Upper extremity trauma:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1999
|
| Schriftenreihe: | Hand clinics
15,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 187 - 392 zahlr. Ill. |
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| 245 | 1 | 0 | |a Upper extremity trauma |c Scott H. Kozin, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1999 | |
| 300 | |a X S., S. 187 - 392 |b zahlr. Ill. | ||
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| 650 | 2 | |a Bras - Chirurgie | |
| 650 | 7 | |a Handen |2 gtt | |
| 650 | 2 | |a Main - Chirurgie | |
| 650 | 2 | |a Pouce - Chirurgie | |
| 650 | 7 | |a Reconstructieve chirurgie |2 gtt | |
| 650 | 7 | |a Trauma's (geneeskunde) |2 gtt | |
| 650 | 2 | |a Traumatismes de la main - Thérapeutique | |
| 650 | 2 | |a Urgentologie | |
| 650 | 4 | |a Arm |x Surgery | |
| 650 | 4 | |a Arm |x Wounds and injuries | |
| 650 | 4 | |a Emergency Medicine |x methods | |
| 650 | 4 | |a Hand Injuries |x therapy | |
| 650 | 4 | |a Hand |x Surgery | |
| 650 | 4 | |a Hand |x Wounds and injuries | |
| 650 | 4 | |a Thumb |x Wounds and injuries | |
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Datensatz im Suchindex
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| adam_text | UPPER EXTREMITY TRAUMA
CONTENTS
Preface xiii
Scott H. Kozin
The Upper Extremity Trauma Patient 187
John A. McAuliffe
Trauma patients are predominantly young men. Urban trauma patients
frequently are uninsured, and often are victims of intentionally inflicted
penetrating injury, usually caused by firearms. Substance use is a common
underlying factor in both urban and rural trauma. This article introduces
urban and rural patients. It discusses their past medical and social histor¬
ies, which are required to help the decision making process when treating
these patients.
The Management of Penetrating Trauma to the Hand 193
Ross Nathan
Penetrating gunshot wounds to the hand are becoming more common
with the increase of gang violence and the availability of firearms. Hand
surgeons treating victims of gunshot wounds must be familiar with the
peculiarities of the penetrating missile, the special structural considerations
of the hand, and the unique demands and rehabilitation needs of this
difficult patient population. This article discusses penetrating trauma to
the hand and includes a review of ballistics.
Management of Farm Related Injuries to the Upper Extremity 201
Samuel Chun
This article familiarizes physicians with common farm equipment that can
cause devastating hand injuries. The focus is on farm related injuries to
the hand and stresses the degree of soft tissue injuries, discusses avulsion
injuries, and acute management principles. Types of injuries, their patho
physiology, case reports, and treatments also are reviewed. This article
also stresses how these injuries differ from the urban trauma patient.
HAND CLINICS
VOLUME 15 • NUMBER 2 • MAY 1999 vii
The Treatment of Forearm Fractures From Penetrating Trauma 221
Scott H. Kozin and Joseph J. Thoder
Penetrating trauma is an endemic urban disease. The initial assessment
requires a comprehensive examination and assessment of wound morphol¬
ogy. Preliminary splinting and radiographs of the injured extremity are
necessary to plan fracture fixation. The surgical approach must appreciate
the zone of injury and respect the soft tissues. Open or indirect reduction
and internal fixation are the preferred techniques to stabilize the fracture.
Peripheral Nerve Injuries Secondary to Missiles 233
Barry M. Katzman and David J. Bozentka
Peripheral nerve injuries secondary to missiles can present some of the
most challenging problems faced by hand surgeons. This article reviews
the pertinent neural anatomy, injury classifications, and repair techniques.
Options in the management of nerve gaps are presented including the use
of vascularized nerve grafts. The results are discussed and a treatment
algorithm is presented.
High Pressure Injection Injuries to the Hand 245
Stephen B. Schnall and Raffy Mirzayan
High pressure injection injuries of the hand can lead to devastating out¬
comes. Amputation rates as high as 48% have been reported. The authors
review the history of high pressure injection injuries, with attention to the
materials injected, the clinical presentation of these injuries, emergency
room and subsequent definitive surgical management of these injuries, the
bacteriology and recommendations for antibiotic use in these injuries, and
postoperative management.
Treatment of Vascular Injuries From Penetrating and
Nonpenetrating Trauma 249
Alfred V. Hess
The treatment algorithm for vascular injury after trauma, the role of
vascular studies, the role of immediate exploration, and other treatments
are discussed. Case examples are provided and include direct vascular
repair or a vein graft. The potential complications including compartment
syndrome also is discussed. This article focuses on the trauma patient who
has a vascular injury.
Physical Therapy After Hand Injuries 261
Susan Michlovitz
The nuances of physical therapy necessary in the trauma patient are
discussed. This article also discusses either the treatment of fractures via
therapy or the treatment of nerve, tendon, or arterial injuries. It also
describes physical therapy guidelines relevant to the patient with hand
trauma and reviews communication between the physician and therapist
in managing these patients. Intervention concepts are illustrated through
case studies of patients with complex hand injuries.
The Role of Emergency Free Flaps for Hand Trauma 275
Steven J. McCabe and Warren C. Breidenbach
Primary closure of a wound with free flap requires minimizing the risk of
infection in an effort to cover vital exposed structures. Careful patient
viii CONTENTS
selection, radical debridement of the wound, and an experienced microsur
gical team are important for the routine application of this technique.
Primary reconstruction of all injured structures is an extension of this
technique that enables efficient management of severe upper extremity
problems in a single setting.
Management Principles to Treat Nerve Loss After Violent
Trauma to the Upper Extremity 289
Joseph J. Thoder and Scott H. Kozin
This article discusses nerve loss treatment options. The role of cable graft
versus early tendon transfers are delineated. Vascularized grafts and the
timing of nerve grafting also are discussed.
The Management of Bone Defects of the Forearm After Trauma 299
Milan Stevanovic, Andrew P. Gutow, and Frances Sharpe
This article reviews the management of bone defects of the radius and
ulna resulting from trauma. The authors highlight the technique and use
of the vascularized free fibula graft to treat large diaphyseal defects.
Several case studies with long term follow up are presented.
Treatment of Composite Tissue Loss Following Hand and
Forearm Trauma 319
Matthew M. Tomaino
Restoration of satisfactory function following composite tissue loss in the
hand and forearm requires reconstruction of soft tissue defect, nerve and
tendon injury, and skeletal fixation when fracture occurs. Microsurgical
techniques often are required, but single donor composite tissue transfers
seldom are necessary. Reconstructive strategy requires careful planning.
Decision making principles and surgical alternatives are discussed at the
end of the article.
The Role of Arthroplasty and Arthrodesis Following Trauma to
the Upper Extremity 335
Brian J. Divelbiss and Mark E. Baratz
Intra articular fractures in the hand and wrist are common. Prompt treat¬
ment with adequate fixation to allow early motion provides the best
chance for a successful outcome. Arthrodesis and arthroplasty are the two
main options for treatment of residual pain, deformity, or instability in the
hand. Management of late wrist symptoms may include proximal row
carpectomy, limited wrist fusion, or complete wrist fusion.
Microvascular Reconstruction of the Traumatized Thumb 347
Alexander Y. Shin, Allen T. Bishop, and Richard A. Berger
Over the past two decades, refinements and advances in microvascular
techniques have resulted in predictable and reliable reconstruction of the
traumatized thumb by toe transfers. Overall improved aesthetics and
functional outcomes of toe to thumb microsurgical transfers, along with
decreasing donor site morbidity, have made it a highly favorable recon¬
structive option compared with nonmicrosurgical reconstruction.
CONTENTS ix
Hand Infections in the Trauma Patient 373
Eugene Tsai and Joseph M. Failla
Infections of the hand and upper extremity pose a considerable challenge
to the surgeon despite recent advances in medical technology. A traumatic
injury typically is the mechanism for introducing potentially damaging
pathogens into this environment, although hematogenous spread is possi¬
ble. This article discusses infections that occur after hand trauma, as well
as their diagnosis, treatment, and outcomes.
Index 387
Subscription Information Inside back cover
x CONTENTS
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| spelling | Upper extremity trauma Scott H. Kozin, guest ed. Philadelphia [u.a.] Saunders 1999 X S., S. 187 - 392 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Hand clinics 15,2 Armen (ledematen) gtt Bras - Chirurgie Handen gtt Main - Chirurgie Pouce - Chirurgie Reconstructieve chirurgie gtt Trauma's (geneeskunde) gtt Traumatismes de la main - Thérapeutique Urgentologie Arm Surgery Arm Wounds and injuries Emergency Medicine methods Hand Injuries therapy Hand Surgery Hand Wounds and injuries Thumb Wounds and injuries Armverletzung (DE-588)4256982-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Armverletzung (DE-588)4256982-5 s DE-604 Kozin, Scott H. Sonstige oth Hand clinics 15,2 (DE-604)BV000019309 15,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008592682&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Upper extremity trauma Hand clinics Armen (ledematen) gtt Bras - Chirurgie Handen gtt Main - Chirurgie Pouce - Chirurgie Reconstructieve chirurgie gtt Trauma's (geneeskunde) gtt Traumatismes de la main - Thérapeutique Urgentologie Arm Surgery Arm Wounds and injuries Emergency Medicine methods Hand Injuries therapy Hand Surgery Hand Wounds and injuries Thumb Wounds and injuries Armverletzung (DE-588)4256982-5 gnd |
| subject_GND | (DE-588)4256982-5 (DE-588)4143413-4 |
| title | Upper extremity trauma |
| title_auth | Upper extremity trauma |
| title_exact_search | Upper extremity trauma |
| title_full | Upper extremity trauma Scott H. Kozin, guest ed. |
| title_fullStr | Upper extremity trauma Scott H. Kozin, guest ed. |
| title_full_unstemmed | Upper extremity trauma Scott H. Kozin, guest ed. |
| title_short | Upper extremity trauma |
| title_sort | upper extremity trauma |
| topic | Armen (ledematen) gtt Bras - Chirurgie Handen gtt Main - Chirurgie Pouce - Chirurgie Reconstructieve chirurgie gtt Trauma's (geneeskunde) gtt Traumatismes de la main - Thérapeutique Urgentologie Arm Surgery Arm Wounds and injuries Emergency Medicine methods Hand Injuries therapy Hand Surgery Hand Wounds and injuries Thumb Wounds and injuries Armverletzung (DE-588)4256982-5 gnd |
| topic_facet | Armen (ledematen) Bras - Chirurgie Handen Main - Chirurgie Pouce - Chirurgie Reconstructieve chirurgie Trauma's (geneeskunde) Traumatismes de la main - Thérapeutique Urgentologie Arm Surgery Arm Wounds and injuries Emergency Medicine methods Hand Injuries therapy Hand Surgery Hand Wounds and injuries Thumb Wounds and injuries Armverletzung Aufsatzsammlung |
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