Treatment of fingertip injuries and nail deformities, An Issue of Hand Clinics

1st Edition, Volume 37-1 - November 15, 2020
Editor: Aviram M. Giladi
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 0 9 8 - 7
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 0 9 9 - 4

This issue of Hand Clinics, guest edited by Dr. Aviram M. Giladi, will cover a number of essential topics surrounding Treatment of fingertip injuries and nail deformities. This… Read more

Treatment of fingertip injuries and nail deformities, An Issue of Hand Clinics

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This issue of Hand Clinics, guest edited by Dr. Aviram M. Giladi, will cover a number of essential topics surrounding Treatment of fingertip injuries and nail deformities. This issue is one of four issues selected each year by series Consulting Editor, Dr. Kevin Chung. Topics in this issue will include: Primary Management of Nailbed and Fingertip Injuries in the Emergency Department; Locoregional Options for Acute Volar Pulp Fingertip Defects; Management of Tendon and Bony Injuries of the Distal Phalanx; Fingertip Replantation -- Technique Details and Review of the Evidence; Non-Microsurgical Composite Grafting for Acute Management of Fingertip Amputation; Microsurgical Free Tissue Options for Fingertip Reconstruction; Grafting and Other Reconstructive Options for Nail Deformities -- Indications, Techniques, and Outcomes; Secondary Management of Non-Nail Perionychial Deformities; Pediatric Fingertip Injuries; Understanding and Measuring Long-Term Outcomes of Fingertip and Nail Bed Treatments; Fingertip Injuries in Athletes, Musicians, and Other Special Cases; The Burden of Fingertip Trauma on the U.S. Military; and Prosthetic options for finger and thumb amputations.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Primary Management of Nail Bed and Fingertip Injuries in the Emergency Department
Key points
Introduction
Anatomy
Nature of the problem
Evaluation
Subungual hematomas
Nail bed lacerations
Summary
Clinics care points
Locoregional Options for Acute Volar Pulp Fingertip Defects
Key points
Introduction
Surgical anatomy
Evaluation
Goals of reconstruction
Therapeutic options
Discussion
Clinics Care Points
Disclosure
Management of Tendon and Bony Injuries of the Distal Phalanx
Key points
Introduction
Pertinent anatomy
Acute flexor tendon injuries
Acute extensor tendon injuries
Distal phalanx fractures
Summary
Clinics care points
Non-microsurgical Composite Grafting for Acute Management of Fingertip Amputation
Key points
Introduction
Secondary intention healing
Revision amputation
Microsurgical replantation
Composite grafting
Anatomy
Techniques to improve composite graft survival
Clinics care points
Fingertip Replantation: Technique Details and Review of the Evidence
Key points
Introduction
Anatomy
History
Definitions
Indications
Patient management
Authors’ preferred surgical techniques
Postoperative care
Venous congestion
Summary
Clinics care points
Grafting and Other Reconstructive Options for Nail Deformities: Indications, Techniques, and Outcomes
Key points
Introduction/History/Definitions/Background
Anatomy and physiology
Nature of the problem: nail deformities
Preoperative/preprocedure planning
Preparation and patient positioning
Procedural approaches
Recovery and Rehabilitation
Outcomes and management
Summary
Clinics care points
Disclosure
Supplementary data
Secondary Management of Nonnail Perionychial Deformities: Restoring Aesthetic and Functional Subunits
Key points
Introduction: principles and requirements for delayed reconstruction
Most recent evidence for optimum clinical outcome with various reconstructive options
Available reconstructive options
Discussion: matching the digital problem with the optimum reconstructive option to restore aesthetic and functional subunits
Larger volar pulp defects
Eponychium and dorsal skin
Very large perionychial and composite fingertip reconstructions
Reconstruction of thumb defects
Summary
Microsurgical Free Tissue Options for Fingertip Reconstruction
Key points
Introduction
Free flap options
Summary
Clinics care points
Pediatric Fingertip Injuries
Key points
Background
Evaluation
Anesthesia
Pulp management
Perionychia and nail bed management
Management of an associated fracture
Management of amputations
Clinics care points
Fingertip Injuries in Athletes, Musicians, and Other Special Cases
Key points
Athletes
Mallet finger
Musicians
Other special cases
Summary
Understanding and Measuring Long-Term Outcomes of Fingertip and Nail Bed Injuries and Treatments
Key points
The Burden of Fingertip Trauma on the US Military
Key points
About the authors
Background
Echelons of military care
Cause of combat finger amputations
Anatomy
Complications associated with fingertip injuries
Summary
Clinical care points
Restoring Form and Function to the Partial Hand Amputee: Prosthetic Options from the Fingertip to the Palm
Key points
Background
Prosthetic options for amputations distal to distal interphalangeal joint
Prosthetic options for amputations through the distal interphalangeal joint and the middle phalanx
Prosthetic options for amputations through the proximal interphalangeal joint and proximal phalanx
Prosthetic options for amputations through the metacarpophalangeal joint and transmetacarpal
Prosthetic options for amputations through the thumb
Activity-specific prostheses
Surgical interventions to improve prosthetic function
Role of hand therapy
Role of physical medicine and rehabilitation physicians in partial hand amputee care
Barriers to prosthetic rehabilitation
Summary