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July 25, 1990

Rehabilitation of the Hand: Surgery and Therapy

Author Affiliations

Sheltering Arms Rehabilitation Hospital Richmond, Va

Sheltering Arms Rehabilitation Hospital Richmond, Va

JAMA. 1990;264(4):526. doi:10.1001/jama.1990.03450040124046

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The hand is the organ that most clearly demonstrates human creativity and precision as well as human destructiveness and amorality. The hand manipulates both pen and sword. The hand performs the dictates of the brain.

An impaired hand, whether caused by trauma or neurological, arthritic, or musculoskeletal disease will produce a major disability and subsequent handicap with wide ramifications not only for the person, but also for that person's environment. It is, therefore, of vital consequence to overcome the handicap, negate the disability, and repair as much as possible the hand impairment. To accomplish this task, many disciplines have to be involved. There is a stepwise rehabilitation continuum from first carefully evaluating the destroyed hand to getting it back as a precision instrument in the workplace. This text-book demonstrates the process magnificently.

I think this book, the third edition in twelve years, can be called a "living classic." Its 1258