Hand Injuries in the Emergency Department

Description

This new pocketbook introduces students, junior doctors, and clinicians to the vital skills of diagnostic strategy and clinical reasoning for hand injuries. 30% of the patients in an emergency department present with hand injuries or acute non-traumatic problems of the hand. These are rarely life-threatening but can lead to high morbidity and disability due to inadequate diagnosis and treatment resulting in malpractice claims. This book is an easy-to-use ready reckoner for physicians working in ER departments and residents or fellows exposed to hand surgery. It addresses the needs of its core readers and encourages them to refine their powers of observation during physical examination. Key Features: • Presents the content in a comprehensive and logical manner with an appropriate level of illustrations. • Serves as a ready reference of clinical examination in an easy-to-use pocket-book format for residents and physicians who encounter hand injuries. • Covers crucial knowledge in the field of hand trauma. Cover Half Title Title Page Copyright Page Table of Contents Preface A Note on the Author List of Abbreviations Chapter 1: Introduction Chapter 2: Anatomy General Muscles and tendons Extrinsic musculature Flexor tendons (Figures 2.1–2.3) Extensor tendons (Figure 2.4) Intrinsic musculature Blood vessels Nerves Bones of the hand and wrist Chapter 3: Patient history and physical examination Patient history Examination Inspection Palpation Physical examination Extrinsic flexors Extrinsic extensors Intrinsic muscles Thenar muscles Hypothenar Nerves Blood vessels Bones Inspection Palpation Physical examination Chapter 4: Imaging Chapter 5: Anesthesia General Local anesthesia Regional anesthesia Median nerve block at the level of the wrist Ulnar nerve block at the level of the wrist Ulnar nerve block at the level of the elbow Radial nerve block at the level of the wrist Tourniquet-induced exsanguination Technique Chapter 6: Soft tissue injuries Chapter 7: Extensor tendon injuries Mallet finger Patient history Physical examination Treatment Prognosis Boutonnière deformity Patient history Examination Treatment Prognosis Extensor tendon injury at the level of the MCP joints and the dorsum of the hand Patient history Examination Treatment Chapter 8: Flexor tendon and nerve injuries Introduction Physical examination Imaging Treatment Chapter 9: Fingertip injury Patient history Physical examination Treatment Chapter 10: Luxations of the fingers and midhand DIP joint Introduction Patient history Physical examination Imaging Treatment PIP joint Introduction Anamnesis Imaging Treatment MCP joint Introduction Patient history Physical examination Imaging Treatment Chapter 11: Carpal luxations Introduction Os lunatum luxations Perilunate dislocations Introduction Physical examination Imaging Chapter 12: Fractures of the hand Point of attention General Physical examination Imaging Describing the fracture Non-surgical treatment Surgical treatment Fractures in children Special fractures Condylar fractures Avulsion fractures Metacarpal fractures Point of attention General Physical examination Imaging Conservative treatment Surgical treatment Special fractures Bennett fracture Reversed Bennett fracture Rolando fracture Scaphoid fractures Points of attention Patient history Physical examination Imaging Treatment Follow-up Prognosis Distal radius fracture Points of attention Patient history Physical examination Imaging Treatment Post-treatment Prognosis Chapter 13: Amputations and ring avulsions Amputations Points of attention Physical examination Imaging Treatment Ring avulsions Points of attention Physical examination Treatment Follow-up Chapter 14: Hand infections Felon infection General Treatment Paronychia General Points of attention Treatment Erysipelas General Patient history Treatment Bite wounds infections General Treatment Flexor sheath infection General Symptoms Treatment by hand surgeon Septic arthritis General Treatment by hand surgeon Palm infections, phlegmon General Treatment Viral infections: Herpes, Orf Chapter 15: Combustion and high pressure spray injury Thermal combustion and freezing Points of attention Patient history Physical examination Treatment Chemical burns Points of attention Patient history Physical examination Additional examination Treatment Electricity burns Points of attention Patient history Physical examination Additional examination Treatment High pressure washer injury Points of attention Patient history Physical examination Imaging Treatment Chapter 16: Complex regional pain syndrome type I General Points of attention Patient history Physical examination Differential diagnosis Additional examination Index