BOOK
Hand and Upper Extremity Rehabilitation - E-Book
Rebecca Saunders | Romina Astifidis | Susan L. Burke | James Higgins | Michael A. McClinton
(2015)
Additional Information
Book Details
Abstract
Blending the latest technical and clinical skills of hand surgery and hand therapy, Hand and Upper Extremity Rehabilitation: A Practical Guide, 4th Edition walks you through the treatment of common medical conditions affecting the upper extremities and highlights non-surgical and surgical procedures for these conditions. This expanded fourth edition presents the latest research in hand and upper extremity rehabilitation and provides the purpose and rationale for treatment options.
- Clinical outcomes included in each chapter relate clinical expectations to the results of clinical research trials, providing you with the expected range of motion and function based on evidence in the literature.
- Highly structured organization makes information easy to find, allowing the text to function as a quick reference in the clinical setting.
- Contributors from a variety of clinical settings like hand therapy clinics, hospitals, and outpatient clinics means you get to learn from the experience of clinicians working in diverse clinical contexts like yourself.
- Over 400 line drawings and clinical photographs delineate important concepts described in text.
- Chapters divided into eight parts - Wound Management, Nerve Injuries, Tendon Injuries, Shoulder, Elbow, Wrist and Distal Radial Ulnar Joint, Hand, and Special Topics - so information can be located quickly.
- 51 leading experts offer fresh insight and authoritative guidance on therapeutic approaches for many common diagnoses.
- Treatment guidelines presented for each stage of recovery from a wide range of upper extremity conditions.
- NEW! Authoritative quick reference guide to surgical and non-surgical procedures for hand and all upper extremity conditions.
- NEW! Updated information and references offers the latest information and research in the areas of hand and upper extremity rehabilitation.
- NEW! Larger trim size and new design accommodates a two-column format that is easier to follow.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Hand and Upper Extremity Rehabilitation: A Practical Guide | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Contributors | vi | ||
| Foreword to the Fourth Edition | viii | ||
| Foreword from the Third Edition | ix | ||
| Preface | x | ||
| Acknowledgments | xi | ||
| Contents | xiii | ||
| Part I: Wound Management | 1 | ||
| Chapter 1: Wound Care | 1 | ||
| Definition | 2 | ||
| Surgical Purpose | 2 | ||
| Treatment Goal | 2 | ||
| Indications/Precautions for Therapy | 2 | ||
| Therapy | 2 | ||
| Wound Physiology | 2 | ||
| Wound Evaluation | 4 | ||
| Wound Management | 7 | ||
| Complications | 10 | ||
| Evaluation Timeline | 10 | ||
| Outcomes | 10 | ||
| References | 11 | ||
| Suggested Readings | 11 | ||
| Chapter 2: Skin Grafts and Flaps | 13 | ||
| Definitions | 15 | ||
| Surgical Purpose | 17 | ||
| Treatment Goals | 17 | ||
| Indications for tissue coverage | 17 | ||
| Precautions for therapy | 17 | ||
| Therapy | 17 | ||
| Postoperative complications | 19 | ||
| Evaluation timeline | 19 | ||
| Functional outcomes | 19 | ||
| References | 19 | ||
| Suggested Readings | 19 | ||
| Chapter 3: Burns | 21 | ||
| Definition | 22 | ||
| Treatment and Surgical Purpose | 22 | ||
| Treatment Goals for Acute Burn Stage | 23 | ||
| Treatment Goals for Rehabilitation Stage | 23 | ||
| Treatment Goals for Reconstruction Stage | 23 | ||
| Surgical Procedures: Indications for Surgery | 23 | ||
| Postoperative Indications/Precautions for Therapy | 23 | ||
| Postoperative Therapy for the Acute Burn Stage | 23 | ||
| Postoperative Therapy for the Rehabilitation Stage | 24 | ||
| Postoperative Therapy for the Reconstructive Stage | 25 | ||
| Postoperative Complications | 25 | ||
| Evaluation Timeline | 26 | ||
| Functional Outcomes | 26 | ||
| References | 26 | ||
| Chapter 4: Scar Management | 29 | ||
| Definitions | 30 | ||
| Treatment Purpose | 30 | ||
| Treatment Goals | 31 | ||
| Nonoperative Indications/Precautions for Therapy | 31 | ||
| Nonoperative therapy | 31 | ||
| Nonoperative complications | 34 | ||
| Indications/precautions for scar revision surgery | 34 | ||
| Surgical Definition | 34 | ||
| Surgical Goals | 35 | ||
| Postoperative Therapy | 35 | ||
| Postoperative Complications | 35 | ||
| Evaluation timeline | 35 | ||
| Nonoperative outcomes | 35 | ||
| Postoperative outcomes | 36 | ||
| References | 36 | ||
| Suggested Readings | 36 | ||
| Part II: Nerve Injuries and compression | 37 | ||
| In Memoriam | 37 | ||
| Judith Bell-Krotoski, MA, OTR, FAOTA, CHT March 30, 1945 – October 20, 2013 | 37 | ||
| References | 38 | ||
| Chapter 5: Sensibility Testing | 39 | ||
| Definitions | 39 | ||
| Treatment Purpose | 40 | ||
| Goals | 40 | ||
| Indications and Precautions | 40 | ||
| Therapy (Evaluation) | 42 | ||
| Outcomes | 53 | ||
| References | 53 | ||
| Suggested Readings | 54 | ||
| Appendices | 56 | ||
| Chapter 6: Median Nerve Compression | 61 | ||
| Definition | 61 | ||
| Pathologic Anatomy and Staging of Compression | 62 | ||
| Surgical Purpose and Treatment Goals | 62 | ||
| Treatment Goals | 63 | ||
| Nonoperative Indications/Precautions for Therapy | 63 | ||
| Nonoperative Therapy | 63 | ||
| Nonoperative Complications | 64 | ||
| Operative Indications/Precautions | 64 | ||
| Postoperative Therapy | 64 | ||
| Postoperative Complications | 64 | ||
| Evaluation Timeline | 64 | ||
| Outcomes | 65 | ||
| References | 65 | ||
| Suggested Readings | 67 | ||
| Chapter 7: Ulnar Nerve Compression | 69 | ||
| Definition | 71 | ||
| Surgical Purpose | 71 | ||
| Treatment Goals | 71 | ||
| Cubital Tunnel Stages of Compression Severity | 71 | ||
| Nonoperative Treatment | 71 | ||
| Nonoperative Complications/Precautions | 72 | ||
| Surgical Treatment (Cubital Tunnel Moderate to Severe Compression) | 72 | ||
| Postoperative Precautions for Therapy | 72 | ||
| Postoperative Therapy | 72 | ||
| Postoperative Complications | 73 | ||
| Outcomes | 73 | ||
| References | 73 | ||
| Suggested Readings | 74 | ||
| Chapter 8: Radial Nerve Compression | 75 | ||
| Radial Nerve Palsy | 76 | ||
| Definition | 76 | ||
| Nonoperative Therapy for Radial Nerve Palsy | 76 | ||
| Operative Indications | 78 | ||
| Posterior Interosseous Nerve Syndrome and Radial Tunnel Syndrome | 78 | ||
| Definitions | 78 | ||
| Nonoperative Treatment for PIN Syndrome | 78 | ||
| Nonoperative Therapy for Radial Tunnel Syndrome | 78 | ||
| Operative Indications and Technique | 79 | ||
| Postoperative Management for Radial Tunnel Syndrome | 79 | ||
| Postoperative Complications | 80 | ||
| Wartenberg Syndrome | 80 | ||
| Definition | 80 | ||
| Nonoperative Therapy | 80 | ||
| Operative Indications/Technique | 81 | ||
| Postoperative Treatment | 81 | ||
| Postoperative Complications | 81 | ||
| Outcomes | 81 | ||
| Radial Tunnel Syndrome | 81 | ||
| PIN Palsy | 81 | ||
| Wartenberg Syndrome | 81 | ||
| References | 81 | ||
| Suggested Readings | 82 | ||
| Chapter 9: Thoracic Outlet Syndrome | 83 | ||
| Definition | 84 | ||
| Treatment Purpose | 85 | ||
| Treatment Goals | 85 | ||
| Nonoperative Indications/Precautions for Therapy | 85 | ||
| Nonoperative Therapy | 86 | ||
| Indications/Precautions for Surgery | 90 | ||
| Operative Management | 91 | ||
| Postoperative Therapy | 91 | ||
| Postoperative Complications | 91 | ||
| Evaluation Timeline | 91 | ||
| Outcomes | 91 | ||
| References | 92 | ||
| Suggested Readings | 92 | ||
| Chapter 10: Nerve Repair | 95 | ||
| Definition | 96 | ||
| Surgical Purpose | 96 | ||
| Treatment Goals | 96 | ||
| Operative Indications and Precautions | 97 | ||
| Postoperative Therapy for Primary or Secondary Repair | 97 | ||
| Preoperative Care for Delayed Primary Repair or Nerve Graft | 100 | ||
| Postoperative Therapy for Nerve Grafts | 100 | ||
| Postoperative Care with Flexor Tendon Involvement | 100 | ||
| Postoperative Complications | 100 | ||
| Evaluation Timeline | 100 | ||
| Outcomes | 100 | ||
| References | 101 | ||
| Suggested Readings | 102 | ||
| Appendix: Effects of Nerve Lesion on Function | 102 | ||
| Chapter 11: Sensory Reeducation and Desensitization | 103 | ||
| Definition | 104 | ||
| Treatment Purpose | 104 | ||
| Treatment Goals (Sensory Reeducation) | 104 | ||
| Postinjury Indications/Precautions for Therapy (Sensory Reeducation) | 104 | ||
| Postoperative Therapy (Sensory Reeducation) | 105 | ||
| Treatment goals (desensitization) | 107 | ||
| Postinjury indications/precautions for therapy (desensitization) | 107 | ||
| Postoperative therapy (desensitization) | 107 | ||
| Postoperative complications | 109 | ||
| Evaluation timeline | 109 | ||
| Outcomes | 109 | ||
| References | 110 | ||
| Suggested Readings | 111 | ||
| Chapter 12: Tendon Transfers for Median Nerve Palsy | 113 | ||
| Definition | 114 | ||
| Surgical Purpose | 114 | ||
| Treatment Goals | 114 | ||
| Postoperative Indications/Precautions for Therapy | 114 | ||
| Postoperative Therapy: Low Median Nerve Injury—Opponensplasty | 115 | ||
| Postoperative Therapy: Opponensplasty Early Motion Program | 116 | ||
| Postoperative Therapy: High Median Nerve Injury—Brachioradialis to Flexor Pollicis Longus | 117 | ||
| Postoperative Complications | 117 | ||
| Evaluation Timeline | 118 | ||
| Outcomes | 119 | ||
| References | 120 | ||
| Suggested Readings | 120 | ||
| Chapter 13: Tendon Transfers for Ulnar Nerve Palsy | 121 | ||
| Definition | 122 | ||
| Surgical Purpose | 122 | ||
| Treatment Goals | 122 | ||
| Postoperative Indications/Precautions for Therapy | 123 | ||
| Postoperative Therapy: Low Ulnar Nerve Injury | 123 | ||
| Intrinsic Rebalancing Procedures: Static and Dynamic Transfers | 123 | ||
| Restoration of Power Pinch | 125 | ||
| Postoperative Therapy: High Ulnar Nerve Injury | 126 | ||
| Postoperative Complications | 127 | ||
| Evaluation Timeline | 127 | ||
| Outcomes | 127 | ||
| References | 128 | ||
| Suggested Readings | 128 | ||
| Chapter 14: Tendon Transfers for Radial Nerve Palsy | 129 | ||
| Definition | 130 | ||
| Surgical Purpose | 130 | ||
| Treatment Goals | 130 | ||
| Postoperative Indications/Precautions for Therapy | 132 | ||
| Postoperative Therapy | 132 | ||
| Postoperative Complications | 134 | ||
| Evaluation Timeline | 135 | ||
| Outcomes | 135 | ||
| References | 135 | ||
| Suggested Readings | 136 | ||
| Chapter 15: Brachial Plexus Neuropathy | 137 | ||
| Definition | 138 | ||
| Treatment Purpose | 140 | ||
| Treatment Goals | 140 | ||
| Nonoperative Indications/Precautions for Therapy | 140 | ||
| Nonoperative Therapy | 140 | ||
| Nonoperative Complications | 146 | ||
| Surgical Indications | 147 | ||
| Postoperative Indications/Precautions for Therapy | 147 | ||
| Postoperative Therapy | 148 | ||
| Postoperative Complications | 148 | ||
| Evaluation Timeline | 148 | ||
| Outcomes | 148 | ||
| References | 149 | ||
| Suggested Readings | 150 | ||
| Chapter 16: Complex Regional Pain Syndrome | 151 | ||
| Definition | 151 | ||
| Treatment Purpose | 151 | ||
| Treatment Goals | 152 | ||
| Nonoperative Indications/Precautions | 152 | ||
| Nonoperative Treatment ( Figure 16-2) | 153 | ||
| Nonoperative Complications | 156 | ||
| Postoperative Therapy | 156 | ||
| Postoperative Complications | 156 | ||
| Evaluation Timeline | 156 | ||
| Outcomes | 156 | ||
| References | 157 | ||
| Suggested Readings | 158 | ||
| Part III: Tendon Injuries | 159 | ||
| Chapter 17: Flexor Tendon Repair | 159 | ||
| Definition | 159 | ||
| Treatment Purpose | 160 | ||
| Treatment Goals | 160 | ||
| Postoperative Indications/Precautions for Therapy | 163 | ||
| Postoperative Therapy | 164 | ||
| Evaluation Timeline | 168 | ||
| Postoperative Complications | 169 | ||
| Outcomes | 171 | ||
| References | 171 | ||
| Suggested Readings | 172 | ||
| Chapter 18: Flexor Tendon Reconstruction | 173 | ||
| Definitions | 174 | ||
| Preoperative Treatment Goals | 174 | ||
| Indications for Preoperative Therapy | 176 | ||
| Preoperative Therapy | 176 | ||
| Postoperative Treatment Goals | 177 | ||
| Indications/Precautions for Postoperative Therapy | 177 | ||
| Postoperative Therapy | 177 | ||
| Postoperative Complications | 178 | ||
| Evaluation Timeline | 179 | ||
| Outcomes | 179 | ||
| References | 180 | ||
| Suggested Readings | 180 | ||
| Chapter 19: Flexor Tenolysis | 181 | ||
| Definition | 181 | ||
| Treatment Purpose | 182 | ||
| Postoperative Therapy | 182 | ||
| Postoperative Complications | 184 | ||
| Evaluation Timeline | 185 | ||
| Outcomes | 185 | ||
| References | 185 | ||
| Suggested Readings | 186 | ||
| Chapter 20: Management of Extensor Tendon Repairs | 187 | ||
| Definition | 190 | ||
| Surgical Purpose | 190 | ||
| Treatment Goals | 190 | ||
| Postoperative Indications/Precautions for Therapy | 190 | ||
| Postoperative Therapy | 190 | ||
| Postoperative Complications | 199 | ||
| Evaluation Timeline | 199 | ||
| Outcomes | 199 | ||
| References | 203 | ||
| Suggested Readings | 204 | ||
| Chapter 21: Extensor Tendon Imbalance: Mallet Finger, Swan-Neck Deformity, Boutonnière Deformity | 205 | ||
| Mallet Finger | 206 | ||
| Definition | 206 | ||
| Treatment and Surgical Purpose | 206 | ||
| Treatment Goals | 206 | ||
| Nonoperative Indications/Precautions for Therapy | 206 | ||
| Nonoperative Therapy | 207 | ||
| Nonoperative Complications | 208 | ||
| Postoperative Indications/Precautions for Therapy | 208 | ||
| Postoperative Complications | 208 | ||
| Evaluation Timeline | 208 | ||
| Swan-Neck Deformity | 209 | ||
| Definition | 209 | ||
| Treatment and Surgical Purpose | 209 | ||
| Nonoperative Treatment Goals | 210 | ||
| Nonoperative Indications/Precautions for Therapy | 210 | ||
| Nonoperative Therapy | 210 | ||
| Nonoperative Complications | 210 | ||
| Postoperative Treatment Goals | 210 | ||
| Postoperative Indications/Precautions for Therapy | 210 | ||
| Postoperative Therapy | 211 | ||
| Operative Complications | 211 | ||
| Evaluation Timeline | 211 | ||
| Boutonnière Deformity | 211 | ||
| Definition | 212 | ||
| Treatment and Surgical Purpose | 212 | ||
| Treatment Goals | 212 | ||
| Nonoperative Indications/Precautions for Therapy | 212 | ||
| Nonoperative Therapy | 213 | ||
| Nonoperative Complications | 214 | ||
| Postoperative Treatment Goals | 214 | ||
| Operative Indications/Precautions | 214 | ||
| Postoperative Indications | 215 | ||
| Postoperative Therapy | 215 | ||
| Postoperative Complications | 215 | ||
| Evaluation Timeline | 215 | ||
| Outcomes | 215 | ||
| Mallet Finger | 215 | ||
| Boutonnière Deformity | 216 | ||
| Swan-Neck Deformity | 217 | ||
| References | 217 | ||
| Suggested Readings | 217 | ||
| Chapter 22: Extensor Tendon Tenolysis | 219 | ||
| Definition | 220 | ||
| Treatment Goals | 220 | ||
| Operative Indication/Precautions for Therapy | 221 | ||
| Postoperative Therapy | 221 | ||
| Postoperative Complications | 223 | ||
| Evaluation Timeline | 223 | ||
| Outcomes | 224 | ||
| References | 225 | ||
| Suggested Readings | 225 | ||
| Chapter 23: Complex Extensor Tendon Reconstruction | 227 | ||
| Definition | 228 | ||
| Surgical Purpose | 228 | ||
| Treatment Goals | 228 | ||
| Postoperative Indications/Precautions for Therapy | 228 | ||
| Postoperative Therapy | 229 | ||
| Postoperative Complications | 230 | ||
| Evaluation Timeline | 230 | ||
| Outcomes | 230 | ||
| References | 233 | ||
| Suggested Readings | 234 | ||
| Part IV: Shoulder | 235 | ||
| Chapter 24: Shoulder impingement syndrome | 235 | ||
| Definitions | 237 | ||
| Treatment Purpose | 238 | ||
| Treatment Goals | 238 | ||
| Nonoperative Indications/Precautions for Therapy | 238 | ||
| Nonoperative Therapy | 238 | ||
| Nonoperative complications | 241 | ||
| Postoperative Indications/Precautions for Therapy | 241 | ||
| Postoperative Therapy | 242 | ||
| Postoperative Complications | 242 | ||
| Evaluation Timeline | 243 | ||
| Outcomes | 243 | ||
| Therapy Only | 243 | ||
| Therapy and Injections Outcomes | 244 | ||
| Exercise versus Surgery Outcomes | 244 | ||
| Surgical Outcomes | 245 | ||
| References | 245 | ||
| Suggested Readings | 246 | ||
| Chapter 25: Rotator Cuff Repairs | 247 | ||
| Definition | 249 | ||
| Tear Classification | 250 | ||
| Surgical Purpose | 250 | ||
| Treatment Goals | 250 | ||
| Postoperative Indications/Precautions for Therapy | 251 | ||
| Postoperative Therapy | 251 | ||
| Postoperative Complications | 255 | ||
| Evaluation Timeline | 255 | ||
| Outcomes | 255 | ||
| References | 257 | ||
| Suggested Readings | 257 | ||
| Chapter 26: Glenohumeral Instability | 259 | ||
| Nonoperative Rehabilitation for Traumatic Dislocation | 261 | ||
| Nonoperative Rehabilitation for Atraumatic Instability | 262 | ||
| Postoperative Rehabilitation for Shoulder Instability—General Considerations | 264 | ||
| Outcomes | 266 | ||
| References | 266 | ||
| Suggested Readings | 267 | ||
| Chapter 27: Humeral Fractures | 269 | ||
| Proximal Humeral Fractures | 269 | ||
| Definitions | 270 | ||
| Surgical Purpose | 270 | ||
| Treatment Goals | 271 | ||
| Nonoperative Indications/Precautions for Therapy | 271 | ||
| Nonoperative Therapy | 272 | ||
| Nonoperative Complications | 273 | ||
| Operative Indications/Precautions for Therapy | 273 | ||
| Postoperative Therapy | 273 | ||
| Postoperative Complications/Considerations | 274 | ||
| Evaluation Timeline | 274 | ||
| Humeral Shaft Fractures | 274 | ||
| Definitions | 275 | ||
| Treatment Purpose | 275 | ||
| Treatment Goals | 275 | ||
| Indications | 275 | ||
| Precautions/Contraindications | 275 | ||
| Nonoperative Therapy | 276 | ||
| Nonoperative Complications | 277 | ||
| Operative Indications/Precautions for Therapy | 277 | ||
| Postoperative Therapy | 277 | ||
| Postoperative Complications/Considerations | 278 | ||
| Evaluation Guidelines | 278 | ||
| Part V: Elbow | 291 | ||
| Chapter 29: Epicondylosis | 291 | ||
| Definitions | 291 | ||
| Treatment Purpose | 292 | ||
| Treatment Goals | 292 | ||
| Nonoperative Indications/Precautions for Therapy | 292 | ||
| Nonoperative Therapy | 293 | ||
| Nonoperative Complications | 294 | ||
| Operative Indications/Techniques | 294 | ||
| Postoperative Indications for Therapy | 294 | ||
| Postoperative Therapy | 295 | ||
| Postoperative Complications | 295 | ||
| Evaluation Timeline | 295 | ||
| Outcomes | 295 | ||
| References | 296 | ||
| Suggested Readings | 296 | ||
| Chapter 30: Elbow Fractures and Dislocations | 297 | ||
| Definition | 297 | ||
| Surgical Purpose | 300 | ||
| Treatment Goals | 300 | ||
| Nonoperative Indications/Precautions for Therapy | 300 | ||
| Nonoperative Therapy | 300 | ||
| Nonoperative Complications | 303 | ||
| Postoperative Indications/Precautions for Therapy | 303 | ||
| Postoperative Therapy | 303 | ||
| Postoperative Complications | 305 | ||
| Evaluation Timeline | 305 | ||
| Nonoperative and Operative Outcomes | 306 | ||
| References | 306 | ||
| Suggested Readings | 307 | ||
| Chapter 31: Elbow Arthroscopy | 309 | ||
| Definitions | 309 | ||
| Surgical Purpose | 311 | ||
| Treatment Goals | 311 | ||
| Operative Indications/Precautions | 311 | ||
| Postoperative Indications/Precautions for Therapy | 311 | ||
| Postoperative Therapy | 312 | ||
| Postoperative Complications | 312 | ||
| Evaluation Timeline | 312 | ||
| Outcomes | 313 | ||
| References | 313 | ||
| Suggested Readings | 314 | ||
| Chapter 32: Elbow Arthroplasty | 315 | ||
| Definition | 315 | ||
| Surgical Purpose | 315 | ||
| Treatment Goals | 316 | ||
| Operative Indications | 316 | ||
| Postoperative Indications/Precautions for Therapy | 317 | ||
| Postoperative Therapy | 317 | ||
| Postoperative Complications | 318 | ||
| Evaluation Timeline | 318 | ||
| Outcomes | 318 | ||
| References | 318 | ||
| Suggested Readings | 318 | ||
| Part VI: Wrist and Distal Radioulnar Joint | 319 | ||
| Chapter 33: Wrist and Hand Tendinopathies | 319 | ||
| Definition | 320 | ||
| Treatment Purpose | 321 | ||
| Treatment Goals | 321 | ||
| Nonoperative Indications/Precautions for Therapy | 321 | ||
| Nonoperative Therapy | 322 | ||
| Nonoperative Complications | 323 | ||
| Operative Indications/Precautions | 323 | ||
| Postoperative Therapy | 324 | ||
| Postoperative Complications | 325 | ||
| Evaluation Timeline | 325 | ||
| Outcomes | 326 | ||
| References | 326 | ||
| Suggested Readings | 327 | ||
| Chapter 34: Wrist Arthroscopy | 329 | ||
| Definition | 329 | ||
| Surgical Purpose | 329 | ||
| Treatment Goals | 329 | ||
| Operative Indications/Precautions | 329 | ||
| Postoperative Indications/Precautions for Therapy | 330 | ||
| Postoperative Therapy | 330 | ||
| Postoperative Complications | 332 | ||
| Timeline | 332 | ||
| Outcomes | 332 | ||
| References | 333 | ||
| Suggested Readings | 334 | ||
| Chapter 35: Carpal Fractures and Instabilities | 335 | ||
| Introduction | 335 | ||
| Definitions | 336 | ||
| Carpal Fractures | 336 | ||
| Trapezium | 336 | ||
| Hamate | 336 | ||
| Lunate | 337 | ||
| Pisiform | 337 | ||
| Capitate | 337 | ||
| Trapezoid | 337 | ||
| Carpal Instability | 337 | ||
| Surgical Purpose | 338 | ||
| Nonoperative Treatment Goals | 338 | ||
| Nonoperative Indications/Precautions for Therapy | 338 | ||
| Nonoperative Treatment | 339 | ||
| Carpal Fractures | 339 | ||
| Carpal Ligament Injury and Instability | 340 | ||
| Proprioception Reeducation | 341 | ||
| Nonoperative Complications | 343 | ||
| Postoperative Treatment Goals | 343 | ||
| Postoperative Indications/Precautions for Therapy | 343 | ||
| Postoperative Therapy | 343 | ||
| Carpal Fractures | 343 | ||
| Carpal Ligament Injuries | 344 | ||
| Postoperative Complications | 345 | ||
| Evaluation Timeline | 345 | ||
| Outcomes | 345 | ||
| References | 346 | ||
| Suggested Readings | 347 | ||
| Chapter 36: Triangular Fibrocartilage Injuries | 349 | ||
| Definition | 349 | ||
| Anatomy | 349 | ||
| Classification of Injuries | 350 | ||
| Physical Examination | 350 | ||
| Subjective Data | 350 | ||
| Examining the TFCC | 350 | ||
| Palpation | 350 | ||
| TFCC Fovea | 351 | ||
| Extensor Carpi Ulnaris (ECU) | 351 | ||
| Ulnocarpal Stress Test | 351 | ||
| Gripping Rotatory Impaction Test (GRIT) | 351 | ||
| Traumatic (Class 1) Injuries | 351 | ||
| Degenerative (Class 2) Injuries | 352 | ||
| Treatment Indications/Technique | 352 | ||
| Traumatic Injuries | 352 | ||
| Degenerative Injuries | 352 | ||
| Nonoperative Management | 353 | ||
| Nonoperative Management Timeline | 353 | ||
| Operative Indications | 354 | ||
| Debridement of the TFCC | 354 | ||
| Evaluation and Treatment Timeline | 354 | ||
| Postoperative Complications with Central Lesion Repair | 356 | ||
| Primary Repair of TFCC Peripheral Tear | 356 | ||
| Surgical Indications | 356 | ||
| Evaluation and Treatment Timeline | 356 | ||
| Other Treatment Considerations | 357 | ||
| Postoperative Complications | 358 | ||
| Outcomes | 358 | ||
| References | 358 | ||
| Suggested Readings | 359 | ||
| Chapter 37: External and Internal Fixation of Unstable Distal Radius Fractures | 361 | ||
| History/Overview | 361 | ||
| Treatment and Surgical Purpose | 362 | ||
| External Fixation | 362 | ||
| Definitions | 362 | ||
| Treatment Goals | 363 | ||
| Postoperative Indications/Precautions for Therapy | 363 | ||
| Postoperative Therapy | 363 | ||
| Postoperative Complications | 364 | ||
| Evaluation Timeline | 364 | ||
| Open Reduction and Internal Fixation | 364 | ||
| Definitions | 364 | ||
| Treatment Goals | 366 | ||
| Postoperative Precautions for Therapy | 366 | ||
| Postoperative Therapy for Volar and Dorsal Plating | 366 | ||
| Postoperative Therapy for Bridge Plating | 367 | ||
| Postoperative Complications | 367 | ||
| Evaluation Timeline for Volar and Dorsal Plating | 367 | ||
| Evaluation Timeline for Bridge Plating | 367 | ||
| Outcomes | 368 | ||
| References | 368 | ||
| Suggested Readings | 370 | ||
| Chapter 38: Ulnar Head Resection | 371 | ||
| Definition | 371 | ||
| Surgical Purpose | 373 | ||
| Treatment Goals | 373 | ||
| Operative Indications/Precautions | 373 | ||
| Postoperative Indications/Precautions for Therapy | 373 | ||
| Postoperative Therapy | 373 | ||
| Postoperative Complications | 375 | ||
| Evaluation Timeline | 375 | ||
| Outcomes | 375 | ||
| References | 375 | ||
| Suggested Readings | 376 | ||
| Chapter 39: Proximal Row Carpectomy | 377 | ||
| Definition | 377 | ||
| Treatment Goals | 377 | ||
| Postoperative Indications/Precautions for Therapy | 378 | ||
| Postoperative Therapy | 378 | ||
| Postoperative Complications | 379 | ||
| Evaluation Timeline | 379 | ||
| Outcomes | 379 | ||
| References | 380 | ||
| Suggested Readings | 380 | ||
| Chapter 40: Wrist Arthroplasty | 381 | ||
| Definition | 381 | ||
| Surgical Purpose | 382 | ||
| Therapeutic Treatment Goals | 382 | ||
| Postoperative Indications/Precautions for Therapy | 382 | ||
| Postoperative Therapy | 382 | ||
| Postoperative Complications | 383 | ||
| Evaluation Timeline | 383 | ||
| Outcomes | 383 | ||
| References | 384 | ||
| Suggested Readings | 385 | ||
| Chapter 41: Wrist Arthrodesis | 387 | ||
| Definition | 387 | ||
| Surgical Purpose | 387 | ||
| Operative Indications | 388 | ||
| Treatment Goals | 388 | ||
| Postoperative Therapy | 388 | ||
| Radiocarpal Arthrodesis | 389 | ||
| Intercarpal Arthrodesis (four-corner, three-corner, STT) | 389 | ||
| Four-Corner Arthrodesis | 390 | ||
| Three-Corner Arthrodesis | 390 | ||
| STT (Scaphotrapezial Trapezoidal) Arthrodesis | 391 | ||
| Total Wrist Arthrodesis | 391 | ||
| Postoperative Complications | 392 | ||
| Evaluation Timeline | 393 | ||
| Outcomes | 393 | ||
| Functional Outcomes for Partial Wrist Arthrodesis | 393 | ||
| Functional Outcomes for Total Wrist Arthrodesis | 393 | ||
| References | 394 | ||
| Suggested Readings | 394 | ||
| Part VII: Hand | 395 | ||
| Chapter 42: Dupuytren Disease | 395 | ||
| Definition | 396 | ||
| Surgical/Nonsurgical Purpose | 396 | ||
| Treatment Goals | 397 | ||
| Nonoperative Indications/Precautions for Therapy | 397 | ||
| Minimally Invasive Procedures | 397 | ||
| Complications After Minimally Invasive Procedures | 398 | ||
| Evaluation Timeline | 398 | ||
| Postoperative Indications/Precautions for Therapy | 398 | ||
| Postoperative Therapy | 398 | ||
| Postoperative Complications | 399 | ||
| Evaluation Timeline | 399 | ||
| Outcomes | 400 | ||
| References | 400 | ||
| Chapter 43: Ligament Injuries of the Hand | 403 | ||
| Definitions | 404 | ||
| Treatment and Surgical Purpose | 405 | ||
| Treatment Goals | 405 | ||
| Nonoperative Indications/Precautions for Therapy | 405 | ||
| Nonoperative Therapy | 406 | ||
| Nonoperative Complications | 408 | ||
| Operative Indications/Precautions for Therapy | 408 | ||
| Postoperative Therapy | 408 | ||
| Postoperative Complications | 410 | ||
| Evaluation Timeline | 410 | ||
| Outcomes | 410 | ||
| References | 411 | ||
| Suggested Readings | 412 | ||
| Chapter 44: Fractures of the Hand | 413 | ||
| Definition | 414 | ||
| Distal Phalanx Fractures | 415 | ||
| Treatment Purpose/Goals | 415 | ||
| Nonoperative Indications/Precautions for Therapy | 415 | ||
| Nonoperative Therapy | 416 | ||
| Nonoperative Complications | 416 | ||
| Postoperative Indications and Precautions for Therapy | 416 | ||
| Postoperative Therapy | 416 | ||
| Postoperative Complications | 416 | ||
| Evaluation Timeline | 416 | ||
| Middle Phalanx Fractures | 417 | ||
| Treatment Purpose | 418 | ||
| Treatment Goals | 418 | ||
| Nonoperative Indications/Precautions for Therapy | 418 | ||
| Nonoperative Therapy | 418 | ||
| Nonoperative Complications | 419 | ||
| Postoperative Indications/Precautions for Therapy | 419 | ||
| Postoperative Therapy | 419 | ||
| Postoperative Complications | 420 | ||
| Evaluation Timeline | 420 | ||
| Intraarticular Middle Phalanx Fractures | 420 | ||
| Definition | 421 | ||
| Treatment Purpose | 421 | ||
| Treatment Goals | 421 | ||
| Nonoperative Indications/Precautions for Therapy | 421 | ||
| Nonoperative Therapy | 421 | ||
| Nonoperative Complications | 422 | ||
| Postoperative Indications/Precautions for Therapy | 422 | ||
| Postoperative Therapy | 422 | ||
| Postoperative Complications | 423 | ||
| Evaluation Timeline | 423 | ||
| Proximal Phalanx Fractures | 423 | ||
| Treatment Purpose | 423 | ||
| Treatment Goals | 423 | ||
| Nonoperative Indications/Precautions for Therapy | 423 | ||
| Nonoperative Therapy | 424 | ||
| Nonoperative Complications | 424 | ||
| Postoperative Indications/Precautions for Therapy | 424 | ||
| Postoperative Therapy | 424 | ||
| Postoperative Complications | 424 | ||
| Evaluation Timeline | 424 | ||
| Metacarpal Fractures | 424 | ||
| Definition | 424 | ||
| Treatment Purpose | 425 | ||
| Treatment Goals | 425 | ||
| Nonoperative Indications/Precautions for Therapy | 425 | ||
| Nonoperative Therapy | 425 | ||
| Postoperative Indications/Precautions for Therapy | 426 | ||
| Treatment Purpose | 426 | ||
| Postoperative Therapy | 427 | ||
| Postoperative Complications | 428 | ||
| Evaluation Timeline/General Guidelines | 428 | ||
| Outcomes | 428 | ||
| Distal Phalanx Fractures | 428 | ||
| Middle Phalanx Fractures | 428 | ||
| Proximal Phalanx Fractures | 428 | ||
| Intraarticular PIP Fractures | 428 | ||
| Metacarpal Fractures | 428 | ||
| References | 428 | ||
| Suggested Readings | 429 | ||
| Chapter 45: Replantation | 431 | ||
| Definition | 432 | ||
| Surgical Purpose | 432 | ||
| Treatment Goals | 432 | ||
| Operative Indications/Precautions | 432 | ||
| Immediate Postoperative Complications | 433 | ||
| Postoperative Indications/Precautions for Therapy | 433 | ||
| Postoperative Therapy | 433 | ||
| Postoperative Complications | 437 | ||
| Evaluation Timeline | 437 | ||
| Outcomes | 438 | ||
| References | 438 | ||
| Suggested Readings | 439 | ||
| Chapter 46: Digital Amputation and Ray Resection | 441 | ||
| Definition | 442 | ||
| Surgical Purpose | 443 | ||
| Treatment Goals | 443 | ||
| Nonoperative Indications/Precautions for Therapy | 443 | ||
| Nonoperative Therapy | 443 | ||
| Nonoperative Complications | 443 | ||
| Postoperative Indications/Precautions for Therapy | 444 | ||
| Postoperative Therapy | 444 | ||
| Postoperative Complications | 444 | ||
| Evaluation Timeline | 445 | ||
| Outcomes | 445 | ||
| References | 446 | ||
| Suggested Readings | 446 | ||
| Chapter 47: Metacarpal and Proximal Interphalangeal Joint Capsulectomy | 447 | ||
| Definitions | 448 | ||
| Surgical Purpose | 448 | ||
| Treatment Goals | 449 | ||
| Postoperative Indications/Precautions for Therapy | 449 | ||
| Postoperative Therapy | 449 | ||
| Postoperative Complications | 452 | ||
| Evaluation Timeline | 453 | ||
| Outcomes | 453 | ||
| MCP Capsulectomy | 454 | ||
| PIP Capsulectomy | 455 | ||
| References | 456 | ||
| Suggested Readings | 456 | ||
| Chapter 48: Thumb Carpometacarpal Joint Arthroplasty | 457 | ||
| Definition | 459 | ||
| Surgical Purpose | 459 | ||
| Treatment Goals | 459 | ||
| Postoperative Indications/Precautions for Therapy | 460 | ||
| Postoperative Therapy | 460 | ||
| Postoperative Complications | 461 | ||
| Evaluation Timeline | 461 | ||
| Outcomes | 461 | ||
| References | 462 | ||
| Suggested Readings | 463 | ||
| Chapter 49: Metacarpophalangeal Joint Arthroplasty | 465 | ||
| Definition | 466 | ||
| Surgical Purpose | 466 | ||
| Treatment Goals | 466 | ||
| Postoperative Indications/Precautions for Therapy | 466 | ||
| Postoperative Therapy for Flexible Implant MCP Arthroplasty | 466 | ||
| Postoperative Therapy for Pyrocarbon MCP Joint Arthroplasty | 468 | ||
| Postoperative Complications | 468 | ||
| Evaluation Timeline | 469 | ||
| Outcomes | 469 | ||
| References | 469 | ||
| Suggested Readings | 470 | ||
| Chapter 50: Proximal and Distal Interphalangeal Joint Arthroplasty | 471 | ||
| Definition | 471 | ||
| Surgical Purpose | 471 | ||
| Treatment Goals | 472 | ||
| Postoperative Indications/Precautions for Therapy | 472 | ||
| Postoperative Therapy | 472 | ||
| Postoperative Complications | 474 | ||
| Evaluation Timeline | 474 | ||
| Outcomes | 474 | ||
| References | 475 | ||
| Suggested Readings | 475 | ||
| Chapter 51: Small Joint Arthrodesis of the Hand | 477 | ||
| Definition | 477 | ||
| Treatment and Surgical Purpose | 478 | ||
| Treatment Goals | 479 | ||
| Postoperative Indications/Precautions for Therapy | 479 | ||
| Postoperative Complications | 479 | ||
| Postoperative Therapy | 479 | ||
| Evaluation Timeline | 479 | ||
| Outcomes | 480 | ||
| References | 480 | ||
| Suggested Readings | 480 | ||
| Part VIII: Special Topics | 481 | ||
| Chapter 52: Conservative Management of Arthritis | 481 | ||
| Definition | 482 | ||
| Treatment Goals | 482 | ||
| Treatment Purpose | 482 | ||
| Nonoperative Indications/Precautions for Therapy | 482 | ||
| Conservative Management and Treatment of Arthritis | 482 | ||
| Outcomes | 488 | ||
| Further Information | 489 | ||
| References | 489 | ||
| Suggested Readings | 490 | ||
| Chapter 53: Congenital Differences in the Hand and Upper Extremity | 491 | ||
| General Guidelines for Therapy Evaluation | 492 | ||
| Transverse Deficiency | 492 | ||
| Definition | 492 | ||
| Clinical Presentation | 493 | ||
| Classification | 493 | ||
| Treatment Goals | 493 | ||
| Nonoperative Management | 493 | ||
| Operative Management | 493 | ||
| Postoperative Management | 493 | ||
| Outcomes | 493 | ||
| Radial Deficiency | 494 | ||
| Definition | 494 | ||
| Clinical Presentation | 494 | ||
| Classification | 495 | ||
| Treatment Goals | 495 | ||
| Nonoperative Management | 495 | ||
| Operative Management | 496 | ||
| Postoperative Management | 496 | ||
| Centralization/Radialization | 496 | ||
| Distraction Histiogenesis | 497 | ||
| Outcomes | 497 | ||
| Arthrogryposis | 498 | ||
| Definition | 498 | ||
| Classification | 498 | ||
| Clinical Presentation | 498 | ||
| Treatment Goals | 498 | ||
| Nonoperative Management | 498 | ||
| Operative Management | 498 | ||
| Elbow | 499 | ||
| Forearm and Wrist | 499 | ||
| Thumb and Fingers | 499 | ||
| Postoperative Management | 501 | ||
| Triceps Lengthening and Posterior Capsule Release | 501 | ||
| Midcarpal Dorsal Wedge Osteotomy and Wrist Extension Tendon Transfer | 501 | ||
| Contracted Clasped Thumb | 502 | ||
| Outcomes | 502 | ||
| Hypoplastic Thumb | 502 | ||
| Definition | 502 | ||
| Classification | 502 | ||
| Clinical Presentation | 502 | ||
| Treatment Goals | 503 | ||
| Nonoperative Management | 503 | ||
| Operative Management | 503 | ||
| Index | 571 |