Microvascular techniques in limb-sparing surgery.

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

authors： Failla JM,Amadio PC

更新日期：1988-08-01 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：:Mutilating hand injuries in children are a devastating problem. With aggressive efforts at replantation and revascularization, methodic debridement, timely soft tissue coverage, and early mobilization, however, the results in these unfortunate children can be quite rewarding. The child often does well with the functio...

journal_title：Hand clinics

authors： Buncke GM,Buntic RF,Romeo O

更新日期：2003-02-01 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

authors： Osterman AL,Whitman M,Porta LD

更新日期：2002-05-01 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：: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

authors： Chidgey LK

更新日期：1991-05-01 00:00:00

abstract：:The hand is extremely susceptible to burn injuries, and hand burns can occur in up to 90% of all major burns. A thorough neurovascular examination of the hand should be performed in the acute setting. Escharotomies are required in patients with full-thickness or circumferential burns, when perfusion of the upper extre...

journal_title：Hand clinics

authors： Soni A,Pham TN,Ko JH

更新日期：2017-05-01 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：: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

authors： Papp S

更新日期：2010-02-01 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

authors： Fowler JR,Ilyas AM

更新日期：2010-08-01 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：: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

authors： Carroll I,Curtin CM

更新日期：2013-08-01 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：: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：:Nerve compression syndromes are common in the general population, and they are also common in musicians. As many as 30% of musicians who have a recognized musculoskeletal disorder are diagnosed with a nerve compression syndrome. Thus, it is important to consider the diagnosis of nerve compression syndromes in all musi...

journal_title：Hand clinics

authors： Amadio PC

更新日期：2003-05-01 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

authors： Berger RA

更新日期：1994-11-01 00:00:00

abstract：:Recent publications have suggested that there may be an important role for the radial artery regarding long-term perfusion of the hand. The increasing popularity of the radial artery as an access site for cardiac catheterization has also resulted in the recognition of acute and chronic radial artery occlusion, and car...

journal_title：Hand clinics

authors： Chim H,Bakri K,Moran SL

更新日期：2015-02-01 00:00:00

abstract：:Until the 1920s, TOS was believed to be a vascular condition caused by compression of the subclavian artery by a congenital anomaly, either a cervical rib or tight anterior scalen muscle. Today it is regarded primarily as a neurologic condition caused by neck trauma injuring and scarring the scalene muscles. ...

journal_title：Hand clinics

authors： Sanders RJ,Hammond SL

更新日期：2004-02-01 00:00:00

abstract：:This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

journal_title：Hand clinics

authors： Hotchkiss RN

更新日期：1990-08-01 00:00:00

abstract：:Monteggia fracture-dislocation of the elbow is a fracture of the proximal ulna with associated dislocation of the radial head or radial neck fracture. In adults, this injury is managed with open reduction and internal fixation of the ulna fracture. Care should be taken to ensure anatomic reduction of the proximal ulna...

journal_title：Hand clinics

authors： Patel M,Dehghan N

更新日期：2020-11-01 00:00:00

abstract：:Once there are answers to the research questions, the results must be used in clinical practice to alter treatment plans, giving patients the most appropriate choices and the highest quality outcomes based on scientific data. Daily clinical practice can be improved by applying the results of outcomes studies to altern...

journal_title：Hand clinics

authors： Arslanian C

更新日期：2003-08-01 00:00:00

abstract：:Spasticity affects more than 80% of patients with spinal cord injury. Neural mechanisms and musculotendinous alterations lead to typical upper extremity features including shoulder adduction/internal rotation, forearm pronation, and elbow, wrist, and finger flexion. Long-standing spasticity may lead to soft tissue and...

journal_title：Hand clinics

authors： Gohritz A,Fridén J

更新日期：2018-11-01 00:00:00

abstract：:Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...

journal_title：Hand clinics

authors： Lee Y,Woo SH,Kim YW,Lee YH,Baek GH

更新日期：2020-02-01 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

authors： Kinlaw D

更新日期：2005-02-01 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

authors： Lekic N,Scheker L,Netscher D

更新日期：2021-02-01 00:00:00

abstract：:Condylar and epicondylar fractures differ from other pediatric upper extremity fractures because of the anatomy and ossification of the distal humerus. These fractures are prone to nonunion,and initial deformities do not remodel well. Radiographic diagnosis and severity are difficult to determine, and adjunct studies,...

journal_title：Hand clinics

authors： Gogola GR

更新日期：2006-02-01 00:00:00

abstract：:Release of the transverse carpal ligament is commonly performed and highly successful in the treatment of carpal tunnel syndrome; however, complications do occur and may be broadly classified as errors in diagnosis and surgical technique. Complications range from incomplete division of the transverse carpal ligament t...

journal_title：Hand clinics

authors： Hunt TR,Osterman AL

更新日期：1994-02-01 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 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

authors： McBeath R,Osterman AL

更新日期：2012-11-01 00:00:00

abstract：:Injury and musculoskeletal disorders are a major cause of death, disability, and decreased quality of life in developing countries. Thus, understanding the cost-effectiveness of orthopedic care in low- and middle-income countries may help to guide future outreach. A systematic review was conducted on the literature av...

journal_title：Hand clinics

authors： Nolte MT,Nasser JS,Chung KC

更新日期：2019-11-01 00:00:00