Hand and Wrist Anatomy and Biomechanics A Comprehensive Guide There is a saying that "hand surgery without a tourniquet is like repairing a clock in a barrel full of dark ink." Operating without a sound fundamental knowledge of anatomy can be compared to "stirring around in the soup." Classic anatomy instruction covers only a fraction of the area of hand surgery: bones, muscles/ligaments, vessels, and nerves. The many different connective-tissue structures are often only briefly highlighted. The complex interaction of the various structures remains a mystery to most. This book presents the specialty of applied anatomy and is intended for medical professionals involved with the hand and its functionality: hand surgeons, trauma specialists, orthopaedists, plastic surgeons, occupational therapists, and physio-therapists. Key Features: Almost 150 illustrations, anatomical drawings, and photos of anatomy in vivo. Up-to-date information on clinical aspects such as diseases, their causes, and their treatment. Part 1 deals with the anatomy and functional anatomy of the hand Part 2 is dedicated to the surface anatomy of the structures of the forearm, wrist, and hand

Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Clinical interest in the wrist joint has accelerated markedly in the last two decades. Clinical diagnosis based on a greater understanding of wrist anatomy, biomechanics and increasingly sophisticated imaging techniques has markedly enhanced our ability to treat disorders of this joint. As our clinical acumen becomes better, we increasingly need more accurate understanding of the basic mechanisms by which the wrist is able to carry out its function. This book represents a compendium of work done by a number of authors in the basic sciences and their presentations at a recent workshop on biomechanics. This work, while at the forefront of current research in this area, is but an indicator of the type of information that is increasingly required to progress in this field. The authors have made some sound contributions and this book should be of considerable interest and help to those individuals who are contributing to progress in this field. It will be of even greater importance if it helps to stimulate the reader to become involved in further research into the intricacies of the wrist and help us to solve its numerous problems. I hope the reader will enjoy reading these chapters as much as I did in listening to them at the time of their presentations. Ronald L. Linscheid, M.D. President 1989-1990 American Society for Surgery of the Hand Mayo Clinic Rochester, Minnesota Preface Work related injury lIas become a major factor in current world economics.

Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers. Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps. This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials.

This work demonstrates that hand and wrist rehabilitation calls for precise anatomical, biomechanical, and physiological expertise, as well as mastery of manual techniques and targeted physiotherapy. Particular attention is given to the complementarity between theoretical knowledge and practical aspects; accordingly, refreshers on the underlying theory; descriptions of the rehabilitation protocols and the specific manual and instrumental techniques; and the type of orthesis used depending on the delay of healing are provided for each pathology. This publication will appeal to a broad readership, from physiotherapists and occupational therapists, to surgeons and practitioners specialized in physical rehabilitation, to students in the fields of physiotherapy and occupational therapy.

Accurate assessment of hand function is critical to any treatment regimen of the hand compromised patient. Hand Function is a practical, clinical book which provides the knowledge needed to distinguish the different dimensions of hand function, particularly impairment, disability and handicap. Beginning with an overview of basic principles and examination, subsequent chapters evaluate the hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient and the pediatric patient, as well as special populations such as diabetes mellitus patients and musicians. An appendix containing hand function scales essential to the assessment of disability is also included. Rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists and physical therapists will all find Hand Function a useful and valuable addition to their clinical references.

This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.

William P. Cooney III, R. A. Berger, and K. N. An Orthopedic Biomechanics Laboratory Department of Orthopedic Surgery Mayo Clinic and Mayo Foundation Rochester, MN 55905, U. S. A. As surgeons struggle to find new insights into the complex diseases and deformities that involve the wrist and hand, new insights are being provided by applied anatomy, physiology and biomechanics to these important areas. Indeed, a fresh new interaction of disciplines has immersed in which anatomists, bioengineers and surgeons examine together basic functions and principles that can provide a strong foundation for future growth. Clinical interest in the hand and wrist are now at a peak on an international level. Economic implications of disability affecting the hand and wrist are recognized that have international scope crossing oceans, cultures, languages and political philosophies. As with any struggle, a common ground for understanding is essential. NATO conferences such as this symposium on Biomechanics of the Hand and Wrist provides such a basis upon which to build discernment of fundamental postulates. As a start, basic research directed at studies of anatomy, pathology and pathophysiology and mechanical modeling is essential. To take these important steps further forward, funding from government and industry are needed to consider fundamental principles within the material sciences, biomechanical disciplines, applied anatomy and physiology and concepts of engineering modeling that have been applied to other areas of the musculoskeletal system.

This book provides state-of-the-art and up-to-date discussions on the pathology-related considerations and implications in the field of orthopaedic biomechanics. It presents fundamental engineering and mechanical theories concerning the biomechanics of orthopaedic and anatomical structures, and explores the biological and mechanical features that influence or modify the biomechanics of these structures. It also addresses clinically relevant biomechanical issues with a focus on diagnosis, injury, prevention and treatment. The first 12 chapters of the book provide a detailed review of the principles of orthopaedic biomechanics in the musculoskeletal system, including cartilage, bone, muscles and tendon, ligament, and multiple joints. Each chapter also covers important biomechanical concepts relevant to surgical and clinical practice. The remaining chapters examines clinically relevant trauma and injury challenges in the field, including diagnostic techniques such as movement analysis and rehabilitation intervention. Lastly it describes advanced considerations and approaches for fracture fixation, implant design, and biomaterials.

Because of the relatively low incidence of involvement efforts to enhance the diagnosis and management of elbow pathology are not common. Nonetheless, because of a rapidly expanding knowledge base,both with regard to a more - fined understanding of elbow pathology, coupled with exciting and emerging approaches and options for management, it is appropriate and timely to - dress this deficiency in the orthopedic literature. This volume, therefore, was produced in order to provide current and relevant information with content that is drawn from a very well received symposium of the same name as this book and convened in Modena, Italy recently. As with the symposium, the s- cific goals of this text are to provide the most updated concepts in the m- agement of a full spectrum of elbow pathology. The content, therefore, is c- prehensive in nature,but with a focus on emerging options in the management of traumatic conditions as well as reconstructive options for the sequelae of trauma. These topics are covered in detail in the 31 chapters which comprise this text. The focus of each chapter was specifically designed to address the topic in the most timely fashion and with less of an emphasis on the historical context and more focus on current thinking. The references documenting c- tent are intended to be efficient and focused. In addition, the popular and - propriate expectation of the orthopedic community of enhanced explanation of technique are featured in the appropriate chapters.