BOOK
Complex Trauma Management of the Upper Extremity, An Issue of Hand Clinics, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Hand Clinics, guest edited by Dr. Asif M. Ilyas, will cover Complex Trauma Management of the Upper Extremity. Topics discussed in the volume include: Open Hand Fractures; Open Fractures of the Upper Extremity, including Antibiotics and Debridement Strategies; Evaluation and Emergency Management for the Mangled Hand; Acute Carpal Tunnel Syndrome and Distal Radius Fractures; Open Distal Radius Fractures; Forearm Compartment Syndrome; Traumatic Wounds of the Upper Extremity; Evaluation and Treatment Strategies; Ulnar Nerve Management with Distal Humerus Fractures; and Radial Nerve Palsy Management after Humerus fractures, among others.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Complex Trauma Management of the Upper Extremity\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface: Complex Trauma Management of the Upper Extremity | v | ||
| Open Fractures of the Hand: Review of Pathogenesis and Introduction of a New Classification System | v | ||
| Antibiotic Management and Operative Debridement in Open Fractures of the Hand and Upper Extremity: A Systematic Review | v | ||
| “Damage Control” Hand Surgery: Evaluation and Emergency Management of the Mangled Hand | v | ||
| Carpal Tunnel Syndrome and Distal Radius Fractures | v | ||
| Open Distal Radius Fractures: Timing and Strategies for Surgical Management | vi | ||
| Hand Compartment Syndrome | vi | ||
| Forearm Compartment Syndrome: Evaluation and Management | vi | ||
| Traumatic Wounds of the Upper Extremity: Coverage Strategies | vi | ||
| Elbow Fractures with Instability: Evaluation and Treatment Strategies | vii | ||
| Arterial Injury in the Upper Extremity: Evaluation, Strategies, and Anticoagulation Management | vii | ||
| Ulnar Nerve Management with Distal Humerus Fracture Fixation: A Meta-Analysis | vii | ||
| Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatmen ... | vii | ||
| Distal Radius Fractures in a Functional Quadruped: Spanning Bridge Plate Fixation of the Wrist | viii | ||
| HAND CLINICS\r | ix | ||
| FORTHCOMING ISSUES | ix | ||
| May 2018 | ix | ||
| August 2018 | ix | ||
| November 2018 | ix | ||
| RECENT ISSUES | ix | ||
| November 2017 | ix | ||
| August 2017 | ix | ||
| May 2017 | ix | ||
| Preface:\rComplex Trauma Management of the Upper Extremity | xi | ||
| Open Fractures of the Hand | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 1 | ||
| AVAILABLE EVIDENCE ON OPEN HAND FRACTURES | 1 | ||
| VARIABLES AFFECTING INFECTION RISK FOLLOWING AN OPEN FRACTURE OF THE HAND | 2 | ||
| Anatomy | 2 | ||
| Vascular Supply | 2 | ||
| Soft Tissue Envelope | 3 | ||
| Contamination | 3 | ||
| PREDICTIVE FACTORS IN OPEN HAND FRACTURES | 4 | ||
| INAPPLICABILITY OF THE GUSTILO-ANDERSON CLASSIFICATION TO OPEN HAND FRACTURES | 4 | ||
| NEW CLASSIFICATION OF OPEN HAND FRACTURES | 5 | ||
| REFERENCES | 6 | ||
| Antibiotic Management and Operative Debridement in Open Fractures of the Hand and Upper Extremity | 9 | ||
| Key points | 9 | ||
| INTRODUCTION | 9 | ||
| METHODS | 10 | ||
| RESULTS | 10 | ||
| OPEN HAND FRACTURES | 10 | ||
| Antibiotic Management | 10 | ||
| Timing of Debridement | 11 | ||
| OPEN DISTAL RADIUS AND FOREARM FRACTURES | 13 | ||
| Antibiotic Management | 13 | ||
| Timing of Debridement | 13 | ||
| UPPER EXTREMITY FRACTURES (UNSPECIFIED) | 15 | ||
| Timing of Debridement | 15 | ||
| DISCUSSION | 15 | ||
| SUMMARY | 16 | ||
| REFERENCES | 16 | ||
| “Damage Control” Hand Surgery | 17 | ||
| Key points | 17 | ||
| INTRODUCTION | 17 | ||
| INITIAL EVALUATION AND EMERGENCY MANAGEMENT | 18 | ||
| OPERATIVE MANAGEMENT | 19 | ||
| Order of Repair | 20 | ||
| Spare Parts and Heterotopic Replantation | 20 | ||
| Skeletal Fixation | 20 | ||
| Tendon Repair | 22 | ||
| Vascular Repair | 22 | ||
| Nerve Repair | 22 | ||
| Soft Tissue Coverage | 23 | ||
| POSTOPERATIVE MANAGEMENT | 24 | ||
| OUTCOMES | 24 | ||
| REFERENCES | 25 | ||
| Carpal Tunnel Syndrome and Distal Radius Fractures | 27 | ||
| Key points | 27 | ||
| INTRODUCTION | 27 | ||
| ACUTE CARPAL TUNNEL SYNDROME | 28 | ||
| Pathophysiology | 28 | ||
| Diagnosis | 28 | ||
| Treatment | 28 | ||
| TRANSIENT CARPAL TUNNEL SYNDROME | 29 | ||
| DELAYED CARPAL TUNNEL SYNDROME | 29 | ||
| SUMMARY | 31 | ||
| REFERENCES | 31 | ||
| Open Distal Radius Fractures | 33 | ||
| Key points | 33 | ||
| INTRODUCTION | 33 | ||
| INJURY CLASSIFICATION AND RISK FACTORS FOR POSTOPERATIVE INFECTION | 33 | ||
| TIMING OF SURGICAL INTERVENTION | 35 | ||
| SERIAL DÉBRIDEMENT | 36 | ||
| ROLE OF ANTIBIOTICS | 36 | ||
| SURGICAL FIXATION | 37 | ||
| OUTCOMES AND COMPLICATIONS | 38 | ||
| SUMMARY AND TREATMENT RECOMMENDATIONS | 39 | ||
| REFERENCES | 39 | ||
| Hand Compartment Syndrome | 41 | ||
| Key points | 41 | ||
| INTRODUCTION | 41 | ||
| HISTORICAL PERSPECTIVE | 41 | ||
| ANATOMY | 42 | ||
| PATHOPHYSIOLOGY | 43 | ||
| PATHOLOGIC IMPLICATIONS | 44 | ||
| ETIOLOGIES | 45 | ||
| EVALUATION AND DIAGNOSIS | 45 | ||
| TREATMENT | 48 | ||
| OUTCOMES AND COMPLICATIONS | 50 | ||
| SUMMARY | 50 | ||
| REFERENCES | 50 | ||
| Forearm Compartment Syndrome | 53 | ||
| Key points | 53 | ||
| INTRODUCTION | 53 | ||
| HISTORY | 54 | ||
| ETIOLOGY | 54 | ||
| PATHOPHYSIOLOGY | 54 | ||
| ANATOMY | 55 | ||
| DIAGNOSIS | 56 | ||
| MANAGEMENT | 57 | ||
| OUTCOMES AND COMPLICATIONS | 59 | ||
| SUMMARY | 59 | ||
| REFERENCES | 60 | ||
| Traumatic Wounds of the Upper Extremity | 61 | ||
| Key points | 61 | ||
| INTRODUCTION | 61 | ||
| INITIAL EVALUATION AND MANAGEMENT IN EMERGENCY ROOM | 61 | ||
| URGENT REEVALUATION AND SURGICAL MANAGEMENT OF WOUNDS | 62 | ||
| TIMING OF WOUND CLOSURE/COVERAGE | 62 | ||
| PRIMARY SOFT TISSUE WOUND CLOSURE/COVERAGE | 62 | ||
| VACUUM-ASSISTED CLOSURE THERAPY | 62 | ||
| STRATEGIES FOR SKIN AND SOFT TISSUE COVERAGE | 62 | ||
| Skin Grafts | 62 | ||
| Synthetic Skin Substitutes | 63 | ||
| Flaps | 64 | ||
| Local advancement flaps | 64 | ||
| Atasoy V-Y volar advancement flap | 64 | ||
| Kutler bilateral V-Y advancement flap | 64 | ||
| Moberg advancement flap | 64 | ||
| Regional flaps | 66 | ||
| Littler neurovascular island flap | 66 | ||
| Cross-finger flap | 66 | ||
| First dorsal metacarpal artery or kite flap | 66 | ||
| Reverse homodigital islanded flap | 67 | ||
| Radial forearm flap | 67 | ||
| Reverse posterior interosseous artery flap | 67 | ||
| Distally based ulnar artery forearm flap | 68 | ||
| Becker dorsoulnar flap | 68 | ||
| Distant flaps | 68 | ||
| Groin flap | 68 | ||
| Abdominal flap | 69 | ||
| Free flaps | 70 | ||
| Radial forearm free flap | 70 | ||
| Anterolateral thigh flap | 71 | ||
| Scapular and parascapular free flap | 71 | ||
| Free latissimus dorsi flap | 72 | ||
| Lateral arm free flap | 73 | ||
| SUMMARY | 73 | ||
| ACKNOWLEDGMENTS | 73 | ||
| REFERENCES | 73 | ||
| Elbow Fractures with Instability | 75 | ||
| Key points | 75 | ||
| INTRODUCTION | 75 | ||
| INITIAL MANAGEMENT | 75 | ||
| UNDERSTANDING THE INJURY | 75 | ||
| ELEMENTS OF FRACTURE-INSTABILITY PATTERNS | 76 | ||
| Coronoid | 76 | ||
| Radial Head | 76 | ||
| Collateral Ligament Injury | 76 | ||
| SURGICAL PLANNING | 76 | ||
| APPROACHES | 77 | ||
| Incision | 77 | ||
| Lateral | 77 | ||
| Medial | 77 | ||
| Trans-fracture | 77 | ||
| TREATMENT FOR SPECIFIC FRACTURE ELEMENTS | 77 | ||
| Radial Head | 77 | ||
| Coronoid | 78 | ||
| Proximal Ulna Fracture | 78 | ||
| Collateral Ligaments | 78 | ||
| ULNAR NERVE | 79 | ||
| CASE EXAMPLES | 79 | ||
| Patient 1: Terrible Triad | 79 | ||
| Patient 2: Varus Posteromedial Rotatory Instability | 79 | ||
| Patient 3: Olecranon Fracture Dislocation | 81 | ||
| PEARLS AND PITFALLS | 81 | ||
| REFERENCES | 83 | ||
| Arterial Injury in the Upper Extremity | 85 | ||
| Key points | 85 | ||
| EPIDEMIOLOGY | 85 | ||
| EVALUATION | 86 | ||
| TREATMENT | 88 | ||
| Limb Salvage | 88 | ||
| Vascular Repair | 89 | ||
| Treatment by Location | 89 | ||
| Shoulder and proximal | 89 | ||
| Elbow | 90 | ||
| Forearm/wrist | 91 | ||
| Hand | 92 | ||
| ANTICOAGULATION MANAGEMENT | 92 | ||
| TREATMENT OUTCOME | 93 | ||
| REFERENCES | 94 | ||
| Ulnar Nerve Management with Distal Humerus Fracture Fixation | 97 | ||
| Key points | 97 | ||
| INTRODUCTION | 97 | ||
| METHODS | 99 | ||
| RESULTS | 99 | ||
| DISCUSSION | 101 | ||
| SUMMARY | 102 | ||
| REFERENCES | 102 | ||
| Radial Nerve Palsy After Humeral Shaft Fractures | 105 | ||
| Key points | 105 | ||
| INTRODUCTION | 105 | ||
| ANATOMY | 106 | ||
| DIAGNOSIS | 107 | ||
| CLASSIFICATION | 107 | ||
| DIAGNOSTIC MODALITIES | 108 | ||
| TREATMENT STRATEGIES | 109 | ||
| Early Exploration | 109 | ||
| Observation/Delayed Exploration | 110 | ||
| SUMMARY | 110 | ||
| REFERENCES | 110 | ||
| Distal Radius Fractures in a Functional Quadruped | 113 | ||
| Key points | 113 | ||
| INTRODUCTION | 113 | ||
| INDICATIONS AND CONTRAINDICATIONS | 114 | ||
| TECHNIQUE | 114 | ||
| CASE SERIES | 116 | ||
| DISCUSSION | 117 | ||
| SUMMARY | 119 | ||
| REFERENCES | 119 |