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Hugh Graham Stack
FRCS Fellowship of the Royal Colleges of Surgeons (FRCS) is a professional qualification to practise as a senior surgeon in Ireland or the United Kingdom. It is bestowed on an intercollegiate basis by the four Royal Colleges of Surgeons (the Royal C ...
(7 December 1915 – 28 May 1992) was a British
orthopaedic surgeon Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
with a specialism in surgery of the hand. He was secretary of the Second Hand Club and was instrumental in the merger of the British hand surgery organisations to become the
British Society for Surgery of the Hand The British Society for Surgery of the Hand exists to "promote and direct the development of Hand Surgery, to foster and co-ordinate education, study and research in Hand Surgery, and to disseminate knowledge of Hand Surgery among members of the me ...
.


Early life and education

Hugh Stack was born in Bristol on 7 December 1915, the third son of Edward H. E. Stack FRCS, an ophthalmic surgeon at the
Bristol Royal Infirmary The Bristol Royal Infirmary, also known as the BRI, is a large teaching hospital situated in the centre of Bristol, England. It has links with the nearby University of Bristol and the Faculty of Health and Social Care at the University of the Wes ...
, and his wife Caroline, née Kennedy."Clifton College Register" Muirhead, J.A.O. p410: Bristol; J.W Arrowsmith for Old Cliftonian Society; April, 1948 He was educated at
Clifton College ''The spirit nourishes within'' , established = 160 years ago , closed = , type = Public schoolIndependent boarding and day school , religion = Christian , president = , head_label = Head of College , head ...
, following which he received a scholarship to study chemistry at
Bristol University , mottoeng = earningpromotes one's innate power (from Horace, ''Ode 4.4'') , established = 1595 – Merchant Venturers School1876 – University College, Bristol1909 – received royal charter , type ...
. Three years later he switched career and enrolled at St Bartholemew's Hospital in London, to study medicine. He married Lorna Cooke MRCP, in 1955. They had a daughter, Caroline, and a son, Charles, who became an anaesthetist.


Career

Stack first worked as a house surgeon at
Addenbrooke's Hospital Addenbrooke's Hospital is an internationally renowned large teaching hospital and research centre in Cambridge, England, with strong affiliations to the University of Cambridge. Addenbrooke's Hospital is based on the Cambridge Biomedical Campu ...
, the
Royal National Orthopaedic Hospital The Royal National Orthopaedic Hospital (RNOH) is a specialist orthopaedic hospital located in the London Borough of Harrow, United Kingdom, and a part of Royal National Orthopaedic Hospital NHS Trust. It provides the most comprehensive range of ...
and the
Miller General Hospital The Miller General Hospital was a hospital in Greenwich, London from 1884 until 1974. It was developed adjacent to an earlier dispensary, and was the first British hospital designed with circular wards, and one of the first to have an X-ray depa ...
, Greenwich, after which he served for two years in the
Royal Navy Volunteer Reserve The Royal Naval Reserve (RNR) is one of the two volunteer reserve forces of the Royal Navy in the United Kingdom. Together with the Royal Marines Reserve, they form the Maritime Reserve. The present RNR was formed by merging the original Ro ...
. He was then honorary demonstrator in anatomy at King's College, London, and subsequently a surgical registrar at the
North Middlesex Hospital North Middlesex University Hospital, known locally as North Mid, is a district general hospital in Edmonton in the London Borough of Enfield. The hospital is managed by North Middlesex University Hospital NHS Trust. History The hospital was e ...
. He became a fellow of the
Royal College of Surgeons The Royal College of Surgeons is an ancient college (a form of corporation) established in England to regulate the activity of surgeons. Derivative organisations survive in many present and former members of the Commonwealth. These organisations a ...
in 1951 and from then on practised as an orthopaedic surgeon. He then held appointments at the Miller Hospital and
St. Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by Rahere (died ...
, the Albert Dock Orthopaedic and Fracture Hospital, and the
Harold Wood Harold Wood is a suburban neighbourhood of Romford in the London Borough of Havering. It is situated east-northeast of Charing Cross and near to the Greater London boundary with Essex. History Toponymy The name Harold Wood was recorded in ...
and Brentwood District Hospitals. It was while he was at St Bartholomew's that he became interested in reconstructive surgery of the hand in which he was influenced by Jackson Burrows, Osmond Clark, Norman Capener and Guy Pulvertaft. In 1969, he wrote an influential article which highlighted the importance of naming the fingers (
thumb The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position (where the palm is facing to the front), the thumb is the outermost digit. The Medical Latin English noun for thumb ...
,
index Index (or its plural form indices) may refer to: Arts, entertainment, and media Fictional entities * Index (''A Certain Magical Index''), a character in the light novel series ''A Certain Magical Index'' * The Index, an item on a Halo megastru ...
, middle,
ring Ring may refer to: * Ring (jewellery), a round band, usually made of metal, worn as ornamental jewelry * To make a sound with a bell, and the sound made by a bell :(hence) to initiate a telephone connection Arts, entertainment and media Film and ...
,
little Little is a synonym for small size and may refer to: Arts and entertainment * ''Little'' (album), 1990 debut album of Vic Chesnutt * ''Little'' (film), 2019 American comedy film *The Littles, a series of children's novels by American author John P ...
) rather than numbering them (1, 2, 3, 4, 5), to avoid surgery on the wrong finger. In 1973, he was secretary of the Second Hand Club and was instrumental in the merger of the British hand surgery organisations to become the British Society for Surgery of the Hand. He was the first editor of ''The Hand'', the forerunner of the ''Journal of Hand Surgery''. He devised a splint - known as the Stack Splint - for the management of soft tissue
mallet finger A mallet finger, also known as hammer finger or PLF finger or Hannan finger, is an extensor tendon injury at the farthest away finger joint. This results in the inability to extend the finger tip without pushing it. There is generally pain and ...
s. In 1970, he was elected Hunterian Professor by the
Royal College of Surgeons of England The Royal College of Surgeons of England (RCS England) is an independent professional body and registered charity that promotes and advances standards of surgical care for patients, and regulates surgery and dentistry in England and Wales. The ...
.


Death and legacy

Stack died on 28 May 1992. The Graham Stack travelling fellowship is awarded in his memory.


Selected publications


Articles

* * * * * *, pp. 152–4. *
"Second Hand Club"
''British Society for Surgery of the Hand'', 1975, . * *


Lectures

*
Arris and Gale Lecture The Arris and Gale Lecture, named for Edward Arris and John Gale, is an awarded lectureship of the Royal College of Surgeons. The first lecture was delivered by Sir William Blizard in 1810. Origin In I646 Edward Arris, an Alderman of the City of ...
: "A Study of Muscle Function in the Fingers", Royal College of Surgeons, 28 May 1963. * Hunterian lecture: "The palmar fascia, and the development of deformities and displacemants in Dupuytren's contracture", ''Annals of the Royal College of Surgeons England''. 1971.


Chapters

*"Tumours" in R. Guy Pulvertaft (Ed.) ''Clinical Surgery: Volume 7 The Hand''. Butterworths, 1966. pp. 208–228.


References


Further reading

{{DEFAULTSORT:Stack, Graham 1915 births 1992 deaths Fellows of the Royal College of Surgeons of England Medical doctors from Bristol British orthopaedic surgeons People educated at Clifton College Royal Naval Volunteer Reserve personnel Alumni of the Medical College of St Bartholomew's Hospital Alumni of the University of Bristol History of surgery 20th-century surgeons