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 for design of the gradual correction. Viewing limb length and deformity correction as a "process," rather than a procedure, is of value. Using a hybrid fixation formula that combines half pins with wires can minimize the potential for neurovascular injury. The combination of radial osteotomy, excision of osteochondromas, and gradual ulnar lengthening by distraction osteogenesis improves forearm appearance and function in most patients with multiple hereditary exostoses.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Dahl MTsubject
Has Abstractpub_date
1993-11-01 00:00:00pages
707-18issue
4eissn
0749-0712issn
1558-1969journal_volume
9pub_type
杂志文章相关文献
HAND CLINICS文献大全abstract：:The primary treatment goal for Kienböck's disease remains decompression of the lunate. Although a number of treatment options are available, scaphocapitate fusion is our first choice in many cases of Kienböck's disease. Scaphocapitate fusion mechanically decompresses the lunate and prevents progressive carpal instabil...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1993-08-01 00:00:00
abstract：:Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1991-05-01 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
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：: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：:Early motion programs establish gliding, decrease unwanted adhesions, and enhance the healing process and return to normal function of injuries. This article elaborates on how to best incorporate early motion programs into the rehabilitation process. ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1996-02-01 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：:Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1985-08-01 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：:The unique and collaborative relationship between hand therapists and surgeons is invaluable in meeting the unique functional needs of clients with upper extremity conditions and injuries. Current legislative issues and research items that directly affect hand therapy and hand surgery practice include the opioid epide...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2020.01.005
更新日期：2020-05-01 00:00:00
abstract：:Since the first description of an ulnar collateral ligament (UCL) tear at the elbow 60 years ago and the first description of surgical reconstruction 20 years ago, many advances have been made in management and surgery. UCL tears at the elbow remain a disease of the overhead athlete. Various imaging studies have been ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2007.11.011
更新日期：2008-02-01 00:00:00
abstract：:Rheumatoid arthritis commonly affects the distal radioulnar joint (DRUJ). This can result in pain, instability, or tendon rupture. The goals of surgical reconstruction of the DRUJ are to relieve pain, stabilize the joint, and prevent tendon rupture. We review many of the previously described procedures and report our ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1989-05-01 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：: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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.04.001
更新日期：2017-08-01 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
pub_type： 杂志文章
doi：
更新日期：1995-08-01 00:00:00
abstract：:Trauma to the upper extremity can present with an associated arterial injury. After patient stabilization, thorough assessment with physical examination and various imaging modalities allows accurate diagnosis of the specific arterial injury. After diagnosis, efficient treatment is necessary to allow limb salvage. Tre...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.09.009
更新日期：2018-02-01 00:00:00
abstract：:The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.09.002
更新日期：2012-02-01 00:00:00
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：:This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2012.08.015
更新日期：2012-11-01 00:00:00
abstract：:After reviewing this article, readers should have a comprehensive understanding of the indications for diagnostic arthroscopy, technical considerations in performing a systematic evaluation of the wrist, and limitations of this technique. ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.06.004
更新日期：2017-11-01 00:00:00
abstract：:Hand burns, in particular, are one of the leading causes of hand injury in children and can result in significant impairment of hand function. Appropriate initial management of hand burns in children is imperative to optimize function and minimize long-term scarring, and it is for this reason that the American Burn As...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2009.06.006
更新日期：2009-11-01 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：:Carpal bone fractures make up a significant proportion of injuries to the wrist. The complex bone shape and articulations make diagnosis more difficult and missed injuries more common. This article reviews carpal bone fractures excluding the scaphoid. ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：10.1016/j.hcl.2009.08.014
更新日期：2010-02-01 00:00:00
abstract：:Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1991-02-01 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
pub_type： 杂志文章
doi：
更新日期：1985-02-01 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
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：:Scaphoid fractures carry significant long-term morbidity and short-term socioeconomic difficulty in the young and active patient population in which they most commonly occur. While cast immobilization results in high rates of radiographic union in nondisplaced scaphoid fractures, internal fixation with headless compre...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2010.04.005
更新日期：2010-08-01 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：:The authors used gradual ligamentous distraction for closed reduction of nine irreducible dorsal fracture dislocations of the PIP joint. The volar fragment size was equal to or less than 40% in five and more than 50% in four. The average follow up was 18 months. The sequence of treatment required distraction, translat...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：:Whether it is a primary or a delayed flexor digitorum profundus (FDP) repair, no general consent has been found, and no perfect treatment has been imposed. The authors utilize 2 new techniques for FDP reconstruction that allow immediate postoperative mobilization and excellent functional outcome. Harvesting of the don...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2013.02.006
更新日期：2013-05-01 00:00:00
