Abstract:
:When the wrist is grasping an object, at least four mechanisms of carpal stabilization are involved-one for each carpal row (proximal and distal), one for the midcarpal joint, and one for the radiocarpal joint. These mechanisms are based on the general principle that, under load-bearing conditions, any bone tends to rotate into a specific direction depending upon several factors, including the position of the wrist at the time of loading, the direction of the forces being transferred, and the inclination and shape of the articular surfaces on which the bone stands. Such an attempted displacement is initially guided and later neutralized by appropriately oriented ligaments, with which a new equilibrium is achieved. An injury or disease affecting any one of these mechanisms results in a specific type of carpal instability, depending upon which mechanism(s) has been violated. Only through a thorough understanding of these mechanisms of wrist stabilization will our ability to successfully treat these problems be enhanced.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Garcia-Elias Msubject
Has Abstractpub_date
1997-02-01 00:00:00pages
151-8issue
1eissn
0749-0712issn
1558-1969journal_volume
13pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract::Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2020.09.009
更新日期:2021-02-01 00:00:00
abstract::Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2008.06.001
更新日期:2008-11-01 00:00:00
abstract::This article provides an update on wound management with wound diagnosis and treatment discussed in terms of the normal cellular events of the wound healing process. The role of growth factors as cell regulators, the importance of wound fluids to wound metabolism, and the deleterious effects of some wound cleansers, d...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1991-08-01 00:00:00
abstract::Open fractures of the hand are a common and varied group of injuries. Although at increased risk for infection, open fractures of the hand are more resistant to infection than other open fractures. Numerous unique factors in the hand may play a role in the altered risk of postinjury infection. Current systems for the ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2017.09.013
更新日期:2018-02-01 00:00:00
abstract::The general indications, timing, and choice of procedure can be determined by asking and answering the following questions appropriately: 1. Has the patient achieved neurologic, emotional, and social stability? 2. What is the patient's current level of motor and sensory resources and function? The number and strength ...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/s0749-0712(02)00030-6
更新日期:2002-08-01 00:00:00
abstract::There is no established outcome measure designated as the superior measure when evaluating the results of distal radius fracture management. Although there are many used in the literature, there are only a few that have been validated to specifically predict recovery after a distal radius fracture. Additionally, there...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/j.hcl.2012.03.003
更新日期:2012-05-01 00:00:00
abstract::Radial head fractures are the most common adult elbow fracture. Our ability to treat these fractures has improved with increased understanding of elbow biomechanics. Based on fracture type, possible treatment includes nonoperative management, open reduction and internal fixation, radial head resection, and replacement...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2007.01.009
更新日期:2007-05-01 00:00:00
abstract::In summary, the authors believe that traumatic bone defects of the diaphyseal forearm, fewer than 6 cm in length, can be well managed with corticocancellous bone grafting, provided the patient has an adequate soft-tissue envelope. In cases of soft-tissue compromise, primary bone grafting is still the treatment of choi...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1999-05-01 00:00:00
abstract::Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mec...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2006.05.003
更新日期:2006-08-01 00:00:00
abstract::Microvascular techniques allowing free tissue transfer have expanded the indications for limb salvage in tumor patients. Preoperative planning should predict the type of deficit anticipated. Specific techniques for soft tissue, skeletal, neurovascular, and composite tissue transfer are discussed. While demanding, the ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract::Fractures of the capitellum and trochlea account for a small proportion of elbow trauma. Clinicians need to be vigilant in their assessment as they are commonly associated with other injuries about the elbow. To optimize outcomes, the goals of management include a stable, anatomic reduction and early range of motion. ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.07.001
更新日期:2015-11-01 00:00:00
abstract::Dupuytren's contracture nodules, but not cords, contain myofibroblasts. These cells, which combine many electron microscopic, physiologic, and immunohistochemical characteristics of fibroblasts and smooth muscle cells, are probably the active force of contraction. Prominent myofibroblasts and intracellular microtubule...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1991-11-01 00:00:00
abstract::Successful treatments of musculoskeletal injuries in the pediatric population demand a thorough understanding of the basic anatomy and its biomechanics, and the physiology of growth and development of the immature skeleton. In addition, good treatment outcomes rely on the treating physician being an effective teacher ...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::The systematic examination and recording, ray by ray, using the author's method of assessment of Dupuytren's disease have revealed that there are more Dupuytren's disease cases affecting the radial side of the hand than usually believed. The aponeurotic structures of the thumb and first web space are described. The lo...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
abstract::Rheumatoid arthritis (RA) may progressively affect all articulations of the wrist. Involvement of the distal radioulnar joint (DRUJ) is common and may be the first clinical signs of symptoms of RA. When the DRUJ is affected by RA, upper extremity function can be affected. Effective surgical management includes the Dar...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2010.10.002
更新日期:2011-02-01 00:00:00
abstract::Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2019.08.008
更新日期:2020-02-01 00:00:00
abstract::A group of fractures of the distal radius are inherently unstable and cannot be treated by closed reduction and cast or external fixation. These fractures are high-energy motor vehicle accidents often seen in young adults but possible in nearly every age group. They are not typical Colles's fractures because they are ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-01 00:00:00
abstract::Therapy for the painful upper extremity is a challenge. This article focuses on various assessment tools and techniques that are reflective of the painful status. The author reviews several research articles that discuss validating treatment options and outlines rehabilitation for the painful upper extremity as it rel...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 00:00:00
abstract::Chronic pain affects quality of life and adversely affects functional outcomes. Chronic postoperative pain is a frustrating problem for the surgeon because it ruins a technically perfect procedure, and the surgeon may be unsure of treatment strategies. There is much information on chronic pain and its treatment, but i...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2013.04.009
更新日期:2013-08-01 00:00:00
abstract::The hand is extremely susceptible to burn injuries, and hand burns can occur in up to 90% of all major burns. A thorough neurovascular examination of the hand should be performed in the acute setting. Escharotomies are required in patients with full-thickness or circumferential burns, when perfusion of the upper extre...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2016.12.001
更新日期:2017-05-01 00:00:00
abstract::The implementation of the wide-awake local anesthetic no tourniquet (WALANT) approach to surgical procedures in Cyprus has led to significant cost savings. In the United Kingdom, the implementation of WALANT has led to shorter waiting times for hand surgical procedures, cost savings for the National Health Service, an...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/j.hcl.2018.08.007
更新日期:2019-02-01 00:00:00
abstract::Condylar and epicondylar fractures differ from other pediatric upper extremity fractures because of the anatomy and ossification of the distal humerus. These fractures are prone to nonunion,and initial deformities do not remodel well. Radiographic diagnosis and severity are difficult to determine, and adjunct studies,...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2005.09.003
更新日期:2006-02-01 00:00:00
abstract::The molecular biochemical aspects of Dupuytren's disease have been studied for decades. This article summarizes biochemical influences on myofibroblast contractility, endogenous and exogenous chemical regulation, the influence of growth factors, and the biochemistry of collagen. A clear insight into the biochemistry o...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1999-02-01 00:00:00
abstract::Closed pulley ruptures are rare in the general population but occur more frequently in rock climbers due to biomechanical demands on the hand. Injuries present with pain and swelling over the affected pulley, and patients may feel or hear a pop at the time of injury. Sequential pulley ruptures are required for clinica...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2016.08.006
更新日期:2017-02-01 00:00:00
abstract::Over the last 2 decades, arthroscopy has assumed a greater role in the treatment of disorders of the wrist. The arthroscopic treatment of radioscaphoid arthritis and ulnar hamate impaction provides the benefits of being minimally invasive, with less morbidity, earlier motion, less recovery time, early return to work, ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2005.08.008
更新日期:2005-11-01 00:00:00
abstract::This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::Initial operative care of mutilating injuries is discussed as well as reconstructive procedures for partial hand amputees, including digital transposition and bone grafting. ...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract::This article reviews acute dislocations of the distal radioulnar joint (DRUJ) and distal ulna fractures. Acute dislocations can occur in isolation or in association with a fracture to the distal radius, radial metadiaphysis (Galeazzi fracture), or radial head (Essex-Lopresti injury). Distal ulna fractures may occur in...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2010.05.009
更新日期:2010-11-01 00:00:00
abstract::Recent publications have suggested that there may be an important role for the radial artery regarding long-term perfusion of the hand. The increasing popularity of the radial artery as an access site for cardiac catheterization has also resulted in the recognition of acute and chronic radial artery occlusion, and car...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2014.09.010
更新日期:2015-02-01 00:00:00