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February 1930

FORTIETH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Author Affiliations

BOSTON; ROCHESTER, MINN.; PROVIDENCE, R. I.; LONDON, ENGLAND; LOUVAIN, BELGIUM; HALLE, GERMANY

Arch Surg. 1930;20(2):338-354. doi:10.1001/archsurg.1930.01150080166010
Abstract

MISCELLANEOUS 

Injuries of the Hand.  —Bunnell32 pointed out the common errors which should be avoided in the treatment for injuries of the hand. Incisions should be well chosen and of adequate size. They should not sever the tendon pulleys in the fingers nor cut the nerves in the fingers or palms, especially the motor thenar nerve. The most pernicious incision and unfortunately the one usually made was the median longitudinal one, whether in the palm, wrist, finger, pulp, matrix or dorsum of the finger. It wrecked the hand, caused flexion contractures by being at right angles to the flexion creases, cut the pulleys, caused adhesions at the worst place, namely, the gliding surfaces of the tendons, and was poor for drainage. In the fingers the incisions should be midlateral and not anterolateral where they will cut the nerves; in the hand they should follow as much as possible the

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