Ao Manual Of Fracture Management Hand And Wrist Pdf Reader
Thieme eBooks, Edited by the premier surgeon on problems of the upper extremity, Elbow and Forearm is a concise yet comprehensive step-by-step guide to managing a wide range of fracture patterns, both simple and complex. All content is based on actual clinical cases featuring numerous highly instructive radiographs, color photos and illustrations. General orthopaedic trauma app for fracture identification, classification, and management. As of this review, the app includes 20 cases for the “Hand and Wrist” including a demonstration of how to apply various splints. This simple and lightweight app includes basic information about the AO Spine principles. Gether with the increasing knowledge on wrist function and related variable outcomes has led to consensus that operative. KEY WORDS: distal radius fracture, postoperative treatment, evidence based aftercare, early mobilization, internal. D hand therapy, including active finger mobilization, hand and wrist edema.
We read this technical point with interest in the March 2010 edition of the Annals. The authors describe a useful method for placing a stockinet bandage around plaster-of-Paris when preparing a hand splint. A similar technique, using a Tubigrip bandage, has been used by the senior author for many years. Wewere, however, concerned to see the position of the splint demonstrated in Figure 2 of the article. This demonstrates the wrist, metacarpophalangeal (MCP) and interphalangeal (IP) joints in full extension. The correct position in which to immobilise the hand safely following injury or surgery is the position of safe immobilisation (POSI), also called the intrinsic-plus or Edinburgh position, originally described by JIP James.,2 The POSI position places the wrist in 0-30° of extension, MCP joints in 70-90° of flexion and IP joints in full extension. This ensures pretension on the collateral ligaments of the wrist, and theMCP and IP joints of the hand, thereby avoiding stiffness and contracture (Figs 1 and and22).
The POSI position for safe hand splinting.
Download windows media player mp3 codec. Schematic representation of the POSI position. Reproduced with kind permission from AO Publishing.4
Increasingly, non-specialist healthcare workers are involved in the delivery of first-line care to patients with hand injury and infection. We wish to stress the importance of optimum splintage of such patients. The simple technique described above is a useful method to assist in this.