Hand is an amazing underrated special body part that has highly sensitive skin which recognises a fine pin to a soft wool, a cold ice cube to a hot plate.
It has 27 bones and 43 muscles/ tendons which perform fine movements. This can be explained in artistic hand movements of a Kathak dancer, defined in biomechanics principle of Kinematic analysis as diagonally opposite simultaneous motion of the fingers and thumb. A robot cannot perform this skilful act yet confirming masterful human evolution.
The hand has a span that could be as wide as 6-7 inches when stretched while at exact opposite closes to a tight scoop holding water in it, so that it cannot escape through the gaps (Onjal).
Anatomy of the hand and wrist is complex due to its intricate structure and function.
Surgical anatomy skills of hand are therefore pivotal and teach to access damaged or diseased tissue with utmost care and safety. This enabled with clinical knowledge and correctly demonstrated surgical procedures is the training of a good surgeon. With this ethos, we undertook a two day workshop, starting with a lecture of Surgical Anatomy followed by demonstration on special soft embalmed cadavers that have normal structural tissue feel and no nasty formalin fumes. This was then linked with teaching clinical examination on live patients, followed by surgery on the same, to demonstrate correct technique of the procedures.
This unique concept highly endorsed by 25 participants was first of its kind at BKL Walawalkar Hospital, Dervan.
Here is the link for the course photographs and candidate feedback.
The lead organisers of this workshop at Dervan were:
Orthopaedic and Hand surgeon at BKL Walawalkar Hospital, Dr.Nandan Kanvinde , Prof P Moolya from the Department of Anatomy , Dr N.Patil, Department of Radiology
Orthopaedic team lead by Dr S. Nadkarni,Dr.O.Sudame,Dr A.Paul & All Training doctors
With excellent support of local and visiting team including Dr.P.Kamble, Dr.A.Wahegaonkar, Dr.Ghodke