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Knowledge base

FESSH preparation

Structured reading and reference notes for the FESSH (Federation of European Societies for Surgery of the Hand) Diploma examination.

  1. Clinical examination of the hand and wrist

    Hand and wrist examination for FESSH candidates: how accurate the Phalen, Tinel, scratch collapse, Elson, Watson, grind, fovea and Allen tests really are.

  2. Peripheral nerve injury and repair

    Peripheral nerve injury for FESSH candidates: degeneration, Seddon and Sunderland grades, electrodiagnosis, timing, grafts, conduits and nerve transfers.

  3. Dupuytren's disease

    An expert synthesis of Dupuytren's disease — anatomy, the McFarlane cord pattern, the contemporary treatment landscape after the European withdrawal of collagenase, and the parallel consensus definitions of recurrence — for FESSH candidates and consultant peers.

  4. Carpal tunnel syndrome

    Expert review of carpal tunnel syndrome for FESSH candidates and consultant peers — anatomy, diagnosis, AAOS 2024 guideline, surgical controversies, recurrent CTS workup. Vancouver-cited.

  5. Extensor tendon injuries: zone-based diagnosis and management

    Diagnosis, classification, splinting and surgical management of extensor tendon injuries, with contemporary rehabilitation evidence.

  6. Flexor tendon injuries and repair

    A clinical synthesis of contemporary primary flexor tendon repair: wide-awake anaesthesia, multistrand suture, pulley venting, early active rehabilitation.

  7. Scaphoid fractures: contemporary diagnosis and management

    Scaphoid fracture diagnosis, the SWIFFT evidence, current European practice, and stratified treatment of non-union and SNAC wrist.