Management of Spinal Cord Injury-Induced Upper Extremity Spasticity.

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：: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：: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

authors： Xie RG,Tang JB

更新日期：2012-11-01 00:00:00

abstract：:Spasticity or dystonia of the upper limb in children with CP commonly is seen as part of a more involved clinical picture. Each can cause functional problems in and can interfere with the quality of life of children with CP. Pharmacologic manipulation of the spasticity and dystonia requires a patient and ordered appro...

journal_title：Hand clinics

authors： O'Flaherty S,Waugh MC

更新日期：2003-11-01 00:00:00

abstract：:Nerve anatomy, terminology, and techniques for nerve restoration are reviewed in sufficient detail to allow the reader to quickly update his or her knowledge in this area. Ideas for future directions of study are presented. ...

journal_title：Hand clinics

authors： Bowers WH,Carlson EC,Wenner SM,Doyle JR

更新日期：1989-08-01 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

authors： Slutsky DJ

更新日期：2005-08-01 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

abstract：:The treatment of lunotriquetral interosseous (LTIO) ligament injuries is controversial. It is part of a spectrum of injuries involving the ulnar side of the wrist. Associated injuries may play a greater role in the outcome of treatment than does the LTIO injury. Arthroscopy is the most accurate diagnostic tool availab...

journal_title：Hand clinics

authors： Ritter MR,Chang DS,Ruch DS

更新日期：1999-08-01 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：:Metacarpal and phalangeal fractures are common athletic injuries that can significantly affect the athlete's career when they occur during the season and affect the athlete's training when they occur in the off season. This situation is particularly relevant if there are complications or if fixation is not stable enou...

journal_title：Hand clinics

authors： Geissler WB

更新日期：2009-08-01 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

authors： Kessler FB

更新日期：1986-05-01 00:00:00

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

authors： Stralka SW

更新日期：2016-02-01 00:00:00

abstract：:The evaluation and treatment of the stiff elbow are described, as well as the lateral, medial, anterior, and posterior approaches for release of elbow contractures. The results after surgical release in 48 patients that failed nonoperative treatment for elbow contractures in our institution are reported. A literature ...

journal_title：Hand clinics

authors： Vardakas DG,Varitimidis SE,Goebel F,Vogt MT,Sotereanos DG

更新日期：2002-02-01 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

authors： Chen DD,Forsh DA,Hausman MR

更新日期：2011-05-01 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

authors： Patel M,Dehghan N

更新日期：2020-11-01 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

authors： Rose EH

更新日期：1996-05-01 00:00:00

abstract：:As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

journal_title：Hand clinics

authors： Trumble TE,Shon FG

更新日期：2000-02-01 00:00:00

abstract：:Operative arthroscopy of the wrist compliments the physical examination and radiographic imaging to improve diagnosis and treatment of lesions about the distal ulna. This article reviews the relevant anatomy, biomechanics, and classification of acute and degenerative lesions of the triangular fibrocartilage complex (T...

journal_title：Hand clinics

authors： Fulcher SM,Poehling GG

更新日期：1998-05-01 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

authors： Rayan GM

更新日期：1992-05-01 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

authors： Kasdan AS

更新日期：1993-05-01 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

authors： Murray PM

更新日期：2011-02-01 00:00:00

abstract：:Microvascular techniques allowing free tissue transfer have expanded the indications for limb salvage in tumor patients. Preoperative planning should predict the type of deficit anticipated. Specific techniques for soft tissue, skeletal, neurovascular, and composite tissue transfer are discussed. While demanding, the ...

journal_title：Hand clinics

authors： Hausman MR,Hahn MK

更新日期：1995-05-01 00:00:00

abstract：:In nerve entrapment syndromes in the upper extremity, the surgeon must first become a diagnostician. When the symptoms of entrapment are bilateral, diabetes mellitus and cervical arthritis are found in a significant statistical number over the general population. These diseases can result in incomplete relief of sympt...

journal_title：Hand clinics

authors： Howard FM

更新日期：1986-11-01 00:00:00

abstract：:Evaluation of the injured hand is undertaken to assess an acute injury, to diagnose chronic injuries prior to reconstruction, to evaluate function, and to evaluate disability. This article discusses the special evaluation method for each of these categories. ...

journal_title：Hand clinics

authors： Gupta A,Kleinert HE

更新日期：1993-05-01 00:00:00

abstract：:Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mec...

journal_title：Hand clinics

authors： Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

更新日期：2006-08-01 00:00:00

abstract：:Psoriatic arthritis is a polyarthropathy distinct from rheumatoid arthritis and associated with onychodystrophy and skin lesions. Patients present with stiffness, flexion and extension contractures, digital swelling, or painful joints. Psoriatic arthritis mutilans is a rapidly progressive osteolysis resulting in sever...

journal_title：Hand clinics

authors： Rose JH,Belsky MR

更新日期：1989-05-01 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：:Internal fixation of acute scaphoid fractures has significant advantages over conservative treatment, using cast immobilization. Healing rates are improved, functional recovery is accelerated, and morbidity is reduced. Percutaneous fixation has become the treatment of choice for the majority of acute fractures, since ...

journal_title：Hand clinics

authors： Herbert TJ

更新日期：2001-11-01 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：: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

authors： Tamai S,Yajima H,Inada Y

更新日期：1999-11-01 00:00:00