Management of Monteggia Injuries in the Adult.

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

authors： Sita-Alb LC,Durand S

更新日期：2013-05-01 00:00:00

abstract：:Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential...

journal_title：Hand clinics

authors： Loewenstein SN,Adkinson JM

更新日期：2021-02-01 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：:There are times when clinical examinations, radiographs, and computed tomography scans do not provide sufficient information to know whether a scaphoid fracture or scaphoid bone graft has united, partially united, or not united. When this problem arises, arthroscopic examination of the scaphoid fracture or scaphoid bo...

journal_title：Hand clinics

authors： Ecker J

更新日期：2017-11-01 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：:Although carpal fractures other than of the scaphoid are uncommon, vigilance in diagnosing these potentially serious fractures is paramount to early and effective treatment. Physical examination and standard plain radiographs may reveal only subtle findings. Use of special radiographic views and computed tomography ma...

journal_title：Hand clinics

authors： Vigler M,Aviles A,Lee SK

更新日期：2006-11-01 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

authors： Bray PW,Boyer MI,Bowen CV

更新日期：1997-05-01 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：:Carpal instability is a complex array of maladaptive and posttraumatic conditions that lead to the inability of the wrist to maintain anatomic relationships under normal loads. Many different classification schemes have evolved to explain the mechanistic evolution and pathophysiology of carpal instability, including 2...

journal_title：Hand clinics

authors： Lee DJ,Elfar JC

更新日期：2015-08-01 00:00:00

abstract：:A scoring classification for assessment of the clinical severity of reflex sympathetic dystrophy (RSD) and rating the presence and clinical expression of each feature is proposed. The following were included: pain, reduction of finger flexion, swelling, temperature changes, discoloration, sensory disturbances, shoulde...

journal_title：Hand clinics

authors： Zyluk A

更新日期：2003-08-01 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

authors： Pellegrini VD Jr

更新日期：2001-05-01 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：:PNA is one of many treatments available for the treatment of hand contractures resulting from Dupuytren’s disease. It is generally recommended for elderly patients with less severe contractures who desire a less invasive procedure, or as a first stage to delay surgery in those with more aggressive disease. The procedu...

journal_title：Hand clinics

authors： Diaz R,Curtin C

更新日期：2014-02-01 00:00:00

abstract：:The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bo...

journal_title：Hand clinics

authors： Szabo RM,Greenspan A

更新日期：1993-08-01 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：:Upper extremity burn contractures are a major challenge to the reconstructive surgeon. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. Reconstructive options for axillary, antecubital, wrist, ...

journal_title：Hand clinics

authors： Kurtzman LC,Stern PJ

更新日期：1990-05-01 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

authors： Fowler JR,Ilyas AM

更新日期：2010-08-01 00:00:00

abstract：:Hand burns, in particular, are one of the leading causes of hand injury in children and can result in significant impairment of hand function. Appropriate initial management of hand burns in children is imperative to optimize function and minimize long-term scarring, and it is for this reason that the American Burn As...

journal_title：Hand clinics

authors： Palmieri TL

更新日期：2009-11-01 00:00:00

abstract：:Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...

journal_title：Hand clinics

authors： Szabo RM,Gelberman RH

更新日期：1985-08-01 00:00:00

abstract：:The first cases using the set of instruments designed by James C. Y. Chow, MD, of Mount Vernon, Illinois, were performed in September of 1987 by the developer. His was the first written introduction of the technique of endoscopically assisted carpal tunnel release published by a US author. This technique has been prac...

journal_title：Hand clinics

authors： Fischer TJ,Hastings H 2nd

更新日期：1996-05-01 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：:Successful treatments of musculoskeletal injuries in the pediatric population demand a thorough understanding of the basic anatomy and its biomechanics, and the physiology of growth and development of the immature skeleton. In addition, good treatment outcomes rely on the treating physician being an effective teacher ...

journal_title：Hand clinics

authors： Le TB,Hentz VR

更新日期：2000-11-01 00:00:00

abstract：:Preaxial polydactyly is the result of aberrant bifurcation of the embryonic preaxial anlage. Effective reconstruction of thumb duplication requires careful evaluation of all components. Skin, nail, bone, ligament, and musculoskeletal elements must be combined to reconstruct an optimal digit. ...

journal_title：Hand clinics

authors： Light TR

更新日期：1992-02-01 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：: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 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：: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

authors： Watson HK,Weinzweig J

更新日期：1997-02-01 00:00:00

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

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

更新日期：2019-02-01 00:00:00

abstract：:Psychological evaluations with hand injury patients provide diagnostic information and treatment recommendations that can be included with the findings from physical and neurologic examinations. Assessment of psychosocial factors that can either complicate recovery from injury or aid in rehabilitation is discussed. Fo...

journal_title：Hand clinics

authors： Johnson RK

更新日期：1986-08-01 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

authors： Furnas DW

更新日期：1985-11-01 00:00:00