MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'hand surgery'. Sat, 03 Sep 2011 02:29:32 +0100 http://www.medworm.com/index.php?rid=4233219&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FOSMoEUN-H14%2Fdorsal-hand-coverage-refinements.html We present our hand in greeting for a hand shake. Our hands are visible when keyboarding or talking on the phone. We hold hands with our loved ones. We want our hands to both work/function and be aesthetically pleasing. Function must come first with a severe injury, but the authors of the first article referenced below correctly note “with high success rates, flap survival should no longer be the sole criterion in judging success in dorsal hand and wrist reconstruction.” In an attempt to determine the best flap for dorsal hand coverage in terms of aesthetic appearance, donor-site morbidity, and minimization of revision surgery, the authors conducted a retrospective review of all free flaps for dorsal hand and wrist coverage from 2002 to 2008 was performed. Flaps were divided into four... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4233219 Mon, 06 Dec 2010 12:16:00 +0100 4233219 http://www.medworm.com/index.php?rid=3972937&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FAjKF4s-9uyw%2Ftreatment-of-common-congenital-hand.html This article and the companion videos are worth your time.     REFERENCES Treatment of Common Congenital Hand Conditions; Oda, Takashi; Pushman, Allison G.; Chung, Kevin C.; Plastic & Reconstructive Surgery. 126(3):121e-133e, September 2010. Treatment of Common Congenital Hand Conditions - Video 1 - Syndactyly release with proximal-based dorsal rectangular flap Treatment of Common Congenital Hand Conditions Video 2 - Ablation of the radial thumb and ligament reconstruction Treatment of Common Congenital Hand Conditions - Video 3 - Pollicization of the index finger (Source: Suture for a Living) Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=3972937 Wed, 15 Sep 2010 11:15:00 +0100 3972937 http://www.medworm.com/index.php?rid=3648497&cid=t_115883_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fphysician-burnout-isnt-new%2F2010.06.09 Dr. Wes and Kevin, M.D. have both written reviews of the documentary film “The Vanishing Oath.” I started the process rolling of trying to get the film shown locally. No date yet, but looks like it will happen before the year is out.  This is not a new phenomenon in medicine (or any profession). Dr. Robert Goldwyn wrote a nice essay on the some of the issues that can lead to burnout, though not once did he mention burnout specifically. The title says much: “I Bargained on Working Hard as a Surgeon, Not Working Hard to Be Able to Work Hard as a Surgeon” The preceding title is a quote from a letter written by a resident in the last year of his training (S. A. Teitlebaum, August 20, 1994). It reflects the gloom besetting the young in particular but certainly not them exclusivel... Better Health blogs http://www.medworm.com/rss/comments.php?id=3648497 Wed, 09 Jun 2010 18:00:00 +0100 3648497 http://www.medworm.com/index.php?rid=2626056&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FRgUbxwxNxPY%2Fde-quervain-tenosynovitis.html I love this problem though I’m sure I wouldn’t if I ever had it.  It is one of those hand problems diagnosed by history and physical exam.  The name can be a mouthful and is tricky to spell, but it is one that is treatable.  Most often with a good outcome. De Quervain tenosynovitis was first described in 1895 by a Swiss surgeon, Fritz de Quervain.  He reported 5 cases of patients who had the now “classic” physical finding -- a tender, thickened first dorsal wrist compartment.  Now this condition bears his name – De Quervain tenosynovitis.   De Quervain tenosynovitis is an entrapment tendinitis of the first dorsal compartment of the wrist.  Even a small amount of swelling or inflammation of the tendons ( abductor pollicis longus and extensor poll... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2626056 Wed, 22 Jul 2009 11:01:01 +0100 2626056 http://www.medworm.com/index.php?rid=2606004&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FNFM1eduVHdw%2Fdigital-mucous-cyst.html Earlier this month I received an e-mail asking for information.  I have changed it slightly: I have been pouring over the computer, searching for information on a tumor.  I had removed last week from my left long finger (third finger).  The pathology report came back as a myxoid tumor.  I was told it was a tumor, not a cyst.  Could you help me give me more information? To begin, most digital myxoid or mucous tumors are cystic in nature.  Very few are not.  It is difficult to find much information in the literature, especially the current literature.    Digital mucous cysts (DMCs) are benign ganglion cysts.  They most often are located at the most distal joint of the finger or in the nail fold.  Physicians call this joint the distal... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2606004 Thu, 16 Jul 2009 11:01:00 +0100 2606004 http://www.medworm.com/index.php?rid=2580240&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FBca3Cm651vs%2Fmacrodactyly.html is an uncommon anomaly of the extremities.  It can affect both the fingers or toes which become abm=normally large due to overgrowth of the tissues composing the digit.  All the tissues are involved:   bone and soft tissue-particularly the nerves, fat and skin.  (photo credit) Other names used for macrodactyly include megalodactyly, overgrowth, gigantism, localized hypertrophy, or macrodactylia fibrolipomatosis. Hands are more commonly involved than feet. Most of the time (~90%) patients present with unilateral (one side affected) macrodactyly.  Often more than one digit is involved.   The most frequently involved digits of the hand are the index finger, followed by the long finger, thumb, ring, and little fingers.  Syndactyly may be present ... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2580240 Wed, 08 Jul 2009 11:01:00 +0100 2580240 http://www.medworm.com/index.php?rid=2463049&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F4cMYfgy8mOw%2Fcell-phone-elbow.html Last Tuesday, this tweet from @AllergyNotes caught my eye. Call cubital tunnel syndrome a "cell phone elbow" and you make the front page of CNN.com: http://bit.ly/RaXrt and http://bit.ly/TTRfg   Cubital tunnel syndrome I know, but I had not heard it called “cell phone elbow.”  The first link is to the Cleveland Clinic Journal of Medicine article (full reference below).  It is an excellent article and well worth reading.  The second link is to CNN news article picking up the “cell phone elbow” line.   Cubital tunnel syndrome is a nerve compression syndrome (like carpal tunnel syndrome).  In the case of cubital tunnel syndrome, the nerve involved is the ulnar nerve and the location is at the elbow.  From the article … the ulnar nerve ... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2463049 Mon, 08 Jun 2009 11:01:00 +0100 2463049 http://www.medworm.com/index.php?rid=2447632&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2Fk1duBISSEAM%2Fglomus-tumor-repost.html I first posted this early in my blog life, October 29, 2007.  It amazed me how the comment section of this post has become more of a forum than just comments.  I would also recommend checking out this post by Dr David Nelson which shows some great operative photos.   A glomus tumor is a rare benign tumor of the hand. It constitutes 1–5% of the soft-tissue tumors in the hand. It arises from the   glomus body which is a neuromyoarterial apparatus described by P. Masson in 1924. The normal glomus body is an arteriovenous shunt that is composed of an afferent arteriole, an anastomotic vessel (Sucquet-Hoyer canal), a collecting vein, and a capsular portion. It resides in the stratum reticulum of the skin. There are large numbers in the subungual region and in the dist... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2447632 Mon, 01 Jun 2009 11:01:00 +0100 2447632 http://www.medworm.com/index.php?rid=2447488&cid=t_115883_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D7097 Not for the squeamish. Flickr videos stream quite well I must say. (via Unboundedmedicine) from the Malaysian Medical Resources VIDEO: Traumatic hand injury surgery (Source: Malaysian Medical Resources) Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=2447488 Sat, 30 May 2009 04:00:00 +0100 2447488 http://www.medworm.com/index.php?rid=2441233&cid=t_115883_87_f&fid=34969&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FUnboundedMedicine%2F%7E3%2FRZmB-OQtkR0%2F Hand reconstruction (Source: Unbounded Medicine) Unbounded Medicine blogs http://www.medworm.com/rss/comments.php?id=2441233 Fri, 29 May 2009 01:08:46 +0100 2441233 http://www.medworm.com/index.php?rid=1921388&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F435736979%2Fsoft-tissue-injuries-of-fingertip.html As we get closer to Halloween and in light of my post on preventing injuries when carving those pumpkins, I thought I would review injuries to the fingertip.  This post is a reworking of the post a did on fingertip injuries/amputations more than a year ago.  In this post, I’m going to stick to injuries of the fingertip.  (photo credit)   Fingertip (or pad) injuries are very common. They range from simple lacerations to partial amputations. Simple lacerations are repaired by suture or Dermabond (I have even told family members to use super glue. The bleeding must be stopped. The finger must be cleaned with soap and water. There must not be any tension pulling the edges apart. The glue is used on the surface, never within the cut.) If Dermabond is used, it is best to... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1921388 Wed, 29 Oct 2008 11:23:00 +0100 1921388 http://www.medworm.com/index.php?rid=1720660&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F369901664%2Fparonychia.html This past weekend I treated my own paronychia. Haven't figured out how I developed it, as I had no hang nails, don't chew on my fingernails, no recognized trauma to the digit. I initially treated the red, tender area around the nail with antibiotic ointment and a Band-Aid (to keep the ointment in place and to protect the area from any further injury). At first there was no "fluctuant area" and no localized pus pocket. That was until Sunday morning. Check out the photo I took with my new iPhone (my husband's birthday gift to me). Being a seamstress, there are plenty of needle around my house. I sterilized one and gently lifted the top off the localized pus. I would not recommend that just anyone do this. Remember I am a trained professional. Here is a repost of my article from last August:... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1720660 Wed, 20 Aug 2008 11:24:00 +0100 1720660 http://www.medworm.com/index.php?rid=1616710&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F331655379%2Fflexor-tendon-repair_10.html Like the extensor tendons, there is little to protect to the flexor tendons -- thin skin (though the palm skin is thicker than skin on the back of the hand) and minimal subcutaneous tissue. The flexor tendons can be easily injured by knives, saws, splinters, etc. The flexor tendon anatomy can be reviewed here online, or in more depth offline using a good anatomy or hand surgery text. (photo credit) These injuries will often include fractures or soft tissue injuries (lacerations, crush, loss of skin, nerve/vessel injury, etc). This post is only a brief overview of the repair of "isolated" flexor tendon laceration at the time of injury, not reconstructively later. This post will in no way make the reader an expert on flexor tendon injury/repair, but will give you a general understanding (may... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1616710 Thu, 10 Jul 2008 11:30:01 +0100 1616710 http://www.medworm.com/index.php?rid=1547208&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F320456273%2Fextensor-tendon-repair.html Because there is little to protect the extensor tendons (thin skin, minimal subcutaneous tissue), they can be easily injured by knives, saws, teeth (hitting someone), etc. The extensor tendon anatomy can be reviewed here online, or in more depth offline using a good anatomy or hand surgery text.These injuries will often include fractures or soft tissue injuries (lacerations, crush, loss of skin, etc). This post is only a brief overview of the repair of "isolated" extensor tendon laceration at the time of injury, not reconstructively later. This post will in no way make the reader an expert on extensor tendon injury/repair, but will give you a general understanding (maybe). Injuries of the extensor tendon are defined by zones. The tendon injuries in finger Zones II-IV and VII tend to fare w... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1547208 Thu, 26 Jun 2008 11:30:00 +0100 1547208 http://www.medworm.com/index.php?rid=1532054&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F315359611%2Fring-finger-avulsion.html Dr Smak: Mr. Zink was the coolest teacher in my middle school. Everyone liked him: nerd, jock, cheerleader alike. He taught science, and if you were lucky you got him two years in a row. In those few minutes after the lesson finished, but before the bell rang, he would tell us the grossest stories that he knew.I still remember them. The one about the kid playing basketball with his class ring on, who left his ring and its attached finger on the rim after a dunk, connected by all the tendons from his finger to his shoulder. (Can that really happen?) Yes, that can happen. Well, not the "to his shoulder" part as the tendons to the fingers don't originate that high in the arm, but the avulsion of the ring finger can and does. (photo credit--III type injury) A typical story may be She had avuls... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1532054 Thu, 19 Jun 2008 18:15:25 +0100 1532054 http://www.medworm.com/index.php?rid=1222501&cid=t_115883_106_f&fid=36682&url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2008%2F02%2Flate-reconstruction-of-nail-bed.html Recently I received the following e-mail:"I came across your blog about fingertip injuries. When I was 4 years old I slammed a door on my pinky finger. The tip came off leaving me with what they call a hook nail. I have been trying to research any procedures that may improve the appearance of my finger. Do you have any suggestions or info on any procedures." Secondary reconstruction is always less effective than "doing it right" at the time acute care is given to a nail bed injury. The appearance and shape of the nail improves during the first year after the injury so no attempts at reconstruction of the nail bed should be made until after the first year. You may want to refer back to my post on fingernail anatomy and fingertip injuries. Typical nail deformities that require reconstruction... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1222501 Mon, 11 Feb 2008 12:51:00 +0100 1222501 http://www.medworm.com/index.php?rid=874937&cid=t_115883_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2Findex.php%3Fitemid%3D494 Incision A curved incision is made in the skin on the ulnar (little finger) side of the palm. It is made across the thenar (thumb crease) and along the long axis of the fourth (ring) finger from the lower border of the flexor retinaculum to the proximal wrist crease. Surgical Details of the Procedure 1. The patient is placed supine (face up) on the operating room table. An upper arm tourniquet is applied and inflated. 2. The incision as above is made and the subcutaneous fat is carefully separated. 3. Inspection is made for the palmar cutaneous branch of the median nerve close to the palmaris longus and flexor pollicis longus at the thenar side of the median nerve. Copyright 2007 InsideSurgery.com (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=874937 Sun, 16 Sep 2007 10:43:00 +0100 874937