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By Adam Warren Rives, MD For this installment of ASSH Perspectives, I have been asked to write about approaching hand surgical problems for which the treatment is controversial. I am by no means an expert in this, nor do I profess to be. My goals with this entry is to outline how I personally approach these […]
By Lawrence H. Schneider, MD This is a tiny fracture that occurs at the dorsal base of the distal phalanx. The long extensor tendon remains attached to the bony fragment. The injury has piqued the interest of hand surgeons and there are a large number of papers in the hand surgery literature out of proportion, I […]
By Peter Tang, MD, MPH, FAOA I think cubital tunnel syndrome is such an interesting topic because it is the second most common compressive neuropathy, but we seem to know so little about it. We don’t know what exactly causes it and we don’t know where the problem is happening. Unlike carpal tunnel syndrome, where […]
(Captain Rick Saber at the controls. He is a leader in the field of aviation safety and how “Black Box Thinking” can make medicine safer.) This essay is the third installment of the monthly Patient Safety essays, produced by the Patient Safety Subcommittee of the Ethics and Professionalism Committee. A comparison of safety in aviation […]
By Greg Askins, MD My interest in opioid management was peaked after my one son underwent an ACL reconstruction with a central third patellar tendon autograft. He was prescribed 60 oxycodone tabs, but only took 1 after the procedure. My other son underwent an arthroscopic Bankart repair and again was prescribed 60 Oxycodone tabs. He […]
By Anthony M. DeLuise Jr., MD, FAAOS, CAQSH I was asked to make a few comments on how I do things differently. Three unrelated things come to mind. The first is post-operative hand therapy. I was trained at the Philadelphia Hand Center and was extremely fortunate to learn from some of the best minds in our […]
By Marc R. Fajardo, MD A forty-something-year-old male recently sought me for a third opinion regarding his left thumb and wrist. He had been complaining of a one-year history of pain and disability over the area. His pain was atraumatic in origin. The pain worsened with sports and gym-related activity. He previously saw two academic […]
By Bernard F. Hearon, MD Since 2010, one of the distinguishing features of my practice has been the adoption of wide awake local anesthesia and no tourniquet (WALANT) technique for most hand and wrist surgeries and even for some forearm and elbow procedures. In the central plains where I practice, many contemporaries continue to use […]
By William G. Littlefield, MD Full Title: An argument against using Xiaflex to treat Dupuytren contracture of the MCP joint and advocating limited “in-office fasciotomy” for patients meeting the indications for using Xiaflex Ten years ago, after completing the online training to be credentialed to use Xiaflex for the treatment of simple Dupuytren contracture, I began […]
By Marissa R. Matarrese, MD Tucked away in the northernmost corner of New York is a small town nestled on the shores of Lake Champlain. I started practicing here almost five years ago; it is my first job after fellowship. My fellow inhabitants are working-class people, many whom are farmers or factory workers. They, like […]