Thoroughly revised to bring you up to date with the latest techniques in the field, Operative Techniques Hand and Wrist Surgery, 4th Edition, expertly covers the essential procedures you are mostly likely to employ in everyday practice. This well-regarded, atlas-style volume provides an efficient review of the scope of hand surgery, including every potential patient scenario, while updated indications and techniques equip you to treat the full range of upper extremity disorders. Enhanced procedural videos, produced and narrated by Dr. Chung himself, help guide the essence and key aspects of an operation and are included in most chapters.
Combines brief bulleted descriptions of surgical procedures with excellent procedural videos, full-color intraoperative photographs, and detailed surgical diagrams. Radiographs and MR images show presenting problems and post-surgical outcomes.
Features all-new videos and extensive new content and images throughout.
Covers key topics such as tissue transplantation, tendon and nerve transfer for spinal cord injury, wide awake approach for tendon transfers, total wrist arthroplasty, and techniques for fixing Bennett and Rolando fractures.
Features tips, pearls, and pitfalls from the authors that enable you to improve your technique and optimize outcomes.
Presents multiple approaches for the surgical repair of each disorder, ranging from the least to the most invasive procedures.
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Contributors - p. v 6. Preface - p. vi 7. Foreword - p. vii 8. Videos - p. viii 9. List of Tables - p. ix 10. List of Illustrations - p. x 11. Section I. Anesthesia and Emergency Procedures - p. x 12. 1. Anesthesia of the hand - p. x 13. 1. Anesthesia of the hand - p. 3 14. 2. Fasciotomy for compartment syndrome of the hand and forearm - p. 3 15. 2. Fasciotomy for compartment syndrome of the hand and forearm - p. 4 16. 3. Digit amputations - p. 4 17. 3. Finger amputations - p. 6 18. 4. Proximal upper extremity amputations - p. 6 19. 4. Proximal upper extremity amputation - p. 7 20. 5. Finger infections (paronychia, felons, pyogenic flexor tenosynovitis) - p. 7 21. 6. Splints and orthoses - p. 15 22. 6. Splints and orthoses - p. 16 23. Section II. Hand Fractures and Dislocations - p. 16 24. 7. Principles of bone fixation and healing - p. 16 25. 7. Principles of bone fixation and healing - p. 18 26. 8. Kirschner wire fixation of mallet fractures - p. 18 27. 8. Kirschner wire fixation of mallet fractures - p. 19 28. 9. Techniques for fixing extraarticular phalangeal fractures - p. 19 29. 9. Treatment of extraarticular phalangeal fractures - p. 20 30. 10. Dynamic external fixation of fracture-dislocation of the proximal interphalangeal joint - p. 20 31. 10. Dynamic external fixation of fracture-dislocation of the proximal interphalangeal joint - p. 21 32. 11. Open reduction and internal fixation of intraarticular phalangeal fractures - p. 21 33. 11. Open reduction and internal fixation of intraarticular phalangeal fractures - p. 22 34. 12. Volar plate arthroplasty of the proximal interphalangeal joint - p. 22 35. 12. Volar plate arthroplasty of the proximal interphalangeal joint - p. 23 36. 13. Hemi-hamate arthroplasty - p. 23 37. 14. Techniques and fixation of metacarpal fractures - p. 32 38. 14. Techniques and fixation of metacarpal fractures - p. 33 39. 15. Open reduction for metacarpophalangeal joint dislocation - p. 33 40. 16. Corrective osteotomy of metacarpal fracture malunion - p. 39 41. 16. Corrective osteotomy of metacarpal fracture malunion - p. 40 42. 17. Reconstruction of acute and chronic ulnar collateral ligament injuries of the thumb - p. 40 43. 18. Techniques for fixing bennett and rolando fractures - p. 51 44. 18. Techniques for fixation of bennett and rolando fractures - p. 52 45. Section III. Wrist Fractures and Carpal Instability - p. 52 46. 19. Wrist arthroscopy - p. 52 47. 20. Repairing tears of the triangular fibrocartilage complex - p. 67 48. 21. Scapholunate ligament repair - p. 79 49. 22. Scapholunate ligament reconstruction - p. 92 50. 23. Lunotriquetral ligament reconstruction options using tendon grafts - p. 112 51. 24. Scapholunate and lunotriquetral ligament reconstruction with internal brace and tendon grafting - p. 124 52. 25. Open reduction and internal fixation of acute scaphoid fracture - p. 130 53. 26. Treatment of scaphoid nonunion - p. 141 54. 27. Salvage procedures for scaphoid nonunion - p. 160 55. 28. Open reduction and fixation of acute lunate or perilunate dislocation, with or without fracture - p. 173 56. 29. Ulnar shortening osteotomy for ulnar impaction syndrome - p. 183 57. 29. Ulnar shortening osteotomy for ulnar impaction syndrome - p. 184 58. 30. Distal radioulnar joint reconstruction using palmaris longus graft - p. 184 59. 31. Procedures for avascular necrosis of the lunate (Kienböck disease) - p. 193 60. Section IV. Forearm Fractures - p. 210 61. 32. Operative treatment of distal radius fractures - p. 210 62. 33. Corrective osteotomy of radius malunion - p. 242 63. 34. Associated ulnar fixation (ulnar styloid and metadiaphyseal fractures) - p. 257 64. 35. Forearm fracture-dislocations (Galeazzi and Monteggia) - p. 265 65. Section V. Rheumatoid Arthritis and Degenerative Disease - p. 276 66. 36. Metacarpophalangeal joint synovectomy, crossed intrinsic tendon transfer, and extensor tendon centralization - p. 276 67. 37. Tendon transfers for rheumatoid tendon attrition rupture - p. 284 68. 38. Stabilization of extensor carpi ulnaris tendon subluxation with extensor retinaculum - p. 296 69. 39. Correction of swan-neck deformity - p. 303 70. 40. Correction of boutonniere deformity - p. 311 71. 41. Metacarpophalangeal arthroplasty - p. 318 72. 42. Proximal interphalangeal arthroplasty - p. 333 73. 43. Distal interphalangeal joint arthrodesis - p. 343 74. 43. Distal interphalangeal joint arthrodesis - p. 344 75. 44. Joint fusion for thumb metacarpophalangeal instability - p. 344 76. 44. Joint fusion for thumb metacarpophalangeal instability - p. 345 77. 45. Carpometacarpal joint fusion for basilar arthritis - p. 345 78. 46. Reconstruction for thumb carpometacarpal joint instability using flexor carpi radialis (Littler procedure) - p. 352 79. 47. Trapeziectomy and abductor pollicis longus suspensionplasty - p. 359 80. 48. Revision carpometacarpal joint arthroplasty - p. 367 81. 49. Distal ulnar resection (Darrach procedure) - p. 379 82. 50. Sauvé-Kapandji procedure - p. 385 83. 51. Hemiresection ulnar arthroplasty - p. 392 84. 52. Total wrist arthroplasty - p. 398 85. 53. Total wrist fusion - p. 412 86. 54. Wrist denervation - p. 419 87. Section VI. Nerve Conditions - p. 425 88. 55. Open carpal tunnel release - p. 425 89. 56. Endoscopic carpal tunnel release - p. 432 90. 57. Revision carpal tunnel release and coverage using a hypothenar fat pad flap - p. 439 91. 58. Procedures for ulnar compressive neuropathy - p. 445 92. 59. Radial nerve decompression - p. 458 93. Section VII. Nerve Injuries and Palsy - p. 464 94. 60. Digital nerve repair - p. 464 95. 61. Ulnar nerve group fascicular repair - p. 471 96. 62. Median nerve epineural and group fascicular nerve repair - p. 475 97. 63. Tendon transfers for low median nerve injury - p. 481 98. 64. Tendon transfers for high median nerve injury - p. 493 99. 65. Tendon transfers for low and high ulnar nerve injury - p. 501 100. 66. Tendon transfers for high and low radial nerve injury - p. 520 101. 67. Tendon transfers for combined nerve palsy - p. 529 102. 68. Distal anterior interosseous nerve transfer to motor branch of ulnar nerve - p. 539 103. Section VIII. Tetraplegic Conditions - p. 545 104. 69. Tendon and nerve transfers for spinal cord injury patients - p. 545 105. 70. Restoration of elbow extension: Deltoid to triceps transfer and biceps to triceps transfer - p. 554 106. 71. Restoration of wrist extension: Brachioradialis to extensor carpi radialis tendon transfer - p. 561 107. 72. Restoration of active key pinch: Brachioradialis and pronator teres to flexor pollicis longus transfer - p. 565 108. 73. Restoration of passive key pinch - p. 571 109. 74. Restoration of active pinch and grasp: Extensor carpi radialis longus transfer to flexor digitorum profundus - p. 581 110. 75. Intrinsic tendon reconstruction - p. 586 111. 76. Nerve transfer for spinal cord injuries - p. 596 112. Section IX. Tendon Conditions - p. 600 113. 77. Wide-awake approach for tendon transfers - p. 600 114. 78. Acute repair of flexor tendon injuries in zones I to V - p. 609 115. 79. Two-stage flexor tendon reconstruction with silicone rod - p. 625 116. 80. A2 flexor tendon pulley reconstruction with free tendon graft - p. 634 117. 80. A2 flexor tendon pulley reconstruction with free tendon graft - p. 636 118. 81. Tenolysis of flexor tendons - p. 636 119. 81. Tenolysis of flexor tendons - p. 637 120. 82. Acute repair of extensor tendon injuries: Zones I to VII - p. 637 121. 82. Acute repair of extensor tendon injuries: Zones I to VII - p. 639 122. 83. Release of trigger finger - p. 639 123. 83. Release of trigger finger - p. 640 124. 84. Release of de Quervain tenosynovitis - p. 640 125. 84. Release of de Quervain tenosynovitis - p. 641 126. Section X. Flaps and Microsurgery - p. 641 127. 85. Management of mangled extremities - p. 641 128. 86. Local tissue rearrangement for treatment of scar contractures - p. 652 129. 87. Flap coverage of fingertip injuries - p. 662 130. 87. Flap coverage of fingertip injuries - p. 663 131. 88. Flap coverage of thumb defects - p. 663 132. 88. Flap coverage of thumb defects - p. 665 133. 89. Dorsal metacarpal artery flap and dorsal metacarpal artery perforator flap - p. 665 134. 90. Pedicled forearm flaps - p. 672 135. 90. Pedicled forearm flaps - p. 673 136. 91. Groin flaps - p. 673 137. 92. Lateral arm flap - p. 683 138. 93. Venous flap - p. 693 139. 94. Revascularization and replantation of digits and hand - p. 703 140. 95. Toe to thumb transfer - p. 714 141. 96. Sympathectomy of radial, ulnar, and common digital arteries for raynaud phenomenon - p. 727 142. 97. Ulnar artery to superficial arch bypass with a vein graft - p. 735 143. Section XI. Contractures and Spastic Conditions - p. 743 144. 98. Surgical and nonsurgical treatment of dupuytren contracture - p. 743 145. 99. Biceps and brachialis lengthening - p. 756 146. 100. Step-cut fractional lengthening of flexor tendons and flexor digitorum superficialis to flexor digitorum profundus transfer - p. 763 147. 101. Flexor-pronator slide - p. 769 148. 102. Thumb adductor release - p. 773 149. 103. Capsulotomy for proximal interphalangeal contracture - p. 778 150. 103. Capsulotomy for proximal interphalangeal contracture - p. 779 151. 104. Capsulotomy for metacarpophalangeal contracture - p. 779 152. Section XII. Congenital Hand Disorders - p. 784 153. 105. Pediatric trigger digits - p. 784 154. 106. Release of finger syndactyly using dorsal rectangular flap - p. 793 155. 107. Duplicated thumb and finger treatment - p. 801 156. 108. Index pollicization for hypoplastic thumb - p. 813 157. 109. Pediatric opponensplasty - p. 824 158. 110. Camptodactyly correction - p. 832 159. 111. Macrodactyly correction - p. 841 160. 112. Release of constriction ring syndrome - p. 848 161. 113. Centralization for radial longitudinal deficiency - p. 856 162. 114. Cleft hand reconstruction - p. 864 163. 115. Arthrogryposis reconstruction - p. 872 164. Section XIII. Tumors - p. 881 165. 116. Hand masses - p. 881 166. 117. Excision of vascular lesions of the hand - p. 891 167. 117. Excision of vascular lesions of the hand - p. 892 168. 118. Excision of metacarpal enchondroma - p. 892 169. 118. Excision of enchondroma - p. 893 170. 119. Excision of peripheral nerve schwannoma - p. 893 171. 120. Excision of malignant skin tumors - p. 899 172. 120. Excision of malignant skin tumors - p. 900 173. Index - p. 901
Thoroughly revised to bring you up to date with the latest techniques in the field, Operative Techniques Hand and Wrist Surgery, 4th Edition, expertly covers the essential procedures you are mostly likely to employ in everyday practice. This well-regarded, atlas-style volume provides an efficient review of the scope of hand surgery, including every potential patient scenario, while updated indications and techniques equip you to treat the full range of upper extremity disorders. Enhanced procedural videos, produced and narrated by Dr. Chung himself, help guide the essence and key aspects of an operation and are included in most chapters.
Combines brief bulleted descriptions of surgical procedures with excellent procedural videos, full-color intraoperative photographs, and detailed surgical diagrams. Radiographs and MR images show presenting problems and post-surgical outcomes.
Features all-new videos and extensive new content and images throughout.
Covers key topics such as tissue transplantation, tendon and nerve transfer for spinal cord injury, wide awake approach for tendon transfers, total wrist arthroplasty, and techniques for fixing Bennett and Rolando fractures.
Features tips, pearls, and pitfalls from the authors that enable you to improve your technique and optimize outcomes.
Presents multiple approaches for the surgical repair of each disorder, ranging from the least to the most invasive procedures.
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Contributors - p. v 6. Preface - p. vi 7. Foreword - p. vii 8. Videos - p. viii 9. List of Tables - p. ix 10. List of Illustrations - p. x 11. Section I. Anesthesia and Emergency Procedures - p. x 12. 1. Anesthesia of the hand - p. x 13. 1. Anesthesia of the hand - p. 3 14. 2. Fasciotomy for compartment syndrome of the hand and forearm - p. 3 15. 2. Fasciotomy for compartment syndrome of the hand and forearm - p. 4 16. 3. Digit amputations - p. 4 17. 3. Finger amputations - p. 6 18. 4. Proximal upper extremity amputations - p. 6 19. 4. Proximal upper extremity amputation - p. 7 20. 5. Finger infections (paronychia, felons, pyogenic flexor tenosynovitis) - p. 7 21. 6. Splints and orthoses - p. 15 22. 6. Splints and orthoses - p. 16 23. Section II. Hand Fractures and Dislocations - p. 16 24. 7. Principles of bone fixation and healing - p. 16 25. 7. Principles of bone fixation and healing - p. 18 26. 8. Kirschner wire fixation of mallet fractures - p. 18 27. 8. Kirschner wire fixation of mallet fractures - p. 19 28. 9. Techniques for fixing extraarticular phalangeal fractures - p. 19 29. 9. Treatment of extraarticular phalangeal fractures - p. 20 30. 10. Dynamic external fixation of fracture-dislocation of the proximal interphalangeal joint - p. 20 31. 10. Dynamic external fixation of fracture-dislocation of the proximal interphalangeal joint - p. 21 32. 11. Open reduction and internal fixation of intraarticular phalangeal fractures - p. 21 33. 11. Open reduction and internal fixation of intraarticular phalangeal fractures - p. 22 34. 12. Volar plate arthroplasty of the proximal interphalangeal joint - p. 22 35. 12. Volar plate arthroplasty of the proximal interphalangeal joint - p. 23 36. 13. Hemi-hamate arthroplasty - p. 23 37. 14. Techniques and fixation of metacarpal fractures - p. 32 38. 14. Techniques and fixation of metacarpal fractures - p. 33 39. 15. Open reduction for metacarpophalangeal joint dislocation - p. 33 40. 16. Corrective osteotomy of metacarpal fracture malunion - p. 39 41. 16. Corrective osteotomy of metacarpal fracture malunion - p. 40 42. 17. Reconstruction of acute and chronic ulnar collateral ligament injuries of the thumb - p. 40 43. 18. Techniques for fixing bennett and rolando fractures - p. 51 44. 18. Techniques for fixation of bennett and rolando fractures - p. 52 45. Section III. Wrist Fractures and Carpal Instability - p. 52 46. 19. Wrist arthroscopy - p. 52 47. 20. Repairing tears of the triangular fibrocartilage complex - p. 67 48. 21. Scapholunate ligament repair - p. 79 49. 22. Scapholunate ligament reconstruction - p. 92 50. 23. Lunotriquetral ligament reconstruction options using tendon grafts - p. 112 51. 24. Scapholunate and lunotriquetral ligament reconstruction with internal brace and tendon grafting - p. 124 52. 25. Open reduction and internal fixation of acute scaphoid fracture - p. 130 53. 26. Treatment of scaphoid nonunion - p. 141 54. 27. Salvage procedures for scaphoid nonunion - p. 160 55. 28. Open reduction and fixation of acute lunate or perilunate dislocation, with or without fracture - p. 173 56. 29. Ulnar shortening osteotomy for ulnar impaction syndrome - p. 183 57. 29. Ulnar shortening osteotomy for ulnar impaction syndrome - p. 184 58. 30. Distal radioulnar joint reconstruction using palmaris longus graft - p. 184 59. 31. Procedures for avascular necrosis of the lunate (Kienböck disease) - p. 193 60. Section IV. Forearm Fractures - p. 210 61. 32. Operative treatment of distal radius fractures - p. 210 62. 33. Corrective osteotomy of radius malunion - p. 242 63. 34. Associated ulnar fixation (ulnar styloid and metadiaphyseal fractures) - p. 257 64. 35. Forearm fracture-dislocations (Galeazzi and Monteggia) - p. 265 65. Section V. Rheumatoid Arthritis and Degenerative Disease - p. 276 66. 36. Metacarpophalangeal joint synovectomy, crossed intrinsic tendon transfer, and extensor tendon centralization - p. 276 67. 37. Tendon transfers for rheumatoid tendon attrition rupture - p. 284 68. 38. Stabilization of extensor carpi ulnaris tendon subluxation with extensor retinaculum - p. 296 69. 39. Correction of swan-neck deformity - p. 303 70. 40. Correction of boutonniere deformity - p. 311 71. 41. Metacarpophalangeal arthroplasty - p. 318 72. 42. Proximal interphalangeal arthroplasty - p. 333 73. 43. Distal interphalangeal joint arthrodesis - p. 343 74. 43. Distal interphalangeal joint arthrodesis - p. 344 75. 44. Joint fusion for thumb metacarpophalangeal instability - p. 344 76. 44. Joint fusion for thumb metacarpophalangeal instability - p. 345 77. 45. Carpometacarpal joint fusion for basilar arthritis - p. 345 78. 46. Reconstruction for thumb carpometacarpal joint instability using flexor carpi radialis (Littler procedure) - p. 352 79. 47. Trapeziectomy and abductor pollicis longus suspensionplasty - p. 359 80. 48. Revision carpometacarpal joint arthroplasty - p. 367 81. 49. Distal ulnar resection (Darrach procedure) - p. 379 82. 50. Sauvé-Kapandji procedure - p. 385 83. 51. Hemiresection ulnar arthroplasty - p. 392 84. 52. Total wrist arthroplasty - p. 398 85. 53. Total wrist fusion - p. 412 86. 54. Wrist denervation - p. 419 87. Section VI. Nerve Conditions - p. 425 88. 55. Open carpal tunnel release - p. 425 89. 56. Endoscopic carpal tunnel release - p. 432 90. 57. Revision carpal tunnel release and coverage using a hypothenar fat pad flap - p. 439 91. 58. Procedures for ulnar compressive neuropathy - p. 445 92. 59. Radial nerve decompression - p. 458 93. Section VII. Nerve Injuries and Palsy - p. 464 94. 60. Digital nerve repair - p. 464 95. 61. Ulnar nerve group fascicular repair - p. 471 96. 62. Median nerve epineural and group fascicular nerve repair - p. 475 97. 63. Tendon transfers for low median nerve injury - p. 481 98. 64. Tendon transfers for high median nerve injury - p. 493 99. 65. Tendon transfers for low and high ulnar nerve injury - p. 501 100. 66. Tendon transfers for high and low radial nerve injury - p. 520 101. 67. Tendon transfers for combined nerve palsy - p. 529 102. 68. Distal anterior interosseous nerve transfer to motor branch of ulnar nerve - p. 539 103. Section VIII. Tetraplegic Conditions - p. 545 104. 69. Tendon and nerve transfers for spinal cord injury patients - p. 545 105. 70. Restoration of elbow extension: Deltoid to triceps transfer and biceps to triceps transfer - p. 554 106. 71. Restoration of wrist extension: Brachioradialis to extensor carpi radialis tendon transfer - p. 561 107. 72. Restoration of active key pinch: Brachioradialis and pronator teres to flexor pollicis longus transfer - p. 565 108. 73. Restoration of passive key pinch - p. 571 109. 74. Restoration of active pinch and grasp: Extensor carpi radialis longus transfer to flexor digitorum profundus - p. 581 110. 75. Intrinsic tendon reconstruction - p. 586 111. 76. Nerve transfer for spinal cord injuries - p. 596 112. Section IX. Tendon Conditions - p. 600 113. 77. Wide-awake approach for tendon transfers - p. 600 114. 78. Acute repair of flexor tendon injuries in zones I to V - p. 609 115. 79. Two-stage flexor tendon reconstruction with silicone rod - p. 625 116. 80. A2 flexor tendon pulley reconstruction with free tendon graft - p. 634 117. 80. A2 flexor tendon pulley reconstruction with free tendon graft - p. 636 118. 81. Tenolysis of flexor tendons - p. 636 119. 81. Tenolysis of flexor tendons - p. 637 120. 82. Acute repair of extensor tendon injuries: Zones I to VII - p. 637 121. 82. Acute repair of extensor tendon injuries: Zones I to VII - p. 639 122. 83. Release of trigger finger - p. 639 123. 83. Release of trigger finger - p. 640 124. 84. Release of de Quervain tenosynovitis - p. 640 125. 84. Release of de Quervain tenosynovitis - p. 641 126. Section X. Flaps and Microsurgery - p. 641 127. 85. Management of mangled extremities - p. 641 128. 86. Local tissue rearrangement for treatment of scar contractures - p. 652 129. 87. Flap coverage of fingertip injuries - p. 662 130. 87. Flap coverage of fingertip injuries - p. 663 131. 88. Flap coverage of thumb defects - p. 663 132. 88. Flap coverage of thumb defects - p. 665 133. 89. Dorsal metacarpal artery flap and dorsal metacarpal artery perforator flap - p. 665 134. 90. Pedicled forearm flaps - p. 672 135. 90. Pedicled forearm flaps - p. 673 136. 91. Groin flaps - p. 673 137. 92. Lateral arm flap - p. 683 138. 93. Venous flap - p. 693 139. 94. Revascularization and replantation of digits and hand - p. 703 140. 95. Toe to thumb transfer - p. 714 141. 96. Sympathectomy of radial, ulnar, and common digital arteries for raynaud phenomenon - p. 727 142. 97. Ulnar artery to superficial arch bypass with a vein graft - p. 735 143. Section XI. Contractures and Spastic Conditions - p. 743 144. 98. Surgical and nonsurgical treatment of dupuytren contracture - p. 743 145. 99. Biceps and brachialis lengthening - p. 756 146. 100. Step-cut fractional lengthening of flexor tendons and flexor digitorum superficialis to flexor digitorum profundus transfer - p. 763 147. 101. Flexor-pronator slide - p. 769 148. 102. Thumb adductor release - p. 773 149. 103. Capsulotomy for proximal interphalangeal contracture - p. 778 150. 103. Capsulotomy for proximal interphalangeal contracture - p. 779 151. 104. Capsulotomy for metacarpophalangeal contracture - p. 779 152. Section XII. Congenital Hand Disorders - p. 784 153. 105. Pediatric trigger digits - p. 784 154. 106. Release of finger syndactyly using dorsal rectangular flap - p. 793 155. 107. Duplicated thumb and finger treatment - p. 801 156. 108. Index pollicization for hypoplastic thumb - p. 813 157. 109. Pediatric opponensplasty - p. 824 158. 110. Camptodactyly correction - p. 832 159. 111. Macrodactyly correction - p. 841 160. 112. Release of constriction ring syndrome - p. 848 161. 113. Centralization for radial longitudinal deficiency - p. 856 162. 114. Cleft hand reconstruction - p. 864 163. 115. Arthrogryposis reconstruction - p. 872 164. Section XIII. Tumors - p. 881 165. 116. Hand masses - p. 881 166. 117. Excision of vascular lesions of the hand - p. 891 167. 117. Excision of vascular lesions of the hand - p. 892 168. 118. Excision of metacarpal enchondroma - p. 892 169. 118. Excision of enchondroma - p. 893 170. 119. Excision of peripheral nerve schwannoma - p. 893 171. 120. Excision of malignant skin tumors - p. 899 172. 120. Excision of malignant skin tumors - p. 900 173. Index - p. 901
