Abstract：
:The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bone scintigraphy are useful screening tests, but MRI yields a definitive diagnosis. CT is also valuable for delineating structural changes and the amount of collapse in the lunate. The staging of Kienböck's disease is based on clinical and radiographic data.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Szabo RM,Greenspan Asubject
Has Abstractpub_date
1993-08-01 00:00:00pages
399-408issue
3eissn
0749-0712issn
1558-1969journal_volume
9pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract：:Arthroscopy of the first carpometacarpal (CMC) joint has become routine. Similar techniques can be applied to fracture dislocations involving the fifth CMC joint. This situation is one whereby arthroscopy is definitely of benefit, because the articular fracture fragment is often volar, and difficult to visualize and r...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.05.010
更新日期：2011-08-01 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
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：:The surgical return of sensibility in the injured upper extremity remains a major goal for the reconstructive surgeon. Free flaps have created the opportunity for successful reconstruction in those patients in whom irreplaceable sensory end organs have been destroyed. In addition, well-vascularized composite tissues m...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1985-05-01 00:00:00
abstract：:The treatment of reflex sympathetic dystrophy is not delineated clearly, and there are few controlled studies regarding rehabilitation as medicine. Analgesics, nonsteroidal anti-inflammatory drugs, and intra-articular steroids are used widely, but especially in Europe, calcitonin is the primary treatment at early stag...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1997-08-01 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：: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 r...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1997-02-01 00:00:00
abstract：:The evaluation and treatment of the stiff elbow are described, as well as the lateral, medial, anterior, and posterior approaches for release of elbow contractures. The results after surgical release in 48 patients that failed nonoperative treatment for elbow contractures in our institution are reported. A literature ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：10.1016/s0749-0712(02)00005-7
更新日期：2002-02-01 00:00:00
abstract：:Upper extremity burn contractures are a major challenge to the reconstructive surgeon. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. Reconstructive options for axillary, antecubital, wrist, ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1990-05-01 00:00:00
abstract：:Power and tip pinch are an integral part of intrinsic hand function that can be significantly compromised with dysfunction of the ulnar nerve. Loss of power pinch is one component that can significantly affect an individual's ability to perform simple daily tasks. Tip pinch is less affected, as this task has significa...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2016.03.007
更新日期：2016-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2006.12.003
更新日期：2007-02-01 00:00:00
abstract：:The rehabilitation of patients who have sustained brachial plexus injuries is essential. Therapy is performed to maintain and increase range of motion, retard the rate of muscle atrophy, and re-educate the muscles once the reconstructive surgeries have been per-formed and reinnervation is verified. This article discus...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2004.10.003
更新日期：2005-02-01 00:00:00
abstract：:The variety of imaging techniques available to the clinician facilitates the diagnosis of acute and chronic wrist disorders. In most cases, conventional radiographs provide sufficient information. Computed and trispiral tomography, arthrography, video-fluoroscopy, and magnetic resonance imaging are additional imaging ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：:There are myriad factors that affect patient satisfaction following a distal radius fracture, including anatomic alignment, age, motion, pain,and hand dominance to name a few. The seeming contradictions in the literature serve to illustrate that individual outcomes are not entirely predict-able because of the differen...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2005.03.001
更新日期：2005-08-01 00:00:00
abstract：:Resection of the distal ulna for post-traumatic arthritis can lead to an unstable forearm joint through loss of the normal articular contact through the distal radioulnar joint and loss of soft tissue constraint. The resulting convergence instability can lead to residual pain, weakness, and loss of function. Restabili...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2005.08.015
更新日期：2005-11-01 00:00:00
abstract：:Operative arthroscopy of the wrist compliments the physical examination and radiographic imaging to improve diagnosis and treatment of lesions about the distal ulna. This article reviews the relevant anatomy, biomechanics, and classification of acute and degenerative lesions of the triangular fibrocartilage complex (T...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
abstract：:New solutions to difficult problems are always welcome, but nonbridging external fixation of intra-articular fractures is still in its infancy. Multicenter clinical trials are necessary to deter-mine whether the superior results obtained with nonbridging fixation of extra-articular fractures can be duplicated. With fu...
journal_title：Hand clinics
pub_type： 杂志文章
doi：10.1016/j.hcl.2005.02.002
更新日期：2005-08-01 00:00:00
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 ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:Experience will show that proper management during the first 3 postoperative weeks will be the major determinant for the final result in extensor tendon injuries. In the simple injury, meticulous care in properly immobilizing each joint, combined with edema control, allows the patient to begin the mobilization phase w...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1986-02-01 00:00:00
abstract：:Flexor tenolysis is a challenging procedure with valuable clinical usefulness in the restitution and enhancement of digital function in the appropriate patient. In the absence of complications, improvement in digital flexion can be expected. The requisites for success are a skilled surgeon, a motivated and well inform...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2004.11.008
更新日期：2005-05-01 00:00:00
abstract：:As the human thumb climbed the evolutionary ladder, the trapeziometacarpal joint was provided greater mobility at the expense of decreased bony stability. Soft tissue restraints were left to provide the primary stabilization of the thumb basal joint complex. Both degenerative and traumatic conditions compromise the fu...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2001-05-01 00:00:00
abstract：:The first cases using the set of instruments designed by James C. Y. Chow, MD, of Mount Vernon, Illinois, were performed in September of 1987 by the developer. His was the first written introduction of the technique of endoscopically assisted carpal tunnel release published by a US author. This technique has been prac...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:Systemic disease and metabolic imbalance may be associated with peripheral nerve focal compressive neuropathies. The nerve may be primarily involved, or symptoms may result from chronic tenosynovitis or synovitis. We review the more commonly occurring compressive neuropathies associated with underlying systemic disord...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1992-05-01 00:00:00
abstract：:Psychological evaluations with hand injury patients provide diagnostic information and treatment recommendations that can be included with the findings from physical and neurologic examinations. Assessment of psychosocial factors that can either complicate recovery from injury or aid in rehabilitation is discussed. Fo...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1986-08-01 00:00:00
abstract：:Rheumatoid flexor tenosynovitis at the wrist can cause locking, limitation of motion, nerve compression, and rupture of tendons. To prevent and treat these conditions, a flexor tenosynovectomy, combined with nerve decompression and tendon reconstruction as indicated, is necessary. If tendons are ruptured, the flexor p...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1996-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2007.09.002
更新日期：2007-11-01 00:00:00
abstract：:The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1985-11-01 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：:Since the use of fire became part of life, mankind has sought remedies to treat burns. The upper extremity, due to its frequency of exposure as the foremost organ in the everyday exploration of the environment and in manipulative and social interactions, is often involved. This article discusses the history of burn tr...
journal_title：Hand clinics
pub_type： 历史文章,杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contra...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1988-05-01 00:00:00
abstract：:Histologic examination of the TFC reveals parallel, longitudinally oriented collagen fibers peripherally, while the more central articular disc is made up of interweaving obliquely oriented sheets of collagen fibers. This suggests a peripheral region experiencing tensile loads between the region of origin from the rad...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1991-05-01 00:00:00
