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By Chris LaSalle, MD The patient is a 45-year-old male who was unfortunately involved in a motor vehicle accident in Tennessee. His injury occurred on June 16, 2018. He was seen there and transferred to home, seen by my physician assistant on July 5, 2018, and found to have a lunate dislocation. I saw him […]
By Tsuyoshi Murase, MD There are not many recent changes to the field of hand surgery of which I am not a fan. Instead, I will talk about a fairly recent technological advancement that has motivated me greatly. Twenty years ago, as a young hand surgeon, I was treating a large number of cases on a […]
By Charles A. Pailthorpe, FRCS, Ed Sterling Bunnell, the father of American hand surgery, insisted on the use of a proper tourniquet as expressed in his saying, “You can’t fix a watch in a bottle of ink.” What would Bunnell think of WALANT (wide awake local anaesthesia and no tourniquet)? [Lalonde DH. Reconstruction of the […]
By Luis Schnapp, MD Before the 1940s, there wasn’t a structured approach to treat hand injuries. It was only after an overwhelming amount of poor outcomes of injuries left after World War I that a formal system to treat these problems was entrusted to Dr. Sterling Bunnell. Since the origins of the specialty during World War […]
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 […]
By William Edward Sanders, MD 1) Volar radial wrist incision for DeQuervain’s release Make a short zigzag wrist incision just radial to the radial artery. Undermine beneath the subcutaneous tissue and lift the superficial radial nerve. Release both the abductor pollicis longus and extensor pollicis brevis tendon compartments. A straight incision can be used but […]
By Carey Alexander Clark, III, MD The following technique was developed from my attempt to decrease surgical closure time, hasten the suture removal process, and create a better experience for my patients during their first post op visit. Choosing an efficient way to close larger volar and dorsal wrist wounds was my challenge. The dermis […]
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 […]
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 […]