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Category: November 2018

We asked members to give us their best clinical pearl this month. From innovative replacements of occlusive dressing sheets to advice on doctor-patient interactions in today’s world, our members provide us with some novel advice for improved clinical practice.

Dreading Use Of The Wound VAC

By Adam Strohl, MD Who else dreads trying to “get the seal” on hand wounds using a Wound VAC? I offer you this pearl… For those managing complex traumatic wounds to the hands requiring multiple debridements and eventual soft tissue coverage, negative pressure wound therapy (NPWT) such as the Wound VAC is often employed for temporary […]

Collasyn Theory

By H. Kirk Watson, MD Human tissues “speak” to and influence one another. This communication expresses itself eloquently in the pathology of the hand. The upper extremity has numerous areas of mechanized motion one tissue on another and the excursions are large for the size of the structures e.g. 7 cm of sliding for the […]

Thumb Extension Osteotomy For Treatment Of Basal Thumb Pain Due To Ligament Laxity

By In Sok Yi, MD Over the past 20 years of practice, there are some problems that have presented to my clinic where I felt that my excellent training in orthopedics and hand surgery did not prepare me efficiently. I guess that is why we “still practice medicine” after training. One of these conditions is thumb […]