The Burden of Fingertip Trauma on the US Military
Fingertip injuries in the military are common and often hinder the fighting force and support personnel. Injuries range from small subungual hematomas to proximal finger amputations. Treatment modalities are dictated by injury patterns, anatomic considerations, and the need to return to duty. Nail bed injuries should be repaired when possible and exposed bone or tendon is treated with appropriate soft tissue coverage. If soft tissue coverage is unobtainable, revision amputation should be performed with attention given to maintaining as much finger length as possible. Antibiotics may not be required, however they are often ...
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Matthew E. Wells, John P. Scanaliato, Nicholas A. Kusnezov, Leon J. Nesti, John C. Dunn Source Type: research
Understanding and Measuring Long-Term Outcomes of Fingertip and Nail Bed Injuries and Treatments
This article outlines general outcome measures principles as well as guidelines on choosing, implementing, and interpreting specific tools for these injuries. It also presents recent results from the literature for many of these measures, which can help learners, educators, and researchers by providing a clinical knowledge base and aiding study design. (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Kenneth R. Means, Rebecca J. Saunders Source Type: research
Fingertip Injuries in Athletes, Musicians, and Other Special Cases
Management of fingertip injuries in athletes is optimized by consideration of the sport, the playing position, the timing within the season, the level of competition, and the patient ’s goals. Mallet and jersey fingers are common injuries in athletes and may be treated in several different ways, based on the nature of the injury and the timing of presentation, as well as the athlete’s demands. Management of fingertip injuries in musicians is optimized by consideration of how the musician handles his or her instrument and the specific requirements of the injured digit in the context of musical performance. (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Bryan Bourland, Eric Astacio, Abdo Bachoura, John D. Lubahn Source Type: research
Restoring Form and Function to the Partial Hand Amputee
This article highlights the various classes of partial hand prostheses currently available, including passive functional, body-powered, and externally powered options. Familiarity with these partial hand prostheses will better enable providers to care for partial hand amputees. (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Emily M. Graham, Russell Hendrycks, Christopher M. Baschuk, Diane J. Atkins, Lana Keizer, Christopher C. Duncan, Shaun D. Mendenhall Source Type: research
Preface
Although perhaps not as controversial or exciting as many of the other frequently reviewed topics in hand surgery, managing fingertip injuries and nail deformities is an integral part of all hand surgery practice. Anyone who has sustained a minor crush or small laceration to their fingertip is aware of the incredible discomfort and functional limitation that can come from a seemingly unimpressive insult. Yet, for such a commonly injured and relatively impactful part of the body, academic pursuits around fingertip care, from the simplest problems to the most complex injuries and treatment options, remain sparse. (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Aviram M. Giladi Source Type: research
Treatment of Fingertip Injuries and Nail Deformities
HAND CLINICS (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Authors: Aviram M. Giladi Source Type: research
Copyright
ELSEVIER (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Source Type: research
Contributors
KEVIN C. CHUNG, MD, MS (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Source Type: research
Contents
Aviram M. Giladi (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Source Type: research
Forthcoming Issues
Neuroma, Neural Interface, and Prosthetics (Source: Hand Clinics)
Source: Hand Clinics - November 14, 2020 Category: Orthopaedics Source Type: research
Biomechanical Factors in Stability of the Forearm
In the forearm, ligaments and joints act in unison to facilitate placement of the hand in 3-dimensional space and transmit loads across the upper extremity. Intricate, effective forearm stabilizers facilitate physiologic motions and restrict abnormal ones. The proximal radioulnar joint, interosseous ligament complex, and distal radioulnar joint work together to ensure the forearm is stable. Each ligament and joint is designed to leverage its biomechanical advantages. Damage destabilizes the synergy of the forearm and results in debilitating injury patterns. Physicians need to understand how all these structures work togeth...
Source: Hand Clinics - October 9, 2020 Category: Orthopaedics Authors: Jorge L. Orbay, Richard A. Cambo Source Type: research
Galeazzi Injuries
Fractures of the radial shaft associated with disruption of the distal radioulnar joint (DRUJ) are termed Galeazzi fractures. These fractures are unstable injuries requiring open reduction and internal fixation of the fracture to achieve optimal outcomes. DRUJ stability should be carefully assessed intraoperatively and addressed accordingly. (Source: Hand Clinics)
Source: Hand Clinics - October 9, 2020 Category: Orthopaedics Authors: Rohit Garg, Chaitanya Mudgal Source Type: research
The One Bone Forearm
This article presents experience with creating a one bone forearm in patients using synostosis procedures. (Source: Hand Clinics)
Source: Hand Clinics - October 9, 2020 Category: Orthopaedics Authors: Brett Schiffman, Douglas Hanel Source Type: research
Solutions for the Unstable and Arthritic Distal Radioulnar Joint
An unstable and osteoarthritic distal radioulnar joint presents with considerable functional impairment, pain, and weakness in gripping manipulation of objects. A wide variety of surgical alternatives have been described to address these concerns. Resection arthroplasties include different types of distal ulna resection and soft tissue procedures; good overall results have been described for these types of procedures, although they have shown limitations in achieving and maintaining pain relief and stability, especially in more active patients. Since the late 1980s, partial and total joint arthroplasties have emerged as go...
Source: Hand Clinics - October 9, 2020 Category: Orthopaedics Authors: Juan Manuel Breyer, Pamela Vergara Source Type: research
Solutions for the Unstable and Arthritic Elbow Joint
An unstable, arthritic elbow presents a therapeutic challenge. Patients may have painful, limited range of motion, often due to trauma or progressive joint destruction from rheumatologic disease. The options for management may be particularly challenging when treating young, active patients. While elbow arthroplasty usually provides predictable pain relief and joint range of motion, concerns exist regarding postoperative activity limitations and implant survival. Therefore, these procedures are limited to select subsets of patients, typically low-demand, elderly patients. Interposition arthroplasty is an option for the you...
Source: Hand Clinics - October 9, 2020 Category: Orthopaedics Authors: Danil A. Rybalko, Michael R. Hausman Source Type: research
