The state-of-the-art resource on hand and wrist tendon surgery from renowned global masters

Surgical management of disorders impacting hand and wrist tendons is one of the most challenging and exacting aspects of hand surgery. Tendon Disorders of the Hand and Wrist: IFSSH/FESSH Instructional Course Book 2022 is edited by well-known hand surgeons Dean E. Boyce, Grey Giddins, and David J. Shewring. The book was written as the accompanying text for the instructional course at the 2022 Joint Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), the Federation of European Societies for Surgery of the Hand (FESSH), and the International Federation of Societies for Hand Therapy (IFSHT). Although practice inevitably evolves, this comprehensive book should serve as a useful guide and definitive reference for years to come.

The book is organized by six sections: Basic Science; Traumatic Injuries to the Extensor Tendons; Traumatic Injuries to the Flexor Tendons; Enthesopathies, Infection, and Inflammatory Problems; Pediatric Problems; and Tendon and Nerve Transfer. Chapters cover the pathogenesis, diagnosis, and surgical and nonsurgical management of the full spectrum of disorders and conditions. Disorder-specific chapters include indications for surgery, disorder classification, discussion of impacted tendons and muscles, diverse transfer and reconstruction techniques, and in many cases, the author's preferred surgical procedure.

Key Features

Contributions from an impressive group of global masters in hand surgery detail proven and preferred techniques and approaches
Tips and tricks throughout the text provide guidance on preventing complications and improving outcomes
A wealth of high-quality, four-color illustrations and operative photos enhance the understanding of impacted anatomy and techniques
This is a one-stop resource on the surgical management of degenerative, developmental, and traumatic hand and wrist tendon disorders. It is an essential reference for trainee and practicing hand surgeons to improve their surgical skills and patient outcomes.
This print book includes complimentary access to a digital copy.



Part I Basic Science
1. Epidemiology
2. Anatomy and Biomechanics of the Extensor Tendon System
3. Anatomy and Biomechanics of the Flexor System
4. Tendon Healing



Part II Traumatic Injuries to the Extensor Tendons
5. Injuries at the Distal Interphalangeal Joint
6. Injuries at the Proximal Interphalangeal Joint
7. Injuries to the Sagittal Bands
8. Injuries at the Metacarpophalangeal Joint including "Fight Bites"
9. Sharp Injury and Repair
10. Composite loss
11. Rehabilitation after Extensor Tendon Repair



Part III Traumatic Injuries to the Flexor Tendons
12. Injuries in Zone I
13. Injuries in Zone II
13.1 History
13.2 Approaches, Treatment of the Sheath and Tendon Retrieval
13.3 Suture Techniques
13.4 "How I Do It.."
13.5 Post-operative Management Regimes
13.6 Outcomes
14. Injuries in Zone III, IV and V
15. Injuries to the Flexor Pollicis Longus
16. Pulley Problems
17. Closed Ruptures of the Flexor Mechanism (Including Inflammatory Disease & Plates)
18. Late Reconstruction and Salvage (Include Tenolysis)



Part IV Enthesopathies, Infection, and Inflammatory Problems
19. Trigger Digits
20. The "Swan Neck" Deformity
21. De Quervains & Intersection Syndrome
22. Rheumatoid Problems at the Metacarpophalangeal Joints
23. Rheumatoid Digits
24. The Elderly "Clasped Hand"
25. Infection of the Flexor Tendon Sheaths



Part V Pediatric Problems
26. Trigger Thumb and Finger
27. Tendon Injuries in Children



Part VI Tendon and Nerve Transfer
28. Principles of Tendon Transfer
29. Radial Nerve Palsy
30. Ulnar Nerve Palsy
31. Median Nerve Palsy
32. Nerve vs Tendon Transfers
33. Tetraplegia