David T. Netscher

Baylor College of Medicine

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Co-Authors

John Thornby

University of Warwick

Gregory A. Merrell

Indiana Hand to Shoulder Center

Ryan P. Calfee

Washington University in St. Louis

Kevin C. Chung

University of Michigan–Ann Arbor

Marie A. Badalamente

Stony Brook University Hospital

Wally Jones

Advisory Board Company (United States)

Louis W. Catalano

University of Colorado Denver

Ann Arbor

New York University

Jerry I. Huang

University of California, Los Angeles

Mark E. Baratz

University of Pittsburgh Medical Center

Cooperative Institutions

American Society for Surgery of the Hand

242

Advisory Board Company (United States)

233

Palo Alto Institute

176

Baylor College of Medicine

174

Creative Commons

169

University of Szczecin

129

Ludwigshafen University of Business and Society

Harvard University

Washington University Medical Center

American Society of Plastic Surgeons

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Multidigit Camptodactyly of the Hands and Feet: A Case Study

Hand (2013)

Kristy L. Hamilton David T. Netscher

A clinical case of a 12-year-old boy who presented with multidigit, nonsyndromal, progressive camptodactyly is discussed. While bilateral little finger camptodactyly is well described, there is no documentation of camptodactyly involving all fingers and many toes as well as both proximal (PIP) and distal interphalangeal (DIP) joints. This patient responded well to surgery, which was performed on four toes and seven fingers, despite having established radiographic changes of camptodactyly in the PIP joints as well as two DIP joints. This case illustrates that in the skeletally immature patient, successful surgical outcomes can occur even in patients with radiographic bone changes, which themselves may be reversible following PIP contracture release. This patient's separate fingers presented with deformity at different stages. A single patient with multiple digit involvement is illustrative of the range of clinical presentations and treatment options for camptodactyly. This article serves to inform hand surgeons about the potential consequences of avoiding surgical treatment, the need for a severity staging system, and the breadth of presentations in camptodactyly.

Camptodactyly

Interphalangeal Joint

Hand deformity

10.1007/s11552-013-9497-6

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Citations (10)

Treatment of acute neonatal vascular injuries—The utility of multiple interventions

Journal of Pediatric Surgery (1999)

Jeffrey D. Friedman J Fabre David T. Netscher Tom Jaksic

Fasciotomy

10.1016/s0022-3468(99)90764-9

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Citations (54)

Complications of TRAM Flap Breast Reconstruction in Obese Patients

Plastic & Reconstructive Surgery (1989)

Stephen S. Kroll David T. Netscher

The records of 82 women who had undergone unilateral breast reconstruction with the transverse red us abdominis myocutaneous (TRAM) (lap at the University of Texas M. D. Anderson (lancer Center were analyzed to determine what effect obesity had on the rate of complications and the aesthetic quality of the ultimate result. The patients were divided into four groups—thin, average, moderately obese, and markedly obese—based on a weight/height index derived by dividing the weight in kilograms by the height in meters. In the thin group (13 patients), the complication rate-was only 15.1 percent. In the average group (22 patients), the complication rale was 22.7 percent. In the moderately obese group (35 patients), the complication rate was 31.4 percent. In the markedly obese group (12 patients), the rale was 41.7 percent. Aesthetic results in the abdomen tended to be better in the nonobese group, but in the breast they correlated better with the number of revisions performed than with degree of obesity. The findings in this study suggest that the complication rate of TRAM flap breast reconstruction does increase in proportion to the degree of obesity. Surgeons can therefore avoid many of the complications from TRAM flap surgery by not operating on very obese patients. Reports of complication rates from different authors may vary in part depending on their mix of obese and nonobese patients.

10.1097/00006534-198912000-00003

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Citations (193)

Functional Outcomes of Children With Index Pollicizations for Thumb Deficiency

The Journal Of Hand Surgery (2013)

David T. Netscher Oluseyi Aliu Brinkley K. Sandvall Kimberly Goldie Staines Kristy L. Hamilton

Hand strength

Oswestry Disability Index

10.1016/j.jhsa.2012.10.032

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Citations (36)

Table of Contents

The Journal Of Hand Surgery (2008)

Hisao Moritomo Tsuyoshi Murase Kunihiro Oka Hiroyuki Tanaka Hideki Yoshikawa

Table (database)

10.1016/s0363-5023(08)00875-7

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Citations (0)

The effect of division of the transverse carpal ligament on flexor tendon excursion

The Journal Of Hand Surgery (1997)

David T. Netscher Michael S. Lee John Thornby Charles Polsen

Excursion

10.1016/s0363-5023(97)80041-x

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Citations (20)

Two Case Reports of Pollicization of a Previously Syndactylized Index Finger for Congenitally Absent Thumb

Annals of Plastic Surgery (2003)

David T. Netscher Firas Eladoumikdachi

Two patients with absent thumbs and complicated syndactyly were successfully treated by pollicization of the index finger. Prior surgical release of the index finger syndactyly and then pollicization of that digit carries with it an increased risk of neurovascular compromise, adverse placement of surgical scars, and a stiff or unstable thumb. With caution, very satisfying reconstructive results can nonetheless be attained.

Syndactyly

Neurovascular bundle

Numerical digit

10.1097/01.sap.0000067962.03244.d6

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Citations (6)

Anatomy of the Intrinsic Hand Muscles Revisited: Part I. Interossei

Plastic & Reconstructive Surgery (2002)

Firas Eladoumikdachi Paula Lee Valkov John A. Thomas David T. Netscher

In this article, the anatomic variations in interosseous muscle insertions are described based on a review of the literature and 14 fresh cadaver hand dissections. The findings are correlated and compared with those of a number of other investigators, and the clinical implications are discussed (i.e., in the correction of ulnar deviation in arthritis patients and in the treatment of congenital anomalies of the hand). It is concluded that descriptions of insertion sites of the intrinsic muscles have been oversimplified by previous researchers, and a number of variations are identified through the cadaver dissections. The differing and confusing nomenclature used by other investigators is discussed and simplified. The results of this study indicate that not only are there important distal insertions onto bone and the extensor apparatus, but there is also an additional insertion onto the volar plate (“assemblage nucleus”), as Zancolli reported. It was found that the palmar interossei, generally thought to insert only onto the extensor apparatus, could also insert onto bone and onto the volar plate. Classic teaching is that all dorsal interossei (except the third) have two heads and that all palmar interossei have only one head. In this study, however, 38 percent of the palmar interossei and 75 percent of the dorsal interossei had more than one head. The complexity of the interossei is apparent when as many as three different muscle heads are present, each with a different distal destination. (Plast. Reconstr. Surg. 110: 1211, 2002.)

Numerical digit

10.1097/00006534-200210000-00001

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Citations (19)

The life span of silicone gel breast implants [1] (multiple letters)

Annals of Plastic Surgery (1999)

Edward P. Melmed Cynthia M. Goodman V. Cohen John Thornby David T. Netscher

Life span

Source

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Citations (0)

Use of the Functional Dexterity Test for outcomes with thumb aplasia