Fractures of the Hand and Carpus-1판

Hand fractures account for millions of emergency room visits annually. The extraordinary importance of the hand in 
so many activities of daily living necessitates inordinate surgical competence in repairing fractures, in order to 
preserve the vast range of motion and functionality of this highly complex structure.

Key Features:

　•　General overview chapters covering anatomy, epidemiology, fixation types, role of arthroscopy, and strategies 
　　 for compound hand injuries (soft tissue, flaps, etc.)
　•　Contributions from a large number of renowned subspecialists
　•　Hand fractures in special patient groups: athletes, musicians, patients with a paralytic extremity
　•　Specific chapters covering the full range of fracture types and locations, including diaphyseal and intra-
  　 articular fractures of the phalanges and metacarpals, bony avulsions, fracture dislocations, and carpal bone 
　　 fractures
　•　Complications and their treatment: infection, malunion, hardware failures, and more
　•　Evidence-based treatment suggestions, with the goal of restoring anatomic alignment and functional range of 
　　 motion
　•　Hundreds of high-quality radiographs and color photographs

Ideal for all orthopaedic and plastic surgeons in training, and of benefit to experienced surgeons as well, Fractures 
of
the Hand and Carpus is a complete introduction to evidence-based techniques in hand surgery.



Section Ⅰ General Chapters

　1. Epidemiology and Specific Challenges

　　1.1 Incidence of Hand and Carpal Fractures

　2. Evidence in the Treatment of Hand Fractures

　　2.1 Introduction
　　2.2 Quality and Distribution of the Studies
　　2.3 Results
　　2.4 Discussion

　3. Nonoperative Management of Hand Fractures

　　3.1 Introduction
　　3.2 Methods and Materials
　　3.3 Results
　　3.4 Discussion

　4. K-wire Fixation, Intraosseous Wiring, Tension Band Wiring

　　4.1 Intraosseous and Cerclage Wiring
　　4.2 K-wire Fixation

　5. Intramedullary Screw Fixation of the Metacarpals and Phalanges of the Hand

　　5.1 Introduction
　　5.2 Indications
　　5.3 Surgical Technique
　　5.4 Results
　　5.5 Complications
　　5.6 Conclusions

　6. Plate and Screw Fixation of Hand and Carpal Fractures

　　6.1 Introduction and Historical Perspective
　　6.2 Implants and Technical Principles
　　6.3 General Considerations and Indications
　　6.4 Specific Indications and Procedures
　　6.5 Complications

　7. External Minifixation

　　7.1 Introduction
　　7.2 Surgical Technique
　　7.3 Indications
　　7.4 Results
　　7.5 Discussion

　8. Role of Arthroscopy in the Treatment of Carpal Fractures and Nonunion

　　8.1 Introduction
　　8.2 Indications
　　8.3 Method
　　8.4 Conclusion

　9. Strategies in Compound Hand Injuries

　　9.1 Introduction
　　9.2 Patient Expectation
　　9.3 Clinical Examination
　　9.4 Imaging
　　9.5 Classification
　　9.6 Timing
　　9.7 Surgery
　　9.8 Surgical Steps

　10. Pediatric Hand Fractures

　　10.1 Introduction
　　10.2 Special Children Fractures

　11. Fractures in the Paralytic Extremity

　　11.1 Introduction
　　11.2 Basic Science
　　11.3 Epidemiology
　　11.4 Prevention
　　11.5 Diagnosis
　　11.6 Management of Fractures
　　11.7 Evidence
　　11.8 Future

　12. Hand Injuries in the Athlete

　　12.1 Metacarpal and Phalangeal Fractures
　　12.2 Carpal Fractures
　　12.3 Scapholunate Injuries

　13. Special Aspects in Musicians

　　13.1 Introduction and Historical Perspective
　　13.2 Instruments and Movements Required to Play Them
　　13.3 General Principles and Clinical Examples
　　13.4 Conclusions

　14. Fractures of the Hand and Carpus: Complications and Their Treatment

　　14.1 Infection/Osteomyelitis
　　14.2 Malunion
　　14.3 Nonunion
　　14.4 Bone Necrosis
　　14.5 Complications of Intra-articular Fracture: Osteoarthritis and Stiffness of Ligaments
　　14.6 Summary of Clinical Points to Aid in Prevention of Complications
　　14.7 Special Clinical Points in Judgment and Surgical Treatment

　15. Rehabilitation of Hand and Finger Fractures

　　15.1 Challenges in Rehabilitation of Hand and Wrist Fractures
　　15.2 Patient Evaluation before Therapy
　　15.3 Techniques Used in Rehabilitation
　　15.4 Extension and Traction
　　15.5 Summary

Section Ⅱ Phalangeal Fractures

　16. Fractures at the Base of the Proximal Phalanx

　　16.1 Trauma Mechanism
　　16.2 Classification
　　16.3 Clinical Signs and Tests
　　16.4 Investigatory Examinations
　　16.5 Possible Concurrent Lesions of Bone and Soft Tissue
　　16.6 Evidence
　　16.7 Author's Favored Treatment Option
　　16.8 Alternative Treatment Options
　　16.9 Prognosis

　17. Extra-articular Fractures of the Phalanges

　　17.1 Trauma Mechanism
　　17.2 Classification
　　17.3 Clinical Signs and Tests
　　17.4 Investigatory Examinations
　　17.5 Concurrent Soft Tissue Lesions
　　17.6 Evidence
　　17.7 Author's Favored Treatment Options
　　17.8 Alternative Treatment Options
　　17.9 Treatment of Specific Fracture Configurations
　　17.10 Prognosis
　　17.11 Tips and Tricks

　18. Intra-articular Fractures of the Proximal Interphalangeal Joint

　　18.1 Trauma Mechanism
　　18.2 Classification
　　18.3 Clinical Signs and Tests
　　18.4 Investigatory Examinations
　　18.5 Evidence
　　18.6 Author's Favored Treatment Options
　　18.7 Alternative Treatment Options
　　18.8 Prognosis

　19. Avulsion Fractures of the Flexor and Extensor Tendons

　　19.1 Extensor Avulsion Fractures
　　19.2 Flexor Avulsion Fractures

Section Ⅲ Metacarpal Fractures

　20. Intra-articular Fractures and Dislocations at the Base of Metacarpals 2 to 5

　　20.1 Introduction
　　20.2 Trauma Mechanism and Anatomy
　　20.3 Classification
　　20.4 Clinical Signs and Tests
　　20.5 Investigatory Examinations
　　20.6 Treatment
　　20.7 Evidence
　　20.8 Author's Favored Treatment Option
　　20.9 Tips and Tricks
　　20.10 Prognosis

　21. Intra-articular Fractures at the Base of the First Metacarpal

　　21.1 Trauma Mechanism
　　21.2 Classification
　　21.3 Clinical Signs and Tests
　　21.4 Investigatory Examinations
　　21.5 Possible Concurrent Lesions of Bone and Soft Tissue
　　21.6 Evidence
　　21.7 Author's Favored Treatment Option
　　21.8 Alternative Treatment Options
　　21.9 Prognosis
　　21.10 Tips and Tricks

　22. Diaphyseal Fractures of the Metacarpals

　　22.1 Trauma Mechanism
　　22.2 Classification
　　22.3 Clinical Signs
　　22.4 Investigatory Examination
　　22.5 Possible Concurrent Lesions of Bone and Soft Tissue
　　22.6 Evidence and Anatomical Considerations
　　22.7 Indications for Surgery
　　22.8 Author's Favored Treatment Option
　　22.9 Alternative Treatment Options
　　22.10 Prognosis
　　22.11 Tips and Tricks

　23. Metacarpal Neck Fractures

　　23.1 Truma Mechanism
　　23.2 Classification
　　23.3 Clinical Signs and Tests
　　23.4 Radiographs
　　23.5 Possible Concurrent Lesions of Bone and Soft Tissue
　　23.6 Evidence
　　23.7 Author's Favored Treatment Option
　　23.8 Alternative Treatment Options
　　23.9 Prognosis
　　23.10 Tips and Tricks

　24. Correction of Malunion in Metacarpal and Phalangeal Fractures

　　24.1 Trauma Mechanism
　　24.2 Classification
　　24.3 Clinical Signs and Tests
　　24.4 Evidence
　　24.5 Author's Favored Treatment Options
　　24.6 Clinical Results
　　24.7 Tips and Tricks

Section Ⅳ Carpal Fractures

　25. Acute Scaphoid Fractures

　　25.1 Introduction
　　25.2 Trauma Mechanism
　　25.3 Clinical Signs and Tests
　　25.4 Investigatory Examinations
　　25.5 Alternative Treatment Options
　　25.6 Prognosis
　　25.7 Conclusion

　26. Nonunion of the Scaphoid

　　26.1 Trauma Mechanism
　　26.2 Diagnostic Techniques and Criteria
　　26.3 Treatment Options
　　26.4 Evidence and Prognosis
　　26.5 Salvage Procedures

　27. Other Carpal Fractures

　　27.1 General Considerations
　　27.2 Fracture of Triquetrum
　　27.3 Fracture of the Pisiform
　　27.4 Fracture of the Lunate
　　27.5 Fracture of the Trapezium
　　27.6 Fracture of Capitate
　　27.7 Fracture of Hamate

Section 2　Improving the system of care

　2.1 Models of orthogeriatric care

　2.2 Overcoming barriers to implementation of a care model

　2.3 Clinical practice guidelines

　2.4 Elements of an orthogeriatric comanaged program

　2.5 Adapting facilities to fragility fracture patients

　2.6 Orthogeriatric team─principles, roles, and responsibilities

　2.7 Protocol and order set development

　2.8 Fracture liaison service and improving treatment rates for osteoporosis

　2.9 Use of registry data to improve care

　2.10 Lean business principles

Section 3　Fracture management

　3.1 Proximal humerus

　3.2 Humeral shaft

　3.3 Distal humerus

　3.4 Elbow

　3.5 Olecranon

　3.6 Distal forearm

　3.7 Pelvic ring

　3.8 Acetabulum

　3.9 Femoral neck

　3.10 Trochanteric and subtrochanteric femur

　3.11 Femoral shaft

　3.12 Distal femur

　3.13 Periprosthetic fractures around the hip

　3.14 Periprosthetic fractures around the knee

　3.15 Proximal tibia

　3.16 Tibial shaft

　3.17 Ankle

　3.18 Atypical fractures

　3.19 Chest trauma

　3.20 Polytrauma