Treatment of osteoarthritis in the hand and wrist. Nonoperative treatment.

Abstract:

:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Palmieri TJ,Grand FM,Hay EL,Burke C

subject

Has Abstract

pub_date

1987-08-01 00:00:00

pages

371-83

issue

3

eissn

0749-0712

issn

1558-1969

journal_volume

3

pub_type

杂志文章
  • Carpal bone fractures.

    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

    authors: Papp S

    更新日期:2010-02-01 00:00:00

  • Hand Therapy Treatment.

    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

    authors: Stralka SW

    更新日期:2016-02-01 00:00:00

  • Skin Coverage Considerations in a Mutilating Hand Injury.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.07.002

    authors: Lee K,Roh S,Lee D,Kim J

    更新日期:2016-11-01 00:00:00

  • Osseous anatomy and articular relationships about the distal ulna.

    abstract::The distal radio-ulnar joint (DRUJ) has a bony anatomy that contributes very little to stability. This article discusses the osseous anatomy about the distal end of the ulna. The structures that support the stability of the DRUJ, such as the triangular fibrocartilage complex, the tendon sheath of the extensor carpi ul...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Ekenstam F

    更新日期:1998-05-01 00:00:00

  • Complications of the management of carpal tunnel syndrome.

    abstract::The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kessler FB

    更新日期:1986-05-01 00:00:00

  • Cumulative trauma disorder of the upper limb.

    abstract::The current status of cumulative trauma disorder of the upper limb is examined from the standpoint of its long history, its current controversies, and the philosophic basis of the present laws, which control management of the condition. The future needs that should permit cumulative trauma disorders to be better under...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dobyns JH

    更新日期:1991-08-01 00:00:00

  • Current management of metacarpal fractures.

    abstract::Metacarpal fractures are common, and many can be managed nonoperatively with appropriate reduction and immobilization. As with any hand fracture, the primary goals are to achieve anatomic and stable reduction, bony union, and early mobilization to minimize disability. Appropriate treatment requires a keen understandin...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2013.09.004

    authors: Diaz-Garcia R,Waljee JF

    更新日期:2013-11-01 00:00:00

  • Surgical strategy: matching the patient with the procedure.

    abstract::The general indications, timing, and choice of procedure can be determined by asking and answering the following questions appropriately: 1. Has the patient achieved neurologic, emotional, and social stability? 2. What is the patient's current level of motor and sensory resources and function? The number and strength ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/s0749-0712(02)00030-6

    authors: Hentz VR

    更新日期:2002-08-01 00:00:00

  • Complex injuries of the forearm. Coverage considerations.

    abstract::Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Bray PW,Boyer MI,Bowen CV

    更新日期:1997-05-01 00:00:00

  • Practice in Wide-Awake Hand Surgery: Differences Between United Kingdom and Cyprus.

    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

    authors: Kritiotis C,Phillips A,Muir L,Naqui Z

    更新日期:2019-02-01 00:00:00

  • Ulnar Nerve Tendon Transfers for Pinch.

    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

    authors: Cook S,Gaston RG,Lourie GM

    更新日期:2016-08-01 00:00:00

  • The use of the palmaris brevis flap in recurrent carpal tunnel syndrome.

    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:

    authors: Rose EH

    更新日期:1996-05-01 00:00:00

  • Proximal humerus and humeral shaft fractures in children.

    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

    authors: Shrader MW

    更新日期:2007-11-01 00:00:00

  • The role of arthroscopy in the treatment of lunatotriquetral ligament injuries.

    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:

    authors: Osterman AL,Seidman GD

    更新日期:1995-02-01 00:00:00

  • Arthroscopic knotless peripheral ulnar-sided TFCC repair.

    abstract::Peripheral ulnar-sided tears of the triangular fibrocartilage complex (TFCC) are common injuries and are amenable to arthroscopic repair. This article describes an all-arthroscopic knotless technique for TFCC repair. This technique has the advantage of being all arthroscopic using 3 portals, has the ability to repair ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2011.05.008

    authors: Geissler WB

    更新日期:2011-08-01 00:00:00

  • Acute Management of Hand Burns.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.001

    authors: Soni A,Pham TN,Ko JH

    更新日期:2017-05-01 00:00:00

  • Does Anyone Need a Vascularized Graft?

    abstract::Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techni...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2019.03.005

    authors: Rancy SK,Schmidle G,Wolfe SW

    更新日期:2019-08-01 00:00:00

  • Free vascularized nerve transfer in the upper extremity.

    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:

    authors: Taylor GI

    更新日期:1999-11-01 00:00:00

  • The myofibroblast in Dupuytren's contracture.

    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:

    authors: Rudolph R,Vande Berg J

    更新日期:1991-11-01 00:00:00

  • Digital replantations including fingertip and ring avulsion.

    abstract::To reduce ischemic time and yet achieve a high-quality repair, the replantation team should be well organized. The team should be conversant with microvascular techniques and employ efficient methods of tendon repair and bone fixation. Developments in instrumentation and technique in recent years have improved success...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Lim BH,Tan BK,Peng YP

    更新日期:2001-08-01 00:00:00

  • Atypical peripheral neuropathies.

    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:

    authors: Dell PC,Guzewicz RM

    更新日期:1992-05-01 00:00:00

  • Common disorders of the elbow in athletes and musicians.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Hotchkiss RN

    更新日期:1990-08-01 00:00:00

  • Tendon reconstruction with adjacent finger hand tendon.

    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

    authors: Sita-Alb LC,Durand S

    更新日期:2013-05-01 00:00:00

  • Tendon salvage and the active tendon implant: a perspective.

    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:

    authors: Hunter JM

    更新日期:1985-02-01 00:00:00

  • A Systematic Review of Orthopedic Global Outreach Efforts Based on WHO-CHOICE Thresholds.

    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

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2019.07.015

    authors: Nolte MT,Nasser JS,Chung KC

    更新日期:2019-11-01 00:00:00

  • Surgical treatment of the rheumatoid thumb.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: King JA,Tomaino MM

    更新日期:2001-05-01 00:00:00

  • Pediatric humeral condyle fractures.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2005.09.003

    authors: Gogola GR

    更新日期:2006-02-01 00:00:00

  • Arthroscopy of the elbow.

    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:

    authors: Ekman EF,Poehling GG

    更新日期:1994-08-01 00:00:00

  • Treatment of complex fractures of the distal radius. Combined use of internal and external fixation and arthroscopic reduction.

    abstract::A group of fractures of the distal radius are inherently unstable and cannot be treated by closed reduction and cast or external fixation. These fractures are high-energy motor vehicle accidents often seen in young adults but possible in nearly every age group. They are not typical Colles's fractures because they are ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Cooney WP,Berger RA

    更新日期:1993-11-01 00:00:00

  • Allograft tendon for second-stage tendon reconstruction.

    abstract::Tendons are made of compact dense collagen fibers with only sparse cellularity and naturally low immunogenicity. Allogenic tendons may be preserved through deep freezing methods and retain excellent mechanical properties after revitalization. Allogenic tendons were used in 22 patients (30 tendons) for second-stage ten...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.011

    authors: Xie RG,Tang JB

    更新日期:2012-11-01 00:00:00