Hand Surgery Image Gallery
These pages include examples of surgical situations referenced by different sections of the e-Hand site.
Arthritis: Arthritis associated with proximal migration of the radius
Arthritis: Basal joint arthritis
Arthritis: Basal joint arthroplasty with split abductor pollicis longus graft
Arthritis: Basal Joint Arthroplasty with tendon loop suspension
Arthritis: Bone Allograft Salvage Infected Swanson Wrist Arthroplasty for Rheumatoid
Arthritis: Carpometacarpal Boss
Arthritis: diffuse inflammatory osteoarthritis
Arthritis: Distal Interphalangeal Joint Arthroplasty with reversed Ascension carbon implant arthroplasty
Arthritis: Osteoarthritis
Arthritis: Radioscapholunate Fusion and Triquetrum excision for Radiocarpal Arthritis
Arthritis: Reduction of Locked Metacarpophalangeal Joint
Arthritis: Rheumatoid arthritis with DRUJ and radiocarpal involvement
Arthritis: Rheumatoid arthritis
Arthritis: Rheumatoid reconstruction with metacarpal head bone graft to recreate proximal phalanx dorsal cortex for silastic MCP arthroplasty
Arthritis: Rheumatoid thumb IP fusion with a Herbert screw
Birth: Bilateral complete syndactyly release with toe pulp grafts for fingertips
Birth: Bilateral complex syndactyly reconstructed in three stages
Birth: Congenital capitate malformation with capitate trapezoid articulation and scapholunate diastasis
Birth: Congenital trigger thumb
Birth: Correction bilateral triphalangeal thumbs
Birth: Madelung's deformity
Birth: Multiple level syndactyly release and corrective osteotomy for complex constriction ring syndrome
Birth: Osteotomy in Duplicated Thumb Reconstruction
Birth: Pediatric Dupuytren's
Birth: Pollicization of the index finger for thumb reconstruction
Birth: Polydactyly
Birth: Radial club hand with complete absence of the radius
Birth: Rotation angulation metacarpal osteotomies to construct pinch position
Birth: Simple complete syndactyly release with dorsal web flap
Birth: Simple incomplete syndactyly release incorporating redundant distal web skin
Birth: Simple incomplete syndactyly release
Birth: Syndactyly and delta phalanx
Birth: Syndactyly release incision planning potential pitfall
Birth: Syndactyly
Dupuytren's: Delayed wound healing following fasciectomies
Dupuytren's: Dermofasciectomy and Full Thickness Skin Graft for Recurrent Dupuytren's Contracture
Dupuytren's: Dupuytren Distal Interphalangeal Joint Needle Fasciotomy
Dupuytren's: Examples of Needle Aponeurotomy Procedure
Dupuytren's: Examples
Dupuytren's: Knuckle Pads: Dorsal Dupuytren Nodules
Dupuytren's: Palmar Fasciectomy - bilateral, modified open palm
Dupuytren's: Palmar Fasciectomy and removal foreign body
Dupuytren's: Palmar fasciectomy and skin graft small finger proximal phalanx
Dupuytren's: Palmar Fasciectomy and Z-Plasty small finger
Dupuytren's: Palmar Fasciectomy Bruner incision transverse fascia preserved
Dupuytren's: Palmar Fasciectomy Bruner Y-V flaps
Dupuytren's: Palmar Fasciectomy bulky disease small finger
Dupuytren's: Palmar Fasciectomy central and ulnar double cord
Dupuytren's: Palmar Fasciectomy double Bruner, transverse fibers preserved
Dupuytren's: Palmar Fasciectomy for recurrence with distally based flaps
Dupuytren's: Palmar Fasciectomy index and middle fingers
Dupuytren's: Palmar Fasciectomy ring and small single incision
Dupuytren's: Palmar Fasciectomy ring finger spiral cord
Dupuytren's: Palmar Fasciectomy showing spiral cord and distally based V-Y palmar flap
Dupuytren's: Palmar Fasciectomy thumb-pinky cord
Dupuytren's: Palmar fasciectomy with distally based palmar flap and Wakefield Z plasties
Dupuytren's: Palmar Fasciectomy with distally based web space flap and Z-plasties
Dupuytren's: Palmar Fasciectomy with extended Bruner incision
Dupuytren's: Palmar Fasciectomy with extended Bruner incisions
Dupuytren's: Palmar Fasciectomy with transverse Y-V flaps
Dupuytren's: Palmar fasciectomy with Y-V flaps
Dupuytren's: Palmar Fasciectomy with Z-plasty and open palm technique for complex contracture involving thumb and ulnar fingers
Dupuytren's: Palmar Fasciectomy Y-V advancement flaps
Dupuytren's: Palmar Fasciectomy Z-plasty thumb-pinky cord
Dupuytren's: Palmar Fasciectomy, Wakefield approach and Z-plasty for isolated small finger disease
Dupuytren's: Percutaneous Fowler Tenotomy for Boutonniere Deformity Associated with Dupuytren's Contracture
Dupuytren's: Percutaneous PIP Release for Dupuytren's Contracture
Dupuytren's: Radial lateral thumb and proximal thenar zone involvement
Dupuytren's: Rotational deformity
Dupuytren's: Swan Neck Deformity after Palmar Fasciectomy for Dupuytren's Contracture
Infection: Abscess in the thenar space
Infection: Deep infection following open carpal tunnel release
Infection: Gas forming infection from parenteral drug abuse
Infection: Infected Bite Wounds
Infection: Osteomyelitis following clenched fist bite wound of the proximal phalanx
Infection: Paronychia - nail fold infections
Infection: Radical flexor synovectomy hand and forearm for granulomatous synovitis
Infection: Rheumatoid MCP implant infections seeded from chronic distant abscess
Infection: Septic liquefaction of extensor tendon repair
Infection: Subepidermal Abscess
Inflammation: Dorsal wrist synovectomy
Inflammation: Flexor synovectomy for synovitis and pseudocyst
Inflammation: Flexor synovectomy
Inflammation: Radical flexor synovectomy
Neuritis: Carpal Tunnel Release with Lumbrical Hypertrophy, Cubital Tunnel Release and Subcutaneous Transposition of the Ulnar Nerve
Neuritis: Fat Pad and Palmaris Brevis Flaps for Recurrent Carpal Tunnel Syndrome
Reconstruction: Abductor pollicis brevis muscle flap cover of thumb base defect
Reconstruction: Amputation revision, digital nerves implanted into bone
Reconstruction: Avanta proximal interphalangeal joint surface replacement arthroplasty
Reconstruction: Bone graft psoriatic acro osteolysis
Reconstruction: Capitellar fracture nonunion excision
Reconstruction: Debridement, median nerve grafts and opponensplasty following healed shotgun injury of the palm
Reconstruction: Digital Extensor Tenolysis
Reconstruction: Dorsal hand skin necrosis from anticoagulant related hematoma
Reconstruction: Dorsal metacarpophalangeal cover with dorsal metacarpal flap
Reconstruction: Double blade plating recalcitrant metacarpal nonunion
Reconstruction: Extensor retinaculum transfer for scapholunate ligament disruption
Reconstruction: Finger distraction lengthening with palatal expansion clamp and intercalated bone graft
Reconstruction: Flag flap from index finger to thumb
Reconstruction: Flexor Pollicis Brevis Opponensplasty
Reconstruction: Free hand harvest thick split thickness skin graft with primary closure of the donor site for hand coverage
Reconstruction: Free radial forearm flap to electrical burn of hand and thumb
Reconstruction: Hamate Hemiarticular Replacement Arthroplasty for Distal Interphalangeal Joint Dorsal Fracture Dislocation
Reconstruction: Hamate osteochondral graft for PIP fracture dislocation
Reconstruction: Hamate osteochondral graft for proximal interphalangeal joint fracture dislocation reconstruction
Reconstruction: Hemicondylar Hamate Replacement Arthroplasty for Proximal Interphalangeal Joint Fracture Dislocation
Reconstruction: Hook of hamate nonunion excision
Reconstruction: Intraarticular Distal Radius Malunion
Reconstruction: Island digital artery flap to dorsal metacarpal head
Reconstruction: Island dorsal metacarpal flap from the index finger to the middle metacarpal head
Reconstruction: Pediatric trigger finger developing after a burn
Reconstruction: Phalangeal head exostosis variations
Reconstruction: Progressive failure of fingertip lengthening with advancement flap and terminal bone graft
Reconstruction: Pyrolytic carbon metacarpophalangeal joint implant arthoplasty
Reconstruction: Pyrolytic carbon proximal interphalangeal joint implant arthroplasty reconstruction following trauma
Reconstruction: Pyrolytic carbon proximal interphalangeal joint implant arthroplasty
Reconstruction: Revision scaphoid nonunion with hardware removal, bone graft and two Herbert screws
Reconstruction: Sagittal band rupture reconstruction
Reconstruction: Small finger flexor tendon rupture within the carpal tunnel
Reconstruction: Staged Flexor Tendon Reconstruction
Reconstruction: Thenar Flaps
Reconstruction: Thumb metacarpal distraction lengthening
Reconstruction: Thumb metacarpophalangeal joint arthrodesis with plates and screws
Reconstruction: Thumb reconstruction with dorsal metacarpal flap and bone graft
Reconstruction: Ulna Rotation Osteotomy for Correction of Forearm Pronation Contracture
Reconstruction: Ulnar shortening osteotomy for distal radius fracture malunion
Reconstruction: Ulnar shortening osteotomy for Galeazzi fracture malunion
Reconstruction: Ulnar shortening osteotomy for ulnar impaction Essex-Lopresti syndrome
Reconstruction: Web space full thickness skin graft for Mohs excisional defect squamous cell carcinoma
Reconstruction: Wrap around toe thumb reconstruction
Transformation: Boutonniere deformity
Transformation: Conservative treatment of draining gouty tophus
Transformation: CREST syndrome with scleroderma, telangiectasias and subcutaneous calcification
Transformation: Excision of Gouty Tophi
Transformation: Gout
Transformation: Perilunate Instability
Transformation: Proximal Interphalangeal Joint Flexion Contractures after dislocations and Sympathetic Dystrophy
Transformation: RFID chips in the hand
Transformation: Scleroderma, Calcinosis and Acroosteolysis
Transformation: Swan neck finger deformity
Transformation: Thenar atrophy and pseudoatrophy
Transformation: Trigger fingers
Transformation: Valentine's Day Hearts
Trauma: Burn repigmentation
Trauma: Comminuted transcondylar distal humerus fracture
Trauma: Coronoid Nonunion following elbow fracture dislocation with radial head fracture excision
Trauma: Debridement Finger Pressure Paint Injection Injury
Trauma: Distraction plate fixation distal radius fractures - index
Trauma: Distraction plate fixation of distal radius fracture - Case 1
Trauma: Distraction plate fixation of distal radius fracture - Case 2
Trauma: Distraction plate fixation of distal radius fracture - Case 3
Trauma: Distraction plate fixation of distal radius fracture - Case 4
Trauma: Elbow fracture dislocation with soft tissue coronoid reconstruction
Trauma: Examples of exploration of hemorrhage stained upper extremity wounds
Trauma: Gamekeeper's thumb variations
Trauma: Hook of hamate fracture CT imaging
Trauma: Limited exposure approach for scaphoid screw insertion
Trauma: Mallet fingers
Trauma: Midcarpal instability following distal scaphoid excision
Trauma: Multiple finger degloving treated with medial cross arm flap and temporary syndactyly
Trauma: Nail bed and fold reconstruction with nail bed grafts and reverse dorsal cross finger flaps
Trauma: Open Method of Treating a Fingertip Amputation
Trauma: Open Reduction Distal Phalanx Base Fractures with Wires and Pins
Trauma: Pin fixation distal phalanx nonunion
Trauma: Percutaneous fixation of proximal fracture of the proximal phalanx
Trauma: Percutaneous intramedullary Herbert screw fixation of proximal phalanx fractures
Trauma: Percutaneous Pin Stabilization with Thermoplastic Bonding
Trauma: PIP fracture dislocation treated with force couple splint
Trauma: Proximal phalanx bicondylar oblique volar coronal head fracture
Trauma: Reconstruction of Dorsal Metacarpus with Latissimus Free Flap, Iliac Bone Graft and Tendon Grafts
Trauma: Scaphoid fixation with more than one Herbert screw
Trauma: Scaphoid fracture with total avascular necrosis similar to Preiser's disease
Trauma: Scaphoid Tubercle Fracture
Trauma: Thenar Flaps for Fingertip Reconstruction
Trauma: Transcondylar distal humerus fracture repaired with Herbert screws
Trauma: Transmetacarpal gunshot wound immediate reconstruction with iliac crest bone graft
Trauma: Unicondylar proximal phalanx fracture fixation with mini Herbert screw
Trauma: Unicondylar proximal phalanx head fracture with micro screws
Tumor: Aneurysmal Bone Cysts
Tumor: Breast cancer metastatic to fingertip
Tumor: Dorsal wrist ganglion cysts
Tumor: Enchondromas of the distal phalanx
Tumor: Erythema Elevatum Diutinum treated with excision and skin grafting
Tumor: Excision of thenar area metastasis and cover with a posterior interosseous artery island flap
Tumor: Flashlight transillumination for tumor diagnosis
Tumor: Giant Cell Tumor of Fingertip Pulp
Tumor: Giant cell tumor of the dorsal wrist resembling a dorsal wrist ganglion
Tumor: Inclusion Cysts of the Distal Phalanx Excision and Bone Graft
Tumor: Index ray resection for metastatic lung cancer
Tumor: Keratoacanthoma cases
Tumor: Large subungual glomus tumor
Tumor: Lunate Cyst
Tumor: Mucous cysts
Tumor: Nail Contour Correction After Eponychial Tumor Excision
Tumor: Nail fold skin graft following excision basal cell cancer
Tumor: Nailbed Ablation and Skin Graft
Tumor: Neurofibroma of fingertip pulp space
Tumor: Osteochondromas of the Distal Phalanx
Tumor: Osteoid Osteoma
Tumor: Pyogenic Granuloma
Tumor: Reactive fibroosseous pseudotumor of the palm
Tumor: Subungual Glomus Tumor Cases
Tumor: Volar wrist ganglions
Tumor: Wart Curettage
Vascular: Arteriogram of incomplete palmar arch, ulnar artery aneurysm
Vascular: Branched subscapular arterial graft for popliteal artery reconstruction and banjo tuning peg assisted fasciotomy wound closure
Vascular: Delayed Amputation for Vascular Insufficiency
Vascular: Pyoderma Gangrenosum
Vascular: Radical Sympathectomy
Vascular: Ray amputation for traumatic/ischemic finger ulceration with osteomyelitis distal to renal failure dialysis fistula
Vascular: Retrocarpal radial artery occlusion with finger ischemia
Vascular: Segmental ulnar artery excision and repair for
Dupuytren's: Dupuytren Distal Interphalangeal Joint Needle Fasciotomy
