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By Robert W. Beasley

Big apple Univ., long island urban. presents info had to practice all form of hand surgical procedure, together with a guiding philosophy and systematic strategy for decreasing the main tricky difficulties. positive aspects greater than 1,000 top of the range illustrations explaining details besides anatomical drawings for depicting systems. DNLM: Hand--Surgery.

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Guy’s Hosp Rep. 1948;97:185. Cleland J. On the cutaneous ligaments of the phalanges. J Anat Physiol. 1878;12:526. Duchenne GB. Physiology of Motion. Kaplan E, trans. Philadelphia: Lippincott; 1959. Kaplan EB. Functional and Surgical Anatomy of the Hand. 2nd ed. Philadelphia: JB Lippincott; 1965. Landsmeer JM. Anatomical and functional investigations on the articulation of human fingers. Acta Anat. 1955;24(suppl):2511. Landsmeer JM. The coordination of finger joint motions. J Bone and Joint Surg.

In practical terms, this is approximated by water containing ice; tightly packed ice alone is too cold. Hypothermia is the most important factor for extending the length of time that detached tissues can survive and thus be reattachable. The greater the muscle content of the amputated part, the less ischemic time that will be tolerated, and hypothermia is the only means we have for prolonging it. 28 BEASLEY’S SURGERY OF THE HAND FIGURE 3–4 (A). The importance of elevation of the hand above heart level following injury or an operation cannot be overemphasized.

Usually, the patient is asked to duplicate a movement demonstrated by the examiner to avoid confusion. When in doubt, comparison with the patient’s uninjured hand will usually clarify the situation. For survey only, the muscle receiving the terminal filaments of the nerve is adequate. For the median nerve, this is the APB; for the ulnar nerve, the first dorsal interosseus muscle; and for the radial, the extensor indicis proprius. When evaluating the median nerve by APB function, be aware that ulnar nerve overlap into the superficial head of the flexor pollicis brevis (FPB) can give functionally good thumb opposition with complete median palsy in about 40% of patients (Fig.

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