Evaluating the injured hand.

abstract：:The anatomy of the ulnar nerve is described from its origin at the brachial plexus to its termination in the hand and digits. The critical anatomy surrounding the cubital tunnel and Guyon canal is emphasized, and clinically relevant anatomic variations, muscle anomalies, and peripheral nerve anastomoses are described....

journal_title：Hand clinics

authors： Polatsch DB,Melone CP Jr,Beldner S,Incorvaia A

更新日期：2007-08-01 00:00:00

abstract：:The authors' strategy for soft-tissue coverage of the hand is presented. The concept of replacing like with like and reconstruction with similar adjacent tissue enhances functional and aesthetic outcomes. In this viewpoint, the pedicle perforator flap is an ideal flap. A decision-making algorithm to select an ideal fl...

journal_title：Hand clinics

authors： Ono S,Sebastin SJ,Ohi H,Chung KC

更新日期：2017-08-01 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

authors： Tubiana R

更新日期：1999-02-01 00:00:00

abstract：:Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techni...

journal_title：Hand clinics

authors： Rancy SK,Schmidle G,Wolfe SW

更新日期：2019-08-01 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

authors： Battiston B,Titolo P,Ciclamini D,Panero B

更新日期：2017-08-01 00:00:00

abstract：:Proximal humerus fractures and fractures of the humeral shaft are relatively rare in children. The incidence of the former is about 1 to 3 cases/1000 population per year, comprising fewer than 3% of all pediatric fractures. Fractures of the humeral shaft represent fewer than 10% of all humerus fractures in children. B...

journal_title：Hand clinics

authors： Shrader MW

更新日期：2007-11-01 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

authors： Feldman F

更新日期：1987-05-01 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

authors： King EA,Lien JR

更新日期：2017-02-01 00:00:00

abstract：:A multidisciplinary approach often is needed, especially at the acute phase. Indeed, resuscitative treatment is first indicated. [figure: see text] Optimal time for surgery depends on the patient's status. Surgical management should be more aggressive than previously thought. Debridement of necrotic tissue must be per...

journal_title：Hand clinics

authors： Masquelet AC,Romãna MC,Gilbert A,Berard J

更新日期：2000-11-01 00:00:00

abstract：:After severe injury to the dorsum of the hand, it may not be possible to directly repair the extensor tendons. Patients in this article were treated by initial skin replacement with pedicle flaps for coverage prior to extensor tendon grafting. Multiple operative procedures were necessary, but restoration was uniformly...

journal_title：Hand clinics

authors： Cautilli D,Schneider LH

更新日期：1995-08-01 00:00:00

abstract：:Tendons are made of compact dense collagen fibers with only sparse cellularity and naturally low immunogenicity. Allogenic tendons may be preserved through deep freezing methods and retain excellent mechanical properties after revitalization. Allogenic tendons were used in 22 patients (30 tendons) for second-stage ten...

journal_title：Hand clinics

authors： Xie RG,Tang JB

更新日期：2012-11-01 00:00:00

abstract：:Free vascularized nerve transfer using microsurgical techniques for upper limb reconstruction should be considered as an alternative to conventional nonvascularized cable nerve grafts when the recipient bed is heavily scarred, as occurs in Volkmann's ischemia, when the nerve gap is exceptionally long, or when the free...

journal_title：Hand clinics

authors： Taylor GI

更新日期：1999-11-01 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

authors： Carlsen BT,Dennison DG,Moran SL

更新日期：2010-11-01 00:00:00

abstract：:"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no univer...

journal_title：Hand clinics

authors： Oates SD,Daley RA

更新日期：1996-11-01 00:00:00

abstract：:Arthrodesis and arthroplasty are surgical options used for the management of pain, stiffness, deformity, and instability related to arthritis and traumatic injury of the small joints of the hand. Arthrodesis and arthroplasty come with a risk of postoperative infection. Superficial soft tissue infections can often be m...

journal_title：Hand clinics

authors： Satteson ES,Langford MA,Li Z

更新日期：2015-05-01 00:00:00

abstract：:Careful preoperative planning, fixator selection and design, surgical technique, and sustained follow-up care are essential for successful gradual correction of pediatric forearm deformities. The sequence of planning gradual deformity correction can be created by establishing a problem list and using this as the basis...

journal_title：Hand clinics

authors： Dahl MT

更新日期：1993-11-01 00:00:00

abstract：:The current approach to hand infections is a culmination of information gained from centuries of medical teaching by the ancient Greeks, nineteenth-century anatomists, and twentieth-century microbiologists and surgeons. Although many individuals have contributed to our knowledge through their teachings and writings, t...

journal_title：Hand clinics

authors： Kono M,Stern PJ

更新日期：1998-11-01 00:00:00

abstract：:The author reviews the long-term results of a large series of obstetrical brachial plexuses. The results of direct repair and secondary tendon transfers are reviewed. ...

journal_title：Hand clinics

authors： Gilbert A

更新日期：1995-11-01 00:00:00

abstract：:This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve ...

journal_title：Hand clinics

authors： Davidge KM,Clarke HM,Borschel GH

更新日期：2016-05-01 00:00:00

abstract：:The overall assessment in the tetraplegic patient should be comprehensive and detailed. This paper discusses aspects of the medical and physical assessment that normally may go unrecognized but are extremely important in the outcome of the tetraplegic patient. A comprehensive classification also is provided as a new g...

journal_title：Hand clinics

authors： Landi A,Mulcahey MJ,Caserta G,Della Rosa N

更新日期：2002-08-01 00:00:00

abstract：:Radical debridement allows the surgeon to prevent infection by skillful use of the scalpel. It is also the necessary foundation for the microsurgical techniques of applying emergency free flaps and performing immediate reconstruction. These techniques ultimately result in fewer days spent in the hospital for patients,...

journal_title：Hand clinics

authors： Scheker LR,Ahmed O

更新日期：2007-02-01 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

authors： Palmieri TJ,Grand FM,Hay EL,Burke C

更新日期：1987-08-01 00:00:00

abstract：:The purpose, as well as the value, of the two-stage system in the salvage situation is for the surgeon to perform all the reconstructive surgery needed at Stage 1. Nerves are repaired, vessels are repaired if necessary, the intrinsic system is inspected, a Swanson implant is added if needed, and pulleys are built. If ...

journal_title：Hand clinics

authors： Hunter JM

更新日期：1985-02-01 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

authors： Burkhalter W

更新日期：1986-02-01 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

authors： Vigler M,Aviles A,Lee SK

更新日期：2006-11-01 00:00:00

abstract：:The prevention and treatment of hand injuries in low- to middle-income countries needs to be a priority. Surgical outreach trips are a primary avenue for patients to receive interventions. Challenges include language and cultural barriers, poor infrastructure, and limitations in a patient's ability to follow-up. Strat...

journal_title：Hand clinics

authors： Riggs J,Chung KC

更新日期：2019-11-01 00:00:00

abstract：:Successful soft tissue reconstruction of the upper extremity must provide stable coverage and restore function to the injured hand. To ensure the best possible outcome after traumatic upper extremity injuries, early radical debridement and early flap coverage that restores all missing tissue components is critical to ...

journal_title：Hand clinics

authors： King EA,Ozer K

更新日期：2014-05-01 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

authors： Tulipan JE,Ilyas AM

更新日期：2018-02-01 00:00:00

abstract：:Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

journal_title：Hand clinics

authors： Koman LA,Urbaniak JR

更新日期：1985-05-01 00:00:00

abstract：:A scoring classification for assessment of the clinical severity of reflex sympathetic dystrophy (RSD) and rating the presence and clinical expression of each feature is proposed. The following were included: pain, reduction of finger flexion, swelling, temperature changes, discoloration, sensory disturbances, shoulde...

journal_title：Hand clinics

authors： Zyluk A

更新日期：2003-08-01 00:00:00