RT Book, Section
A1 Lifchez, Scott D.
A1 Cho, Brian H.
A2 Brunicardi, F. Charles
A2 Andersen, Dana K.
A2 Billiar, Timothy R.
A2 Dunn, David L.
A2 Kao, Lillian S.
A2 Hunter, John G.
A2 Matthews, Jeffrey B.
A2 Pollock, Raphael E.
SR Print(0)
ID 1164320696
T1 Surgery of the Hand and Wrist
T2 Schwartz's Principles of Surgery, 11e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259835353
LK accesssurgery.mhmedical.com/content.aspx?aid=1164320696
RD 2024/04/18
AB Key  Points  Surgery  of  the  hand  is  a  regional  specialty,  integrating  components  of  neurologic,  orthopedic,  plastic,  and  vascular  surgery.  Understanding  hand  anatomy  is  the  key  to  proper  diagnosis  of  injury,  infection,  and  degenerative  disease  of  the  hand.  After  evaluation  and/or  treatment,  patients  should  be  splinted  to  protect  the  injured  digits  and  keep  the  collateral  ligaments  of  the  injured  joints  on  tension  (metacarpophalangeal  joints  flexed,  interphalangeal  joints  extended).  Healing  of  an  injured  or  diseased  structure  in  the  hand  is  not  the  endpoint  of  treatment;  the  goal  of  any  intervention  must  be  to  obtain  structure  healing,  relief  of  pain,  and  maximization  of  function.  If  a  patient  managed  conservatively  for  cellulitis  does  not  improve  within  24  to  48  hours  of  appropriate  intravenous  antibiotics,  abscess  must  be  suspected.  Clinical  examination,  particularly  noting  the  area  of  greatest  tenderness  and/or  inflammation,  is  the  most  useful  diagnostic  tool  for  hand  infections.