By Martin I. Boyer, James Chang MD
100 Hand Cases presents a scientific write-up of a hundred average situations from globally famous experts who move over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.
The situations during this e-book percentage a concise technique consisting of:
- A description of the problem
- Key anatomy
- Principles and medical pearls
- Classic references on the topic of the case
Full-color images and radiographs are incorporated in each one case, in addition to a dialogue of the authors’ most popular therapy solution.
Presented in a hugely templated, high-yield layout, 100 Hand Cases is a perfect quickly reference for college students and trainees getting ready for clinics and the working room, in addition to busy surgeons short of a short reminder on key information.
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Additional info for 100 Hand Cases
Therefore radiographs are critical to evaluate each joint. In this case, the patient noted that the elbow flexion was the greatest cause of disability. Thus the elbow was planned for initial release. The tight scar band is carefully palpated and released. The underlying brachial artery, median nerve, and ulnar nerve are carefully identified and protected. Once the scar bands are released, a large soft tissue area will need coverage. This should be anticipated. A split-thickness skin graft is the first line of treatment in this complex operation.
The use of unlinked prostheses can cause similar complications. Classic Reference Goldfarb CA, Stern PJ. Metacarpophalangeal joint arthroplasty in rheumatoid arthritis. A long-term assessment. J Bone Joint Surg Am 85:1869, 2013. Two hundred and eight arthroplasties in 52 hands of 36 patients were evaluated, and the long-term results were found to deteriorate with time. Almost two thirds of implants were broken, and only a quarter of hands were pain free. The authors suggested that further advancement in the treatment of this manifestation of rheumatoid arthritis was going to be medical rather than surgical.
A physical examination on presentation to the office reveals a bright glassy complexion to the skin, passive and active digital stiffness in attempted flexion, diffuse tenderness on palpation of the dorsal and volar carpus, and decreased objective two-point discrimination in the median nerve distribution. Description of the Problem Subacute, nonspecific signs and symptoms consisting of pain, tenderness, digital stiffness, and skin discoloration and tightness are highly suggestive of complex regional pain syndrome type 1 (CRSP1).