Operative Techniques in Hand and Wrist Surgery

Contents
Contributors vi
Preface viii
SECTION I ANESTHESIA AND EMERGENCY
PROCEDURES
1 Anesthesia and Emergency Procedures 2
John R. Lien and Kevin C. Chung
2 Fasciotomy for Compartment Syndrome of the
Hand and Forearm 8
John R. Lien and Kevin C. Chung
3 Revision Amputation and Shortening of the
Digit 14
John R. Lien and Kevin C. Chung
4 Drainage of Septic Flexor Tenosynovitis 19
John R. Lien and Kevin C. Chung
SECTION II HAND FRACTURES AND DISLOCATIONS
5 Distal Phalanx Fractures 23
John R. Fowler and Thomas B. Hughes
6 Proximal Phalanx Fractures 28
John R. Fowler
7 Metacarpal Shaft Fractures 35
John R. Fowler and Thomas B. Hughes
8 Open Reduction for Carpometacarpal Joint
Dislocation 44
John R. Fowler and Robert A. Kaufmann
9 Reconstruction of Acute and Chronic
Ulnar Collateral Ligament Injuries of the
Thumb 50
John R. Fowler and Robert A. Kaufmann
10 Closed Reduction and Fixation of Bennett and
Rolando Fractures 58
John R. Fowler and Thomas B. Hughes
SECTION III JOINTS
11 Volar Plate Arthroplasty of the Proximal
Interphalangeal Joint 64
James T. W. Saunders and Amy M. Moore
12 Hemihamate Arthroplasty for the Proximal
Interphalangeal Joint Fracture Dislocation 70
David Wei, Mark A. Vitale, and Amy M. Moore
13 Thumb Carpometacarpal Joint Fusion With Locking
Plates 79
John M. Felder and Amy M. Moore
SECTION IV WRIST FRACTURES AND CARPAL
INSTABILITY
14 Arthroscopic Examination of the Wrist 87
Emily Krauss and Amy M. Moore
15 Ligament Reconstruction for Chronic Scapholunate
Dissociation 99
Mark Morris and Kevin C. Chung
16 Lunotriquetral Ligament Reconstruction Using a Slip
of the Extensor Carpi Ulnaris Tendon 105
Mark Morris and Kevin C. Chung
17 Fixation of Acute Scaphoid Fractures 113
Ketan Sharma, James T. W. Saunders, and
Amy M. Moore
18 Scaphoid Nonunion: Nonvascularized Bone
Reconstruction 121
Matthew L. Iorio and Jason H. Ko
19 Scaphoid Fracture Nonunion: Vascularized Bone
Reconstruction 128
Matthew L. Iorio and Jason H. Ko
20 Open Reduction and Fixation of Acute Perilunate
Fracture Dislocation 137
Grant M. Kleiber and Amy M. Moore
21 Dorsal Capsulodesis for Scapholunate Stabilization
With Extensor Carpi Radialis Longus Tenodesis 147
Mark Morris and Kevin C. Chung
22 Proximal Row Carpectomy 153
Patrick Reavey and Amy M. Moore
SECTION V DISTAL RADIUS FRACTURES
23 Distal Radius Fractures 161
Shoshana W. Ambani and Kevin C. ChungSECTION VI RHEUMATOID ARTHRITIS
24 Rheumatoid Arthritis of the Hand and Wrist 179
Shoshana W. Ambani and Kevin C. Chung
SECTION VII DEGENERATIVE DISEASE
25 Degenerative Disease of the Hand and Wrist 204
Shoshana W. Ambani and Kevin C. Chung
SECTION VIII NERVE CONDITIONS
26 Carpal Tunnel Release 225
Angelo B. Lipira and Jason H. Ko
27 Ulnar Tunnel Syndrome 234
Mary Claire Manske and Jason H. Ko
28 Cubital Tunnel Syndrome 240
Mary Claire Manske and Jason H. Ko
29 Radial Tunnel Decompression 248
Joseph Pirolo and Jason H. Ko
30 Primary Nerve Repair and Nerve Graft for Traumatic
Nerve Injuries 252
Sonya Paisley Agnew and Jason H. Ko
31 Tendon Transfers for Median Nerve Injury 260
Rafael J. Diaz-Garcia and Kevin C. Chung
32 Tendon Transfers for Ulnar Nerve Injury 267
Rafael J. Diaz-Garcia and Kevin C. Chung
33 Tendon Transfers for Radial Nerve Injury 273
Rafael J. Diaz-Garcia and Kevin C. Chung
34 Tendon Transfers for Combined Median and Ulnar
Nerve Injury 280
Kate Elzinga and Kevin C. Chung
35 Distal Anterior Interosseous Nerve Transfer to Motor
Branch of Ulnar Nerve 291
Shelley S. Noland and Jason H. Ko
36 Nerve Transfers for High Radial Nerve Palsy 296
Shelley S. Noland and Jason H. Ko
SECTION IX TENDON CONDITIONS
37 Acute Repair of Flexor Tendon Injuries 302
Jacques A. Machol IV, Neal C. Chen, and
Kyle R. Eberlin
38 Repair of Multiple Flexor Tendon Injury at Wrist
Zone V (Spaghetti Wrist) 309
Jacques A. Machol IV, Neal C. Chen, and Kyle R. Eberlin
39 Staged Flexor Tendon Grafting and Pulley
Reconstruction 313
Richard Tosti, Jacques A. Machol IV, and Neal C. Chen
40 Tenolysis of Flexor Tendons 321
Richard Tosti, Jacques A. Machol IV, and Neal C. Chen
41 Acute Repair of Extensor Tendon Injuries in Zones I
to VI 326
Michael Smith, Jacques A. Machol IV, and Neal C. Chen
42 Stabilization of Extensor Carpi Ulnaris Tendon
Subluxation With Extensor Retinaculum 333
Michael Smith, Jacques A. Machol IV, and
Neal C. Chen
43 Trigger Finger Release 338
Donato Perretta, Jacques A. Machol IV, and
Neal C. Chen
44 First Dorsal Compartment (de Quervain)
Release 341
Donato Perretta, Jacques A. Machol IV, and
Neal C. Chen
SECTION X FLAPS AND MICROSURGERY
45 Flap Coverage of Fingertip Injuries 344
Kate Elzinga and Kevin C. Chung
46 Flap Coverage of Thumb Defects 353
Kate Elzinga and Kevin C. Chung
47 Reverse Flow Radial Forearm Flap 362
Kate Elzinga and Kevin C. Chung
48 Ulnar Artery Perforator Flap 368
Kate Elzinga and Kevin C. Chung
49 Posterior Interosseous Artery Flap 374
Kate Elzinga and Kevin C. Chung
50 Free Lateral Arm Flap 382
John R. Lien and Kevin C. Chung
51 Pedicled and Free Groin Flap 385
Mark Morris and Kevin C. Chung
52 Free Anterolateral Thigh Flap 392
John R. Lien and Kevin C. Chung
53 Revascularization and Replantation of Digits 395
Mark Morris and Kevin C. Chung
54 Digital Artery Sympathectomy 404
John R. Lien and Kevin C. Chung
55 Ulnar Artery to Superficial Arch Bypass With a Vein
Graft for Ulnar Artery Thrombosis 408
Mark Morris and Kevin C. Chung 56 Second Toe to Thumb Transfer 416
John R. Lien and Kevin C. Chung
SECTION XI DUPUYTREN DISEASE
57 Dupuytren Contracture 424
John R. Lien and Kevin C. Chung
SECTION XII SPASTIC CONDITIONS
58 Elbow Extension Procedures 434
Paymon Rahgozar and Kevin C. Chung
59 Wrist Extension Procedures 444
Paymon Rahgozar and Kevin C. Chung
60 Finger Extension Procedures 449
Paymon Rahgozar and Kevin C. Chung
61 Lateral Key Pinch Reconstruction 454
Paymon Rahgozar and Kevin C. Chung
62 Grasp Improvement Procedures 458
Paymon Rahgozar and Kevin C. Chung
SECTION XIII CONGENITAL HAND DISORDERS
63 Release of Finger Syndactyly Using Dorsal
Rectangular Flap 464
Amir H. Taghinia
64 Hypoplastic Thumb Reconstruction 473
Amir H. Taghinia
65 Reconstruction of Radial Polydactyly 482
Amir H. Taghinia
66 Index Finger Pollicization for Hypoplastic
Thumb 491
Amir H. Taghinia, Brian I. Labow, and Joseph Upton
67 Second Toe-to-Thumb Transfer for Hypoplastic
Thumb 498
Amir H. Taghinia, Brian I. Labow, and Joseph Upton
68 Reconstruction of Amniotic Constriction
Bands 507
Amir H. Taghinia
69 Centralization for Radial Longitudinal
Deficiency 514
Amir H. Taghinia, Brian I. Labow, and Joseph Upton
70 Excision of Vascular Malformation of the
Hand 523
Amir H. Taghinia
SECTION XIV TUMORS
71 Lumps and Bumps of the Hand and Wrist 528
Paymon Rahgozar and Kevin C. Chung
72 Excision of Glomus Tumors 535
Paymon Rahgozar and Kevin C. Chung
73 Excision of Hemangioma of the Hand 539
Paymon Rahgozar and Kevin C. Chung
74 Excision of Metacarpal Enchondroma 543
Paymon Rahgozar and Kevin C. Chung
75 Excision of Peripheral Nerve Schwannoma 547
Paymon Rahgozar and Kevin C. Chung
76 Excision of Malignant Skin Tumors 551
Paymon Rahgozar and Kevin C. Chung
Index 557