hand update 5 index
TRANSCRIPT
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Edited by Kevin C. Chung, MD, MS
Co-edited by Peter M. Murray, MD
HAND
SURGERYUPDATE V
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Copyright 2011 by American Society for Surgery of the Hand6300 North River Road, Suite 600
Rosemont, IL 60018-4256
Published by American Society for Surgery of the Hand.All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means,including photocopying, or utilized by any information storage and retrieval system without written permission from the copy-right owner, except for brief quotations embodied in critical articles and review. Materials appearing in this book prepared byindividuals as part of their official duets as U.S. government employees are not covered by the above mentioned copyright
ISBN: 978-1-935121-11-4Library of Congress Control Number: 2011910687
Printed in the USA10 9 8 7 6 5 4 3 2 1
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However,the authors, editors, and publisher are not responsible for errors, omissions or for any consequences from application of the in-formation in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy ofthe contents of the publication. Application of this information in a particular situation remains the professional responsibilityof the practitioners.
The authors, editors, and publisher have exerted every effort to ensure at drug selection and dosage set forth in this text are inaccordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changesin government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urgedto check the package insert for each drug for any change in indications and dosage and for adding warnings and precautions. Thisis particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this book have Food and Drug Administration (FDA) clearance for limited use inrestricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or deviceplanned for use in their clinical practice.
Developmental Editors: Kevin C. Chung, MD and Peter M. Murray, MDExecutive Director: Mark C. Anderson, CAEPublishing Director: Tara HavengaCover Design: Jennifer HanaszCompositor: Bookmasters
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American Society for Surgery of the Hand iii
To my uncle (Rin Kei-Mei) and my aunt (Rin
Chen Su-Jen)
Kevin C. Chung, MD
I would like to dedicate my work in memory of my mother andfather, Charles E. Murray, Jr and Katherine D. Murray, whose
love and support made my career possible.
Peter M. Murray, MD
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American Society for Surgery of the Hand v
Contributors
Edward Akelman, MDProfessor and Vice ChairmanWarren Alpert Medical School of Brown UniversityProvidence, RI
Mansour Alvi, MDUniversity of TorontoToronto, ON, Canada
James Andry, MDChief ResidentSt. Lukes-Roosevelt Hospital Center
New York, NY
Edward A. Athanasian, MDHospital for Special SurgeryNew York, NY
Kodi Azari, MD, FACSAssociate ProfessorChief, Section of Reconstrucive TransplantationDavid Geffen School of Medicine at UCLALos Angeles, CA
Donald S. Bae, MD
Assistant Professor of Orthopaedic Surgery, HarvardMedical School; Associate in Orthopaedic Surgery,Childrens Hospital Boston Institution
Childrens Hospital BostonBoston, MA
Mark E. Baratz, MDAttendingAllegheny General HospitalPittsburgh, PA
Andrea S. Bauer, MDFellow, Pediatric Hand Surgery
Shriners Hospital for Children, Northern CaliforniaSacramento, CA
Joseph M. Bellapianta, MDAssistant Fellowship DirectorPlancher Orthopaedics & Sports MedicineCos Cob, CT and New York, NY
Kyle D. Bickel, MD, FACSClinical Assistant Professor of Surgery, Division of
Plastic SurgeryThe Hand Center of San Francisco, San
Francisco, CAUniversity of California, San Francisco, CA
Randip R. Bindra, MD, FRCSHand Fellowship DirectorLoyola University Health SystemMaywood, IL
Travis Blood, MS IIResearch AssociateOrthopaedic Foundation for Active LifestylesCos Cob, CT and New York, NY
David J. Bozentka, MDChief Department of Orthopedic SurgeryPenn Presbyterian Medical CenterPhiladelphia, PA
Jeffrey E. Budoff, MDClinical Associate Professor of Orthopaedic SurgeryUniversity of Texas Health Science Center at
Houston Medical SchoolHouston, TX
John T. Capo, MDProfessor, Department of OrthopaedicsChief, Division of Hand and Microvascular Surgery
UMDNJNew Jersey Medical SchoolNewark, NJ
Brian T. Carlsen, MDAssistant Professor of Plastic SurgeryConsultant, Division of Hand Surgery and
Plastic SurgeryMayo ClinicRochester, MN
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Contributors
Michelle G. Carlson, MDAssociate Attending Orthopaedic SurgeonHospital for Special SurgeryNew York, NYAssociate Professor of Clinical Orthopaedic SurgeryWeill Cornell Medical CollegeNew York, NY
Louis W. Catalano, III, MDCV Starr Hand Surgery CenterSt. Lukes-Roosevelt HospitalNew York, NY
Benjamin Chang, MDAssociate Professor of Clinical SurgeryDivision of Plastic SurgeryUniversity of Pennsylvania School of MedicinePhiladelphia, PA
James Chang, MDChief, Division of Plastic & Reconstructive SurgeryProfessor of Surgery (Plastic Surgery) & Orthopedic
SurgeryStanford University Medical CenterPalo Alto, CA
Neal C. Chen, MDPhiladelphia Hand Center, PCKing Of Prussia, PA
Ying Chi, MDAssistant ProfessorDepartment of Orthopaedic SurgeryDivision of Hand Upper Extremity and
MicrosurgeryUniversity of Cincinnati Academic Health CenterCincinnati, OH
Kevin C. Chung, MD, MSCharles B.G. de Nancrede Professor in SurgerySection of Plastic Surgery, Department of SurgeryAssistant Dean for Faculty Affairs
Associate Director for Global REACHUniversity of Michigan Medical SchoolAnn Arbor, MI
Mark S. Cohen, MDDirector, Hand and Elbow SectionDirector, Orthopaedic EducationRush University Medical CenterChicago, IL
Patrick D. Combs, MDSeattle, WA
Cari L. Cordell, MD
Randall W. CulpPhiladelphia Hand Center, PCKing Of Prussia, PA
Catherine Curtin, MDAssistant Professor of Plastic Surgery
Stanford UniversityPalo Alto, CA
A. Rashard Dacus, MDAssistant Program DirectorUniversity of Virginia Department of OrthopaedicsCo-Program DirectorCombined Plastics/Orthopaedics Hand FellowshipCharlottesville, VA
Lars B. Dahlin, MD, PhDProfessorDepartment of Clinical Sciences MalmHand
Surgery, Lund UniversityMalm, SwedenSenior ConsultantDepartment of Hand Surgery, Skne University HospitalMalm, Sweden
Charles S. Day, MD, MBAChief, Hand SurgeryBeth Israel Deaconess Medical CenterAssociate Professor in Orthopaedic SurgeryHarvard Medical SchoolBoston, MA
E. Gene Deune, MD, MBAAssociate ProfessorJohns Hopkins Department of Orthopedic SurgeryCo-Director Hand Surgery DivisionJohns Hopkins Plastic Surgery, Hand Surgery/
MicrosurgeryBaltimore, MD
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Contributors
Gurpreet Dhaliwal, MDNYUHJD Department of Orthopaedic SurgeryNew York, NY
William Dzwierzynski, MD, FACSProfessorMedical College of WisconsinMilwaukee, WI
Marybeth Ezaki, MDUTSouthwestern Medical SchoolDallas, TexasDirector of Hand SurgeryTexas Scottish Rite Hospital for ChildrenDallas, Texas
Kevin W. Farmer, MDAssistant ProfessorUniversity of FloridaGainesville, FL
Ida K. Fox, MDDivision of Plastic SurgeryWashington University School of MedicineSt. Louis, MO
Adam Z. Franklin, MDSan Clemente, CA
Jeffrey B. Friedrich, MD, FACSAssistant Professor of Surgery and OrthopedicsUniversity of WashingtonHarborview Medical Center and Seattle Childrens
HospitalSeattle, WA
Steven Z. Glickel, M.D.Clinical Professor of Orthopaedic SurgeryColumbia UniversityNew York, NYDirectorC.V. Starr Hand Surgery Center
New York, NY
Charles A. Goldfarb, MDAssociate Professor of Orthopaedic SurgeryWashington University School of MedicineSt. Louis, MO
Charan Gowda, MDHand and Microsurgery AssociatesColumbus, OH
Brent Graham, MD, MSc, FRCSCAssistant Professor, Department of SurgeryUniversity of TorontoUniversity Health Network - Toronto Western
HospitalToronto, ON, Canada
Ruby Grewal, MD, MSc, FRCSCAssistant ProfessorDivision of Orthopedic SurgeryUniversity of Western OntarioHand and Upper Limb CenterSt Josephs Health CenterLondon, ON, Canada
Warren C. Hammert, MDAssociate Professor of Orthopaedic and Plastic
SurgeryUniversity of Rochester Medical CenterRochester, NY
Michael Hausman, M.D.Professor, Orthopedic SurgeryMount Sinai Medical CenterNew York, NY
Abhishek Julka, MDResident Orthopaedic SurgeonUniversity of Michigan Department of Orthopaedic
SurgeryAnn Arbor, MI
Neil F. Jones, MDChief of Hand SurgeryUniversity of California Irvine Medical CenterProfessor Department of Orthopedic SurgeryProfessor Division of Plastic and Reconstructive
Surgery
University of California IrvineOrange, CA
Thomas C. Keller, MDResidentUniversity of Virginia Medical CenterCharlottesville, VA
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Contributors
Graham JW King, MD, MSc, FRCSCProfessor, Department of SurgeryUniversity of Western OntarioLondon, Ontario, CanadaChief of Orthopaedic SurgeryHand and Upper Limb CentreSt. Josephs Health CentreLondon, ON, Canada
Dawn M. LaPorte, MDAssociate Professor, Orthopaedic SurgeryThe Johns Hopkins University School of MedicineBaltimore, MD
Jeffrey Lawton, MDAssociate ProfessorChief, Division of Elbow, Hand and MicrosurgeryUniversity of Michigan Department of Orthopaedic
SurgeryAnn Arbor, MI
Daniel J. Lee, MDSouthern California Orthopaedic CenterPomona, CA
W. P. Andrew Lee, MDThe Milton T. Edgerton Professor and Chairman
Department of Plastic and Reconstructive SurgeryJohns Hopkins University School of Medicine
Baltimore, MD
Ines C. Lin, MDAssistant Professor, Division of Plastic SurgeryHospital of the University of PennsylvaniaPhiladelphia, PAAssistant Professor, Division of Plastic SurgeryThe Childrens Hospital of PhiladelphiaPhiladelphia, PA
Sameer Lodha, MDChicago, IL
Craig Lomita, MDNew York, NY
Susan Mackinnon, MDSydney M. Shoenberg Jr. and Robert H. Shoenberg
Professor and ChiefWashington University - Division of Plastic and
Reconstructive SurgerySt. Louis, MO
Mahesh H. Mankani MD, FACSAssociate Professor, Department of SurgeryUniversity of California, San FranciscoSan Francisco, CA
Paul R. Manske, MDSt. Louis, MO
Jonas L. Matzon, MDAssistant Professor of Orthopedic SurgeryDivision of Hand SurgeryThe Rothman InstituteThomas Jefferson UniversityPhiladelphia, PA
Gregory A Merrell, MDClinical Assistant ProfessorIndiana University Department OrthopaedicsClinical Assistant ProfessorThe Indiana Hand to Shoulder CenterIndianapolis, IN
David Mikolyzk, MDManitowoc, WI
Scott Mitchell, MDAssistant ProfessorUCLA Department of Orthopaedic SurgeryLos Angeles, CA
Steven L. Moran, MDProfessor and Chair of Plastic SurgeryProfessor of OrthopedicsMayo ClinicRochester, MN
Amir Mostofi, MDHand SurgeonRisser Orthopaedic GroupPasadena, CA
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Contributors
Peter M. Murray, MDDirector for EducationProfessor of Orthopaedic SurgeryMayo College of MedicineMayo ClinicJacksonville, FL
George P. Nanos III, MDRockville, MD
A. Lee Osterman, MDProfessor Hand & Orthopedics, Thomas Jefferson
UniversityPhiladelphia Hand CenterKing of Prussia, PA
M. Jason Palmer, MDThe Hand CenterGreenville, SC
Nilpesh M. Patel, MDOrthopaedic Hand and Elbow SurgeonLakewood Orthopaedics and Sports MedicineDallas, TX
William C. Pederson, MD, FACSPresident and Fellowship DirectorThe Hand Center of San AntonioSan Antonio, TX
Adjunct Professor of SurgeryThe University of Texas Health Science Center atSan Antonio
San Antonio, TX
Gita Pillai, MDOrthopedic Associates of Southern DelawareLewes, DE
Jeffrey M. Pike, MD, MPH, FRCSCAssistant ProfessorUniversity of British Columbia/Providence
Health Care
Vancouver, BC
Kevin D. Plancher, MDAssociate Clinical ProfessorAlbert Einstein College of Medicine, NYFellowship DirectorPlancher Orthopaedics & Sports Medicine/
Orthopaedic Foundation for Active LifestylesCos Cob, CT and New York, NY
Brian PridgenResearch AssistantStanford, CA
Edward M. Reece, MDArizona Center for Hand Surgery, PCPhoenix, AZ
Kevin J. Renfree, MDAssistant ProfessorMayo Medical School/Banner Good Samaritan
Integrated Orthopaedic ResidencyMayo Clinic ArizonaPhoenix, AZ
David Ring, MD, PhDDirector of Research, MGH Orthopaedic Hand and
Upper Extremity ServiceMassachusetts General HospitalBoston, MAHarvard Medical School
Boston, MA
Alberto R. Rivera, MDFellowOrthopaedic Foundation for Active Lifestyles/
Plancher Orthopaedics & Sports MedicineCos Cob, CT and New York, NY
Marco Rizzo, MDAssociate ProfessorDepartment of Orthopedic SurgeryMayo ClinicRochester, MN
Tamara D. Rozental, MDAssistant Professor in Orthopaedic SurgeryHarvard Medical SchoolBoston, MA
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Contributors
Jerry A. Rubin, MDCentral Florida Hand SpecialistsCelebration, FLAssociate Clinical ProfessorUniversity of Central Florida College of MedicineOrlando, FL
Douglas M. Sammer, MDAssistant Professor of Plastic SurgeryCo-Director Hand Surgery FellowshipDepartment of Plastic SurgeryUT Southwestern Medical CenterDallas, TX
Jesse B. Seamon, MDCharlottesville, VA
Adam B. Shafritz, MDAssociate Professor of Orthopaedic SurgeryUniversity of Vermont College of MedicineBurlington, VT
Eon K. Shin, MDOrthopedic SurgeonThe Philadelphia Hand Center, PCPhiladelphia, PA
Jaimie T. Shores, MDAssistant Professor
Clinical Director of Hand TransplantationJohns Hopkins University School of MedicineBaltimore, MD
Jae W. Song, MD, MSResearch Fellow,Department of Surgery, Section of Plastic SurgeryUniversity of Michigan Health SystemAnn Arbor, MIPeter J. Stern, MDUniversity of Cincinnati - College of MedicineCincinnati, OH
Amir H. Taghinia, MDStaff SurgeonChildrens HospitalBoston, MAInstructor in SurgeryHarvard Medical SchoolBoston, MA
Nathan Taylor, MDHand Surgery, Private PracticeOrthopedic Surgery Associates of MarquetteMarquette, Michigan
Matthew M. Tomaino, MD, MBAFounder, Tomaino Orthopaedic CareTomaino Orthopaedic Care for Shoulder, Hand,
and ElbowRochester, NY
Rull James Toussaint, MDResident in Orthopaedic SurgeryHarvard Combined Orthopaedic ResidencyBoston, MA
Jennifer Ty, MDAI Dupont Hospital for ChildrenWilmington, DE
Joseph Upton III, MDChestnut Hill, MA
Kristin Kay Warner, MDOrthopedic/Hand SurgeonCarolina Orthopedics and Sports MedicineNew Bern, NC
Bradon J. Wilhelmi, MD
Professor and Chief of Plastic SurgeryPlastic Surgery Program DirectorUniversity of LouisvilleLouisville, KY
Thomas W. Wright, MDProfessor of OrthopaedicsUniversity of FloridaGainesville, FL
Robert W. Wysocki, MDChicago, IL
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Contents
CHAPTER1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Evidence-Based Medicine in Hand SurgeryDouglas M. Sammer, MD and Kevin C. Chung, MD, MS
Section I:Hand Fractures and Joint InjuriesCHAPTER2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Extra-Articular Phalangeal and Metacarpal FracturesNathan Taylor, MD, and Kevin C. Chung, MD, MS
CHAPTER3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Finger Joint Injuries, Excluding the Thumb
Charles S. Day, MD
CHAPTER4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Thumb Joint Injuries, Including the CMC Joint
Jeffrey M. Pike, MD, MPH, FRCSC and Ruby Grewal, MD,MSc, FRCSC
Section II:
Carpal Injuries and DisordersCHAPTER5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Scaphoid Fractures and Nonunions
Jae W. Song, MD, MS and Kevin C. Chung, MD, MS
CHAPTER6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55Acute Carpal Ligamentous InjuryAbhishek Julka, MD and Jeffrey Lawton, MD
CHAPTER7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67Chronic Carpal InstabilityRandy Bindra and Cari Cordell, MD
CHAPTER8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Kienbocks DiseaseNilpesh M. Patel, MD and Kevin C. Chung, MD, MS
CHAPTER9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Wrist Fusion and Arthroplasty ProceduresEon K. Shin, MD and A. Lee Osterman, MD
Section III:Distal Radius Fractures and
DRUJ InjuriesCHAPTER10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105Distal Radius Fractures: Anatomy, Biomechanics, andClassificationRull James Toussaint, MD and Tamara D. Rozental, MD
CHAPTER11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115Distal Radius FracturesKyle D. Bickel, MD, FACS
CHAPTER12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Malunions of the Distal RadiusSameer J. Lodha, MD, Robert W. Wyscocki, MD, and Mark S.Cohen, MD
CHAPTER13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139Bone Graft Substitutes in the Radius and Upper LimbLouis Catalano, MD and James Andry III, MD
CHAPTER14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147Disorders of the Distal Radioulnar JointPeter M. Murray, MD
CHAPTER15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159Wrist Arthroscopy
Neal C. Chen, MD, A. Lee Osterman, MD, Randall W. Culp,MD, and Kevin C. Chung, MD, MS
Section IV:
Tendon Injuries and ConditionsCHAPTER16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173Basic Science of Tendon Healing
James Chang, MD and Brian Pridgen, MD
CHAPTER17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181Flexor Tendon Injury
Amir Mostofi, MD, Jason Palmer, MD, and Edward Akelman,MD
CHAPTER18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193Extensor Tendon Injury
Jonas L. Matzon, MD and David J. Bozentka, MD
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CHAPTER19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205Tendon Transfers for Radial, Median, and Ulnar Nerve PalsyDavid Mikolyzk, MD, Adam Franklin, MD, and Peter Stern, MD
CHAPTER20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217Treatment of Trigger Finger, de Quervains Disorder, andTennis ElbowDaniel J. Lee, MD and Jerry A. Rubin, MD
Section V:Nerve Injury and RepairCHAPTER21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231Physiology of Nerve HealingLars B. Dahlin, MD
CHAPTER22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241Carpal Tunnel SyndromeBrent Graham, MD, MSc, FRCSC
CHAPTER23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247Cubital Tunnel SyndromeCharan Gowda, MD and Greg Merrell, MD
CHAPTER24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255Adult Brachial Plexus InjuriesSusan E. Mackinnon, MD and Gurprett Dhaliwal, MD
CHAPTER25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275Brachial Plexus PalsyPediatricMarybeth Ezaki, MD
CHAPTER26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281Complex Regional Pain Syndrome and Repetitive StressInjuryWarren C. Hammert, MD
Section VI:
Pediatric HandCHAPTER27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289SyndactylyBenjamin Chang, MD and Ines C. Lin, MD
CHAPTER28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299Thumb Duplication
Jennifer Ty
CHAPTER29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307Thumb HypoplasiaNeil F. Jones, MD and Ying Chi, MD
CHAPTER30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315Radial DeficiencyPaul R. Manske, MD and Charles A. Goldfarb, MD
CHAPTER31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323Pediatric Hand and Forearm Trauma
Andrea S. Bauer, MD and Donald S. Bae, MD
Section VII:Spastic ConditionsCHAPTER32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333TetraplegiaCatherine Curtin, MD and Kevin C. Chung, MD, MS
CHAPTER33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339Cerebral Palsy
Kristin Kay Warner, MD and Michelle Gerwin Carlson, MD
Section VIII:
Soft Tissue InjuriesCHAPTER34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355Dupuytrens DiseaseSteve Glickel, MD and Craig Lomita, MD
CHAPTER35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365Fingertip InjuriesW. P. Andrew Lee, MD and Jaimie T. Shores, MD
CHAPTER36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379Management of BurnsScott Mitchell, MD and Kodi Azari, MD
CHAPTER37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 391Infections
John T. Capo, MD
Section IX:MicrosurgeryCHAPTER38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403Management of Mutilating Hand Injuries
William W. Dzwierzynski, MD
CHAPTER39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411ReplantationBradon J. Wilhelmi, MD
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CHAPTER40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429Local and Regional Flap Coverage of the Hand
Jeff Friedrich, MD and Patrick Combs, MD
CHAPTER41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439Free Tissue Transfer for Hand CoverageWilliam C. Pederson, MD, FACS and Edward M. Reece, MD
CHAPTER42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 449Thumb ReconstructionBrian T. Carlsen, MD and Steven L. Moran, MD
CHAPTER43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 465Vascular Anomalies
Amir H. Taghinia, MD and Joseph Upton III, MD
Section X:Arthritic ConditionsCHAPTER44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 483Rheumatoid Arthritis of the Hand and WristGeorge P. Nanos III, MD and Marco Rizzo, MD
CHAPTER45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497Atypical Arthritic Conditions (Lupus, Scleroderma, andPsoriasis)Mahesh H. Mankani, MD, FACS
CHAPTER46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 505Treatment of Osteoarthritic Conditions of the HandThomas C. Keller, MD, Jesse B. Seamon, MD, and Angelo R.
Dacus, MD
Section XI:
TumorsCHAPTER47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523Squamous Cell Carcinoma, Basal Cell Carcinoma,MelanomaDawn M. LaPorte, MD and E. Gene Deune, MD
CHAPTER48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535Soft Tissue Neoplasms: Benign and MalignantPeter M. Murray, MD
CHAPTER49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 549Malignant and Metastatic Turmors of the HandEdward Athanasian, MD
Section XII:
Elbow and ForearmCHAPTER50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 557Forearm Fractures and Reconstruction in AdultsDavid Ring, MD, PhD
CHAPTER51 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565Fractures of the Distal Humerus and the ElbowGraham King, MD
CHAPTER52 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577BicepsMichael Hausman and Gita Pillai, MD
CHAPTER53 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 589Etiology and EpidemiologyRyan Naujoks, MD and Mark Baratz
Section XIII:
Shoulder and ArmCHAPTER54 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 603Fractures of the Proximal HumerusKevin W. Farmer, MD, and Thomas W. Wright, MD
CHAPTER55 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 615Treatment of Humeral Shaft FracturesKevin Renfree, MD
CHAPTER56 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 629Rotator Cuff Disorders and Adhesive CapsulitisMatthew M. Tomaino, MD, MBA
CHAPTER57 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 637Examination of the ShoulderKevin D. Plancher, MD, Alberto R. Rivera, MD, Joseph M.Bellapianta, MD, and Travis Blood, MS
CHAPTER58 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 647Labral Tears
Jeffrey E. Budoff, MD
CHAPTER59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 659Shoulder Arthroplasty
Adam B. Shafritz, MD
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Preface
I am honored to have the opportunity to be the editor for Hand Surgery Update Vand to work closelywith my co-editor, Dr. Peter Murray. The Hand Surgery Updateseries has been a constant companion forhand surgeons in keeping up-to-date on the current research in treating patients with hand and upperlimb problems. This volume is particularly unique because all of our contributing authors were asked toconsider the levels of evidence when synthesizing their updated chapters. The authors were chosen fortheir expertise in distilling the evidence from the literature; all of them have done a magnificent job incrafting succinct, yet practical, materials to help you stay current in the exponential growth of knowledgein the hand and upper limb specialty. As hand surgery continues to evolve in its scope of practice, manyhand surgeons are becoming interested in elbow and shoulder surgery. Therefore, this particular volumehas incorporated chapters relating to pathologies around the elbow and the shoulder, which will establishthe comprehensiveness of hand surgerys contribution in conditions affecting the entire upper limb.
This volume would not have been possible without the dedicated assistance of my co-editor, Dr. PeterMurray, who is an outstanding educator and an ever-present leader in hand surgery educational events.
Additionally, I want to acknowledge our ASSH staff, Tara Havenga, who diligently coordinated all of theactivities around this textbook. My staff, Pouya Entezami, contributed immensely to the organization ofthis textbook. His dedicated work was invaluable and ensured that we produced the best product pos-sible. Furthermore, this textbook is a true tribute to the selfless efforts by my friends and contributingauthors, who readily agreed to contribute to this volume despite their taxing practices and overwhelm-ing other responsibilities. Each of them has done an outstanding job in organizing the literature basedon current scientific data rather than cursory changes of previous chapters. All of the chapters containoriginal material, and this book has taken the word Update to an even greater height by presenting themost current information for your examination.
I appreciate the confidence of the American Society for Surgery of the Hand in allowing me to leadthis volume. I am certain that you will find this to be an informative and creative textbookone that willbe your constant companion in your continued medical education interests.
Kevin C. Chung, MD, MS
Charles B.G. de Nancrede Professor in SurgerySection of Plastic Surgery, Department of Surgery
Assistant Dean for Faculty AffairsAssociate Director for Global REACHUniversity of Michigan Medical School
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