Operative Techniques in Hand Wrist and Elbow Surgery-3판

Table of Contents

1. Radiographic Examination of the Hand, Wrist, and Forearm
BACKGROUND
HAND AND WRIST STANDARD VIEWS
Hand Posteroanterior View
Hand Lateral View
Hand Oblique (Anterior Oblique) View
Wrist Posteroanterior View
Wrist Lateral View
Wrist Oblique (Anterior Oblique) View
HAND SUPPLEMENTAL VIEWS
Finger Posteroanterior and Lateral Views
Thumb Anteroposterior and Lateral Views
WRIST SUPPLEMENTAL VIEWS
Wrist Anteroposterior View
Wrist Radiocarpal Joint View
Wrist Distal Tilt View
Wrist Posteroanterior View in Ulnar and Radial Deviation
Wrist Carpal Boss View
Wrist Lateral Flexion and Extension Views
Wrist Clenched Fist View/Dynamic Anteroposterior View
Wrist First Carpometacarpal Joint View
Wrist Carpal Tunnel View
Wrist Carpal Bridge View
HAND AND WRIST SUPPLEMENTAL VIEWS
Semisupinated Oblique View
FOREARM STANDARD VIEWS
Forearm Anteroposterior View
Forearm Lateromedial View

2. Wide Awake Local Anesthesia No Tourniquet Technique (WALANT) for Hand and Wrist Surgery
BACKGROUND
ANATOMY
INDICATIONS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION II Hand Fractures, Dislocations, and Instabilities

3. Operative Treatment of Distal Interphalangeal Joint Fracture-Dislocations
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

4. Operative Treatment of Extra-articular Phalangeal Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Methods
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

5. Open Reduction and Internal Fixation of Phalangeal Condylar Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
Overcoming Issues Related to Rehabilitation
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

6. Closed Reduction Percutaneous Techniques and External Fixation Techniques for PIP Fracture-Dislocations
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
Fracture-Dislocation
Pilon Fractures
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

7. Open Reduction Internal Fixation of PIP Fracture-Dislocations and Volar Plate Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS AND CLASSIFICATION
NATURAL HISTORY
HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
GOALS OF TREATMENT
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Positioning
Operative Equipment
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

8. Hemi-Hamate Autograft Reconstruction of Unstable Dorsal Proximal Interphalangeal Joint Fracture-
Dislocations
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

9. Open Treatment of Metacarpophalangeal Joint Dislocations and Chronic Hyperextension: Instability of the
Thumb and Lesser Digits
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
Acute Instability
Chronic Instability
OUTCOMES
COMPLICATIONS

10. Thumb Ulnar and Radial Collateral Ligament Repair and Reconstruction
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Ulnar Collateral Ligament Tears
Radial Collateral Ligament Tears
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
POSTOPERATIVE MANAGEMENT
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT

11. Open and Closed Techniques for Treatment of Metacarpal Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
INDICATIONS
SURGICAL MANAGEMENT
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

12. Operative Treatment of Carpometacarpal Fracture-Dislocations Involving the Lesser Digits
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

13. Surgical Treatment of Thumb Carpometacarpal Joint Fractures, Dislocations, and Instabilities
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Instability Attributed to Ligamentous Laxity
Instability Attributed to Fracture-Dislocation
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT

14. Surgical Treatment of Metacarpal and Phalangeal Malunions and Nonunions
DEFINITION
ANATOMY
Pathogenesis
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS
SECTION III Carpal Fractures, Instabilities, and Avascular Necrosis

15. Percutaneous Treatment of Scaphoid Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

16. Open Reduction and Internal Fixation of Scaphoid Fractures and Nonunions
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

17. Dorsal and Palmar Vascularized Distal Radius Bone Grafting for Scaphoid and Lunate Reconstruction
DEFINITION
ANATOMY
Vascular Anatomy of the Scaphoid6
Vascular Anatomy of the Lunate5
Vascular Anatomy of the Dorsal Distal Radius and Hand
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT5,11
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES

18. Medial Femoral Condyle Corticocancellous and Osteochondral Flaps
BACKGROUND
ANATOMY
INDICATIONS
CARPAL RECONSTRUCTION
IMAGING AND OTHER DIAGNOSTIC TESTING
SURGICAL MANAGEMENT
Preoperative Planning
MEDIAL FEMORAL CONDYLE FLAPS FOR RECONSTRUCTION OF NONUNIONS OF LONG BONES AND TUBULAR BONES OF THE HAND
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Preoperative Planning
OSTEOCUTANEOUS MEDIAL FEMORAL CONDYLE FLAPS FOR RECONSTRUCTION OF WRIST DEFECTS
SURGICAL MANAGEMENT
Indications
Preoperative Planning
OUTCOMES

19. Surgical Treatment of Carpal Bone Fractures Excluding the Scaphoid
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

20. Radius Osteotomy and Decompression Procedures for Kienböck Disease
DEFINITION
ANATOMY
Lunate Vascularity
Carpal Anatomy
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
Radiographic Classification
Magnetic Resonance Imaging and Computed Tomography
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

21. Vascularized Bone Grafting and Capitate Shortening Osteotomy for Treatment of Kienböck Disease
DEFINITION
ANATOMY
Vascular Anatomy of the Dorsal Distal Radius
Vascular Anatomy of the Dorsal Hand
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

22. Open Scapholunate Ligament Repair and Augmentation
BACKGROUND
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

23. Dorsal Capsulodesis for Treatment of Scapholunate Injuries
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

24. Treatment of the Unstable Scapholunate Dissociation
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
Staging
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

25. Reduction and Association of the Scaphoid and the Lunate for Scapholunate Instability
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Contraindications to Reduction and Association of the Scaphoid and Lunate
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
POTENTIAL COMPLICATIONS

26. Lunotriquetral Ligament Repair and Reconstruction with Extensor Carpi Ulnaris Tendon Strip
DEFINITION
ANATOMY AND KINEMATICS
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

27. Operative Treatment of Perilunate Injuries
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION IV Pediatric Forearm and Elbow Fractures and Dislocations

28. Intramedullary Fixation of Forearm Shaft Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

29. Closed, Percutaneous, Intramedullary, and Open Reduction of Radial Neck Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

30. Acute Monteggia Injuries
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
HISTORY AND PHYSICAL EXAM FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
CLASSIFICATION
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
Closed Reduction and Casting
Cast Immobilization
SURGICAL MANAGEMENT
Indications9
Positioning
POSTOPERATIVE CARE
COMPLICATIONS
OUTCOMES

31. Reconstruction for Missed Monteggia Lesion
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

32. Open Reduction and Internal Fixation of Displaced Lateral Condyle Fractures of the Humerus
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Approach
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

33. Open Reduction and Internal Fixation of Fractures of the Medial Epicondyle
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

34. Open Reduction and Internal Fixation of Pediatric T-Condylar Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

35. Closed Reduction and Percutaneous Pinning of Supracondylar Fractures of the Humerus
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

36. Open Reduction of Supracondylar Fractures of the Humerus
DEFINITION
ANATOMY
PATIENT HISTORY AND PHYSICAL FINDINGS
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT
SECTION V Adult Radius and Ulna Fractures and Dislocations

37. K-wire Fixation of Distal Radius Fractures with and without External Fixation
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

38. Volar Plating of Distal Radius Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

39. Fragment-Specific Fixation of Distal Radius Fractures
DEFINITION
ANATOMY
Essential Basic Anatomy
Essential Osseous Anatomy
PATHOGENESIS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Operative Indications
Preoperative Planning
Positioning
Operative Sequence
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

40. Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
CONTRAINDICATIONS1,23

41. Bridge Plating and External Fixation of Distal Radius Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

42. Open Treatment of Radiocarpal Fracture-Dislocations
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

43. Corrective Osteotomy for Distal Radius Malunion
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

44. Open Treatment of Distal Ulnar Fractures (Styloid, Head, and Neck)
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Findings and Indications
Surgical Approaches
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

45. Acute Distal Radioulnar Joint Dislocations and Open Triangular Fibrocartilage Complex Repairs
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

46. Distal Radioulnar Ligament Reconstruction
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

47. Extra-articular Reconstructive Techniques for the Distal Radioulnar and Ulnocarpal Joints
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
Modified Herbert Reconstruction
Hui-Linscheid Reconstruction
General Suggestions
OUTCOMES
COMPLICATIONS

48. Open Reduction Internal Fixation of Radius and Ulna Shaft Fractures (Volar and Dorsal Approaches)
BACKGROUND
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
Intraoperative Imaging
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

49. Surgical Treatment of Forearm Malunions and Nonunions
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

50. Reconstruction of the Interosseous Ligament Complex
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE TREATMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION VI Adult Elbow Fractures, Dislocations, and Instabilities

51. Open Reduction and Internal Fixation of Radial Head and Neck Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
Type I Fractures
Type II Fractures
Type III Fractures
Type IV Fractures
PATIENT HISTORY AND PHYSICAL FINDINGS
History
Physical Examination
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

52. Radial Head Replacement
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

53. Open Reduction and Internal Fixation of Fractures of Ulna Fractures (Including Olecranon and Monteggia)
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

54. Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

55. Management of Simple Elbow Dislocation
DEFINITION
PATHOANATOMY
ETIOLOGY AND CLASSIFICATION
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Patient Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

56. Lateral Collateral Ligament Reconstruction of the Elbow
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

57. Ulnar Collateral Ligament Injuries in Athletes
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

58. Open Reduction and Internal Fixation of Capitellum and Capitellar–Trochlear Shear Fractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

59. Open Reduction and Internal Fixation of Supracondylar and Intercondylar Fractures
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Approach
Management of the Ulnar Nerve
POSTOPERATIVE MANAGEMENT
OUTCOMES
COMPLICATIONS

60. Elbow Replacement for Acute Trauma
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Open Reduction and Internal Fixation
Elbow Arthroplasty
POSTOPERATIVE CARE
COMPLICATIONS
OUTCOMES
Total Elbow Arthroplasty
Distal Humeral Hemiarthroplasty
CONCLUSIONS
SECTION VII Hand, Wrist, and Elbow Arthoscopy

61. Thumb Carpometacarpal Arthroscopy
DEFINITION
ANATOMY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

62. Diagnostic Wrist Arthroscopy: Radiocarpal, Midcarpal, and Distal Radioulnar Joint Portals
BACKGROUND
ANATOMY
Dorsal Portals
Volar Portals
SURGICAL MANAGEMENT
Diagnostic Arthroscopy
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS
ACKNOWLEDGMENT

63. Arthroscopic Treatment of Triangular Fibrocartilage Complex Injuries
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

64. Arthroscopic Evaluation and Treatment for Carpal Instability
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
OUTCOMES
COMPLICATIONS
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

65. Arthroscopic Treatment of Dorsal and Volar Wrist Ganglia
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

66. Arthroscopic Dorsal Radiocarpal Ligament Repair
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

67. Elbow Arthroscopy: The Basics
DEFINITION
ANATOMY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Preoperative Planning
Patient Positioning
Approach
Instruments
POSTOPERATIVE CARE
COMPLICATIONS

68. Arthroscopic Treatment of Chondral Injuries and Osteochondritis Dissecans
DEFINITION
ANATOMY
Bony Anatomy
Ligamentous Anatomy
Intraosseous Vascular Anatomy
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

69. Arthroscopic Treatment of Elbow Loss of Motion
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

70. Arthroscopic Débridement for Elbow Degenerative Joint Disease
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION VIII Tendon Injuries and Disorders

71. Repair of Acute Flexor Tendon Injuries
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

72. Staged Flexor Tendon Graft Reconstruction
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

73. Digital Pulley Reconstruction
ANATOMY AND DEFINITION
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

74. Tenolysis following Injury and Repair of Digital Flexor Tendons
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
PREVENTION OF RECURRENCE

75. Reconstruction of Swan-Neck Deformity
DEFINITION
ANATOMY
Bone and Joint
Soft Tissue Structures
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Surgical Options
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

76. Reconstruction of Boutonnière Deformities
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

77. Extensor Tendon Centralization following Traumatic Subluxation at the Metacarpophalangeal Joint
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

78. Repair following Traumatic Extensor Tendon Disruption in the Hand, Wrist, and Forearm
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

79. A1 Pulley Release for Trigger Finger with and without Flexor Digitorum Superficialis Ulnar Slip Excision
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

80. Flexor and Extensor Tenosynovectomy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

81. Tendon Transfers for Rheumatoid Hand and Wrist
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Basic Principles of Tendon Transfer
Extensor Tendon Rupture
Flexor Tendon Rupture
Lack of Opposition
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

82. Surgical Treatment for Extensor Carpi Ulnaris Subluxation
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT

83. Treatment of Medial Epicondylitis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

84. Open and Arthroscopic Treatment of Lateral Epicondylitis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

85. Distal Biceps Tendon Disruptions: Acute and Delayed Reconstruction and One- and Two-Incision Techniques
ANATOMY
NATURAL HISTORY
PHYSICAL FINDINGS
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

86. Triceps Tendon Ruptures
DEFINITION
ANATOMY
Origin
Insertion
Olecranon Footprint
PATHOGENESIS
Traumatic
Spontaneous Ruptures
Overuse Injuries
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION IX Nerve Injury and Compression

87. Carpal Tunnel Release: Open, Endoscopic, and Revision
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

88. Proximal Median Nerve Entrapment Syndrome
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

89. Decompression of the Ulnar Nerve at Guyon Canal
DEFINITION
ANATOMY
PATHOGENESIS
CAUSES OF COMPRESSION OR INJURY OF ULNAR NERVE IN GUYON CANAL
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Clinical History
Physical Examination
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT

90. Cubital Tunnel Release: In Situ, Subcutaneous, and Submuscular
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

91. Radial Tunnel Release
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

92. Primary Repair and Nerve Grafting following Complete Nerve Transection in the Hand, Wrist, and Forearm
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

93. Surgical Treatment of Nerve Injuries in Continuity
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

94. Tendon Transfers for Low Median Nerve Palsy: Opponensplasties
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
LOW MEDIAN NERVE TRANSFERS
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

95. Tendon Transfers for Low and High Ulnar Nerve Palsy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Considerations
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

96. Tendon Transfers for Radial Nerve Palsy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

97. Tendon Transfers for Combined Median and Ulnar Nerve Palsy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Median Nerve Palsy
Ulnar Nerve Palsy
Combined Palsy
Donor Muscle–Tendon Assessment
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

98. Distal Anterior Interosseous Nerve to Ulnar Motor Nerve Transfers
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

99. Median to Radial Motor Nerve Transfers
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

100. Sensory Nerve Transfers
DEFINITION
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

101. Adult Brachial Plexus Reconstruction
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Early Patient Presentation
Late Patient Presentation
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION X Hand, Wrist, and Elbow Arthritis

102. Distal Interphalangeal, Proximal Interphalangeal, and Metacarpophalangeal Joint Arthrodesis
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Arthrodesis versus Arthroplasty
Arthrodesis Position
Fixation Options
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

103. Proximal Interphalangeal and Metacarpophalangeal Joint Surface Replacement Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
OUTCOMES
COMPLICATIONS
103A. Proximal Interphalangeal and Metacarpophalangeal Joint Silicone Implant Arthroplasty
DEFINITION
ANATOMY
Metacarpophalangeal Joint
Proximal Interphalangeal Joint
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Physical Examination
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

104. Dorsoradial Capsulodesis for Thumb Basilar Joint
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONSURGICAL MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

105. Thumb Metacarpal Extension Osteotomy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

106. Tendon Interposition and Ligament Reconstruction Techniques for Thumb Basilar Joint Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

107. Suture Button Suspensionplasty for Thumb Basilar Joint
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER STAGING STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

108. Thumb Carpometacarpal Arthrodesis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

109. Partial Wrist Denervation
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL EXAM FINDINGS
Local Anesthetic Blocks
IMAGING AND OTHER DIAGNOSTIC STUDIES
INDICATIONS
CONTRAINDICATIONS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Partial Denervation of the Wrist
Positioning
POSTOPERATIVE CARE
OUTCOMES
Pain Relief/Need for Subsequent Surgery
COMPLICATIONS
CONCLUSION

110. Proximal Row Carpectomy with and without Capsular Interposition
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING
DIFFERENTIAL DIAGNOSIS
SURGICAL MANAGEMENT
Indications
Contraindications
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

111. Limited Wrist Arthrodesis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

112. Distal Pole Scaphoid Excision
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

113. Complete Wrist Arthrodesis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS
OUTCOMES

114. Total Wrist Implant Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

115. Distal Ulna Resection for Distal Radioulnar Joint Arthritis
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Adjunctive Procedures
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

116. Tendon Allograft Interposition for Failed Distal Ulna Resection
BACKGROUND
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Positioning and Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

117. Sauvé-Kapandji Procedure for Distal Radioulnar Joint Arthritis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

118. Ulnar Head Implant Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENTS

119. Total Distal Radioulnar Joint Arthroplasty (Aptis)
BACKGROUND
ANATOMY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
The Implant
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

120. Ulna Shortening Osteotomy (Metaphyseal and Diaphyseal)
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

121. Ulnohumeral (Outerbridge-Kashiwagi) Arthroplasty
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

122. Interposition Arthroplasty of the Elbow
DEFINITION AND PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
Patient History
Physical Examination
IMAGING AND OTHER DIAGNOSTIC STUDIES
Plain X-rays
Advanced Imaging
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Contraindications
Preoperative Planning
Patient Positioning
Hinged Elbow External Fixator
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
Revision

123. Total Elbow Arthroplasty for Primary Osteoarthritis
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
History
Physical Examination
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
MODES OF FAILURE

124. Total Elbow Arthroplasty for Rheumatoid Arthritis
DEFINITION
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Differences in Examination Findings between Rheumatoid Arthritis and Juvenile Rheumatoid Arthritis
IMAGING AND OTHER DIAGNOSTIC STUDIES
Classification
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
Medical Therapy
Physical Therapy
SURGICAL MANAGEMENT
Surgical Management of the Elbow before Total Elbow Arthroplasty
Total Elbow Arthroplasty
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

125. Elbow Arthrodesis
BACKGROUND
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Indications
Contraindications
Preoperative Planning
Special Instruments
Patient Positioning
Anesthesia
POSTOPERATIVE CARE
COMPLICATIONS
SECTION XI Compartment Syndrome, Vascular Disorders, and Infection

126. Surgical Decompression of the Forearm, Hand, and Digits for Compartment Syndrome
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

127. Surgical Treatment of Injection Injuries in the Hand
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

128. Surgical Treatment of Acute and Chronic Paronychia and Felons
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS OF DISTAL FINGER INFECTIONS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS

129. Surgical Treatment of Purulent Flexor Tenosynovitis and Deep Space Infections of the Hand
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS

130. Surgical Treatment of Vasospastic and Vaso-occlusive Diseases of the Hand (Sympathectomy and Arterial
Reconstruction)
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

131. Revascularization and Replantation of the Digits
DEFINITIONS
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
Immediate Complications
Long-Term Complications
EMERGENCY FREE FILET FLAP FOR SOFT TISSUE RECONSTRUCTION
FINGERTIP REPLANTS: REPLANTATION DISTAL TO THE DIP JOINT
REGIONAL HAND TRAUMA CENTERS
SECTION XII Soft Tissue Coverage, Thermal Injury, and Contracture

132. Nail Matrix Repair, Reconstruction, and Ablation
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
Differential Diagnosis (FIG 5)
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

133. Skin Grafts and Skin Substitutes in the Distal Upper Extremity
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

134. Soft Tissue Coverage of Fingertip Amputations
DEFINITION
ANATOMY
Fingertip Amputation Classification (Tamai)
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

135. Local Hand Flaps for Soft Tissue Coverage in the Fingers: Cross-Finger, Thenar, Neurovascular Island,
and First Dorsal Metacarpal Artery
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
TYPES OF FLAPS
Cross-Finger Flap
Thenar Flap
Neurovascular Island Flap
First Dorsal Metacarpal Artery Flap
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS

136. Pedicle Forearm (Radial Artery and Posterior Interosseous Artery) Flaps for Coverage of Distal Upper
Extremity Injuries
BACKGROUND
ANATOMY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Flap Selection
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

137. Use of Vascularized Fibular Grafts for Reconstruction of Segmental Bone Defects
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
SURGICAL MANAGEMENT
Indications
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

138. Surgical Treatment of Thermal Injuries of the Upper Extremity
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
Assessment of the Burned Patient
Classification of Burn Injuries
Compartment Syndrome
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
COMPLICATIONS

139. Release of Posttraumatic Metacarpophalangeal and Proximal Interphalangeal Joint Contractures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

140. Needle Aponeurotomy and Collagenase Injection for the Treatment of Dupuytren Disease
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
CLASSIFICATION
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

141. Open Fasciectomy for Dupuytren Disease
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
MINIMALLY INVASIVE TREATMENT METHODS
Procedures
SURGICAL MANAGEMENT
Procedures
Positioning
Approach
POSTOPERATIVE CARE
Open Palm Fasciectomy
Partial Fasciectomy and Dermofasciectomy
OUTCOMES
COMPLICATIONS

142. Distal Radioulnar and Radiocarpal Joint Contracture Release and Capsulotomy
DEFINITION
ANATOMY
PATHOGENESIS
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

143. Flexor Tendon Lengthening, FDS–FDP Transfers, and Flexor–Pronator Slide Procedures
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

144. Extrinsic Contracture Release: Medial Over-the-Top Approach
DEFINITION
ANATOMY
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Indications
Advantages
Disadvantages
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
SECTION XIII Tumors

145. Evaluation and Surgical Management of Vascular Anomalies
DEFINITION
PATHOGENESIS
NATURAL HISTORY
Vascular Tumors
Vascular Malformations
Acquired Lesions
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
Hemangiomas
Malformations
SURGICAL MANAGEMENT
Preoperative Planning
Positioning and Setup
Surgical Excision
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

146. Surgical Treatment of Nerve Tumors in the Distal Upper Extremity
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT

147. Squamous Cell Carcinomas and Melanomas of the Hand
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Reconstruction Options by Location
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

148. Treatment of Enchondromas and Giant Cell Tumors of the Hand and Wrist
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE TREATMENT
SURGICAL MANAGEMENT
Positioning and Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ACKNOWLEDGMENT
SECTION XIV Congenital Hand, Wrist, and Forearm Disorders

149. Release of Simple Syndactyly
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

150. Pre- and Postaxial Polydactyly
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

151. Amniotic Band Syndrome
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
CLASSIFICATION7
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS
ON THE HORIZON5

152. Clinodactyly
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL EXAM FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

153. Correction of Thumb-in-Palm Deformity in Cerebral Palsy
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
MANAGEMENT
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

154. Release of the A1 Pulley to Correct Pediatric Trigger Thumb
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

155. Transfer of Flexor Carpi Ulnaris for Wrist Flexion Deformity
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
Approach
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

156. Radial Dysplasia Reconstruction: Bilobed Flap with Soft Tissue Rebalancing
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
PATIENT HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Preoperative Planning
Positioning
POSTOPERATIVE CARE
OUTCOMES
COMPLICATIONS

157. Forearm Osteotomy for Multiple Hereditary Exostoses
DEFINITION
ANATOMY
PATHOGENESIS
NATURAL HISTORY
HISTORY AND PHYSICAL FINDINGS
IMAGING AND OTHER DIAGNOSTIC STUDIES
DIFFERENTIAL DIAGNOSIS
NONOPERATIVE MANAGEMENT
SURGICAL MANAGEMENT
Procedures
POSTOPERATIVE CARE
OUTCOMES
ACKNOWLEDGMENTS
Exam Table for Hand, Wrist, and Forearm
Exam Table for Shoulder and Elbow
Index