Microvascular techniques in limb-sparing surgery.

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

authors： Pellegrini VD Jr

更新日期：2001-05-01 00:00:00

abstract：:The hypoplastic thumb has a variety of presentations, which have been generalized into a formal classification system that has treatment implications. In most cases, the spectrum of hypoplasia has predictable deficits in terms of tendon and bone absence. The ultimate goal is always the same--to enhance usage of the ra...

journal_title：Hand clinics

authors： Plancher KD,Kahlon RS

更新日期：1998-02-01 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：:This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

journal_title：Hand clinics

authors： Comer GC,Ladd AL

更新日期：2015-05-01 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

authors： Su CW,Lohman R,Gottlieb LJ

更新日期：2000-05-01 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

authors： Palti R,Vigler M

更新日期：2012-02-01 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

authors： Badalamente MA,Hurst LC

更新日期：1999-02-01 00:00:00

abstract：:Elbow arthroscopy is, to a degree, technically demanding. A complete knowledge of the regional anatomy of the elbow is essential. The technical expertise of the arthroscopist continues to improve, and sophistication of equipment continues to increase. These clear the way for new indications of elbow arthroscopy. It is...

journal_title：Hand clinics

authors： Ekman EF,Poehling GG

更新日期：1994-08-01 00:00:00

abstract：:The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ide...

journal_title：Hand clinics

authors： Wong CW,Ho PC

更新日期：2017-11-01 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

authors： Dell PC,Guzewicz RM

更新日期：1992-05-01 00:00:00

abstract：:There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations. ...

journal_title：Hand clinics

authors： Black L,Gaebler-Spira D

更新日期：2018-11-01 00:00:00

abstract：:Primary bone tumors of the hand and wrist are unusual but if present are frequently chondrogenic in origin. Enchondroma is the most common primary bone tumor of the hand and can be treated by curettage and bone grafting. Chondrosarcoma is rare and most likely the result of malignant degeneration of a pre-existing lesi...

journal_title：Hand clinics

authors： O'Connor MI,Bancroft LW

更新日期：2004-08-01 00:00:00

abstract：:It has been helpful in our practice to separate somatic from sympathetic-mediated peripheral nerve pain. We would recommend application of the new nomenclature of type I complex regional pain (sympathetic dystrophy) and type II complex regional pain (causalgia) (see Table 1). We believe it is essential that both of th...

journal_title：Hand clinics

authors： Cooney WP

更新日期：1997-08-01 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

authors： Garcia-Elias M

更新日期：1997-02-01 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

authors： Yao J,Osterman AL

更新日期：2005-11-01 00:00:00

abstract：:Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...

journal_title：Hand clinics

authors： McAuliffe JA

更新日期：1999-05-01 00:00:00

abstract：:Patients with old scaphoid nonunion have a high risk of developing wrist arthritis. Although some patients remain asymptomatic, some will have pain sufficient to seek treatment. There are several treatment options available. The authors prefer wrist arthrodesis for most of these patients. ...

journal_title：Hand clinics

authors： Ruby LK,Leslie BM

更新日期：1987-11-01 00:00:00

abstract：:The foremost goal of managing a mutilated hand is provision of adequate skin coverage. The most suitable method is free tissue transfer. The specific role of volar surface requires replacement tissue to have similar texture for aesthetically satisfactory and functionally acceptable outcomes. Hand surgeons must approac...

journal_title：Hand clinics

authors： Lee K,Roh S,Lee D,Kim J

更新日期：2016-11-01 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：:As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

journal_title：Hand clinics

authors： Trumble TE,Shon FG

更新日期：2000-02-01 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

authors： Rudolph R,Vande Berg J

更新日期：1991-11-01 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

authors： Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

更新日期：2006-08-01 00:00:00

abstract：:Distal radius fractures are common fractures that can cause significant disability. As techniques and implants have improved, better results can be expected from internal and external fixation of complex wrist fractures. With meticulous technique, articular alignment can be secured and small articular fragments can be...

journal_title：Hand clinics

authors： Leibovic SJ

更新日期：1997-11-01 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

authors： Herbert TJ

更新日期：2001-11-01 00:00:00

abstract：:Appreciation and knowledge of anatomy as it relates to surgical approaches is critical for planning treatment of traumatic wrist injuries. This article discusses the pertinent anatomy and some of the more commonly used approaches to wrist trauma. ...

journal_title：Hand clinics

authors： Cardoso R,Szabo RM

更新日期：2010-02-01 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

authors： Berger RA,Cooney WP 3rd

更新日期：2005-11-01 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

authors： King JA,Tomaino MM

更新日期：2001-05-01 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

authors： Lebowitz C,Matzon JL

更新日期：2018-02-01 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：:Necrotizing fasciitis is a severe, fulminant infection most commonly encountered in patients with diabetes mellitus, alcohol abuse, and intravenous drug abuse. The infection can spread-unrecognized along fascial planes beneath seemingly normal skin. The relatively benign appearance of the extremity is misleading and o...

journal_title：Hand clinics

authors： Gonzalez MH

更新日期：1998-11-01 00:00:00