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The treatment of a degloving injury requires assessment of the damage to the soft tissue and associated blood vessels. [1] Any soft tissue that is dead must be removed. [ 1 ] [ 2 ] If the soft tissue that was torn away is healthy and has a blood supply, it can be used in the treatment. [ 1 ]
During osteotomy, the metacarpal is cut and a wedge shape bone fragment is removed to move the bone away from the hand. [35] Postoperative, the thumb of the patient is immobilized using a thumb-cast. Possible complications are non-union of the bone, persistent pain related to unrecognized CMC or pantrapezial disease and radial sensory nerve injury.
Trauma to the finger or the hand is quite common in society. In some particular cases, the entire finger may be subject to amputation. The majority of traumatic injuries are work-related. Today, skilled hand surgeons can sometimes reattach the finger or thumb using microsurgery. Sometimes, traumatic injuries may result in loss of skin, and ...
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
The deep transverse metacarpal ligament is a narrow fibrous band. It blends with the palmar metacarpophalangeal ligaments. Its palmar surface is concave where the flexor tendons pass over it. Behind [clarification needed] it, the tendons of the interosseous muscles of the hand pass to their insertions. [citation needed]
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Pollicization (or pollicisation) is a hand surgery technique in which a thumb is created from an existing finger. Typically this consists of surgically migrating the index finger to the position of the thumb in patients who are either born without a functional thumb (most common) or in patients who have lost their thumb traumatically and are not amenable to other preferred methods of thumb ...