Disorders of the Hand: Volume 4: Swelling, Tumours, by Ian A. Trail, Andrew N.M. Fleming

By Ian A. Trail, Andrew N.M. Fleming

Disorders of the Hand describes the suggestions for analysis acceptable to many of the issues of the hand and the way facts dependent findings impact scientific perform. remedies together with surgical procedure are mentioned intimately and scientific pearls are given in each bankruptcy. Swelling, tumours, congenital hand defects and surgical recommendations are comprehensively lined during this 3rd of 4 volumes, whereas hand accidents, nerve compression, hand reconstruction, irritation, arthritis and contractures are integrated within the book’s 3 sister volumes.

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Additional resources for Disorders of the Hand: Volume 4: Swelling, Tumours, Congenital Hand Defects and Surgical Techniques

Sample text

They can lead to ischemic pain and congestive heart disease, due to shunting of cardiac output. Compression syndrome, compartment syndromes and ulceration with bleeding are common (Fig. 5a, b). Hormonal influence, like pregnancy and anti-ovulate medication can aggravate symptoms and enlargement. Diagnostic evaluation can consist of X-rays, ultrasound, MRI and angiography. X-rays can reveal bone involvement. Ultrasound will show a poorly defined hyper-vascular lesion with multiple tortuous feeding arteries.

Ushijima M, Hashimoto H, Tsuneyoshi M, Enjoji M. Giant cell tumor of the tendon sheath (nodular tenosynovitis). A study of 207 cases to compare the large joint group with the common digit group. Cancer. 1986;57(4):875–84. 5. Ravi V, Wang WL, Lewis VO. Treatment of tenosynovial giant cell tumor and pigmented villonodular synovitis. Curr Opin Oncol. 2011;23(4):361–6. 6. Pan YW, Huang XY, You JF, Tian GL, Li C. Malignant giant cell tumor of the tendon sheaths in the hand. Zhonghua Wai Ke Za Zhi. 2008;46(21):1645–8.

Type C lesions are progressive with fast flow characteristics and can develop distal steal symptoms. They can lead to ischemic pain and congestive heart disease, due to shunting of cardiac output. Compression syndrome, compartment syndromes and ulceration with bleeding are common (Fig. 5a, b). Hormonal influence, like pregnancy and anti-ovulate medication can aggravate symptoms and enlargement. Diagnostic evaluation can consist of X-rays, ultrasound, MRI and angiography. X-rays can reveal bone involvement.

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