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 abnormality. Options for treatment include arterial reconstruction using reversed interposition vein grafting, mechanical sympathectomy performed by surgical resection of the thrombosed segment and ligation of the artery, and nonsurgical treatment.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Koman LA,Urbaniak JRsubject
Has Abstractpub_date
1985-05-01 00:00:00pages
311-25issue
2eissn
0749-0712issn
1558-1969journal_volume
1pub_type
杂志文章相关文献
HAND CLINICS文献大全abstract::Fractures of the capitellum and trochlea account for a small proportion of elbow trauma. Clinicians need to be vigilant in their assessment as they are commonly associated with other injuries about the elbow. To optimize outcomes, the goals of management include a stable, anatomic reduction and early range of motion. ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.07.001
更新日期:2015-11-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2014.01.003
更新日期:2014-05-01 00:00:00
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
pub_type: 杂志文章,评审
doi:
更新日期:1988-08-01 00:00:00
abstract::Reverse-flow pedicled radial forearm tendocutaneous flap transfers were performed to reconstruct simultaneous skin and tendon defects in the dorsum of the hand in six patients. All flaps survived and four of six patients obtained good functional results. To obtain satisfactory functional outcome, early surgical repair...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract::The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 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::A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtai...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1997-02-01 00:00:00
abstract::Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also i...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2006.02.001
更新日期:2006-05-01 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::Rheumatoid arthritis (RA) may progressively affect all articulations of the wrist. Involvement of the distal radioulnar joint (DRUJ) is common and may be the first clinical signs of symptoms of RA. When the DRUJ is affected by RA, upper extremity function can be affected. Effective surgical management includes the Dar...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2010.10.002
更新日期:2011-02-01 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::In the modern pediatric orthopedic practice, operative management plays a vital and not infrequent role in the management of significant and difficult forearm and elbow fractures in the skeletally immature. Although the majority of forearm and many elbow fractures can be treated successfully by nonoperative measures, ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/s0749-0712(02)00017-3
更新日期:2002-02-01 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::A dysvascular digit is defined as a threatened circulatory condition of a digit caused owing to multiple reasons, such as medical illness or trauma. A dysvascular digit always needs surgical manipulation of the vessel in trauma cases. The revascularization of the digit is a priority in such conditions, after which rec...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2019.01.001
更新日期:2019-05-01 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::Many malunions of the finger metacarpals are mild and do not require or justify operative intervention. Early recreation of the fracture or osteotomy is more likely to be rewarded with favorable results than late operation. Rotational malunions of the metacarpals or proximal phalanges may be treated by transverse extr...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2006.03.001
更新日期:2006-08-01 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
pub_type: 杂志文章
doi:
更新日期:1994-08-01 00:00:00
abstract::Injuries to the proximal interphalangeal joint are extremely common. An understanding of the complex anatomy of this joint is essential for diagnosis and treatment of proximal interphalangeal joint sprains and dislocations. Lateral injuries are among the commonest injuries in the hand. These are often stable after red...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-02-01 00:00:00
abstract::Ulnar nerve compression about the elbow is common. If diagnosed and treated early, satisfactory results can be expected. Severe chronic nerve compression may lead to permanent nerve damage. The diagnosis can be made by careful history, physical examination, knowledge of the nerve anatomy, and sometimes electrodiagnosi...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::High clinical suspicion is of paramount importance in evaluating the hand or wrist for an evolving compartment syndrome. A detailed history coupled with a thorough physical examination form the basis for the diagnosis. The use of techniques to measure compartment pressures forms the objective foundation to assist in f...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1998-08-01 00:00:00
abstract::Disruption of the lunatotriquetral ligament is a common cause of ulnar-sided wrist pain. A review of the literature of the pathophysiology and treatment of LT ligament tears is presented. The authors report a series of 20 consecutive patients with arthroscopically confirmed LT ligament tears without a VISI collapse tr...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1995-02-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2010.05.009
更新日期:2010-11-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1991-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2018.07.001
更新日期:2018-11-01 00:00:00
abstract::There are just two variables that define the mechanical qualities of each muscle. One is its potential for generating tension, and the other is the distance through which tension can be exerted. Tension capability can be increased in a muscle by exercise. There is no way to increase potential for excursion except by r...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-05-01 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::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::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::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