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50 knowledge points in hand surgery that are easily misunderstood by doctors

General Concepts : 1. Epinephrine Use: While historically feared due to vasoconstriction risk, epinephrine can be safely used in digital blocks at diluted concentrations (1:200,000 or 1:400,000), with careful aspiration, and potential phentolamine reversal (0.5% solution). Monitor perfusion closely. 2. Betadine and Bone: Betadine, while an effective antiseptic, has been shown to be cytotoxic to osteoblasts in vitro. Irrigate exposed […]