Hand Fractures and Dislocations

Table of contents :
Preface……Page 6
Reference……Page 7
A Tribute to J. Leonard Goldner……Page 8
Anatomy and biomechanics……Page 12
General treatment principles……Page 14
Dislocations……Page 15
Avulsions……Page 16
Intra-articular fractures……Page 17
References……Page 18
Mallet fracture with compensatory swan neck deformity……Page 20
Pilon fractures involving the base of the middle phalanx……Page 21
Oblique shaft fractures of the proximal phalanx……Page 22
Transverse diaphyseal fractures of the metacarpal……Page 26
References……Page 27
Hand Fractures and Dislocations in the Developing Skeleton……Page 29
Embryology……Page 30
Epidemiology……Page 32
Classification……Page 34
Nonepiphyseal fractures……Page 35
Epiphyseal fractures……Page 37
Nonepiphyseal……Page 38
Nonepiphyseal……Page 40
Epiphyseal……Page 41
Proximal interphalangeal……Page 42
References……Page 43
Intramedullary Fixation Of Unstable Metacarpal Fractures……Page 45
Intramedullary wiring of metacarpal fractures……Page 46
Authors’ technique……Page 49
Summary……Page 52
References……Page 53
Patients and methods……Page 54
Metacarpal fractures……Page 55
Phalangeal factures……Page 56
Discussion……Page 59
References……Page 61
Biomechanical studies of fixation techniques……Page 62
Tension band wiring……Page 63
Lag screw fixation……Page 64
Recommended techniques……Page 65
Biomechanical studies of fixation techniques……Page 66
Lag screw fixation……Page 67
Recommended techniques……Page 68
References……Page 69
Cannulated Percutaneous Fixation of Intra-articular Hand Fractures……Page 71
Surgical technique……Page 72
Intra-articular phalangeal base fractures……Page 74
Results……Page 75
Discussion……Page 76
References……Page 78
Bone healing characteristics with external fixation……Page 80
Surgical technique and postoperative care……Page 81
General advantages……Page 82
Unstable diaphyseal phalangeal and metacarpal closed fractures……Page 84
Maintaining or restoring the first web space……Page 85
Clinical case report……Page 86
References……Page 87
Primary bone grafting……Page 89
Clinical series……Page 90
Treatment protocol……Page 92
Fracture fixation and bone grafting……Page 95
Wound closure……Page 96
Discussion……Page 97
References……Page 99
Bone Graft Substitutes in the Upper Extremity……Page 100
Terms……Page 101
Mineral substitutes……Page 105
Proteins……Page 108
References……Page 109
Deformities and their correlation with function……Page 111
Phalangeal fractures……Page 112
Operative management……Page 113
Osteotomy techniques……Page 115
Osteotomy stabilization……Page 118
Discussion……Page 119
References……Page 123
Anatomy and kinesiology……Page 126
Clinical examination……Page 127
Imaging……Page 128
Acute tears……Page 129
Discussion……Page 130
References……Page 132
The screw-home-torque mechanism: the key to trapeziometacarpal joint stability……Page 134
The trapeziometacarpal ligaments……Page 139
The trapeziometacarpal ligament controversy……Page 140
The dorsal ligament complex……Page 142
The Bennett fracture……Page 143
The myth of Bennett fracture reduction by the hitchhiker position and the abductor pollicis longus……Page 144
The passive screw-home-torque reduction technique……Page 145
A suggested Bennett fracture treatment protocol……Page 149
Open reduction of a Bennett fracture……Page 153
Rolando fractures of the trapeziometacarpal joint……Page 157
References……Page 158