Management of complications relating to complex traumatic hand injuries.
Complex hand injuries result in local trauma to osseous, neurovascular, and soft tissue structures. The large amount of energy imparted to these tissues may result in complex regional pain syndrome, stiffness, or infection. Unfortunately, a good outcome may not only depend on the technical aspects of the procedure but on the expectations, occupation, age, and other factors that are out of the surgeon's control. The best treatment for these complications is prevention; however, this review offers strategies to combat the complications once they arise.
Department of Orthopedics, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.
Joel
J
Ferreira
Department of Orthopedics, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA. Electronic address: fowlerjr@upmc.edu.
John R
JR
Fowler
D020918:Complex Regional Pain Syndromes / Q000209:etiology / Q000628:therapy*; D006230:Hand Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D017695:Soft Tissue Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
Complex regional pain syndrome; Infection; Stiffness