Ebook Key notes on plastic surgery (2/E): Part 2

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Ebook Key notes on plastic surgery (2/E): Part 2

CHAPTER 5The Upper LimbCHAPTER CONTENTSEmbryology, 309Congenital deformities, 311 Hand trauma, 329 Hand infections, 351Complex regional pain syndrome

Ebook Key notes on plastic surgery (2/E): Part 2 (CHI’S), 3SS Nerve compression, 357Traumatic brachial plexus injury, 371Obstetric brachial plexus palsy. 382Tendon transfers, 384Dupuytren's disease,

388 tumours, 396Arthritis, 401Miscellaneous lendmopathy, 41/Further reading, 419EmbryologyDevelopmental anatomy•Upper limb bud appears in the flank o Ebook Key notes on plastic surgery (2/E): Part 2

f the embryo on day 26.•Consists of a core of lateral plate mesoderm covered by ectoderm.o This mesoderm will differentiate into bone, cartilage and t

Ebook Key notes on plastic surgery (2/E): Part 2

endon.•Hi loderm thickens al the lip ol the bud in the anteroposterior (Al’) axis lo lorm the apical ectodermal ridge (AHR).o In the embryo, the AP ax

CHAPTER 5The Upper LimbCHAPTER CONTENTSEmbryology, 309Congenital deformities, 311 Hand trauma, 329 Hand infections, 351Complex regional pain syndrome

Ebook Key notes on plastic surgery (2/E): Part 2 into a marginal vein.o Artery becomes the sub

branches into interosseous and median arteries.o The median artery provides the main blood supply to the hand.o It is usually replaced by ulnar and ra Ebook Key notes on plastic surgery (2/E): Part 2

dial arteries around day 44.o Regresses to provide the blood supply of the median nerve.•By day 33 a paddle-shaped hand is present.Key Notes on Plasti

Ebook Key notes on plastic surgery (2/E): Part 2

CHAPTER 5The Upper LimbCHAPTER CONTENTSEmbryology, 309Congenital deformities, 311 Hand trauma, 329 Hand infections, 351Complex regional pain syndrome

Ebook Key notes on plastic surgery (2/E): Part 2invades the limb and aggregates into dorsal and ventral masses.0 These differentiate into myoblasts that become muscle.•By day 42, digital rays are pr

esent and the hand assumes a webbed appearance. Ebook Key notes on plastic surgery (2/E): Part 2

CHAPTER 5The Upper LimbCHAPTER CONTENTSEmbryology, 309Congenital deformities, 311 Hand trauma, 329 Hand infections, 351Complex regional pain syndrome