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Tendon Transfers in the Upper Limb, An Issue of Hand Clinics, E-Book

Author : Glenn Gaston
Publisher : Elsevier Health Sciences
Page : 169 pages
File Size : 12,91 MB
Release : 2016-07-15
Category : Medical
ISBN : 0323459684

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This issue of Hand Clinics will include articles on tendon transfers in the upper limb such as: Principles of Tendon Transfers, Biomechanics of tendon transfers, Restoration of Shoulder Function, Restoration of Elbow Flexion, Radial Nerve Tendon Transfers, High Median Nerve Tendon Transfers, Low Median Nerve Transfers (Opponensplasty), Ulnar Nerve Tendon Tendon Transfers for Grasp (Intrinsics), and many more!

Tendon Transfers to Restore Opposition of the Thumb

Author : J.M. Ramselaar
Publisher : Springer Science & Business Media
Page : 95 pages
File Size : 23,66 MB
Release : 2012-12-06
Category : Medical
ISBN : 940116780X

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In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great freedom of movement of the first metacarpal and a highly developed and differentiated thumb musculature. The grasp function of the hand is dependent on the oppositional capacity and adductive power of the thumb, and is severely limited by a paralysis or dysfunction of the intrinsic thumb muscles. Whereas loss of the function of the adductor pollicis can be partially compensated for by the adductive action of the extensor pollicis longus, in paralysis or dysfunction of the radial thenar muscles compensation can only be provided by surgery. Since 1918, many methods of tendon transfer have been described for the restoration of thumb opposition, all of which bring about an improvement of the grasp function, albeit to different degrees. These methods vary in the selection of the motor, the direction of pull of the tendon, the use of a fulcrum, and the mode of insertion. The highly effective method of Bunnell (1938) is often used as the standard procedure. With this method, the flexor superficialis tendon of the ring finger is looped around the tendon of the flexor carpi ulnaris and passed subcutaneously across the thenar eminence, after which it is fixed on the thumb at the level of the metacarpo-phalangeal joint.

Practical Procedures in Elective Orthopedic Surgery

Author : Peter V. Giannoudis
Publisher : Springer Science & Business Media
Page : 239 pages
File Size : 16,26 MB
Release : 2011-11-22
Category : Medical
ISBN : 0857298208

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With the time available to surgeons-in-training ever dwindling, there is great emphasis placed on practical learning tools. Mirroring his earlier book on practical procedures in trauma surgery, Prof Giannoudis has produced a reference in more elective techniques. In most medical schools, most emphasis is placed on orthopaedic trauma surgery, with elective techniques often delayed until much later in a surgeon’s training.

Operative Brachial Plexus Surgery

Author : Alexander Y. Shin
Publisher : Springer Nature
Page : 644 pages
File Size : 29,33 MB
Release : 2021-07-02
Category : Medical
ISBN : 3030695174

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Fully illustrated and enhanced with accompanying video clips, this comprehensive text presents the clinical evaluation and management of brachial plexus injuries and reconstruction, both for adult patients and birth injuries. Divided into two main sections, part one covers adult brachial plexus injuries, discussing the relevant anatomy and biology, epidemiology, and associated injuries. The main focus, however, is on diagnosis – the clinical exam as well as neurodiagnostic and radiographic evaluation – and surgical management approaches and techniques, including nerve grafting and transfers, tendon and muscle transfers, and joint fusion. Related topics are presented in chapters on sensory reinnervation, neuropathic pain management, the role of amputation and prosthetics, and pre- and post-surgical therapy protocols. Brachial plexus birth injury is described in part two, also focusing mainly on diagnosis and management but with an emphasis on the fact that babies are not small adults and special considerations are warranted. This section concludes with chapters on the management of late complications and long-term sequelae. A comprehensive surgical text on brachial plexus injuries has not been previously attempted. Filling a large gap in the literature, Operative Brachial Plexus Surgery is the go-to resource for adult and birth related brachial plexus reconstruction for orthopedic surgeons, neurosurgeons, plastics surgeons, and their trainees.

Tips and Tricks in Plastic Surgery

Author : Seth R. Thaller
Publisher : Springer Nature
Page : 818 pages
File Size : 20,20 MB
Release : 2021-12-01
Category : Medical
ISBN : 3030780287

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The book covers the most innovative, contemporary, and common plastic surgery procedures, and aims to improve both reconstructive and aesthetic surgical results while decreasing the incidence of complications. In doing so, patient satisfaction, quality of care, and safety are enhanced. The text provides a wealth of knowledge seeking to enhance results, reduce morbidity, and ensure patient satisfaction. The book consists of five parts, running the gamut of Aesthetic Surgery, Reconstructive Procedures, Pediatric and Craniomaxillofacial Surgery, Adjunctive Procedures, and finally Hand and Upper Extremity. Written by experts in the field, each chapter describes tips and tricks through clear technical details, medical illustrations and, in some chapters, detailed videos. Tips and Tricks in Plastic Surgery serves as a valuable resource for clinicians, professionals and practitioners, as well as medical students on rotation.

The Pediatric Upper Extremity

Author : Joshua M. Abzug
Publisher : Springer
Page : 0 pages
File Size : 23,10 MB
Release : 2014-11-22
Category : Medical
ISBN : 9781461485131

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Sub-specialization within pediatric orthopedics is growing, in part due to the development of free-standing children's hospitals and the desire by patients and their parents to have "experts" care for them. We are at the forefront of a trend in physicians classifying themselves as pediatric upper extremity surgeons. Numerous pediatric hospitals now have or are recruiting physicians to focus their practice in this area. Historically, these issues were treated by general orthopedic surgeons, adult hand surgeons, pediatric orthopedic surgeons, or plastic surgeons. However, none of these professionals treat the entirety of pediatric upper extremity pathology, and no single reference has focused on the treatment of the pediatric upper extremity as a whole. For example, fractures have typically been written about in pediatric textbooks, while tendon and nerve injuries are covered in adult hand textbooks. This textbook is a comprehensive, illustrated reference that discusses all aspects of the pediatric upper extremity, from embryology and functional development to nerve injuries, trauma, tumors, burns, sports injuries and more.

Latissimus Dorsi Transfer

Author : Gianezio Paribelli
Publisher : Springer
Page : 203 pages
File Size : 15,75 MB
Release : 2017-12-14
Category : Medical
ISBN : 3319619462

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This book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, and shoulder replacement. In addition to clear, well-illustrated descriptions of arthroscopically assisted surgical technique, readers will find helpful information on biomechanics, surgical indications, post-transfer rehabilitation, and complications and their management. Outcomes from individual studies and meta-analyses are evaluated, and a feature of special interest is the presentation of experiences and results in a series of more than 430 patients using the surgical technique first described by Enrico Gervasi more than 10 years ago. This technique involves modifications in both preparation of the footprint for the latissimus dorsi tendon and the biomechanical features of the tendon transfer and is very different from the procedure proposed by Christian Gerber. The book will be of high value for all orthopedic surgeons who perform this complex shoulder surgery, as well as for residents and fellows-in-training.

Nerve Surgery

Author : Susan E. Mackinnon
Publisher : Georg Thieme Verlag
Page : 1465 pages
File Size : 29,48 MB
Release : 2015-04-15
Category : Medical
ISBN : 1638530130

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Representing the treatment and management philosophy of Dr. Susan Mackinnon, Nerve Surgery provides extensive coverage of innovative surgical options as well as guidance on the management of complicated compression neuropathies. In addition to detailed information on tried-and-true as well as cutting-edge surgical techniques, it contains chapters on the basic principles of nerve surgery, such as "Anatomy and Physiology for the Peripheral Nerve Surgeon" and "Evaluation of the Patient with Nerve Injury or Nerve Compression." Key Features: More than 850 compelling full-color figures and photographs demonstrate key concepts Videos narrated by Dr. Mackinnon are available online Coverage of important conditions that can be treated non-operatively, such as neurogenic thoracic outlet syndrome and multilevel compression neuropathy Strategies and secondary procedures for failed nerve surgeries Dr. Mackinnon provides tips on how she manages complicated pain problems This book is a core reference for all plastic surgeons, neurosurgeons, orthopedic surgeons, hand surgeons, residents, and allied health specialists treating patients with nerve injuries.