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Fellowship Information & Application
Last updated Tuesday, September 15, 2009
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Hand fellowship education Regular conferences, case presentations, and anatomy dissections are
performed throughout the fellowship. Conferences are held on Monday,
Tuesdays, and Fridays.
- Resident Lab schedule - Fellowship Lab schedule
Conferences - Monday Morning Core Curriculum in Hand
Surgery: This conference focuses on didactic lectures given by the Hand
Surgery faculty. The goal is to cover the breath of topics needed for
both residents and fellows. See the list of Monday Morning lecture series topics.
- Tuesday
morning selected readings: The literature reviews in this conference
focus on classical articles in Hand Surgery. The articles cover the
full spectrum of problems related to Hand Surgery. Every year the
articles are updated to include the best current review of the given
topics. See the list of Tuesday morning literature review topics.
Recently, Dr. Trumble has published a comprehensive
and authoritative textbook of hand surgery: Principles
of Hand Surgery and Therapy. Chapters include:
- Anatomy and Examination of the Hand
- Regional Anesthesia for the Upper Extremity
- Fracture Healing, Bone Formation, Bone Grafts, and Bone Stimulators
- Hand Fractures
- Fractures and Dislocation of the Carpus
- Distal Radioulnar Joint and Triangular Fibrocartilage Complex
- Fractures and Malunions of the Distal Radius
- Compartment Syndrome and Volkmann's Contracture
- Fingertip and Nail Bed Injuries
- Amputations and Prosthetics
- Hand Infections
- Burns and Frostbite of the Hand
- Flexor Tendon Injuries
- Extensor Tendon Injuries
- Physiology and Repair of Peripheral Nerves
- Brachial Plexus Injuries
- Management of Upper Extremity Pain and Reflex Sympathetic Dystrophy
- Compressive Neuropathies
- Tendon Transfers
- Stroke, Traumatic Brain Injury, and Cerebral Palsy
- Tetraplegia
- Tendinitis and Epicondylitis
- Arthritis
- Kienbock's Disease
- Dupuytren's Disease
- Ganglion, Mucous Syst, and Carpal Boss
- Replantation
- Thumb Reconstruction
- Tissue Transfer: Pedicle and Free Tissue Flaps
- Benign and Malignant Neoplasms of the Upper Extremity
- Congenital Hand Deformities
- Hand Therapy
Monday morning lecture series topics 2008 - 2009
| 8/04/2008 | Fingertip Injuries, Amps, Thumb Reconstruction |
| Vedder |
| 8/11/2008 | Anatomy and Examination of the Hand |
| Hanel
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| 8/18/2008 | Dupuytren’s
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| Trumble
| | 8/25/2008 | M&M/Interesting Cases |
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| | 9/01/2008 | No Lecture- Labor Day |
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| 9/8/2008 | Fractures and Dislocations of the Carpus |
| Trumble
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| 9/15/2008 | Distal Radioulnar Joint and TFCC |
| Trumble
| | 9/22/2008 | M&M/Interesting Cases |
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| 9/29/2008 | Tissue Transfers |
| Vedder |
| 10/06/2008 | Hand Fractures |
| Hanel |
| 10/13/2008 | Compressive Neuropathies |
| Trumble |
| 10/20/2008 | Distal Radius Fractures |
| Hanel |
| 10/27/2008 | M&M/Interesting Cases |
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| 11/03/2008 | Flexor Tendon Injuries |
| Trumble
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| 11/10/2008 | Extensor Tendon Injuries |
| Vedder | | 11/17/2008 | Physiology and Repair of Peripheral Nerves |
| Trumble |
| 11/24/2008 | M&M/Interesting Cases |
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| 12/01/2008 | Brachial Plexus Injuries |
| Allan |
| 12/08/2008 | Pain and RSD |
| Trumble |
| 12/15/2008 | Hand Infections |
| Hanel |
| 12/22/2008 | No Lecture - Christmas
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| 12/29/2008 | No Lecture - New Year's Day
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| 1/05/2009 | Tendon Transfers
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| Trumble |
| 1/12/2009 | Stroke, TBI, CP
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| Muzzafar |
| 1/19/2009 | Tetraplegia - Holiday
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| Muzzafar
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| 1/26/2009 | Tendinitis and Epicondylitis
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| Allan |
| 2/02/2009 | Kienbock’s |
| Trumble
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| 2/09/2009 | Arthritis |
| Hanel | | 2/16/2009 | Compartment Syndrome and Volkmann’s Contracture |
| Hanel |
| 2/23/2009 | M&M/Interesting Cases |
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| 3/02/2009 | Ganglions, Mucous Cyst, Carpal Boss |
| Allan
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| 3/09/2009 | Replantation |
| Hanel | | 3/16/2009 | Basal Joint DJD |
| Trumble |
| 3/23/2009 | M&M/Interesting Cases |
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| 3/30/2009 | Arthroplasty Hand/Wrist
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| Katolik
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| 4/06/2009 | Congenital Hand Deformity |
| Hanel | | 4/12/2009 | Burns and Frostbite of the Hand |
| Vedder or Engrav |
| 4/20/2009 | M&M/Interesting Cases |
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| 4/27/2009 | Fracture Healing, Bone Formation, Bone Grafts
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| Katolik
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| 5/4/2009 | Tumors |
| Hanel | | 5/11/2009 | Total Elbow |
| Hanel |
| 5/18/2009 | Elbow - Terrible Triad |
| Hanel |
| 5/25/2009 | No lecture - Memorial Day
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| 6/01/2009 | TBA |
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| 6/08/2009 | TBA
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| 6/15/2009 | TBA |
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| 6/22/2009 | M&M/Interesting Cases |
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| 6/29/2009 | TBA |
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| 7/06/2009 | TBA |
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| 7/13/2009 | TBA |
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| 7/20/2009 | TBA |
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| 7/27/2009 | M&M/Interesting Cases
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Tuesday morning literature review topics
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August 2008
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1. WELCOME TO FELLOWSHIP
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5
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August 2008
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2. Congenital I [1-3] |
12
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August 2008
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3. Carpal Tunnel [4-8] |
19
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August 2008
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4. Congenital II [9-13] |
26
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August 2008
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5. Nerve Injury and Grafting [14-16] and 166, 177 |
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2
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September 2008
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6. Proximal Entrapment of the Median Nerve [17-19]
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9
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September 2008
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7. Compartment Syndrome [20-23]
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16
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September 2008
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8. Infections [24-27]
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23
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September 2008
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9. Regional and Local Soft Tissue Coverage [28-30]
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30
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September 2008
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10. Free Tissue Transfer [31-33] |
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7
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October 2008
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11. Thumb Reconstruction [34-36] and 167 |
14
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October 2008
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12. Acute Carpal Instablility [37-39] |
21
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October 2008
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13. Chronic Carpal Instablility [40-42] |
28
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October 2008
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14. Acute Distal Radius Fractures [43-46] and 177 |
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4
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November 2008
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15. Distal Radius Malunion and Darrach [47-50]
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11
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November 2008
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16. Distal Radioulnar Joint [51-53] |
18
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November 2008
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17. Scaphiod Fractures [54-59] and 164 |
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25
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November 2008
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18. Ring Avulsion and High Pressure Injection [60-62] |
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2
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December 2008
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19. Fingertip Injuries, Basic Science [63-66]
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9
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December 2008
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20. Mallet Finger and Skier’s Thumb [67-69]
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16
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December 2008
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21. Silicone Arthroplasty and Synovitis [70-72]
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23
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December 2008
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22. Holiday - No Conference
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30
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December 2008
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23. Phalangeal and Metacarpal Fixation [73-77]
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6
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January 2009
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24. Reflex Sympathetic Dystrophy [78-80]
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13
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January 2009
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25. Flexor Tendon Injuries[81-83] and 168, 171
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20
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January 2009
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26. Flexor Reconstruction and Extensors [84-86]
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27
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January 2009
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27. Psychiatric Illness [87-89]
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3
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February 2009
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28. Thoracic Outlet Syndrome [100-102]
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10
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February 2009
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29. Thumb CMC Arthrosis[90-93 and 169] |
27
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February 2009
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30. Scleroderma [94-96]
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24
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February 2009
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31. Dupuytren’s [97-99]
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3
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March 2009
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32. Stiff Elbow and Heterotopic Ossification[172-175]
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10
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March 2009
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33. Upper Extremity Arterial Insufficiency[103-105 and 170]
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17
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March 2009
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34. Amputations [76, 106, 107]
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24
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March 2009
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35. PIP Joint Injury [108-110]
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31
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March 2009
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36. MP and CMC Joints [111-113]
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7
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April 2009
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37. Thumb Fractures [114-116]
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14
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April 2009
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38. Cubital Tunnel Syndrome[117-119]
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21
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April 2009
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39. Wrist Arthrodesis and Arthroplasty[120-122] and 178
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28
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April 2009
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40. DeQuervain’s, Epicondylitis, & Triggering[123-125]
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5
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May 2009
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41. Replantation[126-128]
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14
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May 2009
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42. Rheumatoid Soft Tissue [129-131]
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21
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May 2009
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43. Kienbock’s Disease[132-134]
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28
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May 2009
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44. Peripheral Nerve Injury[135-137]
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2
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June 2009
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45. Peripheral Nerve Compression[138-140]
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9
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June 2009
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46. Reconstruction Following Nerve Injury[141-143]
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15
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June 2009
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47. Cerebral Palsy [144-146]
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23
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June 2009
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48. Soft Tissue Tumors[147-150]
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30
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June 2009
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49. Bone Tumors[151-153]
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7
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July 2009
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50. Rheumatoid Hand[157-159]
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14
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July 2009
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51. Rheumatoid Elbow and Wrist[154-156]
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21
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July 2009
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52. Wrist Arthroscopy[163-165]
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28
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July 2009
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53. Use for make-up day
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Selected readings - Catagni, M.A., R.M. Szabo, and R. Cattaneo, Preliminary experience with Ilizarov method in late reconstruction of radial hemimelia. J Hand Surg [Am], 1993. 18(2): p. 316-21.
- Bayne, L.G. and M.S. Klug, Long-term review of the surgical treatment of radial deficiencies. J Hand Surg [Am], 1987. 12(2): p. 169-79.
- Buck-Gramcko, D., Pollicization of the index finger. Method and results in aplasia and hypoplasia of the thumb. J Bone Joint Surg [Am], 1971. 53(8): p. 1605-17.
- Robinson, L.R., Role of neurophysiologic evaluation in diagnosis. J Am Acad Orthop Surg, 2000. 8(3): p. 190-9.
- Durkan, J.A., A new diagnostic test for carpal tunnel syndrome [published erratum appears in J Bone Joint Surg Am 1992 Feb;74(2):311]. J Bone Joint Surg Am, 1991. 73(4): p. 535-8.
- Lowry, W.E., Jr. and A.B. Follender, Interfascicular neurolysis in the severe carpal tunnel syndrome. A prospective, randomized, double-blind, controlled study. Clin Orthop, 1988. 227: p. 251-4.
- Agee, J.M., et al., Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg [Am], 1992. 17(6): p. 987-95.
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Trumble Te, Diao E. Abrams RA Gilbert-Anderson MM: “Single-Portal
Endoscopic Carpal Tunnel Release with Open Release: Prospective
Randomized Trial of Endoscopic vs. Open Tunnel Release with Single
Portal Technique,” The Journal of Bone and Joint Surgery, Vol. 84-A,
No.7, p. 1107, July 2002
- Greene, W.B., One-stage release of congenital circumferential constriction bands. J Bone Joint Surg Am, 1993. 75(5): p. 650-5.
- Eaton, C.J. and G.D. Lister, Syndactyly. Hand Clin, 1990. 6(4): p. 555-75.
- Siegert, J.J., W.P. Cooney, and J.H. Dobyns, Management of simple camptodactyly. J Hand Surg [Br], 1990. 15(2): p. 181-9.
- Bennett, J.B. and C.H. Allan, Tendon transfers about the shoulder and elbow in obstetrical brachial plexus palsy. Instr Course Lect, 2000. 49: p. 319-32.
- Waters, P.M., Comparison
of the natural history, the outcome of microsurgical repair, and the
outcome of operative reconstruction in brachial plexus birth palsy. J Bone Joint Surg Am, 1999. 81(5): p. 649-59.
- Gaul, J.S., Jr., Intrinsic motor recovery--a long-term study of ulnar nerve repair. J Hand Surg [Am], 1982. 7(5): p. 502-8.
- Seckel, B.R., Enhancement of peripheral nerve regeneration. Muscle Nerve, 1990. 13(9): p. 785-800.
- Chow, J.A., et al., Anatomical
basis for repair of ulnar and median nerves in the distal part of the
forearm by group fascicular suture and nerve-grafting. J Bone Joint Surg [Am], 1986. 68(2): p. 273-80.
- Hartz, C.R., et al., The pronator teres syndrome: compressive neuropathy of the median nerve. J Bone Joint Surg [Am], 1981. 63(6): p. 885-90.
- Hill, N.A., F.M. Howard, and B.R. Huffer, The incomplete anterior interosseous nerve syndrome. J Hand Surg [Am], 1985. 10(1): p. 4-16.
- Miller-Breslow, A., A. Terrono, and L.H. Millender, Nonoperative treatment of anterior interosseous nerve paralysis. J Hand Surg [Am], 1990. 15(3): p.493-6.
- Heckman, M.M., et al., Histologic determination of the ischemic threshold of muscle in the canine compartment syndrome model. J Orthop Trauma, 1993. 7(3): p. 199-210.
- Matsen, F.A., 3rd, R.A. Winquist, and R.B. Krugmire, Jr., Diagnosis and management of compartmental syndromes. J Bone Joint Surg [Am], 1980. 62(2): p. 286-91.
- Tsuge, K., Treatment of established Volkmann's contracture. J Bone Joint Surg [Am], 1975. 57(7): p. 925-9.
- Mohler,L.R., et al., Intermittent Reperfusion Fails to Prevent Posttourniquet Neurapraxia J Hand Surg[Am],1999.24 : p.687-693
- Gonzalez, M.H., et al., Necrotizing fasciitis of the upper extremity. J Hand Surg [Am], 1996. 21(4): p. 689-92.
- Abrams, R.A. and M.J. Botte, Hand Infections: Treatment Recommendations for Specific Types. J Am Acad Orthop Surg, 1996. 4(4): p. 219-230.
- Kann, S.E., J. Jacquemin, and P.J. Stern, Simulators of hand infections. Instr Course Lect, 1997. 46: p. 69-82.
- Lille, S., et al., Continuous
postoperative catheter irrigation is not necessary for the treatment of
suppurative flexor tenosynovitis [In Process Citation]. J Hand Surg [Br], 2000. 25(3): p. 304-7.
- Lister, G., The theory of the transposition flap and its practical application in the hand. Clin Plast Surg, 1981. 8(1): p. 115-27.
- Russell, R.C., et al., Alternative hand flaps for amputations and digital defects. J Hand Surg [Am], 1981. 6(4): p. 399-405.
- Bos, G.D. and M.J. Buehler, Lower-Extremity Local Flaps. J Am Acad Orthop Surg, 1994. 2: p. 342-351.
- Scheker, L.R., H.E. Kleinert, and D.P. Hanel, Lateral arm composite tissue transfer to ipsilateral hand defects. J Hand Surg [Am], 1987. 12(5 Pt 1): p. 665-72.
- Lister, G. and L. Scheker, Emergency free flaps to the upper extremity. J Hand Surg [Am], 1988. 13(1): p. 22-8.
- Han, C.S., et al., Vascularized bone transfer. J Bone Joint Surg Am, 1992. 74(10): p. 1441-9.
- Matev, I.B., Thumb reconstruction through metacarpal bone lengthening. J Hand Surg [Am], 1980. 5(5): p. 482-7.
- Wei, F.C., et al., Microsurgical thumb reconstruction with toe transfer: selection of various techniques. Plast Reconstr Surg, 1994. 93(2): p. 345-51; discussion 352-7.
- Shin, A.Y., A.T. Bishop, and R.A. Berger, Microvascular reconstruction of the traumatized thumb. Hand Clin, 1999. 15(2): p. 347-71.
- Herzberg, G., et al., Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg [Am], 1993. 18(5): p. 768-79.
- Bednar, J.M. and A.L. Osterman, Carpal Instability: Evaluation and Treatment. J Am Acad Orthop Surg, 1993. 1: p. 10-17.
- Kozin, S.H., Perilunate injuries: diagnosis and treatment. J Am Acad Orthop Surg, 1998. 6(2): p. 114-20.
- Watson, H.K., J. Ryu, and E. Akelman, Limited triscaphoid intercarpal arthrodesis for rotatory subluxation of the scaphoid. J Bone Joint Surg [Am], 1986. 68(3): p. 345-9.
- Almquist, E.E., et al., Four-bone ligament reconstruction for treatment of chronic complete scapholunate separation. J Hand Surg [Am], 1991. 16(2): p. 322-7.
- Siegel, J.M. and L.K. Ruby, A critical look at intercarpal arthrodesis: review of the literature. J Hand Surg [Am], 1996. 21(4): p. 717-23.
- Knirk, J.L. and J.B. Jupiter, Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg [Am], 1986. 68(5): p. 647-59.
- Geissler, W.B., et al., Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius. J Bone Joint Surg Am, 1996. 78(3): p. 357-65.
- Trumble, T. E., R. W. Culp, et al. (1999). "Intra-articular fractures of the distal aspect of the radius." Instr Course Lect 48: 465-80.
- Trumble, T.E., S.R. Schmitt, and N.B. Vedder, Factors affecting functional outcome of displaced intra-articular distal radius fractures. J Hand Surg [Am], 1994. 19(2): p. 325-40.
- Tulipan, D.J., R.G. Eaton, and R.E. Eberhart, The Darrach procedure defended: technique redefined and long-term follow-up. J Hand Surg [Am], 1991. 16(3): p. 438-44.
- Kleinman, W.B. and J.A. Greenberg, Salvage of the failed Darrach procedure [see comments]. J Hand Surg [Am], 1995. 20(6): p. 951-8.
- Graham, T.J., Surgical Correction of Malunited Fractures of the Distal Radius. J Am Acad Orthop Surg, 1997. 5: p. 270-281.
-
Trumble, T., C. H. Allan, et al. (2001). "A preliminary study of joint
surface changes after an intraarticular fracture: a sheep model of a
tibia fracture with weight bearing after internal fixation." J Orthop Trauma 15(5): 326-32.
- Bain, G.I., et al., Matched hemiresection interposition arthroplasty of the distal radioulnar joint. J Hand Surg [Am], 1995. 20(6): p. 944-50.
- Chidgey, L., The Distal Radioulnar Joint: Problems and Solutions. J Am Acad Orthop Surg, 1995. 3: p. 95-109.
- Mikic, Z.D., Treatment of acute injuries of the triangular fibrocartilage complex associated with distal radioulnar joint instability. J Hand Surg [Am], 1995. 20(2): p. 319-23.
- Mack, G.R., et al., The natural history of scaphoid non-union. J Bone Joint Surg [Am], 1984. 66(4): p. 504-9.
- Trumble, T. and W. Nyland (2001). "Scaphoid nonunions. Pitfalls and pearls." Hand Clin 17(4): 611-24.
- Simonian, P.T. and T.E. Trumble, Scaphoid Nonunion. J Am Acad Orthop Surg, 1994. 2: p. 185-191.
- Sanders, W.E., Evaluation of the humpback scaphoid by computed tomography in the longitudinal axial plane of the scaphoid. J Hand Surg [Am], 1988. 13(2): p. 182-7.
- Zaidemberg, C., J.W. Siebert, and C. Angrigiani, A new vascularized bone graft for scaphoid nonunion. J Hand Surg [Am], 1991. 16(3): p. 474-8.
-
Trumble, T. E., M. Gilbert, et al. (2000). "Displaced scaphoid
fractures treated with open reduction and internal fixation with a
cannulated screw." J Bone Joint Surg Am 82(5): 633-41.
- Urbaniak, J.R., J.P. Evans, and D.S. Bright, Microvascular management of ring avulsion injuries. J Hand Surg [Am], 1981. 6(1): p. 25-30.
- Kay, S., J. Werntz, and T.W. Wolff, Ring avulsion injuries: classification and prognosis. J Hand Surg [Am], 1989. 14(2 Pt 1): p. 204-13.
- Pinto, M.R., et al., High-pressure injection injuries of the hand: review of 25 patients managed by open wound technique. J Hand Surg [Am], 1993. 18(1): p. 125-30.
- Louis, D.S., A.K. Palmer, and R.E. Burney, Open treatment of digital tip injuries. Jama, 1980. 244(7): p. 697-8.
- Fassler, P.R., Fingertip Injuries: Evaluation and Treatment. J Am Acad Orthop Surg, 1996. 4: p. 84-92.
- Hynes, D.E., Neurovascular pedicle and advancement flaps for palmar thumb defects. Hand Clin, 1997. 13(2): p. 207-16.
- Rubin,C., Bolander, M., Ryaby,J., Hadjiargyrou, M., The Use of Low-Intensity Ulturasound to Accelerate The Healing Of Fractures J Bone Joint Surg[Am],2001. 83(2): p.259-270
- Stern, P.J. and J.J. Kastrup, Complications and prognosis of treatment of mallet finger. J Hand Surg [Am], 1988. 13(3): p. 329-34.
- Heyman, P., et al., Injuries
of the ulnar collateral ligament of the thumb metacarpophalangeal
joint. Biomechanical and prospective clinical studies on the usefulness
of valgus stress testing. Clin Orthop, 1993(292): p. 165-71.
- Ryu, J. and R. Fagan, Arthroscopic treatment of acute complete thumb metacarpophalangeal ulnar collateral ligament tears. J Hand Surg [Am], 1995. 20(6): p. 1037-42.
- Pellegrini, V.D., Jr. and R.I. Burton, Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty or fusion? [see comments]. J Hand Surg [Am], 1990. 15(2): p. 194-209.
- Foliart, D.E., Swanson silicone finger joint implants: a review of the literature regarding long-term complications. J Hand Surg [Am], 1995. 20(3): p. 445-9.
- Bass, R.L., P.J. Stern, and J.G. Nairus, High implant fracture incidence with Sutter silicone metacarpophalangeal joint arthroplasty. J Hand Surg [Am], 1996. 21(5): p. 813-8.
- Belsky, M.R., R.G. Eaton, and L.B. Lane, Closed reduction and internal fixation of proximal phalangeal fractures. J Hand Surg [Am], 1984. 9(5): p. 725-9.
- Ashmead, D.t., et al., Treatment of hand injuries by external fixation. J Hand Surg [Am], 1992. 17(5): p. 954-64.
- Ouellette, E.A. and A.E. Freeland, Use of the minicondylar plate in metacarpal and phalangeal fractures. Clin Orthop, 1996(327): p. 38-46.
- Hanel, D.P. and E.S. Lederman, Index transposition after resection of the long finger ray. J Hand Surg [Am], 1993. 18(2): p. 271-7.
- Trumble, T. and M. Gilbert (1998). "In situ osteotomy for extra-articular malunion of the proximal phalanx." J Hand Surg [Am] 23(5): 821-6.
- Lee, G.W. and P.M. Weeks, The role of bone scintigraphy in diagnosing reflex sympathetic dystrophy [see comments]. J Hand Surg [Am], 1995. 20(3): p. 458-63.
- Soucacos, P.N., et al., Reflex sympathetic dystrophy of the upper extremity. Clinical features and response to multimodal management. Hand Clin, 1997. 13(3): p. 339-54.
- Gellman, H. and D. Nichols, Reflex Sympathetic Dystrophy in the Upper Extremity. J Am Acad Orthop Surg, 1997. 5: p. 313-322.
- Tang, J.B., Flexor tendon repair in zone 2C. J Hand Surg [Br], 1994. 19(1): p. 72-5.
- Strickland, J.W., Flexor Tendon Injuries: I. Foundations of Treatment. J Am Acad Orthop Surg, 1995. 3: p. 44-54.
- Strickland, J.W., Flexor Tendon Injuries: II. Operative Technique. J Am Acad Orthop Surg, 1995. 3: p. 55-62.
- Hunter, J.M., et al., Active tendon implants in flexor tendon reconstruction. J Hand Surg [Am], 1988. 13(6): p. 849-59.
- Slater, R.R., Jr. and D.K. Bynum, Simplified functional splinting after extensor tenorrhaphy. J Hand Surg [Am], 1997. 22(3): p. 445-51.
- Newport, M.L., Extensor Tendon Injuries in the Hand. J Am Acad Orthop Surg, 1997. 5: p. 59-66.
- Stokes, H.M., The seriously uninjured hand--weakness of grip. J Occup Med, 1983. 25(9): p. 683-4.
- Louis, D.S., M.K. Lamp, and T.L. Greene, The upper extremity and psychiatric illness. J Hand Surg [Am], 1985. 10(5): p. 687-93.
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