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In this issue of Hand Clinics, guest editors Frédéric Schuind, Fabian Moungondo, and Luc Van Overstraeten bring their considerable expertise to the topic of The Use of Sonography in Hand/Upper Extremity Surgery. Top experts in the field cover key topics such as Flexor Tendons Sonography, Sonographic Diagnosis of Carpal Tunnel Syndrome, Atlas of Sonographic Anatomy of the Hand and Wrist, and more. - Contains 9 relevant, practice-oriented topics including Nerve Ultrasound-Assisted Surgery for Neuropathic Pain and Joint Denervation; Preoperative Evaluation of Thenar Muscles in Carpal Tunnel Syndrome by Ultrasonograph; Shear Wave Ultrasound Elastography for Hand Soft Tissue Assessment; and more. - Provides in-depth clinical reviews on the use of sonography in Hand/Upper Extremity Surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Collecting and synthesizing all of the most recent literature on Kienböck’s disease from around the world, this comprehensive text aims to provide a more dynamic, nuanced treatment algorithm for this enigmatic condition. Part I consolidates the basic science on Kienböck’s and the lunate, including anatomy, pathology, biomechanics and etiology. Clinical assessment is covered in part II, including radiology, advanced imaging and arthroscopy. The natural history and progression of the condition in children, adults and the elderly is also presented. By far the largest section, part III describes the roles and methods of the various management strategies for Kienböck’s, from minimally in...
Advances made in microsurgical techniques during the last three decades have dramatically improved the treatment of complex limb injuries, such as a closed fracture covered by healthy tissue and a complex open fracture of the tibia. Microvascular transfers from the foot have revolutionized the treatment of digital amputations, and vascularized bone transfers are used in various indications.The microvascular techniques are still evolving. Many imaginative new flaps are being proposed to meet precisely the functional requirements of the various defects. Alternative anastomotic techniques are being investigated and the no-flow phenomenon has been extensively studied. Allotransplantation may be feasible in the future.This unique book is a result of the exchange of ideas among clinicians of various specialties noted for their innovations and basic researchers involved with the problems of microvascular reconstruction of upper and lower extremities. While most of the chapters are invited contributions, some are based on presentations made during an international symposium held in Brussels, Belgium, in 1997.
Despite immense advancements, brachial plexus injuries continue to be an area where improvement is much needed. While some problems have been solved, there remain difficult situations where patients desperately need the neurosurgeon's help. This book is an attempt to put the state of the art in some of these less known areas, to provide the reader with an insight into what is currently being done today and what might be the possible therapeutic strategies for the future. We attempt not only to provide information but also more importantly to awake the interest of as many researchers as possible to find new solutions to old problems.
This book develops and describes surgical rationales in the field of reconstructive surgery for upper limb function, both in children and adults suffering from various diseases or trauma leading to a variety of motor and sensory impairments, sometimes associated with growth-related deformities. Every surgical career is a unique living story of learning, performing, questioning, trial and error, and finally success. Every surgeon has to integrate a wealth of information regarding ongoing clinical and research work in a range of disciplines; and with time and experience, a surgical rationale is developed that serves as a baseline and support for their day-to-day work.Following a structure star...
This book presents international experimental and clinical experience on limb transplantation and other composite tissue allografts, representing the most complete and comprehensive review of this innovative and ground breaking procedure. This book is a milestone in medical literature and an asset for every scientific library.
Peripheral nerve disorders are comprising one of the major clinical topics in neuromusculoskeletal disorders. Sharp nerve injuries, chronic entrapment syndromes, and peripheral neuropathic processes can be classified in this common medical topic. Different aspects of these disorders including anatomy, physiology, pathophysiology, injury mechanisms, and different diagnostic and management methods need to be addressed when discussing this topic. The goal of preparing this book was to gather such pertinent chapters to cover these aspects.
This book supports the emerging field of vascularized composite allotransplantation (VCA) for face and upper-limb transplants by providing a revised, ethically appropriate consent model which takes into account what is actually required of facial and upper extremity transplant recipients. In place of consent as permission-giving, waiver, or autonomous authorization (the standard approaches), this book imagines consent as an ongoing mutual commitment, i.e. as covenant consent. The covenant consent model highlights the need for a durable personal relationship between the patient/subject and the care provider/researcher. Such a relationship is crucial given the recovery period of 5 years or mor...
Biomaterials are used in many areas of medicine, particularly in surgery and d- tistry. In orthopedic surgery, total hip arthroplasty has been extremely successful, and has been called ‘the operation of the 20th century’. Total hip arthroplasty is r- tinely performed every day in most orthopedic departments. Over the last decades, many efforts have been made to better integrate the components within the recipient bones, to decrease the friction at the prosthetic interface, and to minimize wear. Minimally invasive procedures have been developed, and various designs are inte- ed to preserve as much as possible of the bone stock of young patients. By contrast, the clinical results have been...
William P. Cooney III, R. A. Berger, and K. N. An Orthopedic Biomechanics Laboratory Department of Orthopedic Surgery Mayo Clinic and Mayo Foundation Rochester, MN 55905, U. S. A. As surgeons struggle to find new insights into the complex diseases and deformities that involve the wrist and hand, new insights are being provided by applied anatomy, physiology and biomechanics to these important areas. Indeed, a fresh new interaction of disciplines has immersed in which anatomists, bioengineers and surgeons examine together basic functions and principles that can provide a strong foundation for future growth. Clinical interest in the hand and wrist are now at a peak on an international level. E...