Skirven: Rehabilitation of the Hand and Upper Extremity 6th Edition (Expert Consult Series)

Synergy, in general, may be defined as two or more agents working together to produce a result not obtainable by any of the agents independently. Synergy is the ability of a group to outperform even its best individual member. The sixth edition of Rehabilitation of the Hand and Upper Extremity is the product of the synergy of editors, authors, publishers and many others involved in its publication.

The impetus for the first edition of Rehabilitation of the Hand grew out of a unique symposium that featured hand surgery correlated with hand therapy, sponsored by the Hand Rehabilitation Foundation in Philadelphia in 1976. The original editors of the book were also the chairpersons and faculty for the symposium: James M. Hunter, MD; Lawrence Schneider; Evelyn Mackin, PT; and Judith A. Bell Krotoski, OTR, FAOTA, CHT. Joining the effort with the second through fifth editions was Anne D. Callahan, MS, OTR/L, CHT. These extraordinary individuals introduced a working partnership of hand surgeons and hand therapists for the care of the hand patient that has endured and flourished over the years and is evidenced by the publication of the sixth edition of this book.

The expansion of this text and its readership is in keeping with the growth of the specialty of hand rehabilitation. This current two-volume edition features a total of 143 chapters, 37 of which are new, and more than 75 new authors. The authors of the text include physical and occupational therapists, certified hand therapists, orthopedic and plastic surgeons, physiatrists, neurologists, psychologists, psychiatrists, clinicians, researchers, and educators—all having expertise in the care of the hand and upper extremity patient.

Since the first edition, the table of contents has expanded with each edition to include separate sections on the shoulder, elbow, and wrist, as well as the hand. Many returning sections have been modified and expanded to reflect current practice. For example, the term orthosis is used to refer to the custom fabricated devices typically referred to as splints. Far from just a technical skill, the design and fabrication of hand and upper extremity orthoses require an in-depth knowledge of anatomy and pathology, as well as the healing and positioning requirements for the range of conditions and surgeries encountered. Hand, occupational, and physical therapists are uniquely qualified to design, apply, monitor, and modify orthotic devices as part of the rehabilitation treatment plan.

Taking advantage of the advances in information technology, this edition is complemented by a companion web site allowing supplemental information and video clips of therapy and surgery procedures to be included.

Given the emphasis on evidence-based practice in the current healthcare environment, special focus has been placed on providing peer-reviewed literature support for the information given in this text. However, published research in hand and upper extremity rehabilitation is limited in many areas. In some cases the best evidence is the clinical experience of the individual authors. Where it is stated that no evidence exists to support a particular approach or technique, the intention is not to suggest that it be abandoned; rather the goal is to stimulate the reader to adopt a critical attitude and to pursue clinical research, whether as a single case study or a multicenter randomized controlled trial.

We have dedicated this edition to Evelyn Mackin, who has been the driving force behind the book, as well as so many other groundbreaking achievements. Her leadership, dedication, determination, and inspiration have been instrumental in advancing the specialty of hand rehabilitation, as well as inspiring countless others (including the current editors) to follow her lead and further her initiatives. Available on the book's web site is a fascinating interview with Evelyn, recounting the early days of hand therapy, the formation of the American Society of Hand Therapists, the development of the Journal of Hand Therapy, and many other aspects of her extraordinary career.

The publication of the sixth edition of Rehabilitation of the Hand and Upper Extremity is the result of the efforts of many people over more than 3 years and acknowledgments are due. First and foremost, we would like to thank all of the authors who have contributed their clinical expertise and insights to this text.

Our special thanks is extended to Evelyn Mackin, who has written the foreword for this edition and who has provided guidance, support, and encouragement to the current editors.

We would like to acknowledge our editors at Elsevier for their ongoing support and persistence to see the text through to publication. In particular, Lucia Gunzel has been the perfect combination of coach, cheerleader, and disciplinarian. With Dan Pepper's diplomacy and wise counsel, rough patches were navigated and resolved. Ellen Sklar deserves recognition for her professional management of the final stages of the editing process, a daunting task.

Thanks to Leslie Ristine, Administrator of the Philadelphia Hand Rehabilitation Foundation, for providing administrative support, and to Andrew Cooney, Executive Director of the Philadelphia and South Jersey Hand Centers, who has provided encouragement and support during the work on the sixth edition, as well as for prior editions.

Finally, we thank our families, friends, and colleagues who have provided encouragement and patience during the 3 years that it has taken to complete the book.

We are proud to present this sixth edition of Rehabilitation of the Hand and Upper Extremity.

-- Authors --

Key Feature

• Provide the best patient care and optimal outcomes with trusted guidance from this multidisciplinary, comprehensive resource covering the entire upper extremity, now with increased coverage of wrist and elbow problems.

Website Features

• Consult the book from any computer at home, in your office, or at any practice location.
• Instantly locate the answers to your clinical questions via a simple search query.
• Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
• Videos: Master cutting-edge techniques through videos online and on DVD that demonstrate each procedure.
• Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
• Archive Chapters: Review key selected chapters.
• Forms: The Upper Quarter Screening Examination Form and Kinesio Tape Manual are provided for your use.
• Densensitization of the Traumatized Hand (Chapter 56 from the 3rd Edition): A key chapter from the third edition has been provided in PDF format for your reference.

Contents

Volume 1

Part 1 - Anatomy and Kinesiology

• CHAPTER 1 - Anatomy and Kinesiology of the Hand
• CHAPTER 1 - Atlas on Regional Anatomy of the Neck, Axilla, and Upper Extremity
• CHAPTER 2 - Anatomy and Kinesiology of the Wrist
• CHAPTER 3 - Anatomy and Kinesiology of the Elbow
• CHAPTER 4 - Anatomy and Kinesiology of the Shoulder
• CHAPTER 5 - Surface Anatomy of the Upper Extremity

Part 2 - Examination

• CHAPTER 6 - Clinical Examination of the Hand
• CHAPTER 7 - Clinical Examination of the Wrist
• CHAPTER 8 - Clinical Examination of the Elbow
• CHAPTER 9 - Clinical Examination of the Shoulder
• CHAPTER 10 - Upper Quarter Screen
• CHAPTER 11 - Sensibility Testing
• CHAPTER 12 - Functional Tests
• CHAPTER 13 - Diagnostic Imaging of the Upper Extremity
• CHAPTER 13 - Sensibility Testing with the Semmes-Weinstein Monofilaments
• CHAPTER 14 - Diagnostic Imaging of the Shoulder and Elbow
• CHAPTER 14 - Sensibility Assessment for Nerve Lesions-In-Continuity and Nerve Lacerations
• CHAPTER 15 - Clinical Interpretation of Nerve Conduction Studies and Electromyography of the Upper Extremity
• CHAPTER 16 - Outcome Measurement in Upper Extremity Practice
• CHAPTER 16 - Documentation
• CHAPTER 17 - Impairment Evaluation

Part 3 - Skin and Soft Tissue Conditions

• CHAPTER 18 - Wound Classification and Management
• CHAPTER 19 - Common Infections of the Hand
• CHAPTER 20 - Management of Skin Grafts and Flaps
• CHAPTER 21 - Fingertip Injuries
• CHAPTER 22 - Dupuytren's Disease
• CHAPTER 23 - Therapeutic Management of Dupuytren's Contracture
• CHAPTER 24 - Soft Tissue Tumors of the Forearm and Hand
• CHAPTER 25 - Management of Burns of the Upper Extremity
• CHAPTER 26 - Therapist's Management of the Burned Hand
• CHAPTER 27 - Acute Care and Rehabilitation of the Hand After Cold Injury

Part 4 - Hand Fractures and Joint Injuries

• CHAPTER 28 - Fractures
• CHAPTER 29 - Hand Fracture Fixation and Healing
• CHAPTER 29 - Staged Flexor Tendon Reconstruction
• CHAPTER 30 - Extra-articular Hand Fractures, Part I: Surgeon's Management—A Practical Approach
• CHAPTER 31 - Extra-articular Hand Fractures, Part II: Therapist's Management
• CHAPTER 32 - Intra-articular Hand Fractures and Joint Injuries
• CHAPTER 33 - Intra-articular Hand Fractures and Joint Injuries

Part 5 - Tendon Injuries and Tendinopathies

• CHAPTER 34 - Advances in Understanding of Tendon Healing and Repairs and Effect on Postoperative Management
• CHAPTER 34 - Splinting the Hand with a Peripheral-Nerve Injury
• CHAPTER 35 - Primary Care of Flexor Tendon Injuries
• CHAPTER 36 - Postoperative Management of Flexor Tendon Injuries
• CHAPTER 37 - Staged/Delayed Tendon Reconstruction
• CHAPTER 38 - The Extensor Tendons
• CHAPTER 39 - Clinical Management of Extensor Tendon Injuries
• CHAPTER 40 - Flexor and Extensor Tenolysis
• CHAPTER 41 - Management of Hand and Wrist Tendinopathies

Part 6 - Nerve Lacerations

• CHAPTER 42 - Basic Science of Peripheral Nerve Injury and Repair
• CHAPTER 43 - Nerve Response to Injury and Repair
• CHAPTER 44 - New Advances in Nerve Repair
• CHAPTER 45 - Therapist's Management of Peripheral Nerve Injury
• CHAPTER 46 - Sensory Reeducation
• CHAPTER 46 - Mechanics of Tendon Transfers

Part 7 - Compression Neuropathies

• CHAPTER 47 - Basic Science of Nerve Compressions
• CHAPTER 47 - Tendon Transfers
• CHAPTER 48 - Carpal Tunnel Syndrome
• CHAPTER 49 - Therapist's Management of Carpal Tunnel Syndrome
• CHAPTER 50 - Diagnosis and Surgical Management of Cubital Tunnel Syndrome
• CHAPTER 51 - Other Nerve Compression Syndromes of the Wrist and Elbow
• CHAPTER 52 - Therapist's Management of Other Nerve Compressions About the Elbow and Wrist

Part 8 - Proximal Nerve Conditions

• CHAPTER 53 - Cervical Radiculopathy
• CHAPTER 53 - Manual Edema Mobilization
• CHAPTER 54 - Thoracic Outlet Syndrome
• CHAPTER 55 - Therapist's Management of Upper Quarter Neuropathies
• CHAPTER 56 - Traumatic Brachial Plexus Injuries
• CHAPTER 57 - Common Nerve Injuries About the Shoulder

Part 9 - Surgical Reconstruction for Nerve Injuries

• CHAPTER 58 - Tendon Transfers for Upper Extremity Peripheral Nerve Injuries
• CHAPTER 59 - Therapist's Management of Tendon Transfers
• CHAPTER 60 - Brachial Plexus Palsy Reconstruction
• CHAPTER 61 - Nerve Transfers

Part 10 - Vascular and Lymphatic Disorders

• CHAPTER 62 - Vascular Disorders of the Upper Extremity
• CHAPTER 63 - Edema
• CHAPTER 64 - Management of Upper Extremity Lymphedema
• CHAPTER 65 - Manual Edema Mobilization

Part 11 - Stiffness of the Hand

• CHAPTER 66 - Pathophysiology and Surgical Management of the Stiff Hand
• CHAPTER 67 - Therapist's Management of the Stiff Hand
• CHAPTER 68 - Postoperative Management of Metacarpophalangeal Joint and Proximal Interphalangeal Joint Capsulectomies

Volume 2

Part 12 - Common Wrist Injuries

• CHAPTER 69 - Distal Radius Fractures
• CHAPTER 70 - Therapist's Management of Distal Radius Fractures
• CHAPTER 71 - The Distal Radioulnar Joint
• CHAPTER 72 - Ulnar Wrist Pain and Impairment
• CHAPTER 73 - Management of Carpal Fractures and Dislocations
• CHAPTER 74 - Carpal Instability
• CHAPTER 75 - Rehabilitation for Carpal Ligament Injury and Instability
• CHAPTER 76 - Wrist Reconstruction
• CHAPTER 77 - Wrist Arthroscopy

Part 13 - Common Elbow Injuries

• CHAPTER 78 - Management of Fractures and Dislocations of the Elbow
• CHAPTER 79 - Therapist's Management of Fractures and Dislocations of the Elbow
• CHAPTER 80 - Therapist's Management of the Stiff Elbow
• CHAPTER 81 - Elbow Arthroscopy
• CHAPTER 82 - Elbow Tendinopathies
• CHAPTER 83 - Elbow Tendinopathies
• CHAPTER 83 - A Functionally Based Neuromechanical Approach to Shoulder Rehabilitation
• CHAPTER 84 - Biceps and Triceps Injuries
• CHAPTER 85 - Therapy Following Distal Biceps and Triceps Ruptures
• CHAPTER 86 - Elbow Instability
• CHAPTER 87 - Rehabilitation for Elbow Instability

Part 14 - Common Shoulder Conditions

• CHAPTER 88 - Rotator Cuff Tendinopathies and Tears
• CHAPTER 89 - Adhesive Capsulitis
• CHAPTER 90 - Therapist's Management of the Frozen Shoulder
• CHAPTER 91 - Shoulder Instability
• CHAPTER 92 - Rehabilitation of Shoulder Instability
• CHAPTER 93 - Examination and Management of Scapular Dysfunction

Part 15 - Complex Traumatic Conditions

• CHAPTER 94 - Complex Injuries of the Hand
• CHAPTER 95 - Therapist's Management of the Complex Injury
• CHAPTER 96 - The Surgical and Rehabilitative Aspects of Replantation and Revascularization of the Hand
• CHAPTER 97 - Restoration of Thumb Function After Partial or Total Amputation
• CHAPTER 98 - Aesthetic Hand Prosthesis
• CHAPTER 99 - Amputations and Prosthetics
• CHAPTER 100 - Electrical Injuries to the Upper Extremity
• CHAPTER 101 - Psychological Effects of Upper Extremity Disorders

Part 16 - Arthritis and Related Autoimmune Disorders

• CHAPTER 102 - Pathomechanics of Deformities in the Arthritic Hand and Wrist
• CHAPTER 103 - Therapist's Examination and Conservative Management of Arthritis of the Upper Extremity
• CHAPTER 104 - The Rheumatoid Thumb
• CHAPTER 105 - Management of the Osteoarthritic Thumb Carpometacarpal Joint
• CHAPTER 106 - Therapist's Management of the Thumb Carpometacarpal Joint with Osteoarthritis
• CHAPTER 107 - Joint Replacement in the Hand and Wrist
• CHAPTER 108 - Surgical Treatment and Rehabilitation of Tendon Ruptures and Imbalances in the Rheumatoid Hand
• CHAPTER 109 - Surgical and Postoperative Management of Shoulder Arthritis
• CHAPTER 109 - The Use of Biofeedback in Hand Rehabilitation
• CHAPTER 110 - Surgical and Postoperative Management of Elbow Arthritis
• CHAPTER 111 - Surgeon's Management for Scleroderma
• CHAPTER 112 - Scleroderma (Systemic Sclerosis)

Part 17 - Pain

• CHAPTER 113 - Understanding Pain Mechanisms
• CHAPTER 114 - Pain Management
• CHAPTER 115 - Complex Regional Pain Syndrome
• CHAPTER 116 - Therapist's Management of Complex Regional Pain Syndrome
• CHAPTER 116 - Anatomic Considerations for Splinting the Thumb

Part 18 - Special Techniques of Therapist's Intervention

• CHAPTER 117 - The Use of Physical Agents in Hand Rehabilitation
• CHAPTER 118 - Nerve Mobilization and Nerve Gliding
• CHAPTER 119 - Elastic Taping (Kinesio Taping Method)
• CHAPTER 120 - Manual Therapy in the Management of Upper Extremity Musculoskeletal Disorders
• CHAPTER 120 - Splinting the Hand of a Child
• CHAPTER 121 - The Use of Yoga Therapy in Hand and Upper Quarter Rehabilitation

Part 19 - Orthotic Intervention—Principles and Techniques

• CHAPTER 122 - Foundations of Orthotic Intervention
• CHAPTER 123 - The Forces of Dynamic Orthotic Positioning
• CHAPTER 124 - Orthoses for Mobilization of Joints
• CHAPTER 125 - Tissue Remodeling and Contracture Correction Using Serial Plaster Casting and Orthotic Positioning
• CHAPTER 126 - Soft Orthoses
• CHAPTER 127 - Functional Fracture Bracing

Part 20 - Other Special Populations

• CHAPTER 128 - Management of Congenital Hand Anomalies
• CHAPTER 129 - Flexor Tendon Injuries, Repair and Rehabilitation in Children
• CHAPTER 130 - Upper Extremity Musculoskeletal Surgery in the Child with Cerebral Palsy
• CHAPTER 131 - Hemiplegia
• CHAPTER 132 - Rehabilitation of the Hand and Upper Extremity in Tetraplegia
• CHAPTER 133 - Treatment of the Injured Athlete
• CHAPTER 134 - The Geriatric Hand Patient
• CHAPTER 135 - Focal Hand Dystonia
• CHAPTER 136 - Psychosocial Aspects of Arm Illness

Part 21 - The Injured Worker

• CHAPTER 137 - Pathophysiology of Work-Related Musculoskeletal Disorders
• CHAPTER 138 - Approach to Management of Work-Related Musculoskeletal Disorders
• CHAPTER 139 - Analysis and Design of Jobs for Control of Work-Related Upper Limb Musculoskeletal Disorders
• CHAPTER 140 - Upper Limb Functional Capacity Evaluation
• CHAPTER 141 - Work-Oriented Programs
• CHAPTER 142 - Assessment and Treatment Principles for the Upper Extremities of Instrumental Musicians

Part 22 - Evidence-Based Practice: Integrating Clinical Expertise and Systematic Research

• CHAPTER 143 - Evidence-Based Practice in Hand Rehabilitation

About the Authors

• 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.

Product Details

• Hardcover: 2096 pages
• Publisher: Mosby; 6 edition (2011)
• Language: English
• ISBN-10: 0323056024
• ISBN-13: 978-0323056021
• Product Dimensions: 11.5 x 9.3 x 4 inches

List Price: $299.00