis
207(1)
25.5 Treatment
207(3)
25.5.1 Historical Perspective
207(1)
25.5.2 Antibiotic Selection
208(1)
25.5.3 Definitive Nonoperative Treatment
208(1)
25.5.4 Open versus Closed Tendon Sheath Irrigation
209(1)
25.5.5 Continuous Postoperative Irrigation
210(1)
25.5.6 Irrigant Solutions
210(1)
25.6 Authors Recommended Treatment
210(1)
25.7 Complications
210(1)
25.8 Summary
211(5)
References
211(5)
Part V Pediatric Problems
26 Trigger Thumb and Finger
216(7)
Pauline McGee
Wee Lam
26.1 Introduction and Historical Perspective
216(1)
26.2 Diagnosis/Pitfalls/Investigations
216(1)
26.3 Options for Management
217(1)
26.3.1 Nonoperative
217(1)
26.4 Indications for Surgery
217(1)
26.5 Surgical Techniques including Author's Preferred Technique/Tips and Tricks
217(5)
26.5.1 Trigger Thumb Release
218(1)
26.5.2 Trigger Finger Release
219(3)
26.6 Essential Rehabilitation Points
222(1)
26.7 Conclusion
222(1)
References
222(1)
27 Tendon Injuries in Children
223(15)
Daniel Weber
27.1 Introduction
223(1)
27.2 Physiology
223(1)
27.3 Initial Assessment of Injuries
223(1)
27.4 General Principles for Tendon Repair
224(1)
27.4.1 Incisions
224(1)
27.4.2 Skin Sutures
224(1)
27.5 Rehabilitation in Children
224(3)
27.6 Flexor Tendon Injuries
227(5)
27.6.1 Primary Surgical Repair
227(2)
27.6.2 Rehabilitation in Flexor Tendon Injuries
229(1)
27.6.3 Tendon Defects
230(1)
27.6.4 Secondary Reconstructions after Flexor Tendon Injuries
231(1)
27.7 Extensor Tendon Injuries
232(2)
27.7.1 Open Injuries with Tendon Lacerations
232(1)
27.7.2 Closed Tendon Injuries
233(1)
27.8 Complex Hand Injuries Including Tendons
234(4)
References
234(4)
Part VI Tendon and Nerve Transfer
28 Principles of Tendon Transfers
238(14)
Neil Jones
28.1 Introduction
238(1)
28.2 General Principles of Tendon Transfers
238(1)
282.1 Bone and Soft Tissue Healing
238(1)
28.3 Selection of the Donor Muscle-Tendon
239(1)
28.3.1 Expendability
239(1)
28.3.2 Amplitude
239(1)
28.3.3 Strength
240(1)
28.3.4 Direction of Transfer
240(1)
28.3.5 One Function
240(1)
28.3.6 Synergy
240(1)
28.4 Surgical Planning
240(1)
28.5 Timing of Tendon Transfers
240(1)
28.6 Surgical Techniques
240(1)
28.7 Tendon Transfers for Radial Nerve Palsy
241(1)
28.7.1 Indications
241(1)
28.7.2 Timing
241(1)
28.8 Tendon Transfers for "Low" Median Nerve Palsy
242(2)
28.8.1 Anatomical Considerations
242(1)
28.8.2 Timing
243(1)
28.9 Tendon Transfers for "High" Median Nerve Palsy
244(1)
28.9.1 Anatomical Considerations
244(1)
28.9.2 Timing
244(1)
28.10 Tendon Transfers for "Low" Ulnar Nerve Palsy
244(3)
28.10.1 Anatomical Considerations
244(3)
28.10.2 Timing
247(1)
28.11 Tendon Transfers for "High" Ulnar Nerve Palsy
247(1)
28.12 Tendon Transfers for Combined Nerve Injuries
248(1)
28.13 Tendon Transfers for "Low" Median-"Low" Ulnar Nerve Palsy
248(1)
28.14 Tendon Transfers for "High" Median-"High" Ulnar Nerve Palsy
248(1)
28.15 Tendon Transfers for Reconstruction after Trauma
249(3)
28.15.1 Indications
249(1)
References
249(3)
29 Radial Nerve Palsy
252(6)
Erik T. Walbeehm
29.1 Introduction and Historical Perspective
252(1)
29.2 Anatomy
252(1)
29.3 Etiology of Radial Nerve and PIN Palsy
253(1)
29.4 Diagnosis/Pitfalls/Investigations
253(1)
29.5 Options for Management
254(1)
29.6 Nonoperative Management
254(1)
29.7 Indications for Surgery
255(1)
29.8 Surgical Techniques
255(1)
29.9 Author's Preferred Technique/Tips and Tricks
255(1)
29.10 Essential Rehabilitation Points
256(1)
29.11 Discussion and Conclusions
256(2)
References
256(2)
30 Ulnar Nerve Palsy
258(13)
S. Raja Sabapathy
Praveen Bhardwaj
30.1 Introduction
258(1)
30.2 Role of Nerve Transfers
258(1)
30.3 Role of Tendon Transfers
258(11)
30.3.1 Claw Hand
258(10)
30.3.2 Restoration of the Thumb Pinch
268(1)
30.4 Conclusion
269(2)
References
269(2)
31 Median Nerve Palsy
271(16)
Ellen Yutan Lee
Sandeep Jacob Sebastin
31.1 Introduction
271(1)
31.2 Anatomy
271(2)
31.2.1 Course
271(1)
31.2.2 Branches
271(1)
31.2.3 Variations
272(1)
31.2.4 Points of Compression
273(1)
31.3 Classification
273(1)
31.4 Clinical Examination
274(2)
31.5 Investigations
276(1)
31.6 Treatment
277(7)
31.6.1 Restoration of Thumb Opposition
278(4)
31.6.2 Restoration of Thumb and Index Finger Flexion
282(2)
31.6.3 Restoration of Sensation
284(1)
31.7 Summary
284(3)
References
285(2)
32 Nerve versus Tendon Transfers
287(9)
Elspeth J.R. Hill
Fernando Levaro
Francisco Soldado
Jayme A. Bertelli
32.1 Benefits of Nerve versus Tendon Transfers
287(1)
32.2 Our Approach: Early Nerve Reconstruction and Distal Nerve Transfers
287(1)
32.3 Median Nerve Reconstruction
287(3)
32.3.1 Introduction
287(1)
32.3.2 Nerve Transfers for Reconstruction of Median Nerve Function
288(1)
32.3.3 Tendon Transfers for Reconstruction of Median Nerve Function
289(1)
32.3.4 Discussion
290(1)
32.4 Radial Nerve Reconstruction
290(3)
32.4.1 Introduction
290(1)
32.4.2 Our Preferred Strategy for Reconstruction of Radial Nerve Function
291(1)
32.4.3 Triple Nerve Transfer for Reconstruction of Motor Radial Nerve Function
292(1)
32.4.4 Our Preferred Tendon Transfers for Reconstruction of Radial Nerve Function
293(1)
32.5 Ulnar Nerve Reconstruction
293(2)
32.5.1 Introduction
293(1)
32.5.2 Our Preferred Strategy for Reconstruction of Ulnar Nerve Function
294(1)
32.5.3 Our Preferred Nerve Transfers for Reconstruction of Motor and Sensory Ulnar Nerve Function
294(1)
32.5.4 Our Preferred Tendon Transfers for Reconstruction of Ulnar Nerve Function
295(1)
32.6 Summary
295(1)
References
295(1)
33 Targeted Reconstructive Tendon Surgeries to Augment Key Hand Functions in Tetraplegia
296(6)
Jan Friden
33.1 Introduction
296(1)
33.2 Nonoperative Treatment
297(1)
33.3 Surgical Treatments
297(5)
33.3.1 Tendon Transfer of BR to ECRB
298(1)
33.3.2 BR-FPL via IOM
299(1)
33.3.3 Intrinsic Muscle Reconstructions
299(1)
33.3.4 Thumb Palmar Abduction by Transfer of EDM to APB
300(1)
35.3.5 Kestoranon oi Active intrinsic iviuscie Function (Fingers)-FDS of the Ring Finger to Lumbrical Muscles 1-4 or FDS of the Middle Finger to the Lumbrical Muscles 1-2 and FDS4 of the Ring Finger to Lumbrical Muscles 3-4
301(1)
33.3.6 Thumb Positioning by EPL-EPB Tenorrhaphy and APL Tendon Shortening
301(1)
33.4 Conclusions
302(1)
References 302(2)
Index 304