Emergency Management of the Hand Injuries, Vol. 17

Author: G. R. Wilson
Published: April 1997
Publisher: Oxford University Press
ISBN: 0192628240
Hardcover Book
Number of Pages: 158

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Concise and comprehensive, Emergency Management of Hand Injuries allows Accident and Emergency staff to investigate and treat hand injuries with confidence - and just as importantly to see at a glance which patients should be referred immediately to a specialist hand surgeon. This handbook describes those hand injuries most likely to be encountered in the A & E department and is structured in small chapters for quick and easy reference. Each type of injury is considered in the light of the history, examination, investigations, treatment, and referral of patients. Clear and informative diagrams throughout aid the diagnosis and management of injuries. Emergency Management of Hand Injuries is written for staff working in the A & E department and will also be of use to those working in plastic, orthopaedic, or trauma surgery departments. This book describes the emergency management of hand injuries. "The purpose is to provide physicians working in the emergency department with the knowledge needed to investigate and treat hand injuries with confidence. This important topic is well covered in this brief but thorough book. "The book is written for emergency physicians and those working in plastic, orthopedic, or trauma surgery departments, according to the authors. The authors include an emergency medicine physician and two hand surgeons. "Black-and-white illustrations are of high quality, with an appropriate number of illustrations. No references are listed. The table of contents and index are adequate. The book is small, attractive, and well laid out. "This book is a brief, but useful, summary of the basic approach to commonly encountered hand emergencies. It is not inclusive on the topic. It would be useful to the clinician as an introductory text on the topic or as a review before a board exam. Its use in the emergency department would be for a brief concise review of the approach to hand injuries, and it is recommended for such purchase. Wilson, G. R. (Queen Mary Univ Hospital, London); Nee, P. A. (Whiston Hospital, Merseyside); Watson, J. S. (Withington Hospital, Manchester)

Table of Contents
1 Introduction 3
2 Abbreviations 5
3 Anatomy 7
4 Assessment 23
5 Surgery, splints, and dressings 33
6 Local anaesthetic techniques 39
7 Nail bed injuries 49
8 Gamekeeper's thumb 52
9 Glass injuries 55
10 Simple lacerations 57
11 Major lacerations and crush injuries 59
12 Ring avulsion injury 61
13 High-pressure injection injuries 63
14 Thermal burns 65
15 Chemical burns 68
16 Electrical burns 70
17 Frostbit 72
18 Skin loss 74
19 Fingertip injuries 76
20 Amputations (replants) 79
21 Foreign body in fingertip 81
22 Flexor tendons 85
23 Extensor tendons 1 - mallet finger 87
24 Extensor tendons 2 - boutonniere deformity 89
25 Extensor tendons 3 - MPJs 91
26 Extensor tendons 4 - hand and wrist 93
27 Nerve injuries 95
28 Fall on outstretched hand 99
29 Scaphoid fracture 101
30 Intercarpal ligament disruption: lunate dislocation and scapho-lunate dissociation 104
31 Bennett's fracture 108
32 Metacarpal shaft/base fractures 110
33 Fractured neck of fifth metacarpal 113
34 Phalangeal fractures 115
35 Interphalangeal joint dislocation 118
36 Swollen PIP joint (volar plate injury) 120
37 Epiphyseal injuries in children 122
38 Paronychia 127
39 Pulp space infection 129
40 Cellulitis 131
41 Bite wounds 133
42 Purulent tenosynovitis 135
43 Septic arthritis 137
44 Web space abscess 139
45 Palmar space infections 141
46 Preparation for referral or patient transfer 147
Index 151

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