Problems in Hand Surgery. Solutions to Recover Function

Description

Problems in Hand Surgery Contents Videos Foreword Preface Acknowledgments Contributors Part I Problems with Nailbed Repairs 1 Nonadherence of the Nail Plate 1.1 Patient History Leading to the Specific Problem 1.2 Anatomic Description of the Patient’s Current Status 1.3 Recommended Solution to the Problem 1.4 Technique 1.5 Postoperative Photographs and Critical Evaluation of Results 1.6 Teaching Points Bibliography 2 Posttraumatic Split Nails 2.1 Patient History Leading to the 2.2 Anatomic Description of the Patient’s Current Status 2.3 Recommended Solution to the 2.4 Technique 2.5 Postoperative Photographs and Critical Evaluation of Results 2.6 Teaching Points 3 Gentian Violet Treatment of Severe Chronic Paronychia 3.1 Introduction 3.2 Patient History Leading to the 3.4 Recommended Solution to the 3.6 Postoperative Photographs and 3.7 Patient History Leading to the 3.9 Recommended Solution to the 3.11 Postoperative Photographs 3.12 Teaching Points Part II Problems with Trigger Release 4 Bowstringing 4.1 Patient History Leading to the 4.2 Anatomic Description of the Patient’s Current Status 4.3 Recommended Solution to the Problem 4.4 Technique 4.5 Postoperative Photographs and Critical Evaluation of Results 4.6 Teaching Points Bibliography Part III Problems with Dupuytren’s Disease 5 Exposed Tendons 5.1 Patient History Leading to the 5.2 Anatomic Description of the Patient’s Current Status 5.3 Recommended Solution to the Problem 5.4 Technique 5.5 Postoperative Photographs and Critical Evaluation of Results 5.6 Teaching Points Bibliography 6 Acute Vascular Compromise after Dupuytren’s Fasciectomy 6.1 Patient History Leading to the 6.2 Anatomic Description of the Patient’s Current Status 6.3 Recommended Solution to the 6.4 Technique 6.5 Postoperative Photographs and Critical Evaluation of Results 6.6 Teaching Points 7 Secondary Contractures 7.1 Patient History Leading to the Patient’s Current Status 7.4 Technique 7.5 Postoperative Photographs 7.6 Teaching Points 8 Complications of Dupuytren’s Contracture Treatment 8.1 Patient History Leading to the 8.2 Anatomic Description of the Patient’s Current Status 8.3 Recommended Solution to the 8.4 Technique 8.5 Postoperative Photographs and Critical Evaluation of Results 8.6 Teaching Points Part IV Problems with Flexor Tendon Repairs 9 Flexor Tendon Rupture 9.1 Patient History Leading to the 9.2 Anatomic Description of the Patient’s Current Status 9.3 Recommended Solution to the Problem 9.4 Technique 9.5 Postoperative Photographs and Critical Evaluation of Results 9.6 Teaching Points Bibliography 10 Adhesions of the Flexor Tendon 10.1 Patient History Leading to Patient’s Current Status 10.4 Technique 10.5 Critical Evaluation of Results 10.6 Teaching Points 11 Bowstringing of the Flexor Tendon 11.1 Patient History Leading to Patient’s Current Status 11.4 Technique 11.5 Postoperative Photographs and Critical Evaluation of Results 11.6 Teaching Points 12 Ruptured Flexor Pollicis Longus Tendon 12.1 Patient History Leading to Patient’s Current Status 12.4 Technique 12.5 Postoperative Photographs 12.6 Teaching Points Part V Problems with Extensor Tendon Repair 13 Extensor Lag 13.1 Patient History Leading to Patient’s Current Status 13.4 Technique 13.5 Postoperative Photographs 13.6 Teaching Points 15 Relative Motion Treatment of Chronic Boutonniere Deformity 15.1 Patient History Leading to 15.2 Anatomic Description of the Patient’s Current Status 15.3 Recommended Solution to 15.4 Technique 15.5 Postoperative Photographs and Critical Evaluation of Results 15.6 Teaching Points 16 Management of Chronic Sagittal Band Rupture 16.1 Patient History Leading to 16.2 Anatomic Description of the Patient’s Current Status 16.3 Recommended Solution to 16.4 Technique 16.5 Postoperative Photographs and Critical Evaluation of Results 16.6 Teaching Points References 17 Posttraumatic Swan Neck Deformity 17.1 Patient History Leading to 17.2 Anatomic Description of the Patient’s Current Status 17.3 Technique 17.4 Postoperative Photographs 17.5 Teaching Points Part VI Problems with Vasospasm 18 Refractory Raynaud’s Phenomenon 18.1 Patient History Leading to 18.2 Anatomic Description of the Patient’s Current Status 18.4 Technique 18.5 Postoperative Photographs 18.6 Teaching Points Part VII Problems with Compression Neuropathy 19 A Practical Approach to Recurrent Carpal Tunnel Syndrome 19.1 Patient History Leading to 19.2 Anatomic Description of the Patient’s Current Status 19.3 Recommended Solution to 19.4 Technique 19.5 Postoperative Photographs and Critical Evaluation of Results 19.6 Teaching Points 20 Recurrent Carpal Tunnel Syndrome 20.1 Patient History Leading to 20.2 Anatomic Description of the Patient’s Current Status 20.3 Recommended Solution to 20.4 Technique 20.5 Postoperative Photographs and Critical Evaluation of Results 20.6 Teaching Points 21 Failed Carpal Tunnel Release: Recognizing the Lacertus Syndrome 21.1 Patient History Leading to 21.2 Anatomic Description of the Patient's Current Status 21.3 Recommended Solution to 21.4 Technique 21.5 Postoperative Photographs and Critical Evaluation of Results 21.6 Teaching Points 22 Cubital Tunnel Release at the Elbow 22.1 Patient History Leading to Patient’s Current Status 22.4 Technique 22.5 Postoperative Photographs 22.6 Teaching Points Bibliography 23 Recurrent Cubital Tunnel 23.1 Patient History Leading to Patient’s Current Status 23.4 Technique 23.6 Teaching Points Bibliography 24 Recurrent Ulnar Neuropathy 24.1 Patient History Leading to Patient’s Current Status 24.4 Technique 24.5 Postoperative Photographs 24.6 Teaching Points 25 Radial Tunnel Release in the Forearm 25.1 Patient History Leading to 25.2 Anatomic Description of the Patient’s Current Status 25.3 Recommended Solution to 25.4 Technique 25.5 Postoperative Photographs and Critical Evaluation of Results 25.6 Teaching Points Part VIII Problems with Nerve Repair 26 End Neuroma 26.1 Patient History Leading to 26.2 Anatomic Description of the Patient’s Current Status 26.4 Technique 26.5 Postoperative Photographs 26.6 Teaching Points 27 Pain following Nerve Repair 27.1 History 27.2 Anatomic Description of the Patient’s Current Status 27.3 Recommended Solution to the Problem 27.4 Technique for Nerve Harvest and Repair 27.5 Postoperative Care and Critical Evaluation of Results 27.6 Teaching Points Bibliography Part IX Problems with Nerve Palsy 28 Finger Contractures 28.1 Patient History Leading to Patient’s Current Status 28.4 Technique 28.5 Postoperative Photographs 28.6 Teaching Points Part X Sarcoma 29 Incomplete Resection of Sarcoma at the Hand 29.1 Patient History Leading to 29.2 Anatomic Description of the Patient’s Current Status 29.3 Recommended Solution to 29.4 Technique 29.5 Postoperative Photographs and Critical Evaluation of Results 29.6 Teaching Points Part XI Problems with Soft Tissue Coverage 30 Perfusion Problems 30.1 Patient History Leading to 30.2 Anatomic Description of the Patient’s Current Status 30.3 Recommended Solution to the Problem 30.4 Technique 30.5 Postoperative Photographs and Critical Evaluation of Results 30.6 Teaching Points Bibliography 31 The Bulky Flap 31.1 Patient History Leading to Patient’s Current Status 31.4 Technique 31.5 Postoperative Photographs 31.6 Teaching Points 32 Contracture after Acute Trauma Surgery of a Blast Burn 32.1 Patient History Leading to 32.2 Anatomic Description of the Patient’s Current Status 32.3 Recommended Solution to 32.4 Technique 32.5 Postoperative Photographs and Critical Evaluation of Results 32.6 Teaching Points 33 Dorsal Hand Defect 33.1 Patient History Leading to Patient’s Current Status 33.4 Technique 33.5 Postoperative Photographs and Critical Evaluation of Results 33.6 Teaching Points Part XII Problems with Nonarticular Phalanx Fractures 34 Malrotation in Nonarticular Phalanx Fractures 34.1 Patient History Leading to 34.2 Anatomic Description of the Patient’s Current Status 34.3 Recommended Solution to the Problem 34.4 Technique 34.5 Postoperative Photographs and Critical Evaluation of Results 34.6 Teaching Points Bibliography 35 Nonunion in Nonarticular Phalanx Fractures 35.1 Patient History Leading to Patient’s Current Status 35.4 Technique 35.5 Postoperative Photographs 35.6 Teaching Points 36 Stiffness and Hardware Problems in NonarticularPhalanx Fractures 36.1 Patient History Leading to the Specific Problem 36.2 Anatomic Description of the Patient’s Current Status 36.3 Recommended Solution to the Problem 36.4 Technique 36.5 Postoperative Photographs and Critical Evaluation of Results 36.6 Teaching Points Bibliography 37 Angulation in Nonarticular Phalanx Fractures 37.1 Patient History Leading to Patient’s Current Status 37.4 Technique 37.5 Postoperative Photographs 37.6 Teaching Points Part XIII Problems with Articular Phalanx Fractures 38 Angulation in Articular Phalanx Fractures 38.1 Patient History Leading to Patient’s Current Status 38.4 Technique 38.5 Postoperative Photographs 38.6 Teaching Points 39 Posttraumatic Bone Loss in Articular Phalanx Fractures 39.1 Patient History Leading to 39.2 Anatomic Description of the Patient’s Current Status 39.3 Recommended Solution to 39.4 Technique 39.5 Postoperative Photographs and Critical Evaluation of Results 39.6 Teaching Points 40 Fracture after Prior Kirschner’s Wire Fixation 40.1 Patient History Leading to Patient’s Current Status 40.4 Technique 40.5 Postoperative Photographs 40.6 Teaching Points 41 Contractures in Articular Phalanx Fractures 41.1 Patient History Leading to Patient’s Current Status 41.4 Technique 41.5 Postoperative Photographs 41.6 Teaching Points Part XIV Problems with Metacarpal Fractures 42 Nonunion in Metacarpal Fractures 42.1 Patient History Leading to Patient’s Current Status 42.4 Technique 42.5 Postoperative Results and 42.6 Teaching Points 43 Malunion in Metacarpal Fractures 43.1 Patient History Leading to Patient’s Current Status 43.4 Technique 43.5 Postoperative Photographs 43.6 Teaching Points 44 Angulation in Metacarpal Fractures 44.1 Patient History Leading to Patient’s Current Status 44.4 Technique 44.5 Postoperative Photographs 44.6 Teaching Points Part XV Problems with Basalar Joint Osteoarthritis 45 Recurrent Pain in Basilar Joint Osteoarthritis 45.1 Patient History Leading to Patient’s Current Status 45.4 Technique 45.5 Postoperative Photographs 45.6 Teaching Points 46 Painful Proximalization of the First Metacarpal after Trapeziectomy 46.1 Patient History Leading to 46.2 Anatomic Description of the Patient’s Current Status 46.3 Recommended Solution to 46.4 Technique 46.5 Postoperative Photographs and Critical Evaluation of Results 46.6 Teaching Points 47 Metacarpal Phalangeal Hyperextension 47.1 Patient History Leading to Patient’s Current Status 47.4 Technique 47.5 Postoperative Photographs 47.6 Teaching Points Part XVI Problems with Metacarpal Phalangeal Osteoarthritis after Implant Arthroplasty 48 Intraoperative Instability During Metacarpophalangeal Joint Arthroplasty for Osteoarthritis 48.1 Patient History Leading to 48.2 Anatomic Description of the Patient’s Current Status 48.3 Recommended Solution to the Problem 48.4 Technique 48.5 Postoperative Photographs and Critical Evaluation of Results 48.6 Teaching Points Acknowledgments Bibliography 49 Revision of Subsided Pyrocarbon Implants 49.1 Patient History Leading to 49.2 Anatomic Description of the Patient’s Current Status 49.3 Recommended Solution to the Problem 49.4 Technique 49.5 Postoperative Photographs and Critical Evaluation of Results 49.6 Teaching Points Bibliography Part XVII Problems with Interphalangeal Osteoarthritis 50 Failed Silicone Proximal Interphalangeal Joint Arthroplasty 50.1 Patient History Leading to 50.2 Anatomic Description of the Patient’s Current Status 50.3 Recommended Solution to 50.4 Technique 50.5 Postoperative Photographs and Critical Evaluation of Results 50.6 Teaching Points 52 Contracture in Interphalangeal Osteoarthritis 52.1 Patient History Leading to Patient’s Current Status 52.4 Technique 52.5 Postoperative Photographs 52.6 Teaching Points 53 Proximal Interphalangeal Posttraumatic Osteoarthritis 53.1 Patient History Leading to 53.2 Anatomic Description of the Patient’s Current Status 53.3 Recommended Solution to 53.4 Technique 53.5 Postoperative Photographs and Critical Evaluation of Results 53.6 Teaching Points Acknowledgments Part XVIII Problems with Infection in the Thumbs, Fingers, and Wrist 54 Inadequate Drainage of Infection in the Thumbs, Fingers, and Wrist 54.1 Patient History Leading to 54.2 Anatomic Description of the Patient’s Current Status 54.4 Technique 54.5 Postoperative Photographs 54.6 Teaching Points 55 Salvage of Osteomyelitis of the Distal Radius after Internal Fixation of an Open Fracture 55.1 Patient History Leading to 55.2 Anatomic Description of the Patient’s Current Status 55.3 Recommended Solution to 55.4 Technique 55.5 Postoperative Photographs and Critical Evaluation of Results 55.6 Teaching Points 56 Infectious Destruction of the Wrist 56.1 Patient History Leading to Patient’s Current Status 56.4 Technique 56.5 Postoperative Photographs 56.6 Teaching Points Part XIX Problems with Replantation 58 Failed Replant: Ray Amputation 58.1 Patient History Leading to 58.2 Anatomic Description of the Patient’s Current Status 58.3 Recommended Solution to 58.4 Technique 58.5 Postoperative Photographs and Critical Evaluation of Results 58.6 Teaching Points 59 Failed Digit Replant: Toe-to-Hand Transfer 59.1 Patient History Leading to Patient’s Current Status 59.4 Technique 59.5 Postoperative Photographs and Critical Evaluation of Results 59.6 Teaching Points 60 Failed Thumb Replant: Great Toe-to-Thumb Transfer 60.1 Patient History Leading to 60.2 Anatomic Description of the Patient’s Current Status 60.3 Recommended Solution to the Problem 60.4 Technique 60.5 Postoperative Photographs and Critical Evaluation of Results 60.6 Teaching Points Bibliography 61 Failed Replant: Failed Degloving Revascularization 61.1 Patient History Leading to 61.3 Technique 61.4 Postoperative Photographs and Critical Evaluation of Results 61.5 Teaching Points 62 Attempted Replantation 62.1 Patient History Leading to 62.2 Anatomic Description of the Patient’s Current Status 62.3 Recommended Solution to 62.4 Technique 62.5 Postoperative Photographs and Critical Evaluation of Results 62.6 Teaching Points 63 Nonunion following Digital Replant 63.1 Patient History Leading to Patient’s Current Status 63.5 Technique 63.6 Postoperative Photographs and Critical Evaluation of Results 63.7 Teaching Points 64 Nonunion following Major Replant 64.1 Patient History Leading to Patient’s Current Status 64.4 Technique 64.5 Postoperative Photographs and Critical Evaluation of Results 64.6 Teaching Points 65 Painful Finger after Bony Nonunion 65.1 Patient History Leading to Patient’s Current Status 65.4 Technique 65.5 Postoperative Photographs and Critical Evaluation of Results 65.6 Teaching Points 66 Stiff Fingers and Elbow after Replantation 66.1 Patient History Leading to the Specific Problem 66.2 Anatomical Description of the Patient’s Current Status 66.3 Recommended Solution to the Problem 66.4 Technique 66.5 Postoperative Photographs and Critical Evaluation of Results 66.6 Teaching Points Bibliography 67 Poor Grip or Weak Motion after Replantation 67.1 Patient History Leading to Patient’s Current Status 67.4 Technique 67.5 Postoperative Photographs and Critical Evaluation of Results 67.6 Teaching Points Part XX Problems with Complex Regional Pain Syndromes 68 Complex Regional Pain Syndrome 68.1 Patient History Leading to 68.2 Anatomic Description of the Patients Current Status 68.3 Recommended Solution to the Problem 68.4 Teaching Points Bibliography Part XXI Problems with Scaphoid Fractures 69 Nonunion of the Proximal Pole 69.1 Introduction 69.2 Patient History Leading to 69.3 Anatomic Description of the Patient’s Current Status 69.4 Recommended Solution to 69.5 Technique 69.6 Postoperative Photographs and Critical Evaluation of Results 69.7 Teaching Points 70 Scaphoid Nonunion with Avascular Necrosis 70.1 Patient History Leading to Patient’s Current Status 70.4 Technique 70.5 Postoperative Photographs 70.6 Teaching Points 71 Scaphoid Revision Nonunion 71.1 Patient History Leading to Patient’s Current Status 71.4 Technique 71.5 Postoperative Photographs 71.6 Teaching Points 72 Scaphoid Nonunion 72.1 Patient History Leading to Patient’s Current Status 72.4 Technique 72.5 Postoperative Photographs 72.6 Teaching Points 73 Scaphoid Implant Malplacement 73.1 Patient History Leading to 73.2 Anatomic Description of the Patient’s Current Status 73.3 Recommended Solution to 73.4 Technique 73.5 Postoperative Photographs and Critical Evaluation of Results 73.6 Teaching Points Part XXII Problems with Scapholunate Instability 74 Failed Scapholunate Ligament Repair: Acute 74.1 Patient History Leading to 74.2 Anatomic Description of the Patient’s Current Status 74.3 Recommended Solution to 74.4 Technique 74.5 Postoperative Photographs and Critical Evaluation of Results 74.6 Teaching Points 75 Failed Reconstruction with Tenodesis: Chronic 75.1 Patient History Leading to Patient’s Current Status 75.4 Technique 75.5 Postoperative Photographs 75.6 Teaching Points Part XXIII Problems with the Lunotriquetral Joint 76 Problems with the Lunotriquetral Joint after Ligament Repair 76.1 Patient History Leading to 76.2 Anatomic Description of the Patient’s Current Status 76.3 Recommended Solution to the Problem 76.4 Technique 76.5 Postoperative Photographs and Critical Evaluation of Results 76.6 Teaching Points Bibliography 77 Problems with Lunotriquetral Fusion 77.1 Patient History Leading to 77.2 Anatomic Description of the Patient’s Current Status 77.3 Recommended Solution to the Problem 77.4 Technique 77.5 Postoperative Photographs and Critical Evaluation of Results 77.6 Teaching Points Bibliography Part XXIV Problems after Partial Wrist Fusions 78 Complications of Partial Wrist Fusion 78.1 Patient History Leading to 78.2 Anatomic Description of the Patient’s Current Status 78.3 Recommended Solution to 78.4 Technique 78.5 Postoperative Photographs and Critical Evaluation of Results 78.6 Teaching Points 79 Dislocated Lunar Facet Fragments and Radioscapholunate Arthrodesis 79.1 Patient History Leading to 79.2 Anatomic Description of the Patient’s Current Status 79.3 Recommended Solution to 79.4 Technique 79.5 Postoperative Photographs and Critical Evaluation of Results 79.6 Teaching Points Part XXV Total Wrist Arthroplasty 80 Implant Migration after Total Wrist Arthroplasty 80.1 Patient History Leading to 80.2 Anatomic Description of the Patient’s Current Status 80.3 Recommended Solution to 80.4 Technique 80.5 Postoperative Photographs and Critical Evaluation of Results 80.6 Teaching Points Part XXVI Problems with Triangular Fibrocartilage Complex Tears 81 Pain after Triangular Fibrocartilage Complex Tears 81.1 Patient History Leading to 81.2 Anatomic Description of the Patient’s Current Status 81.3 Recommended Solution to the Problem 81.4 Technique 81.5 Postoperative Photographs and Critical Evaluation of Results 81.6 Teaching Points Bibliography 82 Persistent Instability after Triangular Fibrocartilage Complex Tears 82.1 Patient History Leading to 82.2 Anatomic Description of the Patient’s Current Status 82.3 Recommended Solution to the Problem 82.4 Technique 82.5 Postoperative Photographs and Critical Evaluation of Results 82.6 Teaching Points Bibliography Part XXVII Problems with Ulnar Impaction 83 Arthroscopic Treatment of Ulnar Impaction 83.1 Patient History Leading to 83.2 Anatomic Description of the Patient’s Current Status 83.3 Recommended Solution to 83.4 Technique 83.5 Postoperative Photographs and Critical Evaluation of Results 83.6 Teaching Points 84 Nonunion after Ulnar Shortening 84.1 Patient History Leading to Patent’s Current Status 84.4 Technique 84.5 Postoperative Photographs and Critical Evaluation of Results 84.6 Teaching Points Part XXVIII Problems with Distal Radial Ulnar Joint 85 Failed Bowers’ Arthroplasty: Ulnar Head Prosthesis 85.1 Patient History Leading to Patient’s Current Status 85.4 Technique 85.5 Postoperative Photographs 85.6 Teaching Points 86 Dislocated Ulnar Head Prosthesis 86.1 Patient History Leading to Patient’s Current Status 86.4 Technique 86.5 Postoperative Photographs 86.6 Teaching Points Part XXIX Problems with Distal Radius Fractures 87 Distal Radius Fracture Malunion 87.1 Patient History Leading to Patient’s Current Status 87.4 Technique 87.5 Postoperative Photographs 87.6 Teaching Points 88 Distal Radius Fracture Nonunion 88.1 Patient History Leading to Patient’s Current Status 88.4 Technique 88.5 Postoperative Photographs 88.6 Teaching Points 89 Troublesome Lunate Facet 89.1 Introduction 89.2 Patient History Leading to 89.3 Anatomic Description of the Patient’s Current Status 89.4 Recommended Solution to the Problem 89.5 Technique 89.6 Teaching Points Bibliography 90 Troublesome Lunate Facet: Treatment with Microvascular Techniques 90.1 Patient History Leading to 90.2 Anatomic Description of the Patient’s Current Status 90.3 Recommended Solution to the Problem 90.4 Technique 90.5 Postoperative Photographs and Critical Evaluation of Results 90.6 Teaching Points Bibliography Index