The Injured Hand

Functional Anatomy and Diagnostics in Hand Surgery.- I. Functional Anatomy of the Hand.- II. Diagnosis in Hand Surgery.- Conservative and Operative Phases of Hand Surgery.- I. Conservative Phase of Acute Hand Surgery.- II. Conservative Phase of Reconstructive Hand Surgery.- III. Vocational Rehabilitation.- Surgery of the Hand.- I. Bloodless Field.- II. Instruments.- III. Adequate Access.- IV. Atraumatic Tissue Handling.- Anesthesia in Hand Surgery.- I. Technique of Block Anesthesia.- II. Treatment of Toxic Reactions to Local Anesthesia.- III. Treatment of Allergic Reactions to Local Anesthesia.- Care of Open Hand Injuries.- I. Correct Procedure before the Operation.- II. Immediate Care, “Delayed Primary Care,” or “Emergency with Delayed Operation”?.- III. Severe Combined Injuries: Global Primary Care or Staged Reconstruction?.- IV. Correct Procedure during the Operation.- V. Correct Postoperative Procedure.- Amputations.- I. Care of the Skin.- II. Care of the Bones.- III. Care of the Tendons.- IV. Care of the Neurovascular Bundles.- V. Thumb Amputations.- VI. Amputation at the Middle Phalanx of the Long Fingers.- VII. Amputation at the Basal Phalanx of the Long Fingers.- VIII. Exarticulation of One or More Fingers.- IX. Carpometacarpal Amputation.- X. Exarticulation at the Wrist and Forearm Amputations.- XI. Replantation of Severed Members.- Fingertip Injuries.- I. Subungual Hematoma.- II. Loss of the Nail.- III. Nail Deformities.- IV. Fractures of the Distal Phalanx.- V. Fingertip Hematoma in the Child.- VI. Defect Wounds.- VII. Extensor Tendon Injuries of the Distal Phalanx.- VIII. Injury of the Deep Flexor Tendon in the Fingertip Region.- IX. Traumatic Epithelial Cyst.- Soft Tissue Injuries of the Dorsal Side: Injuries of the Wrist Extensors, Long Finger Extensor Tendons, and Dorsal Aponeurosis of the Fingers.- I. Wrist Extensors.- II. Division of the Long Finger Extensors Central to the Tendinous Junctions.- III. Division of the Extensor Tendons in the Region of the Metacarpophalangeal Joint.- IV. Division of the Dorsal Aponeurosis in the Region of the Proximal and Middle Phalanges.- V. Extensor Tendon Injuries with Accompanying Bone Injuries.- Soft Tissue Injuries of the Volar Side: Injuries of the Long Finger Flexor Tendons, Wrist Flexors, and Median and Ulnar Nerves.- I. Flexor Tendon Surgery.- II. Neurosurgery.- III. Position of the Beginner, the Experienced Surgeon, and the Specialist in the Treatment of Flexor Tendon and Nerve Injuries of the Hand.- IV. Treatment Tactics for Routine Practice.- V. Operative Techniques.- Capsular Ligament Injuries of the Finger Joints.- I. Anatomy.- II. Pathology.- III. Diagnosis.- IV. Treatment.- Fractures of the Phalanges and Metacarpus.- I. Diagnosis.- II. Reduction.- III. Immobilization.- IV. Surveillance.- V. Exercise.- VI. Care of the Fresh Fracture.- VII. Repair of Malunited Finger and Metacarpal Fractures, Pseudarthrosis, and Tendon Blocks after Fractures.- Fractures and Dislocations of the Carpal Bones.- I. General.- II. Special X-ray Diagnostics.- III. Treatment.- Thumb Injuries.- I. Amputation.- II. Fractures of the Thumb.- III. Thumb Joint Injuries.- IV. Division of the Long Extensor Tendon of the Thumb.- V. Division of the Long Flexor Tendon of the Thumb.- VI. Cicatricial Adduction Contracture of the Thumb.- VII. Thumb Reconstruction.- Compressive Nerve Injuries of the Hand.- I. Localization of the Compression Injury.- II. Diagnosis.- III. Indications.- IV. Therapy.- V. Postoperative Care.- Transfer Operations for Irreparable Nerve Damage.- I. General Indications.- II. Contraindications.- III. Techniques.- IV. Limits.- Severe Crush Injuries of the Hand.- I. Severe Open Crush Injury.- II. Severe Closed Crush Injury.- Foreign Bodies in the Hand.- I. Diagnosis.- II. Indications and Contraindications to the Operative Removal of Foreign Bodies.- III. Therapy.- Infections of the Hand.- I. Pyogenic Infection.- II. Primary Phlegmonous Infection.- III. Differential Diagnosis.- IV. Reconstructive Surgery following Hand Infections.- Thermal, Chemical, and Electrical Injuries.- I. Diagnosis.- II. Therapy.- Hand Injuries in Children.- I. Age.- II. Growth.- III. Uncooperativeness.- IV. Bandaging and Immobilization.- V. Summary.- Sudeck’s Disease: Dystrophy of the Extremities.- I. Diagnosis.- II. Differential Diagnosis: Traumatic Edema of the Dorsum of the Hand.- III. Treatment.- IV. Prognosis.- Ischemic Contracture.- I. Diagnosis and Differential Diagnosis.- II. Prophylaxis.- III. Treatment of Impending Contracture.- IV. Treatment of Fully Developed Contracture.- V. Prognosis.- On the Informatory Obligation of the Physician.- Books and Monographs on Hand Surgery.