Disorders of the Hand: Volume 2: Hand Reconstruction and by Ian A. Trail, Andrew N.M. Fleming

By Ian A. Trail, Andrew N.M. Fleming

Disorders of the Hand describes the suggestions for analysis acceptable to a few of the issues of the hand and the way proof established findings effect medical perform. treatment plans together with surgical procedure are mentioned intimately and medical pearls are given in each bankruptcy. Nerve compression and hand reconstruction are comprehensively lined during this moment of 4 volumes, whereas hand accidents, irritation and arthritis, swelling and tumours, congenital hand defects and surgical thoughts are integrated within the book’s 3 sister volumes.

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Extra resources for Disorders of the Hand: Volume 2: Hand Reconstruction and Nerve Compression

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At our center, phrenic nerve neurotization has been used when the nerve is ruptured and the distal part cannot be found. In obstetrical BP palsies the phrenic nerve is used in an end-to-side manner through a perineurial window so there is no downgrading of ipsilateral function of the diaphragm [46] (Fig. 5). Phrenic nerve contains about 1,300–1,600 myelinated nerve fibers. Before the phrenic nerve is considered for transfer, diaphragm and pulmonary function must be evaluated. Moreover, the entire phrenic nerve should rarely be sacrificed in a patient who has concomitant intercostal nerve harvesting, thus harvesting phrenic motor axons should be done through an end-to-side coaptation.

Terzis and P. Konofaos 26 nerve repairs to the arm or forearm. In cases of digital nerve reconstruction a hand splint in the position of function (20° degrees of wrist extension, metacarpophalangeal (MP) joints at 90° degrees and intephalangeal (IP) joints in extension) is applied for 6 weeks in order to immobilize the fingers and thus preserve the nerve coaptations. After immobilization, rehabilitation is initiated to achieve full passive and active range of motion. The rehabilitation goals in the early postoperative period are to gain full passive range of motion and to avert joint stiffness.

Philos Trans R Soc Lond. 1901;194:127–62. 27. Noah EM, Williams A, Jorgenson C, Skoulis TG, Terzis JK. End-to-side neurorrhaphy: a histologic and morphometric study of axonal sprouting into an end-to-side nerve graft. J Reconstr Microsurg. 1997;13(2):99–106. 28. Okajima S, Terzis JK. Ultrastructure of early axonal regeneration in an end-to-side neurorrhaphy model. J Reconstr Microsurg. 2000;16(4):313–23. 29. Terzis JK, Papakonstantinou KC. The surgical treatment of brachial plexus injuries in adults.

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