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Anatomy of the Hand

from An Atlas of Human Anatomy by Carl Toldt, M.D., 1919. Original Text by Clifford R. Wheeless, III, MD.

Anatomy of the Hand

from An Atlas of Human Anatomy by Carl Toldt, M.D., 1919. Original Text by Clifford R. Wheeless, III, MD.

Acumed Small Bone Fixator

This lightweight, versatile, rigid fixation system provides stability in areas which would otherwise be difficult to treat, like open or comminuted injuries of the metacarpals and metatarsals. – Key features: 1. No custom pin inventory – The Acumed small bone fixator used standard K wires to gain fixation. Each housing assembly will accommodate wire sizes … Read more

Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.

Problem:  1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines).  Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more

Tumors of Hand and Distal radius

– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more

Tunnel of Guyon

– Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, by pisohamate … Read more

Wrist Menu

(see also: Hand Menu; Physical Exam; Radiographs) – Arthroscopy – Arthrography – Aspiration – Arthrodesis – Capitate – Carpal Instability – Carpal Tunnel Syndrome – CarpoMetaCarpal Fracture – CMC Arthritis – CMC Instability in the Thumb – CMC Instability in the Metacarpals – Darrach’s Procedure – DeQuervain’s Disease – Distal Radial Fractures – Dorsal Intercalated … Read more

Zone II Flexor Injuries

    – Discussion: – see flexor tendon repair     – see FDP lacerations: FDS and FDP     – almost all tendon injuries in zone 2 are due to lacerations; – this is where 2 tendons enter fibro-osseuous tunnel at mid-palm level; – once the FDS and FDP tendons enter flexor tendon sheath, the FDS separates into 2 … Read more

Zone 1 Flexor Injuries

– See:       – FDP Avulsion       – FDP Lacerations       – tendon pull thru technique         – Anatomy:       – in zone 1, FDP has emerged from between & beneath decussating FDS and travels to its insertion in the distal phalanx;       – zone 1 contains: A4, C3, … Read more