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Tag: surgical technique

Phalangeal and Metacarpal Fractures: Shifting the Surgical Landscape

By Anup Patel, MD, MBA, FACS and Ajul Shah, MD Phalangeal and metacarpal fractures are common injuries treated by hand surgeons ranking as the second and third most frequent upper extremity fractures after distal radius, respectively. While many are often managed nonoperatively, some of these require surgery. Numerous surgical options exist from closed reduction and […]

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Diagnostic and Therapeutic Role of Ultrasound-Guided Infiltration in Peripheral Nerve Compressions

By Cristobal Greene, MD The entrapment of the posterior interosseous nerve and proximal median nerve (Pronator and Lacertus Syndrome) present as a diagnostic challenge, based primarily on medical history and physical examination, as nerve conduction test and imaging studies have not proven to be useful. In recent years, we have added to our diagnostic and treatment algorithm […]

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Step 1: Find Your Patients

By Scott N. Loewenstein, MD A little over 5 years ago, I started my intern year rotating on the vascular service at the VA hospital. I showed up at 5 a.m. to learn that the rest of the team was working on an overnight ruptured aorta call case at another hospital, so I was left alone […]

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Less Invasive Procedures

By Alejandro Badia, MD, FACS I am inclined to perform a new operation or variation of a procedure when I feel the existing option does not lead to ideal results, or more often, when the newer option is more efficient and often cost-effective, and more imporantly, when the patient will recover faster and with less […]

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My New Go-To Fixation Technique

By Ryan D. Endress, MD I’ve recently adopted the technique of cannulated intramedullary screws for metacarpal neck and shaft fractures. Depending on the fracture pattern, I would previously either perform percutaneous fixation with wires, or open fixation with plates and/or lag screws. I was looking for a way to provide the best of both worlds (i.e. less […]

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My New Magic Recipe

By Constantinos Ketonis, MD, PhD Surgeons are often called “creatures of habit” and are known to abide by the slogan “if it’s not broken don’t fix it.” We like routine and we like to perform each procedure the exact same way, every time–from the placement of the retractors to the application of the bandages. There […]

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