Anatomy
Clinical tests & exercises
Surgical techniques
Injuries and conditions

I often find myself drawing pictures in order to better explain things to colleagues and patients. Many people have commented that it helps their understanding of their issue, so I thought I would share some of my diagrams on the website.

Anatomy

Bones of the fingers

Schematic cross sectional didagram of a finger

Trapeziometacarpal arthritis

Extensor tendon anatomy

EI transfer for two ruptured extensor tendons

FDS tendon transfers for 4 ruptured extensor tendons

Option for reconstruction of three ruptured extensor tendons

EI to EPL tendon transfer

Technique for EI to EPL transfer

Hand bones

Nerves at wrist

cartoon of nerve anatomy

Dupuytrens anatomy and pathology

Anatomy of anatomical snuffbox

Flexor Tendons of the Finger with Pulleys Removed

Finger Extensor Tendons

Ligaments of the finger

Trapeziomentacarpal joint (expanded) with scapho-trapezio-trapezoidal joint STT)

Finger pulleys

Bones of the hand and wrist

cross section of forearm

Structures of the finger

Anatomy of the fingertip

pulleys of finger

nerve structure

wagner approach to thumb base

Extensor tendon anatomy dorsal view

Extensor tendon anatomy lateral view

Clinical tests & exercises

Position 1

Position 2

Position 3

Position 4

Position 5

Differential glides – I recommend that you do each of the five positions five times and repeat this once per hour

Test for extensor pollicis longus (EPL) tendon

Test for extensor indicis and extensor digiti minimi

Test for DeQuervains tenosynovitis

Test for central slip insufficiency

Test for anterior interosseous nerve function

Diagrams of surgical techniques

Plate fixation of metacarpal

Tendon and nerve repairs intraoperatively

Palmaris longus tendon harvest

Z plasty

Eaton Littler ligament reconstuction

Digital nerve repair

Swan neck correction transfer of extensor slip

Skin graft harvest

Tendon repair core suture showing just 2 strands (4 usually done)

Tendon repair completed

Jumping Man Flap

Trigger Finger Release

Cannulated compression screw fusion of distal interphalangeal joint

Planned excision of joint

K-wire passed across deleted joint

Cannulated compression screw passed over wire

Joint fused with compression screw

Volar Plate

Volar plate avulsion fracture

Volar plate tear

Volar plate ligaments

Fracture Fixations

Injuries and conditions

Digital nerve injury

Metacarpal neck boxer’s fracture

close-up of flexor tendon laceration zone II

flexor tendon laceration

Rotational deformity causes scissoring

Normal cascade of fingers- all point to scaphoid

Mallet injury

Splints

Instruments

West Retractor

Tendon Transfer Instruments

Rongeur

Hand Instruments

Everyone is welcome to use my drawings/handouts for teaching or for patients, but please credit me as the artist / author.