Rehabilitation of the Hand and Upper Extremity, 2-Volume Set E-Book , livre ebook

Rehabilitation of the Hand and Upper Extremity
SIXTH EDITION
Terri M. Skirven, OTR/L, CHT
Director, Hand Therapy, The Philadelphia and South Jersey Hand Centers, P.C.
Director, Hand Rehabilitation Foundation Philadelphia, PA
A. Lee Osterman, MD
Professor, Orthopaedic and Hand Surgery Chairman, Division of Hand Surgery Department of Orthopaedic Surgery Jefferson Medical College Thomas Jefferson University;
President, The Philadelphia and South Jersey Hand Centers, P.C. and Hand Surgery Fellowship Program Philadelphia, PA
Jane M. Fedorczyk, PT, PhD, CHT, ATC
Associate Clinical Professor Director, Post-Professional Clinical Programs Department of Physical Therapy and Rehabilitation Sciences College of Nursing and Health Professions Drexel University Philadelphia, PA
Peter C. Amadio, MD
Lloyd A. and Barbara A. Amundson Professor of Orthopedic Surgery Mayo Clinic Rochester, MN
1600 John F. Kennedy Blvd.
Ste. 1800
Philadelphia, PA 19103-2899
REHABILITATION OF THE HAND AND UPPER EXTREMITY, SIXTH EDITION
ISBN: 978-0-323-05602-1
2011 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 1978, 1984, 1990, 1995, 2002
Library of Congress Cataloging-in-Publication Data
Rehabilitation of the hand and upper extremity.-6th ed. / [edited by]
Terri M. Skirven [et al.].
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-05602-1
1. Hand-Wounds and injuries. 2. Hand-Surgery. 3. Hand-Surgery-Patients-
Rehabilitation. I. Skirven, Terri M.
[DNLM: 1. Hand-Surgery. 2. Arm Injures-rehabilitation. 3. Hand Injuries-
rehabilitation. 4. Shoulder Joint-injuries. WE 830 R345 2010]
RD559.R43 2010
617.5 75059-dc22
2009044037
Acquisitions Editor: Dan Pepper
Developmental Editor: Lucia Gunzel
Publishing Services Manager: Pat Joiner-Myers
Design Direction: Steven Stave
Evelyn J. Mackin, PT
LEADER EDUCATOR MENTOR FRIEND
It is with great pride and gratitude that we dedicate this sixth edition of Rehabilitation of the Hand and Upper Extremity to Evelyn J. Mackin, PT. Evelyn s vision, commitment, and determination elevated Hand Rehabilitation to a specialty practice recognized for excellence. Countless therapists and surgeons have been inspired to emulate the team approach to the care of the hand-injured patient modeled by Evelyn and her Hand Surgery colleagues James Hunter, MD, and Lawrence Schneider, MD. This partnership gave rise to groundbreaking contributions, including the world-renown annual Philadelphia symposium Surgery and Rehabilitation of the Hand , which has been held annually for over 35 years. Evelyn was one of the founders and past presidents of the American Society of Hand Therapists; the first president of the International Federation of Societies for Hand Therapy; and founding editor of the Journal of Hand Therapy , a peer-reviewed scientific journal. With the first edition of this text in 1976, Evelyn, along with her co-editors, lit a flame that has burned brightly and steadily ever since. It is our intention with this sixth edition to honor Evelyn and to keep the flame burning.
SIXTH EDITION EDITORS


Terri M. Skirven, OTR/L, CHT Editions 5, 6

A. Lee Osterman, MD Editions 5, 6

Jane M. Fedorczyk, PT, PhD, CHT, ATC Edition 6

Peter C. Amadio, MD Edition 6
CONTRIBUTORS

Joshua Abzug, MD
Fellow, Hand Surgery
Thomas Jefferson University Hospital
The Philadelphia and South Jersey Hand Centers, P.C .
Philadelphia, Pennsylvania
Julie E. Adams, MD
Assistant Professor
Orthopaedic Surgery
University of Minnesota
Minneapolis, Minnesota
Steven Alter, MD
Orthopedic Hand Surgeon
Orthopedic Surgical Associates
Lowell, Massachusetts
Emily Altman, PT, DPT, CHT
Senior Physical Therapist
Hand Therapy Center
Hospital for Special Surgery
New York, New York
Peter C. Amadio, MD
Lloyd A. and Barbara A. Amundson Professor of Orthopedic Surgery
Mayo Clinic
Rochester, Minnesota
Thomas J. Armstrong, BSE, MPH, PhD
Professor, Industrial and Operations Engineering and Biomedical Engineering
The University of Michigan
Ann Arbor, Michigan
Sandra M. Artzberger, MS, OTR, CHT
Certified Hand Therapist
Rocky Mountain Physical Therapy and Sports Injury Center
Pagosa Springs, Colorado
Sarah Ashworth, OTR/L
Shriners Hospital for Children
Philadelphia, Pennsylvania
Pat L. Aulicino, MD
Sentara Hand Surgery Specialists
Chesapeake, Virginia
Alejandro Badia, MD, FACS
Badia Hand to Shoulder Center
Doral, Florida
Mark E. Baratz, MD
Professor and Executive Vice Chairman
Director, Division of Upper Extremity Surgery
Program Director, Orthopedic Residency and Upper Extremity Fellowship
Department of Orthopedics
Drexel University for the Health Sciences
Allegheny General Hospital
Pittsburgh, Pennsylvania
Mary Barbe, PhD
Professor of Anatomy and Cell Biology
Temple University School of Medicine
Philadelphia, Pennsylvania
Ann E. Barr, DPT, PhD
Vice Provost and Executive Dean
College of Health Professionals
Pacific University
Hillsboro, Oregon
Mary Bathen, BS
Medical Student
University of California, San Diego, School of Medicine
La Jolla, California
Jeanine Beasley, EdD, OTR, CHT
Assistant Professor
Grand Valley State University;
Hand Therapist
Cherry Street Hand Therapy
Advent Health;
Hand Therapist
East Paris Hand Therapy
Mary Free Bed Rehabilitation Hospital
Grand Rapids, Michigan
John M. Bednar, MD
Clinical Associate Professor of Orthopaedic Surgery
Thomas Jefferson Medical College
The Philadelphia and South Jersey Hand Centers, P.C .
Philadelphia, Pennsylvania
Judith A. Bell Krotoski, MA, OTR/L, CHT, FAOTA
CAPTAIN, United States Public Health Service (retired);
Guest Lecturer/Instructor
Texas Women s University
Houston, Texas;
Private Research, Teaching, and Consulting
Hand Therapy Research
Baton Rouge, Louisiana
Mark R. Belsky, MD
Clinical Professor
Tufts University School of Medicine
Boston, Massachusetts;
Chief, Orthopaedic Surgery
Newton-Wellesley Hospital
Newton, Massachusetts
Pedro K. Beredjiklian, MD
Associate Professor of Orthopaedic Surgery
Thomas Jefferson School of Medicine;
Chief, Hand Surgery Division
The Rothman Institute
Philadelphia, Pennsylvania
Richard A. Berger, MD, PhD
Professor of Orthopaedic Surgery and Anatomy
Dean, Mayo School of Continuous Professional Development
College of Medicine
Mayo Clinic;
Consultant, Orthopedic Surgery;
Chair, Division of Hand Surgery
Mayo Clinic
Rochester, Minnesota
Thomas H. Bertini, Jr., DPT, ATC
Department of Physical Therapy Rehabilitation Sciences
Drexel University
Philadelphia, Pennsylvania
Sam J. Biafora, MD
Fellow
Thomas Jefferson University
The Philadelphia Hand Center
Philadelphia, Pennsylvania
Teri M. Bielefeld, PT, CHT
PT Clinical Specialist
Outpatient Clinic
Zabl