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William P. Cooney III, R. A. Berger, and K. N. An Orthopedic Biomechanics Laboratory Department of Orthopedic Surgery Mayo Clinic and Mayo Foundation Rochester, MN 55905, U. S. A. As surgeons struggle to find new insights into the complex diseases and deformities that involve the wrist and hand, new insights are being provided by applied anatomy, physiology and biomechanics to these important areas. Indeed, a fresh new interaction of disciplines has immersed in which anatomists, bioengineers and surgeons examine together basic functions and principles that can provide a strong foundation for future growth. Clinical interest in the hand and wrist are now at a peak on an international level. Economic implications of disability affecting the hand and wrist are recognized that have international scope crossing oceans, cultures, languages and political philosophies. As with any struggle, a common ground for understanding is essential. NATO conferences such as this symposium on Biomechanics of the Hand and Wrist provides such a basis upon which to build discernment of fundamental postulates. As a start, basic research directed at studies of anatomy, pathology and pathophysiology and mechanical modeling is essential. To take these important steps further forward, funding from government and industry are needed to consider fundamental principles within the material sciences, biomechanical disciplines, applied anatomy and physiology and concepts of engineering modeling that have been applied to other areas of the musculoskeletal system.
Hand and Wrist Anatomy and Biomechanics A Comprehensive Guide There is a saying that "hand surgery without a tourniquet is like repairing a clock in a barrel full of dark ink." Operating without a sound fundamental knowledge of anatomy can be compared to "stirring around in the soup." Classic anatomy instruction covers only a fraction of the area of hand surgery: bones, muscles/ligaments, vessels, and nerves. The many different connective-tissue structures are often only briefly highlighted. The complex interaction of the various structures remains a mystery to most. This book presents the specialty of applied anatomy and is intended for medical professionals involved with the hand and its functionality: hand surgeons, trauma specialists, orthopaedists, plastic surgeons, occupational therapists, and physio-therapists. Key Features: Almost 150 illustrations, anatomical drawings, and photos of anatomy in vivo. Up-to-date information on clinical aspects such as diseases, their causes, and their treatment. Part 1 deals with the anatomy and functional anatomy of the hand Part 2 is dedicated to the surface anatomy of the structures of the forearm, wrist, and hand
Clinical interest in the wrist joint has accelerated markedly in the last two decades. Clinical diagnosis based on a greater understanding of wrist anatomy, biomechanics and increasingly sophisticated imaging techniques has markedly enhanced our ability to treat disorders of this joint. As our clinical acumen becomes better, we increasingly need more accurate understanding of the basic mechanisms by which the wrist is able to carry out its function. This book represents a compendium of work done by a number of authors in the basic sciences and their presentations at a recent workshop on biomechanics. This work, while at the forefront of current research in this area, is but an indicator of the type of information that is increasingly required to progress in this field. The authors have made some sound contributions and this book should be of considerable interest and help to those individuals who are contributing to progress in this field. It will be of even greater importance if it helps to stimulate the reader to become involved in further research into the intricacies of the wrist and help us to solve its numerous problems. I hope the reader will enjoy reading these chapters as much as I did in listening to them at the time of their presentations. Ronald L. Linscheid, M.D. President 1989-1990 American Society for Surgery of the Hand Mayo Clinic Rochester, Minnesota Preface Work related injury lIas become a major factor in current world economics.
This book serves as a practical text on the subject of hand surgery that covers all of the practical mechanical principles in a nonthreatening way. The book covers all of the basic elements of the forces that result in movement of the hand, and all the forces that hinder its movement. The authors quantify those elements in manner in which surgeons and therapists can judge their own measure of success or failure as they try to repair and restore movement to damaged hands.
This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.
This book serves as a practical text on the subject of hand surgery that covers all of the practical mechanical principles in a nonthreatening way. The book covers all of the basic elements of the forces that result in movement of the hand, and all the forces that hinder its movement. The authors quantify those elements in manner in which surgeons and therapists can judge their own measure of success or failure as they try to repair and restore movement to damaged hands. * This newest edition seeks to improve upon this source of information by increasing the amount of material covering applications to trauma, arthritis, Dupuytren's disease, spasticity, and overuse syndromes. * New sections also cover extensor mechanisms, wrist, forearm, and outcome studies.
Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers. Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps. This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials.
This work demonstrates that hand and wrist rehabilitation calls for precise anatomical, biomechanical, and physiological expertise, as well as mastery of manual techniques and targeted physiotherapy. Particular attention is given to the complementarity between theoretical knowledge and practical aspects; accordingly, refreshers on the underlying theory; descriptions of the rehabilitation protocols and the specific manual and instrumental techniques; and the type of orthesis used depending on the delay of healing are provided for each pathology. This publication will appeal to a broad readership, from physiotherapists and occupational therapists, to surgeons and practitioners specialized in physical rehabilitation, to students in the fields of physiotherapy and occupational therapy.