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Tag: technique

Managing the Chronically Stiff Hand

By Judy C. Colditz, OT/L, CHT, FAOTA Certainly not my last, but definitely my most significant deviation from standard practice, was some years ago when I casted a patient with a chronically stiff hand. Having been taught to never immobilize any part of a stiff hand and especially never to block the MP joints in […]

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Treatment Comfort Zone

By Michael B. Lilyquist, MD We have likely all heard the phrase, “don’t be the first, but don’t be the last” to adopt a new surgical technique or device.  This is seemingly wise counsel and was often repeated during my orthopaedic residency training. It was almost always stated when an x-ray was reviewed in morning […]

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Getting a Grip on Ulnar Sided Wrist Pain

By Ather Mirza, MD Being in practice for over 30 years, I have seen a progressive and dynamic shift in procedural approaches over time. As techniques have evolved, our field and the larger medical community have greatly benefited from the pearls and pitfalls shared among colleagues. When a potential breakthrough emerges in the field of […]

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Intramedullary Fixation

By Tyler Steven Pidgeon, MD “If it ain’t broke, don’t fix it” is a common adage that many surgeons live by. When success is more or less assured with a certain procedure, it can be hard to step outside of one’s comfort zone and try something new. Why take a risk with your patient’s outcome? […]

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When Should I Try Something New?

By Michael M. Vosbikian, MD This is a question that plagues us all whenever we read an article, see something at a meeting, or get approached by someone from industry. We see the technique or the technology, we get seduced, and all of a sudden, to this shiny new hammer, everything looks like a nail. […]

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Steady Hands

By Lindsey Urband, MD I consider my greatest strength as a hand surgeon to be my technical skill and steady hands. As it turns out, I began cultivating these attributes as a child in my play. When I was four years old, I built a dollhouse with my grandfather. The construction of the dollhouse itself […]

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We Have Requirements

By Rafael J. Diaz-Garcia, MD When the American Society for Surgery of the Hand was founded in 1946, three dozen hand surgeons came together in Chicago to form an organization that would foster interest in the treatment of hand ailments.   The founders created an association that was an amalgam of general surgeons, orthopedic surgeons and […]

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Making Injections Less Painful

By R.D. Beckenbaugh, MD Hand surgeons in general have the knowledge to properly administer injections of lidocaine and/or medications for treatment of minor surgical procedures or inflammation of tendons in the hand and upper extremity. Unfortunately, many are not skilled in performing these injections with the least amount of discomfort possible. To achieve a minimally painful […]

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Volar Repair of Dorsal Wrist Dislocation

By William Edward Sanders, MD The most recent addition of Green’s Operative Hand Surgery recommends repair of the ulnar aspect of the volar rent that occurs with dorsal wrist dislocation. It states that repair of the space of Poirier is not required because it is an anatomical defect. However, in approximately 6 cases I have […]

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Staged Management of Distal Humerus Fractures

By William Edward Sanders, MD Distal humerus fractures involving the elbow joint have been voted the most disliked upper extremity injury. The concept of rigid internal fixation that will allow early range of motion is very difficult to obtain in many situations, and impossible in some. I have treated three patients in a staged method […]

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