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Green's Operative Hand Surgery: The Pediatric Hand E-Book

Green's Operative Hand Surgery: The Pediatric Hand E-Book

Scott W. Wolfe | William C. Pederson | Robert N. Hotchkiss | Scott H. Kozin | Mark S Cohen

(2010)

Additional Information

Book Details

Abstract

Green’s Operative Hand Surgery, edited in its Sixth Edition by Scott W. Wolfe, MD, provides today’s most complete, authoritative guidance on the effective surgical and non-surgical management of all conditions of the hand, wrist, and elbow. Now featuring a new full-color format, photographs, and illustrations, plus operative videos and case studies online at Expert Consult, this new edition shows you more vividly than ever before how to perform all of the latest techniques and achieve optimal outcomes.

  • Access the complete contents online, fully searchable, at expertconsult.com.

Overcome your toughest clinical challenges with advice from world-renowned hand surgeons.

  • Master all the latest approaches, including the newest hand implants and arthroplastic techniques.
  • Get tips for overcoming difficult surgical challenges through "Author’s Preferred Technique" summaries.
  • See how to perform key procedures step by step by watching operative videos online.
  • Gain new insights on overcoming clinical challenges by reading online case studies.
  • Consult it more easily thanks to a new, more user-friendly full-color format, with all of the photos and illustrations shown in color.

Table of Contents

Section Title Page Action Price
9781416052791v1_WEB.pdf 1
Front Cover 1
Endsheet 2
Green's Operative Hand Surgery 3
Copyright Page 4
Contributors 5
Foreword for the 6th Edition 11
Preface 13
Acknowledgments 14
Table Of Contents 15
I Basic Principles 19
1 General Principles 21
Preoperative Planning 21
Doing the Correct (and Necessary) Operation 21
Making a Diagnosis 21
History and Physical Examination 21
Record Keeping 21
Nonoperative Diagnostic Tools 23
Doppler Examination 23
Radiographs 24
Injections 25
Bone Scan 26
Computed Tomography 26
Magnetic Resonance Imaging 26
Ultrasonography 26
Arteriography 26
Priorities for Reconstruction 27
Tissue Equilibrium—3 Months 27
Treatment Objectives 27
Surgical Judgment 27
Surgical Technique 27
Operative Game Plan 27
Mental Preparation 28
Psychological Impact of Hand Injuries 28
Preparation and Draping 28
Skin Preparation 28
Hair Removal 29
Surgeon’s Hand Preparation 29
Perioperative Antibiotics 29
Draping 30
Tourniquet 30
Inherent Dangers 30
Tourniquet Time 30
Methods to Prolong Safe Tourniquet Time 30
Reperfusion Breaks (“Breather Periods”) 30
Hypothermia 30
Economy of Movement 30
Tourniquet Pressure 30
Measurement of Pressure 30
Cuff Size and Design 30
Optimal Pressure 32
Author’s Preferred Method of Tourniquet Use 32
Forearm Tourniquets 33
Use of the Tourniquet with Local Anesthesia 34
Finger Tourniquets 34
Surgical Instruments 34
Magnification 37
Intraoperative Radiography 37
Radiation Exposure to the Surgeon 37
Postoperative Care 39
References 41
General Principles 41
Skin Preparation 41
Tourniquet 41
2 Anesthesia for Hand Surgery 43
General Anesthesia 43
Regional Anesthesia 43
Contraindications 43
Absolute Contraindications 43
Relative Contraindications 43
Need for Assessing Postoperative Nerve Status or Compartment Syndrome 43
Aggravating a Preexisting Nerve Injury 43
Anticoagulation Therapy 44
Bilateral Procedures 44
Relative Indications 44
Microvascular Surgery Patients 44
Pediatric Patients 44
Pregnant Patients 44
Patients with Rheumatoid Arthritis 45
Advantages and Disadvantages (Table 2.1) 45
Equipment and Pharmacologic Requirements 45
Historical Techniques 45
Specific Blocks 46
Interscalene Block 46
Supraclavicular Block 47
Infraclavicular Block 47
Axillary Block 48
Supplementary Blocks 49
Elbow Block 49
Wrist Block 49
Digital Block 50
Use of Epinephrine in Digital Nerve Blockade 52
Intravenous Regional Block 52
Authors’ Preferred Method of Treatment: Regional Anesthesia 52
Complications 53
Neurapraxia (Table 2.4) 53
Incidence 53
Management (Figure 2.14) 53
Allergy and Sepsis 54
Acknowledgments 54
References 54
II Hand 57
3 Acute Infections 59
General Principles 59
Types of Infections 59
Methicillin-Resistant Staphylococcus aureus (MRSA) Infections 60
Nosocomial Infections 60
Patient Evaluation 60
Treatment Principles 61
Specific Types of Common Hand Infections 62
Acute Paronychia 62
Clinical Presentation/Preoperative Evaluation 62
Pertinent Anatomy 62
Treatment Options 62
Operative Methods 62
Authors’ Preferred Method of Treatment 64
Postoperative Management and Expectations 65
Chronic Paronychia 66
Clinical Presentation and Preoperative Evaluation 66
Pertinent Anatomy and Pathophysiology 66
Treatment 66
Operative Treatment 66
Authors’ Preferred Methods of Treatment 66
Postoperative Management and Expectations 66
Felon 67
Clinical Presentation and Evaluation 67
Pertinent Anatomy 68
Treatment 68
Operative Treatment 68
Fish-Mouth Incision 69
“J” or Hockey Stick Incision 69
Through-and-Through Incisions 69
Volar Incision 69
Unilateral Longitudinal Incision 70
Authors’ Preferred Methods of Treatment 70
Postoperative Management and Expectations 70
Pyogenic Flexor Tenosynovitis 71
Clinical Presentation and Preoperative Evaluation 71
Pertinent Anatomy 71
Treatment 72
Operative Treatment 72
Through-and-Through Intermittent Antibiotic Irrigation 72
Closed Tendon Sheath Irrigation 72
Authors’ Preferred Methods of Treatment 73
Postoperative Management and Expectations 74
Radial and Ulnar Bursal Infections 75
Pertinent Anatomy 75
Clinical Presentation and Preoperative Evaluation 75
Treatment 75
Open Treatment 75
Through-and-Through Closed Irrigation 76
Authors’ Preferred Method of Treatment 76
Postoperative Management and Expectations 76
Deep Space Infections 76
Palmar Space Infections 76
Clinical Presentation and Preoperative Evaluation 76
Thenar Space 76
9781416052791v2_WEB 1171
Front Cover 1171
Endsheet 1172
Green's Operative Hand Surgery 1173
Copyright Page 1174
Contributors 1175
Foreword for the 6th Edition 1181
Preface 1183
Acknowledgments 1184
Table Of Contents 1185
V Nerve 1189
34 Median and Ulnar Nerve Palsy 1189
Median Nerve Palsy 1189
Low Median Nerve Palsy 1189
Biomechanics of Thumb Opposition 1189
The Deficit and the Deformity 1189
Tendon Transfers to Restore Thumb Opposition 1190
History 1190
Patient Counseling 1190
General Principles of Tendon Transfer in Opponensplasty 1190
Prevention and Preoperative Treatment of Contractures 1190
Selection of Motor for Transfer 1191
Pulley Design 1192
Opponensplasty Insertions 1192
Results 1192
Four Standard Opponensplasties 1193
Superficialis Opponensplasties 1194
Superficialis Tendon Harvest. 1194
The Pulley. 1195
Royle-Thompson Opponensplasty. 1195