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Emergency Orthopedics, 6e
| Part III. Upper Extremities > |
Hand Soft-Tissue Injury and Dislocations
Sections: Traumatic Hand Injuries, Wound Type, Control of Bleeding, Contamination and Wound Closure, Foreign Bodies, Subungual Hematoma and Nail Bed Injuries, Fingertip Amputation, High-Pressure Injection Injuries, Crush Injuries, Mangled Hand Injuries, Amputation, Hand Compartment Syndromes, Tendon Lacerations, Functional Examination, Visual Examination, Treatment, Partial Tendon Lacerations, Flexor Tendon Lacerations, Extensor Tendon Lacerations, Closed Tendon Injuries, Jersey Finger, Mallet Finger, Central Slip Rupture, Boxer's Finger, Neurovascular Injuries, Ulnar Nerve Injury, Radial Nerve Injury, Median Nerve Injury, Neuroma, Vascular Injuries, Ligamentous Injuries and Dislocations, Collateral Ligament Injury, Distal Interphalangeal Joint Injuries, Proximal Interphalangeal Joint Injuries, Pip Joint Dislocation, Pip Joint Volar Plate Injury, Pip Joint Fracture Dislocation, Metacarpophalangeal Joint Injuries, Dislocations, Carpometacarpal Joint Injuries, Thumb Ligamentous Injuries and Dislocations, Trapezio-Metacarpal Joint Injuries, Gamekeeper's Thumb, Overuse Injuries, Myositis, Tendonitis, Bowler's Thumb, Trigger Finger, Pyogenic Granuloma, Infections, Furuncle or Carbuncle, Cellulitis, Paronychia and Eponychia, Felon, Deep Space Infections, Web Space Infection, Midpalmar Space Infection, Dorsal Subaponeurotic Space Infection, Thenar Space Infection, Hypothenar Space Infection, Flexor Tenosynovitis, Fight Bite Injuries, Animal Bites.
Excerpt:
"The following discussion is divided into traumatic and nontraumatic conditions of the hand. Traumatic disorders include soft-tissue wounds, tendon injuries, nerve injuries, vascular injuries, and injuries to the ligaments and joints. Nontraumatic disorders consist of noninfectious inflammatory conditions, constrictive or compressive injuries, and infections of the hand.It is important to take a through history to determine how the injury occurred. The type of wound frequently impacts management decisions. Incised wounds are those caused by a sharp object such as a knife or glass. Although these are usually clean wounds that can be closed primarily, they can be contaminated in certain occupations such as fish-handling.The functional assessment of the flexor and extensor tendons is presented at the beginning of this chapter. Further tips to properly diagnose tendon injuries in the face of skin laceration are provided below.Open partial tendon injuries can be splinted without surgical repair. Controversy exists as to the best treatment of partial tendon injuries and therefore consultation with..."
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