Modern Surgery: General and Operative

Factors Associated with Operative Treatment of De Quervain Tendinopathy

Background:  Geographic and doctor-to-doctor variations in care are a focus of quality and safety efforts in medicine. This study addresses factors associated with variation in the rate of operative treatment of de Quervain tendinopathy.   Methods: We used a database including all patient encounters at 2 large medical centers, to study the experience of 10 hand surgeons and 1 physiatrist workin...

Do Patient Preferences Influence Surgeon Recommendations for Treatment?

Background: When the best treatment option is uncertain, a patient’s preference based on personal values should bethe source of most variation in diagnostic and therapeutic interventions. Unexplained surgeon-to-surgeon variation intreatment for hand and upper extremity conditions suggests that surgeon preferences have more influence than patientpreferences.Methods: A total of 184 surgeons revie...

Modern Surgery: General and Operative

Small Finger Metacarpal Shaft Wedged between Ring and Small Metacarpal Bases: a Report of 2 Cases

We present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. The striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery

Bickham's Operative Surgery

volume, ' The newest operationsBy Warren Stone Bickham, IVI.D., F.A.C.S., and Calvin Mason Smyth, Jr., M.D., F.A.C.S. 1933. W. B. Saunders Company, Ltd., Philadelphia and London. Pp. 849, with 765 illustrations. Price, 55s. The final volume of Bickham's 1 Operative Surgeiy' has been written by Dr. Smyth as a supplement to the preceding six volumes and includes an index to the complete work. It ...