Women in Hand Surgery
This article integrates historical facts with oral history about Hand Surgery training, national societies, interest groups, achievements, and lived experiences to tell the history and legacy of women in Hand Surgery. (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Authors: Wendy Chen, Allyne Topaz Source Type: research
Diversity, Equity, and Inclusion in Hand Surgery
HAND CLINICS (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Authors: Michael G. Galvez, Kevin C. Chung Source Type: research
Copyright
ELSEVIER (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Source Type: research
Contributors
KEVIN C. CHUNG, MD, MS (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Source Type: research
Contents
Michael G. Galvez and Kevin C. Chung (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Source Type: research
Forthcoming Issues
Current Concepts in Flexor Tendon Repair and Rehabilitation (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2022 Category: Orthopaedics Source Type: research
Vascular Supply of the Wrist
This article reviews the blood supply of the distal radius, ulna, and carpal bones and its clinical implications. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Courtney Carlson Strother, Nicholas Pulos Source Type: research
Kienb öck Disease
In the now 110 years that have passed since Kienböck first published his seminal description of lunate osteonecrosis, improvements in imaging technology and surgical technique have provided a better understanding of Kienböck disease pathogenesis and treatment. However, the precise etiology, natural history, an d optimal treatment remain controversial. Future studies examining the genetics behind the disease and large-scale prospective studies comparing treatment options represent the next step in improving our understanding of this rare and complex phenomenon. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Charles Andrew Daly, Alexander Reed Graf Source Type: research
The Pathoanatomy and Biomechanics of Kienb öck Disease
We present our theories on the etiology and pathogenesis of the condition based on basic science models, seminal literature, personal case experience, and kinematic observations of the Kienböck wrist. Three phenotypes of Kienböck disease occur, and each tends to have different morphology, rates of progression, and disease pattern. The lunate fracture in KD is well-recognized but different fracture types can occur. Dynamic assessment of the Kienböck wrist allows assessment of the complex kinematics of KD. Disease onset and progression require a “perfect storm” of risk factors. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Simon B.M. MacLean, Minhao Hu, Gregory I. Bain Source Type: research
Classification and Radiographic Characterization of Kienb öck Disease
This article outlines the available classification systems and aims to highlight when each may be useful in patient management. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: W. Charles Lockwood, Alexander Lauder Source Type: research
An Algorithmic Approach to the Treatment of Kienb öck Disease
The algorithm and rationale described is a reflection of our own surgical experience for this challenging disorder and can be compared with other publications. Our algorithm has evolved from treatment of a large volume of patients with Kienb öck disease in a referral practice. However, it is limited to the management that we have found logical, effective, and within our scope of experience. The treatment guidelines for our specialty as a whole will evolve as our understanding of the etiology and our ability to quantify efficacy improve s. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Joseph Catapano, James P. Higgins Source Type: research
Osteotomies, Core Decompression, and Denervation for the Treatment of Kienb öck Disease
Various osteotomies, core decompression, and denervation all have demonstrated favorable outcomes in treatment of Kienb öck disease. Given the rarity of this disease, there is a dearth of high-level comparative studies to direct treatment. In this article, the authors review the current literature surrounding these techniques, and provide summary recommendations for the procedure choice. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Kashyap K. Tadisina, Mitchell A. Pet Source Type: research
Vascularized Bone Flaps for the Treatment of Kienb öck Disease
Of the many treatments for Kienb öck disease, only lunate revascularization procedures provide a direct mechanism for reversing the process of osteonecrosis. Owing to the redundant blood supply of the distal radius and carpus, pedicled flaps are versatile solutions for patients with bone loss but intact cartilage. With the advent of free vascularized flaps, the indications for lunate revascularization procedures are expanding. These flaps can be used when the articular cartilage has been compromised and are suitable options to restore native anatomy in patients previously thought to have unreconstructible disease. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Matthew M. Florczynski, Kevin C. Chung Source Type: research
Arthroscopic Management of Kienb öck Disease
Wrist arthroscopy represents the most recent development in the diagnosis and treatment of Kienb öck disease. Through direct visualization of lunate and adjacent carpal articulations, a more accurate diagnosis can be obtained and, ultimately, a more precise treatment decision. Treatments that are based on bypassing, fusing, or excising “nonfunctional” articulations can be done with less mo rbidity than traditional open techniques by using arthroscopy. Given the minimal capsular and soft tissue scarring, this potentially improves early pain and functional recovery. Although technically demanding, long-term outcomes stu...
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Eric R. Wagner, Alexander R. Graf Source Type: research
Avascular Necrosis of Capitate and Other Uncommon Presentations of Carpal Avascular Necrosis
Outside of Preiser and Kienbock disease, avascular necrosis (AVN) of the remaining carpal bones is a rare cause of wrist pain and disability with a natural history that is incompletely understood. At present, much of the available clinical information exists in the form of isolated case reports or small case series. Although reported surgical treatment options are numerous, there is a dearth of comparative studies and long-term outcomes data with which to guide management. (Source: Hand Clinics)
Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Brent B. Pickrell, Carl M. Harper Source Type: research
