Abstract：
:In failed cases of primary carpal tunnel release, the addition of the highly vascular palmaris brevis turnover flap as an adjunct to internal neurolysis discourages scarring and provides a nutrient bed for axonal regeneration. In fact, the palmaris muscle flap actually may suppress the growth of nerve fibers into the overlying scar. Experimentally, classic neuromas do not form when a severed nerve is placed in an innervated muscle, particularly those with minimal excursion, as is the case with the turned over palmaris cushion. Major advantages of the palmaris turnover muscle are (1) proximity of the muscle to the operative field, obviating the need for a distant graft source; (2) negligible functional motor loss as a result of forfeiting this muscle; (3) no separate scar is created in raising this flap; and (4) adequate padding of the subcutaneous fat is still left at the donor site to protect the ulnar neurovascular bundle. Although postoperative healing and rehabilitation time are relatively lengthened by the more extensive dissection, subjective assessments of pain relief and clinical improvements in grip strength, pinch strength, and sensory parameters justify the use of the palmaris brevis turnover flap in recalcitrant carpal tunnel cases.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Rose EHsubject
Has Abstractpub_date
1996-05-01 00:00:00pages
389-95issue
2eissn
0749-0712issn
1558-1969journal_volume
12pub_type
杂志文章相关文献
HAND CLINICS文献大全abstract：:Most sports are associated with specific patterns of hand injury. In some cases, these are unavoidable due to the nature of hand involvement dictated by the rules or environment of the sport. In other cases, such injuries point out the need for better protective gear or training. ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1990-08-01 00:00:00
abstract：:Delayed finger and thumb tip reconstruction should try to optimally reconstruct perioncyhial aesthetic and functional units by replacing tissue as closely resembling the original loss as possible. Avoid thinking in terms of a "reconstructive ladder" but rather going directly to the reconstructive choice that seems mos...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2020.09.008
更新日期：2021-02-01 00:00:00
abstract：:Reinnervation of a hand transplant ultimately dictates functional recovery but provides a significant regenerative challenge. This article highlights interventions to enhance nerve regeneration through acceleration of axonal regeneration or augmentation of Schwann cell support and discuss their relevance to composite ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.07.002
更新日期：2011-11-01 00:00:00
abstract：:Many surgical techniques are available for the repair of peripheral nerve defects. Autologous nerve grafts are the gold standard for most clinical conditions. In selected cases, alternative types of reconstructions are performed to fill the nerve gap. Non-nervous autologous tissue-based conduits or synthetic ones are ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.04.005
更新日期：2017-08-01 00:00:00
abstract：:Many factors influence the development of CTS; therefore, nonoperative treatment should not be limited to only one intervention. Nonoperative treatment is most effective in the early stages, prior to irreparable damage to the nerve. Early intervention combined with a comprehensive treatment plan can help improve effec...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(02)00023-9
更新日期：2002-05-01 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：:The term "failure of differentiation" describes the phenotypes of a large number of otherwise unrelated conditions. The six conditions described here (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb) are believed to occur because various structures failed to different...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2008.12.003
更新日期：2009-05-01 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：:Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also i...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2006.02.001
更新日期：2006-05-01 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：:The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1986-05-01 00:00:00
abstract：:This article discusses the diagnosis and management of pigmented lesions of the hand, especially the nail bed. ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1995-05-01 00:00:00
abstract：:Injuries to the extensor mechanism create an imbalance in the precise flexion-extension system that regulates finger motion. This imbalance results in visible and functional deformities. Although these deformities are initially supple, they can become fixed and progress to joint degeneration. This article outlines ear...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-08-01 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：: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：:In the modern pediatric orthopedic practice, operative management plays a vital and not infrequent role in the management of significant and difficult forearm and elbow fractures in the skeletally immature. Although the majority of forearm and many elbow fractures can be treated successfully by nonoperative measures, ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(02)00017-3
更新日期：2002-02-01 00:00:00
abstract：:Fractures of the trapezial ridge, hamate hook, and pisiform are often due to isolated, direct injury, but other carpal bone fractures are seldom isolated injuries. Midcarpal fractures should stimulate a search for associated perilunate injury; distal carpal row fractures suggest carpometacarpal fracture--dislocations ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1988-08-01 00:00:00
abstract：:To reduce ischemic time and yet achieve a high-quality repair, the replantation team should be well organized. The team should be conversant with microvascular techniques and employ efficient methods of tendon repair and bone fixation. Developments in instrumentation and technique in recent years have improved success...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2001-08-01 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：:Injuries to the carpometacarpal joints are uncommon and are sometimes overlooked on initial radiographs. Their recognition depends on a careful physical and radiographic examination that may require trispiral tomograms and CT scans. Most injuries can be treated successfully by closed reduction and percutaneous fixatio...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：:Injuries to the proximal interphalangeal joint are extremely common. An understanding of the complex anatomy of this joint is essential for diagnosis and treatment of proximal interphalangeal joint sprains and dislocations. Lateral injuries are among the commonest injuries in the hand. These are often stable after red...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1988-02-01 00:00:00
abstract：:End-stage elbow arthritis in young, active patients presents a challenging problem to the upper extremity surgeon. Total elbow arthroplasty is not a viable option in this population because of functional restrictions, limited implant survivorship, and the lack of an adequate salvage option. With the appropriate surgic...
journal_title：Hand clinics
pub_type： 杂志文章
doi：10.1016/j.hcl.2011.01.002
更新日期：2011-05-01 00:00:00
abstract：:Thumb carpometacarpal arthritis is a common condition that may result in debilitating pain and loss of acceptable hand function. If patients continue to be symptomatic after a trial of nonoperative management, many surgical options exist in the treatment of carpometacarpal arthritis. For isolated trapeziometacarpal ar...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2008.03.006
更新日期：2008-08-01 00:00:00
abstract：:Rheumatoid arthritis commonly affects the thumb. Deformity does not require surgical intervention unless pain is present or a functional deficit exists, but if bony erosion develops and surgical treatment may be compromised in the future, earlier intervention may be indicated. When the pathogenesis and pathoanatomy of...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2001-05-01 00:00:00
abstract：:Carpal tunnel syndrome is defined as a clinical condition related to dysfunction of the median nerve specifically related to the carpal tunnel. This article reviews anatomy, current surgical treatment options, technique, indications and contraindications, efficacy, complications, and the author's own perspective on th...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
abstract：:Human capacity for physiologic adaptation to cold is minimal; we survive by insulating ourselves with protective clothing. In addition to the irreversible direct injury caused by ice crystallization, the authors have outlined four possible mechanisms by which indirect injury may damage tissue. Other than rapid rewarmi...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-05-01 00:00:00
abstract：:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
abstract：:Clinical pain is multifactorial. It is not simply the consequences of a "switching on" of the pain system in the periphery, but also excitability of central nociceptive areas. For pain management to be successful in treating the upper extremity both the peripheral and central symptoms must be targeted. The patient edu...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2015.08.007
更新日期：2016-02-01 00:00:00
abstract：:Although carpal fractures other than of the scaphoid are uncommon, vigilance in diagnosing these potentially serious fractures is paramount to early and effective treatment. Physical examination and standard plain radiographs may reveal only subtle findings. Use of special radiographic views and computed tomography ma...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2006.07.007
更新日期：2006-11-01 00:00:00
abstract：:Internal fixation of acute scaphoid fractures has significant advantages over conservative treatment, using cast immobilization. Healing rates are improved, functional recovery is accelerated, and morbidity is reduced. Percutaneous fixation has become the treatment of choice for the majority of acute fractures, since ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：2001-11-01 00:00:00
