Problems in Hand Surgery

Part I: Problems with Nailbed Repairs

1 Nonadherence of the Nail Plate

2 Posttraumatic Split Nails

3 Gentian Violet Treatment of Severe Chronic Paronychia

Part II: Problems with Trigger Release

4 Bowstringing

Part III: Problems with Dupuytren's Disease

5 Exposed Tendons

6 Acute Vascular Compromise After Dupuytren's Fasciectomy

7 Secondary Contractures

8 Complications of Dupuytren's Contracture Treatment

Part IV: Problems with Flexor Tendon Repair

9 Flexor Tendon Rupture

10 Adhesions of the Flexor Tendon

11 Bowstringing of the Flexor Tendon

12 Ruptured Flexor Pollicis Longus Tendon

Part V: Problems with Extensor Tendon Repair

13 Extensor Lag

14 Stiffness in the Extensor Tendon

15 Relative Motion Treatment of Chronic Boutonniere Deformity

16 Management of Chronic Sagittal Band Rupture

17 Posttraumatic Swan Neck Deformity

Part VI: Problems with Vasospasm

18 Refractory Raynaud's Phenomenon

Part VII: Problems with Compression Neuropathy

19 A Practical Approach to Recurrent Carpal Tunnel Syndrome

20 Recurrent Carpal Tunnel Syndrome

21 Failed Carpal Tunnel Release: Recognizing the Lacertus Syndrome

22 Cubital Tunnel Release at the Elbow

23 Recurrent Cubital Tunnel

24 Recurrent Ulnar Neuropathy

25 Radial Tunnel Release in the Forearm

Part VIII: Problems with Nerve Repair

26 End Neuroma

27 Pain following Nerve Repair

Part IX: Problems with Nerve Palsy

28 Finger Contractures

Part X: Sarcoma

29 Incomplete Resection of Sarcoma at the Hand

Part XI: Problems with Soft Tissue Coverage

30 Perfusion Problems

31 The Bulky Flap

32 Contracture after Acute Trauma Surgery of a Blast Burn

33 Dorsal Hand Defect

Part XII: Problems with Nonarticular Phalanx Fractures

34 Malrotation in Nonarticular Phalanx Fractures

35 Nonunion in Nonarticular Phalanx Fractures

36 Stiffness and Hardware Problems in Nonarticular Phalanx Fractures

37 Angulation in Nonarticular Phalanx Fractures

Part XIII: Problems with Articular Phalanx Fractures

38 Angulation in Articular Phalanx Fractures

39 Posttraumatic Bone Loss in Articular Phalanx Fractures

40 Fracture after Prior Kirschner's Wire Fixation

41 Contractures in Articular Phalanx Fractures

Part XIV: Problems with Metacarpal Fractures

42 Nonunion in Metacarpal Fractures

43 Malunion in Metacarpal Fractures

44 Angulation in Metacarpal Fractures

Part XV: Problems with Basilar Joint Osteoarthritis

45 Recurrent Pain in Basilar Joint Osteoarthritis

46 Painful Proximalization of First Metacarpal After Trapeziectomy

47 Metacarpal Phalangeal Hyperextension

Part XVI: Problems with Metacarpal Phalangeal Osteoarthritis after Implant Arthroplasty

48 Intraoperative Instability During Metacarpophalangeal Joint Arthroplasty for Osteoarthritis

49 Revision of Subsided Pyrocarbon Implants

Part XVII: Problems with Interphalangeal Osteoarthritis

50 Failed Silicone Proximal Interphalangeal Joint Arthroplasty

51 Stiffness in Interphalangeal Osteoarthritis

52 Contracture in Interphalangeal Osteoarthritis

53 Proximal Interphalangeal Posttraumatic Osteoarthritis

Part XVIII: Problems with Infection in the Thumbs, Fingers, and Wrist

54 Inadequate Drainage of Infection in the Thumbs, Fingers, and Wrist

55 Salvage of Osteomyelitis of the Distal Radius after Internal Fixation of an Open Fracture

56 Infectious Destruction of the Wrist

Part XIX: Problems with Replantation

57 Stiffness after Replantation

58 Failed Replant: Ray Amputation

59 Failed Digit Replant: Toe-to-Hand Transfer

60 Failed Thumb Replant: Great Toe-to-Thumb Transfer

61 Failed Replant: Failed Degloving Revascularization

62 Attempted Replantation

63 Nonunion following Digital Replant

64 Nonunion following Major Replant

65 Painful Finger after Bony Nonunion

66 Stiff Fingers and Elbow after Replantation

67 Poor Grip or Weak Motion after Replantation

Part XX: Problems with Complex Regional Pain Syndromes

68 Complex Regional Pain Syndrome

Part XXI: Problems with Scaphoid Fractures

69 Nonunion of the Proximal Pole

70 Scaphoid Nonunion with Avascular Necrosis

71 Scaphoid Revision Nonunion

72 Scaphoid Nonunion

73 Scaphoid Implant Malplacement

Part XXII: Problems with Scapholunate Instability

74 Failed Scapholunate Ligament Repair: Acute

75 Failed Reconstruction with Tenodesis: Chronic

Part XXIII: Problems with the Lunotriquetral Joint

76 Problems with the Lunotriquetral Joint After Ligament Repair

77 Problems with Lunotriquetral Fusion

Part XXIV: Problems after Partial Wrist Fusions

78 Complications of Partial Wrist Fusion

79 Dislocated Lunar Facet Fragments and Radioscapholunate Arthrodesis

Part XXV: Total Wrist Arthroplasty

80 Implant Migration after Total Wrist Arthroplasty

Part XXVI: Problems with Triangular Fibrocartilage Complex Tears

81 Pain After Triangular Fibrocartilage Complex Tears

82 Persistent Instability After Triangular Fibrocartilage Complex Tears

Part XXVII: Problems with Ulnar Impaction

83 Arthroscopic Treatment of Ulnar Impaction

84 Nonunion after Ulnar Shortening

Part XXVIII: Problems with Distal Radial Ulnar Joint

85 Failed Bowers' Arthroplasty: Ulnar Head Prosthesis

86 Dislocated Ulnar Head Prosthesis

Part XXIX: Problems with Distal Radius Fractures

87 Distal Radius Fracture Malunion

88 Distal Radius Fracture Nonunion

89 Troublesome Lunate Facet

90 Troublesome Lunate Facet: Treatment with Microvascular Techniques