Tag Archives: hand surgery

PUBLISHED: Carpal Tunnel Release (Cadaver)

Carpal Tunnel Release (Cadaver)
Rothman Institute

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Carpal tunnel syndrome (CTS) is the most common peripheral compression neuropathy and results in symptoms of numbness and paresthesia in the thumb, index finger, middle finger, and half of the ring finger. When CTS symptoms progress and can no longer be managed with nonoperative measures, carpal tunnel release (CTR) surgery is indicated.

In this case, Dr. Asif Ilyas at the Rothman Institute performs CTR surgery on a cadaveric arm via the mini-open CTR technique. A 2-cm longitudinal incision was placed directly over the carpal tunnel, the transverse carpal ligament was exposed and then released, and the wound was closed. Patients are typically sent home with instructions to use their hand immediately postoperatively, while avoiding strenuous use until the incision has healed. Splinting and therapy are not required postoperatively.


PREPRINT RELEASE: Flexor Digitorum Superficialis to Flexor Digitorum Profundus (STP) Transfer, Adductor Release, and Z-Plasty for a Pediatric, Stroke-Induced Left Hand Spastic Contracture


Flexor Digitorum Superficialis to Flexor Digitorum Profundus (STP) Transfer, Adductor Release, and Z-Plasty for a Pediatric, Stroke-Induced Left Hand Spastic Contracture
Hospital Leonardo Martinez, Honduras

Sudhir B. Rao, MD
Big Rapids Orthopaedics

Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics

The patient in this case is a 15-year-old female who had a stroke several years ago and now has a left hand spastic contracture. Here, Dr. Rao and Dr. Perlmutter perform an STP transfer, an adductor release, and a Z-plasty to lengthen the flexor tendons of the hand and repair her thumb-in-palm deformity. This case was performed during a surgical mission to Honduras with the World Surgical Foundation.

PREPRINT RELEASE: Bone Graft for Non-Union of Right Thumb Proximal Phalanx Fracture


Bone Graft for Non-Union of Right Thumb Proximal Phalanx Fracture
Hospital Leonardo Martinez, Honduras

Sudhir B. Rao, MD
Big Rapids Orthopaedics

Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics

The patient in this case is an 11-year-old female who fractured the thumb of her dominant hand 1 year ago and now has a well-established non-union of the head of the proximal phalanx of her right thumb. Here, Dr. Rao and Dr. Perlmutter repair the fracture by harvesting a bone graft from the patient’s iliac crest and transplanting it into the fracture site. This case was performed during a surgical mission in Honduras with the World Surgical Foundation.

PREPRINT RELEASE: Bilateral Syndactyly Release of Third and Fourth Fingers


Bilateral Syndactyly Release of Third and Fourth Fingers
Hospital Leonardo Martinez, Honduras

Sudhir B. Rao, MD
Big Rapids Orthopaedics

Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics

The patient in this case is a 1-year-old female with complex syndactyly of the right hand and simple syndactyly of the left hand. Here, Dr. Rao and Dr. Perlmutter release both sides, with the right side involving a full-thickness skin graft taken from the patient’s groin crease. This case was filmed during a surgical mission with the World Surgical Foundation in Honduras.

PREPRINT RELEASE: Ulnar Nerve Transposition

Ulnar Nerve Transposition
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

In this cadaveric case, Dr. Asif Ilyas demonstrates the ulnar nerve transposition method for treating cubital tunnel syndrome, showing both the subcutaneous and submuscular techniques.