100 Hand Cases by Martin I. Boyer, James Chang MD

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By Martin I. Boyer, James Chang MD

100 Hand Cases presents a scientific write-up of a hundred common instances from globally famous gurus who go over among cosmetic surgery and orthopedics, the 2 specialties devoted to education hand surgeons.

The circumstances during this publication proportion a concise procedure consisting of:

  • A description of the problem
  • Key anatomy
  • Workup
  • Treatment
  • Alternatives
  • Principles and medical pearls
  • Pitfalls
  • Classic references with regards to the case

Full-color images and radiographs are incorporated in every one case, in addition to a dialogue of the authors’ most popular remedy solution.

Presented in a hugely templated, high-yield layout, 100 Hand Cases is a perfect fast reference for college kids 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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The decrease in articular cartilage and the development of osteophytes and subchondral cysts occur slowly over time and are often painless. The loss of motion can affect grip strength negatively; however, this is infrequently the reason for presentation. On examination, frontal plane deformity is often present because of the asymmetrical loss of articular cartilage on the radial and ulnar surfaces of the joint and because of prominent osteophytes that prevent dorsal access to the joint for injections.

Wei FC, Chen HC, Chuang CC, Chen SH. Microsurgical thumb reconstruction with toe transfer: selection of various techniques. Plast Reconstr Surg 93:345, 1994. This truly classic article discussed the various options for toe transfer. The Chang Gung group had the largest ­experience in toe transfer in the world. indb 18 12/8/2015 1:09:00 PM 7 Complex Regional Pain Syndrome This 38-year-old woman presents with a 4-month history of pain, stiffness, decreased strength, and an inability to return to work after experiencing a minor work-related injury in which her hand and wrist were caught b ­ etween a sliding glass steel door and its frame.

Some surgeons have advocated metacarpal extension osteotomy or implant arthroplasty; however, these have not gained widespread acceptance. Principles and Clinical Pearls Pitfalls • In the absence of clinically relevant scaphotrapeziotrapezoid osteoarthritis, CMC fusion may be considered in younger, more active patients, and CMC arthroplasty (with or without ligament reconstruction) may be reserved for older, less active patients. • Forty percent of patients with early thumb CMC osteoarthritis have up to 18 months (or longer) of relief after intraarticular injection of corticosteroids.

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