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Preface to the Fifth Edition
Plastic surgery contributions to hand surgery
Principles of plastic surgery and their application to hand surgery
Origins of modern hand surgery
Developments after World War II
Section I: Principles of Hand Surgery
1. Anatomy and biomechanics of the hand
Skin, subcutaneous tissue, and fascia
2. Examination of the upper extremity
Obtaining a patient history
Physical examination specific to the hand
Physical examination specific to the forearm
Physical examinations specific to the elbow
Physical examination of thoracic outlet syndrome
Physical examination of the upper extremity in children
3. Diagnostic imaging of the hand and wrist
Magnetic resonance imaging
Vascular imaging techniques for the upper extremity
Future directions – Artificial Intelligence in radiology and point of care imaging
4. Anesthesia for upper extremity surgery
Pharmacology of local anesthetics
Regional anesthesia techniques
Wide-awake local anesthesia no tourniquet (WALANT)
Perioperative pain management
5. Principles of internal fixation
Treatment/surgical technique
Section II: Trauma Reconstruction
6. Nail and fingertip reconstruction
Reconstruction of fingertip injuries
Additional considerations
7. Hand fractures and joint injuries
Classification of fractures and dislocations
Fracture stabilizationfixation and return to function
Hardware removal, tenolysis, capsulotomy
8. Fractures and dislocations of the wrist and distal radius
Basic science/disease process
Diagnosis/patient presentation
Treatment and surgical techniques
9. Flexor tendon injuries and reconstruction
Treatment/surgical techniques
Outcomes, prognosis, and complications
10. Extensor tendon injuries
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical technique
Outcomes, prognosis, and complications
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical technique
12. Reconstructive surgery of the mutilated hand
Goal of management of mutilated hand injury
Assessment of the mutilated hand
To salvage or not to salvage? Value of scoring and classification systems
Envisioning the plan of reconstruction
Vascular reconstruction in the mutilated upper extremity
Stabilization of the skeleton
Major degloving injuries of the upper limb
13. Thumb reconstruction: Non-microsurgical techniques
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical technique
Outcomes, prognosis, and complications
14. Thumb reconstruction: Microsurgical techniques
Diagnosis/patient presentation
Treatment/surgical technique
Outcomes, prognosis, and complications
Debates in thumb reconstruction with toe-to-hand surgery
Section III: Specific Disorders
15. Infections of the hand
Basic science/disease process
Diagnosis/patient presentation
Outcomes, prognosis, and complications
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical treatment by tissue of origin
Outcomes, prognosis, and complications
Basic science and disease process
Surgical anatomy of the palmar fascia in the hand and fingers and involvement in Dupuytren’s disease
Outcome, prognosis, and complications
18. Osteoarthritis in the hand and wrist
Introduction/epidemiology
Basic science/disease process
Management of OA of the fingers
Distal interphalangeal joint (DIP) arthritis
Proximal interphalangeal (PIP) joint arthritis
Metacarpophalangeal (MCP) joint arthritis
Management of OA of the thumb
19. Rheumatologic conditions of the hand and wrist
Basic science/disease process
Treatment/surgical technique
20. Occupational disorders of the hand
Patient history and examination
Knowledge of the disease process and its causation
The role of force and repetition
Summary and future directions
Section IV: Nerve Disorders
21. Nerve entrapment syndromes
Pathophysiology of chronic nerve compression
Clinical examination of upper extremity nerve entrapments
Electrodiagnostic studies (EDS)
Other nerve compressions of the upper extremity
22. Peripheral nerve repair and reconstruction
Basic science and natural history
Diagnosis and presentation
Treatment and surgical techniques
Postoperative dysfunction
23. Brachial plexus injuries: adult and pediatric
History of brachial plexus reconstruction
Adult brachial plexus injury
Pediatric brachial plexus injury (obstetric brachial plexus palsy)
Basic science/disease process
Classification of the tetraplegic upper extremity
Patient presentation and patient selection
General principles of tendon transfers
Tendon transfers for combined nerve injuries
Diagnosis and patient presentation
Examples of nerve transfer procedures for specific injury patterns
Postoperative patient evaluation
27. Free-functioning muscle transfer
Surgical technique of the free-functioning gracilis transfer
Section V: Challenging Disorders
Diagnosis/patient presentation
Outcomes, prognosis, and complications
Patient selection and timing of surgery
Etiology, basic science, anatomy, and clinical examination
Section VI: Congenital Disorders
32. Congenital hand I: Embryology, classification, and principles
Limb development (embryology)
The development/differentiation of specific tissues
Anomalies of limb development and their classification
Assessment of the child and family
Principles of surgical management
33. Congenital hand II: Malformations – whole limb
Ulnar dimelia and mirror hand
34. Congenital hand III: Malformations – abnormal axis differentiation – hand plate: proximodistal and radioulnar
35. Congenital hand IV: Malformations – abnormal axis differentiation – hand plate: unspecified axis
36. Congenital hand V: Deformations and dysplasias – variant growth
OMT classification of deformation
Congenital trigger fingers
Constriction ring sequence
OMT classification of dysplasia
37. Congenital hand VI: Dysplasias – tumorous conditions
Diagnosis/patient presentation
Treatment/surgical technique
Connective tissue dysplasias
38. Congenital hand VII: Dysplasias – congenital contractures
39. Growth considerations in the pediatric upper extremity
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical technique
Outcomes, prognosis, and complications
Section VII: New Directions
40. Treatment of the upper extremity amputee
Principles of prosthetic reconstruction
Treatment of upper extremity amputees
41. Upper extremity composite allotransplantation
Historical development and milestones
Clinical experience with upper extremity allotransplantation
Emerging insights in vascularized composite allotransplantation
Future directions of upper extremity reconstructive transplantation
42. Aesthetic hand surgery
Basic aesthetics of the hand
Rejuvenation of the epidermis and dermis
Rehabilitation following tendon injury
Rehabilitation following nerve injury
Rehabilitation following fractures
Rehabilitation following replantation
Confidence is ClinicalKey