This document provides information on various topics related to hand injuries and conditions. It covers:
1. Nerve innervation, including the recurrent branch of the median nerve.
2. Common nerve palsies such as wrist drop, median nerve palsy, and ulnar nerve palsy.
3. Blood supply of the hand including the arteries and Allen's test.
4. Common bone injuries like metacarpal neck, shaft, and head fractures. Thumb fractures including Bennett's and Rolando fractures are also discussed.
5. Infections of the hand such as paronychia and felons.
6. Other topics like tendon injuries, metabolic
Do it-yourself-paeds-ortho (Paediatric Orthopaedics for beginners)Jonathan Cheah
This is a powerpoint developed by the consultants from the mater children's hospital brisbane emergency department (which has now amalgamated with the royal children's hospital to create the brand new Lady Cilento Children's Hospital LCCH)
This is ideal for medical students/ residents to use to learn paediatrics orthopaedics.
Easy and fun to go through.
Do it-yourself-paeds-ortho (Paediatric Orthopaedics for beginners)Jonathan Cheah
This is a powerpoint developed by the consultants from the mater children's hospital brisbane emergency department (which has now amalgamated with the royal children's hospital to create the brand new Lady Cilento Children's Hospital LCCH)
This is ideal for medical students/ residents to use to learn paediatrics orthopaedics.
Easy and fun to go through.
Palabras e imágenes donde se encarnan sentires amistosos, deseos de diálogo entre quienes, transitando por caminos sociales, por puentes interpersonales, por búsquedas interiores, por los rigores de la ciencia, por desfiladeros filosóficos, por los horizontes espirituales, por senderos metafísicos, por jardines poéticos, por el compromiso con el juego de los niños… van anhelando y construyendo una cultura de paz, de justicia, de armonía con la naturaleza, de relevancias del sentido.
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You Suck at Email Presentation by Julia RoyJulia Roy
Sign up for our Gmail Mastery Course: http://wrk.hk/gmailcourse
You suck at email, but it's not your fault. Everyone does!
Here are simple tips to perfecting your email etiquette & writing more effective emails.
FOR ACTION TAKERS! At the end of the presentation there is a link for a FREE email best practices resource guide download link with a well- crafted list of email best practices & tools that you can share with your team.
Topics Covered in this Presentation:
1. How and when to properly use (and stop abusing) the "To", "cc" and "bcc" fields
2. Exactly what to should think about before you hit that "Reply All" button
3. How to craft awesome and effective subject lines
4. Why you should think like a journalist, not a novelist, when writing emails
5. How to expertly use bullets, numbers and choices to increase action and responses to your emails
6. Tactics to avoid the vortex of back and forth replies and long email threads
7. The 3 vital pieces of information that should be in your email signature
Galápagos, el primer paso para innovar los censos en el EcuadorCarlos Mena
Ecuador abre una página histórica en la realización de los censos mediante el uso de registros administrativos. Por este motivo se eligió a la provincia de Galápagos como un laboratorio único para llevar adelante esta propuesta, debido a que sus características geográficas y control administrativo permiten una mejor comprobación de los datos
Human-centric Software Development ToolsGail Murphy
What characteristics research into software development tools? This talk explores how research can help understand why some tools are effective and some are not and can help drive to the development of more effective tools for software developers.
The upper limb consists of various joints that enable movement and provide flexibility. These joints can be classified into different types based on their structure and function.
Understanding the anatomy and function of these joints is crucial for assessing and managing conditions related to the upper limb, as well as for rehabilitation and therapeutic interventions. Joint injuries, arthritis, and other disorders may affect the functionality of these joints, and appropriate medical care may be necessary for optimal outcomes.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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2. 1. A 40-year-old male has dislocated his right 2nd MCP.
You have pulled as hard as you can but cannot
reduce the dislocation. The problem is likely:
A.
B.
C.
D.
E.
He is a “gamer” and has very strong extensor muscles
The volar plate is trapped in the joint space
The xray represent arthritic change – a mimic of dislocation
The head of the metcarpal is probably also fractured
He has disrupted the extensor tendon leading to re-dislocation
3. 2. An 18-year-old male with anger issues punches a wall,
fracturing his 5th metacarpal neck. Which is true?
A.
B.
C.
D.
E.
Up to 15 degrees of rotational deformity is acceptable
Nonunion is common in this type of fracture
Up to 45 degrees of angulation is acceptable
Apex-volar angulation is the most common
The PIP and DIP joints must be immobilized also
4. 3. A 17-year-old female “jams” her finger in volleyball.
There is deformity of the PIP joint Which is true?
A. DIP dislocations are more common than PIP dislocations
B. Volar plate injury is common in lateral dislocations
C. Fractures are rare in this age group, Xray can be skipped
D. Even partial tears of the collateral ligaments require repair
E. Intra-articular anesthesia is the best way to treat pain
5. 4. A 23-year-old suicidal female has cut her volar wrist.
Which of the following confirms an intact median nerve?
A.
B.
C.
D.
E.
She can fully flex her wrist
She can pronate her hand
She can feel skin over the hypothenar eminence
She can spread all of her fingers apart
She can make the “OK” sign
6. 5. A 32-year-old female falls while skiing. She has pain at
the base of her thumb. Which is true?
A.
B.
C.
D.
E.
She probably tore the radial-collateral ligament
This may be a “game-keeper’s thumb” injury
A Bennett’s fracture rarely requires surgery
A Rolando fracture rarely requires surgery
Her injury is the result of forced flexion/adduction
7. 6. Regarding infections of the hand:
A. Topical acyclovir is the treatment of choice for herpetic whitlow
B. Flexor tenosynovitis is a common dangerous complication of
paronychia
C. Inability
D. Felons rarely need to be drained
E. Inability to flex the finger suggests a septic joint
8. 7. A metal fabricator suffers a high-pressure injection
injury to his third finger with paint thinner. You should:
A.
B.
C.
D.
Avoid elevation which can cause proximal extension
Perform a digital block for pain control
Warn the patient that amputation is likely
Ask hand surgery to see the pt in the AM when damage will be
more obvious
E. Encourage range-of-motion exercises
9. 8. Regarding tendon injuries of the hand:
A. Never test motion against resistance – it may cause partial
tendon rupture to fully rupture
B. Extensor tendon injury over the MCP is a Zone I injury
C. Flexor tendon injuries are more common than extensor
D. Boutonniere deformity is the result of injury to the central slip of
an flexor tendon
E. Swan neck deformity results from poorly managed mallet finger
10. 9. Given the following ABG, you suspect:
pH 7.41 / HCO3- 13 / PaCO2 19 / PaO2 100
A. Methanol ingestion
B. Anxiety-induced hyperventilation
C. Profuse diarrhea
D. Aspirin overdose
E. Persistent vomiting
11. 10. A 12kg 3-year-old has been vomiting for a week. He is
listless with HR of 180 and delayed capillary refill. Serum
sodium is 115. The appropriate fluids orders is:
A.
B.
C.
D.
E.
Isotonic saline infusion at 20mL/hr
D5/half-normal saline at 250mL/hr
3% sodium infusion at 20mL/hr
Isotonic saline bolus at 20mL/kg
Hypertonic saline bolus at 20mL/kg
12.
13. 1. A 40-year-old male has dislocated his right 2nd MCP.
You have pulled as hard as you can but cannot
reduce the dislocation. The problem is likely:
A.
B.
C.
D.
E.
He is a “gamer” and has very strong extensor muscles
The volar plate is trapped in the joint space
The xray represent arthritic change – a mimic of dislocation
The head of the metcarpal is probably also fractured
He has disrupted the extensor tendon leading to re-dislocation
14. 2. An 18-year-old male with anger issues punches a wall,
fracturing his 5th metacarpal neck. Which is true?
A.
B.
C.
D.
E.
Up to 15 degrees of rotational deformity is acceptable
Nonunion is common in this type of fracture
Up to 45 degrees of angulation is acceptable
Apex-volar angulation is the most common
The PIP and DIP joints must be immobilized also
15. 3. A 17-year-old female “jams” her finger in volleyball.
There is deformity of the PIP joint Which is true?
A. DIP dislocations are more common than PIP dislocations
B. Volar plate injury is common in lateral dislocations
C. Fractures are rare in this age group, Xray can be skipped
D. Even partial tears of the collateral ligaments require repair
E. Intra-articular anesthesia is the best way to treat pain
16. 4. A 23-year-old suicidal female has cut her volar wrist.
Which of the following confirms an intact median nerve?
A.
B.
C.
D.
E.
She can fully flex her wrist
She can pronate her hand
She can feel skin over the hypothenar eminence
She can spread all of her fingers apart
She can make the “OK” sign
17. 5. A 32-year-old female falls while skiing. She has pain at
the base of her thumb. Which is true?
A.
B.
C.
D.
E.
She probably tore the radial-collateral ligament
This may be a “game-keeper’s thumb” injury
A Bennett’s fracture rarely requires surgery
A Rolando fracture rarely requires surgery
Her injury is the result of forced flexion/adduction
18. 6. Regarding infections of the hand:
A. Topical acyclovir is the treatment of choice for herpetic whitlow
B. Flexor tenosynovitis (FTS) is a common dangerous complication
of paronychia
C. Swelling isolated to the volar finger indicates FTS
D. Felons rarely need to be drained
E. Pain with axial loading suggests a septic joint
19. 7. A metal fabricator suffers a high-pressure injection
injury to his third finger with paint thinner. You should:
A.
B.
C.
D.
Avoid elevation which can cause proximal extension
Perform a digital block for pain control
Warn the patient that amputation is likely
Ask hand surgery to see the pt in the AM when damage will be
more obvious
E. Encourage range-of-motion exercises
20. 8. Regarding tendon injuries of the hand:
A. Never test motion against resistance – it may cause partial
tendon rupture to fully rupture
B. Extensor tendon injury over the MCP is a Zone I injury
C. Flexor tendon injuries are more common than extensor
D. Boutonniere deformity is the result of injury to the central slip of
an flexor tendon
E. Swan neck deformity results from poorly managed mallet finger
21. 9. Given the following ABG, you suspect:
pH 7.41 / HCO3- 13 / PaCO2 19 / PaO2 100
A. Methanol ingestion
B. Anxiety-induced hyperventilation
C. Profuse diarrhea
D. Aspirin overdose
E. Persistent vomiting
22. 10. A 12kg 3-year-old has been vomiting for a week. He is
listless with HR of 180 and delayed capillary refill. Serum
sodium is 115. The appropriate fluids orders is:
A.
B.
C.
D.
E.
Isotonic saline infusion at 20mL/hr
D5/half-normal saline at 250mL/hr
3% sodium infusion at 20mL/hr
Isotonic saline bolus at 20mL/kg
Hypertonic saline bolus at 20mL/kg
26. RECURRENT BRANCH OF THE MEDIAN
“The million dollar nerve.”
Opposes thumb, abducts thumb and
helps to flex thumb. Purely motor.
NERVES
Sensory
Motor
Recurrent
Palsies
VESSELS
BONES
INFECTIONS
MISC
29. ALLEN’S TEST
• Clench fist compress
artery relax hand
• If positive, good collateral
flow from opposite side is
nto present
• Perform prior to ABG, etc.
NERVES
VESSELS
Arteries
Allen’s Test
BONES
INFECTIONS
MISC
31. METACARPAL NECK FRACTURE
•
•
•
•
•
The most common hand fractures
Boxer’s fracture: fracture of the neck of 5th m-c
All have volar angulation
Ring & 5th mc tolerate greater angulation
• Ring < 35°, 5th < 45°
Index and middle fingers
• Less mobility, tolerate less angulation (<15°)
• Radial gutter splint
ROTATIONAL DEFORMITY UNACCEPTABLE
NERVES
VESSELS
BONES
M-C Neck
M-C Shaft
M-C Head
Thumb
Dislocation
INFECTIONS
MISC
33. METACARPAL SHAFT FRACTURE
• Angulation rarely acceptable for 2nd and 3rd
• Angulation amounts that are acceptable:
•
•
•
Index 10° Long 20° Ring 30° Small 40°
Operative fixation is often required for 2nd and 3rd
metacarpals
Ulnar gutter splints usually fail to maintain any
significant correction of angulation
Short-arm casting with “outriggers” do work
ROTATIONAL DEFORMITY UNACCEPTABLE
NERVES
VESSELS
BONES
M-C Neck
M-C Shaft
M-C Head
Thumb
Dislocation
INFECTIONS
MISC
34. METACARPAL HEAD FRACTURE
•
•
•
•
•
Intra-articular fractures
Direct trauma or crush
Laceration over MCP suspect human bite
Any displacement gives poor outcome
All require hand referral
NERVES
VESSELS
BONES
M-C Neck
M-C Shaft
M-C Head
Thumb
Dislocation
INFECTIONS
MISC
35. THUMB FRACTURE
Bennett’s Fracture
• Axial load with hand closed
• Ulnar aspect of base of thumb at metacarpal joint
• Intra-articular with disloc/sublux at the CMC joint
• Anatomical reduction required, ORIF
Rolando Fracture
• Comminuted intra-articular, requires ORIF
• No subluxation dislocation of CMC joint
• Worse prognosis
NERVES
VESSELS
BONES
M-C Neck
M-C Shaft
M-C Head
Thumb
Dislocation
INFECTIONS
MISC
45. COLLAR BUTTON ABSCESS
• Palmar aponeurosis prevents extension volarly
• Pus spreads between MC bones and erupts
dorsally creating a hand abscess
• A volar and dorsal abscess
connected by a tract
• Look for splinter/FB on the palm
NERVES
VESSELS
BONES
INFECTION
Paronychia
Felon
Abscess
FTS
MISC
46. FLEXOR TENOSYNOVITIS
• Volar puncture wound or catbite
• Kanavel criteria:
1. Circumferential/fusiform swelling - “sausage”
2. Pain on palpation of proximal tendon sheath
3. Pain on passive extension
4. Flexed finger position at rest
• Treatment: splint, IV antibiotics, surgical I&D
NERVES
VESSELS
BONES
INFECTION
Paronychia
Felon
Abscess
FTS
MISC
47. FLEXOR TENOSYNOVITIS
• Volar puncture wound or catbite
• Kanavel criteria:
1. Circumferential/fusiform swelling - “sausage”
2. Pain on palpation of proximal tendon sheath
3. Pain on passive extension
4. Flexed finger position at rest
• Treatment: splint, IV antibiotics, surgical I&D
NERVES
VESSELS
BONES
INFECTION
Paronychia
Felon
Abscess
FTS
MISC
48. AMPUTATION CARE
• Plastic bag in ice water (not directly in water)
• Thumb has better outcome proximal to IP joint
• Distal third of fingertip doesn't need graft in small
children
NERVES
VESSELS
BONES
INFECTIONS
MISC
Amputation
Mallet Finger
Boutonniere
Splinting
49. AMPUTATION CARE
• Indications for replantation
• Multiple digits
• Thumb
• Single digit between PIP & DIP (distal to the
superficialis insertion)
• Metacarpal (palm)
• Wrist, forearm
• Almost any part in child
NERVES
VESSELS
BONES
INFECTIONS
MISC
Amputation
Mallet Finger
Boutonniere
Splinting
CLEAN AND SHARP = BETTER OUTCOME