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 most suited to the task. Some reconstructive choices may seem more attractive because of their simplicity, but may not necessarily give the best functional and aesthetic result. Free flaps and the newer advancements with vascular island flaps give many more and versatile reconstructive options.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Lekic N,Scheker L,Netscher Ddoi
10.1016/j.hcl.2020.09.008subject
Has Abstractpub_date
2021-02-01 00:00:00pages
77-96issue
1eissn
0749-0712issn
1558-1969pii
S0749-0712(20)30118-9journal_volume
37pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract::This article provides an update on wound management with wound diagnosis and treatment discussed in terms of the normal cellular events of the wound healing process. The role of growth factors as cell regulators, the importance of wound fluids to wound metabolism, and the deleterious effects of some wound cleansers, d...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1991-08-01 00:00:00
abstract::New solutions to difficult problems are always welcome, but nonbridging external fixation of intra-articular fractures is still in its infancy. Multicenter clinical trials are necessary to deter-mine whether the superior results obtained with nonbridging fixation of extra-articular fractures can be duplicated. With fu...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/j.hcl.2005.02.002
更新日期:2005-08-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0749-0712(02)00101-4
更新日期:2003-05-01 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::The anatomy of the ulnar nerve is described from its origin at the brachial plexus to its termination in the hand and digits. The critical anatomy surrounding the cubital tunnel and Guyon canal is emphasized, and clinically relevant anatomic variations, muscle anomalies, and peripheral nerve anastomoses are described....
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2007.05.001
更新日期:2007-08-01 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 carpal joint can be approached as a mechanism consisting of kinematic chains. In these chains, the proximal carpals function as intercalated segments. Intercarpal displacements are linked to one another and are based upon the mutual attuning of carpal bone geometry, joint contacts, and ligamentous interconnections...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Injuries to the extensor mechanism create an imbalance in the precise flexion-extension system that regulates finger motion. This imbalance results in visible and functional deformities. Although these deformities are initially supple, they can become fixed and progress to joint degeneration. This article outlines ear...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:2000-08-01 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
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
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:
更新日期:1986-05-01 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::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::The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1985-11-01 00:00:00
abstract::In summary, the authors believe that traumatic bone defects of the diaphyseal forearm, fewer than 6 cm in length, can be well managed with corticocancellous bone grafting, provided the patient has an adequate soft-tissue envelope. In cases of soft-tissue compromise, primary bone grafting is still the treatment of choi...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1999-05-01 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::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:
更新日期:1996-05-01 00:00:00
abstract::The role of the nurse is valuable in laying the groundwork for the assessment of the patient with numbness, tingling, and/or upper extremity pain. Through the initial history the nurse can establish rapport with the patient and provide a good chronology of the problem. This can assist the physician with the physical e...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
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
更新日期:2012-11-01 00:00:00
abstract::This article discusses the diagnosis and management of pigmented lesions of the hand, especially the nail bed. ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2020.07.002
更新日期:2020-11-01 00:00:00
abstract::A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-08-01 00:00:00
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:
更新日期:1997-05-01 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::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::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::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::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
更新日期:2013-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2016.07.002
更新日期:2016-11-01 00:00:00
abstract::This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.12.006
更新日期:2016-05-01 00:00:00
abstract::From a research work on 40 upper limbs of nonembalmed specimens, several narrow passages for the brachial plexus and the axillosubclavian vessels are described, extending from the neck and mediastinum to the lower border of the pectoralis major. The effects of sustained forced positions are also discussed, and the rol...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-11-01 00:00:00