Vol. 6, No.4 July 1981

Audio-visual library

The American Society for Surgery of the Hand an­nounces the first videotapes produced by the Audio­Visual Library. The objective is to provide a source of audio-visual material of surgical procedures, rehabili­tation techniques, and social work practices for the physician, nurse, physical and occupational therapist, and social worker. The following programs are now available:

Topic 1: Hanno Millesi, M.D. Peripheral nerve grafting and results (1 hour) Peripheral nerve grafting: Demonstration of technique (1 hour) This exceptional videotape consists of two parts. Using pho­tographs from his own collection, the author demonstrates various points . Part I is the presentation of the clinical and experimental work on peripheral nerve grafts . Part II is a demonstration of the author 's technique of nerve grafting as done under the microscope.

Topic 2: Erik Moberg, M.D. Tendon transfers in the quadriplegic hand (1 hour) This program is unique. Prof. Moberg's lecture is the most extensive study of surgical techniques and treatment of the quadriplegic upper extremity . No one else could have pro­duced such a comprehensive review of this subject. This is a rare opportunity to see an unusual and important contribution to surgery of the hand .

Topic 3: Joseph H. Boyes, M.D. Flexor tendon grafting (20 minutes) Dr. Boyes narrates this demonstration of each phase of the operative technique and the postoperative management of a digital flexor tendon graft. The operation was performed by Dr. Herbert Stark, with photography by Dr. Robert Watanabe.

Topic 4: Harry J. Buncke, M.D. Microvascular surgery: History and technique (35 minutes) Microvascular surgery: Clinical case examples (30 minutes) Microvascular surgery: Demonstration of technique (1 hour) Dr. Buncke begins by briefly reviewing the history and tech­niques of microvascular surgery. In part II he demonstrates experiences of surgeons throughout the world . In part III, as the film records the operating field, the viewer receives from

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Dr. Buncke an intimate experience in experimental mi­crovascular surgery.

Topic 5: Harold E. Kleinert, M.D. Repair of flexor tendon injuries (1 hour) This videotape records a discussion of flexor tendon injuries and the methods of repair. By diagrams and selected cases, the viewer is given an understanding of the principles in­volved in the management of one of the most difficult prob­lems in the treatment of the injured hand .

Topic 6: Harold E. Kleinert, M.D. Replantation techniques: Indications and contraindications (1 hour) This unusual lecture presents the techniques of replantation of the amputated extremity and revascularization of the partially severed extremity. Drawing from his experience of many years , the author discusses the indications and contraindica­tions for replantation .

Topic 7: Guy Pulvertaft, M.Chir. Treatment of the mutilating hand injury (1 hour) Mr . Pulvertaft, from his extensive experience, has developed a classification of the mutilating hand injuries, which he il­lustrates with diagrams. Photographs of representative cases taken before and after operation demonstrate unusual surgical technique.

Topic 8: Dieter Buck-Gramcko, M.D. Surgical correction of congential deformities (2 hours) The author demonstrates his special technique for treatment of some of the frequently encountered congenital anomalies of the hand . One of the high points of this presentation is the demonstration of an original technique of pollicization for congenital absence of the thumb which is presented in much greater detail in this new videotape . This videotape has been completely revised and expanded so that it is now in two parts.

Topic 9: Raymond M. Curtis, M.D. Capsulectomy of the proximal interphalangeal joint: The surgical correction of the finger stiff in extension (20 minutes) The author presents his original approach to the diagnosis and treatment of the stiff proximal interphalangeal joint. The technique of capsulectomy of the joint is demonstrated by a film of an operation on a patient. The anatomy of the digit, as well as the anatomy of the joint itself, is shown by an unusual diagrammatic technique .

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Topic 10: Adrian E. Flatt, M.D. Functional anatomy of the hand and wrist (25 minutes) In this lecture the author describes the function of the various anatomic parts of the human hand. He demonstrates, by in­tegrating this knowledge, that one can properly reconstruct the injured or diseased hand.

Topic 11: Ronald L. Linscheid, M.D. Traumatic instability of the wrist (40 minutes) The wrist, because of its complex two-row structure, is par­ticularly susceptible to collapse deformities and instabilities following intracarpal fractures, dislocations, and sprains. The author presents anatomic considerations, biomechanical bases, and the diagnostic clues to this spectrum of injuries . Illustrative cases and their treatments are presented.

Topic 12: J. WiUiam Littler, M.D. On making a thumb: One hundred years of surgical effort (45 minutes) Dr. Littler discusses the principles and methods for providing a prime thumb like digit. Prior to World War II, the effort was generally laborious and too often of poor functional and esthetic quality. Since then, more precise methods for either the free or local neurovascular transfer have been developed.

Topic 13: Richard J. Smith, M.D. Intrinsic muscle contracture of the hand (50 minutes) This lecture represents an unusual teaching experience. The normal structure and function of the intrinsic muscles of the hand are clearly presented by photographs, cadaver dissec­tion, and drawings. The deformities caused by contractures of these muscles after trauma, rheumatoid disease, and cerebral palsy are analyzed. Dr. Smith dramatically demonstrates the surgical treatment by clinical photographs and motion pic­tures of a dissected specimen.

Topic 14: Paul W. Brand, M.D. Biomechanics of hand movement (60 minutes) To restore balance to a partially paralyzed hand, the surgeon needs to understand two mechanical principles. The first is the way muscles provide tension and excursion in tendons; the second is the way tendon tension is translated into joint movement and how this can be altered by tendon transfers. Dr. Brand beautifully illustrates these two principles in this lecture and explains the principles in terms that can be under­stood by those without a background in engineering.

Topic 15: Daniel C. Riordan, M.D. Congenital absence of the ulna (25 minutes) This lecture presents examples of the various degrees of con­genital absence of the ulna. The author outlines the present method of treatment, and examples of such treatment, based on his total experience.

The Journal of HAND SURGERY

Topic 16: Daniel C. Riordan, M.D. Congenital absence of the radius (30 minutes) The author discusses the embryologic development of the upper extremity. He reviews, historically, the various meth­ods of treatment. This is followed by a presentation of treat­ment suggested by Dr. Riordan on the basis of his extensive experience with this problem.

Format. Rental programs are available ONLY on commer­cial ~ inch video cassette tapes . Purchase programs are avail­able in commercial ~ inch and retail ~ inch (VHS and BETA).

Accreditation. As an organization accredited for continuing medical education, the American Society for Surgery of the Hand certifies that this continuing medical education activity meets the criteria for credit hours in Category 5(a) of the Physician Recognition A ward of the American Medical As­sociation, provided it is used and completed as designed . The number of hours will be the exact time length of the vid­eotapes.

How to obtain the programs

Rental. Rental is $25 per topic for a I-week period. All tapes are sent at library rate; therefore, allow at least 30 days for shipping . No more than one topic may be rented at a time .

Purchase. The videotapes may be purchased for $125.00 per topic by writing to the American Society for Surgery of the Hand .

Payment. Payment may be only by money order or check, made payable to the American Society for Surgery of the Hand. Payment must be received with the request. Requests are to be sent to the central office.

Return. Return postage is included in the rental fee. Place the enclosed mailing label on the shipping container, and deposit the container in the nearest mail box . Be sure the metal clasp is secure . Prompt return allows reduced inventory and will help to keep rental costs reasonable. Videotapes should be returned to the following address:

Audio-visual Library American Society for Surgery of the Hand The Union Memorial Hospital 201 E. University Pkwy. Baltimore, MD 21218

Future topics

The videotape committee of the American Society for Sur­gery of the Hand will continue to produce appropriate pro­grams. If you are not a member of the Society and wish to be placed on the preference mailing list, write the Society at the central office.

Vol. 6, No.4 July 1981

Mailing address

Information, rental queries, and payment for tapes should be mailed to the Society's central office:

Audio-visual Library American Society for Surgery of the Hand Three Parker Place, Suite 132 2600 S. Parker Rd. Aurora, CO 80014

Return of tapes should be done as detailed above (see "Return").

News and notes

Grants for hand research

The American Society for Surgery of the Hand pro­vides grants-in-aid not to exceed $3,000 per year for investigations concerned with the improvement and function of the deformed or disabled hand.

This money will be used in the form of "seed grants" to develop pilot or demonstration projects to the point where they might attract more substantial money from larger granting agencies.

Investigators need not limit their work to purely sur­gical aspects of the hand; all inquiries should be ad­dressed to the Chairman of the Research Committee, American Society for Surgery of the Hand: Ronald Linscheid, 200 First St., S. W., Rochester, MN 5590 l.

Bibliography of surgery of the hand

This bibliography of the world literature is compiled annually in cooperation with MEDLARS and is offered for purchase through the American Society for Surgery of the Hand.

It offers references on publications related to hand surgery listed under appropriate headings for easy ref­erence. The annual volumes of 1969, 1971, 1973, 1974,1975,1976,1977, and 1978 can be purchased at the rate of $15 per volume. The 1979 volume is now available. To order, please specify the volume(s) de­sired and send a check (U.S. Funds) payable to the American Society for Surgery of the Hand, Three Parker Place, Suite 132,2600 S. Parker Rd., Aurora, CO 80014 [(303) 755-4588].

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The videotape programs represent the personal views of the authors and do not represent the opinions of the American Society for Surgery of the Hand. The Society assumes no responsibility for the content of the presentations made by any individual or group of authors and shall not be responsible for any injury, loss, or damage arising out of, or resulting from the application or attempted application of, the surgical procedures contained in such presentations.

Audio tape cassettes

The American Society for Surgery of the Hand has audio tape cassettes available of the highlights of sev­eral symposia and annual meetings. For information, write to the American Society for Surgery of the Hand, Three Parker Place, Suite 132, 2600 S. Parker Rd., Aurora, CO 80014 [(303) 755-4588].

The Hand-Examination and diagnosis

This text is a basic core of information on the diag­nostic examination of the normal, diseased, or injured hand. A method for thorough, systematic examination of the hand is presented so that with practice the reader can develop a routine for accurate examination and specific diagnosis.

A brief introduction to specific conditions of the hand is given, followed by illustrations of the more common deformities. A limited description of certain lacerations is included, but specific treatment is not discussed.

This small paperback handbook is available at $3.00 per copy. Write for further information on discount rates for large-quantity orders. For information or to order, write to American Society for Surgery of the Hand, Three Parker Place, Suite 132, 2600 S. Parker Rd., Aurora, CO 80014.