TY - CHAP M1 - Book, Section TI - Upper Extremity A1 - Pensy, Raymond A2 - Feliciano, David V. A2 - Mattox, Kenneth L. A2 - Moore, Ernest E. PY - 2020 T2 - Trauma, 9e AB - KEY POINTSThe field of hand surgery has evolved via the integration of surgical disciplines specific to bone, tendon, nerve, vessel, and skin.A careful inventory of each of these components must be made in every patient to plan treatment and anticipate expected functional recovery of the traumatized hand and upper extremity.Assessment of tissue viability should occur through a careful vascular and neurologic examination, both pre- and intraoperatively.The skeleton represents the foundation of any reconstruction of the upper limb; a plan for temporizing and/or definitive fixation in every fracture must be established prior to finalizing any other repair.A plan for soft tissue coverage should be made early when the skin envelope is compromised. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/18 UR - accesssurgery.mhmedical.com/content.aspx?aid=1175139557 ER -