1st Edition

Acute Management of Hand Injuries

By Andrew Weiland, Rachel Rohde Copyright 2008

    Do you encounter patients with hand and wrist problems? Are there times when you wish you had a hand surgeon next to you to help guide you in the right direction? The answers you are looking for can be found inside Acute Management of Hand Injuries by hand surgeons, Drs. Andrew J. Weiland and Rachel S. Rohde.

    Acute Management of Hand Injuries is a concise and user-friendly book including the most common acute hand and wrist complaints including fractures, dislocations, tendon and nerve injuries, infections, bite injuries, and industrial trauma. This book acts as a “pocket consultant” for non-hand specialists who temporize acute hand issues before referring the patient to a specialist.

    Acute Management of Hand Injuries is designed to provide the most current and up-to-date information on even the smallest hand afflictions.

    Inside You’ll Also Find:
    • Numerous photographs and radiographs
    • Hand evaluation diagram template
    • Suggested readings at the end of each chapter
    • Quick reference appendices covering topics such as antibiotic recommendations and burn treatment

    Acute Management of Hand Injuries also will serve as a perfect introductory guide for residents and students in orthopedic or plastic surgery programs who will be expected to master these basic principles.

    Each Chapter Includes:
    • Mechanism of Injury
    • Evaluation
    • Acute Treatment
    • Definitive Treatment
    • Potential Problems

    Acute Management of Hand Injuries is ideal for orthopedic surgeons, physicians, physician assistants, nurse practitioners, residents, occupational therapists, physical therapists, and all who provide care in emergency room, urgent care, and primary practice settings.

     

    Contents

    Dedication

    Acknowledgments

    About the Authors

    Preface

    Foreword by Richard H. Gelberman, MD

    Introduction

    Section I Assessment of Acute Hand Injury

    Patients: The Basics

    Chapter 1 Evaluating Patients With Urgent Hand Injuries

    Chapter 2 Examination of the Hand

    Section II Bone and Joint Injuries

    Chapter 3 General Concepts: \u201cDo I Need Surgery?\u201d

    Chapter 4 Mallet Fractures

    Chapter 5 Fingertip Injuries: Distal Phalanx Fractures and Nail Bed Lacerations

    Chapter 6 Middle and Proximal Phalanx Fractures

    Chapter 7 Proximal Interphalangeal Joint Dislocations and Volar Plate Injuries

    Chapter 8 Gamekeeper\u2019s Thumb

    Chapter 9 Metacarpal Fractures

    Chapter 10 Scaphoid Fractures

    Chapter 11 Carpal (Non-Scaphoid) Fractures

    Chapter 12 Perilunate Dislocations

    Chapter 13 Distal Radius Fractures

    Chapter 14 Compartment Syndrome

    Section III Tendon Injuries

    Chapter 15 Extensor Tendon Lacerations

    Chapter 16 Flexor Tendon Lacerations

    Chapter 17 Extensor Tendon Avulsions (Mallet Finger)

    Chapter 18 Flexor Tendon Avulsions (Jersey Finger)

    Section IV Nerve Injuries

    Chapter 19 Digital Nerve Injuries

    Chapter 20 Median Nerve Injuries

    Chapter 21 Ulnar Nerve Injuries

    Chapter 22 Radial Nerve Injuries

    Section V Hand and Wrist Infections

    Chapter 23 Felon/Pulp Space Infections

    Color Atlas

    Chapter 24 Paronychial Infections

    Chapter 25 Infectious/Purulent Tenosynovitis

    Chapter 26 Septic Arthritis

    Chapter 27 Web Space Infection (Collar-button Abscess) and Palmar Space Infections

    Chapter 28 Cellulitis

    Chapter 29 Herpetic Whitlow

    Chapter 30 Bite Wounds

    Section VI Other Traumatic Digit Injuries

    Chapter 31 Traumatic Amputations

    Chapter 32 Injection Injuries

    Chapter 33 Ring Avulsion Injuries

    Section VII Gunshot Wounds, Burns, and Frostbite

    Chapter 34 Gunshot Wounds

    Chapter 35 Burns

    Chapter 36 Frostbite

    Appendices

    Appendix A: Commonly Used Splints

    Appendix B: Digital Anesthetic Block

    Appendix C: Tetanus Quick Reference

    Appendix D: Rabies Quick Reference

    Appendix E: How to Remove a Tight Ring

    Appendix F: Common Hand Infections and Bite Wounds

    Appendix G: Treatment of Common Chemical Burns

    Appendix H: Orthopedic Abbreviations

    Appendix I: Hand Examination Diagram Template

    Appendix J: Motor/Sensory Nerve Quick Reference

    Index

    Biography

    Dr. Andrew J. Weiland is an attending orthopedic surgeon at the Hospital for Special Surgery. He is currently professor of Orthopedic Surgery and professor of Surgery (Plastic) at the Weill Medical College of Cornell University in New York. Dr. Weiland is the past president of the American Society for Reconstructive Microsurgery (1991), the American Society for Surgery of the Hand (1995), the American Orthopaedic Association (1998-1999), and the American Board of Orthopaedic Surgery (1998-1999), and treasurer of the American Academy of Orthopaedic Surgeons (2000-2003).

    Dr. Rachel S. Rohde is a board certified attending orthopedic surgeon at William Beaumont Hospital in Royal Oak, Michigan. She completed her bachelor of science at the University of Michigan with highest distinction, following which she earned her doctorate of medicine from Harvard Medical School and Massachusetts Institute of Technology Division of Health Sciences and Technology. She trained in orthopedic surgery at the University of Pittsburgh and then completed fellowship training in hand and microvascular surgery at the Hospital for Special Surgery in New York City.

    "This well illustrated book provides excellent material for diagnosing hand injuries. It is well referenced and all information is readily accessible, making this ideal for non-specialists who see patients with hand trauma in the acute setting."
    — Mark Gonzalez, MD, University of Illinois at Chicago, College of Medicine, Doody Enterprises, Inc.

     "The book is well organized into many practical sections. The overwhelming strength of this book is that it provides a succinct reference for a broad variety of hand complaints. As a teaching faculty in a busy emergency medicine residency, I consider this a good introductory reference book for my residents. I believe this is a valuable book for its succinctness, its organization, and scope of acute hand complaints… it is affordable, and it should find a welcome place in any emergency department reference library." 

    — Jeffrey A. Holmes, MD, Maine Medical Center, Tufts University School of Medicine, Portland, ME, Annals of Emergency Medicine